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