| [604] | 1 | English French Notes Complete/Exclude
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| 2 | functional impairments.
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| 3 | 1. Shape and dimension (specify units) -
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| 4 | 4. Provide photographs for all facial burns and any
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| 5 | areas of especially repugnant disfigurement -
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| 6 | 5. Tender and painful on objective demonstration -
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| 7 | STOMACH (DIGESTIVE)
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| 8 | The term
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| 9 | should not be used in examination
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| 10 | reports. Ulcer site should be localized as
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| 11 | so as to conform to rating
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| 12 | schedule terminology.
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| 13 | 4. Periodic vomiting -
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| 14 | 5. Recurrent hematemesis or melena -
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| 15 | 6. Area of pain -
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| 16 | 7. Number of days of duration per episode -
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| 17 | 8. Frequency of episodes per year -
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| 18 | SYSTEMIC CONDITIONS
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| 19 | Many systemic conditions have stormy acute phases during
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| 20 | onset and recurrences but leave little or no residual
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| 21 | disability after they are cured or arrested. Others have slow
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| 22 | progression with disabling
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| 23 | residuals, after relatively mild
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| 24 | or transient earlier phases. The examiner must search for and
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| 25 | describe the residual disabilities upon which adjudication
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| 26 | of the claim can be determined.
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| 27 | 1. Renal impairment -
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| 28 | 2. Mental changes -
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| 29 | Diagnosis (if malaria, tuberculosis, or other mycobacterial
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| 30 | disease, specify organism):
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| 31 | 1,5,0,2:2,0^AMIE Exam spelling correction
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| 32 | PYELITIS, NEPHROLITHIAIS, ETC.
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| 33 | 0,7,0,1:2,0^It is now spelled 'PYELITIS, NEPHROLITHIASIS, ETC.'
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| 34 | 0,5,0,2,0^'PYELITIS, NEPHROLITHIAIS, ETC.' NOT corrected.
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| 35 | 0,7,0,1:2,0^Check this exam in the AMIE EXAM FILE (396.6)
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| 36 | -1^Global root not defined or is null
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| 37 | -2^Sending package name not defined or is null
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| 38 | -3^Soft link not defined or is null
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| 39 | -3^Date of exam not defined.
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| 40 | -3^Physician is not defined.
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| 41 | -9^Check New Person file pointer value.
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| 42 | -10^Check exam date.
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| 43 | -1^File number of soft link is bad
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| 44 | -1.5^File number of soft link is incorrect.
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| 45 | -2^Entry number in soft link is bad
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| 46 | -3^Second file number in soft link is bad
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| 47 | -3.5^Second file number in soft link is incorrect.
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| 48 | -4^2507 Exam entry number in soft link is bad
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| 49 | -5^This request nolonger exists
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| 50 | -6^This request is nolonger open
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| 51 | -7^Exam nolonger exists.
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| 52 | -8^Exam can nolonger accept data
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| 53 | -9^This exam does not belong to the proper request.
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| 54 | -1^Patient's DFN not defined OR is null
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| 55 | -2^Exam not defined OR is null
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| 56 | -3^No 2507 request for this patient
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| 57 | -8^More than one open exam
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| 58 | -4^No Exam by that name in the 2507 Exam file
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| 59 | -6^No open Exam for data given
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| 60 | -7^Exam cross reference is bad
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| 61 | -5^No open requests for data given
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| 62 | ;^Soft Link entry
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| 63 | SENSE OF TASTE
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| 64 | The recommended test substances are sugar, diluted acetic
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| 65 | acid, quinine, and common salt. If electrogustrometry
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| 66 | is available, it should be used as the preferred test for
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| 67 | this exam. Report whether loss is partial or complete
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| 68 | and whether it is on an organic basis. If a psychiatric
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| 69 | Substances used for testing and results:
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| 70 | TESTIS, TRAUMA, OR DISEASE (GU)
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| 71 | Loss of use of a testis when based upon its small size or soft
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| 72 | consistency must be described by a board of at least three
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| 73 | physicians including at least one urologist. The board of
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| 74 | physicians should review the physician's guide for special
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| 75 | 1. Atrophy or absence of one or both testis -
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| 76 | BAD Hospital Location record - Contact IRM
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| 77 | AMIE appointment integrity report
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| 78 | Appt Date
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| 79 | Date Appt Made
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| 80 | Clerk
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| 81 | 0,0,0,2,0^Enter the following information for the
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| 82 | 0,0,0,1:1,0^ exam being returned as insufficient.
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| 83 | ORIGINAL PROVIDER:
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| 84 | Enter the Original Provider who performed the examination,
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| 85 | if the exam was performed on the original 2507 request.
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| 86 | Include the facility name if the exam was performed at another site.
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| 87 | Report Type
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| 88 | Examination Appointment Links
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| 89 | Which Current Appt is
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| 90 | a reschedule of?
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| 91 | Initial Appt
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| 92 | Clock Stop Appt
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| 93 | Current Appt
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| 94 | DVBC LINK
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| 95 | ENTER '^' TO STOP OR
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| 96 | Select a link by entering its associated number.
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| 97 | 'Initial Appt' is the first appointment made to complete the exam.
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| 98 | 'Clock Stop Appt' is the date the processing clock will be stopped for the
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| 99 | series of linked appointments, if the veteran reschedules or no shows.
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| 100 | 'Current Appt' is the appointment the link shows as currently scheduled
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| 101 | to complete the examination.
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| 102 | Select from the numbers listed.
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| 103 | 1,3,0,2:1,0^All exams must be reviewed....Insufficient link and info not updated!
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| 104 | 1,3,0,2:1,0^Review exam info for a new Original Provider.
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| 105 | Do you want to edit the insufficient information for the exams
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| 106 | Enter Yes to edit Remarks, Insufficient Reason and Original Providor (when
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| 107 | appropriate). Enter No to keep the current information.
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| 108 | INSUFFICIENT REASON:
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| 109 | 0,0,0,0,0^NOT ALLOWED
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| 110 | 0,5,0,1,0^Enter the insufficient reason this exam is being returned.
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| 111 | 0,1,0,1,0^ANSWER WITH 2507 INSUFFICIENT REASONS INSUFFICIENT CODE
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| 112 | Enter the insufficient reason this exam is being returned.
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| 113 | ANSWER WITH 2507 INSUFFICIENT REASONS INSUFFICIENT CODE
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| 114 | DO YOU WANT THE ENTIRE 13-ENTRY 2507 INSUFFICIENT REASONS LIST?
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| 115 | 0,0,0,1,0^This field contains a pointer to the Insufficient Reason file (396.94).
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| 116 | 0,0,0,2,0^CHOOSE FROM:
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| 117 | 0,0,0,1,0^There are no links to this 2507 request.
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| 118 | Current Appointment Links
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| 119 | Enter [Return] to continue or
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| 120 | to exit
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| 121 | Select an appointment to link to the 2507 request
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| 122 | Display Current C&P Appointment Links
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| 123 | Canceled by MAS
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| 124 | Canceled by RO
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| 125 | Transferred Out
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| 126 | Terminal
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| 127 | Prisoner of war
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| 128 | Original SC
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| 129 | Original NSC
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| 130 | Increase
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| 131 | Review
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| 132 | Inadequate exam
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| 133 | No Zip
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| 134 | Exams on this request:
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| 135 | Period of service:
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| 136 | Pend ver
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| 137 | Pend re-verif
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| 138 | Not verified
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| 139 | 0,3,0,2,0^Insufficient Reason:
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| 140 | 0,3,0,2:1,0^Insufficient Remarks:
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| 141 | Insufficient remarks, continued
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| 142 | Press RETURN to continue...
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| 143 | This exam has been cancelled by the RO.
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| 144 | This exam has been completed.
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| 145 | This exam has been cancelled by MAS.
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| 146 | This exam has been released to the RO.
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| 147 | Is transcription completed for this exam
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| 148 | Enter Y if all information has been entered and transcription is finished
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| 149 | or N if more information will be entered later
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| 150 | Select exam:
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| 151 | Enter Yes to access the Physician's Guide using Text Retreival.
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| 152 | Enter the ending date:
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| 153 | 1,0,0,2:2,0^Beginning date must be before ending date!
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| 154 | Select a 2507 request
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| 155 | Request date:
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| 156 | ENTER '^' TO STOP, OR
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| 157 | Select a 2507 request by entering it's associated number
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| 158 | Select C&P Veteran Name:
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| 159 | This is required to continue processing with the AMIE link management option.
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| 160 | Current appointment links
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| 161 | AMIE exams on 2507 request for:
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| 162 | 2507 Request Date Reported to MAS:
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| 163 | Exam:
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| 164 | Select an appointment by entering its associated number.
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| 165 | *CL following Clinic means the appointment date is the
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| 166 | Current Date for
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| 167 | an existing link.
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| 168 | Enter '1' to see the current links to this 2507.
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| 169 | Initial Appt:
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| 170 | Clock Stop Appt:
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| 171 | Last Veteran requested Appointment:
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| 172 | Current Appt:
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| 173 | INITIAL APPT DATE
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| 174 | ORIGINAL APPT DATE
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| 175 | APPOINTMENT STATUS
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| 176 | CURRENT APPT DATE
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| 177 | The C&P appointment link was not properly added. Please investigate the
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| 178 | appointment scheduled for
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| 179 | Up+
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| 180 | Up
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| 181 | Up nasal
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| 182 | Nasal+
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| 183 | Nasal
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| 184 | Down nasal
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| 185 | B. Visual Acuity:
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| 186 | Near
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| 187 | Far
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| 188 | Right Eye
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| 189 | Uncorrected
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| 190 | Corrected
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| 191 | Left Eye
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| 192 | F. Diagnostic/clinical test results (other than visual acuity,visual fields
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| 193 | or diplopia):
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| 194 | Attachment - Visual Exam
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| 195 | DVBC,
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| 196 | *** The function keys F9 for 'Print List' and F12 for 'Super Quit' ***
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| 197 | *** are available. ***
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| 198 | For ACROMEGALY
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| 199 | For AID AND ATTENDANCE OR HOUSEBOUND EXAMINATION
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| 200 | For ARRHYTHMIAS
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| 201 | For AMPUTATION, RESIDUALS OF
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| 202 | Date of Exam: ____________________
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| 203 | Place of Exam: ___________________
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| 204 | For ARTERIES AND VEINS
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| 205 | For BONES (Fractures and Bone Disease)
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| 206 | For BRAIN AND SPINAL CORD
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| 207 | For COLD INJURY PROTOCOL EXAMINATION
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| 208 | For CRANIAL NERVES
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| 209 | For CUSHING'S SYNDROME
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| 210 | For DIABETES MELLITUS
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| 211 | For DIGESTIVE CONDITIONS, MISCELLANEOUS
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| 212 | (Tuberculous Peritonitis, Inguinal Hernia, Ventral Hernia,
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| 213 | Femoral Hernia, Visceroptosis, and Benigh and Malignant
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| 214 | New Growths)
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| 215 | For DENTAL AND ORAL
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| 216 | For EATING DISORDERS (Mental Disorders)
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| 217 | ...is it at least as likely as not...
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| 218 | EATING DISORDERS (Mental Disorders)
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| 219 | For EAR DISEASE
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| 220 | For EYE EXAMINATION
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| 221 | For ESOPHAGUS AND HIATAL HERNIA
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| 222 | For ENDOCRINE DISEASES, MISCELLANEOUS
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| 223 | (Benign and Malignant Neoplasms, Hyperpituitarism,
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| 224 | Hyperaldosteronism, and Pheochromocytoma)
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| 225 | For EPILEPSY AND NARCOLESPY
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| 226 | For EPILEPSY AND NARCOLEPSY
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| 227 | For FIBROMYALGIA
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| 228 | For CHRONIC FATIGUE SYNDROME
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| 229 | For FEET
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| 230 | For GENITOURINARY EXAMINATION
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| 231 | For GENERAL MEDICAL EXAMINATION
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| 232 | GULF WAR GUIDELINES
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| 233 | Handout of Instructions for Compensation and
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| 234 | but will also need to request more laboratory
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| 235 | For GYNECOLOGICAL CONDITIONS AND DISORDERS OF THE BREAST
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| 236 | For HEMIC DISORDERS
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| 237 | For HEART
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| 238 | For HEART
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| 239 | For HEART AND HYPERTENSION
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| 240 | For HIV-RELATED ILLNESS
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| 241 | For HAND, THUMB AND FINGERS
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| 242 | For HAND, THUMB, AND FINGERS
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| 243 | position of function
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| 244 | For HYPERTENSION
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| 245 | For INTESTINES (LARGE AND SMALL)
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| 246 | For JOINTS (SHOULDER/ELBOW/WRIST/HIP/KNEE/ANKLE)
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| 247 | LIVER, GALL BLADDER, AND PANCREAS
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| 248 | consistent with
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| 249 | LIVER, GALL BLADDER AND PANCREAS
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| 250 | For LIVER, GALL BLADDER AND PANCREAS
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| 251 | For LIVER, GALL BLADDER, AND PANCREAS
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| 252 | For LYMPHATIC DISORDERS
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| 253 | For MENTAL DISORDERS (except PTSD and Eating Disorders)
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| 254 | ...is it at least as
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| 255 | , fully explain the clinical findings and
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| 256 | MENTAL DISORDERS (except PTSD and Eating Disorders)
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| 257 | # XXXX Worksheet
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| 258 | ...is it
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| 259 | , fully explain the clinical findings
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| 260 | For MOUTH, LIPS, AND TONGUE
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| 261 | For MENTAL DISORDERS (not initial PTSD and eating disorders)
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| 262 | For MUSCLES
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| 263 | For NEUROLOGICAL DISORDERS, MISCELLANEOUS
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| 264 | For SPINE (Cervical, Thoracic and Lumbar)
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| 265 | SPINE (Cervical, Thoracic and Lumbar)
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| 266 | For NOSE, SINUS, LARYNX, AND PHARYNX
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| 267 | For PRISONER OF WAR PROTOCOL EXAMINATION
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| 268 | INITIAL EVALUATION FOR POST-TRAUMATIC STRESS DISORDER (PTSD)
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| 269 | cutting scores
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| 270 | ... is it at least as likely
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| 271 | , fully explain the clinical findings and rationale for the opinion.
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| 272 | REVIEW EXAMINATION FOR POST-TRAUMATIC STRESS DISORDER (PTSD)
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| 273 | For PERIPHERAL NERVES
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| 274 | For POST-TRAUMATIC STRESS DISORDER (PTSD)
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| 275 | ... is it at least as likely as not ...
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| 276 | For PULMONARY TUBERCULOSIS AND MYCOBACTERIAL DISEASES
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| 277 | For RECTUM AND ANUS
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| 278 | For RESPIRATORY DISEASES, MISCELLANEOUS
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| 279 | (PVD, Neoplasms, Bacterial Infections,
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| 280 | Mycotic Lung Disease, Sarcoidosis, and Sleep Apnea)
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| 281 | RESPIRATORY (OBSTRUCTIVE, RESTRICTIVE, AND INTERSTITIAL)
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| 282 | For RESPIRATORY (OBSTRUCTIVE, RESTRICTIVE, AND INTERSTITIAL)
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| 283 | For INFECTIOUS, IMMUNE, AND NUTRITIONAL DISABILITIES
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| 284 | For SKIN DISEASES (Other Than Scars)
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| 285 | Scars
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| 286 | RESPIRATORY DISEASES, MISCELLANEOUS
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| 287 | For SENSE OF SMELL AND TASTE
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| 288 | For STOMACH, DUODENUM AND PERITONEAL ADHESIONS
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| 289 | For STOMACH, DUODENUM, AND PERITONEAL ADHESIONS
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| 290 | For SCARS
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| 291 | For THYROID AND PARATHYROID DISEASES
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| 292 | For ARTERIES, VEINS AND MISCELLANEOUS
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| 293 | For ARTERIES, VEINS AND MISCELLANEOUS
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| 294 | is CANCELED and cannot be transferred.
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| 295 | is COMPLETED and cannot be transferred.
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| 296 | has been TRANSFERRED and cannot be selected.
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| 297 | is OK to transfer.
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| 298 | Transfer C&P Exams
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| 299 | This request does not have a PENDING status and may not be transferred.
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| 300 | This request was transferred in and CANNOT be transferred to any other site !
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| 301 | Is this the correct request
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| 302 | Enter Y if the correct Veteran or N if not.
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| 303 | #################### #################### ####################
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| 304 | #################### #################### ####################
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| 305 | #################### #################### ####################
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| 306 | #################### #################### ####################
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| 307 | #################### #################### ####################
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