DVBCMNCK ;ALB/GTS-557/THM-MENTAL DISORDERS EXAM ; 2/11/91 10:44 AM
;;2.7;AMIE;;Apr 10, 1995
;
S PG=1,HD91="Department of Veterans Affairs",HD9="Full Exam Worksheet"
EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 0905 Worksheet" S HD7="MENTAL DISORDERS",HD8="For "_HD7 W !?(40-($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,$P(LY,";;",2),!
D HD2 W "A. Medical and occupational history " S LX="TXT1" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W $P(LY,";;",2),! I $Y>50 D HD2
W !!!!!!!!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!!!!!!!!,"C. Objective findings:" D HD2
W "D. Specific evaluation information required by the rating board",!?4,"(if the information requested is included elsewhere, do not",!?4,"repeat here):",!!!
S LX="TXT2" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W $P(LY,";;",2),!
W !!!!!!!!!,"E. Diagnostic tests (including psychological testing if deemed necessary):",!!!!!!!!!!!!!!,"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
;
TXT ;
;;The severity of disability is based upon actual symptomatology,
;;as it affects social and industrial adaptability. Two of the
;;most important determinants of disability are time lost from
;;gainful work and decrease in efficiency. The rating board must
;;not underevaluate the emotionally sick veteran with a good work
;;record, nor must it overevaluate his or her condition on the
;;basis of a poor work record not supported by the psychiatric
;;disability picture. It is for this reason that great emphasis
;;is placed upon the full report of the examiner, descriptive of
;;actual symptomatology. The record of the history and complaints
;;is only preliminary to the examination. The objective findings
;;and the examiner's analysis of the symptomatology are the
;;essentials. The examiner's classification of the disease
;;as "mild", "moderate", or "severe" is not determinative of the
;;degree of disability, but the report and the analysis of the
;;symptomatology and full consideration of the history by the
;;rating agency will be. In evaluating disability from psychotic
;;disorders it is necessary to consider, in addition to present
;;symptomatology or its absence, the frequency, severity and
;;duration of previous psychotic periods, and the veteran's
;;capacity for adjustment during periods of remission. Repeated
;;psychotic periods, without long remissions, may be expected
;;to have a sustained effect upon employability until elapsed
;;time in good remission and with good capacity for adjustment
;;establishes the contrary. Ratings are to be assigned which
;;represent the impairment of social and industrial adaptability
;;based on all evidence of record.
;;END
;
TXT1 ;
;;(since the historical data covering the
;;veteran's life up to the time of the last examination are generally in the
;;claim file, only the time between such last rating examination and the present
;;need be accounted for, unless the purpose of this examination is to ESTABLISH
;;service connection):
;;END
;
TXT2 ;
;; 1. State whether the veteran is capable of managing his/her
;; benefit payments in the individual's own best interests (a
;; physical disability which prevents the veteran from attending
;; to financial matters in person is not a proper basis for a
;; finding of incompetency unless the veteran is, by reason of that
;; disability, incapable of directing someone else in handling
;; the individual's financial affairs) -
;;END
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCMNCK 4106 printed Sep 23, 2025@19:20:56 Page 2
DVBCMNCK ;ALB/GTS-557/THM-MENTAL DISORDERS EXAM ; 2/11/91 10:44 AM
+1 ;;2.7;AMIE;;Apr 10, 1995
+2 ;
+3 SET PG=1
SET HD91="Department of Veterans Affairs"
SET HD9="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,"# 0905 Worksheet"
SET HD7="MENTAL DISORDERS"
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 DO HD2
WRITE "A. Medical and occupational history "
SET LX="TXT1"
FOR I=1:1
SET LY=$TEXT(@LX+I)
if LY["END"
QUIT
WRITE $PIECE(LY,";;",2),!
IF $Y>50
DO HD2
+6 WRITE !!!!!!!!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!!!!!!!!,"C. Objective findings:"
DO HD2
+7 WRITE "D. Specific evaluation information required by the rating board",!?4,"(if the information requested is included elsewhere, do not",!?4,"repeat here):",!!!
+8 SET LX="TXT2"
FOR I=1:1
SET LY=$TEXT(@LX+I)
if LY["END"
QUIT
WRITE $PIECE(LY,";;",2),!
+9 WRITE !!!!!!!!!,"E. Diagnostic tests (including psychological testing if deemed necessary):",!!!!!!!!!!!!!!,"F. Diagnosis:",!!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
+10 KILL LN,LN1,LN2
+11 QUIT
+12 ;
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
+3 ;
TXT ;
+1 ;;The severity of disability is based upon actual symptomatology,
+2 ;;as it affects social and industrial adaptability. Two of the
+3 ;;most important determinants of disability are time lost from
+4 ;;gainful work and decrease in efficiency. The rating board must
+5 ;;not underevaluate the emotionally sick veteran with a good work
+6 ;;record, nor must it overevaluate his or her condition on the
+7 ;;basis of a poor work record not supported by the psychiatric
+8 ;;disability picture. It is for this reason that great emphasis
+9 ;;is placed upon the full report of the examiner, descriptive of
+10 ;;actual symptomatology. The record of the history and complaints
+11 ;;is only preliminary to the examination. The objective findings
+12 ;;and the examiner's analysis of the symptomatology are the
+13 ;;essentials. The examiner's classification of the disease
+14 ;;as "mild", "moderate", or "severe" is not determinative of the
+15 ;;degree of disability, but the report and the analysis of the
+16 ;;symptomatology and full consideration of the history by the
+17 ;;rating agency will be. In evaluating disability from psychotic
+18 ;;disorders it is necessary to consider, in addition to present
+19 ;;symptomatology or its absence, the frequency, severity and
+20 ;;duration of previous psychotic periods, and the veteran's
+21 ;;capacity for adjustment during periods of remission. Repeated
+22 ;;psychotic periods, without long remissions, may be expected
+23 ;;to have a sustained effect upon employability until elapsed
+24 ;;time in good remission and with good capacity for adjustment
+25 ;;establishes the contrary. Ratings are to be assigned which
+26 ;;represent the impairment of social and industrial adaptability
+27 ;;based on all evidence of record.
+28 ;;END
+29 ;
TXT1 ;
+1 ;;(since the historical data covering the
+2 ;;veteran's life up to the time of the last examination are generally in the
+3 ;;claim file, only the time between such last rating examination and the present
+4 ;;need be accounted for, unless the purpose of this examination is to ESTABLISH
+5 ;;service connection):
+6 ;;END
+7 ;
TXT2 ;
+1 ;; 1. State whether the veteran is capable of managing his/her
+2 ;; benefit payments in the individual's own best interests (a
+3 ;; physical disability which prevents the veteran from attending
+4 ;; to financial matters in person is not a proper basis for a
+5 ;; finding of incompetency unless the veteran is, by reason of that
+6 ;; disability, incapable of directing someone else in handling
+7 ;; the individual's financial affairs) -
+8 ;;END
