DVBCDACK.m

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 ---DVBCDACK   2063     printed  Mar 13, 2025@20:48:32                                                                                                                                                                                                    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