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DHA Form 249: Pharmacy Data Warehouse Data Report Request Form

Form/Template
6/21/2022

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DHA Pharmacy Operations Support Contract Data Management Team | CD-MART | D-MART | WTU P-MART

TRICARE Online (TOL) System

Form/Template
5/3/2022

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)

Form/Template
4/18/2022

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

Assistance Reporting Tool (ART)

Form/Template
3/21/2022

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

Form/Template
3/10/2022

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

Form/Template
3/10/2022

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.

3D Bio CAD 3 Shape TRIOS 3

Form/Template
2/28/2022

3D Bio CAD 3 Shape TRIOS 3 (“TRIOS 3”) Wireless Scanner captures digital images of the teeth used to design and fabricate dental appliances.

Limited Duty Sailor Marine Readiness Tracker (LIMDU SMART)

Form/Template
2/28/2022

LIMDU SMART provides Navy and Marine Corps with real-time visibility of all personnel on limited duty status, capability to run reports on all aspects of Limited Duty (LIMDU) Program, and electronically manage process workflows.

National Optronics 7Ex Optical Fabrication Edger

Form/Template
2/28/2022

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)

Form/Template
2/28/2022

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.

DHA Appointing Portal

Form/Template
2/28/2022

The DHA Appointing Portal is a locally developed web application system used to automate vaccine availability and appointment scheduling. It is an enterprise-wide system currently hosted at Madigan Army Medical Center and accessible through a Defense Health Agency (DHA) website.

Veterinary Services Systems Management (VSSM)

Form/Template
2/28/2022

The purpose of the Veterinary Services Systems Management (VSSM) system via the Remote Online Veterinary Record (ROVR) application is to record and maintain complete health care information to include treatment history and deployment status on all Government Owned Animals (GOA).

Medical Readiness Decision Support System (MRDSS)

Form/Template
2/28/2022

Medical Readiness Decision Support System (MRDSS) is an automated information system on the Global Information Grid (GIG) used by the Air Force Medical Services (AFMS) to manage readiness information in direct support of active Air Force units, Air National Guard, and Air Force Reserves, at fixed bases, and deployed locations during both peace and wartime operations

DHA Form 236: Pediatric (5-11 years) COVID-19 Vaccine Screening and Immunization Documentation, v7

Form/Template
1/7/2022

This form is used to determine if the COVID-19 vaccine can be administered to the pediatric patient. (Version 7, March 2022)

Recommended Content:

Coronavirus and the COVID-19 Vaccine | COVID-19 Vaccine Efforts | Children's Health | Immunization Healthcare

DHA Form 46: Sign Language Interpreter Request

Form/Template
10/29/2021

The DHA Form 46 is used to document a patient’s surgical care and ensure that care adhered to the Military Health System’s surgical and procedural safety protocols.

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Last Updated: September 15, 2021

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