27 lines
1.4 KiB
Mathematica
27 lines
1.4 KiB
Mathematica
DVBCARCK ;ALB/GTS-557/THM-REGULAR A&A/HOUSEBOUND EXAM ; 1/3/91 8:25 AM
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;;2.7;AMIE;;Apr 10, 1995
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K LINE S PG=1,HD91="Department of Veterans Affairs",HD9=$S($D(CMBN):"Abbreviated",1:"Full")_" Exam Worksheet",$P(LINE,"-",75)="-"
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EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
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W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1715 Worksheet" S HD7="REGULAR AID AND ATTENDANCE/HOUSEBOUND STATUS",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
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W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________"
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W !!,"Type of Exam: ",HD7,!!!!,"Narrative: "
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S TXT="TXT10" D PTXT S TXT="TXT2" D PTXT W !!!
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D HD2 W "D. Present complaints (symptoms only, NOT diagnosis):",!!!!!!!!!!!!,"E. Examination data:",!!!!,"Height:",?25,"Weight:",?45,"Max wgt past year:",!!!
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W "Build and state of nutrition:",!!!,"Posture:",?23,"Gait:",!!!,"General appearance:",!!!
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W "Pulse:",?20,"Blood pressure:",?51,"Respiration:",!
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S TXT="TXT3" D PTXT,HD2 W !!!,"K. Diagnosis:",!!!!!!!!!!!
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W "L. Additional remarks as examiner deems necessary in individual case:",!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
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K LN,LN1,LN2,LINE
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HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam "_HD8,!,"for ",NAME,!!!
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PTXT D PTXT^DVBCARC1
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SETIOF ; ** Set device control var's
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D HOME^%ZIS
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