source: FOIAVistA/trunk/r/AUTOMATED_MED_INFO_EXCHANGE-DVBA-DVBC/DVBCPNCK.m@ 1722

DVBCPNCK ;ALB/GTS-557/THM-LOSS OF PENIS ; 5/16/91  2:23 PM
 ;;2.7;AMIE;;Apr 10, 1995
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 S PG=1,HD91="Department of Veterans Affairs",HD9=$S($D(CMBN):"Abbreviated",1:"Full")_" Exam Worksheet"
EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
 W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 0610 Worksheet" S HD7="LOSS OF PENIS, ALL OR PARTIAL; IMPOTENCE (GU)",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
 W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
 W !!!!,"Narrative:"
 W ?13,"A complete and detailed examination of the entire",!?13,"genitourinary system is needed with close correlation",!?13,"between this, the history and laboratory studies.",!?13,"Any penile deformity should be described in detail.",!!
 I '$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. Extent of loss -",!!!!!?8,"2. Erectile power preserved -",!!!!!?8,"3. If impotent, state cause -",!!!!!
 W ?8,"4. State whether impotence is permanent or if erectile power",!?11,"can be restored -",!!!!!?8,"5. Describe any penile deformity in detail -",!!!!!!
 D:$D(CMBN) HD2 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!
 W $S($D(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
 K LN,LN1,LN2
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HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for "_NAME,!,HD8,!!!
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SETIOF ;  ** Set device control var's
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