- 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
- 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 ---[H[J[2J[HDVBCHPCK 2129 printed Feb 18, 2025@23:10:50 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