Enclosure (1) to COMDTINST 6010.18A
ENCLOSURE - Left side (lower half) - There are two boxes Status
available for OPV care giver initials. A physician, Profile physician
assistant, nurse practitioner, physical therapist, mental health
practitioner, medical health services technician, or medical extern
initials the first box. The second box is also used when another
problem which meets the OPV criteria is addressed by a second
practitioner.
ENCLOSURE - Check one visit length: "Limited" (less than 15
Status minutes), "Intermediate" (15-30 minutes), or "Extended"
Profile (more than 30 minutes), based on the number of
minutes the OPV care giver actually spent with the patient or working
on the patient's problem (reading x-rays, checking lab work, etc.)
ENCLOSURE - In the column of boxes under the visit length,
indicate Status the type(s) of care provided during the visit. Use
Profile check marks for all boxes except initials (discussed above),
audit codes, lab test(s), and medical x-rays. Check "routine exam" box
only when an SF-88 type exam is done on an active duty member.
ENCLOSURE - If the OPV deals with one of the audit codes listed
on Status the back of the form, place the appropriate 2 letter Profile
code in the audit code box. These codes will help you generate lists of
patients for the quality assurance monitoring and evaluation audits,
and will save you the time and effort which would otherwise be
required to prepare a list of patients seen for a particular problem.
Clinics can create their own codes for their own purposes if desired.
These would be in addition to the audit codes listed on the back of the
form. Two codes may be entered for each OPV. CLAMS will allow
searching for any additional codes you might develop
.
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