- DVBCPTCK ;ALB/GTS-557/THM-POST-TRAUMATIC STRESS DISORDER ; 4/29/91 12:09 PM
- ;;2.7;AMIE;;Apr 10, 1995
- ;
- S PG=1,HD91="Department of Veterans Affairs",HD9="Full Exam Worksheet"
- EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
- W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 0910 Worksheet" S HD7="POST-TRAUMATIC STRESS DISORDER",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!!
- W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
- W !!!!,"Narrative: "
- S LX="TXT2" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W $P(LY,";;",2),!
- W !!,"A. Medical and occupational history:",!!
- W ?8,"1. Immediate pre-military events and details of training -",!!!!!!!!!?8,"2. Events in the war zone -",!!!!!!!!!?8,"3. Post-active service events (to present) -",!!!!!!!!!
- W ?8,"4. Employment history prior to and following",!?11,"active service -" D HD2
- W "B. Subjective complaints (include the veteran's history of unusually ",!?27,"traumatic stressors)",!!!!!!!!!!!!!!!!!! W "C. Objective findings:",! D HD2
- ;W !!,"1) Describe the duration of the disturbance from the symptoms shown above.",!! D HD2
- W "D. Specific evaluation information required by the rating board",!?4,"(if the information requested is included elsewhere, do not",!?4,"repeat here):",!!!
- S LX="TXT1" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W $P(LY,";;",2),!
- W !!!!!!!!!!!!,"E. Diagnostic tests (including psychological testing if deemed necessary):",!!!!!!!!!!,"F. Diagnosis:",!!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
- D EN^DVBCPTS1 K LN,LN1,LN2
- Q
- ;
- HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for ",NAME,!!!
- Q
- ;
- SETIOF ; ** Set device control var's
- D HOME^%ZIS
- Q
- ;
- TXT1 ;
- ;; 1. State if the veteran is capable of managing his/her benefit
- ;; payments in the individual's own best interests without restriction
- ;; (a physical disability which prevents the veteran from attending
- ;; to financial matters in person is not a proper basis for a finding
- ;; of incompetency unless the veteran is, by reason of that disability,
- ;; incapable of directing someone else in handling the individual's
- ;; his financial affairs) -
- ;;END
- ;
- TXT2 ;
- ;;No diagnosis of PTSD can be adequately documented or ruled
- ;; out without obtaining a detailed military history. This
- ;; requirement means that interviewing of cases of PTSD will
- ;; often require more time than for other disorders. The
- ;; history should be obtained for the three categories under
- ;; the medical history. Subjective complaints and objective
- ;; findings should be related to the diagnosis criteria. PTSD
- ;; must be due to military service.
- ;;END
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCPTCK 2974 printed Mar 13, 2025@20:50:03 Page 2
- DVBCPTCK ;ALB/GTS-557/THM-POST-TRAUMATIC STRESS DISORDER ; 4/29/91 12:09 PM
- +1 ;;2.7;AMIE;;Apr 10, 1995
- +2 ;
- +3 SET PG=1
- SET HD91="Department of Veterans Affairs"
- SET HD9="Full Exam Worksheet"
- EN if '$DATA(IOF)
- DO SETIOF
- if (IOST?1"C-".E)
- WRITE @IOF
- +1 WRITE !?25,HD91,!?22,"Compensation and Pension Examination",!
- WRITE ?33,"# 0910 Worksheet"
- SET HD7="POST-TRAUMATIC STRESS DISORDER"
- 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 SET LX="TXT2"
- FOR I=1:1
- SET LY=$TEXT(@LX+I)
- if LY["END"
- QUIT
- WRITE $PIECE(LY,";;",2),!
- +5 WRITE !!,"A. Medical and occupational history:",!!
- +6 WRITE ?8,"1. Immediate pre-military events and details of training -",!!!!!!!!!?8,"2. Events in the war zone -",!!!!!!!!!?8,"3. Post-active service events (to present) -",!!!!!!!!!
- +7 WRITE ?8,"4. Employment history prior to and following",!?11,"active service -"
- DO HD2
- +8 WRITE "B. Subjective complaints (include the veteran's history of unusually ",!?27,"traumatic stressors)",!!!!!!!!!!!!!!!!!!
- WRITE "C. Objective findings:",!
- DO HD2
- +9 ;W !!,"1) Describe the duration of the disturbance from the symptoms shown above.",!! D HD2
- +10 WRITE "D. Specific evaluation information required by the rating board",!?4,"(if the information requested is included elsewhere, do not",!?4,"repeat here):",!!!
- +11 SET LX="TXT1"
- FOR I=1:1
- SET LY=$TEXT(@LX+I)
- if LY["END"
- QUIT
- WRITE $PIECE(LY,";;",2),!
- +12 WRITE !!!!!!!!!!!!,"E. Diagnostic tests (including psychological testing if deemed necessary):",!!!!!!!!!!,"F. Diagnosis:",!!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
- +13 DO EN^DVBCPTS1
- KILL LN,LN1,LN2
- +14 QUIT
- +15 ;
- 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 ;
- TXT1 ;
- +1 ;; 1. State if the veteran is capable of managing his/her benefit
- +2 ;; payments in the individual's own best interests without restriction
- +3 ;; (a physical disability which prevents the veteran from attending
- +4 ;; to financial matters in person is not a proper basis for a finding
- +5 ;; of incompetency unless the veteran is, by reason of that disability,
- +6 ;; incapable of directing someone else in handling the individual's
- +7 ;; his financial affairs) -
- +8 ;;END
- +9 ;
- TXT2 ;
- +1 ;;No diagnosis of PTSD can be adequately documented or ruled
- +2 ;; out without obtaining a detailed military history. This
- +3 ;; requirement means that interviewing of cases of PTSD will
- +4 ;; often require more time than for other disorders. The
- +5 ;; history should be obtained for the three categories under
- +6 ;; the medical history. Subjective complaints and objective
- +7 ;; findings should be related to the diagnosis criteria. PTSD
- +8 ;; must be due to military service.
- +9 ;;END