DVBCDNCK.m

DVBCDNCK ;ALB/GTS-557/THM-DENTAL EXAM ; 12/5/90  2:16 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,"# 0205 Worksheet" S HD7="DENTAL",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:"

 S LX="TXT" F I=1:1 S LY=$T(@LX+I) Q:LY["END"  W ?13,$P(LY,";;",2),!

 W !! 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 ?5,"1.  Disability effect on everyday activities -",!!!!!!?5,"2.  Ancillary problems as a result of the dental condition -",!!!!!!

 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

 ;

TXT ;

 ;;Regional Office action is required for all dental treatment

 ;;claims based on combat wounds, service trauma, prisoner of

 ;;war or extracted teeth under 38 CFR 17.123.

 ;;END

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---DVBCDNCK   1726     printed  Apr 09, 2024@20:54:30                                                                                                                                                                                                    Page 2

DVBCDNCK  ;ALB/GTS-557/THM-DENTAL EXAM ; 12/5/90  2:16 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,"# 0205 Worksheet"

           SET HD7="DENTAL"

           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        SET LX="TXT"

           FOR I=1:1

               SET LY=$TEXT(@LX+I)

               if LY["END"

                   QUIT 

               WRITE ?13,$PIECE(LY,";;",2),!

 +5        WRITE !!

           IF '$DATA(CMBN)

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

               DO HD2

 +6        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):",!!!

 +7        WRITE ?5,"1.  Disability effect on everyday activities -",!!!!!!?5,"2.  Ancillary problems as a result of the dental condition -",!!!!!!

 +8        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: _________________________",!

 +9        KILL LN,LN1,LN2

 +10       QUIT 

 +11      ;

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 

 +3       ;

TXT       ;

 +1       ;;Regional Office action is required for all dental treatment

 +2       ;;claims based on combat wounds, service trauma, prisoner of

 +3       ;;war or extracted teeth under 38 CFR 17.123.

 +4       ;;END