# Situation: A public health nurse supervises the midwife and barangay health workers (BHWs) of a Barangay Health Station (BHS), which is linked to the Rural Health Unit (RHU), and oversees its records and referrals. At the end of each month, which Field Health Services Information System (FHSIS) form does the BHS midwife submit to the RHU?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=627276  
> language: ko  
> subject: Nursing Practice I — Community Health Nursing

## 문제

Situation: A public health nurse supervises the midwife and barangay health workers (BHWs) of a Barangay Health Station (BHS), which is linked to the Rural Health Unit (RHU), and oversees its records and referrals.

At the end of each month, which Field Health Services Information System (FHSIS) form does the BHS midwife submit to the RHU?

## 보기

1. The target client list
2. The monthly consolidation table
3. The individual treatment record
4. The summary table **✔ 정답**

**정답: 4**

## 해설

In the FHSIS, services are first recorded in individual treatment records and target client lists. At the BHS, the midwife totals them each month in the summary table and submits it to the RHU, where the supervising nurse at the municipal health office combines the reports of all barangays in the monthly consolidation table for reporting to higher levels.

## 심화 해설

FHSIS reporting flow from BHS to RHU

The Field Health Services Information System is built as a bottom-up recording and reporting structure. Services delivered at the community level are first captured on working documents, then progressively summarized as data move upward through the health system. The question asks what the BHS midwife submits at the end of each month to the RHU, which requires distinguishing between recording forms used during service delivery and reporting forms used for monthly submission.

The individual treatment record and the target client list are service-level recording tools, not monthly reports. The individual treatment record documents each client encounter, while the target client list identifies the eligible population for specific programs such as immunization, prenatal care, or family planning. These forms remain at the BHS as source documents and are not what the midwife forwards to the RHU at month-end.

At the BHS level, the midwife tallies all services rendered during the month and enters the totals into the summary table, which is the form submitted to the RHU. This summary table consolidates data from the individual treatment records and target client lists into aggregate counts. The monthly consolidation table, by contrast, is completed at the municipal or RHU level, where the supervising public health nurse combines the summary tables received from all barangays under that RHU. The consolidated output is then reported to higher administrative levels such as the provincial health office.

| FHSIS form | Level of use | Purpose | Submitted monthly to RHU? |
| --- | --- | --- | --- |
| Individual treatment record | BHS | Records each client encounter during service delivery | No |
| Target client list | BHS | Identifies eligible clients for specific health programs | No |
| Summary table | BHS | Aggregates monthly service totals from source records | Yes |
| Monthly consolidation table | RHU / municipal health office | Combines summary tables from all barangays for higher-level reporting | Not applicable at BHS level |

Key point! The direction of data flow follows the organizational hierarchy: recording happens at the point of care, summarization happens at the BHS, and consolidation happens at the RHU. The midwife is responsible for the summary table, while the supervising nurse at the RHU handles the monthly consolidation table.

Watch out! Test items frequently reverse the locations of the summary table and the monthly consolidation table. Remember that summary belongs to the BHS midwife, and consolidation belongs to the RHU nurse. The word "consolidation" implies combining multiple barangay reports, which can only occur at a level above the BHS.

The supervisory role described in the scenario is consistent with the broader principle that health information systems require clear delineation of responsibilities at each administrative tier to ensure timely and accurate reporting. The midwife's monthly submission of the summary table enables the RHU to monitor service coverage, identify gaps, and plan resource allocation across the catchment area.

## 임상 시나리오

FHSIS Monthly Reporting FlowBHS to RHU submission pathway
At the end of each month, the BHS midwife totals services from individual treatment records and target client lists into the summary table and submits it to the RHU.

The monthly consolidation table is completed at the RHU or municipal level, where the supervising nurse combines summary tables from all barangays.

CautionDo not confuse source documents with monthly reports: individual treatment records and target client lists remain at the BHS and are not submitted to the RHU.

## 핵심 개념

- **FHSIS** — Field Health Services Information System, a bottom-up recording and reporting structure for health services
- **Summary table** — Monthly aggregate form completed by the BHS midwife and submitted to the RHU
- **Monthly consolidation table** — Form completed at the RHU level by combining summary tables from all barangays
- **Target client list** — Service-level tool identifying eligible population for programs such as immunization or prenatal care
- **Individual treatment record** — Source document recording each client encounter at the point of service

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