The four-part outpatient record jacket was updated in 1997. The changes
to this jacket included an option to use it as the dental outpatient record. This does not
mean that the outpatient dental and medical record is to be combined; the medical and
dental information will remain separate as always. The jacket is restricted for outpatient
use. Inpatient records will continue to use the two-part jacket. There is no deadline to
implement the new four-part jacket. The new jacket should be used as personnel change duty
stations (PCS), during the annual verification of the active duty record, and when normal
wear and tear occur with the record.
Form Sequence and Commonly Used Forms
Article 16-23, pages 16-30, specifically covers the sequence of forms in the
four-part jacket. This guide lists, at a minimum, the most commonly used forms and their
location in the four-part jacket. Section VII, beginning on pages 16-61 describes commonly
used forms and details the minimum requirements to complete them.
Summary of Care Form (SC), NAVMED 6150/20 (1/94)
This form replaces the problem summary list (PSL). This new form will be phased
into existing records by replacing older forms which are either filled or worn. PSLs
already present in the records will be retained in the records. Do not copy entries from
the old form onto the new form. Only current medical problems, chronic or long-term
medications, surgical procedures, and other significant health items need to be entered on
the new form, in addition to the appropriate items listed in the "Health Maintenance
Section" of the new form. A new form, the adult preventive and chronic care flowsheet
for implementation of Put Prevention into Practice (PPIP), is currently being tested at
Naval Hospital in Camp LeJeune, Jacksonville, and Bremerton. This four-part form will
eventually replace the SC as a preventive care flow sheet. The phase in of this form will
be similar to the phase in of the SC.
DNA sample filing
See article 16-69, page 16-76.
Family Advocacy, Drug/Alcohol, Medical X-ray Film Jackets
See article 16-29. Requirements are listed for the above named specialty records.
Medical legal Issues
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See article 16-35. This article covers medicolegal, confidentiality, and release of
medical information issues associated with medical records.
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Medical records are governed by the Privacy Act of 1974. Transfer of dependent records
to a spouse requires approval (signature) of the spouse.
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If you have any further questions regarding medical records management, please contact
your command's medical record administrator.
Reference
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MANMED Chapter 16
Revised by LCDR Mary Jenkins, MSC, USN, BUMED, Patient Administration (1999).
Approved for public release; Distribution is unlimited.