DVBCWDI8 ;ALB/RLC DIABETES MELLITUS WKS TEXT - 2 ; 24 MAY 2004
;;2.7;AMIE;**164**;Apr 10, 1995;Build 2
;
;
TXT ;
;;E. Diagnosis:
;;
;; 1. State whether or not the veteran has diabetes mellitus. Indicate
;; type.
;; 2. List all conditions found that are potentially complications of
;; diabetes, such as visual impairment, kidney disease, neurologic
;; disease, amputation, cardiovascular disease (including hypertension),
;; etc.
;; 3. For each listed condition that is potentially a complication of the
;; veteran's diabetes, state whether or not you believe it is a
;; complication and provide a brief rationale for your conclusion,
;; whether positive or negative. Your rationale may include such items
;; as the duration of the diabetes, whether the diabetes has been well
;; or poorly controlled, the onset of the possible complication in
;; relation to the onset of diabetes, the severity of the complication,
;; or anything else you consider relevant.
;; 4. If the veteran has peripheral edema, indicate the etiology (for
;; example, diabetic renal disease, other diabetic-related condition,
;; or non-diabetic etiology).
;; 5. If the veteran has a non-service-connected condition that in your
;; opinion has been aggravated by the veteran's diabetes (including any
;; of the conditions you listed above or any other claimed), describe
;; your rationale for stating that there is aggravation. Then state
;; the baseline disabling effects of the condition before aggravation
;; and any additional or worsened disabling effects after aggravation.
;; If it is not possible to do so without resorting to speculation, so
;; state.
;; 6. For each condition diagnosed (including diabetes and each
;; complication), separately describe its effect on the veteran's usual
;; occupation and daily activities.
;;
;;
;;Signature: Date:
;;END
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCWDI8 2175 printed Sep 11, 2024@02:10:29 Page 2
DVBCWDI8 ;ALB/RLC DIABETES MELLITUS WKS TEXT - 2 ; 24 MAY 2004
+1 ;;2.7;AMIE;**164**;Apr 10, 1995;Build 2
+2 ;
+3 ;
TXT ;
+1 ;;E. Diagnosis:
+2 ;;
+3 ;; 1. State whether or not the veteran has diabetes mellitus. Indicate
+4 ;; type.
+5 ;; 2. List all conditions found that are potentially complications of
+6 ;; diabetes, such as visual impairment, kidney disease, neurologic
+7 ;; disease, amputation, cardiovascular disease (including hypertension),
+8 ;; etc.
+9 ;; 3. For each listed condition that is potentially a complication of the
+10 ;; veteran's diabetes, state whether or not you believe it is a
+11 ;; complication and provide a brief rationale for your conclusion,
+12 ;; whether positive or negative. Your rationale may include such items
+13 ;; as the duration of the diabetes, whether the diabetes has been well
+14 ;; or poorly controlled, the onset of the possible complication in
+15 ;; relation to the onset of diabetes, the severity of the complication,
+16 ;; or anything else you consider relevant.
+17 ;; 4. If the veteran has peripheral edema, indicate the etiology (for
+18 ;; example, diabetic renal disease, other diabetic-related condition,
+19 ;; or non-diabetic etiology).
+20 ;; 5. If the veteran has a non-service-connected condition that in your
+21 ;; opinion has been aggravated by the veteran's diabetes (including any
+22 ;; of the conditions you listed above or any other claimed), describe
+23 ;; your rationale for stating that there is aggravation. Then state
+24 ;; the baseline disabling effects of the condition before aggravation
+25 ;; and any additional or worsened disabling effects after aggravation.
+26 ;; If it is not possible to do so without resorting to speculation, so
+27 ;; state.
+28 ;; 6. For each condition diagnosed (including diabetes and each
+29 ;; complication), separately describe its effect on the veteran's usual
+30 ;; occupation and daily activities.
+31 ;;
+32 ;;
+33 ;;Signature: Date:
+34 ;;END
