DAFORMFILLABLE.COM | DA FORM 5190 Fillable – Army Pubs 5190 PDF – DA FORM 5190, officially titled Clinician’s Information, is an essential document used by medical professionals within the military. This form, established on September 1, 2002, remains in active status and is maintained by the G-9 proponent. The form is vital for ensuring proper documentation and communication of medical information.
DA FORM 5190 – Clinician`S Information
| Form Number | DA Form 5190 |
| Form Title | Clinician`S Information |
| Form Date | 09/01/2002 |
| Form Proponent | G-9 |
Purpose and Use of DA FORM 5190
Key Functions of DA FORM 5190
The Clinician’s Information form is used primarily to record and convey detailed medical data. This information is crucial for various medical assessments, treatments, and administrative processes. DA FORM 5190 serves multiple purposes:
- Recording medical history: It captures comprehensive medical history, including previous illnesses, surgeries, and ongoing treatments.
- Facilitating medical evaluations: It assists clinicians in conducting thorough medical evaluations by providing a standardized format for documenting findings.
- Supporting medical decision-making: It aids in the decision-making process by offering a detailed account of the patient’s medical status.
Compliance and Distribution
The form complies with AR 608-75, which prescribes its use. It is noteworthy that DA FORM 5190 is produced solely in electronic media, making it accessible and easy to distribute. According to its distribution restriction code (A), it is approved for public release and distribution is unlimited.
Detailed Structure of DA FORM 5190
Sections of the Form
DA FORM 5190 is meticulously structured to cover all necessary aspects of a patient’s medical information. The key sections include:
- Patient Identification: This section records basic details such as the patient’s name, identification number, and contact information.
- Medical History: This part captures comprehensive information about the patient’s past medical conditions, treatments, and family medical history.
- Current Medical Status: This section includes details of the patient’s current medical condition, ongoing treatments, and prescribed medications.
- Clinician’s Notes: Here, the clinician can provide detailed observations, diagnostic impressions, and any recommendations for further treatment or tests.
Importance of Accurate Completion
Ensuring Data Accuracy
The accuracy of the information recorded on DA FORM 5190 is paramount. Clinicians must ensure that all details are correctly entered to facilitate accurate medical assessments and treatments. Inaccuracies or omissions can lead to misdiagnosis or inappropriate treatment plans.
Electronic Media and Security
Since DA FORM 5190 is produced in electronic media, maintaining the security and confidentiality of the data is crucial. The form is classified as UNCLASSIFIED, but proper handling procedures must be followed to protect patient privacy and sensitive information.
Accessibility and Public Release
DA FORM 5190 is easily accessible in electronic format, enhancing its utility for clinicians who need to quickly record and access patient information. Its unrestricted distribution means it can be freely disseminated to relevant personnel, ensuring that all parties involved in a patient’s care have access to up-to-date information.
Conclusion
DA FORM 5190 – Clinician’s Information is a critical tool for medical professionals in the military, designed to ensure comprehensive and accurate documentation of patient information. By adhering to the structured format and utilizing the electronic medium, clinicians can enhance the quality of care provided to patients. Understanding the form’s structure, purpose, and the importance of accurate completion is essential for maximizing its effectiveness in clinical settings.
DA FORM 5190 Fillable – Army Pubs 5190 PDF DOWNLOAD
