h. Forward one legible copy of the A&C Form and the Inpatient Treatment
Record Cover Sheet (DA Form 3647) (ITRCS) to The U.S. Army Medical Department
Center and School, Patient Administration Systems and Biostatistics Activity (PASBA)
for input into the IPDS data base only if your facility is a non-fixed MTF.
i. Maintain one legible copy locally in a register number file with a copy of the
related (ITRCS) for future reference.
Section II. CODING OF DA FORM 2985
a. This section of the lesson will explain how patient information, (administrative
and medical) is coded on the A&C Form (DA Form 2985) for entry into the Individual
Patient Data System (IPDS) database. The instructions have been taken from the IPDS
b. Instructions related to information obtained during the admission interview are
covered in Subcourse MD0752 (lesson 1, Admission and Disposition).
c. Information and examples in the following paragraphs have been taken from
figures 4-1 and 4 -2 for the purpose of leading you through the coding of each field or
space on the DA Form 2985.
4-7. REPORTING MEDICAL TREATMENT FACILITY (MTF) (FIELD 1, COLUMNS 1
a. Source of data : Table of MTF codes (see table 4 -1).
b. An "A" for Army is printed in the first position (column 1) of the A&C Form.
Find the code for your MTF in table 4 -1 and enter it the next four columns (2-5) of field
1, Reporting MTF as shown below:
1. REPORTING MTF
c. Code 1411 is used for Darnell ACH, Fort Hood, TX.