source: FOIAVistA/trunk/r/AUTOMATED_MED_INFO_EXCHANGE-DVBA-DVBC/DVBCWLY1.m@ 1379

DVBCWLY1 ;ALB/CMM LYMPHATIC DISORDERS 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.  Disease activity (exacerbations/remission)?  If there were 
 ;;        exacerbations, what was the state of the veteran's health 
 ;;        between exacerbations?
 ;;
 ;;
 ;;    2.  Current and past treatment history including date and type of
 ;;        last treatment, response, side effects.
 ;;
 ;;
 ;;    3.  If malignant neoplasm need date of diagnosis, date of 
 ;;        treatment, or if treatment stopped when did it end.
 ;;
 ;;
 ;;    4.  Location of disease.
 ;;
 ;;
 ;;    5.  Current symptoms.
 ;;
 ;;
 ;;C.  Physical Examination (Objective Findings):
 ;;
 ;;    Describe the residuals of each body system affected.
 ;;
 ;;
 ;;D.  Diagnostic and Clinical Tests:
 ;;
 ;;    Include results of all diagnostic and clinical tests conducted in
 ;;    the examination report.
 ;;
 ;;
 ;;E.  Diagnosis:
 ;;
 ;;
 ;;Signature:                             Date:
 ;;END