FM 8-45 
WAR DEPARTMENT 
MEDICAL FIELD MANUAL 
RECORDS OF MORBIDITY AND 
MORTALITY (SICK AND WOUNDEDI FM 8-45 
MEDICAL FIELD MANUAL 
RECORDS OF 
MORBIDITY AND MORTALITY 
(SICK AND WOUNDED) 
Prepared under direction of 
The Surgeon General 
UNITED STATES 
GOVERNMENT PRINTING OFFICE 
WASHINGTON : 1940 
For sale by the Superintendent of Documents, Washington, D. C. - Price 25 cents WAR DEPARTMENT, 
FM 8-45, Medical Field Manual, Records of Morbidity 
and Mortality (Sick and Wounded), is published for the in- 
formation and guidance of all concerned. 
Washington, October 1, 1940. 
[A. G. 062.11 (6-15-40).] 
order of the Secretary of War: 
G. C. MARSHALL, 
Chief of Staff. 
Official : 
E. S. ADAMS, 
Major General, 
The Adjutant General, TABLE OF CONTENTS 
Section I. General. 
Purpose of records of morbidity and 
mortality 1 1 
II. Register of Sick and Wounded. 
General 2 1 
Method of keeping 3 2 
Personnel to be registered 4 2 
Initiation of 5 4 
Recording 6 5 
Register number 7 5 
Name 8 5 
Army serial number 9 6 
Grade, company, regiment, or arm or 
service 10 6 
Age, years 11 6 
Race 12 6 
Nativity 13 7 
Service, years 14 7 
Date of admission 15 7 
Source of admission 16 7 
Cause of admission 17 8 
Line of duty 18 12 
Injury code 19 15 
Change of diagnosis 20 15 
Complications 21 15 
Inter current diseases 22 15 
Surgical operations 23 15 
Treatment in hospital, dispensary, 
or quarters 24 16 
Disposition of patients 25 16 
Date of disposition 26 19 
Name of hospital, etc 27 19 
Month of report 28 19 
Days of treatment 29 19 
Responsible officer, who signs or 
initials cards 30 19 
Information to be furnished by 
commanding officer 31 20 
Alterations and additions to regis- 
ter cards 32 20 
How filed 33 21 
III. Transfer of Patients. 
General 34 21 
Transfer 35 22 
Diagnosis 36 22 
Line-of-duty cases 37 22 
Transfer slip 38 23 
Paragraph 
Page 
III TABLE OF CONTENTS 
Section IV. Emergency Medical Tag. 
General 39 24 
Purpose 40 26 
By whom and how prepared 41 25 
How attached to patient or to 
remains 42 26 
Use 43 26 
Disposition 44 28 
V. Field Medical Record. 
General 45 29 
Where started; contents; data to 
accompany 46 30 
Always with patient 47 30 
Alterations 48 30 
Disposition 49 30 
Abbreviations 50 31 
VI. Report of Sick and Wounded. 
General 51 32 
When required 52 32 
Action by intermediate surgeons.. 53 32 
Forms used 54 33 
Report sheet 55 36 
Report card 56 39 
Emergency Medical Tag (Form 
52b, M. D.), Field Medical Card 
(Form 52c, M. D.), Field Medical 
Record Jacket (Form 52d, 
M. D.) 57 40 
VII. Standard Terms for Diagnoses, 
Anatomical Locations and Opera- 
tions. 
Standard terms for diagnoses 58 41 
Standard terms for anatomical 
locations 59 57 
Standard terms for operations. _ 60 61 
VIII. Clinical Records. 
When and where required 61 67 
Bedside notes 62 68 
Transfer to another ward 63 68 
Disposition upon completion of 
case 64 68 
File 65 68 
IX. Clinical Indexes. 
Register index 66 68 
Diagnosis index 67 69 
Disability index 68 70 
Death index 69 70 
Out-patient index 70 70 
X. Current Statistical Reports, 
Tables, and Charts. 
General 71 71 
Statistical report 72 72 
Special telegraphic reports of 
epidemic diseases 73 87 
Paragraph 
Page 
IV TABLE OF CONTENTS 
Section X. Current Statistical Reports—Con. Paragraph Page 
Special reports of acute com- 
municable diseases prevailing 
at stations when troops trans- 
ferred 74 88 
Reports of acute communicable 
diseases occurring among troops 
en route 75 88 
Reports of births, deaths, and 
cases of acute communicable 
diseases to civil health authori- 
ties 76 89 
Reports of births and deaths to 
the United States Bureau of 
the Census 77 90 
Tables and charts of disease 
rates 78 90 
XI. Casualty Reports. 
Reports to GHQ of a field force 
and to relatives 79 91 
Records of casualties at Medical 
Department installations, the- 
ater of operations 80 93 
Appendix. Examples and Descriptions of Methods 
of Preparation of Medical Depart- 
ment Records Pertaining to Mor- 
bidity and Mortality 1-8 95 
V FM 8-45 
MEDICAL FIELD MANUAL 
RECORDS OF MORBIDITY AND MORTALITY 
(SICK AND WOUNDED) 
Section I 
GENERAL 
E 1. Purpose of Records of Morbidity and Mortality.—a. 
Complete records of all patients treated are necessary in 
order that— 
(l) Data may be available for conduct of the business of 
the War Department and other governmental agencies— 
with particular reference to retention of the physically fit 
in the service, assignments to duty, adjustment of pay 
accounts, and the adjudication of claims for compensation. 
(2) The diagnostic and therapeutic measures used may be 
evaluated as to their thoroughness and adequacy. 
(3) Scientific studies of the nature of disease may be made. 
(4) Data may be obtained upon which to base plans for 
the medical service of the Army in war and in peace. 
b. In all records of morbidity and mortality it is necessary 
that facts be stated completely, yet concisely; this will facili- 
tate subsequent study of such records and decrease the 
amount of correspondence pertaining to their examination. 
The correct application with reference to the various forms 
discussed herein is to be found in the Appendix. 
Section II 
REGISTER OF SICK AND WOUNDED 
H 2. General.—A register of the sick and wounded of every 
military establishment or force attended by a medical officer 
or civilian physician will be maintained in peace and in the 
zone of the interior during war. Registers will not be main- 
tained however for commands en route from one station to 
another, for commands temporarily absent from their home 
stations for training in field service or because of other peace- 
time duties, nor for commands assembled for extended train- 
1 MEDICAL FIELD MANUAL 
ing except that registers will be maintained by fixed hospitals 
serving such commands. 
SI 3. Method of Keeping.—The register of patients will be 
kept on Form 52, M. D. A case recorded on this form is said 
to be on the register. Cases taken up on the register will 
be borne thereon until final disposition is effected, during 
this period cases are said to be currently on the register. 
■4. Personnel to be Registered.—A register card will be 
made for the following cases: 
a. Hospitalized.—Every person admitted to hospital for 
treatment, including infants born in hospital, except bene- 
ficiaries of the Veterans Administration. 
b. Quarters.—Every person on active duty (or civilian 
employee injured in the performance of duty), including 
retired officers and enlisted men under assignment to active 
duty, who, though not admitted to the hospital, is excused 
on account of sickness or injury from the performance of 
his military duty, except as provided in AR 40-215, for indi- 
viduals receiving typhoid-paratyphoid vaccination; and simi- 
larly, for cases of syphilis (previously registered) receiving 
routine treatment intravenously administered. 
c. Treatment.—Every person on active duty with the com- 
mand who, though not excused from duty, is prescribed for 
or treated, or placed under observation with a view to treat- 
ment, or, in the case of an enlisted man, with a view to dis- 
charge on account of disability if the condition for which 
observed or treated is of such a character as to have a prob- 
able bearing on a subsequent medical history (see par. 705), 
provided that a case once carded for record only under this 
provision will not again be carded for record only on the same 
register except when necessary to comply with the provisions 
of d, e, f, g, or h, below. For example: Every case of ve- 
nereal disease or insanity, or suspected venereal disease or 
insanity, which comes under observation or treatment, will, 
unless previously on the register or otherwise required to be 
registered, be carded for record only under this provision. 
Except as required herein, cases prescribed for but not ad- 
mitted to hospital or excused from duty will not be registered 
(see par, 25c), 
2 RECORDS OF MORBIDITY AND MORTALITY 
d. Separation from service.—Every person on active duty 
with the command, not currently on the register, who is re- 
tired for disability, ordered home to await retirement for dis- 
ability, discharged for disability, or dies. 
e. Enlisted men discharged as inapt or inadaptahle.—Any 
enlisted man who is not currently on the register and who is 
examined by a board of officers in accordance with the pro- 
visions of AR 615-360, and found to be mentally respon- 
sible for his actions, but who as a result of the board’s recom- 
mendation is subsequently discharged from the service on 
account of inaptness, or lack of adaptability for the military 
service, or evidence of habits or traits of character which 
serve to render his retention in the military service undesir- 
able, when underlying basis for these characteristics is consti- 
tutional psychopathic state, mental deficiency, chronic alco- 
holism, or drug addiction. 
f. Transfer.—Every person on active duty, not currently on 
the register, who is transferred to another command for ob- 
servation or treatment and every person whose case is 
received by transfer or evacuation (see sec. Ill). 
g. Sick leave.—Every person on active duty with the com- 
mand, not currently on the register, who departs from the 
command on sick leave. 
h. Death.—Every person residing at the station or with 
the command, taut not in the hospital, who dies. 
i. Dental.—Cases undergoing dental treatment will be 
registered only when such treatment necessitates that they 
be admitted to hospital or placed on quarters status. 
j. Change of status.—When a member of the permanent 
military establishment, sick in hospital or quarters, is re- 
tired from active service, wholly retired from service, dis- 
charged, or dismissed, the case will be closed (par. 25) and 
a new card will be prepared covering the continuance under 
treatment on the new status. The same requirement will 
be observed in the cases of persons who are members of any 
of the civilian components of the Army or of the other armed 
forces of the United States. If an applicant for enlistment, 
sick in hospital or quarters, is sworn in as an enlisted man 
his case as a civilian will be closed and a new card made for 
his case as an enlisted man. Appropriate cross references 
3 MEDICAL FIELD MANUAL 
between old and new cards will be made in these cases. If an 
enlisted man sick in hospital or quarters is discharged and 
reenlisted on the following day, the case will not be closed 
as directed above but will be continued on the same card 
with the entry in space 17. 
Discharged ; reenlisted 
(Date) (Date) 
In the case of any other person wherein a record of a change 
of status is important, the card will not be closed but fact 
of the change of status will be entered in the space “Addi- 
tional diagnoses” as in the case of a discharged and reenlisted 
enlisted man. 
k. Treated in civilian hospital.—When an officer, enlisted 
man, or other person in the active military service with a 
command which is attended by a medical officer or contract 
surgeon, or is a casual in the vicinity of such a command, is 
treated in a civilian hospital, the case will be registered and 
reported in the same manner is if he were treated in a mili- 
tary hospital, whenever the facts in the case are brought to 
the attention of the medical officer or contract surgeon. 
When such cases have been treated by the medical officer or 
contract surgeon and also in a civilian hospital, one register 
and report card will suffice, the fact of the treatment in 
civilian hospital being noted in space 18. Should the case, 
however, be treated only in civilian hospital, the fact that 
the patient was actually cared for in civilian hospital, with 
the designation or the description of the institution, will be 
noted in spaces 18 and 21. 
l. Infants.—Infants born on the station but not in hos- 
pital, or in the vicinity of the station, will be carded for 
record only when the birth has been attended by a surgeon 
of the station. 
■ 5. Initiation of.—The medical officer who admits a pa- 
tient to hospital or quarters or becomes cognizant of any 
case registry of which is required, will, the same day, furnish 
the registrar (AR 40-590) with data for the entries in spaces 
2-17, inclusive, of the card. Subsequently, any medical officer 
responsible for the treatment of a patient will supply the 
registrar with any additional fact necessary for the prepara- 
tion of the card not later than the day succeeding that upon 
4 RECORDS OF MORBIDITY AND MORTALITY 
which said fact became established. The registrar will make 
up the register cards day by day as the cases are taken up. 
■ 6. Recording.—a. General.—The cards will be legibly writ- 
ten in blue-black ink, using the typewriter when practicable. 
Abbreviations authorized by the War Department may be 
used. 
h. When space on card insufficient.—When the space pro- 
vided on the front of the card under any heading is not 
sufficient to complete an entry thereunder, the record thereof 
will be continued on the back of the card or, if still more 
space is required, upon an extension slip. The extension slip 
must be of the same size as the card and must be pasted to 
the lower margin of the back of the card, using y2 an inch 
for the seam; this will place the seam at the top of the card 
when the latter is filed. When an entry is continued, its 
two parts should be connected by cross-references using a 
small letter in parentheses, thus: (a), so that the record may 
readily be followed. 
B 7. Register Number (space I).—Every card will have a 
number for convenience of reference. These numbers will 
be consecutive and will be carried forward indefinitely, even 
though the designation and character of the hospital are 
changed. In order that the medical history of a patient 
may be more readily traced, his last previous register num- 
ber, if he has previously had a register card at the station, will 
be entered immediately before his current number, the tw© 
being separated by a hyphen. 
■ 8. Name (spaces 2 and 3).—The name will be correctly and 
legibly typed or written. Initial letters or abbreviations may 
be used for middle names only. Special care will be taken 
to see that the name as obtained from the patient is correct, 
and that both his first and last names are correctly spelled. 
The name of an enlisted man and the spelling of it will be 
verified by the identification tag, or if this is not available, 
by the company or other records. In cases of women admit- 
ted for delivery, the maiden name will be entered in paren- 
theses following the last name. Example: Jones (Smith) 
Mary E. 
5 MEDICAL FIELD MANUAL 
■ 9, Army Serial Number.—The Army serial number will be 
correctly and legibly typed. The number will be verified from 
the patient’s identification tag, an official roster, or the serv- 
ice record. 
H 10. Grade, Company, Regiment, or Arm or Service (spaces 
5, 6. and 7),—a. The basic arm or service in which an 
officer is commissioned or enlisted man enlisted will be 
shown, and in the event that he is otherwise assigned or 
detailed, the arm or service with which he is currently on 
duty will be shown in parentheses. Assignment to the 
Detached Officers’ List and the Detached Enlisted Men’s List 
will be shown when the individual is not assigned to an arm 
or service. 
b. Changes in the patient’s grade, company, and regiment 
or arm or service while his case is current on the register will 
be recorded in these spaces, giving dates of changes. 
c. If the patient is a former enlisted man, applicant for 
enlistment, or member of a training unit, the facts, respec- 
tively, will be set forth on the card under this heading, giv- 
ing the case of a former enlisted man, the organization to 
which he last belonged and, in the case of a member of a 
training unit, the branch, as R. O. T. C., O. R. C., N. G., and 
the organization, if any. For a civilian, an appropriate de- 
scriptive entry such as “Q. M. C. employee,” “Dependent of 
officer,” “Dependent of enlisted man,” will be added. 
d. If the patient is a garrison prisoner or a general prisoner 
with dishonorable discharge suspended or completed, the fact 
will be noted in these spaces above the entries pertaining 
to the patient’s present or former assignment. Example: 
5. Grade: 6. Company; 7. Regiment and 
Gar. Pris. DD Susp. formerly. arm or 
Gen. Pris. DD Comp, formerly. service. 
Pvt. A 17th Inf. 
Ell, Age, Years (space B).—The age at the nearest birthday 
is required. The age will be verified as in the case of the 
Army serial number. 
ii 12. Race (space 9).—Use “W,” “C,” “P,” “PR,” or “I,” 
meaning “white,” “colored,” “Filipino,” “Puerto Rican,” or 
“Indian.” 
6 RECORDS OF MORBIDITY AND MORTALITY 
13-16 
■ 13. Nativity (space 10).—Enter place of birth; giving 
State, if a native; country, if foreign. 
B 14. Service, Years (space 11).—Give length of service to 
date of admission, in years and monthly fractions thereof, 
whether continuous or not. The service will be verified as 
in the case of the Army serial number. 
■ 15. Date of Admission (space 12).—Under date of admis- 
sion give the month, day, and year the case is taken up. 
Figures will not be used to designate the month. 
■ 16. Source of Admission (space 13).—a. The purpose of 
this entry and those in spaces 5, 6, and 7 is that of relating 
the individual patient to the organization to which he is 
assigned or attached. This is necessary in order that mor- 
bidity and mortality rates may more accurately be derived. 
The Army Regulations pertaining to morning reports 
(AR 345-400) should be referred to, in this connection. 
b. Personnel of the command who are assigned thereto 
will be admitted from “Command.” Attached, personnel 
in Class B (AR 345-400) will be admitted from “Command B, 
Station Fort A.” A casual member of the command will be 
admitted as “Casual, Station, Fort B.” In the case of an 
original admission from a passing or other command which 
is unattended by a medical officer, the fact will be recorded 
thus, “Casual, Detachment, 12th Infantry, en route to B, 
unattended by a medical officer.” Cases not members of the 
command admitted from sick leave will be admitted as casu- 
als, a statement being made of the place and date of original 
admission to sick report, thus “Casual, sick leave, original 
admission, Fort C, November 7, 1939.” Cases will not be 
recorded as admitted from desertion or absence without leave. 
If these matter have any bearing on the medical record, 
the fact will be recorded in the diagnosis space. 
c. In the case of a patient received by transfer from another 
hospital or command, the name of such hospital or command 
will be given with the date and place of the original entry 
of the case and its register number on the register thereof. 
If the patient has been transferred successively through sev- 
eral hospitals the name of the hospital from which received 
and the place, date, and register number of the original 
7 16-17 
MEDICAL FIELD MANUAL 
admission for the current illness will be given, thus “Formal 
transfer, S. S. Republic, original admission Ft. Mills, Sep- 
tember 8, 1939, register number 18642.” In the case of a 
patient received by informal transfer the name of his 
command and station will be given. 
■ 17, Cause of Admission (space 14).—a. General.—Give 
the name of the disease and its location if it is localized, or, 
in case of injury, its cause, location, character, and severity, 
with the attending circumstances, date and place of occur- 
rence, and nature of missile, weapon, or other producing 
agent. All diseases or injuries present at the time of admis- 
sion will be recorded in this space. Should the original 
disability, or, if there is more than one, should any of them 
be cured before the final disposition of the patient, the fact 
and date of such cure will also be stated in this space. 
b. Primary cause of admission.—ln entering the cause of 
admission the actual condition necessitating or indicating the 
expediency of treatment will be regarded as the primary 
cause of admission, and will be entered first. Other con- 
ditions present will be entered in the order of their importance 
with reference to the primary cause of admission. When 
patients are admitted electively for the treatment of a condi- 
tion, congenital or acquired, the condition itself and not the 
treatment to be given, will be recorded as the primary cause 
of admission; for example, “hammer toe” will be recorded 
rather than “for operation for the cure of hammer toe,” 
“syphilis” rather than “for intravenous administration of 
neoarsphenamine for the treatment of syphilis.” The treat- 
ment undertaken in such cases, if it is such as to require a 
record thereof, will not be entered in this space but in space 17. 
c. Diagnostic terms.—Diseases and injuries will be recorded 
on the register in terms accepted in general by the medical 
profession, except that use will not be made of proper names 
other than those listed in paragraph 58. The International 
List of the Causes of Death and the Manual of Joint Causes 
of Death, publications of the Bureau of the Census, are used 
by The Surgeon General’s Office as guides for classification 
of conditions reported. 
8 RECORDS OF MORBIDITY AND MORTALITY 
d. Special requirement for diagnosis.—The following re- 
quirements will be observed: 
(1) Pathological lesions will be recorded rather than their 
symptoms. Use of the expression “cause undetermined” will 
be confined to those cases in which there is definite possibil- 
ity that the cause of the pathological condition could be 
ascertained by the methods of examination in accepted usage 
and to denote that such methods have not been exhausted 
or that they have yielded negative results. When the condi- 
tion necessitating admission is so ill-defined as to permit of 
no definite diagnosis, the case will be recorded as “No disease, 
ill-defined condition of the system, manifested by 
inserting the body system (International List) 
which seems to be affected and the important manifestations. 
When the patient is admitted for administrative reason and 
no disease found, the case will be recorded as “No disease, 
administrative admission, for determination of 
inserting sanity, physical fitness, or other purpose. Admis- 
sion as a procedure for the control of communicable disease 
will, when no disease supervenes, be recorded as, for example, 
“No disease, administrative admission, meningitis contact.” 
(2) In all cases in which the cause of admission is a local 
manifestation of a general affection, the character and loca- 
tion of the one and the nature of the other will be stated. 
(3) The organ or part affected will be specified when the 
name of the morbid condition fails to indicate it, as in 
paralysis, aneurism, ulcer, or herpes; also in inflammations, 
as adenitis, osteitis, arthritis, or synovitis; and in local in- 
juries, as abrasions, burns, contusions, or dislocations. 
(4) Inflammations will be reported as acute or chronic. 
The grade of the inflammatory condition of mucous mem- 
branes will be stated, when such is important. 
(5) In pulmonary affections the lobe or lobes involved will 
be designated; also, in the case of diseases that are not al- 
ways bilateral, whether the disease is confined to the right 
or left or extends to both lungs, 
(6) Deviations from the normal in cases of impairment of 
vision or hearing when they are causes of admission or di- 
rectly affect admission will be ascertained and noted. 
9 MEDICAL FIELD MANUAL 
(7) In a case of injury the pathological condition, loca- 
tion, severity, place and date of occurrence will be recorded, 
the nature of the missile, weapon, or other causative agent 
shown, and the course of events directly responsible for the 
accident clearly stated. If it was accidental, that fact will 
appear. If it was intentional, the record will show whether 
it was judicial, homicidal, suicidal, self-inflicted, or other- 
wise, as the case may be; except that wounds inflicted in ac- 
tion by the enemy need not be so qualified. In gunshot 
wounds the points of entrance and exit of the missile or mis- 
siles and any important parts involved in the track of the 
wound will be recorded, if they can be determined. If re- 
corders will bear in mind the “how, when, and where in- 
curred” details in the case of injuries, frequent errors of 
omission will be avoided. 
(8) Fractures will be designated as simple, comminuted, 
compound, or complicated, the character of the complica- 
tions being stated. 
(9) The exact location, variety, and degree (complete or 
incomplete) of hernia will be given. 
(10) Diseases due to venereal contagion, alcohol, nar- 
cotics, or to immoral practices will be so recorded. 
(11) Distinction will be made between inflammations of 
venereal origin and those of nonvenereal origin, in cases where 
there is involvement of the genital organs or the inguinal 
lymph nodes, specifying the nature of the venereal cause 
and the causation in nonvenereal cases or stating that the 
cause is nonvenereal. 
(12) The terms “venereal warts” and “venereal butaos” 
will not be used. The correct diagnosis will be stated with 
the specific cause of the lesion. 
(13) When a patient who has been returned to duty or 
who has been “carded for record only” is subsequently read- 
mitted to the same or any other hospital for treatment of 
the same disease, the current diagnosis should be recorded 
and the fact that the case is a readmission indicated in 
parentheses by stating it to be “Old” and giving the name of 
the original station where the case was registered and the 
date of the original registration; as for example, Syphilis, 
10 RECORDS OP MORBIDITY AND MORTALITY 
cerebro-spinal, manifested by (“Old,” Port 
(Name 
). If a patient is readmitted to the same hos- 
and date) 
pital where the case was originally treated for the condition, 
the full description of the original disease or injury will be 
repeated upon readmission, including the original date, place, 
cause, and attending circumstances, followed by the refer- 
ence “See register No. ” If the readmission is to a 
hospital where the case was not originally treated, such simi- 
lar information as can be obtained that is considered reliable 
will be entered, stating in each case the source of the infor- 
mation. A statement showing the condition at the date of 
current admission will be added. The transfer of a case 
from one hospital to another is only an incident in the treat- 
ment of it, and does not constitute a readmission. 
(14) In all cases of poisoning the name of the poison will 
be given. 
(15) Whenever possible, in all cases of pneumonia, the 
causative organism will be stated. In all cases of pneu- 
mococcic pneumonia, the type of the pneumococcus present 
will be recorded. 
(16) In every case of typhoid fever the dates of all anti- 
typhoid vaccinations and the method of confirming the diag- 
nosis will be stated. 
(17) Special notes will be made of malingering, or feigned 
diseases, and of the means employed for their detection. 
(18) Births will be recorded as such, giving the name, age, 
and grade of the father and the name and age of the mother; 
the mother’s maiden name will be placed in parentheses fol- 
lowing her married name. Important abnormalities of the 
child will be noted. 
(19) (a) 1. When the diagnosis of a case under treatment 
in a ward is changed, or complications or sequelae 
develop, report thereof will be made to the registrar 
upon a register card or other prescribed means of 
notification, marking it “Change of diagnosis,” and 
forwarding it with the next morning report of the 
ward. 
2. When the diagnosis of a case under treatment in 
quarters is changed, or complications or sequelae 
262292“—40 2 
11 17-18 
MEDICAL FIELD MANUAL 
develop, a report thereof upon a card or other pre- 
scribed means of notification similarly marked will 
be forwarded within 24 hours to the registrar by 
the medical officer attending the case. 
(b) The change of diagnosis report will be signed or ini- 
tialed by the ward officer or by the medical officer in attend- 
ance on the case, and be filed with the register card of the 
case to which it relates as the voucher for the correction of 
the register card. 
3 18. Line of Duty (space 15).—a. General.—Herein will be 
recorded, in the case of every officer and enlisted man on the 
active list, and of every officer and enlisted man on the retired 
list who is for the time being serving under an assignment to 
active duty, and of every other person in the military service, 
the opinion of the medical officer, based on a full considera- 
tion of all the facts, whether the cause of admission was 
incurred in the line of duty, it being understood that the entry 
relates to the primary cause of admission as defined in para- 
graph 17b. If the patient has two or more diseases or 
injuries at the time of admission, an opinion as to the line of 
duty will be separately recorded for each (see also par. 37). 
b. Ordinary cases.—All diseases or injuries from which a 
militarized person suffers while in the active military service 
of the United States may be assumed to have occurred in 
the line of duty, unless the medical officer knows that the 
disease or injury— 
(1) Existed prior to entry into the service. 
(2) Was contracted while absent from duty without per- 
mission. 
(3) Occurred as the result of something which he was 
doing in pursuance of a private avocation or business. 
(4) Grew out of relations unconnected with the service 
or was not the logical incident or probable effect of duty 
in the service (see sec. 11, AR 615-360). 
(5) Occurred in consequence of willful neglect or miscon- 
duct of the man himself. 
c. Special cases.—(l) Misconduct.—Venereal diseases, 
syphilis, gonococcus infection, chancroid, lymphogranuloma 
venereum, and lymphogranuloma inguinale will be held to 
have resulted from misconduct unless it is shown that they 
12 RECORDS OF MORBIDITY AND MORTALITY 
were in fact innocently acquired. Unless the patient can 
show by satisfactory evidence that the primary venereal 
infection was innocently acquired, all cases of paresis, tabes 
dorsalis, and other conditions which are unmistakably the 
result of venereal infections, will be regarded as not in line 
of duty. The inability of the responsible medical officer to 
prove misconduct in the case or to obtain information in 
regard to the primary or secondary symptoms of syphilis 
is not sufficient to warrant the opinion that the early or 
late symptoms resulting therefrom originated in the line of 
duty. In like manner, all conditions resulting from chronic 
alcoholism and drug addiction should be regarded as not 
in line of duty. Other injuries and diseases will be held 
to have resulted from misconduct when caused by an act 
of commission or omission, wrong in itself, an act contrary 
to the principles of good morals, or as a result of gross 
negligence, gross carelessness, or self-infliction of wounds. 
In all cases other than venereal diseases, alcoholism, or drug 
habit, in which the opinion as to line of duty is expressed by 
“No,” and in all cases of these three conditions in which 
the opinion as to line of duty is expressed by “Yes,” the 
circumstances attending the incidence of the disability, and 
on which the contrary opinion is based, will be stated under 
the diagnosis. 
(2) Line of duty for treatment or operation. 
(a) The line of duty of an operation or the treatment of 
any condition will be the same as that of the condition for 
which the operation was done or the treatment was instituted 
except as provided in (b) below. 
(b) Death or any untoward effect which is directly charge- 
able to treatment, anesthetic, or operations, instituted by a 
medical or dental officer of the Army, regardless of the line 
of duty of the disease or injury or misconduct of the indi- 
vidual, will be recorded as in line of duty and not due to 
misconduct. 
(3) Injuries (see AR 345-415).—1n each case of injury 
the responsible medical officer will determine the line of duty 
from all available evidence, and in no instance where there 
is any doubt will he accept the unsubstantiated statement of 
the patient as conclusive evidence of the true circumstances 
13 MEDICAL FIELD MANUAL 
under which the injury was incurred. The statement regard- 
ing the place and date of occurrence, nature of the missile, 
weapon, or other causative agent, and the course of events 
directly responsible for the accident, required by paragraph 
17d(7) to be entered in space 14, and that concerning line 
of duty will be in accord with the approved findings of the 
board of officers set up under paragraph lc(4)(b), AR 345- 
415, when such board has acted on the case, and a notation 
“per approved findings of a board of officers” will be made 
in space 15. 
(4) Tuberculosis.—Cases of acute tuberculosis (not includ- 
ing acute exacerbations of chronic forms) will be considered 
to be in line of duty in all instances, irrespective of length 
of service. Cases of active chronic tuberculosis in military 
personnel with more than six months’ service will be con- 
sidered to be in line of duty regardless of the character and 
the extent of the lesion. Inactive pulmonary tuberculosis, 
diagnosed on the basis of X-ray findings alone, will be con- 
sidered to be not in line of duty unless there is a previous 
record of active pulmonary tuberculosis while in the mili- 
tary service. Cases of chronic tuberculosis, including acute 
exacerbations, in which the length of service is six months 
or less, will be considered to be not in line of duty. 
(5) Dementia praecox, w.anic depressive psychosis, and 
psychoses of a similar nature.—Ail cases of dementia praecox 
or manic depressive psychosis, or psychoses of a similar 
nature, developing within six months after entry into the 
military service will be regarded as having existed prior to 
enlistment. Cases developing after six months’ service will 
be regarded as having been incurred in line of duty when 
the period between any two enlistments has not exceeded 
three months and when a careful review of the past history 
fails to elicit evidence of mental abnormality before the 
original entrance into the military service or during the first 
six months of service. 
(6) Hernia.—The line of duty status in cases of hernia will 
be determined on the merits of the individual case, the deci- 
sion to be arrived at as a result of thorough investigation of 
the circumstances attending the initial appearance of the 
14 RECORDS OF MORBIDITY AND MORTALITY 
18-23 
hernia and careful evaluation of any factor or factors that 
may have been contributory thereto. 
d. Intercurrent disabilities.—When an intercurrent dis- 
ability subsequently appearing is in no way dependent on 
the primary affection, the medical officer will record it in 
space 17, along with his opinion as to whether it originated 
in line of duty, and such explanatory remarks as may be 
necessary. Should it be cured before the final disposition 
of the patient the fact and date of cure will also be recorded 
in space 17. 
e. Revised diagnosis.—Upon recording a change of diag- 
nosis the medical officer will also record in space 17 his 
opinion as to whether the disability as diagnosed by him 
originated in line of duty, with appropriate explanatory 
remarks when necessary. 
B 19. Injury Code (space 16).—This entry is to be accom- 
plished as set forth in circular letters of The Surgeon General. 
■ 20. Change of Diagnosis.—A change of diagnosis will be 
indicated in space 17, giving the date of the change, and 
“Yes” or “No” for the line of duty status of the new diagnosis. 
The original entry under “Cause of admission” in space 14, 
and its corresponding line of duty reference in space 15, will 
not be disturbed. (See also par. 32.) 
EB 21. Complications (space 17).—A1l complications occurring 
subsequent to admission to hospital will be entered in space 
17, and the date will be given in each instance. The ward 
officer will in each case promptly notify the registrar’s office 
of any complication that may occur. 
B 22. Intercurrenx Diseases (space 17).—The ward officer 
will promptly notify the registrar’s office of any intercurrent 
diseases or injuries that occur subsequent to the admission 
of any patient to hospital. These data will be entered in 
space 17, with date and appropriate entries as to line of duty, 
H 23. Surgical Operations (space 17).—Any surgical opera- 
tion performed or other noteworthy or unusual treatment 
instituted in the case will be recorded in space 17. In record- 
ing a surgical operation its character will be briefly described, 
giving the commonly accepted name for it. The word “opera- 
15 23-25 
MEDICAL FIELD MANUAL 
tion” alone Is not sufficient. In every case note will be made 
of the date of operation. When tissue is removed for his- 
tological examination, the histological diagnosis will be re- 
corded in this space. When neoplasms are removed in whole 
or in part the fact that a histological examination of the 
tissue was or was not made will be recorded and the histolog- 
ical diagnosis will be given. If the histological diagnosis is 
not available at the time the case is completed, the register 
card will subsequently be corrected and a copy forwarded to 
The Surgeon General. 
■ 24. Treatment in Hospital, Dispensary, or Quarters 
(space 18).—The place of treatment, quarters, dispensary, 
or hospital, and the dates of changes from one to the other 
will be indicated in space 18. In computing “patient days” 
or “days lost,” cases admitted to a dispensary for purposes 
of observation and treatment will be considered as in a status 
of “hospital.” 
E 25. Disposition of Patients (space 19).—a. General.— 
Herein will be recorded the completion of the case by entry 
specifying the method of its completion. Return to duty is 
always a completion of the case, including cases registered 
under the provisions of paragraph 4c. Transfer to another 
hospital completes the case on the medical records of the 
transferring hospital or command. Cases of officers, enlisted 
men, and other persons on active duty are completed by 
capture by the enemy or by any change in their military 
status which separates them from the active list of the 
Army, such as death, desertion, retirement, resignation, dis- 
missal, or discharge from the service. Cases of officers and 
enlisted men on the retired list and of civilians registered 
upon their admission to hospital, conforming to the provi- 
sions of paragraph 4a, are completed, so far as the register is 
concerned, by their departure from the hospital, the remark 
“Discharged from hospital” being noted on their register 
cards. 
b. Furlough or sick leave.—When a patient departs from 
the command or hospital on sick leave or furlough, and is 
to report for duty upon his return therefrom, his card will 
be completed by appropriate record of such departure, with 
16 RECORDS OF MORBIDITY AND MORTALITY 
a statement showing whether the cure was complete, and 
the duration of leave or furlough granted for the purpose of 
convalescence. If the patient is to return in the status 
“sick,” the record of his sick leave or furlough with the date 
of departure and return will be entered in space 17, but the 
case will not be closed as completed until final disposition 
is effected. 
c. Record cases.—Register cards for record only under 
paragraph 4c, the patient not having been excused from duty, 
will be completed at once, regardless of the continuance of 
treatment or observation, by entering “performing full duty” 
under this head and repeating the date in the date of disposi- 
tion space. Should the provisions of paragraph 4a., b, e, f, 
or h, become applicable during continued treatment or obser- 
vation, or subsequently, the case will again be registered in 
conformity therewith, but will be marked “Old”; showing 
the station, with the date of the original treatment. 
d. Death and disability cases to be completed.—Cases of 
death and of retirement or discharge for disability carded 
will be completed at once by entry in this space specifying 
the nature of the disability or cause of death. 
e. Specific data for death cases.—ln case of death, the fact 
of death, and the result of autopsy (if noi autopsy, so state) 
will be recorded in this space; also, if the death was not due to 
the cause of admission the general, determining, and all con- 
tributing causes thereof, and a statement showing whether the 
cause originated in the service and in line of duty, with an 
explanation of the circumstances upon which the opinion, if 
negative, is based. Should the cause of death in any case 
be unknown, a brief note of such circumstances as may 
throw light upon it will be entered. In case of suicide the 
cause or causes which led to the act will be stated, if known; 
if the cause of suicide is undetermined, entry of that fact 
will be made. 
f. Specific data for disability cases.—ln case of retirement 
or discharge on account of wound, injury, or disease, the fact 
of retirement or discharge on such account will be recorded 
under this head; also, if the wound, injury, or disease for 
which the officer or enlisted man is retired or discharged was 
not the cause of admission, the same will be fully described 
17 MEDICAL FIELD MANUAL 
and statement recorded whether it originated in line of duty. 
When the opinion expressed is “No,” the circumstances at- 
tending the incidence of the wound or disease and on which 
the negative opinion is based will be recorded. 
g. Specific character of disabilities.—ln preparing register 
and report cards for patients who are separated from the 
service for disability, it is not sufficient to give the diagnosis 
of the original injuries or diseases causing the disability, but 
the exact nature of the disability at the time of separation 
from the service will be added. 
h. Specific data for discharge (not disability) cases.—The 
cases of patients who are retired from active service, or 
wholly retired or discharged from the service by order, sen- 
tence, operation of law, or expiration of term, will be com- 
pleted by entry specifying such fact. However, when it is 
apparent that any patient is permanently unfit for military 
service because of mental or physical disability, he will, if 
practicable, be recommended for discharge on certificate of 
disability prior to the expiration of the term of service in 
which the disability was incurred. 
i. Officer retired.—The cases of officer patients who depart 
from the hospital or command in obedience to order to pro- 
ceed to their homes and await retirement will be completed 
upon such departure by recording the fact thereof and the 
date of departure. 
j. Disability aggravated by misconduct or refusal of treat- 
ment.—When the disease or injury causing death or discharge 
has been aggravated by the willful and persistent refusal 
of the patient to submit to such reasonable restrictions, 
methods of treatment, or surgical operations as would, in the 
opinion of the medical officer, have conduced to the cure or 
to the lessening of the disability, the fact will be noted. 
k. Duty.—When a patient is returned to duty the entry 
“Duty” will suffice, the cure being assumed to be complete 
unless a statement to the contrary is entered. Acceptable 
qualifications are: Duty improved; Duty unimproved. 
l. Transferred cases.—ln case of transfer to another hos- 
pital or command, the specific destination of the patient 
will be stated, together with the authority for transfer. 
18 RECORDS OF MORBIDITY AND MORTALITY 
25-30 
m. Desertion.—Desertion or absence without leave for 
more than 10 days is final disposition of the case and the 
card will be completed accordingly. Should the individual 
come again under military control and resume the status 
of “sick,” a new card will be made for him. 
■ 26. Date of Disposition (space 20).—Give month, day, 
and year of disposition. Figures will not be used to desig- 
nate months. In all cases of discharge on certificate of 
disability the date of discharge as given in the letter of 
notification from the adjutant will be recorded. 
■ 27, Name op Hospital, etc. (space 21).—Enter in this 
space on every register and report card the designation of 
the hospital, establishment, or organization, to which the 
register pertains, and its location on the date the card is 
completed. 
■ 28. Month op Report (space 22).—Space 22 need not be 
filled in on the register card but will be filled in on the 
report card. 
H 29. Days of Treatment (space 24).—Days of treatment in 
current cases, on the back of the card, will be filled out 
month by month on the register and report cards, extending 
the table as may be necessary for cases remaining from one 
year to another. The day of admission, the day of death, 
and the day of other separation from the service will be 
counted as a day of treatment in every case. The day of 
return to duty, and in the case of a civilian patient, of 
leaving hospital, will not be counted as a day of treatment. 
The day of disposition for all cases transferred will not be 
counted by the transferring hospital, but the receiving hos- 
pital will count on its card of the case, as a day of treat- 
ment, the day of transfer. If more than one day has elapsed 
in effecting the transfer, the additional days must neverthe- 
less be accounted for on the card of the receiving hospital, 
in space 24, the correct date of admission to the receiving 
hospital being recorded in space 12. 
■ 30. Responsible Officer, Who Signs or Initials Cards 
(space 23).—The senior medical officer is responsible for the 
preparation and preservation of the register. Ordinarily, 
19 30-32 
MEDICAL FIELD MANUAL 
he will sign or initial all register cards completed during the 
period of his responsibility; but at general hospitals or 
larger station hospitals, or when specially authorized by The 
Sugeon General, he may designate one or more junior med- 
ical officers to sign or initial them. When, in the absence 
of a medical officer, the command is attended by a civilian 
physician, he will sign the cards for the cases completed 
under his care. When the report sheet (Form 51, M.D.) 
or report cards (Form 52, M.D.) are typed, the full signa- 
ture of the officer signing or initialing them will be typed 
or stamped just below the signature or initials. 
Bi 31. Information to be Furnished by Commanding Of- 
ficer.—The commanding officer will provide the surgeon 
with any information the latter may not have, which is 
necessary for preparing and completing the register. 
88 32. Alterations and Additions to Register Cards.—a. In 
remaining cases.—Alterations and additions when necessary 
to correct or complete the record may be made in the regis- 
ter cards of remaining cases at the discretion of the senior 
medical officer of the command. A change of diagnosis will 
be indicated in space 17, “Additional diagnoses,” giving the 
date of the change, and the original entry under “Cause of 
admission,” in space 14 will not be disturbed. When, how- 
ever, the original diagnosis showed only the onset of a more 
important disease which subsequently became apparent after 
a few days’ observation and before a report card had been 
forwarded, for example, acute coryza with measles, the cor- 
rect diagnosis will replace the original one in this space. 
When in a case received by transfer the correction involves 
the line of duty or abrogates a definite diagnosis, and the 
change made affects the patient or the Government as to 
a claim for compensation, extension of service, or other 
similar matters, the reasons for the change will be stated, 
the transferring surgeon will be informed by letter of the 
change, and the reasons therefor, and notation will be made 
on the card that the transferring surgeon has been so in- 
formed. This letter of information will be forwarded 
through all intermediate surgeons who have registered the 
case. 
20 RECORDS OF MORBIDITY AND MORTALITY 
32-34 
b. In completed cases.—Alterations of and additions to the 
register card of a completed case may be made in like man- 
ner by the medical officer who is responsible for the card at 
the time it is completed, if he is still the senior medical officer 
of the command. If he has been superseded, the card will 
not be changed, but a successor who concludes, upon informa- 
tion received, that the card is erroneous in any particular 
way, may file a supplemental card therewith on Form 52, 
M. D., indicating thereon such conclusion and the informa- 
tion or reasons upon which it is based. The supplemental 
card will be headed “Supplemental Card No ,” inserting 
the register number of the register card, and will be dated 
and signed on the back by the officer filing it, the initials of 
the officer who initialed the original card being typed in 
space 23. A cross-reference to the supplemental card identi- 
fying it by its date may appear upon the register card, but 
it will be a reference only, thus “See supplemental card 
dated ” and contain none of the matter recorded 
on the supplement. For corresponding report card see 
paragraph 56. 
B 33. How Filed.—The register cards will be kept in two files, 
the current file and the permanent file. 
a. Current file.—The current file will consist of the register 
cards of remaining cases arranged in dictionary order ac- 
cording to the last names of the patients. It constitutes a 
ready index to all cases currently on the register. Cards will 
be transferred from the current file to the permanent file 
upon their completion but not until the report cards have 
been prepared. 
b. Permanent file.—The permanent file will comprise all 
register cards of completed cases, filed by their register 
numbers. 
Section 111 
TRANSFER OP PATIENTS 
B 34. General.—Patients are transferred from one station to 
another for observation and treatment by the authority, di- 
rect or delegated of the War Department, or that of corps 
area, department, or tactical commanders. The medical 
21 34-37 
MEDICAL FIELD MANUAL 
records of such movements of patients and the method of 
their use are described in the following paragraphs. 
B 35. Transfer.—a. Formal.—ln every case of transfer from 
commands rendering sick and wounded reports as required by 
paragraphs 54b and c, the commanding officer of the hos- 
pital or surgeon of the command from which the patient goes 
will make out a transfer slip (Form 52e, M. D.). This will 
duplicate in part the patient’s register card, including as 
complete a diagnosis as there has been opportunity to make, 
complete entry in space 21. The slip will be signed by the 
transferring officer. An extension slip when necessary will 
be used in the manner described in paragraph 6b. A formal 
transfer to a general hospital will be accompanied by an 
extract of the important items of the clinical record of the 
case while at the transferring station. 
b. Informal.—When local hospital facilities are not pro- 
vided for a command and patients requiring hospital treat- 
ment are sent habitually to a hospital in the immediate 
vicinity, formal transfer of patients from station to station 
is not required, i. e., transfer is accomplished as a routine 
and informal procedure. In such cases transfer slips as re- 
quired for formal transfer will accompany the patients, and 
though they may be incomplete as to diagnosis of the con- 
dition present they should convey to the receiving hospital 
all pertinent information available. 
B 36. Diagnosis.—The requirements of paragraph 17 will be 
carefully observed in entering the cause of admission of 
transferred cases and particularly will this be true with 
respect to injuries. 
B 37. Line-of-Duty Cases.—The line of duty of all cases of 
injury transferred in time of peace and of all such cases 
in the zone of the interior in time of war will be entered as 
“Per the agreement of the patient’s unit commander and the 
surgeon,” or as “Per the approved findings of a board of 
officers,” or as “Undetermined” if a determination has not 
been made. It will be the responsibility of the transferring 
surgeon to supply the receiving surgeon with a statement 
as to the line of duty in those cases where the entry “unde- 
termined” has been made. When determination of the line 
22 RECORDS OF MORBIDITY AND MORTALITY 
37-38 
of duty is dependent upon facilities for study of the case 
not available to the transferring surgeon, the receiving sur- 
geon who finally reaches a decision as to the line of duty will 
inform the surgeon who instituted the transfer, and all 
intermediate surgeons, as to the decision. 
H 38. Transfer Slip.—a. To whom sent.—(l) General.— 
Transfer slips will in ordinary transfers be sent to the com- 
manding officer of the receiving hospital or surgeon of the 
command. 
(2) In case of transfer to St. Elizabeths Hospital, Wash- 
ington, D. C.—ln transfers to St. Elizabeths Hospital (the 
Government hospital for the insane), the transfer slip will 
be sent to The Adjutant General, with a copy attached to 
the medical certificate required by the Department of the 
Interior. 
(3) Cases transferred via Army transports. 
(a) In time of peace.—When any person in the military 
service is transferred via Army transport for further observa- 
tion and treatment or for discharge on certificate of disa- 
bility, the regular transfer slip, transferring the patient to 
the transport for observation or treatment while en route, 
will be prepared and delivered, together with other necessary 
records, such as the syphilitic register and the abstract of 
clinical records, to the transport surgeon. The disposition 
will be shown on Form 52, M. D., in space 19 as “Transferred 
to U. S. A. T. for transportation to Port 
” The name of the hospital to which the patient 
will probably be transferred may be placed in parentheses 
after the name of the port. All such patients while on the 
transport will be carried by the transport surgeon as sick 
in hospital (i.e., hospital of the transport) or quarters (i.e., 
troop quarters of the transport), as the character of the 
case warrants. Upon arrival, the commanding general of 
the corps area or department in which the port is located, 
acting upon the recommendation of the corps area or de- 
partment surgeon, will send the patients to suitable hospitals 
for treatment or discharge. The transport surgeon will then 
prepare the regular transfer slips and forward them, to- 
gether with the other necessary papers in each case, to the 
designated hospitals. 
23 38-39 
medical field manual 
(b) In time of war.—Transports operating between the 
theater of operations and the zone of the interior will use 
the forms prescribed for the theater of operations. 
b. How transmitted to recipient.—lf the patient is to be 
unattended en route, the transfer slip may be transmitted 
in his care, or by mail, at the discretion of the transferring 
officer. If the patient is to be under the charge en route of 
an officer or enlisted man, the slip will be transmitted through 
the officer or enlisted man in charge. 
c. Verification by person in charge.—When many patients 
are transferred at one time under the charge of an officer or 
enlisted man en route, the transfer slips will be verified per- 
sonally by him or, when the number transferred is too great 
for personal verification, by his subordinates or assistants. 
d. Procedure when patient is not received.—Should the 
patient named on a transfer slip transmitted by mail not 
arrive at the receiving hospital within a reasonable time, the 
commanding officer thereof will so notify the transferring 
officer. Both officers will immediately take the necessary 
steps to determine the whereabouts of the patient and the 
cause of his nonarrival. The commanding officer of the re- 
ceiving hospital will note on the back of the transfer slip the 
fact that the patient did not arrive, along with such other 
data bearing on the fact as were obtained in communicating 
with the transferring officer or other officials, 
e. Disposition by receiving hospital.—The commanding offi- 
cer of the receiving hospital or surgeon of the command will 
note on the back of the transfer slip the fact and date of the 
arrival of the patient at his station (dating stamp may be 
used), prepare a register card for the case, and therewith file 
the transfer slip. 
Section IV 
EMERGENCY MEDICAL TAG 
W 39. General.—As a sick and wounded record the Emergency 
Medical Tag (Form 52b M. D.) will be used as prescribed in 
paragraph 54. During or after an engagement it will be 
attached to all sick, wounded, and dead. In referring to this 
tag the use of the abbreviation EMT is authorized. 
24 RECORDS OF MORBIDITY AND MORTALITY 
40-41 
H 40. Purpose.—a. For the sick and wounded.—For the sick 
and wounded the primary purpose of the Emergency Medical 
Tag is to inform the medical officers under whose observation 
the patient successively comes of the character of the dis- 
ability and the treatment previously given at the several points 
of relief prior to admission to hospital. 
b. For the dead.—For the dead the purpose of the emer- 
gency medical tag is to— 
(1) Prevent a loss of time by other medical personnel in 
examining the body. 
(2) Furnish as much information as is practicable regard- 
ing the details of the death. 
® 41. By Whom and How Prepared.—a. The emergency medi- 
cal tag will be made out by the first Medical Department 
officer who treats the patient previous to his admission to a 
hospital, or by the first member of the Medical Department 
who finds or examines the remains. The identification tag 
should be utilized to obtain or verify the necessary informa- 
tion concerning his name, grade, and Army serial number. 
b. The tissue paper protecting the carbon sheet will be 
torn out before the cloth tag is written, in order that the 
duplicate impression on the paper tag may be made at the 
same time as the original. A medium hard black and not 
indelible pencil will be used and special care exercised that 
the name of the patient or of the deceased is legibly written 
or printed. After the preparation of the tag is completed 
the carbon paper separating the original and duplicate tags 
will be torn out and discarded. 
c. When used in peacetime the tag will be prepared with 
the same care as to detail as is required in the case of the 
register card and the pertinent instructions contained in 
paragraph 17 will be followed. In combat there will be many 
instances when the initial preparation of the tag will be 
faulty. The tags will be examined by medical officers along 
the route of evacuation and every effort consistent with the 
well-being of the patients will be made to complete and 
correct the entries. In the case of wounds received in action 
with an enemy of the United States or as a result of an act 
of such enemy, the diagnosis will include a statement to that 
effect recorded as “Wounded in action” (WIA) and in the 
25 41-43 
MEDICAL FIELD MANUAL 
case of the dead found on the field, the entry “Killed in 
action” (KIA) will be made, it being understood that these 
are administrative rather than medical entries and that a 
complete diagnosis is required. It is important to remember 
that awards of compensation and decorations are dependent 
upon this record. 
d. Under “Treatment” will be noted the dressing applied, 
the amount of stimulants or anodynes administered, and 
whether operation or special treatment is urgently needed. 
e. Under “Supplemental record” on the back of the original 
will be recorded as the case may be— 
(1) The additional treatment given en route to hospital, 
indicating its nature and where and when it was given. 
(2) The fact, time, and place of death and other essential 
attending circumstances, if the patient dies en route. 
(3) The hospital where the patient was admitted for defini- 
tive treatment or the disposition of the body. 
(4) The fact that the patient is returned to duty from 
any station along the route of evacuation prior to admission 
to hospital. All entries made will be signed. 
M 42. How Attached to Patient or to Remains.—The original 
tag will be torn from the book and affixed to the clothing 
of the patient (or to the clothing of the dead) over the breast, 
or as near to it as possible, so as to be seen readily. 
S3 43. Use.—a. In transfer of patient.—An emergency med- 
ical tag will be attached to every patient evacuated to a 
hospital from an aid station, dispensary, or other establish- 
ment not a hospital, and will serve the same purpose as the 
transfer slip prescribed in paragraph 35. Only one emer- 
gency medical tag will be attached to any patient. All neces- 
sary notes before admission to hospital will be made on 
the one tag. 
b. By moving commands.—(l) For commands moving or 
in the field in time of peace or for commands on a similar 
status in the zone of the interior in time of war, the emergency 
medical tag will be used by the senior medical officer of 
each command or dispensary in lieu of Form 52, M.D. as 
a report card for all cases completed by death or duty during 
the month. Any patient who is transferred from such com- 
mands to a hospital will be accompanied by an emergency 
26 RECORDS OF MORBIDITY AND MORTALITY 
43 
medical tag. If a patient is transferred to other than an 
Army hospital, request will be made by the transferring 
officer that the hospital diagnosis, the complications, opera- 
tions, and disposition, with dates, be entered in the supple- 
mental record, that the tag accompany the patient if he is 
removed to an Army hospital and that it be mailed to The 
Surgeon General, Washington, D. C., if the patient is released 
from the hospital to duty. 
(2) Each emergency medical tag received with transferred 
cases by a mobile hospital or by station, general, or con- 
valescent hospitals in a theater of operations will be placed 
in the field medical jacket and will thereafter form a part 
of the patient’s field medical record. 
c. In case of “killed in action.”—(l) Definition.—The term 
“killed in action” includes not only those meeting sudden 
death but all casualties who as a result of wounds die on the 
field before reaching an aid station. 
(2) By whom prepared.—See paragraph 41. A noncom- 
missioned officer or a well-qualified private of the Medical 
Department will accompany all burial parties and prepare 
emergency medical tags for all the killed in action not pre- 
viously tagged. Medical Department personnel attached to 
units of the Graves Registration Service will prepare emer- 
gency medical tags, if missing, at initial interments and com- 
plete or correct such as are faulty. 
(3) Contents.—On each tag the Army serial number, name, 
and grade of the deceased (the data being obtained from the 
identification tag attached to the body) will be written 
clearly and legibly. In addition to the record “killed in 
action,” there should be entered, when practicable, a brief 
note showing the location of the wound, such as head, chest, 
abdomen, arm, forearm, hand, thigh, leg, or foot, with side 
involved and the character of the causative missile, such as 
shell, shrapnel, bullet, bayonet, saber, or bomb. In case a 
tag is incomplete in the foregoing or any other particular, 
Medical Department personnel on duty with the Graves 
Registration Service or with other burial parties will supply 
the missing information if it is obtainable. If identification 
is impossible at time of interment, notation will be made of 
the Graves Registration Service registration of the body in 
262292°—40 3 
27 43-44 
MEDICAL FIELD MANUAL 
order that The Surgeon General may have a means of secur- 
ing additional information at a later time. 
B 44. Disposition.—a. Originals.—(l) Patient returned, to 
duty from an aid station or dispensary.—The original emer- 
gency medical tags of the sick and wounded who are returned 
to duty from aid stations or dispensaries without going 
farther to the rear will be removed at the station and re- 
tained for use by the unit surgeon. 
(2) Patient returned to duty from a station on the route 
of evacuation prior to a hospital.—The original emergency 
medical tags of the sick and the wounded who are returned 
to their organizations direct from a station on the route of 
evacuation will remain attached to them and upon their re- 
porting for duty be removed for use by the surgeons of their 
respective organizations. Such tags will be collected and 
forwarded by the senior medical officer of the establishment 
or command by whom they are removed, with the next ensu- 
ing monthly report of sick and wounded. 
(3) Patient admitted to hospital.—The original emergency 
medical tags of the sick and wounded who are admitted to a 
hospital in a theater of operations will be removed and 
placed in the jacket of the field medical record. Original 
emergency medical tags received with patients evacuated to 
a hospital which maintains a register of sick and wounded 
will be removed, the fact of receipt and date thereof entered 
in the supplemental record, delivered to the registrar, and 
forwarded to The Surgeon General with the next report of 
sick and wounded. If an emergency medical tag is the only 
field record received with a patient evacuated from a the- 
ater of operations to a hospital for definitive treatment in 
the zone of the interior, it will be forwarded to The Surgeon 
General within 24 hours (see par. 49b). 
(4) Patient who dies in transit, or the killed in action.— 
See AR 30-1805, 30-1810, 30-1815. The original emergency 
medical tags attached to the bodies of sick or w7ounded who 
died while in transit or to the bodies of the killed in action 
will remain attached to the bodies until interment takes 
place. If interment is under supervision of the Graves Regis- 
tration Service, the emergency medical tag will be removed 
by Medical Department personnel and forwarded to The 
28 RECORDS OF MORBIDITY AND MORTALITY 
44-45 
Surgeon General with the next report of sick and wounded. 
If interment is not under the immediate supervision of the 
Graves Registration Service but is made by burial parties 
from the command, the tags will be removed by Medical 
Department personnel if present, otherwise by responsible 
persons and transmitted to the surgeons of the commands 
of which the dead were members. The emergency medical 
tags attached to the bodies of enemy or allied dead will be 
forwarded to The Surgeon General through such channels 
as may be prescribed. In these circumstances the tags will 
be completed as provided in paragraph 43c(3). 
(5) Removal of wire.—After the tag is detached from the 
patient, the wire will be removed from the tag before it is 
disposed of as directed above. 
b. Carbon copies.—The carbon copies of the emergency 
medical tags will be assembled and utilized by the senior 
medical officer of each unit to prepare for the organization 
commander a daily list of casualties as may be required in 
preparing or checking his reports and for the preparation 
of statistical reports. At the end of each month all the 
carbon copies having served the purposes indicated will be 
collected and forwarded with the monthly report of sick and 
wounded. 
Section V 
FIELD MEDICAL RECORD 
B 45. General.—The purpose of the field medical record 
(composed of the field medical card (Form 52c, M.D.), field 
medical jacket (Form 52d, M.D.), and such inclosures as are 
herein authorized) is that of supplying a brief consecutive 
medical record of each patient in a theater of operations in 
time of war, and during maneuvers or other field operations 
in time of peace, who is treated in hospital. The card will not 
be used as a clinical history, for this would result in all the 
available space being used and none being left for recording 
the basic data for which the record is intended. This record 
will be used at all times by surgical and evacuation hospitals. 
In a theater of operations, registers of sick and wounded will 
not be maintained; therefore the field medical record rather 
29 45-49 
MEDICAL FIELD MANUAL 
than the register card will be used by station, general, and 
convalescent hospitals (see fig. 76). 
■ 46. Where Started; Contents; Data to Accompany.—The 
record will be started for each case at the first of the hos- 
pitals mentioned above where treatment is furnished. Imme- 
diately upon admission to hospital, the Army serial number, 
the date and place of admission, and the name will be entered 
on the first fold of the card and on the outside of the jacket 
in the space provided. The emergency medical tag and 
any other clinical record of value received with the patient 
will be inclosed in the jacket along with the newly started 
field medical card. Other data for which space is provided 
will be entered as soon as practicable. 
■ 47. Always With Patient.—After the record is started it 
must always remain with the patient, either at his bedside 
when in hospital or attached to his clothing when in transit 
from one hospital to another, until it is disposed of as pre- 
scribed in paragraph 49. 
■ 48. Alterations.—From time to time the necessary entries 
will be made on the card showing complications, intercurrent 
diseases, operations, and disposition, with dates. Ward offi- 
cers and attendants will verify, and correct when necessary, 
any entries on the record, particularly the name, serial num- 
ber, and organization. 
B 49. Disposition.—Under disposition it should be specifi- 
cally stated if patient is transferred to another hospital. If 
so give name of hospital, date of transfer, and signature of 
surgeon. 
a. -Of records of completed cases.—The record of each 
case completed, by return to duty or by death, in a theater 
of operations in time of war or in hospitals in the field in 
time of peace will be removed at once and forwarded with 
the next monthly report of sick and wounded to the chief 
surgeon of a field force or to the surgeon of the corps 
area or department for transmittal to The Surgeon General. 
b. Of records of cases transferred to the zone of the- 
interior.—The field medical record will be attached to the 
clothing of each patient transferred in time of war from 
30 49-50 
RECORDS OF MORBIDITY AND MORTALITY 
any hospital in a theater of operations to a hospital in the 
zone of the interior and from any hospital of a mobile type 
for troops engaged in maneuvers, or in the field, to any fixed 
hospital. Field medical records should contain all available 
information. The term “observation” is insufficient. In- 
clude, if injury, the location, nature, date, place, and circum- 
stances. Syphilis and syphilis observation for, should be 
omitted from EMT’s and FMR’s. Each field medical 
record thus received will be closed, and the record of the case 
taken up on the hospital register. Field medical records 
of patients evacuated from a theater of operations will be 
closed when the patients reach hospitals where they are 
to receive definitive treatment and will be forwarded directly 
to The Surgeon General within 24 hours. Field medical 
records received at a fixed hospital from a mobile hospital 
in time of peace or in the zone of the interior in war will 
be forwarded to The Surgeon General with the next report 
of sick and wounded. 
B 50. Abbreviations.—The abbreviations listed below are 
authorized for use only on emergency medical tags and field 
medical records in the diagnosis space. No additions to or 
deviations from this list of abbreviations will be permitted. 
In the nonmedical entries, abbreviations authorized by the 
War Department may be used. 
CW—Contused wound. 
EW—Extensive wound. 
FUO—Fever of undeter- 
mined origin. 
FC—Fracture compound;. 
FCC—Fracture com- 
pound commi- 
nuted. 
FS—Fracture simple. 
GSW—Gunshot wound. 
IW—lncised wound. 
KlA—Killed in action. 
LW—Lacerated Wound. 
MW—Multiple wounds. 
NYD—Not yet diag- 
nosed. 
Pen W—Penetrating 
wound. 
Per f W Perforating 
wound. 
Pun W—Punctured 
wound. 
SV—Severe. 
S—Slight. 
WIA Wounded in 
action. 
31 51-53 
MEDICAL FIELD MANUAL 
Section VI 
B 51. General.—A report of sick and wounded will be ren- 
dered monthly from every military station and separate com- 
mand which is attended by a medical officer or civilian 
physician, and forwarded before the fifth day of the next 
succeeding month, as follows: 
a. From a general hospital within the continental limits 
of the United States directly to The Surgeon General, unless 
otherwise ordered by him. 
b. From a transoceanic Army transport to the surgeon of 
the corps area within jurisdiction of which the transport’s 
home port is located, for transmittal to The Surgeon General. 
c. From any other organization, station, or hospital under 
the command of a corps area or department to the surgeon 
of the corps area or department within the geographical 
limits of which the organization, station, or hospital is lo- 
cated, or to the surgeon of a force not under corps area or 
department command, or to the surgeon of an expeditionary 
or similar force, for transmittal to The Surgeon General. 
The reports of the elements of a tactical command will be 
forwarded through the surgeon thereof. 
■ 52. When Required.—a. Each month although no cases 
treated or disposed of.—If there has been no case treated or 
disposed of during the month or no remaining case, report 
of which was required, a report sheet (Form 51, M.D.) will 
nevertheless be forwarded. It will be complete as to all items. 
b. When hospital closed.—When a hospital is closed or a 
command discontinued, a report covering the unreported 
period of service, giving the beginning and the end thereof, 
will be forwarded within five days thereafter. 
B 53. Action by Intermediate Surgeons.—Reports of sick 
and wounded received by any intermediate surgeon, such as a 
chief surgeon of an expeditionary or similar force or a surgeon 
of a corps area or department, will be promptly subjected to 
a critical examination, and such memoranda taken therefrom 
as he may need for the purpose of his office. He will for- 
ward the reports to The Surgeon General not later than five 
REPORT OP SICK AND WOUNDED 
32 RECORDS OF MORBIDITY AND MORTALITY 
53-54 
days after receipt, by informal indorsement on the report 
sheet, i. e., office stamp showing dates of receipt and of trans- 
mittal. Should he find errors in the report he will immedi- 
ately, by letter to the responsible officer, call attention to the 
errors and will direct the necessary action for their correc- 
tion. He will not, however, detain the papers in his office 
awaiting correction but will forward them to The Surgeon 
General within five days after receipt, with a copy of his letter 
in the premises. The officer responsible for the preparation of 
the report will reply to the letter calling for corrections, by 
indorsement thereon. After the reply has been noted by 
the intermediate surgeon, it will be forwarded without delay 
to The Surgeon General. 
® 54. Forms Used.—a. General.—The forms to be used in 
the preparation of or in connection with the report of sick 
and wounded are— 
(l) Report Sheet (Form 51, M.D.). 
(2) Report Card (Form 52, M.D. (also used as the register 
card)). 
(3) Emergency Medical Tag (Form 52b, M.D.). 
(4) Field Medical Card (Form 52c, M.D.). 
(5) Field Medical Record Jacket (Form 52d, M.D.). 
(6) Certain clinical records and indexes described in 
paragraphs 61-70. 
Note.—Wires and strings will be removed from emergency medi- 
cal tags and field medical records before forwarding them as a part 
of the monthly report of sick and wounded. 
b. Use in peacetime.—(l) For stationary commands.— 
For all fixed hospitals or troops in garrisoned stations, perma- 
nent or semipermanent camps, the report of sick and wounded 
will consist of the— 
(a) Report sheet (Form 51, M. D.) 
(b) Report card (Form 52, M. D.).—A report card is re- 
quired for each case currently on the register and disposed of 
since the preceding report. This requirement includes in ad- 
dition to cases under treatment in quarters and hospitals, 
those which are set forth in paragraph 52b. Also a report card 
will be furnished for each case of syphilis when the individual 
is separated from the service prior to completion of treatment, 
except that such card need not be forwarded when the fact of 
33 54 
MEDICAL FIELD MANUAL 
such separation is noted on some other card in the report, as 
for example in cases of death or discharge for disability, 
(c) Field Medical Record (Forms 52c, 52d, M. D. and 
Emergency Medical Tag (Form 52b, M. D.)) received with 
;patients.—Continuation of the record on the field medical 
card and the emergency medical tag by a hospital is not 
authorized. 
1. Any field records received will be closed by noting 
on them the designation of the receiving hospital 
and the date of admission and will be forwarded 
with the next report, except as provided in 2 below. 
2. In time of war, field records accompanying patients 
to the zone of the interior will remain with the 
patients until the hospitals of definitive treatment 
are reached. At these hospitals the records will 
be closed as above and forwarded within twenty- 
four hours directly to The Surgeon General. 
(d) Remaining card (Form 52, M. D.).—The report for the 
month of December will contain a report card, designated at 
the top as “Remaining,” for every case admitted prior to or 
during the month, disposition of which has not occurred. 
This card will be a copy of the original register card together 
with all changes and additions made. 
(2) For moving commands.—Whenever troops are en route 
from one station to another or are temporarily absent from 
their home stations for training in field service or because 
of other peacetime duties, the sick and wounded reports of 
such commands will be of the same character as that pre- 
scribed for use in a theater of operations during war (see d 
below). 
c. Used in zone of the interior.—The monthly report of 
sick and wounded in the zone of the interior in time of war 
for stations, general dispensaries, and fixed hospitals will be 
of the same character as that prescribed in b (1) above. For 
all other commands the report will be of the same character as 
that prescribed in d (1) below. 
34 RECORDS OF MORBIDITY AND MORTALITY 
54 
d. Used in theater of operations.—The monthly report of 
sick and wounded in a theater of operations in time of war 
will consist of the— 
(l) For all regiments, separate battalions, and similar units; 
among Medical Department organizations, for station dispen- 
saries, for medical regiments, battalions, and squadrons, and 
for all places of treatment other than hospitals: 
Note.—The headquarters of a med’cal battalion, squadron, or 
regiment will render a report for the entire organization except that 
a detached element will render its own report. 
(a) Report sheet (Form 51, M. D,). 
(b) Emergency medical tag (Form 52b, M. D.). 
1. Original. 
(a) In all cases completed by death or return 
to duty rather than evacuation when 
the patient was a member of the com- 
mand for which the report is rendered. 
(b) In all cases of members of the command 
evacuated and subsequently returned to 
duty not having been admitted to 
hospital. 
(c) Affixed to the killed in action, removed 
by burial details other than those under 
supervision of the Graves Registration 
Service, and returned to the unit 
surgeon. 
(d) An original emergency medical tag only, 
in any such case as is described in para- 
graph 4 b, c, d, e, g, i, and k, and for any 
case of sudden death of a member of 
the command or member of another 
command dying while casually in the 
vicinity of the reporting command, and 
for any case of syphilis separated from 
the service prior to completion of treat- 
ment, the fact not being otherwise 
shown on a sick and wounded report. 
2. Carbon.—The carbon copies of all emergency med- 
ical tags affixed by members of the unit, except 
as indicated in 1 (d) above. 
35 54-55 
MEDICAL FIELD MANUAL 
(2) For station and general hospitals in theater of opera- 
tions and for surgical, evacuation, and convalescent hospitals. 
(a) Report sheet (Form 51, M. D.). 
(b) Field medical record (Forms 52c and 52d, M. D.) with 
inclosures.—-For all cases completed during the month by 
death, return to duty, or otherwise than by evacuation. 
B 55. Report Sheet (Form 51, M. D.).—The report sheet will 
be furnished by the senior medical officer of every hospital 
or command in time of peace or war. The following data 
will be recorded thereon: 
a. Designation* (space I).—Name or number of the hos- 
pital or organization, with the location on the last day covered 
by the report, except when in the theater of operations in 
time of war. 
b. Period (space 2).—Month and year for which the report 
is furnished or period if for less than a month. 
c. Component parts of the command (space 3).—Each com- 
mand will be reported, specifying the companies and detach- 
ments composing it, taut no one command will be included on 
more than one report. General hospitals will include only the 
personnel on duty therewith, except as qualified in e below. 
d. Variations in command (space 4).—State important 
variations in the general composition of the command during 
the month, such as the arrival or departure of companies, 
giving the dates and the strength thereof, respectively. Re- 
ports relating to commands in the field in time of peace and 
in the zone of the interior in time of war will show the 
location of the principal camps occupied during the month, 
with the dates of arrival and departure in each instance. 
When a hospital or dispensary is opened or closed during the 
period of the report, the fact and date thereof will be recorded. 
e. Mean strength.—(l) Regular Army (space 5 (a)).—The 
mean strength of the command for the period covered by the 
report will be computed as follows: The total strength for 
each day of the period noted by the adjutant upon the 
surgeon’s morning report of sick will be added together by 
items (officers, Army nurses, warrant officers, student nurses, 
white enlisted, colored enlisted, Filipino enlisted, Puerto 
Rican enlisted, etc., separately) and divided by the number 
36 RECORDS OF MORBIDITY AND MORTALITY 
55 
of days in the month. The quotients are the mean 
strengths, by items, and the sum of them is the total mean 
strength. The foregoing is the rule for commands which 
are intact. When, however, a part of the command is on 
field or detached service, accompanied by a medical officer 
who will himself, conforming to regulations, render a re- 
port of sick and wounded, appropriate deduction will be 
made in computing the strength at the main or permanent 
station. Conversely, when the sick andi injured among 
troops not accompanied by a medical officer, which are in 
the vicinity of the command but are not properly a part 
of it, are habitually admitted to its hospital or dispensary 
or taken up on its register, appropriate addition to the 
strength of command will be made. The mean strength of 
a general hospital in time of peace ordinarily will include 
only its own personnel; it will not include the sick and 
wounded therewith who were admitted by formal or informal 
transfer, but will include patients who are not identified 
with an active organization and are obviously not accounted 
for on any other strength return. In time of war, in a 
theater of operations all hospitals therein (this does not 
include stations operated by hospital companies of medical 
regiments or clearing platoons of medical battalions) will 
include in their strength all patients under treatment, since 
such patients under the replacement system will be dropped 
by their own organization when sent to hospital. 
(2) Training units in time of peace (space 5 (b)).—When 
National Guard units, members of the Officers’ Reserve 
Corps, or the Reserve Officers’ Training Corps, or the En- 
listed Reserve Corps, or trainees in the Citizens’ Military 
Training Camps are in a Federal military camp for training 
and instruction in time of peace, the mean strength will be 
obtained for each group in the same manner as outlined 
in (1) above and entered on the lines provided on Form 51, 
M. D. Regular Army personnel on duty with the training 
imits will be included with that for the Regular Army. In 
time of war, all strength will be included with that of the 
Regular Army. 
(3) Mean strength of civilians not included as members 
of training units (space 5 (c)).—This group comprises gen- 
37 55 
MEDICAL FIELD MANUAL 
eral prisoners, applicants for enlistment, dependents of 
officers and enlisted men, and all other civilians who are 
entitled to receive free medical treatment at military hos- 
pitals or dispensaries. This strength should be determined 
as nearly as practicable by a monthly census. At posts 
where civilian employees are entitled to medical treatment, 
the responsible officer will furnish to the senior medical 
officer on the last day of the month a statement showing 
the daily average number of such employees for the month. 
/. Patient days (space 6).—This entry includes the total 
days in hospital or quarters on every day of the month as 
shown in the register. Hospital and quarters items will be 
reported separately. For the status of patients detained in 
a dispensary see paragraph 24. The “patient days” for the 
personnel of the Regular Army who are on the active list 
will be entered on the lines provided. “Patient days” for 
Veterans’ Administration beneficiaries will be entered in the 
blank space below the Reserve Corps entry. The “patient 
days” for “all others” will include data as to hospital and 
quarters treatment for ex-soldiers, retired officers and en- 
listed men not on the active list, general prisoners, appli- 
cants for enlistment, dependents of officers and enlisted men, 
and other civilians. The treatment afforded particular 
classes of patients in the group “all others” will be itemized 
when required by The Surgeon General. 
g. Miscellaneous professional work (space 7).—ln time of 
peace and in the zone of the interior in time of war, all pro- 
fessional work done during the month which is not otherwise 
reported will be entered in space 7, Form 51, M. D., under 
the general headings— 
(l) Out-patients. 
(a) Military patients not carded and those “carded for 
record only.”—All treatments not otherwise reported will be 
included, but for such cases as are “carded for record only” 
the case itself will be omitted for the month when so recorded. 
(b) Training unit patients.—Count treatment and cases in 
same manner as for military patients. 
(c) Civilian patients.—lnclude all treatments not other- 
wise reported. 
38 RECORDS OF MORBIDITY AND MORTALITY 
55-56 
(2) Physical examination specify as— 
(a) Appointment, promotion, and annual of officers, Army 
nurses, warrant officers, Regular Army. 
(b) Enlistment and reenlistment in the Regular Army. 
(c) Appointment to United States Military Academy. 
id) Appointment, promotion, or others, Officers’ Reserve 
Corps. 
(e) Reserve Officers’ Training Corps. 
(/) Citizens’ Military Training Camps. 
ig) Enlisted Reserve Corps. 
(h) Others. 
(3) Vaccinations, immunizations, and sensitization tests 
specify as— 
(a) Typhoid and paratyphoid immunizations. 
(b) Smallpox vaccinations. 
(c) Schick tests. 
(d) Diphtheria toxin antitoxin. 
(e) Others. 
h. Births, marriages, deaths, and remarks.—The recording 
of births, marriages, and deaths heretofore required is no 
longer necessary. Any additional information in regard to 
the report in general which the surgeon deems pertinent will 
be added under “General Remarks,” including the number 
of Veterans’ Administration patients admitted, disposed of, 
and remaining. The dates of participation in combat will 
be entered in this space. 
i. Certificate (space 10).—The certificate as to the number 
of cards of completed cases and of cases remaining (see par. 
54b(1) id)) (space 10) will be filled in and signed by the sen- 
ior medical officer. His name and grade will be typed or 
printed below his signature. If there is neither medical offi- 
cer nor civilian physician with the command when the report 
is made, a statement to that effect will be entered on the re- 
port sheet, and the officer in charge of Medical Department 
property will make the report over his signature. He will 
also initial the accompanying cards (Form 52, M. D.). 
■ 56. Report Card (Form 52, M. D.).—a. General.—The re- 
port card will be used under the circumstances indicated in 
paragraph 54b(1). It will be an exact copy of the register 
39 56-57 
MEDICAL FIELD MANUAL 
card of each case reported. (For directions concerning the 
preparation of register and report cards, see pars. 5-33.) 
b. Alterations.—(l) In remaining cases.—Under the cir- 
cumstances requiring remaining cards (par. 54b(l)(d)), 
when the diagnosis is changed or a complication or inter- 
current disease is noted or other corrections or alterations 
are made on the register card of a remaining case before its 
completion, and after a report card of the case has been 
forwarded, a new card signed by the senior medical officer, 
marked “Correction Remaining Card” in the upper margin 
on the front of the card, indicating plainly what the changes, 
corrections, or alterations are, will be forwarded with the 
next ensuing monthly report; provided that when the case 
is completed upon the next ensuing monthly report, the card 
required upon the completion of the case will be sufficient, 
and a separate correction card will not be forwarded, but 
every variance from the first report card of the case will be 
explained by the term “corrected entry” noted on the back 
with proper reference for connecting the record. 
(2) In completed cases, correction and supplemental report 
cards.—When the register card of a completed case is altered 
after its final report card has been rendered, a card marked 
“Correction card” and signed by the senior medical officer 
showing plainly all the alterations, will be immediately for- 
warded to The Surgeon General through the usual channels. 
When a supplemental card is filed with the register card of 
a completed case, a full and exact copy thereof marked 
“Transcript of supplemental card” in the upper margin on 
the front of the card will likewise be forwarded at once. 
A correction other than a change of diagnosis will be made 
in the space where the error occurs, and will be explained 
by the term “Corrected entry” noted on the back of the card 
with proper reference for connecting the record. This applies 
to both remaining and completed register cards. See para- 
graph 32b. 
■ 57. Emergency Medical Tag (Form 52b, M. D.), Field Med- 
ical Card (Form 52c, M. D.), Field Medical Record Jacket 
(Form 52d, M. D.).—Directions concerning the use and prep- 
aration of these forms appear in paragraphs 39 to 50. 
40 RECORDS OF MORBIDITY AND MORTALITY 
58 
Section VII 
STANDARD TERMS FOR DIAGNOSES, ANATOMICAL 
LOCATIONS, AND OPERATIONS 
H 58. Standard Terms for Diagnoses.—The standard terms 
for diagnoses listed below will be used as a guide in preparing 
records of sick and wounded. It is not intended that they 
should be rigidly adhered to; any terms well established in 
medical usage may be employed with the exception that the 
use of eponyms other than those herein contained is not sanc- 
tioned. As far as practicable the terminology listed will be 
followed. When diseases or injuries occur for which no terms 
are furnished herein or for which the terms given are general 
in character, they will be recorded with such scientific terms 
commonly applied to them by the profession as will briefly 
and accurately describe them. When new terms are inserted 
in the list, they will be placed in their proper alphabetical 
order and assigned numbers within the limits of the nu- 
merical code now present. Thus if the terms hyperthyroid- 
ism and hypothyroidism were inserted the former should fol- 
low hypernephroma, 3870, and be given the number 3871, 
the latter should follow hypospadia, 3920, and be given the 
number 3921. In using this list paragraph 17 will be 
complied with. 
0010 Abdominal scar. 
0020 Abscess, alveolar. 
0030 Abscess, periapical. 
0040 Abscess, perinephritic. 
0050 Abscess, periproctic. 
0060 Abscess, peritonsillar. 
0070 Abscess, perivesical. 
0080 Abscess, retrocecal. 
0090 Abscess, retropharyn- 
geal. 
0100 Abscess, subphrenic. 
0110 Abscess. 
0120 Acanthosis nigricans. 
0130 Achylia, gastrica. 
0140 Acne keratosa. 
0150 Acne rosacea. 
0160 Acne variollformia. 
0170 Acne vulgaris. 
0180 Acromegaly. 
0190 Actinomycosis. 
0200 Addison’s disease. 
0210 Adenoids. 
0220 Adenoma. 
0230 Adenoma sebaceum. 
0240 Adenoma sudoriparum. 
0250 Adhesions. 
0260 Adiposis dolorosa. 
0270 Aerogenes capsulatus 
infection. 
0280 Aerophagy. 
0290 Albinism. 
0300 Albuminuria. 
41 58 
MEDICAL FIELD MANUAL 
0310 Alcoholism, acute. 
0320 Alcoholism, chronic. 
0330 Alopecia. 
0340 Alopecia areata. 
0350 Amaurosis. 
0360 Amblyopia (unquali- 
fied). 
0370 Amblyopia, exanopsia. 
0380 Amblyopia, hysterical. 
0390 Amblyopia, nocturnal. 
0400 Amblyopia, toxic. 
0410 Anaemia, pernicious. 
0420 Anaemia, simple. 
0430 Anaemia, splenic. 
0440 Aneurism, arterio- 
venous. 
0450 Aneurism, cirsoid. 
0460 Aneurism of heart. 
0470 Aneurism. 
0480 Aneurism, varicose. 
0490 Aneurismal varix. 
0500 Angina pectoris. 
0510 Angiokeratoma. 
0520 Angioma. 
0530 Angioma cavernosum. 
0540 Angioma serpiginosum. 
0550 Angioneurotic edema. 
0560 Anhidrosis. 
0570 Ankyloblepharon. 
0580 Ankylosis, bony. 
0590 Ankylosis, fibrous. 
0600 Ankylostomiasis. 
0610 Anorchism. 
0620 Anthrax, general infec- 
tion. 
0630 Anthrax,malignant 
pustule. 
0640 Anthracosis, 
0650 Anuria calculous, 
0660 Aorta, rupture of. 
0670 Aortic arch, dilatation 
of. 
0680 Aortitis. 
0690 Aphonia. 
0700 Aphasia. 
0710 Apoplexy, 
0720 Appendicitis. 
0730 Arterial hypertension. 
0740 Arteriosclerosis. 
0750 Arthritis. 
0760 Ascariasis. 
0770 Asthenopia. 
0780 Asthma. 
0790 Astigmatism. 
0800 Ataxia, hereditary, 
0810 Athetosis. 
0820 Atony of, 
0830 Atresia of urethra. 
0840 Atrophia maculata et 
striata. 
0850 Atrophoderma diffusum. 
0860 Atrophy of. 
0870 Atrophy of muscle, 
lower extremity. 
0880 Atrophy of muscle, 
upper extremity. 
0890 Atrophy of nail. 
0900 Atrophy, progressive, 
muscular. 
0910 Atrophy, senile, 
0920 Aviator’s disease or 
sickness. 
0930 Balanitis. 
0940 Beriberi. 
0950 Blastomycosis. 
0960 Blepharitis, 
0970 Blepharospasm. 
0980 Bradycardia. 
0990 Brain, abscess of. 
1000 Brain, tumor of. 
42 RECORDS OF MORBIDITY AND MORTALITY 
58 
1010 Bromidrosis. 
1020 Bronchiectasis. 
1030 Bronchitis. 
1040 Bursitis. 
1050 Caisson disease. 
1060 Calcification of carti- 
lage. 
1070 Calculus. 
1080 Callosity. 
1090 Carbuncle. 
1100 Carcinoma. 
1110 Cardiac arrhythmia, 
auricular fibrillation. 
1120 Cardiac arrhythmia, 
auricular flutter. 
1130 Cardiac arrhythmia, 
extra systole. 
1140 Cardiac arrhythmia, 
others. 
1150 Cardiac arrhythmia, 
sinus, arrhythmia, 
1160 Cardiac dilatation. 
1170 Cardiac disorder, func- 
tional. 
1180 Cardiac hypertrophy. 
Cardiac murmurs, not 
organic: 
1190 Accidental pul- 
monic systolic. 
1200 Cardio - functional 
apex systolic. 
1210 Cardio-respiratory. 
1220 Other accidental. 
1230 Cardiac palpitation. 
1240 Carrier, diphtheria ba- 
cillus. 
1250 Carrier, typhoid bacil- 
lus. 
1260 Carrier, meningococcus. 
1270 Carrier. 
1280 Cataract. 
1290 Cellulitis. 
1300 Cercomoniasis. 
1310 Chalazion. 
1320 Chancroid. 
1330 Chancroidal lympha- 
denitis. 
1340 Chancroidal lymphan- 
gitis. 
1350 Chancroidal paraphi- 
mosis. 
1360 Chancroidal phimosis. 
1370 Cheilitis glandularis. 
1380 Chickenpox. 
1390 Chilblain (Pernio, 
6520). 
1400 Chloroma. 
1410 Cholangitis. 
1420 Cholelithiasis. 
1430 Cholecystitis. 
1440 Cholera, Asiatic. 
1450 Chondroma. 
1460 Chorea. 
1470 Choroid, detachment of. 
1480 Choroid, rupture of. 
1490 Choroidal tumor. 
1500 Choroiditis. 
1510 Choroiditis, suppura- 
tive. 
1520 Choroiditis, tubercular. 
1530 Chromidrosis. 
1540 Cicatrices of, painful. 
1550 Cicatricial contracture. 
1560 Cicatricial deformity. 
1570 Clavus (corn). 
1580 Cleft palate. 
1590 Colitis. 
1600 Color blindness. 
1610 Colon, dilatation of. 
1620 Comedo (blackheads). 
262292°—40 4 
43 58 
MEDICAL FIELD MANUAL 
1630 Condyloma acumina- 
tum (warts, external 
genital organs). 
1640 Conjunctiva, hyperemia 
of. 
1650 Conjunctivitis, catar- 
rhal. 
1660 Conjunctivitis, chemi- 
cal. 
1670 Conjunctivitis, follicu- 
lar. 
1680 Conjunctivitis, granu- 
lar (trachoma). 
1690 Conjunctivitis, phlyc- 
tenular. 
1700 Conjunctivitis, puru- 
lent. 
1710 Conjunctivitis, vernal. 
1720 Constipation, atonic. 
1730 Constipation, cause not 
determined, or when 
secondary diagnosis. 
1740 Constipation, spastic. 
Constitutional psycho- 
pathic states: 
1750 Criminalism. 
1760 Emotional instabil- 
ity. 
1770 Inadequate person- 
ality. 
1780 Paranoid personal- 
ity. 
1790 Pathological liar. 
1800 Sexual psycho- 
pathy. 
1810 Unqualified. 
1820 Contraction of plantar 
fascia. 
1830 Contracture of joint. 
1840 Contracture of (mus- 
cle, fascia, tendon, or 
sheath). 
1850 Cornea, conical. 
1860 Cornea, opacity of. 
1870 Cornea, ulcer of. 
1880 Cornu (cutaneous 
horns). 
1890 Cowperitis. 
1900 Coxa valga. 
1910 Coxa vara. 
1920 Cretinism. 
1930 Cryptorchidism. 
1940 Cyclitis. 
1950 Cyst. 
1960 Cyst, retention. 
1970 Cyst, sebaceous. 
1980 Cystadenoma. 
1990 Cystic kidney. 
2000 Cysticercosis. 
2010 Cystitis. 
2020 Cystocele. 
2030 Cystoma. 
2040 Dacryoadentitis. 
2050 Dacryocystitis. 
2060 Defective hearing. 
2070 Defective or deficient 
teeth. 
2080 Defective physical de- 
velopment. 
2090 Defective vision. 
2100 Deficient chest meas- 
urement. 
2110 Deformity of. 
2120 Deformity of foot. 
2130 Deformity of hand. 
2140 Deformity of chest. 
44 58 
RECORDS OF MORBIDITY AND MORTALITY 
2150 Deformity of head. 
2160 Deformity of lower ex- 
tremity. 
2170 Deformity of upper ex- 
tremity. 
2180 Deformity of trunk. 
Dementia praecox: 
2190 Hebephrenic type. 
2200 Katatonic type. 
2210 Paranoid type. 
2220 Simple. 
2230 Unqualified. 
2240 Dengue. 
2250 Dental caries. 
2260 Depressed fracture of 
skull. 
2270 Dermatitis bullosa. 
2280 Dermatitis exfoliativa. 
2290 Dermatitis factitia. 
2300 Dermatitis gangrenosa. 
2310 Dermatitis herpeti- 
formis. 
2320 Dermatitis medicamen- 
tosa. 
2330 Dermatitis. 
2340 Dermoid cyst. 
2350 Diabetes insipidus. 
2360 Diabetes mellitus. 
2370 Diarrhoea. 
2380 Diarrhoea, fermenta- 
tive. 
2390 Diarrhoea, flagellate. 
2400 Diarrhoea, nervous. 
2410 Diphtheria. 
2420 Diphtheritic paralysis. 
2430 Diverticulitis. 
2440 Drug addict. 
2450 Duodenum, ulcer of. 
2460 Dypuytren’s contraction 
of palmar fascia. 
2470 Dysentery, bacillary 
(specify type). 
2480 Dysentery, balantldic. 
2490 Dysentery, entamoebic. 
2500 Dysentery (other pro- 
tozoal) . 
2510 Dysentery, unclassified. 
2520 Dysidrosis. 
2530 Dystrophia unguis. 
2540 Echinococcus. 
2550 Ecthyma. 
2560 Ectopy. 
2570 Ectropion. 
2580 Eczema, seborrhoeicum. 
2590 Embolism. 
2600 Embolism, fat. 
2610 Emphysema. 
2620 Emphysema of orbit. 
2630 Encephalitis. 
2640 Encephalitis lethargic. 
2650 Enchondroma. 
2660 Endocarditis, acute. 
2670 Endocarditis, chronic. 
2680 Endocarditis, septic. 
2690 Endothelioma. 
2700 Enteritis. 
2710 Enteritis, membranacea. 
2720 Enterocolitis. 
2730 Entropion. 
2740 Enuresis, nocturnal. 
2750 Epididymitis. 
2760 Epididymo-orchitis. 
2770 Epiglottis. 
2780 Epilepsy. 
2790 Epilepsy, Jacksonian. 
2800 Epiphora. 
2810 Epistaxis. 
2820 Epithelioma. 
2830 Epithelioma multiplex 
benignum. 
45 58 
MEDICAL FIELD MANUAL 
2840 Epulis, 
2850 Erysipelas. 
2360 Erysipeloid. 
2870 Erythema induratum. 
2880 Erythema multiforme. 
2890 Erythema nodosum. 
2900 Erythema scarlatini- 
forme. 
2910 Erythema toxicum. 
2920 Erythrasma. 
2930 Esophagus, spasm of. 
2940 Esophagus, stricture of. 
2950 Exophthalmos. 
2960 Exostosis. 
2970 Eyeball, rupture of. 
2980 Eyeball, enucleation of. 
2990 Eye strain. 
3000 Febricula. 
3010 Fibroma. 
3020 Filariasis. 
3030 Fissure, anal. 
3040 Fistula in ano, 
3050 Fistula, biliary. 
3060 Fistula, fecal. 
3070 Fistula, rectovesical. 
3080 Fistula, rectoureteral. 
3090 Fistula, of thoracic 
duct. 
3100 Fistula, thoracico-intes- 
tinal. 
3110 Fistula, thoracico-gas- 
tric. 
3120 Fistula, urinary. 
3130 Fistula. 
3140 Floating cartilage. 
3150 Focal infection from 
(specify). 
3160 Folliculitis. 
3170 Folliculitis decalvans. 
3180 Foot and mouth die- 
ease. 
3190 Frambesia. 
3200 Funiculitis. 
3210 Furuncle. 
3220 Furunculosis. 
3230 Ganglion. 
3240 Gangrene. 
3250 Gastritis. 
3260 Gastro-enteroptosis. 
3270 Gastroptosis. 
3280 G a st r o - succorrhea 
(hypersecretion) con- 
tinuous. 
3290 Gastro - succorrhea 
(hypersecretion) in- 
termittent) . 
3300 Genu recurvatum. 
3310 Genu valgum. 
3320 Genu varum. 
3330 German measles. 
3340 Gigantism. 
3350 Gingivitis. 
3360 Glanders. 
3370 Glaucoma. 
3380 Glaucoma, secondary. 
3390 Glioma. 
3400 Glossitis. 
3410. Glycosuria. 
3420 Goiter, exophthalmic. 
3430 Goiter, simple. 
3440 Gonorrhoea. 
3450 Gonorrheal stricture of 
urethra. 
3460 Gout. 
3470 Grain itch. 
3480 Granuloma coccidioidal. 
3490 Granuloma fungoides. 
3500 Grayness of hair. 
46 RECORDS OF MORBIDITY AND MORTALITY 
58 
3510 Hallux valgus. 
3520 Hallux varus, 
3530 Hammer toe. 
3540 Harelip. 
3550 Hay fever. 
3560 Heart block. 
3570 Heart, rupture of (non- 
traumatic). 
3580 Hematemesis. 
3590 Hematuria. 
3600 Hemianopsia. 
3610 Hemiplegia. 
3620 Hemoglobinuria. 
3630 Hemoglobinuric fever. 
3640 Hemopericardium. 
3650 Hemophilia. 
3660 Hemoptysis, 
3670 Hemorrhoids. 
3680 Hemothorax. 
3690 Hermaphroditism. 
3700 Hernia. 
3710 Hernia cerebri. 
3720 Hernia of muscle. 
3730 Hernia, strangulated. 
3740 Herpes simplex. 
3750 Herpes zoster. 
3760 Herpes zoster opthal- 
mos. 
3770 Hodgkin’s disease. 
3780 Hordeolum. 
3790 Hydroa vacciniforme. 
3800 Hydrocele. 
3810 Hydrocephalus, 
acquired. 
3820 Hydrocystoma. 
3830 Hydronephrosis. 
3840 Hyperchlorhydria. 
3850 Hyperhidrosis. 
3860 Hypermetropia. 
3870 Hypernephroma. 
3880 Hypertrophy of. 
3890 Hyphemia. 
3900 Hypochlorhydria. 
3910 Hypopyon. 
3920 Hypospadia. 
3930 Hysteria. 
3940 Hysterical joint. 
3950 Ichthyosis. 
3960 Impacted cerumen. 
3970 Impacted molar. 
3980 Impetigo contagiosa. 
3990 Impetigo herpetiformis. 
4000 Impotence. 
4010 Infarction. 
4020 Influenza. 
4030 Ingrowing nail. 
4040 Inguinal rings, enlarge- 
ment of. 
4050 Insomnia. 
4060 Intertrigo. 
4070 Intestinal indigestion. 
Intestinal obstruction: 
4080 Unqualified. 
4090 Prom internal 
causes, i. e., 
structure (ulcer- 
ati on s), gall- 
stones, entero- 
liths, foreign 
bodies, fecal 
masses. 
4100 From external 
causes, i. e., 
angulations, 
kinks, adhesions, 
volvulus, intus- 
susception. 
47 58 
MEDICAL FIELD MANUAL 
4110 Prom spastic or 
paralytic causes 
(after injuries, 
operations, ap- 
pendicitis, peri- 
tonitis) . 
4120 Iridocyclitis. 
4130 Iritis. 
4140 Jaundice, spirochetal, 
hemorrhagic. 
4150 Jejunum, ulcer of. 
4160 Keloid. 
4170 Keratitis, herpetic. 
4180 Keratitis, interstitial. 
4190 Keratitis, neuropathic. 
4200 Keratitis, nonulcerative. 
4210 Keratitis, phlyctenular. 
4220 Keratitis, ulcerative. 
4230 Keratitis, unclassified. 
4240 Keratoderma. 
4250 Keratoiritis. 
4260 Keratomalacia. 
4270 Keratosis follicularis. 
4280 Keratosis palraaris et 
plantaris. 
4290 Keratosis pilaris. 
4300 Keratosis senilis, 
4310 Lachrimal obstruction. 
4320 Lambliasis. 
4330 Laryngitis. 
4340 Laryngitis, phlegmon- 
ous, acute. 
4350 Larynx, edema of. 
4360 Leishmaniasis. 
4370 Leishmaniasis, furuncu- 
lus orientalis. 
4380 Leprosy. 
4390 Leptomeningitis. 
4400 Leucoma. 
4410 Leucoma adherena. 
4420 Leukonychia. 
4430 Leukoplakia. 
4440 Leukemia, lymphocy- 
tic. 
4450 Leukemia, myelocytic. 
4460 Lichen planus. 
4470 Lichen ruber. 
4480 Lichen scrofulosus. 
4490 Lichen simplex. 
4500 Lingual tonsil, hyper- 
trophy of. 
4510 Lipoma. 
4520 Liver, active hyperemia 
of. 
4530 Liver, acute yellow atro- 
phy of. 
4540 Liver, atrophic cirrho- 
sis of. 
4550 Liver, biliary cirrhosis 
of. 
4560 Liver, hypertrophic cir- 
rhosis of. 
4570 Liver, passive hyper- 
emia of. 
4580 Loose bodies in joint. 
4590 Ludwig’s angina. 
4600 Lumbago. 
4610 Lungs, abscess of. 
4620 Lungs, gangrene of. 
4630 Lungs, infarction of. 
4640 Lupus erythematosus. 
4650 Lupus vulgaris. 
4660 Lymphadenitis. 
4670 Lymphadenoma. 
4680 Lymphangiectasis. 
4690 Lymphangioma. 
4700 Lymphangioma circum- 
scriptum. 
4710 Lymphangitis. 
4720 Lymphosarcoma. 
48 RECORDS OF MORBIDITY AND MORTALITY 
58 
4730 Malarial fever, estivo- 
autumnal. 
4740 Malarial fever, mixed. 
4750 Malarial fever, quartan. 
4760 Malarial fever, tertian. 
4770 Malarial fever, unclas- 
sified. 
4780 Miliary fever. 
4790 Malingering. 
4800 Malignant edema. 
4810 Mallet finger. 
4820 Malnutrition. 
4830 Malta fever. 
4840 Masochism. 
4850 Mastoiditis. 
4860 Measles. 
4870 Melancholia involu- 
tional. 
4880 Melanoderma. 
4890 Melanoma. 
4900 Melanosarcoma. 
4910 Meniere’s disease. 
4920 Meningitis, cerebro- 
spinal (epidemic). 
Mental deficiency; 
4930 Borderline condi- 
tion. 
4940 Imbecile. 
4950 Moron. 
4960 Unclassified. 
4970 Metatarsalgia. 
4980 Migraine. 
4990 Milium. 
5000 Molluscum, contagio- 
sum. 
5010 Monoplegia. 
5020 Monorchidism. 
5030 Morphoea. 
5040 Mouth, ulcer of. 
5050 Mumps. 
5060 Mutism. 
5070 Myalgia. 
5080 Mycoses, others. 
5090 Myelitis. 
5100 Myeloma, multiple. 
5110 Myocardial insuffi- 
ciency. 
5120 Myocarditis. 
5130 Myoma. 
5140 Myopia. 
5150 Myositis. 
5160 Myositis, progressive os- 
sifying. 
5170 Myotonia congenita. 
5180 Myxedema. 
5190 Myxema. 
5200 Naevus fibrosus. 
5210 Naevus linearis. 
5220 Naevus papillaris. 
5230 Naevus pigmentosus. 
5240 Naevus pilosus. 
5250 Naevus vascularis. 
5260 Nasal septum, devia- 
tion of. 
5270 Nasopharyngitis, catar- 
rhal. 
5280 Necrosis. 
5290 Nematodiosis. 
Nephritis: 
5300 Acute. 
5310 Chronic Interstitial. 
5320 Chronic pare n- 
chymatous. 
5330 Disseminated, sup- 
purative. 
5340 Suppurative. 
5350 Nephrogenic mesothe- 
lioma. 
5360 Neosalvarsan, reaction 
from. 
49 58 
MEDICAL FIELD MANUAL 
5370 Nephrolithiasis. 
5380 Nephroptosis. 
5390 Nervous vomiting. 
5400 Neuralgia. 
5410 Neurasthenia. 
5420 Neurasthenia gastrica. 
Neuritis: 
5430 Diphtheritic. 
5440 Multiple, alcoholic. 
5450 Multiple, nonalco- 
holic. 
5460 Optic. 
5470 Unclassified. 
5480 Neurocirculatory asthe- 
nia. 
5490 Neurofibroma. 
5500 Neuroma. 
5510 Neuroretinitis. 
5520 Neurosis. 
5530 Nose, external deform- 
ity of. 
5540 Nostalgia. 
5550 Nystagmus. 
5560 Obesity. 
5570 Old age and results. 
5580 Onychauxis. 
5590 Onychia. 
5600 Ophthalmitis, sympa- 
thetic. 
5610 Ophthalmoplegia, ex- 
terna. 
5620 Ophthalmoplegia, in - 
terna. 
5630 Ophthalmoplegia, total. 
5640 Optic atrophy. 
5650 Orchitis. 
5660 Otseitis. 
5670 Osteitis deformans. 
5680 Osteoma. 
5690 Osteomyelitis. 
5700 Othematoma. 
Other disease of: 
5710 Anus. 
5720 Bile ducts and gall 
bladder. 
5730 Bladder. 
5740 Circulatory system. 
5750 Digestive. 
5760 Ductless glands. 
5770 Ear. 
5780 Epidemic type. 
5790 Esophagus. 
5800 Eye. 
5810 Intestinal, parasitic 
origin. 
5820 Kidneys. 
5830 Larynx. 
5840 Liver. 
5850 Locomotor organs. 
5860 Lymphatic system. 
5870 Male genital organs, 
nonvenereal. 
5880 Mouth and annexa. 
5890 Nasal fossae. 
5900 Nervous system. 
5910 Pharynx. 
5920 Respiratory system. 
5930 Skin. 
Otitis, externa: 
5940 Circum scribed 
(furuncle). 
5950 Diffuse, acute. 
5960 Diffuse, para- 
sitic. 
5970 Otitis interna. 
5980 Otitis media. 
5990 Oto-sclerosis. 
6000 Overriding toes. 
6010 Overweight. 
6020 Oxyuriasis. 
50 RECORDS OF MORBIDITY AND MORTALITY 
58 
6030 Ozena. 
Pachymeningitis: 
6040 Cerebral, suppura- 
tive. 
6050 Cervicalis. 
6060 Hemorrhagic, in- 
ternal. 
6070 Spinal, suppura- 
tive. 
6080 Pancreatitis. 
6090 Panophthalmitis. 
6100 Pansinusitis. 
6110 Papillitis. 
6120 Papillo-adeno - carcino- 
ma of kidney. 
6130 Papilloma. 
6140 Pappataci fever. 
6150 Paragonimiasis. 
6160 Paralysis. 
6170 Paralysis, agitans. 
6180 Paralysis, bulbar. 
6190 Paralysis, muscle, is- 
chemic. 
6200 Paralysis of muscle. 
6210 Paralysis of nerve, 
6220 Paralysis of occular 
muscle. 
6230 Paramyoclonus multi- 
plex. 
6240 Paranoia. 
6250 Paraphimosis. 
6260 Paraplegia. 
6270 Parathyroid gland, dis- 
eases of. 
6280 Paratyphoid fever (a). 
6290 Paratyphoid fever (b). 
6300 Paresis. 
6310 Paronychia. 
6320 Pediculosis capitis. 
6330 Pediculosis corporis. 
6340 Pediculosis pubis. 
6350 Pellagra. 
6360 Pemphigus. 
6370 Pericarditis, acute fibri- 
nous. 
6380 Pericarditis, adhesive. 
6390 Pericarditis, purulent. 
6400 Pericarditis, with effu- 
sion. 
6410 Perichondritis. 
6420 Pericystitis. 
6430 Perigastritis. 
6440 Perinephritis. 
6450 Periorchitis. 
6460 Periostitis. 
6470 Periprostatitis. 
6480 Peritoneal adhesions. 
6490 Peritonitis, acute dif- 
fuse, 
6500 Peritonitis, acute local. 
8510 Peritonitis, chronic. 
6520 Pernio (chilblain, 1390). 
6530 Pes cavus. 
6540 Pes planus. 
6550 Pharyngitis. 
6560 Phimosis, congenital. 
6570 Phlebitis. 
6580 Phlegmona diffuse. 
6590 Pituitary gland, dis- 
eases of. 
6600 Pityriasis. 
6610 Pityriasis rubra. 
6620 Pityriasis simplex. 
6630 Pityriasis versiocolor. 
8640 Plague, bubonic. 
6650 Plague, pneumonic. 
6660 Plague, septicaemic. 
6670 Pleurisy, fibrinous. 
6680 Pleurisy, serofibrinous. 
6690 Pleurisy, suppurative. 
51 58 
MEDICAL FIELD MANUAL 
6700 Pleuritic adhesions. 
6710 Pneumonia, broncho. 
6720 Pneumonia, interstitial. 
6730 Pneumonia, lobar. 
6740 Pneumonia, unclassi- 
fied. 
6750 Pneumopericardium. 
6760 Pneumothorax. 
6770 Poisoning, chronic lead. 
6780 Poisoning, chronic. 
6790 Poliomyelitis, anterior, 
acute, 
6800 Poliomyelitis, anterior, 
chronic. 
6810 Polycythemia, chronic. 
6820 Polypus, nasal. 
6830 Presbyopia. 
6840 Priapism. 
6850 Prickly heat, 
6860 Proctitis. 
6870 Prolapse of ureter. 
6880 Pronated foot. 
6890 Prostatitis. 
6900 Prostate, hypertrophy 
of. 
6910 Prostatorrhoea. 
6920 Prurigo. 
6930 Pruritus. 
6940 Pruritus ani. 
6950 Psoriasis. 
6960 Psychasthenia. 
6970 Psychoneurosis. 
Psychosis, alcoholic: 
6980 Acute hallucinosis. 
6990 Chronic paranoid 
type. 
7000 Delirium tremens. 
7010 Korsakoff’s psycho- 
sis. 
7020 Other types, acute 
or chronic. 
7030 Pathological intoxi- 
cation. 
Psychosis: 
7040 Epileptic. 
7050 Due to drugs and 
other exogenous 
toxins, (a) mor- 
phine, cocaine, 
bromides, chloral, 
etc., alone or 
combined (to be 
specified). 
7060 Manic depressive. 
7070 Senile. 
7080 Traumatic. 
7090 Undiagnosed. 
7100 With brain tumor. 
7110 With cerebral arte- 
riosclerosis. 
7120 With cerebral syph- 
ilis. 
7130 With constitutional 
psychopathic in- 
feriority, 
7140 With Huntington’s 
chorea. 
7150 With mental defi- 
ciency. 
7160 With other brain or 
nervous diseases 
(specify when pos- 
sible). 
7170 With other somatic 
diseases (specify 
diseases). 
7180 With pellagra. 
7190 Unclassified. 
52 RECORDS OF MORBIDITY AND MORTALITY 
58 
7200 Pterygium. 
7210 Ptosis. 
7220 Purpura simplex. 
7230 Purpura, hemorrhagica. 
7240 Purpura, rheumatica. 
7250 Pyaemia, surgical. 
7260 Pyelitis. 
7270 Pyelonephritis. 
7280 Pyloric insufficiency. 
7290 Pylorus, stricture of. 
7300 Pylorospasm. 
7310 Pyonephrosis. 
7320 Pyopneumothorax. 
7330 Pyorrhoea, alveolaris. 
7340 Rabies. 
7350 Rat-bite fever. 
7360 Raynaud’s disease. 
7370 Rectum, prolapse of, 
complete. 
7380 Rectum, prolapse of, in- 
complete. 
Relapsing fever; 
7390 Carter (Asiatic). 
7400 Dutton (African). 
7410 Koch. 
7420 Nevy (American). 
7430 Obermeyer (Euro- 
pean) . 
7440 Retina, detachment. 
7450 Retina, rupture of. 
7460 Retinal artery, obstruc- 
tion of. 
7470 Retinitis, acute. 
7480 Retinitis, albuminuric. 
7490 Retinitis, diabetic. 
7500 Retinitis, hemorrhagic. 
7510 Retinitis, syphilitic. 
7520 Retinitis, unclassified. 
7530 Retrobulbar neuritis. 
7540 Rheumatic fever. 
7550 Rhinitis, acute. 
7560 Rhinitis, atrophic. 
7570 Rhinitis, membranous. 
7580 Rhinitis, hypertrophic. 
7590 Rhinoscleroma. 
7600 Rickets. 
7610 Rocky Mountain spotted 
fever. 
7620 Rose cold. 
7630 Rumination. 
7640 Salpingitis eustachian, 
acute. 
7650 Salvarsan, reaction 
from. 
7660 Sapremia. 
7670 Sarcocele. 
7680 Sarcoma. 
7690 Satyriasis. 
7700 Scabies. 
7710 Scarlet fever. 
7720 Schistosomiasis, biliary. 
7730 Schistosomiasis, intes- 
tinal. 
7740 Schistomomiasis, vesi- 
cal. 
7750 Sciatica. 
7760 Scleritis. 
7770 Sclerosis, combined. 
7780 Sclerosis, disseminated. 
7790 Sclerosis, lateral. 
7800 Scoliosis. 
7810 Scrofuloderma. 
7820 Scurvy. 
7830 Seasickness. 
7840 Seborrhoea. 
7850 Seminal vesiculitis. 
7860 Septicaemia, general. 
7870 Shell-shock. 
7880 Shock. 
7890 Sialadenitis. 
53 58 
medical field manual 
7900 Sigmoiditis. 
7910 Sinusitis, ethmoidal. 
7920 Sinusitis, frontal. 
7930 Sinusitis, maxillary. 
7940 Sinusitis, sphenoidal. 
7950 Smallpox. 
7960 Snow-blindness. 
7970 Speech, impediment of. 
7980 Spermatorrhoea. 
7990 Spina bifida. 
8000 Spine, curvature of. 
8010 Spinal cord, tumor of. 
8020 Spleen, diseases of. 
8030 Spondylitis (unquali- 
fied). 
8040 Sporotrichosis. 
8050 Sprue. 
8060 Staphyloma of cornea. 
8070 Status Lymphaticus. 
8080 Stenosis. 
Stomach: 
8090 Acute dilatation of. 
8100 Adhesions of. 
8110 Atony of (motor in- 
sufficiency, second 
degree). 
8120 Hour-glass contrac- 
tion of. 
8130 Ulcer of. 
8140 Stomatitis, aphthous. 
8150 Stomatitis, catarrhal. 
8160 Stomatitis, mercurial. 
8170 Stomatitis, ulcerative. 
8180 Strabismus. 
8190 Stricture. 
8200 Strongyloidosis. 
8210 Strongylosis. 
8220 Stuttering. 
8230 Subconjunctival hemor- 
rhage. 
8240 Sudamina. 
8250 Sycosis vulgaris. 
8260 Symblepharon. 
8270 Synechia. 
8280 Synovitis of. 
Syphilis: 
8290 Hereditary. 
8300 Primary. 
8310 Secondary, 
8320 Tertiary. 
8330 Unclassified. 
8340 Syringomelia, 
8350 Tabes dorsalis. 
8360 Tachycardia, paroxys- 
mal. 
8370 Tachycardia, simple. 
8380 Talipes. 
8390 Telangiectasis. 
8400 Teniasis. 
Tenosynovitis: 
3410 Fibrinous, of mus- 
cle. 
8420 Serous, of muscle. 
8430 Suppurative, of 
muscle. 
8440 Teratoma. 
8450 Tetanus. 
8460 Thrombosis. 
8470 Thymus gland, diseases 
of. 
8480 Tics. 
8490 Tinea favosa. 
8500 Tonsillitis, chronic. 
8510 Tonsillitis, follicular. 
8520 Tonsillitis,hypertrophic. 
8530 Tonsillitis,parenchyma- 
tous, suppurative. 
8540 Trematodiasis. 
8550 Trench fever. 
8560 Trench foot. 
54 RECORDS OF MORBIDITY AND MORTALITY 
58 
8570 Trench mouth. 
8580 Trichinosis. 
8590 Trichomoniasis. 
8600 Trichophytosis, barbae. 
8610 Trichophytosis, capitis. 
8620 Trichophytosis,corporis. 
8630 Trichorrhexis, nodosa. 
8640 Trigger finger. 
8650 Trypanosomiasis. 
8660 Tuberculosis, nervous 
system. 
Tuberculosis: 
8670 Abdominal. 
8680 Of bone. 
8690 General miliary. 
8700 Of large joints. 
8710 Other location. 
8720 Pulmonary acute. 
8730 Pulmonary acute, 
broncho-p n e u- 
monic. 
8740 Pulmonary acute, 
miliary. 
8750 Pulmonary acute, 
pneumonic. 
8760 Pulmonary, chronic. 
8770 Pulmonary chron- 
ic, active. 
8780 Pulmonary, chron- 
ic, arrested. 
8790 Sacro-iliac joint. 
8800 Tubercular abscess. 
8810 Tubercular keratitis. 
8820 Tubercular meningitis. 
8830 Tumor, benign. 
3840 Tumor, phantom. 
3850 Tunica vaginalis, hema- 
tocele of. 
8860 Turbinate, hypertrophy 
of. 
8870 Typhoid fever. 
8880 Typhus fever. 
8890 Ulcer. 
8900 Ulcer of, decubital. 
8910 Ulcer of foot, perfo- 
rated. 
8920 Underheight. 
8930 Under observation, un- 
diagnosed or un- 
known. 
8940 Underweight. 
8950 Uremia. 
8960 Ureteral colic. 
8970 Ureteritis. 
8980 Urethritis, acute (non- 
venereal). 
8990 Urethritis, chronic, 
(nonvenereal). 
9000 Urine, extravasation of. 
9010 Urine, incontinence of. 
9020 Urine, retention of. 
9030 Urticaria. 
9040 Urticaria pigmentosa. 
9050 Uveitis. 
9060 Uvulitis. 
9070 Vaccination, smallpox. 
9080 Vaccination, typhoid 
fever. 
9090 Vaccination, other than 
typhoid fever or 
smallpox. 
9100 Vagotonia. 
Valvular heart disease; 
9110 Aortic insufficiency. 
9120 Aortic stenosis. 
9130 Combined 1 e s i a ns, 
aortic. 
9140 Mitral insufficiency. 
9150 Mitral stenosis. 
9160 Pulmonic lesions. 
55 58 
MEDICAL FIELD MANUAL 
9170 Tricuspid lesions. 
9180 Valvular heart dis- 
ease (unclassi- 
fied) . 
9190 Varicocele. 
9200 Varicose veins. 
9210 Verruca (wart). 
9220 Vincent’s angina. 
9230 Vitreous, hemorrhage 
of. 
9240 Vitreous, opacity of. 
9250 Visceroptosis. 
9260 Whooping cough. 
9270 Xanthoma. 
9280 Yellow fever. 
Injuries Produced by 
External Causes; 
9290 Abrasion. 
9300 Amputation, stump 
painful. 
9310 Amputation, traumatic. 
9320 Anaphylaxis. 
9330 Asphyxiation. 
9340 Bites. 
9350 Blister. 
9360 Blood donor. 
9370 Burn, chemical. 
9380 Burn. 
9390 Burn, X-ray. 
9400 Cataract, traumatic, 
9410 Ciliary body, prolapse 
from injury. 
9420 Compression. 
9430 Concussion. 
9440 Conjunctivitis, trau- 
matic. 
9450 Contusion. 
9460 Crushing. 
9470 Deafness, due to heavy 
firing. 
9480 Decapitation. 
9490 Deprivation of water. 
9500 Dermatitis actinica. 
9510 Dermatitis, calorica. 
9520 Dermatitis traumatica. 
9530 Dermatitis, venenata. 
9540 Dislocation, art i culax- 
cartilage, knee. 
9550 Dislocation, compound. 
9560 Dislocation, simple. 
9570 Drowning, accidental. 
9580 Drowning, not acci- 
dental. 
9590 Electric shock, injury 
from. 
9600 Emphysema, traumatic. 
9610 Epiphyseal separation. 
9620 Epilation, traumatic. 
9630 Exhaustion from over- 
exertion. 
9640 Exhaustion from over- 
exposure. 
9650 Eyeball, other wounds 
and injuries of. 
9660 Eyeball, rupture of, 
traumatic. 
9670 Foreign body, trau- 
matic. 
9680 Fracture, comminuted. 
9690 Fracture, compound. 
9700 Fracture, compound, 
comminuted. 
9710 Fracture, delayed 
union. 
9720 Fracture, faulty union. 
9730 Fracture, fibrous union 
following. 
9740 Fracture near joint, 
with dislocation. 
9750 Fracture, nonunion. 
56 RECORDS OF MORBIDITY AND MORTALITY 
58-59 
9760 Fracture, pseudarthro- 
sis. 
9770 Fracture, simple. 
9780 Frostbite. 
9790 Gases, deleterious ef- 
fects of. 
9800 Heart, rupture of, trau- 
matic. 
9810 Heat, ill-defined effects 
of. 
9820 Hematocele, tunica 
vaginalis, traumatic. 
9830 Hematoma, traumatic. 
9840 Hemorrhage into joint, 
traumatic. 
9850 Hemorrhage, subdural, 
traumatic. 
9860 Hemorrhage, traumatic. 
9870 Homicide. 
9880 Injury, secondary re- 
sult of. 
9890 Iris, prolapse of, from 
injury. 
9900 Lightning stroke, in- 
jury from. 
9910 Myelitis, traumatic. 
9920 Myositis, ossifying, 
traumatic. 
9930 Neuritis, traumatic. 
9940 Paralysis, from pres- 
sure, the result of in- 
jury. 
9950 Poisoning, acute. 
9960 Poisoning, by food. 
9970 Rupture, traumatic. 
9980 Self-mutilation. 
9990 Serum poisoning. 
10000 Smoke inhalation. 
10010 Sprain. 
10020 Starvation. 
10030 Strain. 
10040 Strangulation. 
10050 Submersion (non- 
fatal). 
10060 Suicide. 
10070 Sunburn. 
10080 Sunstroke. 
10090 Synovitis, traumatic. 
10100 Tinnitus, aurium, due 
to heavy firing. 
10110 Venomous bites and 
stings. 
10120 Wound, character or 
cause not stated. 
10130 Wound, contused. 
10140 Wound, extensive. 
10150 Wound, incised. 
10160 Wound, lacerated. 
10170 Wound, multiple. 
10180 Wound, punctured. 
10190 Wound, penetrating. 
10200 Wound, perforating. 
■ 59. Standard Terms for Anatomical Locations.—The stand- 
ard terms for anatomical location listed below will be used as 
a guide in preparing indexes of sick and wounded. In using 
this list paragraph 17 will be complied with. 
001 Abdomen. 
002 Acetabulum. 
003 Acromioclavicular. 
004 Acromial. 
005 Adductor muscles. 
006 Alveolar. 
007 Ankle. 
008 Anterior chamber of eye. 
57 59 
MEDICAL FIELD MANUAL 
009 Anus. 
010 Aorta, abdominal. 
011 Aorta, ascending tho- 
racic. 
012 Aorta, descending tho- 
racic. 
013 Aorta, transverse tho- 
racic. 
014 Arm. 
015 Astragalus. 
016 Auricle. 
017 Axilla. 
018 Axillary artery. 
019 Back. 
020 Basilic vein. 
021 Biceps cubiti. 
022 Biceps femoris. 
023 Bladder urinary. 
024 Brachial artery. 
025 Brachial plexus, 
026 Brain. 
027 Bronchus. 
028 Buccal. 
029 Calcaneum. 
030 Carotid artery. 
031 Carotid fossa. 
032 Carop-metacarpal joint. 
033 Carpus, 
034 Cecum. 
035 Cephalic vein. 
036 Cervical. 
037 Cheek. 
038 Chin. 
039 Choroid. 
040 Ciliary body. 
041 Circumflex nerve. 
042 Clavicle. 
043 Coccyx. 
044 Condyle. 
045 Colon. 
046 Conjunctiva. 
047 Cornea. 
048 Costosternal. 
049 Crural. 
050 Cuboid. 
051 Cuneiform (carpal). 
052 Cuneiform, external. 
953 Cuneiform, internal. 
054 Cuneiform, middle. 
055 Deltoid muscle. 
056 Diaphragm. 
057 Dorsal. 
058 Dorsalis pedis. 
059 Duodenum. 
060 Ear. 
061 Elbow. 
062 Epididymis. 
063 Epigastric. 
064 Erector spinae. 
065 Esophagus, 
066 Ethmoid. 
067 Eustachian tube. 
068 External auditory canal 
069 External oblique. 
070 Extradural. 
071 Eyeball. 
072 Eyelid, lower. 
073 Eyelid, upper. 
074 Face. 
075 Facial nerve. 
076 Femoral artery. 
077 Femur. 
078 Fibula. 
079 Fifth nerve (trifacial). 
080 Finger. 
081 Finger, index. 
082 Finger, little. 
083 Finger, middle. 
084 Finger, ring. 
085 Foot. 
58 59 
RECORDS OF MORBIDITY AND MORTALITY 
086 Forearm. 
087 Forehead. 
088 Frontal bone. 
089 Frontal region. 
090 Gall bladder. 
091 Gall ducts. 
092 Gastrocnemius. 
093 Genital organs. 
094 Gluteal. 
095 Great toe. 
096 Greater trochanter. 
097 Hand. 
098 Head. 
099 Heart. 
100 Heel. 
101 Hip. 
102 Humerus. 
103 Hyoid. 
104 Hypochondrium. 
105 Hypogastric. 
106 Ileum. 
107 Ilium. 
108 Infraclavicular. 
109 Inframammary. 
110 Infraorbital. 
111 Infrascapular. 
112 Inguinal. 
113 Intercostal. 
114 Interscapular. 
115 Intestines, small. 
116 Iris. 
117 Ischium. 
118 Jejunum. 
119 Joint. 
120 Jugular vein. 
121 Kidney. 
122 Knee. 
123 Lacrimal sac. 
124 Larynx. 
125 Latissimus dorsi. 
126 Leg. 
127 Lesser trochanter. 
128 Ligamentum patellae, 
129 Lip, lower. 
130 Lip, upper. 
131 Lips. both. 
132 Liver. 
133 Lower extremity. 
134 Lumbosacral. 
135 Lungs. 
136 Lymph glands. 
137 Malar. 
138 Malleolus. 
139 Mammary. 
140 Mastoid process. 
141 Mastoid region. 
142 Maxilla, inferior. 
143 Maxilla, superior. 
144 Maxillary region. 
145 Median vein 
146 Median cephalic vein 
147 Median nerve. 
148 Mediastinum. 
149 Mediocarpal. 
150 Mediotarsal. 
151 Medulla. 
152 Meninges. 
153 Mesentery. 
154 Metacarpophalangeal 
joint. 
155 Metacarpus. 
156 Middle ear. 
157 Mouth. 
158 Musculospiral nerve. 
159 Nasal bone. 
160 Neck. 
161 Nose. 
162 Occipital bone. 
163 Occipital region. 
164 Olecranon. 
262292°—40 5 
59 59 
MEDICAL FIELD MANUAL 
165 Omentum. 
166 Optic nerve. 
167 Orbit. 
168 Orbital region. 
169 Os magnum. 
170 Palate bone. 
171 Palmar arch. 
172 Pancreas. 
173 Parietal bone. 
174 Parietal region. 
175 Parotid. 
176 Patella. 
177 Pectoral muscles. 
178 Pelvis. 
179 Penis. 
180 Pericardium. 
181 Perineum. 
182 Periosteum. 
183 Peritoneum. 
184 Peronei muscles. 
185 Phalanx. 
186 Pharynx. 
187 Phrenic nerve. 
188 Pisiform. 
189 Plantar arch. 
190 Pleura. 
191 Pons. 
192 Popliteal artery. 
193 Popliteal nerve. 
194 Popliteal space. 
195 Pneumogastric nerve. 
196 Prostate. 
197 Psoas. 
198 Pubic bone. 
199 Quadriceps extensor fern 
oris. 
200 Radial artery. 
201 Radial nerve. 
202 Radiocarpal. 
203 Radius. 
204 Rectum. 
205 Rectus abdominis. 
206 Retina. 
207 Rib. 
208 Sacroiliac synchondrosis. 
209 Sacral region. 
210 Sacrum. 
211 Salivary glands. 
212 Saphenous vein, external. 
213 Saphenous vein, internal. 
214 Sartorius. 
215 Scalp. 
216 Scaphoid (carpal). 
217 Scaphoid (tarsal). 
218 Scapula. 
219 Scapula region. 
220 Sciatic nerve, great. 
221 Sclera. 
222 Scrotum. 
223 Semilunar. 
224 Seminal vesicles. 
225 Shoulder. 
226 Shoulder joint. 
227 Sigmoid. 
228 Skull, base. 
229 Skull, vault. 
230 Sphenoid. 
231 Spinal cord. 
232 Spinal meninges. 
233 Spinal column. 
234 Spinous process. 
235 Spleen. 
236 Sternal region. 
237 Sternoclavicular. 
238 Sternocleidomastoid. 
239 Sternum. 
240 Stomach. 
241 Subacromial. 
242 Subclavicular. 
243 Subdural. 
60 RECORDS OF MORBIDITY AND MORTALITY 
59-60 
244 Sublingual. 
245 Submaxillary. 
246 Submental. 
247 Supraclavicular. 
248 Supraorbital. 
249 Suprapubic. 
250 Suprarenal. 
251 Suprascapular. 
252 Suprasternal. 
253 Symphysis, inferior max 
illary. 
254 Symphysis, pubis. 
255 Tarsometatarsal joint. 
256 Tarsus. 
257 Teeth. 
258 Temporal artery. 
259 Temporal bone. 
260 Temporal region. 
261 Temporomaxillary. 
262 Tendo-achilles. 
263 Tendon. 
264 Testicle. 
265 Thigh. 
266 Thorax. 
267 Thumb. 
268 Thyroid gland. 
269 Tibia. 
270 Tibial artery, anterior. 
271 Tibial artery, posterior. 
272 Tibial nerve, anterior. 
273 Tibial nerve, posterior. 
274 Tibialis anticus. 
275 Toe. 
276 Tongue. 
277 Tonsil. 
278 Trachea. 
279 Trapezium. 
280 Trapezius. 
281 Trapezoid. 
282 Trunk. 
283 Tympanum. 
284 Ulna. 
285 Ulnar artery. 
286 Ulnar nerve. 
287 Umbilical. 
288 Unciform. 
289 Upper extremity. 
290 Ureter. 
291 Urethra. 
292 Urogenital. 
293 Uterus. 
294 Uvula. 
295 Vein. 
296 Ventral. 
297 Ventricle. 
298 Vertebra. 
299 Vitreous. 
300 Vomer. 
301 Wrist. 
302 Zygoma. 
B 60. Standard Terms for Operations.—The standard terms 
for operations listed below will be used as a guide in prepar- 
ing records of sick and wounded. It is not intended that they 
shall be rigidly adhered to, but as far as practicable they 
will be substantially followed. When operations are per- 
formed for which no terms are furnished herein or for which 
the terms given are general in character, they will be recorded 
with such scientific terms commonly applied to them by the 
profession as will briefly and accurately describe them. When 
new terms are inserted in the list they will be placed in their 
61 60 
MEDICAL FIELD MANUAL 
proper alphabetical order and assigned numbers within the 
limits of the numerical code now present. In using this list 
paragraph 17 will be complied with. 
0010 Adenoidectomy. 
0020 Adenoidectomy and 
tonsilectomy. 
0030 Advancement of eye 
muscle. 
0040 Amputation, lower ex- 
tremity, all or in part. 
0050 Amputation, upper ex- 
tremity, all or in part. 
0060 Aneuryamorrhaphy. 
0070 Aponeurosis, division of. 
0080 Aponeurosis, excision of. 
0090 Appendectomy. 
0100 Arteriorrhaphy. 
0110 Arteriotomy. 
0120 Artery, ligation. 
0130 Arthrectomy, complete 
lower extremity. 
0140 Arthrectomy, complete 
upper extremity. 
0150 Arthrectomy, partial, 
lower extremity. 
0160 Arthrectomy, partial, 
upper extremity. 
0170 Arthroclasia, lower ex- 
tremity. 
0180 Arthroclasia, upper ex- 
tremity. 
0190 Arthrodesis. 
0200 Arthroplasty, lower ex- 
tremity. 
0210 Arthroplasty, upper ex- 
tremity. 
0220 Arthrotomy, lower ex- 
tremity. 
0230 Arthrotomy, upper ex- 
tremity. 
0240 Bladder, plastic repair. 
0250 Blepharosplasty. 
0260 Blood vessels, other op- 
erations, 
0270 Bone graft, lower ex- 
tremity. 
0280 Bone graft, upper ex- 
tremity. 
0290 Bone plate, removal of, 
lower extremity. 
0300 Bone plate, removal of, 
upper extremity. 
0310 Bone retaroken and set 
for faulty union, lower 
extremity. 
0320 Bone rebroken and set 
for faulty union, up- 
per extremity. 
0330 Bone, resection of. 
0340 Brain cyst, drainage, 
0350 Brain cyst, excision. 
0360 Brain, other operations. 
0370 Breaking up of ad- 
hesions. 
0380 Bursa, aspiration. 
0390 Bursa, excision. 
0400 Bursa, incision. 
0410 Canthoplasty. 
0420 Canthotomy. 
0430 Capsulorrhaphy. 
0440 Cardiorrhaphy. 
0450 Cataract extraction. 
0460 Cauterization. 
0470 Cecectomy. 
0480 Cecostomy. 
0490 Celiotomy. 
0500 Chalazion operation. 
62 60 
RECORDS OF MORBIDITY AND MORTALITY 
0510 Cholecystectomy. 
0520 Cholecystotomy. 
0530 Chondrectomy. 
0540 Chondrotomy. 
0550 Circumcision. 
0560 Clot, removal. 
0570 Colectomy, partial. 
0580 Colostomy. 
0590 Colotomy. 
0600 Conjunctival kerato- 
plasty. 
0610 Connective tissue, ex- 
cision of. 
0620 Connective tissue, in- 
cision of. 
0630 Curettement. 
0640 Cystectomy, complete. 
0650 Cystectomy, partial. 
0660 Cystorrhaphy. 
0670 Cystoscopy. 
0680 Cystostomy perineal. 
0690 Cystostomy suprapubic. 
0700 Cystostomy transperi- 
toneal. 
0710 Debridement. 
0720 Debridement with pri- 
mary suture. 
0730 Debridement with Car- 
rel’s treatment. 
0740 Debridement with 
drainage. 
0750 Decompression, 
0760 Decortication. 
0770 Depressed fragments, 
elevation of. 
0780 Dilatation. 
0790 Dilatation of lacrimal 
duct. 
0800 Disarticulation. 
0810 Discussion of cataract. 
0820 Drainage. 
0830 Ear, removal foreign 
body. 
0840 Enterocolostomy. 
0850 Enteroenterostomy. 
0870 Enterostomy. 
0880 Enterotomy. 
0890 Enucleation, simple. 
0900 Enucleation, with im- 
plantation. 
0910 Epididymectomy. 
0920 Epididymotomy. 
0930 Epilation. 
0940 Esophagorrhaphy. 
0950 Esophagostomy. 
0960 Esophagotomy. 
0970 Evisceration. 
0980 Excision of (specify). 
0990 Exploratory incision. 
1000 Extirpation of lacrimal 
sac. 
1010 Extraction of frag- 
ments of missile. 
1020 Extraction of tooth. 
1030 Eye, other operations. 
1040 Eye, removal of foreign 
body. 
1050 Fistula, excision. 
1060 Fistula, incision. 
1070 Foreign body, removal 
of. 
Fracture, closed treat- 
ment of: 
1080 With Buck’s trac- 
tion. 
1090 With external 
splints. 
1100 With Hodgen’s 
splints. 
63 60 
MEDICAL FIELD MANUAL 
1110 With Jones’s trac- 
tion. 
1120 With other meth- 
ods. 
1130 With plaster of 
Paris. 
Fracture, compound 
closed, treatment of: 
1140 With Buck’s trac- 
tion. 
1150 With external 
splints. 
1160 With Hodgen’s 
splints. 
1170 With Jones’s trac- 
tion. 
1180 With plaster of 
Paris. 
Fracture, open treat- 
ment of: 
1190 By hand. 
1200 By bone graft. 
1210 By plate. 
1220 By suture. 
1230 By wiring. 
1240 Other method. 
1250 Fracture, removal of 
fragments. 
1260 Gastrectomy, complete. 
1270 Gastrectomy, partial. 
1280 Gastroenterostomj7. 
1290 Gastrorrhaphy. 
1300 Gastrostomy. 
1310 Gastrotomy. 
1320 Glossectomy, complete. 
1330 Glossectomy, partial. 
1340 Hemorrhoids, clamp 
and cautery. 
1350 Hemorrhoids, ligation. 
1360 Hepatorrhaphy. 
Hernia: 
1370 Femoral, repair. 
1380 Inguinal, repair. 
1390 Lumbar, repair. 
1400 Strangulated, open 
reduction. 
1410 Umbilical, repair. 
1420 Ventral, repair. 
Hydrocele: 
1430 Aspiration and in- 
jection. 
1440 Eversion of sac 
(bottle opera- 
tion) . 
1450 Excision. 
1460 Hysterectomy. 
1470 Incision. . 
1480 Incision and curette- 
ment. 
1490 Incision and drainage. 
1500 Incision of lacrimal sac. 
1510 Insertion of Carrel 
tubes. 
1520 Intestinal resection. 
1530 Intestines, other opera- 
tions. 
1540 Intubation. 
1550 Iridectomy. 
1560 Iridotomy. 
Joint, aspiration of: 
1570 Lower. 
1580 Upper. 
Joint, aspiration and 
injection; 
1590 Lower. 
1600 Upper. 
Joint, dislocation: 
1610 Closed reduction, 
lower. 
64 RECORDS OF MORBIDITY AND MORTALITY 
60 
1620 Closed reduction, 
upper. 
1630 Open reduction, 
lower. 
1640 Open reduction, 
upper. 
Joints, excision neo- 
plasm, synovial folds, 
etc.; 
1650 Lower. 
1660 Upper. 
Joint, removal foreign 
or loose bodies; 
1670 Lower. 
1680 Upper. 
Joint, resection of: 
1690 Lower, 
1700 Upper. 
1710 Kidney, removal of for- 
eign bodies. 
1720 Laminectomy. 
1730 Laryngectomy, com- 
plete. 
1740 Laryngectomy, partial. 
1750 Laryngoscopy. 
1760 Laryngotomy. 
1770 Larynx, plastic repair. 
1780 Larynx, removal foreign 
body. 
1790 Litholopaxy. 
1800 Lithotomy, suprapubic. 
1810 Lithotomy, perineal. 
1820 Liver, other operations. 
1830 Lungs, removal foreign 
body. 
1840 Lymphadenectomy. 
1850 Mastoidotomy. 
1860 Mouth, plastic repair. 
1870 Myectomy. 
1880 Myorrhaphy. 
1890 Myotomy. 
1900 Nasal cavity, cauteriza- 
tion. 
1910 Nasal cavity, excision 
neoplasm. 
1920 Nasal cavity, plastic re- 
pair. 
1930 Nephrectomy. 
1940 Nephrolithotomy. 
1950 Nephropexy. 
1960 Nephrorrhaphy. 
1970 Nephrotomy. 
1980 Neurectomy. 
1990 Neurolysis. 
2000 Neurorrhaphy. 
2010 Neurotomy. 
2020 No operation. 
2030 Nose, plastic repair. 
2040 Orchidectomy. 
2050 Orchidotomy. 
2060 Ostectomy, complete. 
2070 Ostectomy, partial. 
2080 Osteotomy. 
2090 Pancreas, operation. 
2100 Paracentesis. 
2110 Paracentesis cornea. 
2120 Paracentesis ventriculi. 
2130 Pericardiorrhaphy. 
2140 Pericardiotomy. 
2150 Periostotomy. 
2160 Peritoneum, drainage. 
2170 Pharyngotomy. 
2180 Phlebectomy. 
2190 Phlebotomy. 
2200 Plastic on lids. 
2210 Plastic repair of face. 
2220 Plastic repair of rectum. 
2230 Plastic repair of skin. 
2240 Plastic repair of other 
parts. 
65 60 
MEDICAL FIELD MANUAL 
2250 Plastic repair of testicle. 
2260 Plastic repair with cel- 
luloid splints. 
2270 Plication. 
2280 Pneumorrhaphy. 
2290 Pneumothorax, artifi- 
cial. 
2300 Pneumonotomy. 
2310 Proctectomy. 
2320 Proctoscopy. 
2330 Prostatectomy, perineal. 
2340 Prostatectomy, supra- 
pubic. 
2350 Prostatotomy. 
2360 Pterygium, operation 
for. 
2370 Ptosis, operation for. 
2380 Pulmonary abscess, 
drainage. 
2390 Reamputation, 
2400 Rectum, divulsion. 
2410 Removal of foreign body 
from bladder. 
2420 Removal of foreign 
body from bronchus. 
2430 Removal of foreign 
body from nasal 
cavity. 
2440 Removal of foreign body 
from pleura. 
2450 Rib resection with 
drainage. 
2460 Saemisch operation. 
2470 Salivary glands, opera- 
tion. 
2480 Sclerocorneal trephin- 
ing. 
2490 Sclerotomy. 
2500 Sequestrotomy. 
2510 Silver wire removal, 
lower extremity. 
2520 Silver wire removal, up- 
per extremity. 
2530 Sinusotomy, ethmoidal. 
2540 Sinusotomy, frontal. 
2550 Sinusotomy, maxillary. 
2560 Sinusotomy, sphenoidal. 
2570 Skin grafting. 
2580 Spinal injection. 
2590 Spinal puncture. 
2600 Splenectomy. 
2610 Splenorrhaphy. 
2620 Staphyloma, operation 
for. 
2630 Stomach, other opera- 
tions. 
2640 Submucous resection. 
2650 Suprarenal glands, op- 
eration on. 
2660 Suture. 
2670 Suture, secondary. 
2680 Symblepharon, opera- 
tion for. 
2690 Tarsorrhaphy. 
2700 Tendon transplanta- 
tion. 
2710 Tendons, other opera- 
tions. 
2720 Tenoplasty. 
2730 Tenorrhaphy. 
2740 Tenosynovectomy. 
2750 Tecotomy. 
2760 Tenotomy of eye 
muscle. 
2770 Thoracentesis. 
2780 Thoracoplasty. 
2790 Thoracotomy, with 
drainage. 
66 RECORDS OF MORBIDITY AND MORTALITY 
60-61 
2800 Thyroidectomy, com- 
plete. 
2810 Thyroidectomy, partial. 
2820 Tongue, other opera- 
tions. 
2830 Tonsillectomy. 
2840 Trachea, removal for- 
eign body. 
2850 Tracheotomy. 
2860 Trachoma, expression. 
2870 Transfusion. 
2880 Trephining, 
2890 Trichiasis, operation. 
2900 Turbinectomy. 
2910 Urethra, plastic repair, 
2920 Urethrotomy, external. 
2930 Urethrotomy, internal. 
2940 Varicocelectomy. 
2950 Vasectomy. 
2960 Vasotomy. 
2970 Vein, infusion of. 
2980 Vein, ligation of. 
2990 Vesiculectomy, seminal. 
3000 Wound, opened and 
packed. 
Section VIII 
CLINICAL RECORDS 
■ 61. When and Where Required.—a. In hospitals.—A clini- 
cal record of every patient will be kept by fixed hospitals 
in time of peace or war, excepting those serving in a theater 
of operations. Clinical Record Brief (Form No. 55a, M. D.), 
and Clinical Record Treatment (Form No. 55j, M. D.), will 
be used in every case, except as noted in c below; the other 
lettered; blanks of Form No. 55, M. D., will be used as the 
nature or importance of the case may warrant. 
b. For serious cases treated in quarters.—A similar clinical 
record will be kept for all serious cases treated in quarters. 
Upon the discontinuance of treatment because of the com- 
pletion of the case or the patient’s departure from the sta- 
tion or command, the record will be filed in the hospital 
office. 
c. The clinical record which is received with the transfer 
slip for a patient transferred from one general hospital to 
another, via a United States Army transport, will be trans- 
mitted to the commanding officer of the receiving hospital. 
In order that the clinical record of patients will be continu- 
ous the transport surgeon will enter in duplicate on Clinical 
Record Progress (Form No. 55g, M. D.), notes of any 
changes in the condition of the patient or special treatment 
given, while en route, and any other information considered 
67 61-66 
MEDICAL FIELD MANUAL 
of interest to the receiving hospital. The original form will 
be attached to the clinical record, and the duplicate filed 
on the transport. 
H 62. Bedside Notes.—The bedside notes (Form 68, M. D.) 
kept by the nurse are for temporary use. They will not 
be filed with the clinical record but may be destroyed or 
retained at the discretion of the commanding officer of the 
hospital. 
■ 63. Transfer to Another Ward.—Upon the transfer of 
a patient from one ward of the hospital to another, the 
clinical record will be sent with him to the new ward, the 
fact of transfer being noted thereon. 
■ 64. Disposition Upon Completion of Case.—Upon the de- 
parture of a patient from the hospital, all of the sheets of 
the clinical record will be arranged in their proper order, all 
entries completed, fastened together at the top, and signed 
by the ward officer. It will then be sent to the registrar’s 
office with the next morning report of the ward. 
M 65. Pile.—The clinical records of all completed cases will 
be immediately filed in the sequence of the register numbers. 
Section IX 
CLINICAL INDEXES 
R 66. Register Index.—A nominal card index of the sick and 
wounded will be kept on Form 52a, M. D., in time of peace 
or war by all hospitals wherever they may be located. Only 
one index card will be used for each patient whose name 
appears in the register of sick and wounded or who is treated 
in a hospital in a theater of operations where registers are 
not required. When a register card is started and its number 
determined, the register index will be searched for previous 
admissions of the patient. If an index card is found, the 
new register number will be entered thereon immediately 
under the number of the past previous admission, but if 
an index card is not found one will be prepared at once. 
These index cards will be filed alphabetically in dictionary 
order according to the last names of the patients and will 
be similarly further subdivided and filed according to their 
68 RECORDS OF MORBIDITY AND MORTALITY 
66-67 
first names. In a theater of operations the register index 
card will serve as a nominal list of patients and also will be 
used for the purpose of recording brief clinical notes, ex- 
tracts from field medical records, and other data pertaining 
to the patient and deemed desirable by hospital commanders. 
■ 67. Diagnosis Index.—a. A card index, called the “Diag- 
nosis Index,” of all diseases or injuries treated and of all 
operations performed will be kept by all fixed hospitals in time 
of peace and by all hospitals in the zone of the interior in 
time of war. The nominal index card (Form 52a, M. D.) will 
be used for this purpose. 
b. For the purpose of this index the number assigned by 
paragraph 58 to each disease or injury, by paragraph 59 
to each anatomical location, or by paragraph 60 to each 
operation will be utilized. To distinguish the numbers desig- 
nating primary diseases, intercurrent diseases, complications, 
sequelae, injuries, operations, etc., a prefix will be placed 
before each, as follows: The letter “a” with the number 
for any original diagnosis; “b” for all intercurrent diseases, 
complications, sequelae; “c” for all operations; and “d” for 
all locations. 
c. In a hospital which is required to keep a diagnosis index, 
upon the completion of any case the register number, with 
the prefix letter to designate it as a primary or as an asso- 
ciated disease or injury, will be entered on the proper cards 
with the other data immediately following enclosed in paren- 
thesis. To illustrate: 
(1) A patient, register number 320, was treated in hospital 
for measles, with a complicating bronchopneumonia and 
suppurative pleurisy. An operation of “rib resection with 
drainage” was performed. The data would then be entered 
on four cards and appear as follows: 
Measles (4860): (a) 320-(b 6690, b 6710, c 245). 
Pleurisy suppurative (6690): (b) 320-(a 4860, b 6710, 
c 245). Pneumonia, broncho (6710): (b) 320- 
(a 4860, b 6690, c 245). Rib resection with drainage 
(245): (c) 320-(a 4860, b 6690, b 6710). 
(2) In a similar way, a case admitted with a compound 
fracture of the femur, who while in hospital developed lobar 
69 67-70 
medical field manual 
pneumonia, and who was treated with Hodgen’s splint, would 
be indexed as follows: 
Fracture, compound (9690): (a) 450-(b 6730, c 116, 
d 077). 
Pneumonia, lobar (6730): (b) 450-(a 9690, c 116, 
d 077). 
Fracture, closed treatment of (116): (c) 450-(a 9690, 
b 6730, d 077). 
d. Subsequent entries will be made on these same cards 
as cases occur. In each case, the register number will be 
entered immediately below the preceding one. Prom the 
index cards thus prepared, it will be possible to utilize the 
register cards and clinical records for professional study 
and for the preparation of any reports needed by the hospital 
or called for by higher authorities. 
B 68. Disability Index.—All hospitals required to keep a 
diagnosis index (par. 82) will keep a similar index, called the 
“Disability index,” for all cases discharged from the military 
service on a certificate of disability. 
B 69. Death Index.—All hospitals required to keep a diag- 
nosis index (par. 67) will keep a similar index, called the 
“Death index,” for all cases that terminate in death. 
B 70. Out-patient Index.—a. Where kept and forms used.— 
In peacetime, and in fixed establishments in the zone of the 
interior in wartime, an out-patient index will be maintained 
in every military hospital or dispensary. Form 52a, M.D., 
will be used for this purpose. 
b. Character of patients to be indexed and data to be 
recorded.—ln this index a brief record will be kept of every 
patient treated, both military and civilian, who is not carded, 
or is “carded for record only” on the register of sick and 
wounded. In each case the date will be recorded, with the 
diagnosis, or in lieu of this a brief note with reference to 
symptoms, physical signs, etc., and a brief note in regard 
to the treatment prescribed (see par. 4c). 
c. Method of filing.—The records of the out-patients treated 
during any calendar month will be kept in a separate alpha- 
betical file known as the “Out-patient Index, Current Month,” 
until the necessary data have been compiled to accomplish 
70 RECORDS OF MORBIDITY AND MORTALITY 
70-71 
space 7on Form 51, M.D. Thereafter the cards will be placed 
in one general alphabetical file known as the “Out-patient 
Index, General File.” If the patient subsequently applies 
for out-patient treatment, the card showing the record of 
his previous treatment will be withdrawn from the general 
file and placed with that for the current month, the necessary 
notations being added. 
d. Modifications authorized.—The senior medical officers 
on duty at the larger hospitals or dispensaries are authorized 
to modify or enlarge the system herein prescribed as the 
professional services may warrant, even to the extent of 
maintaining separate out-patient indexes for the various 
services or clinics in operation thereat. The essential re- 
quirement is that a record be kept of every out-patient 
treated. 
Section X 
CURRENT STATISTICAL REPORTS, TABLES, AND 
CHARTS 
■ 71. General.—a. Current statistical reports.—Current sta- 
tistical reports as follows will be rendered by the surgeon 
of every post, camp, or station or separate command which is 
attended by a medical officer or by a contract surgeon, in 
accordance with the instructions prescribed herein and also 
with the specific instructions printed on such special forms 
as are furnished, except insofar as the latter are in conflict 
with these and other regulations: 
(1) Statistical Report (Forms Nos. 86ab and 86c, M. D.). 
(2) Special telegraphic reports of epidemic diseases. 
(3) Special reports of acute communicable diseases pre- 
vailing at stations required when troops are transferred. 
(4) Reports of acute communicable diseases occurring in a 
command en route to a new station. 
(5) Reports of acute communicable diseases, births, and 
deaths to civil health authorities, and 
(6) Reports of births and deaths to the United States 
Bureau of the Census. 
b. Tables and charts of disease rates.—Tables and charts 
of disease rates will be compiled and kept available as 
prescribed in paragraph 78. 
71 72 
MEDICAL FIELD MANUAL 
■ 72. Statistical Report.—a. Object.—The chief object of 
the statistical report is to furnish, for the purpose of efficient 
administration, to The Surgeon General, surgeons of corps 
areas and departments, senior medical officers of stations, 
commands in the field, and corresponding officials with expe- 
ditionary forces (chief surgeons, section surgeons, surgeons of 
armies, corps, divisions, stations, etc.), general statistical in- 
formation relative to the number of sick, injured, and battle 
casualties; bed status in hospitals; first occurrence, increase, 
and flow, of the more important communicable diseases; and 
the status of personnel and transportation of the various sta- 
tions and commands in the Army. 
b. Plan of the report.—(l) Number of sections.—The sta- 
tistical report consists of three sections in each of which is 
incorporated special information required by the various di- 
visions of The Surgeon General’s Office and the office of the 
chief surgeon in a theater of operations. 
(2) Arms and services reported on.—Certain sections of 
the report (third section) relate solely to the Medical Depart- 
ment personnel, transportation, materiel, etc., and all per- 
sonnel, etc., attached thereto; while other sections (first and 
second sections) include statistical data covering the entire 
command of which the Medical Department detachment or 
unit forms an integral part. 
(3) Description of sections.—The sections, which will be 
made in triplicate, are designed to furnish the following 
information: 
(a) First and second sections (Form 86ab), data con- 
cerning sick, injured, battle casualties, hospitalization, and 
the movement of communicable diseases. 
(b) Third section (Form 86c), statistics of Medical Depart- 
ment personnel, other personnel attached to the Medical 
Department for duty, and transportation and materiel avail- 
able for utilization by the Medical Department. 
(4) Initial, final or corrected reports.—When an initial 
report is rendered for any station or command, the fact will 
be so noted by the words “INITIAL REPORT” written imme- 
diately below the words “Statistical Report” on Form 86ab; 
similarly, when a final or corrected report is submitted for 
any station or command the words “FINAL REPORT” or 
72 RECORDS OF MORBIDITY AND MORTALITY 
72 
“CORRECTED REPORT” will be entered just below the 
words “Statistical Report” on Form 86ab. 
c. By whom rendered.—Reports will be rendered by the 
surgeon of every separate station or command (excluding 
substations of harbor defense commands), including all such 
as are under the direct control of the War Department; and 
also one each for the National Guard, Officers’ Reserve Corps, 
Reserve Officers’ Training Corps, Citizens’ Military Training 
Camps, etc., at each Federal training camp for the training 
period only. 
d. Time interval for rendition.—Unless otherwise directed 
by competent authority, the first and second sections of this 
report normally will be rendered weekly to include data ap- 
pearing on the morning report submitted on Saturday morn- 
ing for the period ending the preceding midnight, and the 
third section monthly to include data up to midnight of the 
last day of the month. (For method of computing a morn- 
ing report “day” see AR 345-400.) When a hospital is 
closed or a command is discontinued, final reports covering 
the unreported period will be promptly rendered. Under 
exceptional circumstances any section of the report may be 
required daily. 
e. Channels through which rendered.—(l) In peacetime.— 
Within the continental limits of the United States and in the 
oversea departments, the original of the triplicate statistical 
report will be forwarded to the surgeon of the corps area or 
department within which the station or command is geo- 
graphically located, one carbon copy forwarded directly to 
The Surgeon General and one carbon copy retained; except 
that detachments, regiments, and other organizations form- 
ing a part of a division (operating as a unit), camp, or sub- 
ordinate administrative district will render reports in 
duplicate only, retaining the carbon copy and forwarding 
the original to the next higher authority who will consoli- 
date the reports of the units under his jurisdiction in tripli- 
cate and forward as directed above. 
(2) In time of war.—(a) In a theater of operations.—The 
original of the triplicate report will be forwarded through med- 
ical channels for consolidation in such administrative offices 
as may be directed by competent authority, one carbon copy 
73 72 
MEDICAL FIELD MANUAL 
forwarded directly to the chief surgeon of the expeditionary 
or similar force, and the second carbon copy retained; except 
that detachments, regiments, and other organizations forming 
a part of a division (operating as a unit), camp, or subordi- 
nate administrative district will render reports in duplicate 
only, retaining the carbon copy and forwarding the original 
to the next higher medical authority who will consolidate the 
reports of the units under his jurisdiction in triplicate and 
forward as directed above for a theater of operations. 
(b) In the zone of the interior.—These reports will be 
rendered as in (1) above unless otherwise directed by com- 
petent authority. 
/. Personnel to he included.—(l) Regular Army.—ln peace- 
time, officers, Army nurses, cadets, warrant officers, and en- 
listed men of the Regular Army only will be included in the 
patients’ table and in that of communicable diseases (Form 
86ab). Personnel of the Navy or Marine Corps on the active 
list, training personnel (see (2) below), retired officers, dis- 
charged enlisted men, applicants for enlistment, general pris- 
oners, beneficiaries of the Soldiers’ Home, beneficiaries of the 
Veterans’ Administration, and members of the families of 
officers and enlisted men, or other civilians will not be in- 
cluded in these tabulations. 
(2) Training units.—ln peacetime. National Guard per- 
sonnel, officers and enlisted men of the Officers’ and Enlisted 
Reserve Corps, members of Reserve Officers’ Training Corps 
units, members of Citizens’ Military Training Camps, and 
other individuals receiving military instruction will not be 
included with the personnel of the Regular Army, but separate 
reports will be made for each of these groups and the heading 
of Form 86ab amended accordingly. Patients in hospital at 
the close of training will be carried as civilians on the regular 
station report. 
(3) War personnel.—ln time of war, both in the zone of 
the interior and a theater of operations, all military personnel 
will be included in these tabulations; only one consolidated 
report being submitted for any one station or command. 
g. Method of obtaining mean strength.—(l) General.—A 
weekly mean strength will be obtained by adding the 7 
daily strengths of the command, including all military per- 
74 RECORDS OF MORBIDITY AND MORTALITY 
72 
sonnel for whom the sick or wounded are accounted in the 
patients’ table (Form 86ab), to the number of military pa- 
tients from other commands in hospital each day for the 7 
days, and dividing the sum by 7. 
(2) Transferring commands.—All commands or detach- 
ments transferring informally to general or other military 
hospitals will account for their own strength less the actual 
daily number of patients who have been transferred to and are 
receiving treatment in other military hospitals. Similarly, 
general or other receiving hospitals to which such cases are 
informally transferred will include, in addition to the strength 
of their own command, only the number of patients from 
other commands in hospital each day; in other words, only the 
duty personnel and patients. 
(3) Harbor defense commands.—When a consolidated 
report is rendered by the headquarters of a harbor defense 
command, it will include the strength of all the stations com- 
prising the command. 
(4) Training units.—The strength reported for training 
units will include only the training personnel. All personnel 
of the Regular Army on duty with the training units will 
be reported on the return rendered for the former. 
h. Designation of unit.—ln peacetime, and in the zone 
of the interior in time of war, complete identification of the 
units by station, name, and place will be made; but in a 
theater of operations the numerical designation of the unit 
only will be given. 
i. Designation of time.—The month, day, and year will be 
indicated specifically. Figures will not be used to indicate 
the month. In telegraphic reports, omit the year. 
j. Instructions for entering data in patients’ table (Form 
86ab).—(1) Military patients.—Military patients from com- 
mand who are admitted to hospital or quarters during the 
period covered by the report will be shown as “Admitted 
from command since last report (E).” 
(2) Transferred cases.—All cases admitted and disposed 
of during the period by formal transfer and all cases infor- 
mally transferred will be shown by the transferring hospital 
as “Admitted from command since last report (E),” and 
will be disposed of on the line “Transferred to other hospitals 
262292 —-10 6 
75 72 
MEDICAL FIELD MANUAL 
since last report (I).” The receiving hospital will account 
for such cases in the line “Admitted by transfer or change 
of status since last report (F) 
(3) Cases carded for record.—(a) Ordinary cases.—Cases 
carded for record only will be taken up on the line “Admitted 
from command since last report (E)and disposed of on line 
“Otherwise disposed of since last report (K)except in case 
of death where the case will be disposed of on line “Died since 
last report (J)and the cause shown on line “Causes of the 
deaths entered on line J (Z).” 
(b) Killed in action cases.—Cases killed in action which 
are carded for record only, for the purpose of this report, 
will be entered only on line (N), and will not be included, 
under the caption “Battle casualty” on lines (E) and (J). 
(4) Patients in civil hospitals.—Patients treated in other 
than military hospitals with the knowledge and consent of 
the military authorities, as in the Canal Zone hospitals or 
in civil hospitals, will be taken up in the hospital column on 
line “Admitted from command since last report (E),” and 
disposed of in the patients’ table as though treated in a 
military hospital, but note to that effect will be entered under 
“Remarks (V) ” (Form 86ab), stating the name of the hos- 
pital and the number of patients under treatment. Such 
patients will not be included in the Report of Hospitalization 
(Form 86ab). 
fc. Instructions for entering data in Communicable Diseases 
Table (Form 86ab).—(1) General.—All communicable dis- 
eases occurring among the personnel carried in the patients’ 
table (Form 86ab), including military patients receiving 
treatment in other than military hospitals, but with the ex- 
ception of cases informally transferred ((3) below) will be 
accounted for in the table of “Communicable Diseases,” in 
column “Prom command and by change of disease classifica- 
tion (S).” 
(2) Diseases to be reported.—The communicable diseases 
to be reported will be those listed under “Special Instructions” 
on Form 86ab, and others of special interest. 
(3) Informal transfers.—Cases informally transferred will 
not be included in the report of “Communicable Diseases” 
by the transferring station (due to insufficient time to arrive 
76 72 
RECORDS OF MORBIDITY AND MORTALITY 
at a correct diagnosis) but will be taken up by the receiving 
hospital and properly accounted for in the column “From 
command and by change of disease classification (S) 
(4) Associated diseases.—Should a communicable disease 
develop in a patient already in hospital or quarters, it will 
be taken up in the column “From command or by change of 
disease classification (S)”; similarly, should a new com- 
municable disease arise during the course of another com- 
municable disease, it will be reported in the column “From 
command and by change of disease classification (S)Each 
disease will be carried until it terminates. 
(5) Change in classification.—Should a change in the clas- 
sification of a communicable disease occur in a patient 
remaining from last report, the case will be dropped from 
the old heading in the column “Diseases disposed of since 
last report” and taken up in the column “From command 
and by change of disease classification (S)” under the new 
heading; the fact will be so noted in the space “Remarks 
(V) ” (Form 86ab). 
(6) Readmission of communicable diseases.—A readmis- 
sion to hospital or quarters for a communicable disease for- 
merly treated will be taken up in the column “From command 
and by change of disease classification (S)” and the fact so 
stated under “Remarks (V) 
(7) Specific instructions in regard to recording venereal 
diseases.—(a) All cases to be recorded.—All cases of venereal 
disease which are recorded on Form 52, M. D. (Register 
Card) as a cause of admission, change of diagnosis, or compli- 
cation will be entered in the column “From command and by 
change of disease classification (S)Any such cases carded 
for record only will be dropped on the same report in the 
column “Diseases disposed of since last report.” 
(b) Classes of cases designated by “Old,” “New” and 
“Long.”—Under the heading “Venereal cases from column 
(S) ”, a notation will be made showing how many of the cases 
of venereal disease so recorded in the column “Prom command 
and by change of disease classification (S) ” are “Old” (that 
is, previously reported at either the reporting station or at 
some other station), how many of the cases are “New” (that 
is, cases not previously reported at any military station and 
77 72 
MEDICAL FIELD MANUAL 
of less than six months’ duration), and how many are “Long” 
(that is, cases not previously reported at any military station 
and of more than six months’ duration). The notation 
should then read; 
“Old” “New” “Long” 
Chancroid 0 10 
Syphilis 12 4 
Gonorrhea 4 16 
(8) Change of diagnosis on transfer card (Form 52). 
When the diagnosis on the transfer card (Form 52) is not 
concurred in hut is changed to a communicable disease, this 
fact will be noted under “Remarks (V)” (Form 86ab), and 
the case taken up under the new classification in the col- 
umn “From command and by change of disease classification 
(S)lf the diagnosis is changed from a communicable dis- 
ease, the one from which it was changed will be dropped in 
column “Diseases disposed of since last report.” 
(9) Communicable diseases among civilians.—Cases of 
communicable diseases which occur among the civilians with 
the command will be listed under “Remarks (V)” (Form 
86ab), but will not appear in the Patients Table nor else- 
where on this sheet. 
(10) Termination of communicable diseases. When any 
communicable disease terminates, it will be disposed cf in 
the proper column, regardless of whether the patient re- 
mains in hospital because of some other communicable dis- 
ease, noncommunicable disease, injury, or battle casualty. 
(11) Communicable diseases remaining under treatment.— 
The column “Diseases remaining under treatment (U)” will 
show the actual number of each communicable disease re- 
maining under treatment either in hospital or quarters at 
the time that the report is rendered. 
I. Definition of certain terms used.—(l) Common respira- 
tory diseases.—Such diseases will be included under this 
heading as may be confused with influenza; viz, acute ca- 
tarrhal bronchitis, acute coryza, acute follicular tonsillitis, 
acute catarrhal pharyngitis, acute catarrhal nasopharyngitis, 
and acute catarrhal laryngitis. A rise in the rate for dis- 
eases of this class may be an indication of the beginning of 
an influenza epidemic. 
78 RECORDS OF MORBIDITY AND MORTALITY 
72 
(2) Pneumonias.—(a) Primary.—The term “Primary pneu- 
monia” includes all pneumonias developing without relation 
to any coexisting disease, except that pneumonia developing 
in association with common respiratory diseases will be 
classed as primary pneumonia. 
(b) Secondary.—The term “Secondary pneumonia” indi- 
cates pneumonia occurring in connection with or as a com- 
plication of other diseases; as, for example, influenza, or 
measles. This term should also be used to cover cases of 
pneumonia arising during the treatment of surgical condi- 
tions, if it is the result of an aesthetic used during an opera- 
tion, or of an infection, etc., dependent upon the surgical 
conditions, etc. 
(3) Comment diarrheas.—Under this diagnosis will be in- 
cluded all cases diagnosed as colitis, diarrhea (cause deter- 
mined or undetermined), fermentative diarrhea, nervous 
diarrhea, enteritis, mucous colitis, enterocolitis, intestinal in- 
digestion, sigmoiditis, and intestinal toxemia (when associ- 
ated with diarrhea and for which the direct cause cannot be 
determined). 
(4) Special diseases not listed.—ln the classification “Spe- 
cial—not listed” will be recorded the name of any special or 
important communicable disease such as anthrax, encepha- 
litis lethargica, glanders, acute infectious jaundice, leprosy, 
Malta fever, rabies, tetanus, trachoma, etc., which is not 
elsewhere included among the diseases listed. 
(5) Fever still undiagnosed.—The term “Fever still undiag- 
nosed” will be used to designate fevers of undetermined origin. 
When a more definitive diagnosis is made, such cases will be 
dropped in the column “Diseases disposed of since last re- 
port”, and taken up in column “From command and by 
change of disease classification (S)” opposite the new disease 
classification. 
(6) Injury.—ln classifying patients for the patients’ table 
(Form 86ab) the term “injury,” other than such as are 
classified as “battle casualty,” covers all conditions produced 
by external causes. It includes all acute poisonings other 
than those produced by ethyl alcohol or its derivatives. 
(7) Battle casualty.—The term “battle casualty” is defined 
as a traumatism or injury (including those incident to the 
79 72 
MEDICAL FIELD MANUAL 
use or chemical agents), which occurs as the result of a hos- 
tile act on the part of a military enemy. This term includes 
not only cases which occur in battle at the front but also those 
occurring elsewhere as the result of any hostile act by the 
enemy, such as the bombing of installations on the line of 
communications or sinking of transports by submarines. 
m. Causes of death.—(l) How listed.—The causes of all 
deaths listed on the line “Died since last report (J) ” will be 
entered on the line “Causes of the deaths entered on line J 
(Z),” using prescribed nomenclature. Each cause of death 
will be followed by a number indicating the total deaths from 
that cause since the last report. 
(2) Primary diseases and causes of injury to he reported.— 
In reporting causes of death, the primary disease or the cause 
of the injury which ultimately resulted in death should be 
given rather than the immediate one. 
(a) Disease.—Thus, when the primary cause of death is 
chronic myocarditis with the immediate cause acute cardiac 
dilatation, the former cause will be reported. With measles 
as the primary disease, broncho-pneumonia the secondary or 
complicating cause, and acute cardiac dilatation the immedi- 
ate, the cause of death will be reported not as acute cardiac 
dilatation, nor as broncho-pneumonia, but as measles. 
(b) Injury.—Similarly, when a death results from an 
injury the cause or means will be stated, qualified as suicidal, 
homicidal, or accidental, rather than the character of the 
injury. Thus when a death results from a compound frac- 
ture of the skull caused by an automobile accident, it will 
be reported as “automobile accident.” The character of the 
injury should be added when the report is forwarded by mail, 
but omitted when transmitted by telegraph. 
(3) Authority to be consulted.—The “Index of the Joint 
Causes of Death” prepared and published by the Bureau of 
the Census will be adhered to. 
n. Hospitalization.—Report the bed capacity in any fixed 
hospital facility on the basis of 100 square feet of floor space 
per patient. 
(1) Normal beds.—(a) Fixed hospitals (AR 40-580).—0n 
the line provided for “normal beds” enter only the bed capac- 
ity of the wards and other rooms of the building designed 
80 72 
RECORDS OF MORBIDITY AND MORTALITY 
for patients’ beds. Enter separately the capacity in perma- 
nent buildings and in temporary buildings. 
(b) Mobile hospitals.—Report the bed capacity of the hos- 
pital in accordance with the Table of Organization of the 
unit. 
(2) Emergency beds.—ln the space provided for “Emer- 
gency beds,” report the number of beds in permanent build- 
ings, and in temporary buildings, that are set up and ready 
for use— 
(a) In the space that is available on porches, in solaria, 
or elsewhere within the hospital building proper. Beds 
should not be set up in squad, recreation, storage, or other 
rooms in the hospital building proper unless they were origi- 
nally designed for patient beds, and can readily be recon- 
verted to that use. 
(b) In the additional space that is made available by the 
reduction of floor space per bed from 100 to 72 square feet, 
when required by the military situation and only when 
approved by the War Department upon the recommendation 
of The Surgeon General. 
(3) Expansion capacity.—When the requirements for bed 
space exceed the normal and emergency capacity of fixed 
hospitals, the bed space in either medical detachment or 
other barracks or in other space that has been made avail- 
able to the surgeon for patient beds and has been prepared 
for the receipt and care of patients will be reported as the 
expansion capacity of the hospital. When the requirements 
for bed space in a mobile hospital exceeds the Table of 
Organization capacity and other space is made available 
to the commanding officer, such space will be reported as 
the expansion capacity of the unit. 
(4) Totals.—Under each of the headings above, record the 
total number of beds and the number of vacant beds. 
(5) Classes of patients occupying beds.—(a) Military per- 
sonnel.—On these lines will be entered the data for military 
personnel on the active list only. Should any Navy or Marine 
Corps personnel be included, the fact should be so stated. 
Thus: 
Officers (Navy 2; MC 2; Army 16) 20 
81 72 
MEDICAL FIELD MANUAL 
Warrant officers should likewise be included in brackets on 
the line with officers. Cadets should be entered separately 
on an additional line. 
(b) Beneficiaries of the Veterans Administration and of 
the Soldiers Home.—The number of beneficiaries of the Vet- 
erans Administration actually in hospital will be entered in 
the space provided for “Beneficiaries, Vet. Adm.” Benefici- 
aries of the Soldiers Home will be entered separate. 
(c) Training units and other civilians.—Beds occupied by 
Reserve Officers’ Training Corps, Citizens’ Military Training 
Camp, Officers’ Reserve Corps, or National Guard patients 
will be entered in brackets immediately following the desig- 
nation “Other civilians, male.” On the line “Other civilians, 
female” should be entered all female patients in hospital not 
Army nurses. On the report covering training units, the 
space for hospitalization will be left blank. 
(6) Beds actually occupied.—This number will include all 
patients actually in hospital. Patients receiving treatment 
in civilian hospitals should not be included in the “Hospitali- 
zation” table, but should bs listed in the space provided for 
“Remarks (V)” (Form 86ab). 
o. Report of Medical Department personnel.—(l) When 
rendered.—Report of Medical Department personnel normally 
will be made on Form 86c on the last day of each month, 
unless otherwise directed by competent authority. 
(2) By whom rendered.—lt will be prepared by the senior 
medical officer of every station and command in the field, 
including commands and units under the direct control of 
the War Department. Thus this report will be rendered 
by all Medical Department schools, corps area laboratories, 
Medical Department training detachments, medical supply 
depots, headquarters, etc., even though they are not respon- 
sible for the treatment of the sick and do not render returns 
on Form 86ab. 
(3) Consolidated returns.—Each administrative officer re- 
sponsible for the preparation of consolidated personnel re- 
ports will insure that such reports include all Medical De- 
partment personnel (other than veterinary) within the 
geographical limits of the corps area. 
82 RECORDS OF MORBIDITY AND MORTALITY 
72 
(4) Veterinary personnel to be reported separately.— 
AR 40-2245, directs that a separate report be submitted for 
the commissioned and enlisted personnel of the veterinary 
service. Consequently, such personnel will not be included 
in the statistical report submitted for the medical units or 
detachments. When there is no commissioned veterinary 
officer present for duty the senior medical officer will prepare 
and forward the report of the enlisted veterinary personnel. 
(5) All other personnel to be included.—ln the column 
“Total personnel assigned to duty—present and on leave, 
furlough, or otherwise absent” will be entered on the proper 
line the total of each class, whether present or absent on 
leave, furlough, or otherwise absent (except when in confine- 
ment at some other station or command). All who are in 
confinement will be carried on the report of the station 
where confined. No one will be counted by any station or 
command as “Present or absent on leave, furlough, or other- 
wise absent” who, though under orders to join, has not yet 
done so. 
(6) Commissioned personnel.—(a) Notation of number of 
Reserve officers to be included.—When any Reserve officers 
are on active duty at a station or with a command, they will 
be included in the total for the commissioned personnel, and 
the fact stated on the proper line. Thus: 
Medical Corps (Reg. 16; Res. 2) 18 
(b) Internes.—lf any internes are on active duty a sepa- 
rate heading will be entered for them on the half line just 
above contract surgeons. 
(7) Army nurses.—The number of Regular, Reserve, and 
civilian nurses receiving special training, on duty at the sta- 
tion or with the command will be shown. Thus: 
Army nurses (Reg. 20; Res. 5; Civ. 3) 28 
(8) Enlisted personnel.—Surgeons to whom special rat- 
ings have been allotted will note under “Remarks (6)” the 
number of vacancies in each class of specialists’ rating still 
remaining unfilled. A brief statement such as “SR no vacan- 
cies” or “S. R. V. 4th class 2, 6th class 2” will suffice. 
(9) Civilian employees.—On this line will be noted the ac- 
tual number of civilian employees in service and not the 
authorized number. 
83 72 
MEDICAL FIELD MANUAL 
(10) All other personnel attached for duty.—The total 
number of officers, enlisted men, and civilians from other 
arms and services assigned for duty with the Medical De- 
partment will be entered on designated lines. 
(11) Classification, etc.—ln order that his aptitude for 
various assignments may be known, the specialist classifica- 
tion or other special qualification of each enlisted man upon 
his first joining the station or command will be given under 
“Remarks (6).” Any change in such classification or quali- 
fication will be noted on any subsequent report covering the 
period during which the change takes place. In the case of 
each enlisted man in the first three grades who has depend- 
ents, in the same space there will be noted upon his first 
joining the station or command the name of the noncommis- 
sioned officer concerned and the number of his dependents. 
Any change in the number of dependents will be noted on 
any subsequent report covering the period during which 
change takes place. 
p. Transportation.—The report will show only the number 
of animals and the amount of transportation actually issued 
to and under the control of the senior medical officer of the 
station or command. Transportation held in reserve in 
depots will not be included. 
q. Consolidated reports.—(l) Period covered.—The sur- 
geon of each corps area, department, or expeditionary force 
will compile a consolidated report each week of the data 
received on Form 86ab, and each month of the data received 
on Form 86c. 
(2) Commands included.—These consolidated reports will 
embrace all commands within the geographical limits of the 
corps area or department, including those under the direct 
supervision of the War Department, and all commands in 
an expeditionary or other force. A list showing the com- 
mands included will accompany it. 
(3) Method of transmission.—The consolidated reports for 
all corps areas, departments, and expeditionary forces will be 
transmitted by mail to the Surgeon General, unless it is 
specifically directed that they be transmitted by telegraph 
in coded form. 
84 RECORDS OF MORBIDITY AND MORTALITY 
72 
(4) Delay for correction not authorized.—The preparation 
of consolidated reports will not be delayed due to the return 
of reports to stations for correction, but a consolidation of the 
reports as received will be prepared and forwarded, together 
with a carbon copy of any letters to stations calling for 
correction. 
(5) Corrected reports.—On receipt of corrected reports, 
corrected consolidated reports, or the necessary data to amend 
the previous report, will be prepared and forwarded to The 
Surgeon General. 
(6) Separate reports for training units.—Separate consoli- 
dated reports will be made for C. M. T. C., R. O. T. C., O. R. C., 
N. G., etc., and rendered weekly by the corps area or depart- 
ment surgeon whenever training is in progress within his area. 
r. Telegraphic reports.—Telegraphic reports will be ren- 
dered only when directed by competent authority or in an 
emergency. In addition to the telegraphic report when ren- 
dered, all sections of the report will be forwarded by mail as 
provided for in e above. 
(1) Data to he included.—Except as indicated in (3) be- 
low, telegraphic reports will consist of all data in all sections 
of the statistical report marked with an asterisk (*) and, in 
addition, the data in column “S” (communicable diseases). 
(2) Code letter used for heading.—Code index letters will 
be substituted for headings. 
(3) Data to appear only once.—The data appearing under 
code index letters, A, B, and C are identical in all sections, 
and will appear only once in the telegram. 
(4) Compiling.—The telegram is compiled as follows, the 
capital letters given being those appearing on the form: 
(A) is the station—Camp Coe. 
(B) is the period the report covers—January 4. 
(C) is the mean strength of command during period 
covered by this report—officers 220, nurses 50, 
warrant officers 3, enlisted men 1,840. 
(E) is the patients admitted from command since last 
report—disease 20, and injury 1. 
(F) is the patients admitted by transfer or change of 
status since last report—disease 45, injury 4, and 
battle casualty 20. 
85 72 
MEDICAL FIELD MANUAL 
(L) is the patients remaining to be accounted for on 
next report—disease 70, injury 17, battle cas- 
ualty 6. 
(M) is the patients fit for evacuation—74. 
(N) is the number killed in action since last report— 
none. 
(Z) is the causes of deaths entered on line J—pneu- 
monia primary 1, automobile accident 1, bat- 
tle casualty 1. 
(P) is bed status—Pa (normal beds) 300—Pta (emer- 
gency beds) 200— Pc (expansion capacity) 50— 
Pd (vacant beds) 192. 
(S) is the communicable diseases added since last 
report from command and by change of disease 
classification (excluding for telegraphic pur- 
poses all cases listed as “old,” “long,” or other 
readmissions)—common respiratory 6, diph- 
theria 4, influenza 2, measles 3, primary pneu- 
monia 2, secondary pneumonia 1, common diar- 
rheas 12, dysentery bacillary 1, dysentery un- 
classified 3, typhoid fever 2, malaria 2, gonor- 
rhea 4, syphilis 4, tetanus 1, fever undiagnosed 4. 
(W) is the commissioned personnel assigned to duty— 
-23. 
(X) is the Army nurses assigned to duty—2s. 
(Y) is the enlisted men Medical Department assigned 
to duty—l 24. 
(5) Form of telegraphic report.—The complete telegraphic 
report will then appear as follows: 
Surgwar, Washington: 
A CAMP COE B JANUARY FOUR C OFFI- 
CERS TWO TWENTY NURSES FIFTY WAR- 
RANT OFFICERS THREE ENLISTED MEN 
EIGHTEEN FORTY E DISEASE TWENTY IN- 
JURY ONE P DISEASE FORTY FIVE INJURY 
FOUR BATTLE CASUALTY TWENTY L DIS- 
EASE SEVENTY INJURED SEVENTEEN BAT- 
TLE CASUALTY SIX M SEVENTY FOUR N 
NONE Z PNEUMONIA PRIMARY ONE AUTO- 
MOBILE ACCIDENT ONE BATTLE CASUALTY 
86 72-73 
RECORDS OF MORBIDITY AND MORTALITY 
ONE PA THREE HUNDRED PB TWO HUN- 
DRED PC FIFTY PD ONE NINETY TWO S 
COMMON RESPIRATORY SIX DIPHTHERIA 
FOUR INFLUENZA TWO MEASLES THREE 
PRIMARY PNEUMONIA TWO SECONDARY 
PNEUMONIA ONE COMMON DIARRHEAS 
TWELVE DYSENTERY BACILLARY ONE 
DYSENTERY UNCLASSIFIED THREE TY- 
PHOID FEVER TWO MALARIA TWO GON- 
ORRHEA FOUR SYPHILIS POUR TETANUS 
ONE FEVER UNDIAGNOSED FOUR W 
TWENTY THREE X TWENTY FIVE Y ONE 
TWENTY FOUR. 
JONES. 
■ 73. Special Telegraphic Reports of Epidemic Diseases.— 
a. Within the continental limits of the United States.—(l) 
Unusual epidemic diseases.—Upon the occurrence of the first 
recognized initial case of yellow fever, typhus fever, cholera, 
or plague in any individual at a military station or with a 
command in the field within the continental limits of the 
United States, the senior medical officer on duty therewith 
will report it to the commanding officer of the station or 
command and will at the same time make immediate tele- 
graphic report thereof to the Surgeon General and to the 
surgeon of the corps area. 
(2) Other epidemic diseases.—Diseases listed under “Spe- 
cial Instructions” (Form 86ab) and those of special impor- 
tance not listed (see par. 727(4)) will be reported in the rou- 
tine statistical report, except that any communicable disease 
occurring at a station or in a command to such an alarming 
extent as to justify its immediate report will be reported by 
telegraph as prescribed in (1) above. 
(3) Definition of initial case.—A case of an acute commu- 
nicable disease will be considered as an initial case, within the 
meaning of this paragraph, when it occurs at a station or in 
a command where no other case of the same disease is pres- 
ent or where no other case at the station or in the command 
has served as a source of infection for the case in question, 
b. Beyond the continental limits of the United States.— 
For troops serving beyond the continental limits of the 
87 73-75 
MEDICAL FIELD MANUAL 
United States, the telegraphic report will be made to the 
department surgeon or chief surgeon of the expeditionary 
force in the field and to such other intermediate administra- 
tive authorities as may have been designated by the com- 
manding general of the department or expeditionary force. 
If the outbreak is considered of sufficient importance, imme- 
diate telegraphic report will be made to the War Department 
by the commanding general of the department or expedi- 
tionary force. 
■ 74. Special Reports of Acute Communicable Diseases 
Prevailing at Stations When Troops Transferred.—a. 
When accompanied by a medical officer.—When troops are 
transferred from one station to another, the senior medical 
officer of the station from which the troops are departing 
will inform the medical officer accompanying the troops of 
the acute communicable diseases, if any, prevailing at his 
station. The information so furnished will be reported to the 
surgeon of the new station immediately after arrival. 
b. When not accompanied by a medical officer.—Should 
no medical officer accompany the troops changing station, 
the senior medical officer of the station from which the 
troops are departing will report by telegraph to the com- 
manding officer of the new station the acute communicable 
diseases prevailing at his station. If no acute diseases prevail 
at the post, report will be by letter given to the officer or the 
enlisted man in charge of the troops being transferred who 
will deliver it to the commanding officer or his representative 
at the new station immediately upon arrival thereat. 
■ 75. Reports of Acute Communicable Diseases Occurring 
Among Troops En Route.—a. When accompanied by a medi- 
cal officer.—Should acute communicable diseases occur in a 
command en route to a new station, the senior medical officer 
accompanying the troops will report the nature and extent of 
the outbreak by telegraph to the commanding officer of the 
station or command to which the troops are en route, and a 
duplicate of the telegram will be sent to the surgeon of the 
corps area or expeditionary force to which the troops are 
being transferred. 
b. When not accompanied by a medical officer.—Should no 
medical officer accompany the troops changing station, the 
88 RECORDS OF MORBIDITY AND MORTALITY 
75-76 
officer or enlisted man in charge will likewise report such 
information as he may be able to obtain. 
■I 76. Reports of Births, Deaths, and Cases of Acute Com- 
municable Diseases to Civil Health Authorities.—a. Medi- 
cal officers required to have knowledge of civil regulations.— 
The senior medical officer of each station or command will 
acquaint himself with the civil laws and regulations which 
govern the reporting of communicable diseases, of births, 
and of deaths in the community in which such station or 
command is located. 
h. Character of reports required.—ln accordance with such 
local health laws and regulations the senior medical officer 
will report promptly through the commanding officer to the 
proper civil health authority all births, deaths, and cases of 
communicable disease occurring at the military station or in 
the command. These reports are in addition to those required 
by the military authorities. The reports of births and of 
deaths become of permanent record in the office to which they 
are sent and are often of great legal importance; conse- 
quently, the original copy bearing the signature of the report- 
ing officer will in all cases be forwarded. 
c. Civil health authorities to he informed of duplicates 
submitted to the Bureau of the Census.—Since the regula- 
tions require that all births and deaths occurring at military 
stations or in military commands in any State, Territory, or 
insular possession of the United States be reported to the 
Bureau of the Census, Washington, D. C. (par. 77), in sub- 
mitting such reports to the civil health authorities a notation 
will be made on the form provided, “Case reported to the 
Bureau of the Census.” 
d. Notification of communicable disease in persons sepa- 
rated from the military service.—Upon the separation from 
or rejection for enrollment in the active military service of 
any individual who is suffering from a reportable communi- 
cable disease, his name, prospective address, and the disease 
from which he is suffering will be reported to the board of 
health of the State in which he contemplates making his 
home. These instructions include the reporting of venereal 
diseases when the State in question requires such notification. 
89 77-78 
MEDICAL FIELD MANUAL 
H 77. Reports of Births and Deaths to the United States 
Bureau of the Census.—a. Character of the report required.— 
In addition to the reports otherwise required, all births and 
deaths occurring at a military station or in a military com- 
mand in any State, Territory, or insular possession of the 
United States will be reported to the Director of the Census, 
Washington, D. C. These reports will be made on special 
forms supplied by the Bureau of the Census, which forms 
may be obtained by direct request to that office. 
b. Bureau of the Census to be informed of report furnished 
to civil health authority.—When the same form is used in 
reporting births and deaths to the civil health authorities, 
a carbon copy may be forwarded to the Bureau of the Census, 
since such reports are used by the Bureau of the Census for 
tabulating vital statistics only and are not made of perma- 
nent record there. Should an original report be made, a 
notation will be added “Original signed report furnished to 
the health authorities of (city or county), 
(State) ” 
■ 78. Tables and Charts of Disease Rates.—a. General in- 
structions.—Tables and charts of disease rates based on data 
secured from the weekly statistical report (Form 86ab) will 
be compiled and kept constantly available in the office of 
the senior medical officer of all military stations with an 
average strength of 250 or above, in the office of the chief 
surgeon of corps areas and departments, in the office of the 
chief surgeon of an expeditionary force, and in the office of 
The Surgeon General, under such instructions as to secrecy 
in time of actual or threatened hostilities as may be directed. 
b. Importance of comparative rates.—Successful advances 
in disease control are reflected in the lowering of admission, 
death, and noneffective rates, and the degree of success 
attained can usually be measured by comparing current rates 
with those previously existing. If the statistical data cover 
a period of 1 month, the current rates can often be compared 
to advantage with those of the previous month, frequently 
with those of the same month of the preceding year, and 
under certain circumstances with rates obtained by averag- 
ing the rates for the same month for a considerable number 
of years, proper weight being given to variations in strength. 
90 RECORDS OF MORBIDITY AND MORTALITY 
78-79 
c. Tables to be kept current.—Statistical tables prepared 
from the data obtained from the weekly report will be kept 
current for the following items: 
(1) Strength of command. 
(2) Annual mean noneffective rate. 
(3) Number of cases and annual admission rate per 1,000 
for— 
(a) All causes. 
Ib) Disease only. 
(c) Venereal diseases. 
(d) Common respiratory diseases. 
(e) Diarrheal diseases. 
if) Injuries produced by external causes other than 
wounds received in action. 
ig) Such other diseases as the conditions warrant or as 
may be designated from time to time by The Surgeon General 
or by the surgeon of an expeditionary force or corps area. 
d. Current graphic statistical charts.—Current graphic 
statistical charts will be maintained on W. D., M. D. Form No. 
85 (Vital Statistics Chart) showing the current annual rate 
per 1,000 by weeks or by months, of such of the data as are 
referred to in c above. These will be available at all times 
for examination by inspectors, commanding officers of 
stations, and other authorized persons. 
Section XI 
CASUALTY REPORTS 
a 79. Reports to GHQ of a Field Force and to Relatives.— 
a. General.—GHQ of a field force will be supplied with nomi- 
nal reports of casualties. These reports will be initiated by 
the Medical Department and by units of the Graves Regis- 
tration Service, and forwarded to a Central Record Office. 
The repoorts will be rendered on Forms 86d and 86f, M. D. 
(figs. 79-80). 
b. Instructions for preparation and forwarding of casualty 
reports. 
(1) (a) By station, surgical, evacuation, and general hos- 
pitals.—Station, surgical, evacuation, and general hospitals 
will forward daily to the Central Record Office duplicate re- 
262292o—4o 7 
91 79 
MEDICAL FIELD MANUAL 
ports of casualties received or disposed of and, in addition, 
reports of patients under treatment whose condition is so 
serious as to warrant information to that effect being trans- 
mitted to their relatives. The casualties to be reported will 
consist of all those wounded in battle or by an act of the 
enemy, including those affected by chemical warfare agents, 
all cases of serious injury other than battle casualties, and 
all cases of serious illness. Casualty reports will be rendered 
for members of all forces of the United States, for attached 
civilians, and for allied and enemy troops. 
(b) By medical regiments, battalions, and squadrons, and 
medical detachments.—Elements of medical regiments, bat- 
talions, and squadrons, and medical detachments will for- 
ward duplicate reports of casualties daily to the surgeons of 
their commands for transmittal to the Central Record Office, 
The cases to be reported will be those dying while in the 
hands of these units and those killed in action for whom 
accurate information as to name, serial number, and emer- 
gency address can be obtained. 
(e) By the Graves Registration Service.—Units of the 
Graves Registration Service will forward to the Central 
Record Office duplicate casualty reports of the dead initially 
interred or whose bodies are otherwise disposed of. 
(d) By burial parties.—Burial parties other than members 
of the Graves Registration Service will prepare casualty re- 
ports in duplicate for the dead whose bodies they inter or 
otherwise dispose of. These reports will be prepared by med- 
ical personnel attached to such parties and be forwarded 
through unit surgeons to the surgeon of the command for 
transmittal to the Central Record Office. 
(2) In cases of death, serious injury, or serious illness 
occurring at such places that casualty reports will not have 
been rendered as provided in (1) above, the medical officer 
who becomes cognizant of the facts will forward a casualty 
report in duplicate to the Central Record Office. This pro- 
vision will apply in the cases of members of the armed forces 
of the United States and attached civilians. 
(3) The casualty reports rendered under the provisions 
of (1) (b), (c), and (d) above will pertain to the same classes 
of personnel as those mentioned in (1) (a) above. 
92 RECORDS OF MORBIDITY AND MORTALITY 
79-80 
(4) At the Central Record Office the original report will 
be mailed immediately in a window envelope which exposes 
the emergency address, and by the most expeditious mail 
service available. If the person reported upon is a member 
of other United States forces, of attached civilian organiza- 
tions, of allied or enemy forces, the original report will be 
conveyed to such other bodies in such manner as may have 
been agreed upon. 
(5) The information on the duplicate reports will be trans- 
scribed to the personnel records of the individuals concerned. 
It will also be used for the preparation of telegraphic reports 
of casualties to the zone of the interior and for the prepara- 
tion of such numerical and nominal lists of casualties as may 
be required by GHQ. The duplicates will thereafter be for- 
warded to The Surgeon General for use in studies of the 
medical service in a theater of operations. 
■ 80. Records of Casualties at Medical Department Instal- 
lations, Theater of Operations.—a. General.—During com- 
bat, aid stations, stations of elements of medical regiments, 
battalions, and squadrons, and surgical and evacuation hos- 
pitals will record patients received and evacuated and will be 
prepared to supply periodic numerical and occasional nom- 
inal reports of patients as such reports may be required. 
b. (1) The record of receipt and of evacuation of patients 
will be kept on Form 86e, M. D. (par. 8, app.), “Station 
Log.” The sheets of the record when more than one sheet is 
used will be numbered consecutively, beginning with 1 for 
each day’s use. The identifying elements of the record, viz., 
unit, location, date, and period will be entered on each sheet. 
Ordinarily, it will be possible that a sheet having been filled 
at the receiving section may be passed on to the forwarding 
section of a station for entry of disposition of the patients, 
but at other times it will be necessary that the forwarding 
section enter the record of disposition on another sheet. 
That this has been done will be indicated by lining out the 
heading “Patients received.” In such cases the forwarding 
section will enter the patient’s name, serial number, grade, 
and organization on the record under the heading “Patients 
received” and mark it duplicate (dup.). 
93 80 
MEDICAL FIELD MANUAL 
(2) The entry of the name and serial number will be made 
by stamping these by means of the identification tag and 
a hand stamping machine. No exceptions will be made to 
this rule other than those inevitable because of the absence 
of the tag or nonavailability of the stamping machine. In 
these instances great care will be taken to assure that the 
name and serial number are entered correctly. 
(3) This record will be used for the preparation of such 
daily or more frequent reports as may be required by unit 
commanders. They will also be used for the preparation of 
daily numerical reports of patients to regimental and similar 
unit surgeons, such being necessary in order that regimental 
surgeons may prepare the statistical reports required by Sec- 
tion XII. The records for each week (ending midnight 
Friday) will be assembled and forwarded, through medical 
channels, to The Surgeon General. 
(4) At evacuation hospitals the “Station Log” will be used 
in the record office for preparation of the index of patients, 
see paragraph 66. 
94 Appendix 
EXAMPLES AND DESCRIPTIONS OP METHODS OF 
PREPARATION OF MEDICAL DEPARTMENT RECORDS 
PERTAINING TO MORBIDITY AND MORTALITY 
B 1. General.—a. It is essential to the purposes for which 
sick records are used in the administrative offices of the 
War Department that they have all data pertinent to a 
thorough presentation of the cases, that they contain no ex- 
traneous material, and that they be prepared in such manner 
as to facilitate their examination and the extraction of data 
from them. The necessity for adhering to the types of entries 
shown herein will be understood by medical men when it is 
appreciated that the records are examined and filed by cler- 
ical personnel who do not have medical training, who, there- 
fore, are not at liberty to interpret the records, but must use 
them as presented. 
b. Form 52, M. D., ordinarily referred to as the sick and 
wounded card, forms 52b and 52c, the emergency medical 
tag, and the field medical card are the most important report 
forms in use for the purposes discussed in this manual. Form 
51 (Report Sheet) must be prepared with great care in order 
that every unit of the Army may be accounted for in the sick 
records. Space does not permit exhibition of the complete 
form in the majority of examples which are shown below, only 
those portions of a form are used which are pertinent to the 
matter illustrated. 
H 2. Form 52 M. D. (size 3% by BV2 inches.—a. This form is 
used as a register card and as a report card. In peacetime, 
every case of illness or injury is recorded on this form, with 
certain additions and exceptions (see pars. 4 and 85). The 
record is forwarded to the office of The Surgeon General 
where it is examined as to accuracy, the information borne 
extracted for tabulation purposes and the record transmitted 
to the office of The Adjutant General where it is filed with 
the individual’s personal records. 
95 2 
MEDICAL FIELD MANUAL 
(1) Face of card. 
1. REGISTER NO. 
2. 
SURNAME 
3. CHRISTIAN NAME 
. A. S. HO. 
S. RANK 
6, COMPANY 
7. REGIMENT AND 
ARM OR SERVICE 
8. ACE 
9. 
RACE 
10. NATIVITY 
11. SERVICE 
12. DATE Of ADMISSION 
13. 
SOURCE Or ADMISSION 
14, 
CAUSE Or ADMISSION 
15. LINE or DUTY 
16. INJURY CODE 
17. 
ADDITIONAL WAiNCSES, OPERATION! 
s 
18. 
PLACE or TREATMENT 
IB, 
DISPOSITION 
20. 
date or disposition 
21. 
MAKE OP HOSPITAL 
22. 
sun NTH REKWT OV 9. • «. POR 
MONTH OP 
23. 
Medical Corps, U. S. Army. 
Form 62 , 
MEDICAL DEPARTMENT, U. 6. A. 
(Revised March 16,193S) 
3—3023 
96 RECORDS OF MORBIDITY AND MORTALITY 
2 
(2) Back of card.—The upper portion of this surface of the 
card is used for extension of entries from the face of the 
card. 
24. DAYS OF TREATMENT IN CURRENT CASE 
YEAR 19 
IN QUARTERS 
IN HOSPITAL 
January. . 
February. 
March. 
Anril 
May 
June 
July ... 
August ... 
September. . 
October ... 
November 
December 
Total 
Aggregate patient days 
V. 8t GOVERNMENT PRINTING OFTTCR 3 8C23 
b. Examples of entries.—(l) The following example illus- 
trates the correct record of a case treated in hospital (par. 
4a) also the entry as to histological examination of tissues 
(par. 16b). 
97 2 
MEDICAL FIELD MANUAL 
1. REGISTER NO. 
184 
2. SURNAME 
3. CHRISTIAN NAME 4. A. S. NO. 
Willisos 
John F. 7864392 
5. RANK 
Pvt 
6. COMPACT 
A 
7 REGIMENT AND ARM OR SERVICE ( B. AGE 
6th Inf 1 24 
0. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE OF ADMISSION 
W 
Ga 
2-4/12 
Jan. 16. 1940 
13. SOURCE OF ADMISSION 
Command 
14. CAUSE OF ADMISSION 
Appendicitis, 
acute, 
suppurative. 
,5-Lm" Xea__ 
16. INJURY CODE 
17. ADDITIONAL DIAGNOSES. OPERATIONS 
Jan. 16, 1940, Appendectomy 
Histological examination of specimen 
reveals appendicitis, acute, suppurative 
18. PLACE OF TREATMENT 
Hosn 
19. ourostnoN 
Duty 
20. DATE OF DISPOSITION 
Jan. 3D, 1940 
21. NAME OF HOSPITAL 
Station Hosnital. Fort Jay. N. Y. 
£2. SENT WITH REPOR" Of 
.Ton IQ-IQ 
23. 
C. L. Smith 
J.t Hril Medical Corps, U. S. Army. 
Form 53 3—3023 
MEDICAL DEPARTMENT, TJ. S. A. 
(Revised March 16,1938) 
98 RECORDS OF MORBIDITY AND MORTALITY 
2 
(2) The following example illustrates the entry of days of 
treatment of the case shown in (1) above. 
24. DAYS OF TREATMENT IN CURRENT CASE 
YEAR 19.4Q. 
IN QUARTERS 
IN HOSPITAL 
Januarv.. 
14 
"February 
M arch 
April 
May 
July 
Alienist. 
September 
October 
November 
December 
TDT AT. 
.14 
Aggregate patient days —14. 
V. 8. GOVERNMENT PRINTING OFFICE 3 3623 
(3) The following example illustrates the entry required 
under paragraph 4a in the case of an infant born in a 
hospital. 
99 2 
MEDICAL FIELD MANUAL 
1. REGISTER NO. 
194 
2. SURNAME 
3. CHRISTIAN NA 
ME 
. A. S.N0, 
Jones 
Mary A. 
S. RANK 
6. COMPANY 
7. REGIMENT AND 
ARM OR_ SERVICE 
8. ACC 
Infant 
daughte 
r of enlisted man 
— 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE OF ADMISSION 
W 
N.Y. 
Jan. 18 
1940 
13. SOURCE OF ADMISSION 
Par. 6 h 
(6) AR 40-590 
14. CAUSE OF ADMISSION 
Born 7:10 A.M. 
Father: Alfred L. Jones, 7846319 
Pvt B Co., 6th 
Inf., Age 32 
Mother: 
Mary F 
. Jones (Allen), Age 30 
15. tore of ourr 
16. INJURY CODE 
17. ADDITIONAL. DIAGNOSES, OPERATIONS 
18- PLACE OF TREATMENT 
Hospital 
19. DKPOMTION 
Discharged from hospital 
20. DATE OF DISPOSITION Fol). 3, 1940 
21. NAME OF HOSPITAL 
Station Hospital. Fort Jay. N. Y. 
22. SENT WITH REPORT OF S. A U. FOR MONTH OF 
Feb. 194Q 
23. 
C. L. Smith 
Ijt. CoX - t Medical Corps, V. S. Army. 
Form 62 3—3623 
MEDICAL DEPARTMENT, TJ. S. A. 
(Revised March 15, 1938) 
100 2 
(4) The following example illustrates the entries as to a 
case treated in quarters (par. 4b). 
RECORDS OF MORBIDITY AND MORTALITY 
1. REGISTER NO. 
212 
2. SURNAME 
3. CHRISTIAN N/ 
ME 
. A. S. NOl 
Williams 
Henry F. 7420130 
S. RANK 
Pvt 
a. COMPANY 
A 
7. REGIMENT AND ARM OR SERVICE 
6th Inf 
e. Acc 
20 
9. RACE 
>0. NATIVITY 
II. SERVICE 
12. DATE Of ADMISSION 
w 
N. Y. 
2/12 
Feb. 14. 
1940 
13. SOURCE OF AO* 
Command 
Pes planus, 2nd degree, bilateral, 
moderately severe. EPTE 
’5-LM“Dm Ko 
16. INJURY CODE 
18. PEACE or TREATMENT 
Qrs 
19. DISPOSITION 
Duty, improved 
20. bets or disposition MclPCll 16, 1940 
21. NAME OF HOSPITAL 
Station Hospital, Fort Joy, N. Y. 
”• S“T *m ™ “™ “F March 1940 
23. 
C, L. Smith 
lit Hnl Medical Corps, U. S. Army. 
Form 52 a—3023 
MEDICAL DEPARTMENT, U. S. A. 
(Revised March 15, 1838) 
101 2 
MEDICAL FIELD MANUAL 
(5) The following example illustrates the entries required 
in a case treated where patient is not relieved from duty, the 
record of the treatment being considered important (par. 4c). 
t. REGISTER NO. 
215 
2. SURNAME 
Albert, 
William H. 7913416 
S. RANK 
Pvt 
6. COMPANT 
c 
7. REGIMENT AND ARM OR SERVICE 
6th Inf 
25 
W 
10. NATIVITT 
Ind 
II. SERVICE 
2-8/12 
Feb. 16, 
1940 
source or acmissmn Command, Carded for record 
only. 
14. CAUSE OF ADMISSION 
Wound, incised, £ inch long, thenar 
eminence right hand, accidentally in- 
curred when piece of corrugated iron, 
which patient and another soldier were 
placing in police wagon, slipped and 
sharp corner struck patient's hand. 
,s.u™, Yes 
16. INJURY CODE 
17. ADDITIONAL DIAGNOSES. OPERATIONS 
18. PLACE OF TREATMENT 
19. DUroSiTION 
Performing full duty 
20. DATE OF DISPOSITION 
Feb. 16. 1940 
21. NAME OF HOSPITAL 
22. SENT WITH REPORT OF 
S. aw. FOB MONTH OF 
23. 
Medical Corps, U. S. Army. 
Form 52 3—3623 
MEDICAL DEPARTMENT, U. S. A. 
(Revised March 15, 1038) 
102 2 
RECORDS OF MORBIDITY AND MORTALITY 
(6) The following example illustrates the entries in spaces 
13, 14, 15, and 19 of an enlisted man not treated in the hos- 
pital and discharged the service because of inaptitude (par, 
4e). 
is. source of Carded for record only; 
not currently on the register, 
14. CAUSE OF ADMISSION 
Mental deficiency. Moron state. EPTE 
15. LINE OF DUTY 
,9-“,0N Discharged the Service under 
provision of Sec. VIII Jffi. 615-360 
20. DATE OF DISPOSITION Feh, 16, 1940 
(7) The following example illustrates the entries in spaces 
1, 13, and 14 in the case of a patient transferred elsewhere 
for treatment (par. 4/). 
1. REGISTER NUl 614 — 912 
is. source of admission Command • Carded for transfer 
only; on full duty while with the command. 
14,. CAUSE OF ADMISSION 
Diabetes mellitus, severe. (Old, this 
station. Sept. 14, 1939. Diabetes mel- 
litis, mild. Register No, 614.) 
(8) The following example illustrates the entries in spaces 
1 and 14 in the case of a patient received by transfer (par. 
4/). 
I. REGISTER NO. 1846 
14. CAUSE OF ADMISSION 
Diabetes mellitus, severe. (Old, Station 
Hospital, Ft. Jay, N.Y., Sept. 14, 1939, 
Register No. 614). 
103 2 
MEDICAL FIELD MANUAL 
(9) The following example illustrates the entries in the 
case of a patient departing from the command on sick leave 
(par. 4g) and returning to duty on completion of leave (par. 
25b). 
1. REGISTER NO. 
1816 - 
2016 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE OF ADMISSION 
Peh. 18. 1940 
,3.S0URCECE“N Command. Carded for record 
only; not currently on the register. 
74. CAUSE OF ADMISSION 
Ulcer, duodenal, mild. (Old, this 
hospital. Oct. 16, 1939. Ulcer, duodenal, 
severe. Register No. 1642). 
19. DISPOSITION 
Sick leave one month, improved 
20. DATE OF DISPOSITION Pet , 18, 1940 
104 RECORDS OF MORBIDITY AND MORTALITY 
2 
(10) The following example illustrates the proper entry in 
the case of the death of a person not under treatment In 
quarters or hospital (par. 4h). 
9. RACE 
10. NATIVliy 
11. SERVICE 
12. DATE OF ADMISSION 
Jan. 16. 1940 . 
is. source of admission Command. Carded for record 
only. 
i9. disposition Death accidental, caused by com- 
plete crushing of the skull. The soldier, 
while at drill and riding the wheel (a) 
2(J. DATE OF DISPOSITION JO.n» 16, 1540, 
and the following on the hack of the card 
(a) horse of an artillery team, was thrown 
to the ground when the animal reared and 
his skull was crushed "between the gun 
wheel and the ground. This station, this 
date, 10 A.M. No autopsy. 
(11) The following example illustrates the entry in a case 
taken up for treatment because of a complication following 
the extraction of a tooth. The extraction of the tooth would 
itself not have been made of record on Form 52, M. D. (par. 
4 i). 
S. RACE ! 10. NATIVITY 
11. SERVICE 
12. DATE OF ADMISSION 
! 
Jan. 16, 1940 
13. SOURCE 0? ADMISSION 
Command 
14. CAUSE OF ADMISSION 
Cellulitis, severe, left side of face, 
secondary to extraction of carious tooth 
I 6, this station, Jan. 14, 1940. 
105 2 
MEDICAL FIELD MANUAL 
(12) The following example illustrates the incorrect en- 
tries in spaces 17 and 19 in the case of a Reserve officer on 
active duty who reverted to an inactive status. 
I. REGISTER NO. 
163797 
5. RANK 
6. COMPANY 
7. REGIMENT AND ARM OR SERVICE 
FA-Res EAD 
8. AGE 
9. RACE 
10. NATIVITY 
II. SERVICE 
12. DATE OF ADMISSION 
Nov. 21, 
1939 
13. SOURCE OF ADMISSION 
Command 
17. ADDITIONAL DIAGNOSES. OPERATIONS 
Nov7^6>-JL939• Reverted to inactive 
status $117, Hq 3rd 
CA Baltimore, 1939- 
10. DISPOSITION 
20. DATE OF DISPOSITION 
Jan. 9, 
rom hospital 
1940 
106 RECORDS OP MORBIDITY AND MORTALITY 
2 
(13) The following example illustrates the correct method 
of recording the case of a patient whose status was changed 
from that of a militarized person to a civilian (par. 4j). 
1. RENTER NO. 
CORRECTION GAEL 
163797 
S. RANK 
6. COMPANY 
7. REGIMENT AND ARM OR SERVICE 
PA-Res PAD 
0. AGE 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE OF ADMISSION 
Nov. 21. 1939 
!3. SOURCE OF ADMISSION 
Command 
19. DISPOSITION 
Reverted to inactive status per 
Par 12, 
SO #117, Hq 3rd GA Baltimore, Md., 
dated May 19, 
1939. Remaining in 
(a) 
20. DATE OF DISPOSITION 
Roy. 
30. 1939 
Cb) 
and the following on the back of the card 
(a) hospital as Reserve Officer not on 
active duty, see Register No. 163947, (c) 
(b) Corrected Entry 
(c) Corrected Entry 
262292°—40 8 
107 MEDICAL FIELD MANUAL 
<T4) The following example illustrates the entry in space 
13 in a case of a former militarized person whose status 
changed to that of a civilian while in hospital, and whose 
treatment was continued on a civilian basis (par. 4?), It also 
illustrates in space 19 the proper entry in the disposition of a 
civilian patient. 
i- register no. 163797 - 163947 
5. RANK 
6. COMPANY 
7. REGIMENT AND ARM OR SERVICE 
FA-Res Not on (a) 
8. AGE 
9. RACE 
10. NATIVITY 
II. SERVICE 
12. DATE OF ADMISSION 
Dec. 1, 1939 
is. source of adm.ss.oh jeinainj,ng ia hospital from pre- 
vious admission. See Reg No 163797. 
IS. DISPOSITION 
Discharged from hospital 
2Q. DATE OF PISPOSITiOM ___ Jan. 9, 1940 
and the following on the back of the card 
(a) active duty. Formerly FAD. 
108 RECORDS OF MORBIDITY AND MORTALITY 
(15) The following example illustrates the record of a 
case treated in a civilian hospital (par. 4fc). 
9. RACE 
10. NATIVIU 
11. SERVICE 
12. DATE OF ADMISSION 
July 8, 1940 
13. SOURCE OF ADMISSION 
Command 
Fracture, simple, transverse, complete, 
middle third femur, right, accidentally 
incurred while playing polo, Windale 
Field, near Boston, Mass., July 8, 1940, 
when patient’s mount collided with that 
of another player and patient was thrown 
violently from his mount his right thigh 
striking the side hoard of the field. 
18. PUCE OF TREATMENT 
Massachusetts 
General Hospital. 
Boston (a) 
19. DISPOSITION 
20. DATE OF DISPOSITION 
Duty 
Dpt., 1ft 1040 
21. NAME OF HOSPITAL 
Station Hospital, Fort Devens, 
Mass. 
22. SENT WITH REPORT OF S. ft W. FOR MONTH OF 
Oct. 1940 
and the following on the hack of the card 
(a) Mass, to Station Hospital Fort Devens, 
Mass. Aug. 22, 1940. 
109 (16) The following example illustrates the proper method 
of attaching an extension slip to the report card (par. 6b). 
24. DAYS OF TREATMENT IN CURRENT CASE 
YEAR 19 
IN QUARTERS 
IN HOSPITAL 
January. 
Fohrnnry 
March.. 
April 
May 
June 
July 
August, 
September 
October — 
November 
December 
Total - 
Aggregate patient days 
C. 8. OOVFRNMUKT PRINTING OFFICR 3 3023 
(EXTENSION SLIP) 
110 RECORDS OF MORBIDITY AND MORTALITY 
(17) The following examples illustrate the proper assign- 
ment of register numbers to cases. Register numbers are to 
be assigned in alphabetical order by date of admission. The 
three patients, James, Arthur, and Hart, were admitted on 
January 15. The first number of that day, 896, should have 
been assigned to Arthur, the second, 897, to Hart, and the 
third, 898, to James. However, number 898 was assigned to 
Ackerman on January 16; therefore, it is necessary to assign 
to James the half number 897 The second admission on 
January 16 was given number 899 (par. 7). medical field manual 
1. REGISTER NO. 
—€ 
\9-7- 
2. SURNAME 
Arthur 
3. CHRISTIAN NAME 4. A. S. NO. 
James C. 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE OF ADMISSION 
Jan. 15, 1940 
CORRECTION CARD 
1. REGISTER NO. 
896 (a.) 
2. SURNAME 
Arthur 
3. CHRISTIAN NAME A. S. NO. 
James C. 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE OE ADMISSION 
Jan. 15. 1940 
and the following on the back of the card 
(a) Corrected Entry 
1. REGISTER NO. 
-899- 
2. SURNAME 
3. CHRISTIAN NAME 4. A. S. NO. 
Hart 
Leroy F. 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE OF ADMISSION 
Jan. 15, 1940 
CORRECTION CARP 
1. REGISTER NO. 
897 (a) 
2. SURNAME 
Hart 
3. . IRISTIAN NAME 4. A. S. NO. 
Leroy 3T. 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE OF ADMISSION 
Jan. 15, 1940 
and the following on the hack of the card 
(a)Corrected Entry 
112 RECORDS OF MORBIDITY AND MORTALITY 
1. REGISTER NO. 
ppp 
2. SURNAME 
3. CHRISTIAN NAME 4. A. S. NO. 
James 
Frederick A. 
9. RACE 
10. NATIVITY 
11. SERVICE 
52. DATE OF ADMISSION 
Jan. 15, 1940 
CORRECTION CARD 
t. REGISTER NO. 
897| (a) 
2. SURNAME 
James 
3. -CHRISTIAN NAME 4. A. S. NO. 
Frederick A- 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE OF ADMISSION 
Jan. 15, 1940 
and the following on the back; of the card 
(a) Corrected Entry 
1. REGISTER NO 
898 
2. SURNAME 
3. CHRISTIAN NAME 4. A. S. NO. 
Ackerman 
Franklin !B. 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE OF ADMISSION 
Jan. 16. 1940 
I. REGISTER NO. 
899 
2. SURNAME 
3. CHRISTIAN NAME 4. A. S. NO. 
Blake 
John K 
9. RACE 
10. NATIVITY I 11. SERVICE 
12, DATE OF ADMISSION 
1 
Jan. 16, 1940 
113 MEDICAL FIELD MANUAL 
(18) The following example illustrates the incorrect entry 
of the name. The first name is not to be abbreviated or an 
initial to be used for it (par. 8). 
2. SURNAME 
3. CHRISTIAN NAME 
4. A. S. NO. 
Brown 
-xT; D. _ 
(19) The following example shows the method of correct- 
ing the improper entry of the first name. If the individual 
has no middle name, an entry to that effect must be made, 
as for example, Smith, Alfred None. If any portion of a 
name is peculiar to the extent that it may be considered to 
have been recorded erroneously, a statement should be made 
that the entry has been verified (par. 8). 
CORRECTION CARD 
1. REGISTER NO. 
2. SURNAME 
Brown 
3. CHRISTIAN NAME 
John (a) D. 
4. A. S. NO. 
and the following on the back of the card 
(a) Corrected Entry 
114 RECORDS OF MORBIDITY AND MORTALITY 
(20) The following example illustrates an improper entry 
of the Army serial number and the correction required 
(par. 9). 
2. SURNAME 
3. CHRISTIAN NAME 4. A. S. NO. 
UUU 9 iJOJL 
5. RANK 
6. COMPANY 
7. REGIMENT AND ARM OR SERVICE 
8. ACC 
24 
9. RACE 
10. NATIVITY 
11. SERVICE 
3/12 
12. DATE OF ADMISSION 
CORHECTION CARD 
1. REGISTER NO. 
2. SURNAME 3. CHRISTIAN NAME 4. A. S. NO. 
6,666,331(a) 
5. RANK 
6. COMPANY 
7. REGIMENT AND ARM OR SERVICE 
8. AGE 
24 
9. RACE 
10. NATIVITT 
II. SERVICE 
3/12 
12. DATE Of ADMISSION 
and the following on the hack of the card 
(a) Corrected Entry 
115 MEDICAL FIELD MANUAL 
(21) The following example illustrates an improper entry 
as to arm or service and the correction required (par. 10a). 
5. RANK 
6. COMPANY 
7. REGIMENT AND ARM OR SERVICE 
8. ACC 
-M-r. 
CORRECTION CARE 
1. REGISTER Ntj. 
2. SURNAME 
3. CHRISTIAN NAME 4. A. S. NO. 
5. BANK 
fL COMPANY 
Hq. & 
M.P, (a, 
7. REGIMENT AND ARM OR SERVICE 
Inf. (b) 
8. ACE 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE OF ADMISSION 
and the following on the back of the card 
(a) Corrected entry. 
(b) Corrected entry, 
(22) The following example illustrates the original entry 
and the correction made necessary by the change of grade 
and assignment of the patient while he was still in hospital 
(par. 10b). 
5. RANK 
6. COMPANY 
7, REGIMENT AND ARM OR SERVICE 
8. age 
Pvt 
A 
80th FA 
CORRECTION CARD 
5. RANK 
6, COMPANY 
Hq and 
Ho .Btr\i 
7. REGIMENT AND ARM OR SERVICE 
8. AGE 
Pvt,1,cl 
(a) 
la) 
60th FA. 
and the following on the back of the card 
(a) May 5. 1940. (b) 
(b) Corrected Entries., 
116 RECORDS OF MORBIDITY AND MORTALITY 
(23) The following example illustrates the entries in spaces 
5, 6, and 7 in the case of a nonmilitary patient (par. 10c). 
t. REGISTER NO. 
1464 
2. SURNAME 
3. CHRISTIAN NAME 
A. A. S. NO. 
Joneg ArtVivi-r .T . 
None 
5. RANK 
Appl.i 
0. COMPANY 7. REGIMENT AND ARM OR SERVICE 
cant fQir enlistment. 
8. ACE 
ZA 
(24) The following example illustrates the proper entry in 
the case of a garrison prisoner (par. 10d). 
1. REGISTER NO. 
1963 
2. SURNAME 
Williams 
3. CHRISTIAN NAME 
Henry P. 
a. A. S. NO. 
8916416 
5. RANK 
Pvt. 
ASTO p: 
A 
'i AR*0R SERV1CE 
5th Inf- 
8. ACE 
24 
(25) The following example illustrates the proper entry in 
the case of a general prisoner whose dishonorable discharge 
has been completed (par. 10d). 
1. REGISTER NO. 
4693 
2. SURNAME 
Phil ins 
3. CHRISTIAN NAME 4. A. S. NO. 
J ohn G. None 
5- "Sent 
Pvt. 
ifaTBri 
C 
swsptrtf.'msfi, 
9th Inf. 
8. AGE 
22 
(26) The following example illustrates the proper entry in 
the case of a general prisoner whose dishonorable discharge 
has been suspended (par. lOd), 
1. REGISTER NO. 
8462 
2. SURNAME 
Jones 
3. CHRISTIAN NAME 
Alfred K. 
4. A. $. NO. 
8614913 
5. RANK 
Gen. 
6. COMPANY 
Pris. D 
P 
7. REGIMENT AND ARM OR SERVICE 
•D. Snsn. Formerly 
3rd F-A. 
8. ACE 
30 
117 MEDICAL FIELD MANUAL 
(27) The following example illustrates the use of abbrevia- 
tions to indicate race, “W” meaning white, and State, “Ga.” 
meaning Georgia. It also illustrates the entry in the case 
of an individual who has had less than one month’s military 
service (pars. 12, 13, and 14). 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE OF ADMISSION 
W 
Ga. 
11/365 
(28) The following example illustrates the entry in the 
case of an individual with less than one year’s service 
(par. 14). 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE Of ADMISSION 
8/1,? 
(29) The following example illustrates the entry in the case 
of an individual with more than a year’s service (par. 14). 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE OF ADMISSION 
2-4/12 
(30) The following example illustrates the improper and 
proper methods of recording the date of admission (par. 15). 
9. RACE 
10. NATIVITY 
11. SERVICE | 12. DATE OF ADMISSION 
1 -4/16/40- 
CORHEOTION CARD 
1. REGISTER NO. 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE CF ADMISSION 
1940 
and the following on the back of the card 
(a) Corrected entry 
118 RECORDS OF MORBIDITY AND MORTALITY 
(31) The following example illustrates the most customary 
entry as to the source of admission. It means that the indi- 
vidual whose admission is recorded is a member of the mili- 
tary command to which a particular register of patients per- 
tains (par. 16b). 
13. SOURCE OF ADMISSION 
Co remand, , 
(32) The following example illustrates the record in the 
case of an individual assigned temporarily to the station 
(par. 16b). 
13. SOURCE OF ADMISSION 
Command B, Station Port Jay, N. X* 
(33) The following example illustrates the incorrect and 
the correct entries in the case of a patient who is casually 
with the command (par. 16b). 
I3> SOURCE OF ADMISSION 
Casual from _ 
21. NAME OF HOSPITAL 
Station Hospital 
Ft. McKinley. Me. 
CORRECTION CARD 
—ir 
13. SOURCE OF ADMISSION 
Casual; 
(a) 
Stati nn 
Ft. Williams. Me. 
21. NAME OF HOSPITAL 
Station Hospital 
Ft. McKinley, Me, 
and the following on the hack of the card 
(a) Corrected Entry, 
119 medical field manual 
(34) The following example illustrates the entry in the 
case of a patient received by transfer (par. 16c). 
>3. source or *d«IS5.on Formal transfer Fort Banks 
Original admission Jan. 12*1340 Reg.No.6482 
14. CAUSE OF ADMISSION 
(35) The entries in space 14 shown, below indicate that all 
conditions known to be present when the patient is admitted 
are to be recorded under the cause of admission and in their 
proper order as to the condition which is the immediate cause 
for hospitalization (par. 17a and b). Diagnosis 1 shows the 
correct method of entering the case of fracture (par. 17d (8)). 
The condition entered as diagnosis 2 was cured in a few days. 
The fact of such cure is to be recorded immediately following 
the diagnosis (par. 17a). Diagnosis 3in space 14 illustrates 
the proper method of recording a disease that formerly has 
been registered and is taken up currently as a readmission 
(par, 17d(13)). This particular is also illustrated in the 
ninth example in (45) below. The second entry in space 17 
illustrates the fact that the line of duty in a case of untoward 
effect of treatment is to be recorded as “Yes” regardless of 
the line of duty of the disease for which the treatment was 
instituted (par. 18c(2)(b). The entry in space 19 illustrates 
the proper method of recording the condition of patient upon 
discharge (par. 25fc). 
120 RECORDS OF MORBIDITY AND MORTALITY 
9. RACE 
JO. NATIVITY 
11* SERVICE 
12. DATE OF ADMISSION 
Jan. 14, 1940 
14. CAUSE OF ADMISSION 
1. Fracture, simple, transverse, complete, 
distal third radius, right. 
2. Wound, lacerated, moderately severe, 
palm, right hand. Cured Jan. 20, 1940. 
1 and 2 accidentally incurred as the 
patient while at drill fell on his out- 
stretched right hand in jumping over a 
ditch. 
3. Syphilis, latent, manifested by repeat- 
edly positive blood and repeatedly negative 
spinal fluid Wassermann reactions. (Old, 
syphilis, primary, manifested by ulcer on 
glans penis and demonstration of T. (a) 
15. UNE Of DUTY „ ,, n >T 
1 and 2 Yes 3 Ho 
16. INJURY CODE 
17. ADDITIONAL DIAGNOSES. OPERATIONS 
Jail. 14, 1940. Fracture closed treatment 
of by application of plaster of Paris 
cast. 
Jan. 22, 1940. Dermatitis, generalized, 
moderately severe, secondary to admin- 
istration of neosalvarsan for treatment 
of syphilis. L.O.D. Yes. 
18. PLACE OF TREATMENT 
Hospital 
19. DISPOSITION 
Mty, 3 improved. 
20. DATE OP DISPOSITION 
and the following on the back of the card 
(a) pallidum, this station, Aug. 16, 
1939, Reg. Ho. 1416). 
121 MEDICAL FIELD MANUAL 
(36) The following example illustrates the proper usage 
of the expression “cause undetermined” (par. 17d(D). 
14. CAUSE OF ADMISSION 
Furuncle, acute, left uost cervical, 
cause undetermined. 
(37) The following example illustrates the entry when 
the condition present so ill-defined that a positive diagnosis 
cannot be made (par 17d(D). 
14. CAUSE OF ADMISSION 
No disease, ill defined condition of 
the nervous system manifested by mild 
persistent occipital headaches and 
slight tremor fingers of left hand. 
(38) The following example illustrates the recording of 
a condition arising as the result of another disease (par. 
17d(2)). 
14. CAUSE OF ADMISSION 
1. Ulcer, perforating, third interdigital 
space left foot, manifestation of dia- 
betes mellitus. 
2, Diabetes mellitus, moderately severe. 
(Old, this station, Aug. 4, 1928 Register 
No. 1896). 
122 RECORDS OF MORBIDITY AND MORTALITY 
(39) The following example illustrates improper and 
correct entries in a case of pulmonary tuberculosis (par. 
17d(5)). 
14. CAUSE OF ADMISSION 
1, pulmonary, chronic. 
14. CAUSE OF ADMISSION 
Tuberculosis, pulmonary, chronic, active, 
both lobes, left lung, and upper lobe, 
right, with small cavitation left upper 
lobe. 
(40) The following example illustrates incorrect and cor- 
rect entries of an injury and the attending circumstances 
(par. 17d(7)). 
of admission 
WoundTlrunctiired, left thigh; nail in 
hoard into thigh* 
14. CAUSE OF ADMISSION 
Wound , punctured, moderately severe, 
lateral surface, middle third, left thigh, 
accidentally incurred during machine gun 
drill, this date, when the soldier was 
resting and the hoard on which ho was 
sitting tipped and a protruding nail 
therein was driven into the thigh. 
262292°—40 9 
123 medical field manual 
(41) The following example illustrates improper and cor- 
rect entries of diagnosis in a case of inguinal hernia (par 
17d(9)). 
5. RANK 
6. COMPANY 
7. REGIMENT AND ARM OR SERVICE 
8. ACE 
20 
9. RACE 
10. NATIVITY 
11. SERVICE 
1-2. DATE OF ADMISSION 
6/12 
14. CAUSE OF ADMISSION 
Hernia, 
iri^uin 
al, reducible, righ 
s. 
cause undetermine?tr\ 
15. LINE Of DUTY 
Ten 
CORRECTION CARD 
5. RANK 
6. COMPANY 
7. REGIMENT AND ARM OR SERVICE 
8, ACE • 
_2Q 
9. RACE 
10. NATIVITY 
SSlON 
It. SERVICE 
6/12 
DATE OF ADMISSION 
Hernia, inguinal, incomplete, indirect, 
reducible, right; existed nrior to en- 
listment. 
1 a. unc op oinr vr 
lo 
and the following on the hack of the card 
(a) Corrected Entry. 
124 RECORDS OF MORBIDITY AND MORTALITY 
(42) The following example illustrates incorrect and cor- 
rect entries in a case of gonorrhea (par. 17d(10)). 
14. CAUSE OF ADMISSION 
Ure^k£ 
l£is, acute. 
15. LINE OF DUTY 
M 
V 
CORRECTION CARD 
1. REGISTER NO. 
14. CAUSE OF ADMISSION 
Urethritis, acute, gonococcic mild, 
or 
Gonorrhea, acute, mild 
or 
Gonorrheal urethritis, acute, mild. 
IB, LINE or DOTY 
—Ho 
125 MEDICAL FIELD MANUAL 
(43) The following example illustrates proper and im- 
proper entries in a case of nonvenereal urethritis (par. 17d 
(ID). 
14. CAUSE OF ADMISSIOM 
Urethrit-i^, 
.acute, cause undetermined. 
CORRECTION CARS 
7 . REGISTER nu. 
14. CAUSE OF ADMISSION 
Urethritis, acute, non-venereal, 
cause 
undetermined. 
(a) 
and the following on the hack of the card 
(a) Corrected Entry. 
126 RECORDS OF MORBIDITY AND MORTALITY 
(44) The following example illustrates incorrect and cor- 
rect entries as to inflammation of the inguinal lymph glands 
(par. 17d(ll)). 
*4. CAUSE OF ADMISSION 
InguinaTT'-ti 
rdonitis, cause undetermined. 
1. REGISTER NO. 
14. CAUSE OF ADMISSION 
Lymphadenitis, inguinal, left, moder- 
ately severe, nonvenereal, cause un- 
determined, (a) 
Correction card 
and the following on the hack of the card 
(a) Corrected Entry 
127 medical field manual 
(45) The following example illustrates acceptable entries 
of various manifestations of syphilis. 
14. CAUSE OF ADMISSION 
Syphilis, primary, manifested by 
ulcer, dorsal surface, glans penis 
and demonstration of T, pallidum. 
14, CAUSE OF ADMISSION 
Syphilis, secondary, manifested by 
maculo papular rash, trunk, arms 
and thigte and repeatedly positive 
Wassermann and Kahn blood reactions. 
14. CAUSE or ADMBSUJN 
Syphilis, tertiary, manifested by 
gumma anterior portion, middle 
third, left tibia and repeatedly 
positive Wassermann and Kahif blood 
reactions. 
14. CAUSE or ADUfSStON 
Syphilis, type undetermined. 
Manifested by repeatedly posi- 
tive Wdssermann and Kahn blood 
reaction; spinal fluid not ex- 
amined . 
128 RECORDS OF MORBIDITY AND MORTALITY 
14. CAUSE Or ADMISSION 
Syphilis, cerebrospinal, unclassi- 
fied, manifested by repeatedly posi- 
tive Wassermann and Kahn blood re- 
action and repeatedly positive Was- 
sermann reactions in the spinal 
fluid. 
14. CAUSE OF ADMISSION 
Paresis, manifested by characteristic, 
mental abnormality, repeatedly positive 
Yfassermann and Kahn blood reaction, 
repeatedly positive spinal fluid 
VYassermanns and typical colloidal gold 
curves. 
14. CAUSE OF ADMISSION 
Syphilis, cardiovascular, manifested 
by arterial hypertension, dilatation 
of the arch of the aorta, repeatedly 
positive blood ITassermann, history 
of penile ulcer, diagnosis of syphil- 
is and short history therefor. 
14. CAUSE OF ADMISSION 
Syphilis, latent, manifested by 
repeatedly positive blood Tffiasser— 
mann and repeatedly negative Was- 
serma in the spinal fluid. 
129 MEDICAL FIELD MANUAL 
14. CAUSE OF ADMISSION 
1« Syphilis, asymptomatic, symptom 
free, serology negative, treatment 
discontinued, (Old, syphilis, pri- 
mary, manifested by ulcer, dorsal 
surface, glans penis and demonstra- 
tion of T, nallidum, this station, 
Feb. 11, 1939. Reg. Ho. 4680.) 
2, Cephalalgia, severe, secondary 
to spinal puncture, April 12, 1940. 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE OF ADMISSION 
May 16, 1940. 
13. SOURCE OF ADMISSION COimMind . 
only. 
Carded for record 
14. CAUSE OF ADMISSION 
Syphilis, cured (Old, syphilis, 
secondary, manifested by maculo 
papular rash, trunk, arms and 
thighs and repeatedly positive 
Wassermann and Kahn blood re- 
actions; this station Aug. 20, 
1939. Reg. No. 14679.) 
19. DISPOSITION 
Performing full 
duty. 
20. DATE OF DISPOSITION 
Mav 16 
. 1940. 
130 RECORDS OF MORBIDITY AND MORTALITY 
(46) The following example illustrates the method of 
recording a case which has previously been treated in a mili- 
tary hospital (par. 17d(13)). 
14. CAUSE Or ADMISSION 
Ulcer, duodenal, mild (Old, ulcer 
duodenal. Fort Dix, N. J., July 
1939J Patient’s statement. 
(47) The following example illustrates the method of 
recording a case of pneumonia (par. 17d(15)). 
14. CAUSE OF ADMISSION 
Pneumonia, upper lobe, left lung, 
pneumococcus type 111, 
(48) The following example illustrates the entries required 
as to a case of typhoid fever (par. 17d(17)). 
i 4. CAUSE OF ADMISSION , 
Tychoid fever, diagnosis confirmed by 
positive blood culture. Typhoid vac- 
cination completed April 6, 1928, 
April 5, 1921, 
131 MEDICAL FIELD MANUAL 
(49) The following example illustrates the line of duty in 
the case of an enlisted man injured while absent from his 
station without authority (par. 18EK2)). 
Cause of admission 
Wound, lacerated, scalp, fronto- 
parietal region, right, noderate- 
ly severe, Accidentally incurred 
when soldier who was absent with- 
out leave, was unprovokedly at- 
tacked by an unknown person and 
knocked down, his head striking 
the pavement, Pennsylvania Ave. 
and 7th Street, N. W,, Washington, 
D. C., about 11 P. M., May 5, 1940. 
Patient’s statement. 
15. LINE OF DUTY ]\[q 
132 RECORDS OF MORBIDITY AND MORTALITY 
(50) The following example illustrates the entry as to line 
of duty when an enlisted man is injured while in pursuance of 
the private application of business (par. 18b(3)). 
14. CAUSE OF ADMISSION 
Fracture, simple, transverse, com- 
plete, middle portion, proximal 
phalanx, index finger, left* Ac- 
cidentally incurred Columbus, Ga,, 
this date, in a base ball game, 
the soldier receiving pay for his 
participation, when he was struck 
on the hand by a batted ball. 
15. UNE Of DUTV 
133 MEDICAL FIELD MANUAL 
(51) The following example Illustrates the exception of 
the rule that the line of duty of treatment of a case is the same 
as that of the cause of admission. The line of duty for the 
untoward effect of treatment is “Yes,” although the line of 
duty of the basic disease is “No” (par. 18c(2) (b)). 
14. CAUSE OF ADMISSION 
1* Syphilis, latent, manifested by 
positive blood serology and negative 
spinal fluid, Deo. 16, 1939. (‘’Old'1 
Station Hospital, Fort Totten, N. Y., 
June 27, 1939, Register No. 46855 • 
Syphilis, type undetermined, mani- 
fested by repeated positive blood 
serology). 
2. Dermatitis medicamentosa, severe, 
flexor and extensor surfaces of up- 
per and lower extremities, anterior 
and posterior surfaces of trunk and (a) 
15‘L1N£0FDUTY 1 No. 2 Yea. (cl 
and the following on the back of the card 
(a) posterior cervical and posterior 
auricular areas; secondary to the 
intravenous administration of neo» 
arsphenamine in treatment of syphil - 
is, this hospital, Jan. 8, 1940. 
(Soldier has received 30 injections 
of neoarsphenamine)• 
134 (52) The following example illustrates the entry as to line 
of duty when an injury has been investigated by a board of 
medical officers. The statement in space 15 indicates that 
both the line of duty and the relation of circumstances attend- 
ing the injury are in accordance with the findings of the board 
of officers (par. 18c(3)). 
14. CAUSE OF ADMISSION 
Wound, gunshot, perforating radial portion 
middle third right forearm, entrance 2 in. 
below bend of elbow anterior surface % in. 
mesial to latter border, exit, exactly 
opposite on posterior surface, tissues 
involved, skin and muscle only. Missile 
,32 cal, revolver bullet. (a) 
line of duty pr.r approved findings Ql) 
and the following on the back of the card 
(a) Accidentally incurred this station 
at home of another soldier when the 
patient, absent from with 
authority, was visiting the wife of 
the other soldier. The husband sus- 
pected improper relations between his 
wife and the patient, engaged in a 
violent altercation with the two and 
fired a revolver at his wife, the 
bullet striking the patient and in- 
flicting the wound described above. 
(b) Board of Officers, 
135 MEDICAL FIELD MANUAL 
(53) The following example illustrates the entry in the case 
of an intercurrent disease (par. 18d). 
9. RACE 
10. NATIVITY 
It. SERVICE 
12. DATE OF ADMISSION 
March 20, 1939, 
14. CAUSE OF ADMISSION 
Arthritis, chronic, hypertrophic, 
severe, involving thoracic and 
lumbar spine and sacro iliac 
joints, bilateral; cause undetermined. 
15. LINE OF DUTT YOS 
17. ADDITIONAL DIAGNOSES. OPERATIONS 
March 31, 1939. 
Additional diagnosis* 
Pneumonia, pneumococcus, type IV, 
upper lobe, left lung, cured April 
13, 1939* Line of duty yes. 
19. DISPOSITION 
Duty. 
20. DATE OF DISPOSITION August 19, 1939. 
136 RECORDS OF MORBIDITY AND MORTALITY 
(54) The following example illustrates the method of re- 
cording the change of diagnosis (par. 20). 
9. RACE 
10. NATIVITY 
11. SERVICE 
2 
12. DATE OF ADMISSION 
Aug. 4, 1939 
14. CAUSE OF ADMISSION 
Bronchitis, chronic. 
15. LINE OF DUTY ygg 
17. ADDITIONAL DIAGNOSES, OPERATIONS 
Sept. 2, 1939. Change of diagnosis. 
Tuberculosis, pulmonary, chronic, active, 
mild, upper lobe right lung. LD Yes. 
(55) The following example illustrates the method of re- 
cording a complication of the original cause of admission 
(par. 21). 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE Or ADMISSION 
Feb. 8, 1940 
14. CAUSE OF ADMISSION 
Measles, severe. 
17. ADDITIONAL DIAGNOSES. OPERATIONS 
Pet. 13, 1940 
Otitis media, acute, supperative, 
moderately severe, right# 
137 MEDICAL FIELD MANUAL 
(56) The following example illustrates the proper entry 
upon discharge from hospital of a nonmilitary person 
(par. 25). 
5. RANK 
Col. 
6. COMPANY 
7. REGIMENT AND ARM OR SERVICE 
Retired 
8. ACE 
19. DISPOSITION 
Discharged from hospital 
20. DATE OP DISPOSITION 
(57) The following example illustrates the proper entry in 
the case of a patient departing from hospital on sick leave 
who is to go to duty on his return from leave (par. 25b). See 
also (9) above. 
i 9. disposition pepartect on one month's sick 
leave, improved. 
*o..™™™, May 4, 1940 
(58) The following example illustrates the entry made in 
space 17 when an individual who has been granted a sick 
leave is to return to the hospital for further treatment (par. 
25b). 
17. ADDITIONAL DIAGNOSES. OPERATIONS 
May 5, 1940, departed on one month’s 
sick leave, improved. Returned to 
hospital June 4, 1940. 
(59) The following example illustrates the entry in space 
19 in the case of death. A record should always be made that 
an autopsy was or was not performed (par. 25e). 
in. dispositionuioci. Cause of death: Uremic toxemia 
due to #1 Spaoe(l4), Diagnosis confirmed by- 
autopsy held at this hospital Feb, 19, 1940. 
138 RECORDS OF MORBIDITY AND MORTALITY 
(60) The following example illustrates the fact that when 
an individual is discharged on certificate of disability the spe- 
cific character of the disability must be stated, even though 
the diagnosis may seem to explain the condition fully. Par- 
ticularization as to this matter is required for administrative 
purposes (par. 25/ and g). 
19. disposition Discharged the service on oerti- 
ficate of disability due to diagnosis No* 
2, Space 14, Patient incapacitated for (a) 
20. DATE or DISPOSITION May 6. 1940 
and the following on the back of the card 
(a) military service by reason of being 
unable to distinguish objects beyond a 
distance of three feet with either eye. 
(61) The following example illustrates the entry when an 
enlisted man is discharged from the service but remains in 
hospital for further treatment (par. 25h). 
i 9« disposition Discharged the service for ex- 
piration term of service. Remaining in 
hospital, register number 6666. 
20. CATE OF DISPOSITION May 15. 1940 
262292°—40 10 
139 MEDICAL FIELD MANUAL 
(62) The following example illustrates the entry required 
when an officer is ordered home to await retirement because 
of physical disability. The record of such case is very im- 
portant to the administrative use of The Surgeon General’s 
Office (par. 25i). 
t. REGISTER NO. 
12500- 
12768 
S. RANK 
Col - 
6. COMPANY 
7. REGIMENT AND ARM OR SERVICE 
5th Inf. 
8. ACE 
9. RACE 
10. NATIVITY 
11. SERVICE | 12. DATE OF ADMISSION 
May 12. 1940 
,3* source or admission Carded for record 
only. Performing full duty. 
19. DISPOSITION 
Departed under orders to proceed 
home and await 
disability. 
20. DATE OF DISPOSITION 
retirement for physical 
May 12. 1940 
140 RECORDS OF MORBIDITY AND MORTALITY 
(63) The following example illustrates the entry as to dis- 
position in the case of an enlisted man who refused his con- 
sent to a surgical operation which would have relieved his 
disability (par. 25j). 
14. CAUSE OF ADMISSION 
Lipoma, large 10 cm diam., 4 cm, 
thick, scapular region, left. 
is. ouronnM Discharged the service on certi- 
ficate of disability due to diagnosis 
recorded in Space 14, Incapacitated for 
20. DATE OF DISPOSITION May 4. 1940. (jl) 
and the following on the back of the card 
(a) military service by reason of being 
unable to wear infantry pack without 
giving rise to severe pain in tumor and 
region thereof. Patient refused consent 
to removal of tumor, which removal would 
have alleviated the condition. 
(64) The following example illustrates the entry in the 
case of a patient transferred. The abbreviation V. O. C. O. 
means verbal order of commanding officer (par. 251). 
deposition .Transferred to Sta. Hosp., Ft. 
Banks. Mass., per V.0.C.0. Ft. Mams, R.I. 
May 20, 1940 
20. DAJE OF DISPOSITION _ 
141 MEDICAL FIELD MANUAL 
(65) Tile following example illustrates the entry in the 
case of desertion. The entry shows that when the individual 
deserted the first condition present when admitted to hospital 
had been cured and the second condition, improved (par. 
25m). 
i 9* disposition deserted the service. 1 Cured 
2 Improved 
20. DATE OF DISPOSITION April 19t 1940 
(66) The following example illustrates a method of record- 
ing the days of treatment when the patient’s treatment was 
not completed during the year in which he was admitted 
(par. 29), 
24. DAYS Of TREATMENT IN CURRENT CASE 
YEAR ise.y !_4u 
IN QUARTERS 
IN HOSPITAL 
January 
iy4u 
February. 
29 
March 
15 
12 
April 
May 
June. 
.Inly 
August .. 
September 
October. 
November.. 
18 
December. 
31 
Total 
[.....is.. 
...49... 
.. ....72.— 
Aggregate patient days 136 
U. & UOVKKKkKNY fHINTIWO OFTJC* J- "3623 
142 RECORDS OF MORBIDITY AND MORTALITY 
(67) The following example illustrates the correction of a 
diagnosis on a register card made prior to the rendition of a 
report card (par. 32a). 
14. CAUSE OF ADMISSION 
14. CAUSE OF ADMISSION 
Constitutional Psychopathic State, 
Emotional instability. EPTE, 
(68) The following example illustrates the entry of a 
change of diagnosis (par. 32a). 
14. CAUSE OF ADMISSION 
Metatarsalgia, right, severe, cause 
undetermined. 
15. LINE OF DITTY Y©S 
16. INJURY CODE 
17. ADDITIONAL DIAGNOSES. OPERATIONS 
December 7, 1939 
Change of diagnosis: Neuritis, acrfce, 
anterior tibial nerve, right, severe, 
cause undetermined. LOD Yes. 
143 MEDICAL FIELD MANUAL 
(69) The following example illustrates the fact that the 
transferring surgeon must be informed as to changes in diag- 
nosis and the line of duty (par. 32a), 
9. RACE 
10. NATIVITY 
II. SERVICE 
12. DATt OF ADMISSION 
March. 1, 1940 
is. source of ADMissuw ]roriEai t ran s f e r U. S. A. T. Repub 1 i q 
original admission Ft. Clayton,C.Z,, Dec. 
Bronchitis, subacute, mild. 
Diagnosis on transfer card not concurred 
in. All examinations this hospital fail 
to support the diagnosis of pulmonary- 
tuberculosis. Transferring Surgeon in- 
formed of change in diagnosis and line 
of duty. 
IS. line or Burr 
Yes 
19. DISPOSITION 
Duty 
20. DATE OF DISPOSITION 
May 2. 1940 
21. NAME OF HOSPITAL 
Letternan General Hosnital 
22. SENT WITH REPORT OF S. ft W. FOR MONTH OF % t 
May 1940 
144 RECORDS OF MORBIDITY AND MORTALITY 
(70) The following example illustrates the method of 
preparation of a supplemental card. The surgeon preparing 
this card has superseded the former surgeon of the station. 
He has been advised by the commanding officer of a gen- 
eral hospital to which a patient had been transferred of a 
change in diagnosis and has accepted the change (par. 32b), 
Supplemental Card No. 2694 
t. REGISTER NU. 
14. CAUSE OF ADMISSION 
Bronchitis subacute; mi Id. 
See attacked letter C.O, Letterman 
Gen. Hosp. May 2, 1940. 
23. 
s. A. P. 
Medical Corps, U. S. Army. 
and the following on the hack of the card 
May 16, 1940 
(signed) John 0, Smith 
145 MEDICAL FIELD MANUAL 
(71) The following example Illustrates the entry on a 
register card when a supplemental card has been filed in 
the case (par. 32b). 
1. REGISTER NO. 
2694 
9. RACE 
10. NATIVITY 
11. SERVICE 
12. DATE OF ADMISSION 
4/l2 
Dec• 16, 1939. 
13. SOURCE OF ADMISSION 
Command. 
14. CAUSE OF ADMISSION 
Tuberculosis, chronic, middle lobe, 
right lung, acute exacerbation of, 
mild, EPTE. 
See supplemental card dated May 16, 
1940. 
15. UNE OF DUTY 
I'lo. 
19. disposition Transferred to USAT Republic for 
transfer to Fitzsimons General Hospital 
per Par. 16 SO 32, Hdqrs. P.C.D., (a) 
20. DATE OF DISPOSITION Pfib - 22 , 194-0 
2. nsme mortal. station Hospital, 
Fort Clayton, C.Z. 
73 (Initial typed) S. A. P, 
St A r Putnam, 
Medical Corps, U. S. Army. 
and "the following on the back of the card 
(a) Feb. 18, 1940, Reg* No* 1562, 
146 RECORDS OF MORBIDITY AND MORTALITY 
(72) The following example illustrates the report card 
rendered with the December report in the case of a patient 
remaining under treatment into the succeeding year (par. 
545(1)(d)). 
REMAINING- 
1 ■ REGISTER NO. - 
14. CAUSE OF ADMISSION 
Pneumonia, pneumococcic, type 111, lower 
lobe, right, moderately severe. 
17. ADDITIONAL DIAGNOSES. OPERATIONS 
Dec. 1, 1939 
Pleurisy suppurative right moderately 
severe 
Dec. 3, 1939 
Incision and drainage right pleural cavity 
negative pressure method. 
19. DISPOSITION 
Remaining 
22. SENT WITH REPORT Of S. a W. FOR MONTH OF -I noA 
Dec. 1.939 ■ 
147 MEDICAL FIELD MANUAL 
(73) The following example illustrates the correction of a 
remaining card (par, 56b(D). 
t. REGISTER NO. 
Correction Remaining Card 
9. RACE 
14. CAUSE OF ADM 
to. NATIVITY 
SSION 
II. SERVICE 
12. DATE OF ADMISSION 
Itov, 20, 1939. 
Pneumonia, pneumococcus, type 111, 
lower lobe, right, moderately severe. 
17. ADDITIONAL DIAGNOSES. OPERATIONS 
Deo, 1, 1939. 
Pleurisy, suppurative, right, moderately 
severe, 
Dec, 3, 1939. 
Incision and drainage, right pleural 
cavity, negative pressure method, 
Jan. 8, 1940. 
Rib resection, partial, 2 inches, middle 
portion, Bth rib for drainage of pleural 
cavity. Additional entry. 
19. DISPOSITION 
Remaining 
20. DATE or DISPOSITION 
22. SENT WITH REPORT OF 5. aW. FOR MONTH OF eJ&H 1 940 
148 ■ 3. Form 52c, M. D. (Transfer Slip).—This form is illus- 
trated below (par. 35). 
RECORDS OP MORBIDITY AND MORTALITY 
.. „ Hospital Ho 
A. S. No, 
R.B.milAVSON 
T 
12345678 IV 
(Surname ) 
(Christian name.) 
luak 
Company 
liegiment or Staff Corps. 
Age (years) 
Race. 
Nativity 
Service (yean) 
Date of admission 
Source of admission 
Disoositi ons 
Dose and time 
Morphia 
A. T. serum 
Diagnosis, etc 
Disposition* 
Signature of Officer 
Si (mature of Officer 
Copy of the F. M. R. was forwarded 7 fh the S. and W. re- 
Signature of Surceon 
month of as required in cases on sick 
report longer than one month. 
Form 63o 
Medical 1)efartmekt, XT P. A. 
(Authomed June 22. IWO) 
t—172M 
149 MEDICAL FIELD MANUAL 
Disposition: Dispositions Dispositions 
Signature of Officer Signature of Oitxcer Signature of Officer 
This card, with envelope, constitutes the Field Medical Record for all sick and wounded. Upon transfer the F. M. R. must accompany the patient, attached to his clothing. It 
must not be destroyed. No patient must be transferred without one. When evacuated to the Zone of the Interior, the F. 21. R. must accompany him. »—iojh 
Date of entry and hospital unit receiving patient must be recorded immediately upon admission. 
Important changes in diagnosis, complications, operations, etc., are to be added later, giving dates. 
150 RECORDS OF MORBIDITY AND MORTALITY 
■4. Form 52b, M. D.—a. The following example illustrates 
the preparation of the emergency medical tag. This record 
must be prepared with every attention to accuracy of detail. 
A. S. No. 
7935058 
Surname 
Christian name 
Peters 
Walter R. 
Rank 
Company 
Regiment or Staff Corps 
Pvt 
C 
80th PA 
Age (Yrs.) 
Race 
Nativity 
Service (Yrs.) 
19 
W 
Iowa 
6/12 
Date, hour, and station where tagged: 
Peb. 24, 1940 (l;16 PM) 
Dispensary,80th PA,Camp Jackson,SC. 
Diagnosis; 
Wound,lacerated,moderate,dorsum,left 
hand,accidentally incurred about 
1:15 PM, Feb.24,l94o',when soldier 
struck left hand with axe while 
chopping wood near mess hall, "CBtry, 
80th FA, Camp Jackson, SC. 
_ L.O.D. Yes 
Treatment: lodine and dry dressing 
Elevation 
Rest 
Disposition: 24, 1940 
Duty-Mar. 5, 1940 
Signature: 
JAMES C. HUTIINO,Capt. .M.O..Surganw 
Form 62b 
MEDICAL DEPARTMENT, U, S. A. 
(Authorized June 22, 1920) a-7006 
151 MEDICAL FIELD MANUAL 
Officers who later treat the case must correct any errors 
discovered (par. 41). 
b. The following example illustrates the descriptive mate- 
rial required in the case of a soldier wounded in action. The 
entry WIA is insufficient, as is also the entry GSW, as full 
description of the wound must be given as circumstances 
permit. If the original entry is inadequate, it will be ampli- 
fied by succeeding medical officers who treat the case (par. 
410 
152 RECORDS OP MORBIDITY AND MORTALITY 
A. S. No. 
Surname Christian name 
Rank 
Company 
Regiment or Staff Corps 
Age (Yrs.) 
Race 
Nativity 
Service (Yrs.) 
Date, hour, and station where tagged: 
Diagnosis: ia, GSW, pen„ mild, middle 
third left forearm, .30 cal. rifle 
bullet. 
Treatment: 
Disposition: 
Signature: 
Form 52b 
MEDICAL DEPARTMENT, U. S. A 
(Authorized June 22, 1920) 
3—7906 
153 MEDICAL FIELD MANUAL 
c. The following example illustrates the entry in the case 
of an enlisted man killed in action. A full description of the 
wound which caused death will be impossible in many cases. 
A. S. No. 
Surname 
Christian name 
Rank 
Company 
Regiment or Staff Corps 
Age (Yrs.) 
Race 
Nativity 
Service (Yrs.) 
Date, hour, and station where tagged: 
Diagnosis. decapitation, high 
explosive shell fragment. 
Treatment: 
Disposition: 
Signature: 
Form 62 b 
MEDICAL DEPARTMENT, U. S. A. 
(Authorized June 22, 1920) 
3—7906 
154 RECORDS OF MORBIDITY AND MORTALITY 
Nevertheless, the entry should be as complete as the knowl- 
edge obtainable will permit (par. 41c). 
■ 5. Form 51, M. D.—Examples of entries: 
a. Space I.—The following entries are appropriate as des- 
ignations of hospital or organization; 
Letterman General Hospital. 
Station Hospital, Fort Jackson, S. C. 
16th Infantry, Fort Jackson, S. C. 
Carlisle Barracks, Carlisle, Pa. 
Evacuation Hospital No. 1, Camp Beauregard, La. 
Evacuation Hospital 214, A. P. O. No. 696. 
b. Space 2.—The following are examples of appropriate 
entries of the period of the report: 
March 1940. 
March 6-14 inch 1940. 
c. Space 3.—The following is an example of a proper entry 
as to the component parts of a command: 
80th FA, 6th Div, Fourth Corps Area; 
Regtl Hq and Hq Btry; Hq and Hq Btry, Ist Bn; 
Btrys A and B Hq and Hq Btry, 2d Bn; Btrys C and D; 
Med Det. 
d. Space 4.—The following are examples of appropriate 
entries as to variations in command. Entries such as (3) 
are necessary in order that fluctuations in strength may be 
understood. 
(1) None. 
(2) Hq and Hq Btry, Ist Bn, Btrys A and B departed 
April 11, 1940, en route to Ft. Niagara, N.Y., accompanied by 
Capt. B. D. Adams, M.C. 
(3) 419 recruits joined from Ft. Moultrie, S.C., April 16, 
1940. 
(4) Med Det, 80th FA discontinued May 12, SO 
Hq Fourth Corps Area May —, 1940. 
(5) Departed Ft. Sam Houston, Texas, April 15 arrived 
Camp Bullis, Texas, April 15. Departed Camp Bullis, Texas, 
April 29 arrived Ft. Sam Houston, Texas, same date. 
e. Strength of command.—The Surgeon General’s Office 
uses the strength shown on Form 51 as the base upon which 
all morbidity and mortality rates are calculated. It is im- 
portant that the strength be itemized and that the entries are 
262292°—40 11 
155 MEDICAL FIELD MANUAL 
correct. Careful attention should be given to the provisions 
of AR 345-400. Errors arise through use of the adjutant’s 
report of strength as of the last day of the month rather than 
a mean daily strength computed as the regulation directs, 
through failure of itemization of strength of components of 
the command, and through failure to compute mean daily 
strength for the month in cases where the period reported 
upon is a fraction of a month. 
For example: Report for 31-day month. 
Date 
Officers 
Enlisted men 
Regular 
Army 
Reserve 
White 
Colored 
•BAD 
♦ADT 
1 
114 
22 
12 
5,416 
320 
14 
109 
64 
0 
5,392 
321 
18 
140 
66 
42 
5,400 
310 
31 
118 
52 
42 
5,519 
316 
Total for 31 days 
3,172 
1,560 
660 
159,625 
9,061 
Total 31 
102.3 
50.3 
21.3 
5,149. 2 
291.9 
If the strength reported were that of the 31st rather than 
the mean daily strength the error as to Regular Army per- 
sonnel would be 7.4 percent. 
♦Abbreviations; EAD—Reserve officers on extended active duty 
training; ADT—Reserve officers on active duty training usually for 
14-day periods. 
Exercise.—A command consisting of 40 officers, 1,216 en- 
listed men, white; 16 Reserve officers, who were on 14-day 
active-duty training, left Port A on May 3 at 4 a. m., ac- 
companied by 2 officers Medical Corps, Regular Army, and 
one officer Medical Corps Reserve on extended active duty, 
and proceeded to Camp The 16 Reserve officers 
were relieved from active duty on May 10, and on that date 
6 Reserve officers on extended active duty, joined the com- 
mand. Four officers and 316 enlisted men of the Regular 
Army accompanied by an officer of the Medical Corps Reserve, 
on extended active duty, were relieved from duty with the 
156 RECORDS OF MORBIDITY AND MORTALITY 
command on May 8 and departed, en route to Port B. The 
sick and injured, requiring hospitalization, were all returned 
to Port A; they were carried on the morning reports as 
absent sick. The command returned to Fort A on May 13, 
arriving at 9p. m. Compute the mean strength of the com- 
mand for the period. 
The command having been at Fort A at midnight May 2 
and May 13 would be carried as part of the strength of Fort 
A on those dates. The minor variations in daily strength 
shown below might be accounted for by deaths, discharges, 
new men joining the command. 
Date 
Regular 
Army 
Officers 
Reserve 
Enlisted 
men 
BAD 
ADT 
May3___ .. 
42 
1 
16 
1,216 
May 4 
42 
1 
16 
1,215 
May 5 
42 
1 
16 
1,220 
MayC_ 
42 
1 
16 
J, 214 
May 7 
42 
1 
16 
1,219 
38 
16 
897 
37 
16 
897 
37 
6 
897 
May 12 , 
37 
6 
897 
Total 
396 
23 
112 
10,569 
Total 4-31 
12.8 
0.7 
3.6 
340.9 
f. Space 7.—The following is an example of the proper 
entry for professional work (not otherwise reported): 
Number 
Number of of treat- 
(l) Out-patients: patients ments 
Regular Army (sa) 312 846 
Training units (sb) ADT 2 2 
Civilians (sc) 
Total 314 848 
157 MEDICAL FIELD MANUAL 
(2) Physical examinations conducted (specify; see instruc- 
tion par. 9g, AR 40-1025); 
Enlisted men for discharge 
_ _ _ 12 
Enlisted men for reenlistment 
7 
Applicants for foreign service 
_ _ _ 1 
Food handlers _ 
39 
Motor vehicle drivers 
_ 21 
Athletes (boxers) _ 
_ ___ 8 
(3) Vaccination and immunization, 
administered (specify): 
and sensitization tests 
Smallpox vaccinations 
65 
Typhoid immunization 
__ 119 
Anti-tetanus serum 
3 
B 6. Form 86d (Casualty Report) .•—This form will be in dupli- 
cate with a sheet of carbon paper and a protective sheet 
interposed between the original and the duplicate, will be 3% 
inches by bl/z inches in size; the original will be of cloth paper 
similar to the emergency medical tag. The following should 
be printed on the reverse of the original: 
This notice is for the purpose of giving you information about 
your sick and wounded relative at the earliest possible moment. 
It may be unsatisfactory to you because the news it bears is so 
meager. This is not because there is any desire to keep knowledge 
from you but because there is no other practicable way of getting 
the information to you quickly and correctly. 
Wounded patients are given first-aid treatment on the battle- 
field; they are then collected at places where transportation can 
reach them and removed to places, still in the battle area, where 
they can be examined more carefully and prepared for transporta- 
tion to hospitals. These hospitals, surgical and evacuation, are 
still near the front and patients are retained in them for treatment 
taut a short time and then are removed to general hospitals far in 
the rear for completion of their treatment. 
Explanation of terms: Receipt, patient has arrived at the place of 
treatment indicated in upper lefthand block; Disposition, patient 
has been moved from the station reporting to one further in the 
rear, a notice of his receipt at the next station will be forwarded to 
you; Serious condition, the patient is in such condition that his 
recovery is uncertain; KIA, killed in action against the enemy: 
Battle casualty, wounded or gassed in battle or by act of the enemy 
elsewhere; Sick, Injured, serious cases of illness, and serious in- 
juries other than battle casualties; Evacuated, removed from one 
place of treatment to another further in the rear; Convalescent, 
hospital treatment has been completed and patient transferred to a 
convalescent hospital or convalescent camp for recuperation; Duty, 
patient’s health has been restored and he has gone back to duty. 
158 RECORDS OF MORBIDITY AND MORTALITY 
Form 86d M. D. 
Report of Casualty 
Casualty 
R. B. Williamson 
6436984 
Mrs. R. B. Williamson 
1234 North Broadway 
Yonkers, New York 
Date of Report 
May 4, 1940 
• 
Station 
Evacuation 
Hospital 
No. 16 
Report of: Receipt Disposition Serious condition 
Battle casualty; Wound Gas Sick Injured . 
Evacuated ConvalescentDuty 
KIA 
Died 
Cause of death: _ 
* 
(Signature) 
■ 7. Report of Casualties (Form 86f M. D.).—• a. The follow- 
ing illustration gives an example of the front and back of 
Form 86f, together with instructions for accomplishing the 
form. 
b. Instructions for the use of the form.—Battalion sur- 
geons will use this form in reporting casualties to battalion 
commanders. They will also use it in forwarding to regi- 
mental surgeons data for the Statistical Report, Form 86ab, 
M. D. Company commanders of medical regiments, bat- 
talions, and squadrons will use the form in reports to their 
respective headquarters. 
At least one such report will be rendered dally during com- 
bat. The reporting period will be midnight to midnight 
normally, but if more frequent reports are required, care 
will be taken that the full 24-hour period is covered. 
When battalion dispensaries are being operated in either a 
theatre of operations or the zone of the interior, battalion 
surgeons will render this report to regimental surgeons for 
the period for which the Statistical Report, Form 86ab, M. D., 
is being prepared. 
The item “Remaining,” the first of the report, refers to 
cases remaining from the previous report. 
159 MEDICAL FIELD MANUAL 
Unit From m. to m. Month Day Year 
Location: Map Coordinates . 
THIS UNIT 
OTHER 
UNITS 
ENEMY 
GRAND 
TOTAL 
DISEASE 
INJURY 
WOUNDED 
Gassed 
total 
Remaining 
Received 
Duty 
Died 
Evacuated 
Other dispositions 
Remaining 
REPORT OF CASUALTIES 
Form 86 f 
Medical Department. U S Armt 
(Authorized June 12, 1940) 
160 RECORDS OF MORBIDITY AND MORTALITY 
REMARKS 
10—16479 
161 medical field manual 
The item “Other dispositions” refers to persons turned 
over to the military police, to patients turned over to reliev- 
ing units, to patients abandoned on retrograde movements, 
and to dispositions other than those occurring in the nor- 
mal movement of patients. For example: Enemy patients 
who are in no need of further treatment will be turned over 
to the military police, and this may be indicated by the 
initials MP in the appropriate row and column. Disposi- 
tions not easily explained in a similar manner should be 
stated on the back of the form. 
Under “Remarks,” on the back of the form, enter the 
names of officers evacuated, dying at station or in transit, 
and of those known to have been killed in action. Make 
similar entries as to noncommissioned officers of the first 
three grades, messengers, and other persons important to 
the functioning of the unit. 
■ 8. Record of Casualties “Station Log” (Form 86e M. D.) 
(size BV2 x 10x/ 2 inches folded longitudinally).—See para- 
graph 80. 
162 RECORDS OF MORBIDITY AND MORTALITY 
Form 86e UD 
Sheet No, 
Station Log 
Unit Location 
Patients received 
Name and. Serial Number Rank Co. Reel. 
Date Period 
Dispositions 
Duty 
Died Evac. MP 
Other 
n 
□ □ 
tn_ 
Walk Amb. Truck Train Other Sitting Lying 
□in n n nm.. h 
Duty 
n 
Died Evac. MP 
□ □ n 
Other 
n 
Walk Amb. Truck Train Other Sitt 
ng LjOl^ 
Died Ev&c. MP 
n m m 
Other 
Walk Anb| Truck Traiij Other S £t|ng L^in^ 
Duty 
Died Evao. MP 
Other 
n 
n n 
Wound PI Gas I 1 Sick I 1 Iniury I 1 
Walk Amb. Truck. Train Other Sitting Lying 
nin n n n i n nr 
vp. 
Died Evac. MP 
n . m n 
Other 
n 
Wound HI Gas 1 I Sick I-"! In.iurv P~1 
Walk Amb, Truck Train Other Sitt 
run n n n:r 
ng Ljou^ 
Duty 
n 
Died Evac, MP 
r~i m n_ 
Other 
Walk Amb. Truck Train Other Sitting Lying 
run n n n i n nr 
•ft 
Died Evao. MP 
n n 
Other 
n 
Walk Amb. Truck Train Other Sitting Lying 
ninnnmn 
n 
Dr2i 
Died Evac. MP 
n n n_ 
Other 
n . 
Walk Amb. Truck Train. Other Sitt 
nin n n mr 
'Tf 
Duty 
Died Evac. MP 
Other 
n 
m rn rm 
Walk Amb. Truck Train Other Sitting Lying 
mrl n n nir rf_ 
Duty 
Died Evac. MP 
r~i n n 
Other 
n 
Walkj Truckj S^tt 
ng Lvlr.j' 
163 INDEX 
Abbreviations 50 31 
Anatomical locations, standard terms 59 57 
Bedside notes 62 68 
Birth reports: 
To civil health authorities 76 89 
To United States Bureau of the Census 77 90 
Cards: 
Field, medical 57 40 
Register: 
Alterations and additions 32 20 
How filed 33 21 
Initialing and signing, responsible of- 
ficer 30 19 
Report, sick and wounded 56 39 
Casualties: 
Record: 
Medical Department installations, the- 
ater of operations 80 93 
“Station Log” (Form 86e M. D.) App. 95 
Reports 79, 80 91, 93 
Form 86d M. D App. 95 
Form 86f M. D App. 95 
To GHQ of a field force, and to relatives- 79 91 
Charts and tables 71,78 71,90 
Disease rates 78 90 
Clinical— 
Indexes 66-70 68 
Records 61-65 67 
Bedside notes 62 68 
Disposition on completion of case 64 68 
File 65 68 
Transfer to another ward 63 68 
When and where required 61 67 
Commanding officers, information furnished by 31 20 
Data to accompany field medical record 46 30 
Deaths: 
Index 69 70 
Report: 
To civil health authorities 76 89 
To United States Bureau of the Census. 77 90 
Diagnoses: 
Index 67 69 
Recording 20,36 15,22 
Standard terms 58 41 
Disability index 68 70 
Disease rates, tables, and charts 78 90 
Diseases: 
Acute communicable: 
Report— 
Among troops en route 75 88 
Cases to civil health authorities 76 89 
Special report of, at stations when 
troops are transferred 74 88 
Paragraph 
Page 
165 INDEX 
Diseases—Continued. 
Epidemic, special telegraphic report 73 87 
Intercurrent 22 15 
Emergency medical tag 57 24, 40 
Disposition 44 28 
How attached to patient or remains 42 26 
Preparation, hy whom, and how 41 25 
Purpose 40 25 
Use 43 26 
Epidemic diseases, special telegraphic reports 73 87 
Field medical: 
Card 57 40 
Record 45-50 29 
Abbreviations 50 31 
Alterations 48 30 
Always with patient 47 30 
Contents 46 30 
Data to accompany 46 30 
Disposition 49 30 
Jackets 57 40 
Where started 46 30 
Form: 
51 M. D App. 95 
52 M. D App. 95 
52b M. D App. 95 
52c M. D. (Transfer slip) App. 95 
86d M. D. (Casualty Report) App. 95 
86e M. D. (“Station Log”) App. 95 
86f M. D App. 95 
Forms used, report of sick and wounded 54 33 
Indexes: 
Clinical 60-65 61 
Death 69 70 
Diagnosis 67 69 
Disability 68 70 
Out-patient 70 70 
Register , 66 68 
Initiation of sick and wounded register 5 4 
Injury code 19 15 
Medical— 
Card, field 57 40 
Department installations, casualties, records, 
theater of operations 80 93 
Record, field 45-50 29 
Jacket for 57 40 
Tag, emergency 39-44, 57 24, 40 
Morbidity and mortality records; 
Medical Department, preparation methods. App. 95 
Purpose 1 1 
Officers: 
Commanding, information furnished by 31 20 
Responsible, initialing or signing register 
cards 30 19 
Operations, surgical 23 15 
Standard terms 60 61 
Paragraph 
Page 
166 INDEX 
Out-patient index 70 70 
Patients: 
Disposition 26 19 
Date of 27 19 
Transfer 34-38 21 
Diagnosis 36 22 
Line-of-duty cases 37 22 
Transfer slip 38 23 
Personnel registered 4 2 
Records: 
Casualty: 
At Medical Department installations, 
theater of operations 80 93 
“Station Log” (Form 86e M. D.) App. 95 
Clinical 61-65 67 
Medical, field 45-50 29 
Morbidity and mortality: 
Medical Department, preparation meth- 
ods App. 95 
Purpose 1 1 
Register of sick and wounded 2-33 1 
Index 66 68 
Initiation 5 4 
Method of keeping 3 2 
Personnel registered 4 2 
Recording 6-33 5 
Admission: 
Cause 17 8 
Date 15 7 
Source 16 7 
Age, years 11 6 
Army serial number 9 6 
Complications 21 15 
Diagnosis, change 20 15 
Diseases, intercurrent 22 15 
Disposition of patients 25 16 
Date 26 19 
Grade, company, regiment of arm or 
service 10 6 
Information furnished by commanding 
officer 31 20 
Injury code 19 15 
Line of duty 18 12 
Month of report 28 19 
Name 8 5 
Of hospital 27 19 
Nativity 13 7 
Operations, surgical 23 15 
Race 12 6 
Register number 7 5 
Service, years 14 7 
Treatment; 
Days of 29 19 
Hospital, dispensary, or quarters 24 16 
Paragraph 
Page 
167 INDEX 
Register of sick and wounded—Continued. 
Register cards: 
Alterations and additions 32 20 
How filed 33 21 
Initialing or signing, responsible officer. 30 19 
Reports: 
Births and deaths: 
To civil health authorities 76 89 
To United States Bureau of the Census. _ 77 90 
Casualty 79,80, App. 91,93,95 
Diseases, acute communicable: 
Among troops en route 75 88 
To civil health authorities 76 89 
Sick and wounded i 51-57 32 
Action on by intermediate surgeons 53 32 
Forms used 54 33 
Report card i 56 39 
Report sheet 55 36 
When required 52 82 
Special: 
Acute communicable diseases at stations, 
on transfer of troops 74 88 
Telegraphic, epidemic diseases 73 87 
Statistical, current 71,72 70,72 
Sick and wounded— 
2-21 1 
Initiation of 5 4 
Method of keeping 3 2 
Personnel registered 4 2 
Recording 6-33 5 
Reports 51-57 32 
Action on by intermediate surgeons 53 £2 
Standard terms: 
Anatomical locations 59 57 
Diagnoses 58 91 
Operations 60 61 
“Station Log” (Form 86e M. D.) App. 95 
Statistical reports, current 71, 72 71, 72 
Tables and charts 71-78 71 
Disease rates 78 90 
Tag, medical, emergency 39-44, 57 24, 40 
Telegraphic reports of epidemic diseases, special. 73 87 
Transfer— 
Of patients 34-38 21 
Slip 38, App. 23,95 
Treatment records; 
Days of 29 19 
Hospital, dispensary or quarters 24 16 
Wounded and sick— 
Register 2-33 1 
Reports 51-57 32 
Paragraph 
Page 
168 FM 8-45 
C 2 
MEDICAL FIELD MANUAL 
RECORDS OF MORBIDITY AND MORTALITY 
(SICK AND WOUNDED) 
Changes 1 WAR DEPARTMENT, 
No. 2 j Washington 25, D. C., 13 September 1943. 
FM 8-45, 1 October 1940, is changed as follows; 
■ 49. Disposition, 
b. Of records of cases transferred to the zone of the interior.— 
The field medical * * * “observation” is insufficient. In- 
clude, if injury, the location, nature, date, place, and circum- 
stances. Each field medical record thus received will be closed, 
and the record of the case taken up on the hospital register. 
Field medical records ♦ * * sick and wounded. 
[A. G. 300.7 (31 Aug 43).] (C 2. 13 Sep 43.) 
By ohdee of the Seceetaey of Wae : 
Q. C. MARSHALL, 
Official : 
Chief of Staff. 
J. A. ULIO, 
Major General, 
The Adjutant General. 
552293°—43 
O. S. GOVERNMENT PRINTING OFFICE. IMS