DVBCAACK ;ALB/GTS-557/THM-ALIMENTARY APPENDAGES ; 2/6/91 6:40 AM ;;2.7;AMIE;;Apr 10, 1995 ; S PG=1,HD91="Department of Veterans Affairs" S HD9=$S($D(CMBN):"Abbreviated",1:"Full")_" Exam Worksheet" EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 305 Worksheet" S HD7="ALIMENTARY APPENDAGES (DIGESTIVE)",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!! W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",?14,HD7 W !!!!,"Narrative:" W ?13,"Detailed description of chronic, active symptomatology in the",!?13,"""subjective complaints"" portion of this or the main examination is",!?13,"critical to the degree of disability assigned for the veteran.",!! I '$D(CMBN) W "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:",!!!!!!!!!! D:'$D(CMBN) 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):",!!!?8,"1. Abdominal discomfort -",!!!!!! W ?8,"2. Food intolerance -",!!!!!!?8,"3. Nausea (frequency) -",!!!!!!?8,"4. Vomiting (frequency) -",!!!!!!?8,"5. Degree of pain -",!!!!!! D:$D(CMBN) HD2 W ?8,"6. Anorexia -",!!!!!! W ?8,"7. Malaise -",!!!!!! D:'$D(CMBN) HD2 W ?8,"8. Weight loss -",!!!!!!?8,"9. Generalized weakness -",!!!!!! W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!,$S($D(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",! K LN,LN1,LN2 Q ; HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for "_NAME,! W HD8,!!! Q SETIOF ; ** Set device control variables ** D HOME^%ZIS Q