AR 40-66 — Medical Record Administration And Healthcare Documentation
AR 40-66 governs the preparation, disposition, and use of Army electronic and paper medical records and healthcare documentation.
- Publication number: AR 40-66
- Title: MEDICAL RECORD ADMINISTRATION AND HEALTHCARE DOCUMENTATION
- Date: 06/17/2008
- Proponent: TSG
- Status: ACTIVE
View AR 40-66 on armypubs.army.mil
Related publications
It addresses protected health information, service treatment records, outpatient and inpatient records, detainee records, and specialized medical records. It requires documentation, confidentiality, record transfer, filing, retention, and disposition procedures.
Topics covered
- Protected health information
- Service treatment records
- Detainee medical records
- Outpatient treatment records
- Inpatient treatment records
- DA Form 7656
- Medical record filing systems
Questions and answers
What must commanders ensure first responders use to document care at the point of injury?
Commanders will ensure that all medical first responders use DA Form 7656 to document pre-MTF care at the POI in the theater of operations. (paragraph 15-2)
Are local forms allowed to replace an existing higher echelon form?
Creation of a form for which a higher echelon form exists (for example, creation of a local form as a substitute for an SF) is prohibited. (paragraph 15-4)
When is written consent required for videotaping medical care?
When an episode of health care (for example, surgical procedures, medical evaluation, telemedicine consultation, and so forth) is to be documented on videotape, the patient must provide written consent for the taping (unless the taping is for the documentation of neglect or abuse). (paragraph 3-18)
When must military personnel complete the post-deployment health assessment?
All military personnel will complete DD Form 2796 (electronically wherever possible) prior to leaving the area of operation. (paragraph 5-36)