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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 five 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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We found 467 items

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Form/Template
Sep 8, 2022

Clinical Information System CIS Essentris Inpatient System PIA

.PDF | 693.63 KB

Clinical Information System (CIS)/Essentris® Inpatient System (hereinafter “CIS Essentris®”) the Military Health System (MHS) inpatient documentation solution is a comprehensive clinical documentation system for use in acute care hospitals. CIS/Essentris® enables continuous and automated clinical documentation and bedside point-of-care data capture. ...

Form/Template
Sep 8, 2022

Workload Management System for Nursing Internet WMSNi PIA

.PDF | 682.66 KB

The purpose of the WMSNi system is to determine the nursing manpower requirements based upon patient care needs. The patient acuity data is collected to analyze nurse personnel requirements to meet the clinical needs of active service members, their families, retirees and other DOD personnel and dependents. WMSNi determines how many staff members are ...

Form/Template
Sep 8, 2022

BUMED Manpower Information System II BUMIS II PIA

.PDF | 667.83 KB

BUMIS II provides an online inventory of personnel assigned to Navy Medicine. It includes demographics, education, health care specialty, additional qualifications, assignment and training skills. BUMIS II provides personnel planners at headquarters level with data about the medical personnel force that allows tracking and trends of gains, losses, and ...

Form/Template
Aug 23, 2022

Military Health System Information Platform PIA

.PDF | 688.46 KB

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; ...

Form/Template
Aug 12, 2022

Composite Health Care System (CHCS)

.PDF | 2.35 MB

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 ...

Form/Template
Aug 12, 2022

Naval Hospital Jacksonville (NHJAX) Enclave

.PDF | 654.57 KB

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.

Form/Template
Jul 21, 2022

Enterprise Patient Queuing and Notification System (ePQNS)

.PDF | 678.33 KB

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 ...

Form/Template
Jul 12, 2022

Enterprise Blood Management System (EBMS) - Transfusion

.PDF | 664.09 KB

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 ...

Form/Template
May 3, 2022

TRICARE Online (TOL) System

.PDF | 668.74 KB

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 ...

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