c. Item 31, Selected Administrative Data.
(1) Board proceedings. Enter the date and findings of Medical Evaluation
Board (MEB) and Physical Evaluation Board (PEB) proceedings. Include applicable
regulation (AR 635-40 or AR 635-200) and paragraph numbers directing
separation/retirement. In these cases, also enter the profile(s) necessitating medical
separation/retirement.
(2) For patients transferred. Enter the Armed Services Medical Regulating
Office (ASMRO) cite number, patient movement category, and in the case of urgent or
priority cases, the name of the accepting physician.
(3) Patient absence. Note if patient is on convalescent or ordinary leave,
pass, AWOL (10 days or less), TDY, subsisting out, PCS home, absent sick, or in
supplemental care or cooperative care status. Include the appropriate status, name,
and location of the facility, and the initial and final dates of treatment for absent sick,
cooperative care, or supplemental care. For example, "Supplemental Care to Medical
Center Hospital, San Antonio, TX, from 16 MAR 9X to 25 MA R 9X." An ITRCS
reflecting a figure in Items 35a through 35d, or 36a through 36d should have that figure
broken out in the "Selected Administrative Data" block (Item 31) of the ITRCS.
(a) Absent without leave (AWOL). A military patient leaving the MTF
without permission will be carried on the rolls as AWOL for 10 consecutive days only.
On the 11th day, the Inpatient Treatment Record will be closed out as an AWOL.
Should the patient return to the MTF prior to the expiration of 10 days, the date of return
will be noted. If the patient returns after 10 days and still requires medical care, the
patient will be admitted as a direct admission, assigned a new register number, and a
new Inpatient Treatment Record will be initiated.
(b) Period of TDY. Patients may, under specific circumstances, be
placed on TDY at another hospital or to appear before a Physical Evaluation Board
(PEB) or at a military installation. In such cases, an entry will be made of the fact and
inclusive dates of the TDY status, e.g., "TDY Ft Sam Houston for PEB appearance 6 -11
Sep 9X."
(4) Very Seriously Ill (VSI) and Seriously Ill (SI) Patients . AR 40-2 defines
these categories of patients and prescribes the preparation of reports and notifications
related to them. Remarks will be entered reflecting a clear and chronological outline of
the patient's VSI and SI status, e.g., "SI 24 Jun 9X to 25 Jun 9X, removed from VSI/SI
Roster 26 Jun 9X or SI 24 Jun 9X and remains SI at time of transfer."
(5) Neonatal death. Enter the te rm "Neonatal Death" along with a statement
of the infant's age at death. State age in completed hours for death in the first 24 hours
of life, in completed days for deaths after the first day of life, e.g., "Neonatal death less
than one hour after delivery" or "Neonatal death, age 26 days."
MD0753
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