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Military Health System

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Forms & Templates

On this page, you will find various forms that Military Health System uses to support its programs. Please scroll down the page or use the search box to find specific forms and templates.

Please note that files more than two years old may not be compliant with Section 508 of the Rehabilitation Act. If you need an accessible version of a particular file, please contact us and we will provide one for you.

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Best Practices for Verification of Identity June 2022


Best Practices for Verification of Identity Information Paper, updated June 2022

Administrative Safeguards June 2022


Administrative Safeguards Information Paper, updated June 2022

Military Health System Information Platform PIA


The Military Health Systems (MHS) Information Platform (MIP) is a system containing multiple dashboards and databases that deliver enterprise clinical data capabilities. The capabilities provided by MIP are: Program Management; Data Warehousing; Application Portal; Infrastructure and Operations; Application Support; Business Intelligence; Analytics; Predictive Analytics; Legacy Data Consolidation Service; Defense Medical Surveillance System; and Corporate Executive Information System. Types of projects enabled by MIP include clinical dashboards, reports, data feeds, ad-hoc data requests, a data mart, medical history tracking of individual service members, and identification of service members at elevate risk of injury or mental health illness.

Naval Hospital Jacksonville (NHJAX) Enclave


Complete this form for DOD information systems or electronic collections of information that collect, maintain, use, and/or disseminate PII about members of the public, Federal employees, contractors, or foreign nationals employed at U.S. military facilities internationally.

Composite Health Care System (CHCS)


Composite Health care System (CHCS) is a fully integrated health care information system used in Department of Defense (DOD) Military Treatment Facilities (MTFs) and clinics. It is used to automate and integrate the functions performed by the hospital staff and to facilitate the delivery of health care and MTF's administration. Data elements include beneficiary information collected and used to support the delivery of health care to Defense Health Agency's (DHA) beneficiaries.

Enterprise Patient Queuing and Notification System (ePQNS)


The Enterprise Patient Queuing Notification System (ePQNS) automates patient check-in during visits to Military Treatment Facilities (MTFs) and clinics. ePQNS provides real-time information to leadership to manage assets as wait-times increase or the situation dictates. It also allows MTFs to determine inefficiencies, identify best practices, and optimize clinic resources to improve each patient’s overall experience and reduce wait times.

Enterprise Blood Management System (EBMS) - Transfusion


The purpose of Enterprise Blood Management System (EBMS)-Transfusion, formerly known as Blood Management Blood Bank Transfusion Service (BMBB/TS), is managing the blood transfusion aspect of the Armed Services Blood Program (ASBP), including blood records, blood orders, and transfusion patient information in the Continental United States and Outside Continental United States.

Steps to take for Potentially Compromised Vaccine Event


TRICARE Online (TOL) System


TRICARE Online (TOL) is a Department of Defense (DOD) Online Patient Portal (PP) which provides eligible beneficiaries with the following: access to Military Treatment Facilities' (MTFs) appointments, new prescription (Rx) fill and refills, health record data, service separation/retirement information as well as access to secure messaging (SM), and the Nurse Advice Line (NAL).

Centralized Credentials Quality Assurance System (CCQAS)


This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Centralized Credentials Quality Assurance System (CCQAS) system.

Assistance Reporting Tool (ART)


This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Assistance Reporting Tool (ART) system.

Armed Forces Billing and Collection Utilization Solution - Amazon Web Services


The Armed Forces Billing and Collection Utilization Solution (ABACUS) provides a standard patient accounting system for health care billing practices.

Consolidated Information Center Data Warehouse


The Consolidated Information Center (CIC) Data Warehouse is used to facilitate the Bureau of Medicine and Surgery's analytical capabilities across Navy Medicine to improve speed of decision making.

National Optronics 7Ex Optical Fabrication Edger


7Ex is a single purpose programmable instrument that edges high base lenses using the 7Ex's unique cutter design. Performs drilling and grooving in one process with the flexibility to process all bevel cutting types.

HIV Management Service (HMS)


HIV Management Service (HMS) is a Private web-based information management system, owned, operated and maintained by the Navy Bloodborne Infection Management Center, used to conduct infectious disease-related administrative reporting, patient tracking, and allows Infectious Disease on-line transaction processing (OLTP) to access, validate, and conduct statistical analysis.

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Last Updated: July 19, 2022
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