Section IV. FILING AND DISPOSITION
1-18. FUNCTIONS OF RECORDS
a. Inpatient Treatment Records (ITRs) must provide a written record of the care and
treatment given each patient while hospitalized and must comply with Army regulations and
with standards established by the Joint Commission on Accreditation of Hospital
b. Medical records provide a measure of the quality of care. They are also the
source of documentation for care.
c. Medical records are legal documents. The physician is both legally and morally
responsible for the content of the ITR. The Patient Administration Division has
responsibilities toward these ITRs as well. Ultimate responsibility for ITRs rests with the
1-19. SEQUENCE OF FORMS
a. General. AR 40-66 defines the sequence in which the medical forms are filed in
the ITR folder (DA Form 3444-series). Table 1-1 explains the filing sequence for the left
and right sides of the folder.
b. Sequence. The left side of the folder should contain out-of-the-ordinary forms,
such as third party liability notification, very seriously ill/seriously ill reports, and medical
board proceeding. The right side of the ITR folder should contain the more commonly used
forms resulting from hospitalization. Two copies of DA Form 3647 (ITRCS) should be first
in order on the right side; next standard forms (SFs); then, other DA forms; and finally,
DD forms. When more than one copy of a form is used, the forms should be filed
chronologically-- latest date forward.