DVBCMSCK ;ALB/GTS-557/THM-MUSCLE EXAM ; 5/21/91 9:35 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:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1435 Worksheet" S HD7="MUSCLES (ORTHOPEDIC)",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
W !!!!,"Narrative:"
F AW=0:1 S AX=$T(TXT+AW) S AY=$P(AX,";;",2) W:AY="$END" !! Q:AY="$END" W ?13,AY,!
I '$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 ?8,"1. Tissue loss comparison -",!!!!!?8,"2. Muscles penetrated -",!!!!!?8,"3. Scar formation measurement (sensitiveness, tenderness) -",!!!!!
W ?8,"4. Adhesions -",!!!!!?8,"5. Damage to tendons -",!!!!!?8,"6. Damage to bones, joints, nerves -",!!!!! D:$D(CMBN) HD2 W ?8,"7. Strength -",!!!!!?8,"8. Evidence of pain -",!!!!!?8,"9. Evidence of muscle hernia -",!!!!!
D:'$D(CMBN) HD2 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
;
TXT ;;In conducting examinations of muscle damage and functional
;;impairment the muscles affected by tissue loss, penetrating
;;injuries, scar formation, adhesions, damage to tendons, or
;;other factors should be identified individually by the
;;pathological locations and by motions affected in strength
;;excursion, and diminished capacity for prolonged use.
;;
;;The standard muscle grading system should be used and
;;is as follows:
;;
;;Normal - through full range against normal resistance
;; Good - full range, less than normal resistance
;; Fair - full range, gravity only resistance
;; Poor - full range, gravity and all resistance eliminated
;;$END
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCMSCK 2498 printed Sep 23, 2025@19:20:58 Page 2
DVBCMSCK ;ALB/GTS-557/THM-MUSCLE EXAM ; 5/21/91 9:35 AM
+1 ;;2.7;AMIE;;Apr 10, 1995
+2 ;
+3 SET PG=1
SET HD91="Department of Veterans Affairs"
SET HD9=$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,"# 1435 Worksheet"
SET HD7="MUSCLES (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 FOR AW=0:1
SET AX=$TEXT(TXT+AW)
SET AY=$PIECE(AX,";;",2)
if AY="$END"
WRITE !!
if AY="$END"
QUIT
WRITE ?13,AY,!
+5 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 ?8,"1. Tissue loss comparison -",!!!!!?8,"2. Muscles penetrated -",!!!!!?8,"3. Scar formation measurement (sensitiveness, tenderness) -",!!!!!
+8 WRITE ?8,"4. Adhesions -",!!!!!?8,"5. Damage to tendons -",!!!!!?8,"6. Damage to bones, joints, nerves -",!!!!!
if $DATA(CMBN)
DO HD2
WRITE ?8,"7. Strength -",!!!!!?8,"8. Evidence of pain -",!!!!!?8,"9. Evidence of muscle hernia -",!!!!!
+9 if '$DATA(CMBN)
DO HD2
WRITE $SELECT($DATA(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!
if $Y>50
DO HD2
+10 WRITE $SELECT($DATA(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
+11 KILL LN,LN1,LN2
+12 QUIT
+13 ;
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 ;;In conducting examinations of muscle damage and functional
+1 ;;impairment the muscles affected by tissue loss, penetrating
+2 ;;injuries, scar formation, adhesions, damage to tendons, or
+3 ;;other factors should be identified individually by the
+4 ;;pathological locations and by motions affected in strength
+5 ;;excursion, and diminished capacity for prolonged use.
+6 ;;
+7 ;;The standard muscle grading system should be used and
+8 ;;is as follows:
+9 ;;
+10 ;;Normal - through full range against normal resistance
+11 ;; Good - full range, less than normal resistance
+12 ;; Fair - full range, gravity only resistance
+13 ;; Poor - full range, gravity and all resistance eliminated
+14 ;;$END
