- DVBCNHCK ;ALB/GTS-557/THM-NEPHROLOGICAL EXAM ; 12/27/90 1:07 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:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
- W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1110 Worksheet" S HD7="NEPHROLOGICAL",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
- W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: NEPHROLOGICAL"
- W !!!!,"Narrative:"
- W ?13,"Complications and/or medical side effects should always be",!?13,"reported, even when not specifically requested.",!!
- I '$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. Report presence or absence of calculi -",!!!!!?8,"2. If stone, presence and size if retained -",!!!!!?8,"3. Frequency of attacks of colic -",!!!!!?8,"4. Catheter drainage requirments, including frequency -",!!!!!
- W ?8,"5. Presence or absence of infection -",!!!!!?8,"6. Involvement of other kidney -",!!!!!
- D:$D(CMBN) HD2 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!! D:'$D(CMBN) HD2 W $S($D(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!
- W ?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
- K LN,LN1,LN2
- Q
- ;
- HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for "_NAME,!,HD8,!!!
- Q
- ;
- SETIOF ; ** Set device control var's
- D HOME^%ZIS
- Q
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCNHCK 1800 printed Jan 18, 2025@02:46:11 Page 2
- DVBCNHCK ;ALB/GTS-557/THM-NEPHROLOGICAL EXAM ; 12/27/90 1:07 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 '$DATA(IOF)
- DO SETIOF
- if (IOST?1"C-".E)
- WRITE @IOF
- +1 WRITE !?25,HD91,!?22,"Compensation and Pension Examination",!
- WRITE ?33,"# 1110 Worksheet"
- SET HD7="NEPHROLOGICAL"
- SET HD8="For "_HD7
- WRITE !?(40-($LENGTH(HD9)\2)),HD9,!?(40-($LENGTH(HD8)\2)),HD8,!!
- +2 WRITE !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: NEPHROLOGICAL"
- +3 WRITE !!!!,"Narrative:"
- +4 WRITE ?13,"Complications and/or medical side effects should always be",!?13,"reported, even when not specifically requested.",!!
- +5 IF '$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. Report presence or absence of calculi -",!!!!!?8,"2. If stone, presence and size if retained -",!!!!!?8,"3. Frequency of attacks of colic -",!!!!!?8,"4. Catheter drainage requirments, including frequency -",!!!!!
- +8 WRITE ?8,"5. Presence or absence of infection -",!!!!!?8,"6. Involvement of other kidney -",!!!!!
- +9 if $DATA(CMBN)
- DO HD2
- WRITE $SELECT($DATA(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!
- if '$DATA(CMBN)
- DO HD2
- WRITE $SELECT($DATA(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!
- +10 WRITE ?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 "_NAME,!,HD8,!!!
- +1 QUIT
- +2 ;
- SETIOF ; ** Set device control var's
- +1 DO HOME^%ZIS
- +2 QUIT