source: FOIAVistA/tag/r/AUTOMATED_MED_INFO_EXCHANGE-DVBA-DVBC/DVBCWAW1.m@ 628

DVBCWAW1 ;ALB/CMM ARRHYTHMIAS WKS TEXT - 1 ; 5 MARCH 1997
 ;;2.7;AMIE;**12**;Apr 10, 1995
 ;
 ;
TXT ;
 ;;A.  Review of Medical Records:
 ;;
 ;;
 ;;B.  Medical History (Subjective Complaints):
 ;;
 ;;    Comment on:
 ;;    1.  Syncope, Stokes-Adams attacks - frequency?, precipitating factors?
 ;;
 ;;
 ;;    2.  Other symptoms related to arrhythmia or its treatment.
 ;;
 ;;
 ;;    3.  Current treatment, response, side effects.
 ;;
 ;;
 ;;    4.  Describe the effects of the condition on the veteran's usual 
 ;;        occupation and daily activities.
 ;;
 ;;
 ;;C.  Physical Examination (Objective Findings):
 ;;
 ;;    Address each of the following and fully describe current findings:
 ;;    1.  Heart rate and rhythm.
 ;;
 ;;
 ;;    2.  If arrhythmia is paroxysmal, what is frequency?  Severity?  
 ;;        What are precipitating factors?
 ;;
 ;;
 ;;    3.  Pacemaker present?  If so, when inserted, effectiveness, side effects.
 ;;
 ;;
 ;;D.  Diagnostic and Clinical Tests:
 ;;
 ;;    1.  EKG.
 ;;    2.  Holter monitor, other tests as indicated.
 ;;    3.  Include results of all diagnostic and clinical tests conducted
 ;;        in the examination report.
 ;;
 ;;
 ;;E.  Diagnosis:
 ;;
 ;;
 ;;Signature:                             Date:
 ;;END