Routine: DVBCXSCK

DVBCXSCK ;ALB/GTS-557/THM-DISEASES/INJURIES OF THE SPINAL CORD ; 12/27/90  1:26 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,"# 1215 Worksheet" S HD7="DISEASES/INJURIES OF THE SPINAL CORD",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:  None",!!

 W !! I '$D(CMBN) W "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:" D 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 ?5,"1.  State whether a tumor is present.  If so, note type and whether",!?9,"malignant -",!!!!!!!!

 W ?5,"2.  If a malignancy is present but is now cured or in remission,",!?9,"report the date of last surgery, radiation therapy, chemotherapy",!?9,"or other treatment -",!!!!!!!!

 W ?5,"3.  Identify the level of the lesion -",!!!!!!!!

 D:$D(CMBN) HD2 W ?5,"4.  State if the impairment is total or partial -",!!!!!!!!

 W ?5,"5.  State if the veteran is incontinent of bladder and/or bowels -",!!!!!!!! D:'$D(CMBN) HD2 W ?5,"6.  If the lesion is partial, describe the impairment of function at",!?9,"the level of each affected radicular group -",!!!!!!!!!

 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!! W:$D(CMBN) !!!!! W:'$D(CMBN) !!!!!!!!!! ;D:$D(CMBN) HD2

 W $S($D(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!

 K LN,LN1,LN2

HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for ",NAME,!!!

SETIOF ;  ** Set device control var's

 D HOME^%ZIS

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCXSCK   2083     printed  Apr 23, 2025@18:09:03                                                                                                                                                                                                    Page 2

DVBCXSCK  ;ALB/GTS-557/THM-DISEASES/INJURIES OF THE SPINAL CORD ; 12/27/90  1:26 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,"# 1215 Worksheet"

           SET HD7="DISEASES/INJURIES OF THE SPINAL CORD"

           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:  None",!!

 +4        WRITE !!

           IF '$DATA(CMBN)

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

               DO HD2

 +5        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):",!!!

 +6        WRITE ?5,"1.  State whether a tumor is present.  If so, note type and whether",!?9,"malignant -",!!!!!!!!

 +7        WRITE ?5,"2.  If a malignancy is present but is now cured or in remission,",!?9,"report the date of last surgery, radiation therapy, chemotherapy",!?9,"or other treatment -",!!!!!!!!

 +8        WRITE ?5,"3.  Identify the level of the lesion -",!!!!!!!!

 +9        if $DATA(CMBN)

               DO HD2

           WRITE ?5,"4.  State if the impairment is total or partial -",!!!!!!!!

 +10       WRITE ?5,"5.  State if the veteran is incontinent of bladder and/or bowels -",!!!!!!!!

           if '$DATA(CMBN)

               DO HD2

           WRITE ?5,"6.  If the lesion is partial, describe the impairment of function at",!?9,"the level of each affected radicular group -",!!!!!!!!!

 +11      ;D:$D(CMBN) HD2

           WRITE $SELECT($DATA(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!

           if $DATA(CMBN)

               WRITE !!!!!

           if '$DATA(CMBN)

               WRITE !!!!!!!!!!

 +12       WRITE $SELECT($DATA(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!

 +13       KILL LN,LN1,LN2

 +14       QUIT

 +15      ;

HD2        SET PG=PG+1

           WRITE @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for ",NAME,!!!

 +1        QUIT

SETIOF    ;  ** Set device control var's

 +1        DO HOME^%ZIS

 +2        QUIT

DVBCXSCK.m