source: FOIAVistA/trunk/r/AUTOMATED_MED_INFO_EXCHANGE-DVBA-DVBC/DVBCDACK.m@ 794

Last change on this file since 794 was 628, checked in by George Lilly, 15 years ago

initial load of FOIAVistA 6/30/08 version

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1DVBCDACK ;ALB/GTS-557/THM-DISEASES OF THE ARTERIES/VEINS ; 12/26/90 12:23 PM
2 ;;2.7;AMIE;;Apr 10, 1995
3 ;
4 S PG=1,HD91="Department of Veterans Affairs"
5 S HD9=$S($D(CMBN):"Abbreviated",1:"Full")_" Exam Worksheet"
6EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
7 W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 0105 Worksheet" S HD7="DISEASES OF THE ARTERIES AND VEINS (CARDIOVASCULAR)",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
8 W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",?14,HD7
9 W !!!!,"Narrative:"
10 W ?13,"Once a diagnosis is established, details about the",!?13,"permanent medical residuals and how they affect the",!
11 W ?13,"veteran's industrial capabilities are very important as",!?13,"the degree of impairment is used by the rating board to",!
12 W ?13,"determine the percentage of disability and payments therefore.",!!
13 I '$D(CMBN) W "A. Medical history (if a disability is already service connected, then",!?22,"provide data since last VA rating examination):",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:",!!!!!!!!!!! D HD2
14 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. Blood pressure -",!!!!!!
15 W ?8,"2. Pulsation -",!!!!!!?8,"3. Skin appearance -",!!!!!!
16 W ?8,"4. Skin temperature (to the touch) -",!!!!!!?8,"5. Paresthesias -",!!!!!!
17 W ?8,"6. Cardiac involvement -",!!!!!! D:$D(CMBN) HD2
18 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!! D:'$D(CMBN) HD2 W $S($D(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
19 K LN,LN1,LN2
20 Q
21 ;
22HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for "_NAME,!
23 W HD8,!!!
24 Q
25 ;
26SETIOF ; ** Set device control var's
27 D HOME^%ZIS
28 Q
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