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1DVBCNLCK ;ALB/GTS-557/THM-NOT ELSEWHERE CLASSIFIED EXAM ; 11/9/90 1:16 PM
2 ;;2.7;AMIE;;Apr 10, 1995
3 ;Note: This is a generic exam format for the
4 ; 'Not Elsewhere Classified' exams.
5 ;
6XX S MX="EXM" F I=1:1 S MY=$T(@MX+I) Q:MY["$END"!(MY="") S TNAM=$P(TNAM,"(NEC)",1) S X=$L(TNAM) S:$E(TNAM,X,X)=" " TNAM=$E(TNAM,1,X-1) Q:MY[TNAM
7 Q:MY="" S MY=$P(MY,";;",2),NARR=$P(MY,U,2),PREF=$P(MY,U,3),WKSNUM=$P(MY,U,4),DXCMT=$P(MY,U,5)
8 S PG=1,HD91="Department of Veterans Affairs",HD9=$S($D(CMBN):"Abbreviated",1:"Full")_" Exam Worksheet"
9EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
10 W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# "_WKSNUM_" Worksheet" S HD7=TNAM_", NOT ELSEWHERE CLASSIFIED",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
11 W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
12 W !!!!,"Narrative:"
13 S LX="TXT" F I=1:1 S LY=$T(@LX+I) Q:LY["$END" D:LY["{}" FMT W ?13,$P(LY,";;",2),!
14 W !! I '$D(CMBN) W "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:" D HD2
15 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):",!!!
16 W ?5,"1) How does the residual disability affect the earning capacity",!?9,"of the veteran in job performance?",!!!!!!?5,"2) How does the residual disability affect normal everyday activities?",!!!!!!
17 W ?5,"3) If the disability has constant activity, are there",!?9,"any periods of remission during the year?",!!!!!!
18 W ?5,"4) If there are acute exacerbations, what effects are there on",!?9,"everyday life?",!!!!!!
19 D:$D(CMBN) HD2 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:" W:DXCMT]"" !!?5,DXCMT W !!!!!!!!!!!!!!
20 D:'$D(CMBN) HD2 W $S($D(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
21 K LN,LN1,LN2
22 Q
23 ;
24HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for",!,HD7,!!,"for ",NAME,!!!
25 Q
26 ;
27SETIOF ; ** Set device control var's
28 D HOME^%ZIS
29 Q
30 ;
31TXT ;
32 ;;This exam is to handle the balance of currently recognized
33 ;;{} disorders and to allow for new disorders not yet
34 ;;classified for V. A. compensation evaluations. The severity
35 ;;of a condition is based upon the residual disability. If
36 ;;there is a disease process that affects multiple systems or
37 ;;extremeties, please evaluate each separately.
38 ;;$END
39 ;
40FMT S LZ=$P(LY,"{}",1),LY=$P(LY,"{}",2),LY=LZ_NARR_LY
41 Q
42 ;
43EXM ;;$EXAMS
44 ;;MENTAL^mental^None^0905^(Including psychological testing if deemed necessary)
45 ;;CARDIOVASCULAR^cardiovascular^None^0105
46 ;;DIGESTIVE^digestive^None^0310
47 ;;ENDOCRINE DISORDERS^endocrine^None^0415
48 ;;GENITOURINARY^genitourinary^None^0610
49 ;;GYNECOLOGICAL^gynecological^None^0710
50 ;;NEPHROLOGICAL^nephrological^None^1115
51 ;;NEUROLOGICAL^neurological^Chapter 13^1230
52 ;;ORGANS OF SENSE^organs of sense^None^1320
53 ;;MUSCULOSKELETAL^musculoskeletal^None^1455
54 ;;PULMONARY^pulmonary^None^1515
55 ;;SKIN^skin^None^1610
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