(c) Carded for Record Only (CRO). Enter " 0" in Item 35f only; Items
35a, b, c, d, and e should not have entries.
h. Item 36, Total Days All Facilities. Used for transfer admissions only. The
sources of data for this item is admission and disposition and the patient's ITR.
(1) An ITRCS should be prepared each time a patient is transferred from one
MTF to another. Item 36 is the summation of all transfer ITRCS.
(2) For direct admissions, leave Item 36 blank.
(3) For total days, include the following and compute using the date of initial
admission and date of disposition.
(a) Item 36a = the total absent sick days.
(b) Item 36b = the total other days.
(c) Item 36c = the total convalescent leave/cooperative care days.
(d) Item 36d = the total supplemental care days.
(e) Item 36e = the total bed days.
(f) Item 36f = the total sick days (the summation of Items 36a, b, c, d,
and e. This information should be taken from the date of initial admission recorded in
Item 30 and from Item 31 of all ITRCSs received from other facilities.
i. Automated MTFs. The completion of Items 35 and 36 are system-generated
by AQCESS/CHCS.
j. Signature of Attending Medical Officer. Typed signature blocks are
required for the attending physician, dentist, podiatrist, midwife, and other authorized
health care provider when in charge of a case. ITRCSs for CRO-DOA cases (when
death is pronounced by other than military MTF) and for cases where the entire bed
occupancy was in absent sick status require only the signature of the patient
administrator or medical records officer.
k. Signature of Medical Records Officer or Patient Administrator. Ensure
that the signature of the patient administrator or medical records administrator is
annotated. The medical records administrator or the patient administrator will sign each
completed ITRCS, thereby certifying to an accurate transcription of the worksheet
signed by the provider. Signature stamps are permitted for use by the medical records
administrator or the patient administrator.
MD0753
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