DVBCPICK ;ALB/GTS-557/THM-NON TB DISEASES/INJURIES ; 6/27/91 12:56 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:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1505 Worksheet" S HD7="NON-TUBERCULOUS DISEASES AND INJURIES OF THE RESPIRATORY SYSTEM",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
W !!!!,"Narrative:"
F I=1:1 S LY=$T(TXT+I) Q:LY["END" W ?13,$P(LY,";;",2),! I $Y>55 D HD2
W !! I '$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. State if active malignant process is present. If so, nothing",!?11,"further is needed -",!!!!!!
W ?8,"2. If malignancy is inactive, report date/place of last",!?11,"surgery, radiation or chemical therapy -",!!!!!!
W ?8,"3. For non-malignant diseases, injuries, residuals of inactive or",!?11,"cured malignancies -",!!?11,"a. Report structural changes to the lungs -",!!!!! D:$D(CMBN) HD2
W ?11,"b. Provide pulmonary function studies -",!!!!!
W ?11,"c. Schedule additional special studies as necessary to evaluate",!?15,"any extra-pulmonary manifestations that may be detected -",!!!!!!
W ?11,"d. State whether the disease is in remission or demonstrably",!?15,"active -",!!!!!!
D:'$D(CMBN) HD2 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!,$S($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 reporting structural changes to the lungs for the Regional
;;Office disability evaluations, the residuals are critical
;;(e.g., fibrosis, scarring, absent or resected parts, limitation
;;of expansion of the chest or excursion of diaphragm, presence
;;of bullet or missile in lung, granuloma).
;;
;;The Rating Schedule requires a pulmonary function test (PFT) in
;;certain lung diseases. In the majority of the cases, PFTs and a
;;thorough description of the veteran's exercise tolerance will be
;;sufficient for rating evaluation purposes. If such tests are, in
;;the examiner's opinion, not needed or medically contraindicated,
;;the examiner should explain why. Generally, PFTs need not be
;;repeated if recent studies (within the past six months) are of
;;record. If the examiner feels that an arterial blood gas test is
;;appropriate for diagnostic purposes, the results should be reported
;;in paragraph E below.
;;END
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCPICK 3146 printed Apr 09, 2024@20:53:14 Page 2
DVBCPICK ;ALB/GTS-557/THM-NON TB DISEASES/INJURIES ; 6/27/91 12:56 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 '$DATA(IOF)
DO SETIOF
if (IOST?1"C-".E)
WRITE @IOF
+1 WRITE !?25,HD91,!?22,"Compensation and Pension Examination",!
WRITE ?33,"# 1505 Worksheet"
SET HD7="NON-TUBERCULOUS DISEASES AND INJURIES OF THE RESPIRATORY SYSTEM"
SET HD8="For "_HD7
WRITE !?(40-($LENGTH(HD9)\2)),HD9,!?(40-($LENGTH(HD8)\2)),HD8,!!
+2 WRITE !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
+3 WRITE !!!!,"Narrative:"
+4 FOR I=1:1
SET LY=$TEXT(TXT+I)
if LY["END"
QUIT
WRITE ?13,$PIECE(LY,";;",2),!
IF $Y>55
DO HD2
+5 WRITE !!
IF '$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. State if active malignant process is present. If so, nothing",!?11,"further is needed -",!!!!!!
+8 WRITE ?8,"2. If malignancy is inactive, report date/place of last",!?11,"surgery, radiation or chemical therapy -",!!!!!!
+9 WRITE ?8,"3. For non-malignant diseases, injuries, residuals of inactive or",!?11,"cured malignancies -",!!?11,"a. Report structural changes to the lungs -",!!!!!
if $DATA(CMBN)
DO HD2
+10 WRITE ?11,"b. Provide pulmonary function studies -",!!!!!
+11 WRITE ?11,"c. Schedule additional special studies as necessary to evaluate",!?15,"any extra-pulmonary manifestations that may be detected -",!!!!!!
+12 WRITE ?11,"d. State whether the disease is in remission or demonstrably",!?15,"active -",!!!!!!
+13 if '$DATA(CMBN)
DO HD2
WRITE $SELECT($DATA(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!,$SELECT($DATA(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
+14 KILL LN,LN1,LN2
+15 QUIT
+16 ;
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 ;;In reporting structural changes to the lungs for the Regional
+2 ;;Office disability evaluations, the residuals are critical
+3 ;;(e.g., fibrosis, scarring, absent or resected parts, limitation
+4 ;;of expansion of the chest or excursion of diaphragm, presence
+5 ;;of bullet or missile in lung, granuloma).
+6 ;;
+7 ;;The Rating Schedule requires a pulmonary function test (PFT) in
+8 ;;certain lung diseases. In the majority of the cases, PFTs and a
+9 ;;thorough description of the veteran's exercise tolerance will be
+10 ;;sufficient for rating evaluation purposes. If such tests are, in
+11 ;;the examiner's opinion, not needed or medically contraindicated,
+12 ;;the examiner should explain why. Generally, PFTs need not be
+13 ;;repeated if recent studies (within the past six months) are of
+14 ;;record. If the examiner feels that an arterial blood gas test is
+15 ;;appropriate for diagnostic purposes, the results should be reported
+16 ;;in paragraph E below.
+17 ;;END
