- DVBCCYCK ;ALB/GTS-557/THM-CYSTITIS,BLADDER CALCULUS,ETC ; 2/6/91 7:59 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:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
- W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 0605 Worksheet" S HD5="CYSTITIS, BLADDER CALCULUS, RESIDUALS OF BLADDER INJURY,",HD6="ALL DISORDERS OF THE PROSTATE, URETHRA AND SURGICAL RESIDUALS (GU)"
- S HD7="For "_HD5
- W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD7)\2)),HD7,!?(40-($L(HD6)\2)),HD6,!!
- W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,! I '$D(CMBN) W "Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD5,!?14,HD6
- W !!!!,"Narrative:"
- W ?13,"Complications and/or medical side effects should always be",!?13,"reported, even when not specifically requested.",!!
- I '$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. Frequency of urination -",!!!!!?8,"2. Presence or absence of pyuria -",!!!!!
- W ?8,"3. Pain or tenesmus -",!!!!!?8,"4. Incontinence requiring pads or appliance -",!!!!!
- W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!! D:$Y>50 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 "_NAME,!!,HD5,!,HD6,!!!
- Q
- ;
- SETIOF ; ** Set device control var's
- D HOME^%ZIS
- Q
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCCYCK 1825 printed Mar 13, 2025@20:48:31 Page 2
- DVBCCYCK ;ALB/GTS-557/THM-CYSTITIS,BLADDER CALCULUS,ETC ; 2/6/91 7:59 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 '$DATA(IOF)
- DO SETIOF
- if (IOST?1"C-".E)
- WRITE @IOF
- +1 WRITE !?25,HD91,!?22,"Compensation and Pension Examination",!
- WRITE ?33,"# 0605 Worksheet"
- SET HD5="CYSTITIS, BLADDER CALCULUS, RESIDUALS OF BLADDER INJURY,"
- SET HD6="ALL DISORDERS OF THE PROSTATE, URETHRA AND SURGICAL RESIDUALS (GU)"
- +2 SET HD7="For "_HD5
- +3 WRITE !?(40-($LENGTH(HD9)\2)),HD9,!?(40-($LENGTH(HD7)\2)),HD7,!?(40-($LENGTH(HD6)\2)),HD6,!!
- +4 WRITE !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!
- IF '$DATA(CMBN)
- WRITE "Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD5,!?14,HD6
- +5 WRITE !!!!,"Narrative:"
- +6 WRITE ?13,"Complications and/or medical side effects should always be",!?13,"reported, even when not specifically requested.",!!
- +7 IF '$DATA(CMBN)
- WRITE "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:",!!!!!!!!!!!
- DO HD2
- +8 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):",!!!
- +9 WRITE ?8,"1. Frequency of urination -",!!!!!?8,"2. Presence or absence of pyuria -",!!!!!
- +10 WRITE ?8,"3. Pain or tenesmus -",!!!!!?8,"4. Incontinence requiring pads or appliance -",!!!!!
- +11 WRITE $SELECT($DATA(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!
- if $Y>50
- DO HD2
- WRITE $SELECT($DATA(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
- +12 KILL LN,LN1,LN2
- +13 QUIT
- +14 ;
- HD2 SET PG=PG+1
- WRITE @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for "_NAME,!!,HD5,!,HD6,!!!
- +1 QUIT
- +2 ;
- SETIOF ; ** Set device control var's
- +1 DO HOME^%ZIS
- +2 QUIT
