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Military Health System

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UFBPA Appendix for the Nov 2015 DOD P&T Meeting: Namzaric

Form/Template
8/7/2015

UFBPA Appendix for the Nov 2015 DOD P&T Meeting for Namzaric

PEPR Account Activation Request Form

Form/Template
7/28/2015

This form is required for all users to complete prior to receiving access to the Patient Encounter and Reporting (PEPR) application.

STARS

Form/Template
7/20/2015

This Air Force Medical Support Agency (AFMSA) Privacy Impact Assessment (PIA) summarizes the STARS system.

RxSafe RxVault

Form/Template
7/20/2015

This Air Force Medical Support Agency (AFMSA) Privacy Impact Assessment (PIA) summarizes the RxSafe RxVault system.

Audio Metric Database System (AUDBASE) 2.3

Form/Template
7/20/2015

This Air Force Medical Support Agency (AFMSA) Privacy Impact Assessment (PIA) summarizes the Audio Metric Database System (AUDBASE) 2.3 system.

Armed Forces Billing and Collection Utilization Solution (ABACUS)

Form/Template
6/29/2015

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Armed Forces Billing and Collection Utilization Solution (ABACUS) system.

Consent Checklist

Form/Template
5/20/2015

DOD Directive 3216.02 defines research involving a human being as an experimental subject as an activity, for research purposes, where there is an intervention or interaction with a human being for the primary purpose of obtaining data regarding the effect of the intervention or interaction. Examples of interventions or interactions include, but are not limited to, a physical procedure, a drug, a manipulation of the subject or subject's environment, the withholding of an intervention that would have been undertaken if not for the research purpose.

MHS IM-IT Submission Form

Form/Template
5/18/2015

Fill out the MHS IM-IT Submission Form to submit an idea to foster change to an IM/IT capability, policy/process, or system.

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Health Care Administration & Operations | Health Care Technology

Patient Global Impression Change Scale

Form/Template
5/1/2015

Form filled out by patients to rate their changes in activity, symptoms, emotions and quality of life.

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Public Health | Health Readiness & Combat Support | Disability Evaluation | Traumatic Brain Injury Center of Excellence

Neurobehavioral Symptom Inventory Form

Form/Template
4/30/2015

Form used by providers to question patients about their symptoms

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Public Health | Disability Evaluation | Traumatic Brain Injury Center of Excellence | Health Readiness & Combat Support

Military Acute Concussion Evaluation 2012

Form/Template
4/30/2015

Use this form to screen for concussions

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Public Health | Disability Evaluation | Traumatic Brain Injury Center of Excellence | Health Readiness & Combat Support

Electronic Surveillance System for Early Notification of Community-based Epidemics (ESSENCE)

Form/Template
4/23/2015

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Electronic Surveillance System for Early Notification of Community-based Epidemics (ESSENCE) system.

Defense Medical Accessions Computing System (DMACS)

Form/Template
4/17/2015

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Defense Medical Accessions Computing System (DMACS) system.

Armed Forces DNA Identifcation Laboratory Casework Request

Form/Template
4/10/2015

Use this form to obtain information/specimens needed to evaluate and document forensic DNA testing requests.

Fraud and Abuse Correspondence Tracking System (FACTS)

Form/Template
4/6/2015

This Military Health System (MHS) Privacy Impact Assessment (PIA) summarizes the Fraud and Abuse Correspondence Tracking System (FACTS) system.

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Last Updated: October 22, 2021
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