Medical Records Administration Branch I (Book 1 of 2)
Lesson 1. Inpatient Treatment Records. - Medical Records Admin I Book 1 of 2
Figure 1-1. Completed DA Form 3444-6 used as a file folder for an Inpatient Treatment Record. - Medical Records Admin I Book 1 of 2
Section II. Variations of Inpatient Treatment Records - Medical Records Admin I Book 1 of 2
Abbreviated Medical Record - Medical Records Admin I Book 1 of 2
Forms Required for ITRs - Medical Records Admin I Book 1 of 2
Section III. Essential Elements - Medical Records Admin I Book 1 of 2
Figure 1-2. DA Form 3647 (Inpatient Treatment Record Cover Sheet). - Medical Records Admin I Book 1 of 2
Figure 1-3. OF 275 (Medical Record Report). - Medical Records Admin I Book 1 of 2
Figure 1-4. SF 539 (Abbreviated Medical Record) (continued). - Medical Records Admin I Book 1 of 2
Figure 1-4. SF 539 (Abbreviated Medical Record) (concluded). - Medical Records Admin I Book 1 of 2
Identification of Patient - Medical Records Admin I Book 1 of 2
Progress Notes by Physician - Medical Records Admin I Book 1 of 2
Figure 1-5. SF 504 (History - Part 1). - Medical Records Admin I Book 1 of 2
Figure 1-6. SF 505 (History - Part 2). - Medical Records Admin I Book 1 of 2
Figure 1-7. SF 505 (History - Part 3). - Medical Records Admin I Book 1 of 2
Figure 1-8. SF 506 (Physical Examination). - Medical Records Admin I Book 1 of 2
Figure 1-9. SF 509 (Doctor's Progress Notes). - Medical Records Admin I Book 1 of 2
Doctor's Orders and Nursing Notes - Medical Records Admin I Book 1 of 2
Progress Notes by Nurses - Medical Records Admin I Book 1 of 2
Figure 1-10. DA Form 4256 (Doctor's Orders). - Medical Records Admin I Book 1 of 2
Figure 1-11. SF 510 (Nursing Notes). - Medical Records Admin I Book 1 of 2
Diagnostic Test Results (Reports) - Medical Records Admin I Book 1 of 2
Figure 1-12. SF 516 (Operation Report). - Medical Records Admin I Book 1 of 2
Figure 1-13. SF 515 (Tissue Examination). - Medical Records Admin I Book 1 of 2
Figure 1-14. SF 522 (Request for Ad ministration of Anesthesia and for Performance of Operations and Other Procedures). - Medical Records Admin I Book 1 of 2
Figure 1-15. SF 517 (Anesthesia Form). - Medical Records Admin I Book 1 of 2
Conclusions - Medical Records Admin I Book 1 of 2
Figure 1-16. SF 502 (Narrative Summary). - Medical Records Admin I Book 1 of 2
Section IV. Filing and Disposition - Medical Records Admin I Book 1 of 2
Table 1-1. Filing sequence for documents in ITR folder (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10039
Table 1-1. Filing sequence for documents in ITR folder (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10040
Table 1-1. Filing sequence for documents in ITR folder (concluded). - Medical Records Admin I Book 1 of 2
Transfer for Further Treatment in Military MTF or Veterans Administration (VA) MTF - Medical Records Admin I Book 1 of 2
Retrieval of Records from Storage. - Medical Records Admin I Book 1 of 2
Access and Audit Trail - Medical Records Admin I Book 1 of 2
Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10045
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10046
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10047
Solutions to Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10048
Solutions to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10049
Lesson Assignment - Medical Records Admin I Book 1 of 2 - md0753bk10050
Lesson 2. Diagnostic and Operative Coding. - Medical Records Admin I Book 1 of 2
General Characteristics of the ICD-9-CM, Tabular List (Vol I) - Medical Records Admin I Book 1 of 2
Figure 2-1. Volume 1, Table of Contents. (Continued) - Medical Records Admin I Book 1 of 2
Figure 2-1. Volume 1, Table of Contents. (Concluded) - Medical Records Admin I Book 1 of 2
Section II. Conventions and Terminology - Medical Records Admin I Book 1 of 2
Instructional Terms - Medical Records Admin I Book 1 of 2
Code also - Medical Records Admin I Book 1 of 2
Punctuation Marks - Medical Records Admin I Book 1 of 2
Abbreviations - Medical Records Admin I Book 1 of 2 - md0753bk10059
Related Terms - Medical Records Admin I Book 1 of 2
Section III. Use of ICD-9-CM - Medical Records Admin I Book 1 of 2
Figure 2-2. ITRCS (handwritten and typed copies) (continued). - Medical Records Admin I Book 1 of 2
Figure 2-2. ITRCS (handwritten and typed copies) (concluded). - Medical Records Admin I Book 1 of 2
Section II, "Table of Drugs and Chemicals ." - Medical Records Admin I Book 1 of 2
Figure 2-3. Example of alphabetic arrangement of Volume 2, ICD-9-CM (showing indentation of main terms and modifiers). - Medical Records Admin I Book 1 of 2
Steps for using Volume 2 - Medical Records Admin I Book 1 of 2
Arrangement of the Tabular List - Medical Records Admin I Book 1 of 2
Arrangement of the Procedures Classification - Medical Records Admin I Book 1 of 2
The Tabular List - Medical Records Admin I Book 1 of 2
Steps in Using Volume 3 - Medical Records Admin I Book 1 of 2
Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10071
Exercises (Cont) - Medical Records Admin I Book 1 of 2 - md0753bk10072
Exercises (Cont) - Medical Records Admin I Book 1 of 2 - md0753bk10073
Exercises (Cont) - Medical Records Admin I Book 1 of 2 - md0753bk10074
Solution to Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10075
Solution to Exercises (Cont) - Medical Records Admin I Book 1 of 2 - md0753bk10076
Lesson Assignment - Medical Records Admin I Book 1 of 2 - md0753bk10077
Lesson 3. Inpatient Treatment Record Cover Sheet. - Medical Records Admin I Book 1 of 2
Distribution - Medical Records Admin I Book 1 of 2
Abbreviations - Medical Records Admin I Book 1 of 2 - md0753bk10080
Section II. Completion of the Inpatient Treatment Record Cover Sheet - Medical Records Admin I Book 1 of 2
Completion of the ITRCS - Medical Records Admin I Book 1 of 2
Figure 3-1. DA Form 3647 (Inpatient Treatment Record Cover Sheet for typed entries). - Medical Records Admin I Book 1 of 2
Figure 3-2. DA Form 3647 (Inpatient Treatment Record Cover Sheet for computer generated entries). - Medical Records Admin I Book 1 of 2
Figure 3-3. Relationship of DA Form 2985 and DA Form 3647. - Medical Records Admin I Book 1 of 2
Item 31, Selected Administrative Data. - Medical Records Admin I Book 1 of 2
Item 32, Units of Whole Blood/Component Transfused. - Medical Records Admin I Book 1 of 2
Item 34, Diagnoses/Operations and Special Procedures. - Medical Records Admin I Book 1 of 2
Recording of operations and special procedures - Medical Records Admin I Book 1 of 2
Item 35, Total Days This Facility - Medical Records Admin I Book 1 of 2
Item 36, Total Days All Facilities - Medical Records Admin I Book 1 of 2
Document Flow of Inpatient Treatment Record Cover Sheet - Medical Records Admin I Book 1 of 2
Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10093
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10094
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10095
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10096
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10097
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10098
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10099
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10100
Solutions to Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10101
Solutions to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10102
Solutions to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10103
Solutions to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10104
Solutions to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10105
Solutions to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10106
Lesson Assignment - Medical Records Admin I Book 1 of 2 - md0753bk10107
Lesson 4. Individual Patient Data System. - Medical Records Admin I Book 1 of 2
Explanation of Terms - Medical Records Admin I Book 1 of 2
Sources of Data - Medical Records Admin I Book 1 of 2
Figure 4-1. DA Form 2985 (Admission and Coding Information) (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10111
Figure 4-1. DA Form 2985 (Admission and Coding Information) (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10112
Figure 4-1. DA Form 2985 (Admission and Coding Information) (concluded). - Medical Records Admin I Book 1 of 2
Figure 4-2. DA Form 3647 (Inpatient Treatment Record Cover Sheet). - Medical Records Admin I Book 1 of 2
Section II. Coding of DA Form 2985 - Medical Records Admin I Book 1 of 2
Table 4-1. Medical treatment facility (MTF) codes. - Medical Records Admin I Book 1 of 2
Table 4-2. State location codes. - Medical Records Admin I Book 1 of 2
Register Number - Medical Records Admin I Book 1 of 2 - md0753bk10118
Table 4-3. Grade codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10119
Table 4-3. Grade codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10120
Table 4-3. Grade codes (concluded). - Medical Records Admin I Book 1 of 2
Date of Birth - Medical Records Admin I Book 1 of 2
Table 4-5. Age codes. - Medical Records Admin I Book 1 of 2
Table 4-7. Ethnic background codes. - Medical Records Admin I Book 1 of 2
Table 4-8. Religion abbreviations (continued). - Medical Records Admin I Book 1 of 2
Table 4-8. Religion abbreviations (concluded). - Medical Records Admin I Book 1 of 2
Table 4-9. Length of service codes. - Medical Records Admin I Book 1 of 2
Table 4-10. Family member prefix (FMP) codes. - Medical Records Admin I Book 1 of 2
Organization - Medical Records Admin I Book 1 of 2
Table 4-11. Marital status codes. - Medical Records Admin I Book 1 of 2
Branch/Corps - Medical Records Admin I Book 1 of 2
Table 4-12. Categories of Uniformed Services Personnel. - Medical Records Admin I Book 1 of 2
Table 4-13. Department/type of beneficiary codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10133
Table 4-13. Department/type of beneficiary codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10134
Table 4-13. Department/type of beneficiary codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10135
Table 4-13. Department/type of beneficiary codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10136
Table 4-13. Department/type of beneficiary codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10137
Table 4-13. Department/type of beneficiary codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10138
Table 4-13. Department/type of beneficiary codes (concluded). - Medical Records Admin I Book 1 of 2
Military Occupational Specialty (MOS) Code - Medical Records Admin I Book 1 of 2
Table 4-14. Trauma codes. - Medical Records Admin I Book 1 of 2
Previous Admission - Medical Records Admin I Book 1 of 2
Table 4-15. Source of admission. - Medical Records Admin I Book 1 of 2
Emergency addressee - Medical Records Admin I Book 1 of 2
Table 4-16. Disposition type codes (continued). - Medical Records Admin I Book 1 of 2
Table 4-16. Disposition type codes (concluded). - Medical Records Admin I Book 1 of 2
MTF Transferred to - Medical Records Admin I Book 1 of 2
Table 4-17. First position MTF codes. - Medical Records Admin I Book 1 of 2
Clinic Service - Admitting - Medical Records Admin I Book 1 of 2
Table 4-18. Medical Expense and Performance Reporting System (MEPRS) clinic service codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10150
Table 4-18. Medical Expense and Performance Reporting System (MEPRS) clinic service codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10151
Table 4-18. Medical Expense and Performance Reporting System (MEPRS) clinic service codes (concluded). - Medical Records Admin I Book 1 of 2
Date of Admission - Medical Records Admin I Book 1 of 2
MTF of Initial Admission - Medical Records Admin I Book 1 of 2
Date of Initial Admission - Medical Records Admin I Book 1 of 2
For Local Use - Medical Records Admin I Book 1 of 2
Age at Disposition - Medical Records Admin I Book 1 of 2
Autopsy - Medical Records Admin I Book 1 of 2
Table 4-19. Underlying cause of death/separation codes. - Medical Records Admin I Book 1 of 2
External cause of injury STANAG code structure - Medical Records Admin I Book 1 of 2
Table 4-20. Place of occurrence of injury third-digit codes. - Medical Records Admin I Book 1 of 2
Diagnostic Coding - Medical Records Admin I Book 1 of 2
Table 4-21. Place of treatment codes. - Medical Records Admin I Book 1 of 2
Procedure Coding - Medical Records Admin I Book 1 of 2
Table 4-22. Surgical procedures place of performance codes. - Medical Records Admin I Book 1 of 2
Primary Provider Specialty Code - Medical Records Admin I Book 1 of 2
Total Sick Days All Facilities - Medical Records Admin I Book 1 of 2
Bed Days This MTF - Medical Records Admin I Book 1 of 2
Bed Days Other Federal MTFS - Medical Records Admin I Book 1 of 2
Bassinet Days (Neonatal) - Medical Records Admin I Book 1 of 2
Quarter Days - Medical Records Admin I Book 1 of 2
Convalescent Leave Days - Medical Records Admin I Book 1 of 2
Total Sick Days - This MTF - Medical Records Admin I Book 1 of 2
Total Sick Days - This MTF (Cont) - Medical Records Admin I Book 1 of 2
Bed Days - Intensive Care Unit - Medical Records Admin I Book 1 of 2
Figure 4-3. Julian Date Calendar (Perpetual). - Medical Records Admin I Book 1 of 2
Bed Days - Admitting Clinic Service - Medical Records Admin I Book 1 of 2
Bed Days Second Clinic Service - Medical Records Admin I Book 1 of 2
Clinic Service Disposition - Medical Records Admin I Book 1 of 2
Convalescent Leave Recommended - Medical Records Admin I Book 1 of 2
Type Record - Medical Records Admin I Book 1 of 2
Section III. Coding of the A&C Form From the U.S. Field Medical Card (FMC) - Medical Records Admin I Book 1 of 2
Register Number - Medical Records Admin I Book 1 of 2 - md0753bk10183
Figure 4-4. DD Form 1380 (U.S. Field Medical Card). - Medical Records Admin I Book 1 of 2
Pay Grade - Medical Records Admin I Book 1 of 2
Beneficiary Category - Medical Records Admin I Book 1 of 2
Date of This Admission - Medical Records Admin I Book 1 of 2
Procedures Coding - Medical Records Admin I Book 1 of 2
Section IV. Transmittal Procedures and Data Access - Medical Records Admin I Book 1 of 2
PASBA2 - Medical Records Admin I Book 1 of 2
Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10191
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10192
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10193
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10194
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10195
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10196
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10197
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10198
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10199
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10200
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10201
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10202
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10203
Solution to Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10204
Solution to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10205
Solution to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10206
Solution to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10207
Solution to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10208
Solution to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10209
Solution to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10210
Solution to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10211
Lesson 1. Inpatient Treatment Records. - Medical Records Admin I Book 1 of 2
Figure 1-1. Completed DA Form 3444-6 used as a file folder for an Inpatient Treatment Record. - Medical Records Admin I Book 1 of 2
Section II. Variations of Inpatient Treatment Records - Medical Records Admin I Book 1 of 2
Abbreviated Medical Record - Medical Records Admin I Book 1 of 2
Forms Required for ITRs - Medical Records Admin I Book 1 of 2
Section III. Essential Elements - Medical Records Admin I Book 1 of 2
Figure 1-2. DA Form 3647 (Inpatient Treatment Record Cover Sheet). - Medical Records Admin I Book 1 of 2
Figure 1-3. OF 275 (Medical Record Report). - Medical Records Admin I Book 1 of 2
Figure 1-4. SF 539 (Abbreviated Medical Record) (continued). - Medical Records Admin I Book 1 of 2
Figure 1-4. SF 539 (Abbreviated Medical Record) (concluded). - Medical Records Admin I Book 1 of 2
Identification of Patient - Medical Records Admin I Book 1 of 2
Progress Notes by Physician - Medical Records Admin I Book 1 of 2
Figure 1-5. SF 504 (History - Part 1). - Medical Records Admin I Book 1 of 2
Figure 1-6. SF 505 (History - Part 2). - Medical Records Admin I Book 1 of 2
Figure 1-7. SF 505 (History - Part 3). - Medical Records Admin I Book 1 of 2
Figure 1-8. SF 506 (Physical Examination). - Medical Records Admin I Book 1 of 2
Figure 1-9. SF 509 (Doctor's Progress Notes). - Medical Records Admin I Book 1 of 2
Doctor's Orders and Nursing Notes - Medical Records Admin I Book 1 of 2
Progress Notes by Nurses - Medical Records Admin I Book 1 of 2
Figure 1-10. DA Form 4256 (Doctor's Orders). - Medical Records Admin I Book 1 of 2
Figure 1-11. SF 510 (Nursing Notes). - Medical Records Admin I Book 1 of 2
Diagnostic Test Results (Reports) - Medical Records Admin I Book 1 of 2
Figure 1-12. SF 516 (Operation Report). - Medical Records Admin I Book 1 of 2
Figure 1-13. SF 515 (Tissue Examination). - Medical Records Admin I Book 1 of 2
Figure 1-14. SF 522 (Request for Ad ministration of Anesthesia and for Performance of Operations and Other Procedures). - Medical Records Admin I Book 1 of 2
Figure 1-15. SF 517 (Anesthesia Form). - Medical Records Admin I Book 1 of 2
Conclusions - Medical Records Admin I Book 1 of 2
Figure 1-16. SF 502 (Narrative Summary). - Medical Records Admin I Book 1 of 2
Section IV. Filing and Disposition - Medical Records Admin I Book 1 of 2
Table 1-1. Filing sequence for documents in ITR folder (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10039
Table 1-1. Filing sequence for documents in ITR folder (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10040
Table 1-1. Filing sequence for documents in ITR folder (concluded). - Medical Records Admin I Book 1 of 2
Transfer for Further Treatment in Military MTF or Veterans Administration (VA) MTF - Medical Records Admin I Book 1 of 2
Retrieval of Records from Storage. - Medical Records Admin I Book 1 of 2
Access and Audit Trail - Medical Records Admin I Book 1 of 2
Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10045
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10046
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10047
Solutions to Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10048
Solutions to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10049
Lesson Assignment - Medical Records Admin I Book 1 of 2 - md0753bk10050
Lesson 2. Diagnostic and Operative Coding. - Medical Records Admin I Book 1 of 2
General Characteristics of the ICD-9-CM, Tabular List (Vol I) - Medical Records Admin I Book 1 of 2
Figure 2-1. Volume 1, Table of Contents. (Continued) - Medical Records Admin I Book 1 of 2
Figure 2-1. Volume 1, Table of Contents. (Concluded) - Medical Records Admin I Book 1 of 2
Section II. Conventions and Terminology - Medical Records Admin I Book 1 of 2
Instructional Terms - Medical Records Admin I Book 1 of 2
Code also - Medical Records Admin I Book 1 of 2
Punctuation Marks - Medical Records Admin I Book 1 of 2
Abbreviations - Medical Records Admin I Book 1 of 2 - md0753bk10059
Related Terms - Medical Records Admin I Book 1 of 2
Section III. Use of ICD-9-CM - Medical Records Admin I Book 1 of 2
Figure 2-2. ITRCS (handwritten and typed copies) (continued). - Medical Records Admin I Book 1 of 2
Figure 2-2. ITRCS (handwritten and typed copies) (concluded). - Medical Records Admin I Book 1 of 2
Section II, "Table of Drugs and Chemicals ." - Medical Records Admin I Book 1 of 2
Figure 2-3. Example of alphabetic arrangement of Volume 2, ICD-9-CM (showing indentation of main terms and modifiers). - Medical Records Admin I Book 1 of 2
Steps for using Volume 2 - Medical Records Admin I Book 1 of 2
Arrangement of the Tabular List - Medical Records Admin I Book 1 of 2
Arrangement of the Procedures Classification - Medical Records Admin I Book 1 of 2
The Tabular List - Medical Records Admin I Book 1 of 2
Steps in Using Volume 3 - Medical Records Admin I Book 1 of 2
Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10071
Exercises (Cont) - Medical Records Admin I Book 1 of 2 - md0753bk10072
Exercises (Cont) - Medical Records Admin I Book 1 of 2 - md0753bk10073
Exercises (Cont) - Medical Records Admin I Book 1 of 2 - md0753bk10074
Solution to Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10075
Solution to Exercises (Cont) - Medical Records Admin I Book 1 of 2 - md0753bk10076
Lesson Assignment - Medical Records Admin I Book 1 of 2 - md0753bk10077
Lesson 3. Inpatient Treatment Record Cover Sheet. - Medical Records Admin I Book 1 of 2
Distribution - Medical Records Admin I Book 1 of 2
Abbreviations - Medical Records Admin I Book 1 of 2 - md0753bk10080
Section II. Completion of the Inpatient Treatment Record Cover Sheet - Medical Records Admin I Book 1 of 2
Completion of the ITRCS - Medical Records Admin I Book 1 of 2
Figure 3-1. DA Form 3647 (Inpatient Treatment Record Cover Sheet for typed entries). - Medical Records Admin I Book 1 of 2
Figure 3-2. DA Form 3647 (Inpatient Treatment Record Cover Sheet for computer generated entries). - Medical Records Admin I Book 1 of 2
Figure 3-3. Relationship of DA Form 2985 and DA Form 3647. - Medical Records Admin I Book 1 of 2
Item 31, Selected Administrative Data. - Medical Records Admin I Book 1 of 2
Item 32, Units of Whole Blood/Component Transfused. - Medical Records Admin I Book 1 of 2
Item 34, Diagnoses/Operations and Special Procedures. - Medical Records Admin I Book 1 of 2
Recording of operations and special procedures - Medical Records Admin I Book 1 of 2
Item 35, Total Days This Facility - Medical Records Admin I Book 1 of 2
Item 36, Total Days All Facilities - Medical Records Admin I Book 1 of 2
Document Flow of Inpatient Treatment Record Cover Sheet - Medical Records Admin I Book 1 of 2
Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10093
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10094
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10095
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10096
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10097
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10098
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10099
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10100
Solutions to Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10101
Solutions to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10102
Solutions to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10103
Solutions to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10104
Solutions to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10105
Solutions to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10106
Lesson Assignment - Medical Records Admin I Book 1 of 2 - md0753bk10107
Lesson 4. Individual Patient Data System. - Medical Records Admin I Book 1 of 2
Explanation of Terms - Medical Records Admin I Book 1 of 2
Sources of Data - Medical Records Admin I Book 1 of 2
Figure 4-1. DA Form 2985 (Admission and Coding Information) (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10111
Figure 4-1. DA Form 2985 (Admission and Coding Information) (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10112
Figure 4-1. DA Form 2985 (Admission and Coding Information) (concluded). - Medical Records Admin I Book 1 of 2
Figure 4-2. DA Form 3647 (Inpatient Treatment Record Cover Sheet). - Medical Records Admin I Book 1 of 2
Section II. Coding of DA Form 2985 - Medical Records Admin I Book 1 of 2
Table 4-1. Medical treatment facility (MTF) codes. - Medical Records Admin I Book 1 of 2
Table 4-2. State location codes. - Medical Records Admin I Book 1 of 2
Register Number - Medical Records Admin I Book 1 of 2 - md0753bk10118
Table 4-3. Grade codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10119
Table 4-3. Grade codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10120
Table 4-3. Grade codes (concluded). - Medical Records Admin I Book 1 of 2
Date of Birth - Medical Records Admin I Book 1 of 2
Table 4-5. Age codes. - Medical Records Admin I Book 1 of 2
Table 4-7. Ethnic background codes. - Medical Records Admin I Book 1 of 2
Table 4-8. Religion abbreviations (continued). - Medical Records Admin I Book 1 of 2
Table 4-8. Religion abbreviations (concluded). - Medical Records Admin I Book 1 of 2
Table 4-9. Length of service codes. - Medical Records Admin I Book 1 of 2
Table 4-10. Family member prefix (FMP) codes. - Medical Records Admin I Book 1 of 2
Organization - Medical Records Admin I Book 1 of 2
Table 4-11. Marital status codes. - Medical Records Admin I Book 1 of 2
Branch/Corps - Medical Records Admin I Book 1 of 2
Table 4-12. Categories of Uniformed Services Personnel. - Medical Records Admin I Book 1 of 2
Table 4-13. Department/type of beneficiary codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10133
Table 4-13. Department/type of beneficiary codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10134
Table 4-13. Department/type of beneficiary codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10135
Table 4-13. Department/type of beneficiary codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10136
Table 4-13. Department/type of beneficiary codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10137
Table 4-13. Department/type of beneficiary codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10138
Table 4-13. Department/type of beneficiary codes (concluded). - Medical Records Admin I Book 1 of 2
Military Occupational Specialty (MOS) Code - Medical Records Admin I Book 1 of 2
Table 4-14. Trauma codes. - Medical Records Admin I Book 1 of 2
Previous Admission - Medical Records Admin I Book 1 of 2
Table 4-15. Source of admission. - Medical Records Admin I Book 1 of 2
Emergency addressee - Medical Records Admin I Book 1 of 2
Table 4-16. Disposition type codes (continued). - Medical Records Admin I Book 1 of 2
Table 4-16. Disposition type codes (concluded). - Medical Records Admin I Book 1 of 2
MTF Transferred to - Medical Records Admin I Book 1 of 2
Table 4-17. First position MTF codes. - Medical Records Admin I Book 1 of 2
Clinic Service - Admitting - Medical Records Admin I Book 1 of 2
Table 4-18. Medical Expense and Performance Reporting System (MEPRS) clinic service codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10150
Table 4-18. Medical Expense and Performance Reporting System (MEPRS) clinic service codes (continued). - Medical Records Admin I Book 1 of 2 - md0753bk10151
Table 4-18. Medical Expense and Performance Reporting System (MEPRS) clinic service codes (concluded). - Medical Records Admin I Book 1 of 2
Date of Admission - Medical Records Admin I Book 1 of 2
MTF of Initial Admission - Medical Records Admin I Book 1 of 2
Date of Initial Admission - Medical Records Admin I Book 1 of 2
For Local Use - Medical Records Admin I Book 1 of 2
Age at Disposition - Medical Records Admin I Book 1 of 2
Autopsy - Medical Records Admin I Book 1 of 2
Table 4-19. Underlying cause of death/separation codes. - Medical Records Admin I Book 1 of 2
External cause of injury STANAG code structure - Medical Records Admin I Book 1 of 2
Table 4-20. Place of occurrence of injury third-digit codes. - Medical Records Admin I Book 1 of 2
Diagnostic Coding - Medical Records Admin I Book 1 of 2
Table 4-21. Place of treatment codes. - Medical Records Admin I Book 1 of 2
Procedure Coding - Medical Records Admin I Book 1 of 2
Table 4-22. Surgical procedures place of performance codes. - Medical Records Admin I Book 1 of 2
Primary Provider Specialty Code - Medical Records Admin I Book 1 of 2
Total Sick Days All Facilities - Medical Records Admin I Book 1 of 2
Bed Days This MTF - Medical Records Admin I Book 1 of 2
Bed Days Other Federal MTFS - Medical Records Admin I Book 1 of 2
Bassinet Days (Neonatal) - Medical Records Admin I Book 1 of 2
Quarter Days - Medical Records Admin I Book 1 of 2
Convalescent Leave Days - Medical Records Admin I Book 1 of 2
Total Sick Days - This MTF - Medical Records Admin I Book 1 of 2
Total Sick Days - This MTF (Cont) - Medical Records Admin I Book 1 of 2
Bed Days - Intensive Care Unit - Medical Records Admin I Book 1 of 2
Figure 4-3. Julian Date Calendar (Perpetual). - Medical Records Admin I Book 1 of 2
Bed Days - Admitting Clinic Service - Medical Records Admin I Book 1 of 2
Bed Days Second Clinic Service - Medical Records Admin I Book 1 of 2
Clinic Service Disposition - Medical Records Admin I Book 1 of 2
Convalescent Leave Recommended - Medical Records Admin I Book 1 of 2
Type Record - Medical Records Admin I Book 1 of 2
Section III. Coding of the A&C Form From the U.S. Field Medical Card (FMC) - Medical Records Admin I Book 1 of 2
Register Number - Medical Records Admin I Book 1 of 2 - md0753bk10183
Figure 4-4. DD Form 1380 (U.S. Field Medical Card). - Medical Records Admin I Book 1 of 2
Pay Grade - Medical Records Admin I Book 1 of 2
Beneficiary Category - Medical Records Admin I Book 1 of 2
Date of This Admission - Medical Records Admin I Book 1 of 2
Procedures Coding - Medical Records Admin I Book 1 of 2
Section IV. Transmittal Procedures and Data Access - Medical Records Admin I Book 1 of 2
PASBA2 - Medical Records Admin I Book 1 of 2
Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10191
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10192
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10193
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10194
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10195
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10196
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10197
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10198
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10199
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10200
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10201
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10202
Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10203
Solution to Exercises - Medical Records Admin I Book 1 of 2 - md0753bk10204
Solution to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10205
Solution to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10206
Solution to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10207
Solution to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10208
Solution to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10209
Solution to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10210
Solution to Exercises (cont) - Medical Records Admin I Book 1 of 2 - md0753bk10211
