DVBCAACK ;ALB/GTS-557/THM-ALIMENTARY APPENDAGES ; 2/6/91 6:40 AM
;;2.7;AMIE;;Apr 10, 1995
;
S PG=1,HD91="Department of Veterans Affairs"
S HD9=$S($D(CMBN):"Abbreviated",1:"Full")_" Exam Worksheet"
EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 305 Worksheet" S HD7="ALIMENTARY APPENDAGES (DIGESTIVE)",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",?14,HD7
W !!!!,"Narrative:"
W ?13,"Detailed description of chronic, active symptomatology in the",!?13,"""subjective complaints"" portion of this or the main examination is",!?13,"critical to the degree of disability assigned for the veteran.",!!
I '$D(CMBN) W "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:",!!!!!!!!!! D:'$D(CMBN) HD2
W $S($D(CMBN):"A. ",1:"D. "),"Specific evaluation information required by the rating board",!?4,"(if the information requested is included elsewhere, do not",!?4,"repeat here):",!!!?8,"1. Abdominal discomfort -",!!!!!!
W ?8,"2. Food intolerance -",!!!!!!?8,"3. Nausea (frequency) -",!!!!!!?8,"4. Vomiting (frequency) -",!!!!!!?8,"5. Degree of pain -",!!!!!! D:$D(CMBN) HD2 W ?8,"6. Anorexia -",!!!!!!
W ?8,"7. Malaise -",!!!!!! D:'$D(CMBN) HD2 W ?8,"8. Weight loss -",!!!!!!?8,"9. Generalized weakness -",!!!!!!
W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!,$S($D(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
K LN,LN1,LN2
Q
;
HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for "_NAME,!
W HD8,!!!
Q
SETIOF ; ** Set device control variables **
D HOME^%ZIS
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCAACK 1913 printed Sep 23, 2025@19:19:20 Page 2
DVBCAACK ;ALB/GTS-557/THM-ALIMENTARY APPENDAGES ; 2/6/91 6:40 AM
+1 ;;2.7;AMIE;;Apr 10, 1995
+2 ;
+3 SET PG=1
SET HD91="Department of Veterans Affairs"
+4 SET HD9=$SELECT($DATA(CMBN):"Abbreviated",1:"Full")_" Exam Worksheet"
EN if '$DATA(IOF)
DO SETIOF
if (IOST?1"C-".E)
WRITE @IOF
+1 WRITE !?25,HD91,!?22,"Compensation and Pension Examination",!
WRITE ?33,"# 305 Worksheet"
SET HD7="ALIMENTARY APPENDAGES (DIGESTIVE)"
SET HD8="For "_HD7
WRITE !?(40-($LENGTH(HD9)\2)),HD9,!?(40-($LENGTH(HD8)\2)),HD8,!!
+2 WRITE !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",?14,HD7
+3 WRITE !!!!,"Narrative:"
+4 WRITE ?13,"Detailed description of chronic, active symptomatology in the",!?13,"""subjective complaints"" portion of this or the main examination is",!?13,"critical to the degree of disability assigned for the veteran.",!!
+5 IF '$DATA(CMBN)
WRITE "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:",!!!!!!!!!!
if '$DATA(CMBN)
DO HD2
+6 WRITE $SELECT($DATA(CMBN):"A. ",1:"D. "),"Specific evaluation information required by the rating board",!?4,"(if the information requested is included elsewhere, do not",!?4,"repeat here):",!!!?8,"1. Abdominal discomfort -",!!!!!!
+7 WRITE ?8,"2. Food intolerance -",!!!!!!?8,"3. Nausea (frequency) -",!!!!!!?8,"4. Vomiting (frequency) -",!!!!!!?8,"5. Degree of pain -",!!!!!!
if $DATA(CMBN)
DO HD2
WRITE ?8,"6. Anorexia -",!!!!!!
+8 WRITE ?8,"7. Malaise -",!!!!!!
if '$DATA(CMBN)
DO HD2
WRITE ?8,"8. Weight loss -",!!!!!!?8,"9. Generalized weakness -",!!!!!!
+9 WRITE $SELECT($DATA(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!,$SELECT($DATA(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
+10 KILL LN,LN1,LN2
+11 QUIT
+12 ;
HD2 SET PG=PG+1
WRITE @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for "_NAME,!
+1 WRITE HD8,!!!
+2 QUIT
SETIOF ; ** Set device control variables **
+1 DO HOME^%ZIS
+2 QUIT
