source: WorldVistAEHR/trunk/r/AUTOMATED_MED_INFO_EXCHANGE-DVBA-DVBC/DVBCMSCK.m@ 901

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1DVBCMSCK ;ALB/GTS-557/THM-MUSCLE EXAM ; 5/21/91 9:35 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"
5EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
6 W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1435 Worksheet" S HD7="MUSCLES (ORTHOPEDIC)",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
7 W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
8 W !!!!,"Narrative:"
9 F AW=0:1 S AX=$T(TXT+AW) S AY=$P(AX,";;",2) W:AY="$END" !! Q:AY="$END" W ?13,AY,!
10 I '$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. Tissue loss comparison -",!!!!!?8,"2. Muscles penetrated -",!!!!!?8,"3. Scar formation measurement (sensitiveness, tenderness) -",!!!!!
13 W ?8,"4. Adhesions -",!!!!!?8,"5. Damage to tendons -",!!!!!?8,"6. Damage to bones, joints, nerves -",!!!!! D:$D(CMBN) HD2 W ?8,"7. Strength -",!!!!!?8,"8. Evidence of pain -",!!!!!?8,"9. Evidence of muscle hernia -",!!!!!
14 D:'$D(CMBN) HD2 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!! D:$Y>50 HD2
15 W $S($D(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
16 K LN,LN1,LN2
17 Q
18 ;
19HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for "_NAME,!!!
20 Q
21 ;
22SETIOF ; ** Set device control var's
23 D HOME^%ZIS
24 Q
25 ;
26TXT ;;In conducting examinations of muscle damage and functional
27 ;;impairment the muscles affected by tissue loss, penetrating
28 ;;injuries, scar formation, adhesions, damage to tendons, or
29 ;;other factors should be identified individually by the
30 ;;pathological locations and by motions affected in strength
31 ;;excursion, and diminished capacity for prolonged use.
32 ;;
33 ;;The standard muscle grading system should be used and
34 ;;is as follows:
35 ;;
36 ;;Normal - through full range against normal resistance
37 ;; Good - full range, less than normal resistance
38 ;; Fair - full range, gravity only resistance
39 ;; Poor - full range, gravity and all resistance eliminated
40 ;;$END
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