the nature of the sensitivity reaction should be typed or
stamped on the SF 601 form.
Signatures are not
required; however, when signatures are used, make
sure you can read them.
The medical officer or Medical Department
representative administering the immunization is
responsible for completing entries in the appropriate
sections of SF 601. For smallpox (if administered),
cholera, yellow fever and anthrax immunizations,
record the manufacturers name and batch or lot
number.
NOTE: The specific protocol for recording
anthrax immunizations is outlined in
SECNAVINST 6230.4.
Type any hypersensitivity to drugs or chemicals
under Remarks and Recommendations in capital
letters (e.g., HYPERSENSITIVITY TO ASPIRIN,
HYPERSENSITIVE TO LIDOCAINE). This entry
is in addition to a similar entry required on the SF 603,
the SF 600 Special-Hypersensitivity form, and the
NAVMED 6150/20 retained permanently in the
HREC.
When recording positive results (10 mm or more
induration) of the tuberculin skin test (PPD), refer to
the Tuberculosis Control Program instruction,
BUMEDINST 6224.8, for guidance.
Disposing of SF 601
When a service member is released from active
duty or separated from the service, the SF 601 is to
remain with the HREC.
INTERNATIONAL CERTIFICATES OF
VACCINATION (PHS-731)
All personnel performing international travel
s h o u l d b e i m m u n i z e d i n a c c o r d a n c e w i t h
NAVMEDCOMINST 6230.15, Immunizations and
Chemoprophylaxis, and the current edition of FM
8-33/NAVMED P-5038, Control of Communicable
Diseases of Man. Service members should have a
properly completed and authenticated PHS-731 form
(International Certificates of Vaccination) in their
possession. The PHS-731 form is issued to service
members for independent international travel. This
form, kept by the individual, is a personal record of
immunizations. The PHS-731 is not to be filed in the
HREC at any time. Any immunizations recorded on
the PHS-731 should be transcribed onto the SF 601.
According to international rules, entries on the
PHS-731 require authentication for immunizations
against smallpox (if administered), yellow fever,
cholera, and anthrax.
Authentication (proof the
immunization has been given) is accomplished by
stamping each entry with the Department of Defense
(DoD) immunization stamp and by the healthcare
providers signature.
The signature block may be
stamped or typewritten and authenticated with the
healthcare providers signature.
ABSTRACT OF SERVICE AND MEDICAL
HISTORY (NAVMED 6150/4)
This form provides a chronological history of the
ships and stations to which a member has been
assigned for duty and treatment, and an abstract of
medical history for each admission to the Sick List.
A NAVMED 6150/4 (fig. 12-7) is prepared upon
opening the health record, and it remains with the
health record regardless of any change in the members
status. Continuation sheets are incorporated whenever
a current abstract is completely filled.
Complete
columns of the NAVMED 6150/4 as follows:
Ship or Station column. Enter the name of the
ship or command to which the member is
attached for duty or treatment.
Diagnosis, Diagnosis Number, and Remarks
column. Enter the diagnosis title and
International Classification of Diseases (ICDA)
number each time final disposition from the Sick
List is made. When there is more than one
diagnosis for a single admission, record each
diagnosis.
Date column. Indicate in the From and To
subcolumns all dates of reporting and
detachment for duty or dates of admission and
discharge from the Sick List. Upon transfer for
temporary duty (TDY), make an entry only if the
HREC accompanies the individual to the place
of TDY.
NAVMED 6150/4 is retained as a permanent part
of the HREC. When the record is closed, make an entry
indicating the date, title of servicing activity, and
explanatory circumstances.
Upon discharge and immediate reenlistment, or
change in status, an appropriate entry to this effect
should be made on the current NAVMED 6150/4.
Subsequent chronological entries are continued on the
same form.
12-20
