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1DVBCMNCK ;ALB/GTS-557/THM-MENTAL DISORDERS EXAM ; 2/11/91 10:44 AM
2 ;;2.7;AMIE;;Apr 10, 1995
3 ;
4 S PG=1,HD91="Department of Veterans Affairs",HD9="Full Exam Worksheet"
5EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
6 W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 0905 Worksheet" S HD7="MENTAL DISORDERS",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!!
7 W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
8 W !!!!,"Narrative:"
9 S LX="TXT" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W ?13,$P(LY,";;",2),!
10 D HD2 W "A. Medical and occupational history " S LX="TXT1" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W $P(LY,";;",2),! I $Y>50 D HD2
11 W !!!!!!!!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!!!!!!!!,"C. Objective findings:" D HD2
12 W "D. Specific evaluation information required by the rating board",!?4,"(if the information requested is included elsewhere, do not",!?4,"repeat here):",!!!
13 S LX="TXT2" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W $P(LY,";;",2),!
14 W !!!!!!!!!,"E. Diagnostic tests (including psychological testing if deemed necessary):",!!!!!!!!!!!!!!,"F. Diagnosis:",!!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
15 K LN,LN1,LN2
16 Q
17 ;
18HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7," for ",!,NAME,!!!
19 Q
20 ;
21SETIOF ; ** Set device control var's
22 D HOME^%ZIS
23 Q
24 ;
25TXT ;
26 ;;The severity of disability is based upon actual symptomatology,
27 ;;as it affects social and industrial adaptability. Two of the
28 ;;most important determinants of disability are time lost from
29 ;;gainful work and decrease in efficiency. The rating board must
30 ;;not underevaluate the emotionally sick veteran with a good work
31 ;;record, nor must it overevaluate his or her condition on the
32 ;;basis of a poor work record not supported by the psychiatric
33 ;;disability picture. It is for this reason that great emphasis
34 ;;is placed upon the full report of the examiner, descriptive of
35 ;;actual symptomatology. The record of the history and complaints
36 ;;is only preliminary to the examination. The objective findings
37 ;;and the examiner's analysis of the symptomatology are the
38 ;;essentials. The examiner's classification of the disease
39 ;;as "mild", "moderate", or "severe" is not determinative of the
40 ;;degree of disability, but the report and the analysis of the
41 ;;symptomatology and full consideration of the history by the
42 ;;rating agency will be. In evaluating disability from psychotic
43 ;;disorders it is necessary to consider, in addition to present
44 ;;symptomatology or its absence, the frequency, severity and
45 ;;duration of previous psychotic periods, and the veteran's
46 ;;capacity for adjustment during periods of remission. Repeated
47 ;;psychotic periods, without long remissions, may be expected
48 ;;to have a sustained effect upon employability until elapsed
49 ;;time in good remission and with good capacity for adjustment
50 ;;establishes the contrary. Ratings are to be assigned which
51 ;;represent the impairment of social and industrial adaptability
52 ;;based on all evidence of record.
53 ;;END
54 ;
55TXT1 ;
56 ;;(since the historical data covering the
57 ;;veteran's life up to the time of the last examination are generally in the
58 ;;claim file, only the time between such last rating examination and the present
59 ;;need be accounted for, unless the purpose of this examination is to ESTABLISH
60 ;;service connection):
61 ;;END
62 ;
63TXT2 ;
64 ;; 1. State whether the veteran is capable of managing his/her
65 ;; benefit payments in the individual's own best interests (a
66 ;; physical disability which prevents the veteran from attending
67 ;; to financial matters in person is not a proper basis for a
68 ;; finding of incompetency unless the veteran is, by reason of that
69 ;; disability, incapable of directing someone else in handling
70 ;; the individual's financial affairs) -
71 ;;END
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