5. Administrative information on convalescent leave is recorded in Item______ of the
ITRCS. Then, at the time of disposition, the information on convalescent leave is used
in completing Item ______.
6. How does the health care provider in charge of a case verify the
diagnostic/operative information recorded in Item 34 of the Inpatient Treatment Record
Cover Sheet?
________________________________________________________________
7. On the Inpatient Treatment Record Cover Sheet, Item 36, Total Days All Facilities,
is used for direct admissions only.
a. True.
b. False.
8. Total bed days and total sick days are always equal.
a. True.
b. False.
9. Which Army regulation establishes the purpose and use of the Inpatient Treatment
Record Cover Sheet?
________________________________________________________________
10. Who is responsible for preparation of the ITRCS and other administrative aspects
of the ITRCS?
________________________________________________________________
11. The format is the same for the two variations of the Inpatient Treatment Record
Cover Sheet (ITRCS). What is the form number and two variations?
a.
______________________________.
b.
______________________________.
MD0753
3-18