DVBCPWCK ;ALB/GTS-557/THM-PRISONER OF WAR PROTOCOL EXAM ; 5/6/91 9:38 AM
;;2.7;AMIE;;Apr 10, 1995
;
S PG=1,HD91="Department of Veterans Affairs",HD9="Full Exam Worksheet"
EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1705 Worksheet" S HD7="PRISONER OF WAR PROTOCOL",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
W !!!!,"Narrative: "
S LX="TXT" F I=1:1 S LY=$T(@LX+I) Q:LY["$END" D:LY["|TOP|" HD2 W:LY'["|TOP|" ?13,$P(LY,";;",2),!
W !,"A. Medical history (include childhood and adult illnesses and",!?3,"operations):",!!!!!!!!!!!!!,"B. Past history (include civilian and military occupation, military)",!
W ?3,"history including geographic locations and dates, habits",!?3,"such as alcohol, tobacco and drugs, family history):",!!!!!!!! D HD2^DVBCPWCK
S CNT=0 W "C. System review (comment specifically if positive symptom):",!!?4,"a. General:",!! F I="weight change","fever or chills","night sweats","polydipsia" S CNT=CNT+1 W ?($S(CNT<10:7,1:6)),CNT,". ",I,!! I $Y>55 D HD2
G ^DVBCPWC1
;
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 ;
;;The protocol for conducting examinations on former
;;POWs should include the following and be faxed in
;;in its entirety to the regional office.
;;
;;1. The veteran completes VAF 10-0048, Former POW
;;Medical History, which the examiners should review.
;;
;;2. The examination should include an exam for all
;;presumptive POW disabilities, as well as any other
;;disabilities claimed by the veteran. All laboratory
;;and diagnostic tests should be completed and reviewed
;;prior to completing the summary of findings.
;;
;;3. A mental disorders examination should be conducted.
;;An appropriate worksheet is attached.
;;
;;4. A social survey should be conducted. An appropriate
;;worksheet is also attached.
;;
;;5. The POW Physician Coordinator should complete
;;summary of findings, diagnoses, and recommendations.
;;The POW Physician Coordinator may express his or
;;her judgement about the possible epidemiological
;;factors and/or etiological origins of any noted
;;disabilities.
;;
;;6. The following conditions are presumptive POW
;;disabilities:
;;
;;Avitaminosis
;;Beriberi (including beriberi heart disease)
;;Chronic dysentery
;;Helminthiasis
;;Malnutrition (including optic atrophy associated with
;; malnutrition)
;;Pellagra
;;any other nutritional dificiency
;;Psychosis
;;Any of the anxiety states
;;Post-traumatic osteoarthritis
;;Organic residuals of frostbite
;;Peptic ulcer disease
;;Irritable bowel syndrome
;;Peripheral neuropathy
;;|TOP|
;;7. Because the term "irritable bowel syndrome", as
;;applied to former POWs, includes a number of other
;;conditions, and because the rating schedule places
;;restrictions on the evaluation of co-existing gastro-
;;intestinal conditions, it is important that all
;;gastrointestinal disorders found be described in
;;detail. The term "peptic ulcer" is not proper for
;;evaluation purposes. You should specify "gastric",
;;"marginal", or "duodenal" as appropriate.
;;
;;8. In many cases, the contemporary treatment records
;;for the initial manifestation of POW presumptive
;;diseases will no longer be available because of the
;;passage of time, death of the physician, etc. Histories
;;of specific diseases should include whether the
;;veteran recalls his symptoms at the time so the
;;rating board can determine whether conditions now
;;present, but non-compensable, were of compensable degree
;;in the past.
;;$END
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCPWCK 3973 printed Sep 23, 2025@19:21:31 Page 2
DVBCPWCK ;ALB/GTS-557/THM-PRISONER OF WAR PROTOCOL EXAM ; 5/6/91 9:38 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 if '$DATA(IOF)
DO SETIOF
if (IOST?1"C-".E)
WRITE @IOF
+1 WRITE !?25,HD91,!?22,"Compensation and Pension Examination",!
WRITE ?33,"# 1705 Worksheet"
SET HD7="PRISONER OF WAR PROTOCOL"
SET HD8="For "_HD7
WRITE !?(40-($LENGTH(HD9)\2)),HD9,!?(40-($LENGTH(HD8)\2)),HD8,!!
+2 WRITE !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
+3 WRITE !!!!,"Narrative: "
+4 SET LX="TXT"
FOR I=1:1
SET LY=$TEXT(@LX+I)
if LY["$END"
QUIT
if LY["|TOP|"
DO HD2
if LY'["|TOP|"
WRITE ?13,$PIECE(LY,";;",2),!
+5 WRITE !,"A. Medical history (include childhood and adult illnesses and",!?3,"operations):",!!!!!!!!!!!!!,"B. Past history (include civilian and military occupation, military)",!
+6 WRITE ?3,"history including geographic locations and dates, habits",!?3,"such as alcohol, tobacco and drugs, family history):",!!!!!!!!
DO HD2^DVBCPWCK
+7 SET CNT=0
WRITE "C. System review (comment specifically if positive symptom):",!!?4,"a. General:",!!
FOR I="weight change","fever or chills","night sweats","polydipsia"
SET CNT=CNT+1
WRITE ?($SELECT(CNT<10:7,1:6)),CNT,". ",I,!!
IF $Y>55
DO HD2
+8 GOTO ^DVBCPWC1
+9 ;
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 ;;The protocol for conducting examinations on former
+2 ;;POWs should include the following and be faxed in
+3 ;;in its entirety to the regional office.
+4 ;;
+5 ;;1. The veteran completes VAF 10-0048, Former POW
+6 ;;Medical History, which the examiners should review.
+7 ;;
+8 ;;2. The examination should include an exam for all
+9 ;;presumptive POW disabilities, as well as any other
+10 ;;disabilities claimed by the veteran. All laboratory
+11 ;;and diagnostic tests should be completed and reviewed
+12 ;;prior to completing the summary of findings.
+13 ;;
+14 ;;3. A mental disorders examination should be conducted.
+15 ;;An appropriate worksheet is attached.
+16 ;;
+17 ;;4. A social survey should be conducted. An appropriate
+18 ;;worksheet is also attached.
+19 ;;
+20 ;;5. The POW Physician Coordinator should complete
+21 ;;summary of findings, diagnoses, and recommendations.
+22 ;;The POW Physician Coordinator may express his or
+23 ;;her judgement about the possible epidemiological
+24 ;;factors and/or etiological origins of any noted
+25 ;;disabilities.
+26 ;;
+27 ;;6. The following conditions are presumptive POW
+28 ;;disabilities:
+29 ;;
+30 ;;Avitaminosis
+31 ;;Beriberi (including beriberi heart disease)
+32 ;;Chronic dysentery
+33 ;;Helminthiasis
+34 ;;Malnutrition (including optic atrophy associated with
+35 ;; malnutrition)
+36 ;;Pellagra
+37 ;;any other nutritional dificiency
+38 ;;Psychosis
+39 ;;Any of the anxiety states
+40 ;;Post-traumatic osteoarthritis
+41 ;;Organic residuals of frostbite
+42 ;;Peptic ulcer disease
+43 ;;Irritable bowel syndrome
+44 ;;Peripheral neuropathy
+45 ;;|TOP|
+46 ;;7. Because the term "irritable bowel syndrome", as
+47 ;;applied to former POWs, includes a number of other
+48 ;;conditions, and because the rating schedule places
+49 ;;restrictions on the evaluation of co-existing gastro-
+50 ;;intestinal conditions, it is important that all
+51 ;;gastrointestinal disorders found be described in
+52 ;;detail. The term "peptic ulcer" is not proper for
+53 ;;evaluation purposes. You should specify "gastric",
+54 ;;"marginal", or "duodenal" as appropriate.
+55 ;;
+56 ;;8. In many cases, the contemporary treatment records
+57 ;;for the initial manifestation of POW presumptive
+58 ;;diseases will no longer be available because of the
+59 ;;passage of time, death of the physician, etc. Histories
+60 ;;of specific diseases should include whether the
+61 ;;veteran recalls his symptoms at the time so the
+62 ;;rating board can determine whether conditions now
+63 ;;present, but non-compensable, were of compensable degree
+64 ;;in the past.
+65 ;;$END
