- DVBCNSCK ;ALB/GTS-557/THM-NOSE AND SINUS ; 7/1/91 10:14 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:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
- W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1315 Worksheet" S HD7="NOSE AND SINUS",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
- W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
- W !!!!,"Narrative:",?13,"Report both functional and cosmetic impairment.",!!
- I '$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. External nose -",!!!!!?8,"2. Nasal vestibule -",!!!!!?8,"3. Right and left nasal cavities -",!!!!!
- W ?11,"a. Septum -",!!!?10," b. Floor of the nose -",!!!!?9," c. Inferior meatus -",!!!!
- W ?10," d. Inferior turbinates -",!!!!?10," e. The middle meati -",!!!!?10," f. The middle turbinate -",!!!! D HD2 W ?10," g. The spheno-ethmoidal recess -",!!!!?10," h. The olfactory area -",!!!!?10," i. The superior turbinates -",!!!!!!
- W ?8,"4. The paranasal sinuses- ",!!!!!!
- 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
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCNSCK 1864 printed Jan 18, 2025@02:46:17 Page 2
- DVBCNSCK ;ALB/GTS-557/THM-NOSE AND SINUS ; 7/1/91 10:14 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 '$DATA(IOF)
- DO SETIOF
- if (IOST?1"C-".E)
- WRITE @IOF
- +1 WRITE !?25,HD91,!?22,"Compensation and Pension Examination",!
- WRITE ?33,"# 1315 Worksheet"
- SET HD7="NOSE AND SINUS"
- SET HD8="For "_HD7
- WRITE !?(40-($LENGTH(HD9)\2)),HD9,!?(40-($LENGTH(HD8)\2)),HD8,!!
- +2 WRITE !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
- +3 WRITE !!!!,"Narrative:",?13,"Report both functional and cosmetic impairment.",!!
- +4 IF '$DATA(CMBN)
- WRITE "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:",!
- DO HD2
- +5 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):",!!!
- +6 WRITE ?8,"1. External nose -",!!!!!?8,"2. Nasal vestibule -",!!!!!?8,"3. Right and left nasal cavities -",!!!!!
- +7 WRITE ?11,"a. Septum -",!!!?10," b. Floor of the nose -",!!!!?9," c. Inferior meatus -",!!!!
- +8 WRITE ?10," d. Inferior turbinates -",!!!!?10," e. The middle meati -",!!!!?10," f. The middle turbinate -",!!!!
- DO HD2
- WRITE ?10," g. The spheno-ethmoidal recess -",!!!!?10," h. The olfactory area -",!!!!?10," i. The superior turbinates -",!!!!!!
- +9 WRITE ?8,"4. The paranasal sinuses- ",!!!!!!
- +10 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: _________________________",!
- +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