DVBCEDCK.m

DVBCEDCK ;ALB/GTS-557/THM-AUDIO-EAR DISEASE ; 6/27/91  7:21 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,"# 1306 Worksheet" S HD7="AUDIO-EAR DISEASE",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,"If, in the course of audiometric testing, there is any",!?13,"indication of ear disease, the veteran should be referred to",!?13,"a physician for additional exam.  Examination should include"

 W !?13,"inspection of the auricle, the external canal, and tympanic",!?13,"membranes.  Abnormalities in size, shape, or form of the",!?13,"structure should be noted.",!!

 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):",!!!?8,"1. Auricle -",!!!!!?8,"2. External canal -",!!!!!

 W ?8,"3. Tympanic membrane -",!!!!!?8,"4. The tympanum -",!!!!!?8,"5. The mastoid -",!!!!! D:$D(CMBN) HD2

 W ?8,"5. State if an active ear disease is present -",!!!!!?8,"6. State if an infectious disease of the middle or inner",!?11,"ear is present -"

 W !!!!!?8,"7. State whether ear disease is affecting any function other",!?11,"than hearing, such as balance, or is associated with any",!?11,"upper respiratory disease -",!!!!! D:'$D(CMBN) HD2

 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!,$S($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 ---DVBCEDCK   2195     printed  Mar 13, 2025@20:48:39                                                                                                                                                                                                    Page 2

DVBCEDCK  ;ALB/GTS-557/THM-AUDIO-EAR DISEASE ; 6/27/91  7:21 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,"# 1306 Worksheet"

           SET HD7="AUDIO-EAR DISEASE"

           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,"If, in the course of audiometric testing, there is any",!?13,"indication of ear disease, the veteran should be referred to",!?13,"a physician for additional exam.  Examination should include"

 +5        WRITE !?13,"inspection of the auricle, the external canal, and tympanic",!?13,"membranes.  Abnormalities in size, shape, or form of the",!?13,"structure should be noted.",!!

 +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,"1. Auricle -",!!!!!?8,"2. External canal -",!!!

!!

 +8        WRITE ?8,"3. Tympanic membrane -",!!!!!?8,"4. The tympanum -",!!!!!?8,"5. The mastoid -",!!!!!

           if $DATA(CMBN)

               DO HD2

 +9        WRITE ?8,"5. State if an active ear disease is present -",!!!!!?8,"6. State if an infectious disease of the middle or inner",!?11,"ear is present -"

 +10       WRITE !!!!!?8,"7. State whether ear disease is affecting any function other",!?11,"than hearing, such as balance, or is associated with any",!?11,"upper respiratory disease -",!!!!!

           if '$DATA(CMBN)

               DO HD2

 +11       WRITE $SELECT($DATA(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!,$SELECT($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 ",HD7,!,"for ",NAME,!!!

 +1        QUIT 

 +2       ;

SETIOF    ;  ** Set device control var's

 +1        DO HOME^%ZIS

 +2        QUIT