DVBCBRCK.m

DVBCBRCK ;ALB/GTS-557/THM-TRACHEA AND BRONCHI ; 6/27/91  7:33 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,"# 1525 Worksheet" S HD7="TRACHEA AND BRONCHI",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: ",HD7

 W !!!!,"Narrative:"

 W ?13,"Identify the disease present, describe clinical findings",!?13,"and provide current chest X-Ray results if no recent",!?13,"studies are available.  Report pulmonary function studies"

 W !?13,"unless medically contraindicated.",!!!

 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):",!!!

 W ?8,"1. Presence of cor pulmonale -",!!!!!

 W ?8,"2. If veteran is asthmatic, report frequency of attacks",!?11,"and baseline functional status between attacks -",!!!!!!

 W ?8,"3. Report any indications of cyanosis/clubbing of extremities -",!!!!!!?8,"4. Productive cough/sputum -",!!!!!!?8,"5. Dyspnea on exertion/slight exertion/at rest -",!!!!!

 W ?8,"6. Indicate whether infectious disease is present -",!!!!!!!

 D:$D(CMBN) HD2 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clincal 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 ---DVBCBRCK   2020     printed  Mar 13, 2025@20:48:22                                                                                                                                                                                                    Page 2

DVBCBRCK  ;ALB/GTS-557/THM-TRACHEA AND BRONCHI ; 6/27/91  7:33 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,"# 1525 Worksheet"

           SET HD7="TRACHEA AND BRONCHI"

           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: ",HD7

 +3        WRITE !!!!,"Narrative:"

 +4        WRITE ?13,"Identify the disease present, describe clinical findings",!?13,"and provide current chest X-Ray results if no recent",!?13,"studies are available.  Report pulmonary function studies"

 +5        WRITE !?13,"unless medically contraindicated.",!!!

 +6        IF '$DATA(CMBN)

               WRITE "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:",!!

               DO HD2

 +7        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        WRITE ?8,"1. Presence of cor pulmonale -",!!!!!

 +9        WRITE ?8,"2. If veteran is asthmatic, report frequency of attacks",!?11,"and baseline functional status between attacks -",!!!!!!

 +10       WRITE ?8,"3. Report any indications of cyanosis/clubbing of extremities -",!!!!!!?8,"4. Productive cough/sputum -",!!!!!!?8,"5. Dyspnea on exertion/slight exertion/at rest -",!!!!!

 +11       WRITE ?8,"6. Indicate whether infectious disease is present -",!!!!!!!

 +12       if $DATA(CMBN)

               DO HD2

           WRITE $SELECT($DATA(CMBN):"B. ",1:"E. "),"Diagnostic/clincal test results:",!!!!!!!!!!

           if '$DATA(CMBN)

               DO HD2

 +13       WRITE $SELECT($DATA(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!

 +14       KILL LN,LN1,LN2

 +15       QUIT 

 +16      ;

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