DVBCSRCK.m

DVBCSRCK ;ALB/GTS-557/THM-SCARS,BURN ; 12/27/90  2:11 PM

 ;;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,"# 1605 Worksheet" S HD7="SCARS, BURN",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 true third degree burn involvement is established,",!?13,"measure and describe all areas of scarring and all secondary",!?13,"functional impairments.",!!!

 I '$D(CMBN) W "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!!,"C. Objective findings:",! D HD2

 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. Shape and dimension (specify units) -",!!!?8,"2. Color -",!!!?8,"3. Extent -",!!!?8,"4. Provide photographs for all facial burns and any",!?11,"areas of especially repugnant disfigurement -",!!!!!

 W ?8,"5. Tender and painful on objective demonstration -",!!!!!

 D:$D(CMBN) HD2 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!! D:$Y>50 HD2 W $S($D(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!

 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

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---DVBCSRCK   1771     printed  Apr 23, 2025@18:03:14                                                                                                                                                                                                    Page 2

DVBCSRCK  ;ALB/GTS-557/THM-SCARS,BURN ; 12/27/90  2:11 PM

 +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,"# 1605 Worksheet"

           SET HD7="SCARS, BURN"

           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 true third degree burn involvement is established,",!?13,"measure and describe all areas of scarring and all secondary",!?13,"functional impairments.",!!!

 +5        IF '$DATA(CMBN)

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

               DO HD2

 +6        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):",!!!

 +7        WRITE ?8,"1. Shape and dimension (specify units) -",!!!?8,"2. Color -",!!!?8,"3. Extent -",!!!?8,"4. Provide photographs for all facial burns and any",!?11,"areas of especially repugnant disfigurement -",!!!!!

 +8        WRITE ?8,"5. Tender and painful on objective demonstration -",!!!!!

 +9        if $DATA(CMBN)

               DO HD2

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

           if $Y>50

               DO HD2

           WRITE $SELECT($DATA(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!

 +10       KILL LN,LN1,LN2

 +11       QUIT 

 +12      ;

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