source: FOIAVistA/trunk/r/AUTOMATED_MED_INFO_EXCHANGE-DVBA-DVBC/DVBCPICK.m@ 1757

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1DVBCPICK ;ALB/GTS-557/THM-NON TB DISEASES/INJURIES ; 6/27/91 12:56 PM
2 ;;2.7;AMIE;;Apr 10, 1995
3 ;
4 S PG=1,HD91="Department of Veterans Affairs",HD9=$S($D(CMBN):"Abbreviated",1:"Full")_" Exam Worksheet"
5EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
6 W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1505 Worksheet" S HD7="NON-TUBERCULOUS DISEASES AND INJURIES OF THE RESPIRATORY SYSTEM",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
7 W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
8 W !!!!,"Narrative:"
9 F I=1:1 S LY=$T(TXT+I) Q:LY["END" W ?13,$P(LY,";;",2),! I $Y>55 D HD2
10 W !! I '$D(CMBN) W "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:",! D HD2
11 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):",!!!
12 W ?8,"1. State if active malignant process is present. If so, nothing",!?11,"further is needed -",!!!!!!
13 W ?8,"2. If malignancy is inactive, report date/place of last",!?11,"surgery, radiation or chemical therapy -",!!!!!!
14 W ?8,"3. For non-malignant diseases, injuries, residuals of inactive or",!?11,"cured malignancies -",!!?11,"a. Report structural changes to the lungs -",!!!!! D:$D(CMBN) HD2
15 W ?11,"b. Provide pulmonary function studies -",!!!!!
16 W ?11,"c. Schedule additional special studies as necessary to evaluate",!?15,"any extra-pulmonary manifestations that may be detected -",!!!!!!
17 W ?11,"d. State whether the disease is in remission or demonstrably",!?15,"active -",!!!!!!
18 D:'$D(CMBN) HD2 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!,$S($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 ",!,HD7,!!,"for "_NAME,!!!
23 Q
24 ;
25SETIOF ; ** Set device control var's
26 D HOME^%ZIS
27 Q
28 ;
29TXT ;
30 ;;In reporting structural changes to the lungs for the Regional
31 ;;Office disability evaluations, the residuals are critical
32 ;;(e.g., fibrosis, scarring, absent or resected parts, limitation
33 ;;of expansion of the chest or excursion of diaphragm, presence
34 ;;of bullet or missile in lung, granuloma).
35 ;;
36 ;;The Rating Schedule requires a pulmonary function test (PFT) in
37 ;;certain lung diseases. In the majority of the cases, PFTs and a
38 ;;thorough description of the veteran's exercise tolerance will be
39 ;;sufficient for rating evaluation purposes. If such tests are, in
40 ;;the examiner's opinion, not needed or medically contraindicated,
41 ;;the examiner should explain why. Generally, PFTs need not be
42 ;;repeated if recent studies (within the past six months) are of
43 ;;record. If the examiner feels that an arterial blood gas test is
44 ;;appropriate for diagnostic purposes, the results should be reported
45 ;;in paragraph E below.
46 ;;END
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