(1) Enter "Dir" for direct admission from other than Emergency Room (ER).
(2) Enter "Dir-ER" for direct admission from the ER.
(3) Enter "Trnsf" when the patient has been transferred from any other facility.
(4) Enter `CRO" for carded for record only cases.
(5) Enter "NB" for live-born infant born at your MFT.
z. Ward. Enter the ward/nursing unit to which the patient is admitted. Leave blank
(1) Enter "Abs SK" for AD patients whose entire period of hospitalization is in a
non U.S. Armed Services MTF and have never transferred to a military MTF.
aa. Name/ relationship, address, and telephone number of emergency
addressee. Enter information relating to the emergency addressee. Leave blank for
bb. Name and location of MTF. Enter the name and location of the reporting