| Name | Value |
|---|---|
| NAME | VA-POLYTRAUMA Q4 |
| COMPONENTS |
|
| CLASS | NATIONAL |
| SPONSOR | OFFICE OF REHABILITATION SERVICES IN VACO |
| EDIT HISTORY |
|
| EXCLUDE FROM PROGRESS NOTE | YES |
| DIALOG/PROGRESS NOTE TEXT |
4. Did the veteran experience significant functional impairment at the
time of the injury associated with these injuries? \\
Examples: Inability to carry out ADLs independently
Unable to return to usual military occupation
|
| TYPE | dialog group |
| HIDE/SHOW GROUP | SHOW |
| SUPPRESS CHECKBOX | SUPPRESS |
| BOX | NO |
| NUMBER OF INDENTS | 2 |
| SHARE COMMON PROMPTS | NO |
| GROUP ENTRY | ONE SELECTION ONLY |