DVBCTTCK.m

DVBCTTCK ;ALB/GTS-557/THM-TESTES, TRAUMA, OR DISEASE ; 12/7/90  8:41 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,"# 0625 Worksheet" S HD7="TESTIS, TRAUMA, OR DISEASE (GU)",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,"Loss of use of a testis when based upon its small size or soft",!?13,"consistency must be described by a board of at least three",!?13,"physicians including at least one urologist.  The board of",!

 W ?13,"physicians should review the physician's guide for special",!?13,"instructions.",!!

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

 D:'$D(CMBN) 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. Atrophy or absence of one or both testis -",!!!!!?8,"2. Measurements -",!!!!!?8,"3. Consistency -",!!!!!

 W ?8,"4. Comparison -",!!!!!,$S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!

 I $Y>50 D 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 "_NAME,!,HD8,!!!

 Q

SETIOF ;  ** Set device control var's

 D HOME^%ZIS

 Q

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---DVBCTTCK   1799     printed  Apr 09, 2024@20:51:50                                                                                                                                                                                                    Page 2

DVBCTTCK  ;ALB/GTS-557/THM-TESTES, TRAUMA, OR DISEASE ; 12/7/90  8:41 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,"# 0625 Worksheet"

           SET HD7="TESTIS, TRAUMA, OR DISEASE (GU)"

           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,"Loss of use of a testis when based upon its small size or soft",!?13,"consistency must be described by a board of at least three",!?13,"physicians including at least one urologist.  The board of",!

 +5        WRITE ?13,"physicians should review the physician's guide for special",!?13,"instructions.",!!

 +6        IF '$DATA(CMBN)

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

 +7        if '$DATA(CMBN)

               DO HD2

           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):",!!!

 +8        WRITE ?8,"1. Atrophy or absence of one or both testis -",!!!!!?8,"2. Measurements -",!!!!!?8,"3. Consistency -",!!!!!

 +9        WRITE ?8,"4. Comparison -",!!!!!,$SELECT($DATA(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!

 +10       IF $Y>50

               DO HD2

 +11       WRITE $SELECT($DATA(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!

 +12       KILL LN,LN1,LN2

 +13       QUIT 

 +14      ;

HD2        SET PG=PG+1

           WRITE @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for "_NAME,!,HD8,!!!

 +1        QUIT 

SETIOF    ;  ** Set device control var's

 +1        DO HOME^%ZIS

 +2        QUIT