- DVBCWDI5 ;ALB/RLC DIABETES MELLITUS WKS TEXT - 2 ; 24 MAY 2004
- ;;2.7;AMIE;**131**;Apr 10, 1995;Build 4
- ;
- ;
- TXT ;
- ;;E. Diagnosis:
- ;;
- ;; 1. State whether the veteran has diabetes mellitus. Indicate type.
- ;; 2. Specifically list each identified complication of the veteran's
- ;; diabetes. Indicate these conditions as complications of the
- ;; veteran's diabetes. If the veteran has peripheral edema,
- ;; indicate whether it is a consequence of diabetic kidney disease
- ;; or other non-diabetic related etiology.
- ;; 3. For each identified complication of the veteran's diabetes,
- ;; provide a brief rationale for your conclusion. You may base
- ;; your rationale on such things as the duration of the veteran's
- ;; diabetes, whether the veteran's diabetes has been poorly
- ;; controlled, the onset of the condition that you deem to be a
- ;; complication of the veteran's diabetes in relation to the onset
- ;; of the veteran's diabetes, the severity of the complication, or
- ;; anything else you consider relevant.
- ;; 4. Where the veteran has visual impairment, cardiovascular disease
- ;; (including hypertension), kidney disease, neurologic disease,
- ;; amputations, or any other disabilities which, in your opinion,
- ;; are not complications of the veteran's diabetes, please state so
- ;; and provide a supporting rationale as to the basis for your
- ;; conclusion.
- ;; 5. Where the veteran has a condition that is worsened or increased
- ;; by the veteran's diabetes but may or may not be a diabetic
- ;; complication, discuss the relationship between the condition and
- ;; the veteran's diabetes. In particular, describe the baseline
- ;; disability and the additional manifestations of the disability
- ;; that was aggravated/worsened by diabetes. Provide your rationale.
- ;; Indicate if this is not possible to do without resorting to
- ;; speculation.
- ;;
- ;;
- ;;Signature: Date:
- ;;END
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCWDI5 2197 printed Mar 13, 2025@20:55 Page 2
- DVBCWDI5 ;ALB/RLC DIABETES MELLITUS WKS TEXT - 2 ; 24 MAY 2004
- +1 ;;2.7;AMIE;**131**;Apr 10, 1995;Build 4
- +2 ;
- +3 ;
- TXT ;
- +1 ;;E. Diagnosis:
- +2 ;;
- +3 ;; 1. State whether the veteran has diabetes mellitus. Indicate type.
- +4 ;; 2. Specifically list each identified complication of the veteran's
- +5 ;; diabetes. Indicate these conditions as complications of the
- +6 ;; veteran's diabetes. If the veteran has peripheral edema,
- +7 ;; indicate whether it is a consequence of diabetic kidney disease
- +8 ;; or other non-diabetic related etiology.
- +9 ;; 3. For each identified complication of the veteran's diabetes,
- +10 ;; provide a brief rationale for your conclusion. You may base
- +11 ;; your rationale on such things as the duration of the veteran's
- +12 ;; diabetes, whether the veteran's diabetes has been poorly
- +13 ;; controlled, the onset of the condition that you deem to be a
- +14 ;; complication of the veteran's diabetes in relation to the onset
- +15 ;; of the veteran's diabetes, the severity of the complication, or
- +16 ;; anything else you consider relevant.
- +17 ;; 4. Where the veteran has visual impairment, cardiovascular disease
- +18 ;; (including hypertension), kidney disease, neurologic disease,
- +19 ;; amputations, or any other disabilities which, in your opinion,
- +20 ;; are not complications of the veteran's diabetes, please state so
- +21 ;; and provide a supporting rationale as to the basis for your
- +22 ;; conclusion.
- +23 ;; 5. Where the veteran has a condition that is worsened or increased
- +24 ;; by the veteran's diabetes but may or may not be a diabetic
- +25 ;; complication, discuss the relationship between the condition and
- +26 ;; the veteran's diabetes. In particular, describe the baseline
- +27 ;; disability and the additional manifestations of the disability
- +28 ;; that was aggravated/worsened by diabetes. Provide your rationale.
- +29 ;; Indicate if this is not possible to do without resorting to
- +30 ;; speculation.
- +31 ;;
- +32 ;;
- +33 ;;Signature: Date:
- +34 ;;END