Routine: DVBCHPCK

DVBCHPCK ;ALB/GTS-557/THM-HIP EXAM ; 5/19/91  1:02 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,"# 1425 Worksheet" S HD7="HIP",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,"Loss of range of motion of the hip will be recorded from",!?13,"the anatomical position (0 degrees) varying from 125 degrees",!

 W ?13,"in flexion to 30 degrees in extension, from 25 degrees in",!?13,"adduction to 45 degrees "

 W "in abduction, and from 60 degrees in",!?13,"external rotation to 40 degrees in internal rotation.  To gain",!?13,"a true picure of hip flexion, i.e. movement between the pelvis",!

 W ?13,"and femur in the hip joint, the opposide thigh should be",!,?13,"extended to minimize motion between the pelvis and spine.",!!

 I '$D(CMBN) W "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!! W "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. Describe movements of the thigh as it may rotate",!?8,"in a circular manner about the femoral head in the "

 W !?8,"acetabulum.  Discuss any pain, tenderness, weakness",!?8,"and fatigue on standing and any unusual motions on ",!?8,"walking -",!!!!!!!!!!!

 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!! D:$Y>50 HD2 W $S($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

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCHPCK   2129     printed  Apr 09, 2024@20:45:27                                                                                                                                                                                                    Page 2

DVBCHPCK  ;ALB/GTS-557/THM-HIP EXAM ; 5/19/91  1:02 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,"# 1425 Worksheet"

           SET HD7="HIP"

           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,"Loss of range of motion of the hip will be recorded from",!?13,"the anatomical position (0 degrees) varying from 125 degrees",!

 +5        WRITE ?13,"in flexion to 30 degrees in extension, from 25 degrees in",!?13,"adduction to 45 degrees "

 +6        WRITE "in abduction, and from 60 degrees in",!?13,"external rotation to 40 degrees in internal rotation.  To gain",!?13,"a true picure of hip flexion, i.e. movement between the pelvis",!

 +7        WRITE ?13,"and femur in the hip joint, the opposide thigh should be",!,?13,"extended to minimize motion between the pelvis and spine.",!!

 +8        IF '$DATA(CMBN)

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

               WRITE "C. Objective findings:"

               DO HD2

 +9        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):",!!

 +10       WRITE ?5,"1. Describe movements of the thigh as it may rotate",!?8,"in a circular manner about the femoral head in the "

 +11       WRITE !?8,"acetabulum.  Discuss any pain, tenderness, weakness",!?8,"and fatigue on standing and any unusual motions on ",!?8,"walking -",!!!!!!!!!!!

 +12       WRITE $SELECT($DATA(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!

           if $Y>50

               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 ",HD7,!,"for "_NAME,!!!

 +1        QUIT

 +2       ;

SETIOF    ;  ** Set device control var's

 +1        DO HOME^%ZIS

 +2        QUIT

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