- DVBCPWC2 ;ALB ISC/THM-POW PROTOCOL MENTAL DISORDER EXAM ; 5/6/91 9:40 AM
- ;;2.7;AMIE;;Apr 10, 1995
- ;
- S PG=1,HD91="Department of Veterans Affairs",HD9="Full Exam Worksheet"
- EN W @IOF,!?25,HD91,!?22,"Compensation and Pension Examination",! S HD7="MENTAL DISORDERS - POW PROTOCOL",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 !!,"Physician's Guide Reference: Chapter 14, 17, 20",!!,"Narrative: "
- W !!,"A. Medical and occupational history:",!!
- W ?8,"1. Immediate pre-military events -",!!!!!!!!!?8,"2. Events as a POW -",!!!!!!!!!?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 events as a POW, if not elsewhere",!?27,"indicated) -",!!!!!!!!!!!!!!! W "C. Objective findings:",! 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 $P(LY,";;",2),!
- W !!!!!!!!!!!!,"E. Diagnosis:",!!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
- K LN,LN1,LN2
- G ^DVBCPWC3
- ;
- HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for ",NAME,!!!
- Q
- TXT1 ;
- ;; 1. State if the veteran is capable of managing his/her benefit
- ;; payments in the individual's own best interests without restriction
- ;; (a physical disability which prevents the veteran from attending
- ;; to financial matters in person is not a proper basis for a finding
- ;; of incompetency unless the veteran is, by reason of that disability,
- ;; incapable of directing someone else in handling the individual's
- ;; his financial affairs) -
- ;;$END
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCPWC2 2081 printed Mar 13, 2025@20:50:08 Page 2
- DVBCPWC2 ;ALB ISC/THM-POW PROTOCOL MENTAL DISORDER EXAM ; 5/6/91 9:40 AM
- +1 ;;2.7;AMIE;;Apr 10, 1995
- +2 ;
- +3 SET PG=1
- SET HD91="Department of Veterans Affairs"
- SET HD9="Full Exam Worksheet"
- EN WRITE @IOF,!?25,HD91,!?22,"Compensation and Pension Examination",!
- SET HD7="MENTAL DISORDERS - POW PROTOCOL"
- SET HD8="For "_HD7
- WRITE !?(40-($LENGTH(HD9)\2)),HD9,!?(40-($LENGTH(HD8)\2)),HD8,!!!
- +1 WRITE !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
- +2 WRITE !!,"Physician's Guide Reference: Chapter 14, 17, 20",!!,"Narrative: "
- +3 WRITE !!,"A. Medical and occupational history:",!!
- +4 WRITE ?8,"1. Immediate pre-military events -",!!!!!!!!!?8,"2. Events as a POW -",!!!!!!!!!?8,"3. Post-active service events (to present) -",!!!!!!!!!
- +5 WRITE ?8,"4. Employment history prior to and following",!?11,"active service -"
- DO HD2
- +6 WRITE "B. Subjective complaints (include the veteran's history of unusually ",!?27,"traumatic events as a POW, if not elsewhere",!?27,"indicated) -",!!!!!!!!!!!!!!!
- WRITE "C. Objective findings:",!
- DO HD2
- +7 WRITE "D. Specific evaluation information required by the rating board",!?4,"(if the information requested is included elsewhere, do not",!?4,"repeat here):",!!!
- +8 SET LX="TXT1"
- FOR I=1:1
- SET LY=$TEXT(@LX+I)
- if LY["$END"
- QUIT
- WRITE $PIECE(LY,";;",2),!
- +9 WRITE !!!!!!!!!!!!,"E. Diagnosis:",!!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
- +10 KILL LN,LN1,LN2
- +11 GOTO ^DVBCPWC3
- +12 ;
- HD2 SET PG=PG+1
- WRITE @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for ",NAME,!!!
- +1 QUIT
- TXT1 ;
- +1 ;; 1. State if the veteran is capable of managing his/her benefit
- +2 ;; payments in the individual's own best interests without restriction
- +3 ;; (a physical disability which prevents the veteran from attending
- +4 ;; to financial matters in person is not a proper basis for a finding
- +5 ;; of incompetency unless the veteran is, by reason of that disability,
- +6 ;; incapable of directing someone else in handling the individual's
- +7 ;; his financial affairs) -
- +8 ;;$END