68W Limited Primary Care

DD Form 689 - Answer- Individual sick call slip that initiates the sick call process Used for patient who requests or receives medical/dental evaluation or treatment at an Army Medical Treatment Facility (MTF) used as a means of communication between medical personnel and the patient's commander SF 600 - Answer- Chronological Record of Medical Care form used to document the chronological record of the patient's treatment Should include: - Date and time of visit - Medical Treatment Facility - Signature of person making entry Correction procedures for an entry error - Answer- Draw a single line through the information, write "Error," and your initials If you have finished the documentation and decide later information needs to be changed: - add correct information - reason for change - date and initial - Do not skip lines or leave any spaces above signature HIPAA - Answer- Health Insurance Portability and Accountability Act a federal law protecting the privacy of patient-specific health care information Access to patient's medical information may be given too... - Answer- - the patient - patient care personnel - medical researcher - medical educators Exceptions for those that can access a patient's medical information are... - Answer- - if access is court ordered by law - if access if needed for hospital accreditation - if access is authorized by the patient via a written document