DVBCARCK ;ALB/GTS-557/THM-REGULAR A&A/HOUSEBOUND EXAM ; 1/3/91 8:25 AM
;;2.7;AMIE;;Apr 10, 1995
;
K LINE S PG=1,HD91="Department of Veterans Affairs",HD9=$S($D(CMBN):"Abbreviated",1:"Full")_" Exam Worksheet",$P(LINE,"-",75)="-"
EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1715 Worksheet" S HD7="REGULAR AID AND ATTENDANCE/HOUSEBOUND STATUS",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: ___________________"
W !!,"Type of Exam: ",HD7,!!!!,"Narrative: "
S TXT="TXT10" D PTXT S TXT="TXT2" D PTXT W !!!
D HD2 W "D. Present complaints (symptoms only, NOT diagnosis):",!!!!!!!!!!!!,"E. Examination data:",!!!!,"Height:",?25,"Weight:",?45,"Max wgt past year:",!!!
W "Build and state of nutrition:",!!!,"Posture:",?23,"Gait:",!!!,"General appearance:",!!!
W "Pulse:",?20,"Blood pressure:",?51,"Respiration:",!
S TXT="TXT3" D PTXT,HD2 W !!!,"K. Diagnosis:",!!!!!!!!!!!
W "L. Additional remarks as examiner deems necessary in individual case:",!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
K LN,LN1,LN2,LINE
Q
;
HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam "_HD8,!,"for ",NAME,!!!
Q
;
PTXT D PTXT^DVBCARC1
Q
;
SETIOF ; ** Set device control var's
D HOME^%ZIS
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCARCK 1481 printed Jan 18, 2025@02:44:50 Page 2
DVBCARCK ;ALB/GTS-557/THM-REGULAR A&A/HOUSEBOUND EXAM ; 1/3/91 8:25 AM
+1 ;;2.7;AMIE;;Apr 10, 1995
+2 ;
+3 KILL LINE
SET PG=1
SET HD91="Department of Veterans Affairs"
SET HD9=$SELECT($DATA(CMBN):"Abbreviated",1:"Full")_" Exam Worksheet"
SET $PIECE(LINE,"-",75)="-"
EN if '$DATA(IOF)
DO SETIOF
if (IOST?1"C-".E)
WRITE @IOF
+1 WRITE !?25,HD91,!?22,"Compensation and Pension Examination",!
WRITE ?33,"# 1715 Worksheet"
SET HD7="REGULAR AID AND ATTENDANCE/HOUSEBOUND STATUS"
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: ___________________"
+3 WRITE !!,"Type of Exam: ",HD7,!!!!,"Narrative: "
+4 SET TXT="TXT10"
DO PTXT
SET TXT="TXT2"
DO PTXT
WRITE !!!
+5 DO HD2
WRITE "D. Present complaints (symptoms only, NOT diagnosis):",!!!!!!!!!!!!,"E. Examination data:",!!!!,"Height:",?25,"Weight:",?45,"Max wgt past year:",!!!
+6 WRITE "Build and state of nutrition:",!!!,"Posture:",?23,"Gait:",!!!,"General appearance:",!!!
+7 WRITE "Pulse:",?20,"Blood pressure:",?51,"Respiration:",!
+8 SET TXT="TXT3"
DO PTXT
DO HD2
WRITE !!!,"K. Diagnosis:",!!!!!!!!!!!
+9 WRITE "L. Additional remarks as examiner deems necessary in individual case:",!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
+10 KILL LN,LN1,LN2,LINE
+11 QUIT
+12 ;
HD2 SET PG=PG+1
WRITE @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam "_HD8,!,"for ",NAME,!!!
+1 QUIT
+2 ;
PTXT DO PTXT^DVBCARC1
+1 QUIT
+2 ;
SETIOF ; ** Set device control var's
+1 DO HOME^%ZIS
+2 QUIT
