Routine: DVBCSKCK

DVBCSKCK ;ALB/GTS-557/THM-SKIN, OTHER THAN SCARS ; 12/11/90  7:31 AM

 ;;2.7;AMIE;;Apr 10, 1995

 S PG=1,HD91="Department of Veterans Affairs",HD9=$S($D(CMBN):"Abbreviated",1:"Full")_" Exam Worksheet"

EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF

 W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1610 Worksheet" S HD7="SKIN, OTHER THAN SCARS",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:"

 W ?13,"When furnishing the history of the present skin disease",!?13,"include a description of the skin changes, when the disorder",!?13,"first appeared, and the progression of the illness since that",!?13,"time.  Note whether"

 W " remissions or exacerbations occurred",!?13,"and whether they were related to the occupation or treatment.",!?13,"Include the duration of remissions and factors that",!?13,"may have influenced the course of the disorder.",!!!

 I '$D(CMBN) W "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:  "

 I '$D(CMBN) W ?24,"(List the types of complaints such as itching",!,"burning, pain and anesthesia.  Note whether environmental factors such as",!,"temperature or seasonal change affect the severity of the symptoms.)",! D HD2

 I '$D(CMBN) W "C. Objective findings:",!!!!!!!!!!!!!

 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):",!!!

 W ?8,"1. Description of skin disorder -",!!!!!?8,"2. Distribution of skin disorder -",!!!!!?8,"3. Configuration and characteristics of lesions -",!!!!!!?8,"4. Nervous manifestations -",!!

 W !!!?8,"5. Attach color photograph if condition is disfiguring.",!

 D HD2 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!!!!!!!,$S($D(CMBN):"C. ",1:"F. "),"Diagnosis:",!!

 W "(Note:  If current diagnosis differs from the skin condition",!,"for which the examination was ordered, then review prior records and",!,"express opinion whether current disease is a new problem or original ",!,"diagnosis was in error.)"

 W !!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!

 K LN,LN1,LN2

HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for ",!,NAME,!!!

SETIOF ;  ** Set device control var's

 D HOME^%ZIS

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCSKCK   2548     printed  Apr 09, 2024@20:48:49                                                                                                                                                                                                    Page 2

DVBCSKCK  ;ALB/GTS-557/THM-SKIN, OTHER THAN SCARS ; 12/11/90  7:31 AM

 +1       ;;2.7;AMIE;;Apr 10, 1995

 +2       ;

 +3        SET PG=1

           SET HD91="Department of Veterans Affairs"

           SET HD9=$SELECT($DATA(CMBN):"Abbreviated",1:"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,"# 1610 Worksheet"

           SET HD7="SKIN, OTHER THAN SCARS"

           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        WRITE ?13,"When furnishing the history of the present skin disease",!?13,"include a description of the skin changes, when the disorder",!?13,"first appeared, and the progression of the illness since that",!?13,"time.  Note whether"

 +5        WRITE " remissions or exacerbations occurred",!?13,"and whether they were related to the occupation or treatment.",!?13,"Include the duration of remissions and factors that",!?13,"may have influenced the course of the disorder.",!!!

 +6        IF '$DATA(CMBN)

               WRITE "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:  "

 +7        IF '$DATA(CMBN)

               WRITE ?24,"(List the types of complaints such as itching",!,"burning, pain and anesthesia.  Note whether environmental factors such as",!,"temperature or seasonal change affect the severity of the symptoms.)",!

               DO HD2

 +8        IF '$DATA(CMBN)

               WRITE "C. Objective findings:",!!!!!!!!!!!!!

 +9        WRITE $SELECT($DATA(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):",!!!

 +10       WRITE ?8,"1. Description of skin disorder -",!!!!!?8,"2. Distribution of skin disorder -",!!!!!?8,"3. Configuration and characteristics of lesions -",!!!!!!?8,"4. Nervous manifestations -",!!

 +11       WRITE !!!?8,"5. Attach color photograph if condition is disfiguring.",!

 +12       DO HD2

           WRITE $SELECT($DATA(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!!!!!!!,$SELECT($DATA(CMBN):"C. ",1:"F. "),"Diagnosis:",!!

 +13       WRITE "(Note:  If current diagnosis differs from the skin condition",!,"for which the examination was ordered, then review prior records and",!,"express opinion whether current disease is a new problem or original ",!,"diagnosis was in error.)"

 +14       WRITE !!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!

 +15       KILL LN,LN1,LN2

 +16       QUIT

 +17      ;

HD2        SET PG=PG+1

           WRITE @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for ",!,NAME,!!!

 +1        QUIT

SETIOF    ;  ** Set device control var's

 +1        DO HOME^%ZIS

 +2        QUIT

DVBCSKCK.m