source: internationalization/trunk/TranslationSpreadsheets/WV-DIALOG-0057.txt@ 1602

Last change on this file since 1602 was 604, checked in by George Lilly, 15 years ago

Internationalization

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1English French Notes Complete/Exclude
2MISCELLANEOUS NEUROLOGICAL DISORDERS
3For MUSCULOSKELETAL, NOT ELSEWHERE CLASSIFIED
4Type of Exam: MUSCULOSKELETAL, NOT ELSEWHERE CLASSIFIED
5This 2507 already has appointments.
6 Enter '?' for help
7Is this appointment due to a cancellation?
8Enter NO if the appointment is not a reschedule of another appointment
9 made previously. Enter YES if the appointment is being scheduled because
10 an appointment has been or will be canceled.
11 '^' NOT ALLOWED
12You have not selected the linked appointment being rescheduled. You may
13 need to adjust the link to the appointment with the AMIE link
14 management option to ensure proper processing time calculation for this 2507.
15Enter Yes if the veteran requested a reschedule or 'No Showed' the appointment
16Enter No if the Clinic required a reschedule.
17Is this appointment due to a veteran requested cancellation or 'No Show'
18You have not indicated if the reschedule was due to action by the veteran.
19The new appointment will not be linked. You will need to adjust
20the link for this appointment with the AMIE/C&P appointment link management
21option to ensure proper processing time calculation for this 2507.
22Remember to cancel the appointment for
23 and do NOT auto-rebook.
24Hit Return to continue
25Currently:
26You have not selected a 2507 request to link the C&P appointment to.
27The appointment should be linked with the AMIE/C&P Appointment Link
28 Management Option to ensure proper processing time calculation for this 2507
29 in the event of a veteran cancellation.
30You have made a C&P appointment for a patient who has no pending 2507 request!
31Adding new C&P appointment link for 2507 request dated
32Adjusting C&P appointment link for 2507 request dated
33MALIGNANCIES OR TUBERCULOSIS (GU)
341. Disease active or inactive -
352. If inactive, date last treatment or date determined inactive -
363. Assess clinical findings -
374. Assess laboratory findings -
38Narrative: NONE
39A. Medical history (note history of augmentation mammoplasty with
40prosthetic implant or reduction mammoplasty):
411. Axillary glands removal -
422. Size of scar -
433. Fixation of scar -
444. Contour of scar -
455. Muscle loss -
466. Tenderness of scar -
477. Nerve damage -
488. Presence of aching, pain or limited use of upper extremeties -
499. Note whether active malignant process is present -
5010. If malignancy is inactive, state date of last surgical, radiation
51or chemical treatment -
52MENTAL DISORDERS
53A. Medical and occupational history
54D. Specific evaluation information required by the rating board
55E. Diagnostic tests (including psychological testing if deemed necessary):
56For MENTAL, NOT ELSEWHERE CLASSIFIED
57Type of Exam: MENTAL, NOT ELSEWHERE CLASSIFIED
58MUSCLES (ORTHOPEDIC)
591. Tissue loss comparison -
602. Muscles penetrated -
613. Scar formation measurement (sensitiveness, tenderness) -
625. Damage to tendons -
636. Damage to bones, joints, nerves -
648. Evidence of pain -
659. Evidence of muscle hernia -
66MOUTH AND THROAT
67All pertinent data must be recorded in the history in order
68that the otolaryngological change discovered may be correlated
69with evidence of disease found in other systems of the
701. Oral cavity -
715. Pyriform fossae -
72Type of Exam: NEPHROLOGICAL
731. Report presence or absence of calculi -
742. If stone, presence and size if retained -
753. Frequency of attacks of colic -
764. Catheter drainage requirments, including frequency -
775. Presence or absence of infection -
786. Involvement of other kidney -
79INTESTINE (DIGESTIVE)
80in the
81 portion of this examination
82is critical to the degree of disability assigned for the
833. Is the veteran anemic? -
846. Diarrhea and/or constipation -
857. Bowel disturbance -
868. Abdominal disturbance -
87NECK, ABNORMALITIES OF,
88NOT RESULT OF INJURY OR BONE DISEASE
89The report of examination should include any abnormal position
90of the head, range of motion of the head, evidence of
91paralysis of the neck muscles, and asymmetry produced by
92abnormal swelling or masses.
931. Range of motion -
94, NOT ELSEWHERE CLASSIFIED
951) How does the residual disability affect the earning capacity
96of the veteran in job performance?
972) How does the residual disability affect normal everyday activities?
983) If the disability has constant activity, are there
99any periods of remission during the year?
1004) If there are acute exacerbations, what effects are there on
101everyday life?
102Compensation and Pension Exam for
103For NEUROLOGICAL, NOT ELSEWHERE CLASSIFIED
104Type of Exam: NEUROLOGICAL, NOT ELSEWHERE CLASSIFIED
105NEPHRITIS, EXCEPT CHRONIC PYELONEPHRITIS
1062. Presence or absence of albumin casts -
1074. Red blood cells -
1085. Retention of non-protein nitrogen, creatinine or urea nitrogen -
1096. Describe overall impairment of kidney function -
1107. Report presence or absence of any cardiac complications -
111Diagnosic/clinical test results:
112NOSE AND SINUS
113Report both functional and cosmetic impairment.
1141. External nose -
1152. Nasal vestibule -
1163. Right and left nasal cavities -
117 b. Floor of the nose -
118 c. Inferior meatus -
119 d. Inferior turbinates -
120 e. The middle meati -
121 f. The middle turbinate -
122 g. The spheno-ethmoidal recess -
123 h. The olfactory area -
124 i. The superior turbinates -
1254. The paranasal sinuses-
126NOSE AND THROAT
127Describe the location and nature of the injury or disease
128with particular attention to the interference with speech,
129sense of smell, and/or breathing space. If all or part of the
130nose is missing provide
131 photographs. Localize manifestations
132of chronic sinusitis, if present.
1331. Interference with breathing space -
1342. Headaches, severity, and frequency -
1353. Purulent discharge -
1364. Frequency of allergic attacks, baseline status in between -
1372507 Exams Not Scheduled Within Three Days
138Enter STARTING DATE REPORTED TO MAS:
139 and ENDING DATE REPORTED TO MAS:
1402507 Requests Not Scheduled in Three Days at
141A right margin of 132 is required for this output!
1422507 exams not scheduled in 3 days
143SDATE*
144HD*
145Total requests:
146patient file record missing
147Date reported-MAS
148Date scheduled
149Requested by
150For NEPHROLOGICAL, NOT ELSEWHERE CLASSIFIED
151Type of Exam: NEPHROLOGICAL, NOT ELSEWHERE CLASSIFIED
152For ORGANS OF SENSE, NOT ELSEWHERE CLASSIFIED
153Type of Exam: ORGANS OF SENSE, NOT ELSEWHERE CLASSIFIED
154Additional Veteran Information
155Is this the correct Veteran
156Enter Y if it is the correct Veteran, N to reselect
157Edit Veteran Data
158Want to edit it again
159Enter Y to edit the information again or N to skip.
1601,5,0,2,0^...Error, required information missing!....
1610,7,0,1:2,0^...Unable to complete, Request aborted!.....
162DVBA C NEW C&P VETERAN
163PULMONARY TUBERCULOSIS AND MYCOBACTERIAL DISEASES
164Is pulmonary tuberculosis or other mycobacterial disease
165active? If so, identify the organism. In reactivated
166cases, it is necessary to know whether this is reactivation
167of the old disease or a separate and distinct new infection.
1681. IN ALL CASES:
169a. Date of inactivity -
170b. Extent of structural damage to lungs -
171c. Provide pulmonary function studies -
1722. In PENSION CASES ONLY:
173a. Disease condition after six months of treatment -
174b. Disease condition after twelve months of treatment -
175 Additional note to the physician:
176In all claims, if the disease is inactive and if the inactivity was confirmed
177at a non-VA facility, obtain the name and mailing address of the facility
178from the veteran so that the
179Regional Office may request the report.
180For PULMONARY, NOT ELSEWHERE CLASSIFIED
181Type of Exam: PULMONARY, NOT ELSEWHERE CLASSIFIED
182NON-TUBERCULOUS DISEASES AND INJURIES OF THE RESPIRATORY SYSTEM
1831. State if active malignant process is present. If so, nothing
184further is needed -
1852. If malignancy is inactive, report date/place of last
186surgery, radiation or chemical therapy -
1873. For non-malignant diseases, injuries, residuals of inactive or
188cured malignancies -
189a. Report structural changes to the lungs -
190b. Provide pulmonary function studies -
191c. Schedule additional special studies as necessary to evaluate
192any extra-pulmonary manifestations that may be detected -
193d. State whether the disease is in remission or demonstrably
194LOSS OF PENIS, ALL OR PARTIAL; IMPOTENCE (GU)
195A complete and detailed examination of the entire
196genitourinary system is needed with close correlation
197between this, the history and laboratory studies.
198Any penile deformity should be described in detail.
1991. Extent of loss -
2002. Erectile power preserved -
2013. If impotent, state cause -
2024. State whether impotence is permanent or if erectile power
203can be restored -
2045. Describe any penile deformity in detail -
205Press RETURN
206No pending requests found for selected parameters.
207Pending 2507 Request Report
208Do you want to sort by:
209(A)ge of request
210(V)eteran name
211(R)outing location
212Selection: V//
213Answer must be A, S, V, or R.
214eteran name
215ge of request
216outing location
217Status selection:
218Select STATUS (enter A for all): P//
219Status must be N (new), P (pending), T (transcribed) or A (all)
220Age selection:
221Enter EARLIEST age:
222Enter the shortest time span (in days) which 2507 processing has elapsed.
223Cannot be less than one day !
224If you want NEW requests (zero days), sort by status.
225 and OLDEST age:
226Enter the longest time span (in days) which 2507 processing has elapsed.
227Cannot be less than 1 day
228Earliest age must be less than oldest age
229Routing Location Selection:
230Enter MEDICAL CENTER DIVISION:
231Do you want elapsed time reported
232 in (C)alender days or (W)ork days? C//
233Must be C for Calendar, W for Workdays
234or simply press RETURN to accept the default.
235Calendar
236(Elapsed time in
237Work
2382507 PENDING REPORT
239THE PERIPHERAL NERVES
240Narrative: None
241Examining provider:
242Examined on:
243Examination results:
244This exam was CANCELLED by
245the RO.
246MAS.
247Exam Results Continued
248Processing time:
249AGENT ORANGE
250Last rating exam date:
251Priority of exam:
252Site name not in file
253Continued on next page
254VA Form 2507
255This exam has been reviewed and approved by the examining provider
256and signed by the veteran
257 Approved by: ___________________________________ Date: _____________
258Provider signature: ___________________________________ Date: _____________
259You DIVISION NUMBER is incorrect.
260Your DIVISION NUMBER is invalid.
261C & P Exam Printing
262Note: All reports will be produced in 'terminal-digit' order.
2632507 Final Exam Report
264Nothing to print
265Total requests to be printed:
266Final C&P Reports for print date
267Operator:
268Too many locations to store! Some locations may not be reported.
269A bad 'D' X-Reference exists on the 2507 Request File (#396.3) for
270Please notify IRM at the facility where you have created
271 this report.
272POST-TRAUMATIC STRESS DISORDER
273A. Medical and occupational history:
2741. Immediate pre-military events and details of training -
2752. Events in the war zone -
2763. Post-active service events (to present) -
2774. Employment history prior to and following
278active service -
279B. Subjective complaints (include the veteran's history of unusually
280traumatic stressors)
2811) Describe the duration of the disturbance from the symptoms shown above.
282Attachment A for Post-Traumatic Stress Disorder
283DSM-III-R Diagnostic Criteria for PTSD
284PITUITARY TUMORS - ACROMEGALY, PROLACTINOMA
2851. Frequency of headaches -
2862. Changes in vision -
2873. Cardiac symptoms -
2884. Joint pain -
2896. Kyphosis of cervicodorsal spine -
2907. Abnormal glucose tolerance -
2918. Genital atrophy -
292lumps or masses
293diabetes mellitus
294thyroid disorders
295b. Head, eye, ear, nose and throat
296eye pain
297Ears:
298hearing loss
299external ear
300Nose:
301Mouth-throat:
302bleeding gums
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