DVBCBNCK ;ALB/GTS-557/THM-BONE EXAM ; 12/10/90 1:35 PM
;;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:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1410 Worksheet" S HD7="BONES (FRACTURES/BONE DISEASE)",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,! I '$D(CMBN) W "Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam:",HD7
W !!!!,"Narrative:",?13,"Evaluate the effect of functional impairment on gait, posture",!?13,"and specific functions of adjacent joints, muscles and nerves.",!!!
I '$D(CMBN) W "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:",!! D 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. Swelling -",!!!!!?8,"2. Deformity -",!!!!!
W ?12,"a. Angulation -",!!!!!?12,"b. False motion -",!!!!!?12,"c. Shortening -",!!!!!!!!?8,"3. Intra-articular involvement",!!!!!!!! D:$D(CMBN) HD2
W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!! D:'$D(CMBN) HD2 W !!,$S($D(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
K LN,LN1,LN2
Q
;
HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for "_NAME,!!!
Q
;
SETIOF ; ** Set device control var's
D HOME^%ZIS
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCBNCK 1700 printed Dec 13, 2024@01:43:39 Page 2
DVBCBNCK ;ALB/GTS-557/THM-BONE EXAM ; 12/10/90 1:35 PM
+1 ;;2.7;AMIE;;Apr 10, 1995
+2 ;
+3 SET PG=1
SET HD91="Department of Veterans Affairs"
+4 SET HD9=$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,"# 1410 Worksheet"
SET HD7="BONES (FRACTURES/BONE DISEASE)"
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,!
IF '$DATA(CMBN)
WRITE "Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam:",HD7
+3 WRITE !!!!,"Narrative:",?13,"Evaluate the effect of functional impairment on gait, posture",!?13,"and specific functions of adjacent joints, muscles and nerves.",!!!
+4 IF '$DATA(CMBN)
WRITE "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:",!!
DO HD2
+5 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. Swelling -",!!!!!?8,"2. Deformity -",!!!!!
+6 WRITE ?12,"a. Angulation -",!!!!!?12,"b. False motion -",!!!!!?12,"c. Shortening -",!!!!!!!!?8,"3. Intra-articular involvement",!!!!!!!!
if $DATA(CMBN)
DO HD2
+7 WRITE $SELECT($DATA(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!
if '$DATA(CMBN)
DO HD2
WRITE !!,$SELECT($DATA(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
+8 KILL LN,LN1,LN2
+9 QUIT
+10 ;
HD2 SET PG=PG+1
WRITE @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for "_NAME,!!!
+1 QUIT
+2 ;
SETIOF ; ** Set device control var's
+1 DO HOME^%ZIS
+2 QUIT