- DVBCARC1 ;ALB ISC/THM-TEXT FOR A&A/HOUSEBOUND EXAM ; 5/17/91 9:16 AM
- ;;2.7;AMIE;;Apr 10, 1995
- ;
- PTXT F AW=0:1 S AX=$T(@TXT+AW) S AY=$P(AX,";;",2) D:AY["|TOP|" HD2^DVBCARCK W:AY="END" !! Q:AY="END" I AY'["|TOP|" W AY,!
- G:TXT="TXT3" ^DVBCARC2 Q
- ;
- TXT2 ;;A. Indicate whether or not the veteran REQUIRES an attendant in reporting
- ;; for this exam, and if so, identify the nurse or attendant and the
- ;; mode of travel employed:
- ;;
- ;;
- ;;
- ;;
- ;;
- ;;
- ;;B. Indicate whether or not the veteran is hospitalized, and if so, state
- ;; where and the date of admission:
- ;;
- ;;
- ;;
- ;;
- ;;
- ;;
- ;;C. Indicate whether or not the veteran is blind (best corrected vision
- ;; is 5/200 or worse in both eyes, or central vision field is five degrees
- ;; or less) or is permanently bedridden (if either skip items "D" through
- ;; "I" and go directly to "J"):
- ;;END
- TXT3 ;;
- ;;
- ;;
- ;;F. Extremeties and spine:
- ;;
- ;; 1. Upper extremities (reporting each upper extremity separately) -
- ;;
- ;; a. Describe functional restrictions with reference to strength
- ;;and coordination and ability for self-feeding, fastening clothing, bathing,
- ;;shaving, and attending to the needs of nature -
- ;;
- ;;
- ;;
- ;;
- ;;
- ;;
- ;;
- ;; b. Indicate level of amputation or length of stump and state
- ;;whether or not use of prothesis is feasible -
- ;;|TOP|
- ;;
- ;;
- ;; 2. Lower extremities (reporting each lower extremity separately) -
- ;;
- ;; a. Describe functional restrictions with reference to extent
- ;;of limitation of motion, muscle atrophy, contractures, weakness, lack
- ;;of coordination, or other interference -
- ;;
- ;;
- ;;
- ;; b. Indicate any deficits of weight bearing, balance and propulsion -
- ;;
- ;;
- ;;
- ;;
- ;;
- ;; c. If amputated, give level or length of stump and whether use
- ;;of prosthesis is feasible -
- ;;
- ;;
- ;;
- ;;
- ;;
- ;; 3. Spine, trunk, and neck -
- ;;
- ;; a. Describe any limitation of motion or deformity of lumbar,
- ;;thoracic, and cervical spine -
- ;;
- ;;
- ;;
- ;;
- ;;
- ;; b. Note if deformity of thoracic spine interferes with breathing -
- ;;
- ;;
- ;;
- ;;
- ;;
- ;;
- ;;G. Capacity to protect oneself from the hazards/dangers of daily environment:
- ;;
- ;; 1. Describe briefly any pathological processes involving other body
- ;;parts and systems, including the effects of advancing age, such as dizziness,
- ;;loss of memory, poor balance affecting ability to ambulate, perform self-
- ;;care, or travel beyond the premises of the home or the ward or clinical
- ;;area if hospitalized -
- ;;|TOP|
- ;; 2. Describe where the veteran goes and what he/she does during a
- ;;typical day -
- ;;
- ;;
- ;;
- ;;
- ;;
- ;;
- ;;END
- ;
- TXT10 ;;Once the existence of at least one permanent disability
- ;; rated as being 100% disabling has been established, additional
- ;; benefits are payable if the veteran is so helpless as to require
- ;; the regular aid and attendance of another person in attending to
- ;; the ordinary activities of daily living, or in protecting
- ;; himself/herself from the ordinary hazards of his/her daily
- ;; environment, or is restricted to his/her home or the immediate
- ;; vicinity thereof, including the ward or immediate clinical area,
- ;; if hospitalized.
- ;;
- ;; If a general medical examination is included as a part of this
- ;; request specific findings as to the individual body systems and
- ;; extremeties already noted in that examination need not be repeated.
- ;; Items "G" through "L", as the examiner deems appropriate, must be
- ;; completed in all cases unless the veteran is blind or permanently
- ;; bedridden (see item "C").
- ;;
- ;;END
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCARC1 3931 printed Feb 18, 2025@23:09:59 Page 2
- DVBCARC1 ;ALB ISC/THM-TEXT FOR A&A/HOUSEBOUND EXAM ; 5/17/91 9:16 AM
- +1 ;;2.7;AMIE;;Apr 10, 1995
- +2 ;
- PTXT FOR AW=0:1
- SET AX=$TEXT(@TXT+AW)
- SET AY=$PIECE(AX,";;",2)
- if AY["|TOP|"
- DO HD2^DVBCARCK
- if AY="END"
- WRITE !!
- if AY="END"
- QUIT
- IF AY'["|TOP|"
- WRITE AY,!
- +1 if TXT="TXT3"
- GOTO ^DVBCARC2
- QUIT
- +2 ;
- TXT2 ;;A. Indicate whether or not the veteran REQUIRES an attendant in reporting
- +1 ;; for this exam, and if so, identify the nurse or attendant and the
- +2 ;; mode of travel employed:
- +3 ;;
- +4 ;;
- +5 ;;
- +6 ;;
- +7 ;;
- +8 ;;
- +9 ;;B. Indicate whether or not the veteran is hospitalized, and if so, state
- +10 ;; where and the date of admission:
- +11 ;;
- +12 ;;
- +13 ;;
- +14 ;;
- +15 ;;
- +16 ;;
- +17 ;;C. Indicate whether or not the veteran is blind (best corrected vision
- +18 ;; is 5/200 or worse in both eyes, or central vision field is five degrees
- +19 ;; or less) or is permanently bedridden (if either skip items "D" through
- +20 ;; "I" and go directly to "J"):
- +21 ;;END
- TXT3 ;;
- +1 ;;
- +2 ;;
- +3 ;;F. Extremeties and spine:
- +4 ;;
- +5 ;; 1. Upper extremities (reporting each upper extremity separately) -
- +6 ;;
- +7 ;; a. Describe functional restrictions with reference to strength
- +8 ;;and coordination and ability for self-feeding, fastening clothing, bathing,
- +9 ;;shaving, and attending to the needs of nature -
- +10 ;;
- +11 ;;
- +12 ;;
- +13 ;;
- +14 ;;
- +15 ;;
- +16 ;;
- +17 ;; b. Indicate level of amputation or length of stump and state
- +18 ;;whether or not use of prothesis is feasible -
- +19 ;;|TOP|
- +20 ;;
- +21 ;;
- +22 ;; 2. Lower extremities (reporting each lower extremity separately) -
- +23 ;;
- +24 ;; a. Describe functional restrictions with reference to extent
- +25 ;;of limitation of motion, muscle atrophy, contractures, weakness, lack
- +26 ;;of coordination, or other interference -
- +27 ;;
- +28 ;;
- +29 ;;
- +30 ;; b. Indicate any deficits of weight bearing, balance and propulsion -
- +31 ;;
- +32 ;;
- +33 ;;
- +34 ;;
- +35 ;;
- +36 ;; c. If amputated, give level or length of stump and whether use
- +37 ;;of prosthesis is feasible -
- +38 ;;
- +39 ;;
- +40 ;;
- +41 ;;
- +42 ;;
- +43 ;; 3. Spine, trunk, and neck -
- +44 ;;
- +45 ;; a. Describe any limitation of motion or deformity of lumbar,
- +46 ;;thoracic, and cervical spine -
- +47 ;;
- +48 ;;
- +49 ;;
- +50 ;;
- +51 ;;
- +52 ;; b. Note if deformity of thoracic spine interferes with breathing -
- +53 ;;
- +54 ;;
- +55 ;;
- +56 ;;
- +57 ;;
- +58 ;;
- +59 ;;G. Capacity to protect oneself from the hazards/dangers of daily environment:
- +60 ;;
- +61 ;; 1. Describe briefly any pathological processes involving other body
- +62 ;;parts and systems, including the effects of advancing age, such as dizziness,
- +63 ;;loss of memory, poor balance affecting ability to ambulate, perform self-
- +64 ;;care, or travel beyond the premises of the home or the ward or clinical
- +65 ;;area if hospitalized -
- +66 ;;|TOP|
- +67 ;; 2. Describe where the veteran goes and what he/she does during a
- +68 ;;typical day -
- +69 ;;
- +70 ;;
- +71 ;;
- +72 ;;
- +73 ;;
- +74 ;;
- +75 ;;END
- +76 ;
- TXT10 ;;Once the existence of at least one permanent disability
- +1 ;; rated as being 100% disabling has been established, additional
- +2 ;; benefits are payable if the veteran is so helpless as to require
- +3 ;; the regular aid and attendance of another person in attending to
- +4 ;; the ordinary activities of daily living, or in protecting
- +5 ;; himself/herself from the ordinary hazards of his/her daily
- +6 ;; environment, or is restricted to his/her home or the immediate
- +7 ;; vicinity thereof, including the ward or immediate clinical area,
- +8 ;; if hospitalized.
- +9 ;;
- +10 ;; If a general medical examination is included as a part of this
- +11 ;; request specific findings as to the individual body systems and
- +12 ;; extremeties already noted in that examination need not be repeated.
- +13 ;; Items "G" through "L", as the examiner deems appropriate, must be
- +14 ;; completed in all cases unless the veteran is blind or permanently
- +15 ;; bedridden (see item "C").
- +16 ;;
- +17 ;;END