- 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 Mar 13, 2025@20:47:59 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