VistA-WorldVistAEHR/r/AUTOMATED_MED_INFO_EXCHANGE.../DVBCWLY1.m

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2009-11-29 13:37:14 -05:00
DVBCWLY1 ;ALB/CMM LYMPHATIC DISORDERS WKS TEXT - 1 ; 5 MARCH 1997
;;2.7;AMIE;**12**;Apr 10, 1995
;
;
TXT ;
;;A. Review of Medical Records:
;;
;;
;;
;;B. Medical History (Subjective Complaints):
;;
;; Comment on:
;; 1. Disease activity (exacerbations/remission)? If there were
;; exacerbations, what was the state of the veteran's health
;; between exacerbations?
;;
;;
;; 2. Current and past treatment history including date and type of
;; last treatment, response, side effects.
;;
;;
;; 3. If malignant neoplasm need date of diagnosis, date of
;; treatment, or if treatment stopped when did it end.
;;
;;
;; 4. Location of disease.
;;
;;
;; 5. Current symptoms.
;;
;;
;;C. Physical Examination (Objective Findings):
;;
;; Describe the residuals of each body system affected.
;;
;;
;;D. Diagnostic and Clinical Tests:
;;
;; Include results of all diagnostic and clinical tests conducted in
;; the examination report.
;;
;;
;;E. Diagnosis:
;;
;;
;;Signature: Date:
;;END