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Patient Administration - Army Publishing Directorate - U.S. Army

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Maximum hospital benefit<br />

That point of hospitalization at which the patient’s progress appears to have stabilized and further hospitalization will<br />

not directly contribute to further substantial recovery. A patient who will continue to improve slowly over a long<br />

period of time without specific therapy or medical supervision or with only a moderate amount of treatment on an<br />

outpatient basis may be considered as having attained maximum hospital benefit.<br />

Medical care<br />

Unless otherwise specified, includes, but is not limited to the following:<br />

a. Inpatient treatment.<br />

b. Outpatient treatment.<br />

c. Nursing care.<br />

d. Medical examinations.<br />

e. Immunizations.<br />

f. Drugs.<br />

g. Subsistence.<br />

h. Transportation.<br />

i. Other adjuncts such as prosthetic devices, spectacles, hearing aids, and orthopedic footwear. This includes<br />

appliances such as braces, walking irons, and elastic stockings.<br />

Medical management<br />

The exercise of primary decision authority regarding diagnosis and treatment of an individual patient.<br />

Medical officers<br />

Commissioned officers of the armed forces or civilians who are either employees, consultants, or fee-for-service<br />

physicians.<br />

Member of a Uniformed Service<br />

A person appointed, enlisted, inducted, or called, ordered, or conscripted into a Uniformed Service who is serving on<br />

AD or ADT.<br />

Military patient<br />

A patient who is a member of the U.S. Armed Forces on AD or ADT or an AD member of the armed forces of a<br />

foreign government.<br />

Military treatment facility<br />

A facility established for the purpose of furnishing medical and/or dental care to eligible beneficiaries.<br />

Optimum hospital benefit<br />

The point during hospitalization when a patient’s fitness for further military service can be decided. Also, further<br />

treatment for a reasonable period in an MTF will probably not result in material change in the patient’s condition so as<br />

to alter type of disposition or amount of separation benefits.<br />

Outpatient<br />

A person receiving health service for a disease or injury that does not require admission to an MTF for inpatient care.<br />

Outpatient treatment record<br />

The OTR and the dental record of the beneficiary for whom an HREC is not kept.<br />

Outpatient visit<br />

A visit to a separate, organized clinic or specialty service. This visit is made by a patient who has not been admitted as<br />

an inpatient to the supporting hospital.<br />

Outside of the United States<br />

All areas outside of the 50 States and the District of Columbia.<br />

<strong>Patient</strong> Accounting and Reporting Realtime Tracking System<br />

An automated system that collects demographic and medical data of patients entering the medical system during a<br />

contingency operation. The patient is tracked through the entire episode of care until final disposition.<br />

AR 40–400 27 January 2010<br />

131

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