For which of the following would you not create an inpatient record?

• A. Stillbirths
• B. Active duty personnel admitted to a non-Federal hospital
• C. Patient's admitted and dispositioned on the same day
• D. Patient admitted to a tactical medical facility

Answer: (A)

Inpatient records are created when a patient is admitted to a hospital bed for ongoing inpatient care, meaning the stay involves time in the facility with resources assigned to care beyond a single brief visit. A stillbirth does not generate an inpatient record because there’s no live patient occupying a hospital bed for an inpatient hospitalization—the event is handled through obstetric and perinatal documentation rather than an inpatient stay. Other scenarios involve actual inpatient encounters: service members treated in a civilian hospital still have a DoD inpatient record to document the hospitalization; a patient admitted and dispositioned on the same day is typically managed as an outpatient or observation case rather than an inpatient stay; and admission to a tactical medical facility clearly constitutes an inpatient admission. Therefore, stillbirths are the situation where an inpatient record would not be created.