DVBCWGW1 ;ALB/JFP GULF WAR GUIDELINES WKS TEXT - 1 ; 13 FEB 1998
;;2.7;AMIE;**16**;Apr 10, 1995
;
;
TXT ;
;;Introduction:
;; Disability examinations of Gulf War veterans have unique requirements
;; because this group of veterans is eligible for compensation not only
;; for disability due to diagnosed illnesses, but also for disability
;; due to undiagnosed illnesses. An undiagnosed illness is established
;; when findings are present that cannot be attributed to a known,
;; clearly defined diagnosis, after all likely diagnostic possibilities
;; for such abnormalities have been ruled out. Examiners should follow
;; the guidelines in the "Handout of Instructions for Compensation and
;; Pension Examinations" but will also need to request more laboratory
;; tests and specialists' examinations than average in these cases.
;;
;;Guidelines:
;;1. Thoroughly review the claims file.
;;2. Address all conditions and symptoms specified on the examination
;; request and also address all additional conditions and symptoms
;; that you can elicit from the veteran during the examination, even
;; if not specified on the request form.
;;3. Conduct a comprehensive general medical examination, following the
;; AMIE General Medical Examination worksheet. For all conditions
;; and symptoms which the General Medical Examination worksheet does
;; not address in detail, follow the appropriate additional AMIE
;; worksheets, and request specialists' examinations as indicated.
;; Provide details about the onset, frequency, duration, and severity
;; of all complaints and state what precipitates and what relieves
;; them.
;;4. List all diagnosed conditions and state which symptoms, abnormal
;; physical findings, and abnormal laboratory test results are
;; associated with each. If all symptoms, abnormal physical findings
;; and abnormal laboratory test results are associated with a
;; diagnosed condition, additional specialist examinations for
;; diagnostic purposes are not needed. Diagnosed conditions will be
;; handled as standard claims for service connection. Symptom-based
;; "diagnoses" such as (but not limited to) myalgia, arthralgia,
;; headache, and diarrhea, are not considered as diagnosed conditions
;; for compensation purposes.
;;5. However, if there are symptoms, abnormal physical findings, or
;; abnormal laboratory test results that have not been determined to
;; be part of a known clinical diagnosis, further specialist
;; examinations will be required to address these findings.
;;6. Provide the specialist with all examination reports and test
;; results. Specify the symptoms, abnormal physical findings, and
;; abnormal laboratory test results that have not been attributed to
;; a known clinical diagnosis. Request that the specialist determine
;; which of these, if any, can be attributed in this veteran to a
;; known clinical diagnosis and which, if any, cannot be attributed
;; in this veteran to a known clinical diagnosis.
;;7. After the specialists' examinations have been completed, and all
;; laboratory test results received, make a final report providing a
;; list of diagnosed conditions. Separately list all symptoms,
;; abnormal physical findings, and abnormal laboratory test results
;; that cannot be attributed to a known clinical diagnosis. Reconcile
;; all differences among the examiners, by consultation or workgroup
;; as necessary, before the examination is returned to the regional
;; office.
;;
;;END
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCWGW1 3710 printed Dec 13, 2024@01:51:26 Page 2
DVBCWGW1 ;ALB/JFP GULF WAR GUIDELINES WKS TEXT - 1 ; 13 FEB 1998
+1 ;;2.7;AMIE;**16**;Apr 10, 1995
+2 ;
+3 ;
TXT ;
+1 ;;Introduction:
+2 ;; Disability examinations of Gulf War veterans have unique requirements
+3 ;; because this group of veterans is eligible for compensation not only
+4 ;; for disability due to diagnosed illnesses, but also for disability
+5 ;; due to undiagnosed illnesses. An undiagnosed illness is established
+6 ;; when findings are present that cannot be attributed to a known,
+7 ;; clearly defined diagnosis, after all likely diagnostic possibilities
+8 ;; for such abnormalities have been ruled out. Examiners should follow
+9 ;; the guidelines in the "Handout of Instructions for Compensation and
+10 ;; Pension Examinations" but will also need to request more laboratory
+11 ;; tests and specialists' examinations than average in these cases.
+12 ;;
+13 ;;Guidelines:
+14 ;;1. Thoroughly review the claims file.
+15 ;;2. Address all conditions and symptoms specified on the examination
+16 ;; request and also address all additional conditions and symptoms
+17 ;; that you can elicit from the veteran during the examination, even
+18 ;; if not specified on the request form.
+19 ;;3. Conduct a comprehensive general medical examination, following the
+20 ;; AMIE General Medical Examination worksheet. For all conditions
+21 ;; and symptoms which the General Medical Examination worksheet does
+22 ;; not address in detail, follow the appropriate additional AMIE
+23 ;; worksheets, and request specialists' examinations as indicated.
+24 ;; Provide details about the onset, frequency, duration, and severity
+25 ;; of all complaints and state what precipitates and what relieves
+26 ;; them.
+27 ;;4. List all diagnosed conditions and state which symptoms, abnormal
+28 ;; physical findings, and abnormal laboratory test results are
+29 ;; associated with each. If all symptoms, abnormal physical findings
+30 ;; and abnormal laboratory test results are associated with a
+31 ;; diagnosed condition, additional specialist examinations for
+32 ;; diagnostic purposes are not needed. Diagnosed conditions will be
+33 ;; handled as standard claims for service connection. Symptom-based
+34 ;; "diagnoses" such as (but not limited to) myalgia, arthralgia,
+35 ;; headache, and diarrhea, are not considered as diagnosed conditions
+36 ;; for compensation purposes.
+37 ;;5. However, if there are symptoms, abnormal physical findings, or
+38 ;; abnormal laboratory test results that have not been determined to
+39 ;; be part of a known clinical diagnosis, further specialist
+40 ;; examinations will be required to address these findings.
+41 ;;6. Provide the specialist with all examination reports and test
+42 ;; results. Specify the symptoms, abnormal physical findings, and
+43 ;; abnormal laboratory test results that have not been attributed to
+44 ;; a known clinical diagnosis. Request that the specialist determine
+45 ;; which of these, if any, can be attributed in this veteran to a
+46 ;; known clinical diagnosis and which, if any, cannot be attributed
+47 ;; in this veteran to a known clinical diagnosis.
+48 ;;7. After the specialists' examinations have been completed, and all
+49 ;; laboratory test results received, make a final report providing a
+50 ;; list of diagnosed conditions. Separately list all symptoms,
+51 ;; abnormal physical findings, and abnormal laboratory test results
+52 ;; that cannot be attributed to a known clinical diagnosis. Reconcile
+53 ;; all differences among the examiners, by consultation or workgroup
+54 ;; as necessary, before the examination is returned to the regional
+55 ;; office.
+56 ;;
+57 ;;END
