SSIC
Health Record Colors
Rules of Nines
Forms
Dental
100

Which Standard Subject Identification Code (SSIC) series pertains to Military Personnel?

1000 or SSIC 1000

100


Which color record jacket corresponds to a Social Security number whose second-to-last digit is 9?


Red

100


The anterior surface of one leg represents what percentage of TBSA?


9%

100

What is the form number for a SIQ Chit/ Excusal Form? 

NAVMED 6550/12

100

How many Dental classifications are there ?

4

200


Which Standard Subject Identification Code (SSIC) series pertains to Medical and Dental?


6000 or SSIC 6000

200


Which color record jacket corresponds to a Social Security number whose second-to-last digit is 0?



Orange 

200


Each upper extremity (arm) accounts for what percentage of TBSA using the Rule of Nines?


9%


200


Which form is used to document dental readiness for deployment?


NAVMED 6230/4


200


How often should a routine dental exam be conducted for active-duty personnel?


Every 12 months or annually 

300


SSIC series 4000 is assigned to which subject?


Logistics 

300


Which color record jacket corresponds to a Social Security number whose second-to-last digit is 3?


Gray

300


The posterior trunk (back and buttocks) accounts for what percentage of TBSA?


18%

300

Which form refers to the Adult Preventive and Chronic Care Flow Sheet?

DD 2766

300


NAVMED 6600/3 Dental Treatment Record?


To record dental care and treatment history


400

SSIC series 9000 is assigned to which subject?

Ships Design 

400


Which color record jacket corresponds to a Social Security number whose second-to-last digit is 5?


Blue 

400


The “Rule of Nines” is used in emergency medicine to estimate what?


Total body surface area burned


400


What is the official form used to record individual immunizations?


SF 601

400


What does a Class 1 dental readiness indicate?


No dental treatment needed; fully deployable


500

Which Standard Subject Identification Code (SSIC) series pertains to Telecommunication?

2000 or SSIC 2000

500


Which color record jacket corresponds to a Social Security number whose second-to-last digit is 7? 


Almond or Brown 

500


In the Rule of Nines, the perineum represents what percentage of TBSA?


1%

500

Which form is referred to as the Charge out Form or pink card?

NAVMED 6150/7

500


Which Navy instruction governs dental readiness and classification of service members?


BUMEDINST 6600.10