Routine: DVBCJNCK

DVBCJNCK ;ALB/GTS-557/THM-JOINT EXAM ; 5/17/91  8:47 AM

 ;;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,"# 1430 Worksheet" S HD7="JOINTS (ORTHOPEDIC)",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,"Do not use negative values to indicate inability to achieve",!?13,"full extension.  The anatomical position is the reference",!?13,"position EXCEPT with the regard to rotation of the shoulder",!?13,"and pronation/supination "

 W "of the forearm (see fig. 2.1 and 2.2",!?13,"of the Physician's Guide).  To give uniformity in describing",!?13,"limitation of motion or ankylosis of a joint, THE USE OF A",!?13,"GONIOMETER IS REQUIRED.",!!!

 I '$D(CMBN) W "A. Medical history:",!!!!!!!!!! W "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 ?8,"1. Swelling -",!!!!!?8,"2. Deformity -",!!!!!

 W ?8,"3. Other impairment of knee: subluxation or lateral instability;",!?11,"non-union, with loose motion; malunion -",!!!!!

 D:$D(CMBN) HD2 W ?8,"4. Range of motion (complete chart below)-",!!?11,"Note: Enter joint names in blanks under numbers below.  If more",!

 W ?11,"than four joints are involved, please extend your dictation in the",!?11,"same format.",!!

 S LN="|============|============|============|============|",LN1="|            |            |            |            |",LN2="|------------|------------|------------|------------|"

 W ?19,"------------------ JOINT EXAMINED -------------------",!!?25,"1",?32,"|",?38,"2",?45,"|",?51,"3",?58,"|",?65,"4",?71,"|",!?19,LN,!,"Range of:",?19,LN1,!,"----- --",?19,LN,!

 F JX="Flexion","Extension","Rotation","Abduction","Adduction","Pronation","Supination","Deviation (radial)","Deviation (ulnar)","Plantar Flexion","Dorsiflexion" W JX,?19,LN1,!?19,LN2,!

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

 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 JOINTS for "_NAME,!!!

SETIOF ;  ** Set device control var's

 D HOME^%ZIS

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCJNCK   2742     printed  Mar 13, 2025@20:49:18                                                                                                                                                                                                    Page 2

DVBCJNCK  ;ALB/GTS-557/THM-JOINT EXAM ; 5/17/91  8:47 AM

 +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,"# 1430 Worksheet"

           SET HD7="JOINTS (ORTHOPEDIC)"

           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,"Do not use negative values to indicate inability to achieve",!?13,"full extension.  The anatomical position is the reference",!?13,"position EXCEPT with the regard to rotation of the shoulder",!?13,"and pronation/supination "

 +5        WRITE "of the forearm (see fig. 2.1 and 2.2",!?13,"of the Physician's Guide).  To give uniformity in describing",!?13,"limitation of motion or ankylosis of a joint, THE USE OF A",!?13,"GONIOMETER IS REQUIRED.",!!!

 +6        IF '$DATA(CMBN)

               WRITE "A. Medical history:",!!!!!!!!!!

               WRITE "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        WRITE ?8,"1. Swelling -",!!!!!?8,"2. Deformity -",!!!!!

 +9        WRITE ?8,"3. Other impairment of knee: subluxation or lateral instability;",!?11,"non-union, with loose motion; malunion -",!!!!!

 +10       if $DATA(CMBN)

               DO HD2

           WRITE ?8,"4. Range of motion (complete chart below)-",!!?11,"Note: Enter joint names in blanks under numbers below.  If more",!

 +11       WRITE ?11,"than four joints are involved, please extend your dictation in the",!?11,"same format.",!!

 +12       SET LN="|============|============|============|============|"

           SET LN1="|            |            |            |            |"

           SET LN2="|------------|------------|------------|------------|"

 +13       WRITE ?19,"------------------ JOINT EXAMINED -------------------",!!?25,"1",?32,"|",?38,"2",?45,"|",?51,"3",?58,"|",?65,"4",?71,"|",!?19,LN,!,"Range of:",?19,LN1,!,"----- --",?19,LN,!

 +14       FOR JX="Flexion","Extension","Rotation","Abduction","Adduction","Pronation","Supination","Deviation (radial)","Deviation (ulnar)","Plantar Flexion","Dorsiflexion"

               WRITE JX,?19,LN1,!?19,LN2,!

 +15       DO HD2

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

 +16       WRITE $SELECT($DATA(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!

 +17       KILL LN,LN1,LN2

 +18       QUIT

 +19      ;

HD2        SET PG=PG+1

           WRITE @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for JOINTS for "_NAME,!!!

 +1        QUIT

 +2       ;

SETIOF    ;  ** Set device control var's

 +1        DO HOME^%ZIS

 +2        QUIT

DVBCJNCK.m