DVBCVSCK.m

DVBCVSCK ;ALB/GTS-557/THM-VISUAL EXAM ; 6/27/91  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,"# 1330 Worksheet" S HD7="VISUAL",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"  W $P(LY,";;",2),!

 W !!,"A. Medical history:",!!!!!!!!!

 W !!,"B. Visual Acuity:",!!?44,"Near",?55,"Far",!?43,"______",?54,"______",!

 W ?13,"Right Eye",?28,"Uncorrected",?42,"|______",?49,"|",?53,"|______",?60,"|",!!?43,"______",?54,"______",!?30,"Corrected",?42,"|______",?49,"|",?53,"|______",?60,"|",!!!

 W ?44,"Near",?55,"Far",!?43,"______",?54,"______",!?13," Left Eye",?28,"Uncorrected",?42,"|______",?49,"|",?53,"|______",?60,"|",!!?43,"______",?54,"______",!?30,"Corrected",?42,"|______",?49,"|",?53,"|______",?60,"|",!!!

 D HD2 S LX="TXT" D ^DVBCVSC1 W !!!!!

 W "F. Diagnostic/clinical test results (other than visual acuity,visual fields",!,?4,"or diplopia):",!!!!!!!!!!,"G. Diagnosis:",!!!!!!!!!!

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

 ;S LN22="Attachment - Visual Exam" W @IOF,!!?(80-$L(LN22)\2),LN22,!!! D ^DVBCVSC2 W !

 K LN,LN1,LN22

 Q

 ;

HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Examination",!,HD8," for ",NAME,!!!

 Q

 ;

TXT ;

 ;;For visual acuity worse than 5/200 in either or both eyes, report

 ;;            the distance in feet/inches (or meters/centimeters) from the face

 ;;            at which the veteran can count fingers/detect hand motion/read the

 ;;            largest line on the chart.  If the veteran cannot detect hand motion

 ;;            or count fingers at any distance, state whether he/she has light

 ;;            perception.

 ;;END

SETIOF ;  ** Set device control var's

 D HOME^%ZIS

 Q

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---DVBCVSCK   2167     printed  Apr 09, 2024@20:45:33                                                                                                                                                                                                    Page 2

DVBCVSCK  ;ALB/GTS-557/THM-VISUAL EXAM ; 6/27/91  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,"# 1330 Worksheet"

           SET HD7="VISUAL"

           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 

               WRITE $PIECE(LY,";;",2),!

 +5        WRITE !!,"A. Medical history:",!!!!!!!!!

 +6        WRITE !!,"B. Visual Acuity:",!!?44,"Near",?55,"Far",!?43,"______",?54,"______",!

 +7        WRITE ?13,"Right Eye",?28,"Uncorrected",?42,"|______",?49,"|",?53,"|______",?60,"|",!!?43,"______",?54,"______",!?30,"Corrected",?42,"|______",?49,"|",?53,"|______",?60,"|",!!!

 +8        WRITE ?44,"Near",?55,"Far",!?43,"______",?54,"______",!?13," Left Eye",?28,"Uncorrected",?42,"|______",?49,"|",?53,"|______",?60,"|",!!?43,"______",?54,"______",!?30,"Corrected",?42,"|______",?49,"|",?53,"|______",?60,"|",!!!

 +9        DO HD2

           SET LX="TXT"

           DO ^DVBCVSC1

           WRITE !!!!!

 +10       WRITE "F. Diagnostic/clinical test results (other than visual acuity,visual fields",!,?4,"or diplopia):",!!!!!!!!!!,"G. Diagnosis:",!!!!!!!!!!

 +11       WRITE ?25,"Signature: ______________________________",!!?30,"Date: _________________________",!

 +12      ;S LN22="Attachment - Visual Exam" W @IOF,!!?(80-$L(LN22)\2),LN22,!!! D ^DVBCVSC2 W !

 +13       KILL LN,LN1,LN22

 +14       QUIT 

 +15      ;

HD2        SET PG=PG+1

           WRITE @IOF,!,"Page: ",PG,!!,"Compensation and Pension Examination",!,HD8," for ",NAME,!!!

 +1        QUIT 

 +2       ;

TXT       ;

 +1       ;;For visual acuity worse than 5/200 in either or both eyes, report

 +2       ;;            the distance in feet/inches (or meters/centimeters) from the face

 +3       ;;            at which the veteran can count fingers/detect hand motion/read the

 +4       ;;            largest line on the chart.  If the veteran cannot detect hand motion

 +5       ;;            or count fingers at any distance, state whether he/she has light

 +6       ;;            perception.

 +7       ;;END

SETIOF    ;  ** Set device control var's

 +1        DO HOME^%ZIS

 +2        QUIT