DVBCARCK ;ALB/GTS-557/THM-REGULAR A&A/HOUSEBOUND EXAM ; 1/3/91 8:25 AM ;;2.7;AMIE;;Apr 10, 1995 ; K LINE S PG=1,HD91="Department of Veterans Affairs",HD9=$S($D(CMBN):"Abbreviated",1:"Full")_" Exam Worksheet",$P(LINE,"-",75)="-" EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1715 Worksheet" S HD7="REGULAR AID AND ATTENDANCE/HOUSEBOUND STATUS",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: ___________________" W !!,"Type of Exam: ",HD7,!!!!,"Narrative: " S TXT="TXT10" D PTXT S TXT="TXT2" D PTXT W !!! D HD2 W "D. Present complaints (symptoms only, NOT diagnosis):",!!!!!!!!!!!!,"E. Examination data:",!!!!,"Height:",?25,"Weight:",?45,"Max wgt past year:",!!! W "Build and state of nutrition:",!!!,"Posture:",?23,"Gait:",!!!,"General appearance:",!!! W "Pulse:",?20,"Blood pressure:",?51,"Respiration:",! S TXT="TXT3" D PTXT,HD2 W !!!,"K. Diagnosis:",!!!!!!!!!!! W "L. Additional remarks as examiner deems necessary in individual case:",!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",! K LN,LN1,LN2,LINE Q ; HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam "_HD8,!,"for ",NAME,!!! Q ; PTXT D PTXT^DVBCARC1 Q ; SETIOF ; ** Set device control var's D HOME^%ZIS Q