DVBCQSD2 ;;ALB-CIOFO/ECF,SBW - STOMACH, DUODENUM QUESTIONNAIRE ; 5/JUL/2011
;;2.7;AMIE;**174**;Apr 10, 1995;Build 2
;
TXT ;
;; Your patient is applying to the U. S. Department of Veterans Affairs (VA) for
;; disability benefits. VA will consider the information you provide on this
;; questionnaire as part of their evaluation in processing the Veteran's claim.
;;
;; 1. Diagnosis
;; Does the Veteran now have or has he/she ever had any stomach or duodenum
;; conditions?
;; ___ Yes ___ No
;;
;; If yes, select the Veteran's condition (check all that apply):
;; ___ Gastric ulcer ICD code: ______ Date of diagnosis: ____________
;; ___ Duodenal ulcer ICD code: ______ Date of diagnosis: ____________
;; ___ Stenosis of the stomach
;; ICD code: ______ Date of diagnosis: ____________
;; ___ Marginal (gastrojejunal) ulcer
;; ICD code: ______ Date of diagnosis: ____________
;; ___ Hypertrophic gastritis
;; ICD code: ______ Date of diagnosis: ____________
;; ___ Postgastrectomy syndrome
;; ICD code: ______ Date of diagnosis: ____________
;; ___ Status post vagotomy with pyloroplasty
;; ICD code: ______ Date of diagnosis: ____________
;; ___ Gastroenterostomy ICD code: ______ Date of diagnosis: ____________
;; ___ Peritoneal adhesions following injury or surgery of the stomach
;; ICD code: ______ Date of diagnosis: ____________
;; ___ Helicobacter pylori ICD code: ______ Date of diagnosis: ____________
;; ___ Other stomach or duodenal conditions:
;;
;; Other diagnosis #1: ____________________
;; ICD code: ________________________
;; Date of diagnosis: _______________
;;
;; Other diagnosis #2: ____________________
;; ICD code: ________________________
;; Date of diagnosis: _______________
;;
;; If there are additional diagnoses that pertain to stomach or duodenal
;; conditions, list using above format: ________________________________________
;;
;; NOTE: The diagnosis of gastric or duodenal ulcer or stenosis can be made by
;; upper gastrointestinal imaging series or endoscopy. The diagnosis of gastritis
;; requires endoscopic confirmation. If testing is of record and is consistent
;; with Veteran's current condition, repeat testing is not required.
;;
;; 2. Medical History
;; a. Describe the history (including onset and course) of the Veteran's stomach
;; or duodenum conditions (brief summary): _____________________________________
;; _____________________________________________________________________________
;;^TOF^
;; b. Does the Veteran's treatment plan include taking continuous medication for
;; the diagnosed condition?
;; ___ Yes ___ No
;; If yes, list only those medications used for the diagnosed condition: ______
;; _____________________________________________________________________________
;;
;; 3. Signs and symptoms
;; Does the Veteran have any of the following signs or symptoms due to any
;; stomach or duodenum conditions?
;; ___ Yes ___ No
;; If yes, check all that apply:
;; ___ Recurring episodes of symptoms that are not severe
;; If checked, indicate frequency of episodes of symptom recurrence per year:
;; ___ 1 ___ 2 ___ 3 ___ 4 or more
;; If checked, indicate average duration of episodes of symptoms:
;; ___ Less than 1 day ___ 1-9 days ___ 10 days or more
;; ___ Recurring episodes of severe symptoms
;; If checked, indicate frequency of episodes of symptom recurrence per year:
;; ___ 1 ___ 2 ___ 3 ___ 4 or more
;; If checked, indicate average duration of episodes of symptoms:
;; ___ Less than 1 day ___ 1-9 days ___ 10 days or more
;; ___ Abdominal pain
;; If checked, indicate severity and frequency (check all that apply):
;; ___ Occurs less than monthly
;; ___ Occurs at least monthly
;; ___ Pronounced
;; ___ Periodic
;; ___ Continuous
;; ___ Relieved by standard ulcer therapy
;; ___ Only partially relieved by standard ulcer therapy
;; ___ Unrelieved by standard ulcer therapy
;; ___ Anemia
;; If checked, provide hemoglobin/hematocrit in diagnostic testing section.
;; ___ Weight loss
;; If checked, provide baseline weight: _______ and current weight: _______
;; (For VA purposes, baseline weight is the average weight for 2-year period
;; preceding onset of disease)
;; ___ Nausea
;; If checked, indicate severity:
;; ___ Mild ___ Transient ___ Recurrent ___ Periodic
;; If checked, indicate frequency of episodes of nausea per year:
;; ___ 1 ___ 2 ___ 3 ___ 4 or more
;; If checked, indicate average duration of episodes of nausea:
;; ___ Less than 1 day ___ 1-9 days ___ 10 days or more
;;^TOF^
;; ___ Vomiting
;; If checked, indicate severity:
;; ___ Mild ___ Transient ___ Recurrent ___ Periodic
;; If checked, indicate frequency of episodes of vomiting per year:
;; ___ 1 ___ 2 ___ 3 ___ 4 or more
;; If checked, indicate average duration of episodes of vomiting:
;; ___ Less than 1 day ___ 1-9 days ___ 10 days or more
;; ___ Hematemesis
;; If checked, indicate severity:
;; ___ Mild ___ Transient ___ Recurrent ___ Periodic
;; If checked, indicate frequency of episodes of hematemesis per year:
;; ___ 1 ___ 2 ___ 3 ___ 4 or more
;; If checked, indicate average duration of episodes of hematemesis:
;; ___ Less than 1 day ___ 1-9 days ___ 10 days or more
;; ___ Melena
;; If checked, indicate severity:
;; ___ Mild ___ Transient ___ Recurrent ___ Periodic
;; If checked, indicate frequency of episodes of melena per year:
;; ___ 1 ___ 2 ___ 3 ___ 4 or more
;; If checked, indicate average duration of episodes of melena:
;; ___ Less than 1 day ___ 1-9 days ___ 10 days or more
;;
;; 4. Incapacitating episodes
;; Does the Veteran have incapacitating episodes due to signs or symptoms of any
;; stomach or duodenum condition?
;; ___ Yes ___ No
;; If yes, describe incapacitating episodes: ___________________________________
;; Indicate frequency of incapacitating episodes per year:
;; ___ 1 ___ 2 ___ 3 ___ 4 or more
;; Indicate average duration of incapacitating episodes:
;; ___ Less than 1 day ___ 1-9 days ___ 10 days or more
;;
;; 5. Other conditions
;; Does the Veteran have any of the following conditions?
;; ___ Yes ___ No
;; If yes, indicate conditions and complete appropriate sections (check all
;; that apply)
;;
;; a. ___ Hypertrophic gastritis
;; If checked, indicate severity:
;; ___ No symptoms or findings
;; ___ Chronic, with small nodular lesions, and symptoms
;; ___ Chronic, with multiple small eroded or ulcerated areas,
;; and symptoms
;; ___ Chronic, with severe hemorrhages, or large ulcerated or
;; eroded areas
;;
;; Note: If atrophic gastritis is present, state the underlying cause:
;; ______________________________________________________________________
;;^TOF^
;; b. ___ Postgastrectomy syndrome
;; If checked, indicate severity:
;; ___ No symptoms or findings
;; ___ Mild; infrequent episodes of epigastric distress with characteristic
;; mild circulatory symptoms or continuous mild manifestations
;; ___ Moderate; less frequent episodes of epigastric disorders with
;; characteristic mild circulatory symptoms after meals but with
;; diarrhea and weight loss
;;
;; ___ Severe; associated with nausea, sweating, circulatory disturbance
;; after meals, diarrhea, hypoglycemic symptoms and weight loss with
;; malnutrition and anemia
;;
;; c. ___ Vagotomy with pyloroplasty or gastroenterostomy
;; If checked, indicate the severity of residuals following vagotomy with
;; pyloroplasty or gastroenterostomy:
;; ___ No symptoms or findings
;; ___ Recurrent ulcer with incomplete vagotomy
;; ___ Symptoms and confirmed diagnosis of alkaline gastritis, or of
;; confirmed persisting diarrhea
;; ___ Demonstrably confirmative postoperative complications of stricture
;; or continuing gastric retention
;;
;; d. ___ Peritoneal adhesions following an injury or surgical procedure of the
;; stomach or duodenum
;; If checked, ALSO complete the Peritoneal Adhesions Questionnaire.
;;
;; 6. Other pertinent physical findings, complications, conditions, signs and/or
;; symptoms
;; a. Does the Veteran have any scars (surgical or otherwise) related to any
;; conditions or to the treatment of any conditions listed in the Diagnosis
;; section above?
;; ___ Yes ___ No
;; If yes, are any of the scars painful and/or unstable, or is the total area of
;; all related scars greater than 39 square cm (6 square inches)?
;; ___ Yes ___ No
;; If yes, also complete a Scars Questionnaire.
;;
;; b. Does the Veteran have any other pertinent physical findings, complications,
;; conditions, signs and/or symptoms related to any conditions listed in the
;; Diagnosis section above?
;; ___ Yes ___ No
;; If yes, describe (brief summary): ___________________________________________
;;
;; 7. Diagnostic testing
;; NOTE: If testing has been performed and reflects Veteran's current condition,
;; no further testing is required for this examination report. The diagnosis of
;; gastric or duodenal ulcer or stenosis can be made by upper gastrointestinal
;; imaging series or endoscopy.
;;^TOF^
;; a. Have diagnostic imaging studies or other diagnostic procedures been
;; performed?
;; ___ Yes ___ No
;; If yes, check all that apply:
;; ___ Upper endoscopy Date: ___________ Results: ______________
;; ___ Upper GI radiographic studies
;; Date: ___________ Results: ______________
;; ___ MRI Date: ___________ Results: ______________
;; ___ CT Date: ___________ Results: ______________
;; ___ Biopsy, specify site: ________________________
;; Date: ___________ Results: ______________
;; ___ Other, specify: ______________________________
;; Date: ___________ Results: ______________
;;
;; b. Has laboratory testing been performed?
;; ___ Yes ___ No
;; If yes, check all that apply:
;; ___ CBC Date of test: ___________
;; Hemoglobin: ______ Hematocrit: _______
;; White blood cell count: ______ Platelets: _____
;; ___ Helicobacter pylori Date of test: __________ Results: ____________
;; ___ Other, specify: ______ Date of test: __________ Results: ____________
;;
;; c. Are there any other significant diagnostic test findings and/or results?
;; ___ Yes ___ No
;; If yes, provide type of test or procedure, date and results (brief summary):
;; _____________________________________________________________________________
;;
;; 8. Functional impact
;; Do any of the Veteran's stomach or duodenum conditions impact his or her
;; ability to work?
;; ___ Yes ___ No
;; If yes, describe impact of each of the Veteran's stomach or duodenum
;; conditions, providing one or more examples: _________________________________
;; _____________________________________________________________________________
;;
;; 9. Remarks, if any: _________________________________________________________
;;
;; Physician signature: _____________________________________ Date: ____________
;;
;; Physician printed name: __________________________________
;;
;; Medical license #: __________________
;;
;; Physician address: __________________________________________________________
;;
;; Phone: _______________________ Fax: _______________________
;;
;; NOTE: VA may request additional medical information, including additional
;; examinations if necessary to complete VA's review of the Veteran's application.
;;^END^
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCQSD2 12529 printed Apr 09, 2024@20:49:46 Page 2
DVBCQSD2 ;;ALB-CIOFO/ECF,SBW - STOMACH, DUODENUM QUESTIONNAIRE ; 5/JUL/2011
+1 ;;2.7;AMIE;**174**;Apr 10, 1995;Build 2
+2 ;
TXT ;
+1 ;; Your patient is applying to the U. S. Department of Veterans Affairs (VA) for
+2 ;; disability benefits. VA will consider the information you provide on this
+3 ;; questionnaire as part of their evaluation in processing the Veteran's claim.
+4 ;;
+5 ;; 1. Diagnosis
+6 ;; Does the Veteran now have or has he/she ever had any stomach or duodenum
+7 ;; conditions?
+8 ;; ___ Yes ___ No
+9 ;;
+10 ;; If yes, select the Veteran's condition (check all that apply):
+11 ;; ___ Gastric ulcer ICD code: ______ Date of diagnosis: ____________
+12 ;; ___ Duodenal ulcer ICD code: ______ Date of diagnosis: ____________
+13 ;; ___ Stenosis of the stomach
+14 ;; ICD code: ______ Date of diagnosis: ____________
+15 ;; ___ Marginal (gastrojejunal) ulcer
+16 ;; ICD code: ______ Date of diagnosis: ____________
+17 ;; ___ Hypertrophic gastritis
+18 ;; ICD code: ______ Date of diagnosis: ____________
+19 ;; ___ Postgastrectomy syndrome
+20 ;; ICD code: ______ Date of diagnosis: ____________
+21 ;; ___ Status post vagotomy with pyloroplasty
+22 ;; ICD code: ______ Date of diagnosis: ____________
+23 ;; ___ Gastroenterostomy ICD code: ______ Date of diagnosis: ____________
+24 ;; ___ Peritoneal adhesions following injury or surgery of the stomach
+25 ;; ICD code: ______ Date of diagnosis: ____________
+26 ;; ___ Helicobacter pylori ICD code: ______ Date of diagnosis: ____________
+27 ;; ___ Other stomach or duodenal conditions:
+28 ;;
+29 ;; Other diagnosis #1: ____________________
+30 ;; ICD code: ________________________
+31 ;; Date of diagnosis: _______________
+32 ;;
+33 ;; Other diagnosis #2: ____________________
+34 ;; ICD code: ________________________
+35 ;; Date of diagnosis: _______________
+36 ;;
+37 ;; If there are additional diagnoses that pertain to stomach or duodenal
+38 ;; conditions, list using above format: ________________________________________
+39 ;;
+40 ;; NOTE: The diagnosis of gastric or duodenal ulcer or stenosis can be made by
+41 ;; upper gastrointestinal imaging series or endoscopy. The diagnosis of gastritis
+42 ;; requires endoscopic confirmation. If testing is of record and is consistent
+43 ;; with Veteran's current condition, repeat testing is not required.
+44 ;;
+45 ;; 2. Medical History
+46 ;; a. Describe the history (including onset and course) of the Veteran's stomach
+47 ;; or duodenum conditions (brief summary): _____________________________________
+48 ;; _____________________________________________________________________________
+49 ;;^TOF^
+50 ;; b. Does the Veteran's treatment plan include taking continuous medication for
+51 ;; the diagnosed condition?
+52 ;; ___ Yes ___ No
+53 ;; If yes, list only those medications used for the diagnosed condition: ______
+54 ;; _____________________________________________________________________________
+55 ;;
+56 ;; 3. Signs and symptoms
+57 ;; Does the Veteran have any of the following signs or symptoms due to any
+58 ;; stomach or duodenum conditions?
+59 ;; ___ Yes ___ No
+60 ;; If yes, check all that apply:
+61 ;; ___ Recurring episodes of symptoms that are not severe
+62 ;; If checked, indicate frequency of episodes of symptom recurrence per year:
+63 ;; ___ 1 ___ 2 ___ 3 ___ 4 or more
+64 ;; If checked, indicate average duration of episodes of symptoms:
+65 ;; ___ Less than 1 day ___ 1-9 days ___ 10 days or more
+66 ;; ___ Recurring episodes of severe symptoms
+67 ;; If checked, indicate frequency of episodes of symptom recurrence per year:
+68 ;; ___ 1 ___ 2 ___ 3 ___ 4 or more
+69 ;; If checked, indicate average duration of episodes of symptoms:
+70 ;; ___ Less than 1 day ___ 1-9 days ___ 10 days or more
+71 ;; ___ Abdominal pain
+72 ;; If checked, indicate severity and frequency (check all that apply):
+73 ;; ___ Occurs less than monthly
+74 ;; ___ Occurs at least monthly
+75 ;; ___ Pronounced
+76 ;; ___ Periodic
+77 ;; ___ Continuous
+78 ;; ___ Relieved by standard ulcer therapy
+79 ;; ___ Only partially relieved by standard ulcer therapy
+80 ;; ___ Unrelieved by standard ulcer therapy
+81 ;; ___ Anemia
+82 ;; If checked, provide hemoglobin/hematocrit in diagnostic testing section.
+83 ;; ___ Weight loss
+84 ;; If checked, provide baseline weight: _______ and current weight: _______
+85 ;; (For VA purposes, baseline weight is the average weight for 2-year period
+86 ;; preceding onset of disease)
+87 ;; ___ Nausea
+88 ;; If checked, indicate severity:
+89 ;; ___ Mild ___ Transient ___ Recurrent ___ Periodic
+90 ;; If checked, indicate frequency of episodes of nausea per year:
+91 ;; ___ 1 ___ 2 ___ 3 ___ 4 or more
+92 ;; If checked, indicate average duration of episodes of nausea:
+93 ;; ___ Less than 1 day ___ 1-9 days ___ 10 days or more
+94 ;;^TOF^
+95 ;; ___ Vomiting
+96 ;; If checked, indicate severity:
+97 ;; ___ Mild ___ Transient ___ Recurrent ___ Periodic
+98 ;; If checked, indicate frequency of episodes of vomiting per year:
+99 ;; ___ 1 ___ 2 ___ 3 ___ 4 or more
+100 ;; If checked, indicate average duration of episodes of vomiting:
+101 ;; ___ Less than 1 day ___ 1-9 days ___ 10 days or more
+102 ;; ___ Hematemesis
+103 ;; If checked, indicate severity:
+104 ;; ___ Mild ___ Transient ___ Recurrent ___ Periodic
+105 ;; If checked, indicate frequency of episodes of hematemesis per year:
+106 ;; ___ 1 ___ 2 ___ 3 ___ 4 or more
+107 ;; If checked, indicate average duration of episodes of hematemesis:
+108 ;; ___ Less than 1 day ___ 1-9 days ___ 10 days or more
+109 ;; ___ Melena
+110 ;; If checked, indicate severity:
+111 ;; ___ Mild ___ Transient ___ Recurrent ___ Periodic
+112 ;; If checked, indicate frequency of episodes of melena per year:
+113 ;; ___ 1 ___ 2 ___ 3 ___ 4 or more
+114 ;; If checked, indicate average duration of episodes of melena:
+115 ;; ___ Less than 1 day ___ 1-9 days ___ 10 days or more
+116 ;;
+117 ;; 4. Incapacitating episodes
+118 ;; Does the Veteran have incapacitating episodes due to signs or symptoms of any
+119 ;; stomach or duodenum condition?
+120 ;; ___ Yes ___ No
+121 ;; If yes, describe incapacitating episodes: ___________________________________
+122 ;; Indicate frequency of incapacitating episodes per year:
+123 ;; ___ 1 ___ 2 ___ 3 ___ 4 or more
+124 ;; Indicate average duration of incapacitating episodes:
+125 ;; ___ Less than 1 day ___ 1-9 days ___ 10 days or more
+126 ;;
+127 ;; 5. Other conditions
+128 ;; Does the Veteran have any of the following conditions?
+129 ;; ___ Yes ___ No
+130 ;; If yes, indicate conditions and complete appropriate sections (check all
+131 ;; that apply)
+132 ;;
+133 ;; a. ___ Hypertrophic gastritis
+134 ;; If checked, indicate severity:
+135 ;; ___ No symptoms or findings
+136 ;; ___ Chronic, with small nodular lesions, and symptoms
+137 ;; ___ Chronic, with multiple small eroded or ulcerated areas,
+138 ;; and symptoms
+139 ;; ___ Chronic, with severe hemorrhages, or large ulcerated or
+140 ;; eroded areas
+141 ;;
+142 ;; Note: If atrophic gastritis is present, state the underlying cause:
+143 ;; ______________________________________________________________________
+144 ;;^TOF^
+145 ;; b. ___ Postgastrectomy syndrome
+146 ;; If checked, indicate severity:
+147 ;; ___ No symptoms or findings
+148 ;; ___ Mild; infrequent episodes of epigastric distress with characteristic
+149 ;; mild circulatory symptoms or continuous mild manifestations
+150 ;; ___ Moderate; less frequent episodes of epigastric disorders with
+151 ;; characteristic mild circulatory symptoms after meals but with
+152 ;; diarrhea and weight loss
+153 ;;
+154 ;; ___ Severe; associated with nausea, sweating, circulatory disturbance
+155 ;; after meals, diarrhea, hypoglycemic symptoms and weight loss with
+156 ;; malnutrition and anemia
+157 ;;
+158 ;; c. ___ Vagotomy with pyloroplasty or gastroenterostomy
+159 ;; If checked, indicate the severity of residuals following vagotomy with
+160 ;; pyloroplasty or gastroenterostomy:
+161 ;; ___ No symptoms or findings
+162 ;; ___ Recurrent ulcer with incomplete vagotomy
+163 ;; ___ Symptoms and confirmed diagnosis of alkaline gastritis, or of
+164 ;; confirmed persisting diarrhea
+165 ;; ___ Demonstrably confirmative postoperative complications of stricture
+166 ;; or continuing gastric retention
+167 ;;
+168 ;; d. ___ Peritoneal adhesions following an injury or surgical procedure of the
+169 ;; stomach or duodenum
+170 ;; If checked, ALSO complete the Peritoneal Adhesions Questionnaire.
+171 ;;
+172 ;; 6. Other pertinent physical findings, complications, conditions, signs and/or
+173 ;; symptoms
+174 ;; a. Does the Veteran have any scars (surgical or otherwise) related to any
+175 ;; conditions or to the treatment of any conditions listed in the Diagnosis
+176 ;; section above?
+177 ;; ___ Yes ___ No
+178 ;; If yes, are any of the scars painful and/or unstable, or is the total area of
+179 ;; all related scars greater than 39 square cm (6 square inches)?
+180 ;; ___ Yes ___ No
+181 ;; If yes, also complete a Scars Questionnaire.
+182 ;;
+183 ;; b. Does the Veteran have any other pertinent physical findings, complications,
+184 ;; conditions, signs and/or symptoms related to any conditions listed in the
+185 ;; Diagnosis section above?
+186 ;; ___ Yes ___ No
+187 ;; If yes, describe (brief summary): ___________________________________________
+188 ;;
+189 ;; 7. Diagnostic testing
+190 ;; NOTE: If testing has been performed and reflects Veteran's current condition,
+191 ;; no further testing is required for this examination report. The diagnosis of
+192 ;; gastric or duodenal ulcer or stenosis can be made by upper gastrointestinal
+193 ;; imaging series or endoscopy.
+194 ;;^TOF^
+195 ;; a. Have diagnostic imaging studies or other diagnostic procedures been
+196 ;; performed?
+197 ;; ___ Yes ___ No
+198 ;; If yes, check all that apply:
+199 ;; ___ Upper endoscopy Date: ___________ Results: ______________
+200 ;; ___ Upper GI radiographic studies
+201 ;; Date: ___________ Results: ______________
+202 ;; ___ MRI Date: ___________ Results: ______________
+203 ;; ___ CT Date: ___________ Results: ______________
+204 ;; ___ Biopsy, specify site: ________________________
+205 ;; Date: ___________ Results: ______________
+206 ;; ___ Other, specify: ______________________________
+207 ;; Date: ___________ Results: ______________
+208 ;;
+209 ;; b. Has laboratory testing been performed?
+210 ;; ___ Yes ___ No
+211 ;; If yes, check all that apply:
+212 ;; ___ CBC Date of test: ___________
+213 ;; Hemoglobin: ______ Hematocrit: _______
+214 ;; White blood cell count: ______ Platelets: _____
+215 ;; ___ Helicobacter pylori Date of test: __________ Results: ____________
+216 ;; ___ Other, specify: ______ Date of test: __________ Results: ____________
+217 ;;
+218 ;; c. Are there any other significant diagnostic test findings and/or results?
+219 ;; ___ Yes ___ No
+220 ;; If yes, provide type of test or procedure, date and results (brief summary):
+221 ;; _____________________________________________________________________________
+222 ;;
+223 ;; 8. Functional impact
+224 ;; Do any of the Veteran's stomach or duodenum conditions impact his or her
+225 ;; ability to work?
+226 ;; ___ Yes ___ No
+227 ;; If yes, describe impact of each of the Veteran's stomach or duodenum
+228 ;; conditions, providing one or more examples: _________________________________
+229 ;; _____________________________________________________________________________
+230 ;;
+231 ;; 9. Remarks, if any: _________________________________________________________
+232 ;;
+233 ;; Physician signature: _____________________________________ Date: ____________
+234 ;;
+235 ;; Physician printed name: __________________________________
+236 ;;
+237 ;; Medical license #: __________________
+238 ;;
+239 ;; Physician address: __________________________________________________________
+240 ;;
+241 ;; Phone: _______________________ Fax: _______________________
+242 ;;
+243 ;; NOTE: VA may request additional medical information, including additional
+244 ;; examinations if necessary to complete VA's review of the Veteran's application.
+245 ;;^END^
+246 QUIT
