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 Nov 22, 2024@17:00:29 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
