(2) Enter the date the AD patient is received in your MTF from the civilian facility
for absent sick cases.
(3) Enter the date of birth for newborn infants in your MTF.
ee. For Local Use. The MTF will locally determine entries made in this block. In
injury cases, how, when and where injury occurred is entered here.
ff. Admitting Officer. Enter the name of the physician or other provider authorizing
admission. If the DA Form 2985 is used as the admission authorization, the admitting
officer will sign in this block.
gg. Signature of Admitting clerk. The admitting clerk will sign in this block.
1-9. THE NINE-LINE PLATE
a. Use of DA Form 2985 (Admission and Coding Information). The information
on the DA Form 2985 is keypunched and used for a number of computer-generated
reports. However, in the AAD office, it is initially used to make up the nine-line plate
discussed in the next two paragraphs. Some of the information on DA Form 2985 is not
used on the nine-line plate and will be taught in a later lesson. Some of the information on
the coding form is not written into the computer coding boxes (small boxes) on the form but
is entered into the space beside the small computer coding boxes at the time of
admission. Computer coding is done later. Computer coding is taught in a later
b. Embossed Identification Plates. These plates are prepared by hospitals
having addressograph embossing equipment for mechanical record writing. This system
is authorized in fixed Army hospitals where the volume of admissions and dispositions
warrants procurement of the necessary equipment. An MTF without such equipment will
initiate the necessary forms with typewritten entries. Hospitals having automatic data
processing equipment may adopt appropriate portions of the mechanical writing system
which are not accomplished through automatic data processing. After preparing DA Form
2985, the admitting clerk will use the embossing machine to prepare the nine-line plate.
The embossing machines will produce either a metal plate or a plastic plate similar to
c. Preparation of the Nine-Line Plate. The admitting clerk prepares the nine-line
plate using DA Form 2985 as the source of information.
d. Sample Nine-Line Plate. Figure 1-4 is a sample embossed nine-line plate.
The figure illustrates the plate and reviews the information which goes onto the plate.