1 | DVBCPYCK ;ALB/GTS-ALB/GTS-557/THM-PYELITIS, NEPHROLITHIASIS,ETC ; 2/6/91 7:56 AM
|
---|
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"
|
---|
5 | EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
|
---|
6 | W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 0620 Worksheet" S HD6="PYELITIS, NEPHROLITHIASIS, URETEROLITHIASIS,",HD7="URETERAL STRICTURE AND HYDRONEPHROSIS (GU)",HD8="For "_HD6
|
---|
7 | W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!,?(80-$L(HD7)\2),HD7,!!
|
---|
8 | W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD6,!?14,HD7
|
---|
9 | W !!!!,"Narrative:"
|
---|
10 | W ?13,"Complications and/or medical side effects should always be",!?13,"reported, even when not specifically requested.",!!
|
---|
11 | I '$D(CMBN) W "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:",! D HD2
|
---|
12 | 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):",!!!
|
---|
13 | W ?8,"1. Report presence or absence of calculi -",!!!!!
|
---|
14 | W ?8,"2. If stone, presence and size if retained -",!!!!!
|
---|
15 | W ?8,"3. Frequency of attacks of colic -",!!!!!?8,"4. Catheter drainage requirement (frequency of need) -",!!!!!
|
---|
16 | W ?8,"5. Presence or absence of infection -",!!!!!?8,"6. Involvement of other kidney -",!!!!!
|
---|
17 | D:$D(CMBN) HD2 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!! D:'$D(CMBN) HD2 W $S($D(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!
|
---|
18 | W ?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
|
---|
19 | K LN,LN1,LN2
|
---|
20 | Q
|
---|
21 | ;
|
---|
22 | HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for "_NAME,!!
|
---|
23 | W HD8,!,HD7,!!!
|
---|
24 | Q
|
---|
25 | ;
|
---|
26 | SETIOF ; ** Set device control var's
|
---|
27 | D HOME^%ZIS
|
---|
28 | Q
|
---|