DVBCNICK ;ALB/GTS-557/THM-INTESTINAL EXAM ; 12/26/90 12:29 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:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 0315 Worksheet" S HD7="INTESTINE (DIGESTIVE)",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!! W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",?14,HD7 W !!!!,"Narrative:" W ?13,"Detailed description of chronic, active symptomatology",!?13,"in the ""subjective complaints"" portion of this examination",! W ?13,"is critical to the degree of disability assigned for the",!?13,"veteran.",!! I '$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 ?8,"1. Current weight -",!!!!!!?8,"2. Maximum weight, past year -",!!!!!!?8,"3. Is the veteran anemic? -",!!!!!! W ?8,"4. Malnutrition -",!!!!!!?8,"5. Nausea -",!!!!!!?8,"6. Diarrhea and/or constipation -",! D HD2 W ?8,"7. Bowel disturbance -",!!!!!!?8,"8. Abdominal disturbance -",!!!!!! W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!! D:$Y>50 HD2 W $S($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 var's D HOME^%ZIS Q