Routine: DVBCHACK

DVBCHACK ;ALB/GTS-557/THM-HYPERTHYROIDISM, THYROID ADENOMA ; 12/26/90  12:36 PM

 ;;2.7;AMIE;;Apr 10, 1995

 S PG=1,HD91="Department of Veterans Affairs",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,"# 0425 Worksheet" S HD7="HYPERTHYROIDISM, THYROID ADENOMA",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.  Mental assessment -",!!!!!!?5,"2.  Muscular weakness -",!!!!!!?5,"3.  Loss of weight -",!!!!!!

 W ?5,"4.  Thyroid enlargement -",!!!!!!?5,"5.  Nervous, cardiovascular or gastrointestinal symptoms -",!!!!!!

 W ?5,"6.  Elevated T4 and/or T3 readings -",!!!!!! D:$D(CMBN) HD2 W ?5,"7.  Disease in remission or demonstrably active -",!!!!!!?5,"8.  Marked disfigurement (including appearance and texture",!,?31,"of thyroidectomy scar, if present) -",!!!!!!

 D:'$D(CMBN) HD2 W ?5,"9.  Continuous medication required -",!!!!!!

 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

HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for ",NAME,!!!

SETIOF ;  ** Set device control var's

 D HOME^%ZIS

TXT ;

 ;;When symptoms interfere with normal daily activities or job

 ;;efficiency, it is essential that the extent of such handicaps

 ;;be described.

 ;;END

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCHACK   2127     printed  Apr 23, 2025@17:58:43                                                                                                                                                                                                    Page 2

DVBCHACK  ;ALB/GTS-557/THM-HYPERTHYROIDISM, THYROID ADENOMA ; 12/26/90  12:36 PM

 +1       ;;2.7;AMIE;;Apr 10, 1995

 +2       ;

 +3        SET PG=1

           SET HD91="Department of Veterans Affairs"

           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,"# 0425 Worksheet"

           SET HD7="HYPERTHYROIDISM, THYROID ADENOMA"

           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.  Mental assessment -",!!!!!!?5,"2.  Muscular weakness -",!!!!!!?5,"3.  Loss of weight -",!!!!!!

 +8        WRITE ?5,"4.  Thyroid enlargement -",!!!!!!?5,"5.  Nervous, cardiovascular or gastrointestinal symptoms -",!!!!!!

 +9        WRITE ?5,"6.  Elevated T4 and/or T3 readings -",!!!!!!

           if $DATA(CMBN)

               DO HD2

           WRITE ?5,"7.  Disease in remission or demonstrably active -",!!!!!!?5,"8.  Marked disfigurement (including appearance and texture",!,?31,"of thyroidectomy scar, if present) -",!!!!!!

 +10       if '$DATA(CMBN)

               DO HD2

           WRITE ?5,"9.  Continuous medication required -",!!!!!!

 +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       ;

 +3       ;

SETIOF    ;  ** Set device control var's

 +1        DO HOME^%ZIS

 +2        QUIT

TXT       ;

 +1       ;;When symptoms interfere with normal daily activities or job

 +2       ;;efficiency, it is essential that the extent of such handicaps

 +3       ;;be described.

 +4       ;;END

DVBCHACK.m