DVBCNICK ;ALB/GTS-557/THM-INTESTINAL EXAM ; 12/26/90 12:29 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:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 0315 Worksheet" S HD7="INTESTINE (DIGESTIVE)",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",?14,HD7
W !!!!,"Narrative:"
W ?13,"Detailed description of chronic, active symptomatology",!?13,"in the ""subjective complaints"" portion of this examination",!
W ?13,"is critical to the degree of disability assigned for the",!?13,"veteran.",!!
I '$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. Current weight -",!!!!!!?8,"2. Maximum weight, past year -",!!!!!!?8,"3. Is the veteran anemic? -",!!!!!!
W ?8,"4. Malnutrition -",!!!!!!?8,"5. Nausea -",!!!!!!?8,"6. Diarrhea and/or constipation -",! D HD2
W ?8,"7. Bowel disturbance -",!!!!!!?8,"8. Abdominal disturbance -",!!!!!!
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 "_NAME,!
W HD8,!!!
Q
;
SETIOF ; ** Set device control var's
D HOME^%ZIS
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCNICK 1851 printed Dec 13, 2024@01:44:59 Page 2
DVBCNICK ;ALB/GTS-557/THM-INTESTINAL EXAM ; 12/26/90 12:29 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 '$DATA(IOF)
DO SETIOF
if (IOST?1"C-".E)
WRITE @IOF
+1 WRITE !?25,HD91,!?22,"Compensation and Pension Examination",!
WRITE ?33,"# 0315 Worksheet"
SET HD7="INTESTINE (DIGESTIVE)"
SET HD8="For "_HD7
WRITE !?(40-($LENGTH(HD9)\2)),HD9,!?(40-($LENGTH(HD8)\2)),HD8,!!
+2 WRITE !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",?14,HD7
+3 WRITE !!!!,"Narrative:"
+4 WRITE ?13,"Detailed description of chronic, active symptomatology",!?13,"in the ""subjective complaints"" portion of this examination",!
+5 WRITE ?13,"is critical to the degree of disability assigned for the",!?13,"veteran.",!!
+6 IF '$DATA(CMBN)
WRITE "A. Medical history:",!!!!!!!!!!,"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. Current weight -",!!!!!!?8,"2. Maximum weight, past year -",!!!!!!?8,"3. Is the veteran anemic? -",!!!!!!
+9 WRITE ?8,"4. Malnutrition -",!!!!!!?8,"5. Nausea -",!!!!!!?8,"6. Diarrhea and/or constipation -",!
DO HD2
+10 WRITE ?8,"7. Bowel disturbance -",!!!!!!?8,"8. Abdominal disturbance -",!!!!!!
+11 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: _________________________",!
+12 KILL LN,LN1,LN2
+13 QUIT
+14 ;
HD2 SET PG=PG+1
WRITE @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for "_NAME,!
+1 WRITE HD8,!!!
+2 QUIT
+3 ;
SETIOF ; ** Set device control var's
+1 DO HOME^%ZIS
+2 QUIT