English French Notes Complete/Exclude functional impairments. 1. Shape and dimension (specify units) - 4. Provide photographs for all facial burns and any areas of especially repugnant disfigurement - 5. Tender and painful on objective demonstration - STOMACH (DIGESTIVE) The term should not be used in examination reports. Ulcer site should be localized as so as to conform to rating schedule terminology. 4. Periodic vomiting - 5. Recurrent hematemesis or melena - 6. Area of pain - 7. Number of days of duration per episode - 8. Frequency of episodes per year - SYSTEMIC CONDITIONS Many systemic conditions have stormy acute phases during onset and recurrences but leave little or no residual disability after they are cured or arrested. Others have slow progression with disabling residuals, after relatively mild or transient earlier phases. The examiner must search for and describe the residual disabilities upon which adjudication of the claim can be determined. 1. Renal impairment - 2. Mental changes - Diagnosis (if malaria, tuberculosis, or other mycobacterial disease, specify organism): 1,5,0,2:2,0^AMIE Exam spelling correction PYELITIS, NEPHROLITHIAIS, ETC. 0,7,0,1:2,0^It is now spelled 'PYELITIS, NEPHROLITHIASIS, ETC.' 0,5,0,2,0^'PYELITIS, NEPHROLITHIAIS, ETC.' NOT corrected. 0,7,0,1:2,0^Check this exam in the AMIE EXAM FILE (396.6) -1^Global root not defined or is null -2^Sending package name not defined or is null -3^Soft link not defined or is null -3^Date of exam not defined. -3^Physician is not defined. -9^Check New Person file pointer value. -10^Check exam date. -1^File number of soft link is bad -1.5^File number of soft link is incorrect. -2^Entry number in soft link is bad -3^Second file number in soft link is bad -3.5^Second file number in soft link is incorrect. -4^2507 Exam entry number in soft link is bad -5^This request nolonger exists -6^This request is nolonger open -7^Exam nolonger exists. -8^Exam can nolonger accept data -9^This exam does not belong to the proper request. -1^Patient's DFN not defined OR is null -2^Exam not defined OR is null -3^No 2507 request for this patient -8^More than one open exam -4^No Exam by that name in the 2507 Exam file -6^No open Exam for data given -7^Exam cross reference is bad -5^No open requests for data given ;^Soft Link entry SENSE OF TASTE The recommended test substances are sugar, diluted acetic acid, quinine, and common salt. If electrogustrometry is available, it should be used as the preferred test for this exam. Report whether loss is partial or complete and whether it is on an organic basis. If a psychiatric Substances used for testing and results: TESTIS, TRAUMA, OR DISEASE (GU) Loss of use of a testis when based upon its small size or soft consistency must be described by a board of at least three physicians including at least one urologist. The board of physicians should review the physician's guide for special 1. Atrophy or absence of one or both testis - BAD Hospital Location record - Contact IRM AMIE appointment integrity report Appt Date Date Appt Made Clerk 0,0,0,2,0^Enter the following information for the 0,0,0,1:1,0^ exam being returned as insufficient. ORIGINAL PROVIDER: Enter the Original Provider who performed the examination, if the exam was performed on the original 2507 request. Include the facility name if the exam was performed at another site. Report Type Examination Appointment Links Which Current Appt is a reschedule of? Initial Appt Clock Stop Appt Current Appt DVBC LINK ENTER '^' TO STOP OR Select a link by entering its associated number. 'Initial Appt' is the first appointment made to complete the exam. 'Clock Stop Appt' is the date the processing clock will be stopped for the series of linked appointments, if the veteran reschedules or no shows. 'Current Appt' is the appointment the link shows as currently scheduled to complete the examination. Select from the numbers listed. 1,3,0,2:1,0^All exams must be reviewed....Insufficient link and info not updated! 1,3,0,2:1,0^Review exam info for a new Original Provider. Do you want to edit the insufficient information for the exams Enter Yes to edit Remarks, Insufficient Reason and Original Providor (when appropriate). Enter No to keep the current information. INSUFFICIENT REASON: 0,0,0,0,0^NOT ALLOWED 0,5,0,1,0^Enter the insufficient reason this exam is being returned. 0,1,0,1,0^ANSWER WITH 2507 INSUFFICIENT REASONS INSUFFICIENT CODE Enter the insufficient reason this exam is being returned. ANSWER WITH 2507 INSUFFICIENT REASONS INSUFFICIENT CODE DO YOU WANT THE ENTIRE 13-ENTRY 2507 INSUFFICIENT REASONS LIST? 0,0,0,1,0^This field contains a pointer to the Insufficient Reason file (396.94). 0,0,0,2,0^CHOOSE FROM: 0,0,0,1,0^There are no links to this 2507 request. Current Appointment Links Enter [Return] to continue or to exit Select an appointment to link to the 2507 request Display Current C&P Appointment Links Canceled by MAS Canceled by RO Transferred Out Terminal Prisoner of war Original SC Original NSC Increase Review Inadequate exam No Zip Exams on this request: Period of service: Pend ver Pend re-verif Not verified 0,3,0,2,0^Insufficient Reason: 0,3,0,2:1,0^Insufficient Remarks: Insufficient remarks, continued Press RETURN to continue... This exam has been cancelled by the RO. This exam has been completed. This exam has been cancelled by MAS. This exam has been released to the RO. Is transcription completed for this exam Enter Y if all information has been entered and transcription is finished or N if more information will be entered later Select exam: Enter Yes to access the Physician's Guide using Text Retreival. Enter the ending date: 1,0,0,2:2,0^Beginning date must be before ending date! Select a 2507 request Request date: ENTER '^' TO STOP, OR Select a 2507 request by entering it's associated number Select C&P Veteran Name: This is required to continue processing with the AMIE link management option. Current appointment links AMIE exams on 2507 request for: 2507 Request Date Reported to MAS: Exam: Select an appointment by entering its associated number. *CL following Clinic means the appointment date is the Current Date for an existing link. Enter '1' to see the current links to this 2507. Initial Appt: Clock Stop Appt: Last Veteran requested Appointment: Current Appt: INITIAL APPT DATE ORIGINAL APPT DATE APPOINTMENT STATUS CURRENT APPT DATE The C&P appointment link was not properly added. Please investigate the appointment scheduled for Up+ Up Up nasal Nasal+ Nasal Down nasal B. Visual Acuity: Near Far Right Eye Uncorrected Corrected Left Eye F. Diagnostic/clinical test results (other than visual acuity,visual fields or diplopia): Attachment - Visual Exam DVBC, *** The function keys F9 for 'Print List' and F12 for 'Super Quit' *** *** are available. *** For ACROMEGALY For AID AND ATTENDANCE OR HOUSEBOUND EXAMINATION For ARRHYTHMIAS For AMPUTATION, RESIDUALS OF Date of Exam: ____________________ Place of Exam: ___________________ For ARTERIES AND VEINS For BONES (Fractures and Bone Disease) For BRAIN AND SPINAL CORD For COLD INJURY PROTOCOL EXAMINATION For CRANIAL NERVES For CUSHING'S SYNDROME For DIABETES MELLITUS For DIGESTIVE CONDITIONS, MISCELLANEOUS (Tuberculous Peritonitis, Inguinal Hernia, Ventral Hernia, Femoral Hernia, Visceroptosis, and Benigh and Malignant New Growths) For DENTAL AND ORAL For EATING DISORDERS (Mental Disorders) ...is it at least as likely as not... EATING DISORDERS (Mental Disorders) For EAR DISEASE For EYE EXAMINATION For ESOPHAGUS AND HIATAL HERNIA For ENDOCRINE DISEASES, MISCELLANEOUS (Benign and Malignant Neoplasms, Hyperpituitarism, Hyperaldosteronism, and Pheochromocytoma) For EPILEPSY AND NARCOLESPY For EPILEPSY AND NARCOLEPSY For FIBROMYALGIA For CHRONIC FATIGUE SYNDROME For FEET For GENITOURINARY EXAMINATION For GENERAL MEDICAL EXAMINATION GULF WAR GUIDELINES Handout of Instructions for Compensation and but will also need to request more laboratory For GYNECOLOGICAL CONDITIONS AND DISORDERS OF THE BREAST For HEMIC DISORDERS For HEART For HEART For HEART AND HYPERTENSION For HIV-RELATED ILLNESS For HAND, THUMB AND FINGERS For HAND, THUMB, AND FINGERS position of function For HYPERTENSION For INTESTINES (LARGE AND SMALL) For JOINTS (SHOULDER/ELBOW/WRIST/HIP/KNEE/ANKLE) LIVER, GALL BLADDER, AND PANCREAS consistent with LIVER, GALL BLADDER AND PANCREAS For LIVER, GALL BLADDER AND PANCREAS For LIVER, GALL BLADDER, AND PANCREAS For LYMPHATIC DISORDERS For MENTAL DISORDERS (except PTSD and Eating Disorders) ...is it at least as , fully explain the clinical findings and MENTAL DISORDERS (except PTSD and Eating Disorders) # XXXX Worksheet ...is it , fully explain the clinical findings For MOUTH, LIPS, AND TONGUE For MENTAL DISORDERS (not initial PTSD and eating disorders) For MUSCLES For NEUROLOGICAL DISORDERS, MISCELLANEOUS For SPINE (Cervical, Thoracic and Lumbar) SPINE (Cervical, Thoracic and Lumbar) For NOSE, SINUS, LARYNX, AND PHARYNX For PRISONER OF WAR PROTOCOL EXAMINATION INITIAL EVALUATION FOR POST-TRAUMATIC STRESS DISORDER (PTSD) cutting scores ... is it at least as likely , fully explain the clinical findings and rationale for the opinion. REVIEW EXAMINATION FOR POST-TRAUMATIC STRESS DISORDER (PTSD) For PERIPHERAL NERVES For POST-TRAUMATIC STRESS DISORDER (PTSD) ... is it at least as likely as not ... For PULMONARY TUBERCULOSIS AND MYCOBACTERIAL DISEASES For RECTUM AND ANUS For RESPIRATORY DISEASES, MISCELLANEOUS (PVD, Neoplasms, Bacterial Infections, Mycotic Lung Disease, Sarcoidosis, and Sleep Apnea) RESPIRATORY (OBSTRUCTIVE, RESTRICTIVE, AND INTERSTITIAL) For RESPIRATORY (OBSTRUCTIVE, RESTRICTIVE, AND INTERSTITIAL) For INFECTIOUS, IMMUNE, AND NUTRITIONAL DISABILITIES For SKIN DISEASES (Other Than Scars) Scars RESPIRATORY DISEASES, MISCELLANEOUS For SENSE OF SMELL AND TASTE For STOMACH, DUODENUM AND PERITONEAL ADHESIONS For STOMACH, DUODENUM, AND PERITONEAL ADHESIONS For SCARS For THYROID AND PARATHYROID DISEASES For ARTERIES, VEINS AND MISCELLANEOUS For ARTERIES, VEINS AND MISCELLANEOUS is CANCELED and cannot be transferred. is COMPLETED and cannot be transferred. has been TRANSFERRED and cannot be selected. is OK to transfer. Transfer C&P Exams This request does not have a PENDING status and may not be transferred. This request was transferred in and CANNOT be transferred to any other site ! Is this the correct request Enter Y if the correct Veteran or N if not. #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################