DVBCDACK ;ALB/GTS-557/THM-DISEASES OF THE ARTERIES/VEINS ; 12/26/90 12:23 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:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 0105 Worksheet" S HD7="DISEASES OF THE ARTERIES AND VEINS (CARDIOVASCULAR)",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",?14,HD7
W !!!!,"Narrative:"
W ?13,"Once a diagnosis is established, details about the",!?13,"permanent medical residuals and how they affect the",!
W ?13,"veteran's industrial capabilities are very important as",!?13,"the degree of impairment is used by the rating board to",!
W ?13,"determine the percentage of disability and payments therefore.",!!
I '$D(CMBN) W "A. Medical history (if a disability is already service connected, then",!?22,"provide data since last VA rating examination):",!!!!!!!!!!,"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. Blood pressure -",!!!!!!
W ?8,"2. Pulsation -",!!!!!!?8,"3. Skin appearance -",!!!!!!
W ?8,"4. Skin temperature (to the touch) -",!!!!!!?8,"5. Paresthesias -",!!!!!!
W ?8,"6. Cardiac 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 "_NAME,!
W HD8,!!!
Q
;
SETIOF ; ** Set device control var's
D HOME^%ZIS
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCDACK 2063 printed Dec 13, 2024@01:43:51 Page 2
DVBCDACK ;ALB/GTS-557/THM-DISEASES OF THE ARTERIES/VEINS ; 12/26/90 12:23 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 '$DATA(IOF)
DO SETIOF
if (IOST?1"C-".E)
WRITE @IOF
+1 WRITE !?25,HD91,!?22,"Compensation and Pension Examination",!
WRITE ?33,"# 0105 Worksheet"
SET HD7="DISEASES OF THE ARTERIES AND VEINS (CARDIOVASCULAR)"
SET HD8="For "_HD7
WRITE !?(40-($LENGTH(HD9)\2)),HD9,!?(40-($LENGTH(HD8)\2)),HD8,!!
+2 WRITE !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",?14,HD7
+3 WRITE !!!!,"Narrative:"
+4 WRITE ?13,"Once a diagnosis is established, details about the",!?13,"permanent medical residuals and how they affect the",!
+5 WRITE ?13,"veteran's industrial capabilities are very important as",!?13,"the degree of impairment is used by the rating board to",!
+6 WRITE ?13,"determine the percentage of disability and payments therefore.",!!
+7 IF '$DATA(CMBN)
WRITE "A. Medical history (if a disability is already service connected, then",!?22,"provide data since last VA rating examination):",!!!!!!!!!!,"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):",!!!?8,"1. Blood pressure -",!!!!!!
+9 WRITE ?8,"2. Pulsation -",!!!!!!?8,"3. Skin appearance -",!!!!!!
+10 WRITE ?8,"4. Skin temperature (to the touch) -",!!!!!!?8,"5. Paresthesias -",!!!!!!
+11 WRITE ?8,"6. Cardiac involvement -",!!!!!!
if $DATA(CMBN)
DO HD2
+12 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: _________________________",!
+13 KILL LN,LN1,LN2
+14 QUIT
+15 ;
HD2 SET PG=PG+1
WRITE @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for "_NAME,!
+1 WRITE HD8,!!!
+2 QUIT
+3 ;
SETIOF ; ** Set device control var's
+1 DO HOME^%ZIS
+2 QUIT
