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Routine: DVBCPRCK

DVBCPRCK.m

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  1. DVBCPRCK ;ALB/GTS-557/THM-THE PERIPHERAL NERVES EXAM ; 12/27/90 1:32 PM
  1. ;;2.7;AMIE;;Apr 10, 1995
  1. ;
  1. S PG=1,HD91="Department of Veterans Affairs",HD9=$S($D(CMBN):"Abbreviated",1:"Full")_" Exam Worksheet"
  1. EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
  1. W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1230 Worksheet" S HD7="THE PERIPHERAL NERVES",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
  1. W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
  1. W !!!!,"Narrative: None",!!
  1. W !! I '$D(CMBN) W "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:" D HD2
  1. 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):",!!!
  1. S LX="TXT1" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W $P(LY,";;",2),!
  1. D:$D(CMBN) HD2 S LX="TXT2" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W $P(LY,";;",2),!
  1. D:'$D(CMBN) HD2 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!!!!!
  1. W $S($D(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
  1. K LN,LN1,LN2
  1. Q
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  1. HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for ",NAME,!!!
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  1. SETIOF ; ** Set device control var's
  1. D HOME^%ZIS
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  1. TXT1 ;
  1. ;; 1. Where disability is the result of brain disease or injury, spinal cord
  1. ;; disease or injury, cervical disc disease, or trauma to the nerve roots
  1. ;; themselves, report sensory and motor impairment by reference to the
  1. ;; distribution of the affected groups as paralysis, neuritis or
  1. ;; neuralgia. Report each affected extremity separately -
  1. ;;
  1. ;;
  1. ;; a. In the upper extremities -
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  1. ;; b. In the lower extremities -
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  1. ;;END
  1. TXT2 ;
  1. ;; 2. Where disability is NOT from the above, identify the specific major
  1. ;; nerve involved, localize the lesion and describe specific impairment
  1. ;; of motor and sensory function, fine motor control, etc.. Again
  1. ;; characterization as paralysis, neuritis or neuralgia is necessary
  1. ;; Indicate whether any muscle wasting or atrophy represents direct
  1. ;; effect of nerve damage or merely disuse. Report each affected
  1. ;; extremity separately -
  1. ;;
  1. ;;
  1. ;; a. In the upper extremities -
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  1. ;; b. In the lower extremities -
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  1. ;;END