Final progress notes on SF 509 may be substituted for narrative summaries for all of the following patients except

• A. Uncomplicated obstetrical deliveries
• B. Normal newborn infants
• C. Patient's treated at a tactical military treatment facility (MTF)
• D. Patients with minor problems requiring less than a 48-hour stay

Answer: (C)

Substituting final progress notes for narrative summaries is appropriate for routine, uncomplicated care with short stays. Cases like an uncomplicated obstetrical delivery, a normal newborn, or a minor problem resolved in under 48 hours can be succinctly captured in a final progress note, which streamlines the record while still conveying essential information about the course and outcome of care.

However, patients treated at a tactical military treatment facility require more detailed, narrative documentation due to the operational context and broader care considerations involved in field or deployed settings. In these situations, a full narrative summary is needed, so the substitution with a final progress note isn’t appropriate.

So, the statement that fits the allowed substitutions excludes the tactical military treatment facility scenario.