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| # | Location | File | Last Modified |
|---|---|---|---|
| 1 | CUI-CPP-v2.4.0-source-archive.zip\app\xml | Gemfile.lock | Thu Dec 21 03:33:17 2017 UTC |
| 2 | CUI-CPP-v2.4.0-source-archive.zip\app\xml | Gemfile.lock | Tue Feb 6 20:09:59 2018 UTC |
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| 1 | <?xml vers ion="1.0" encoding=" UTF-8" ?> | |
| 2 | <em:ExamMa nagementEv entNotific ation xmln s:em="http :// DNS /vler/sche mas/vlerSu persetSche ma/examMan agement/1. 1" | |
| 3 | xmln s:xsi="htt p://www.w3 .org/2001/ XMLSchema- instance" | |
| 4 | xsi:schema Location=" http:// DNS /vler/sche mas/vlerSu persetSche ma/examMan agement/1. 1 ../../.. /../XMLsch emas/excha nge/ExamMa nagement-1 .1.xsd"> | |
| 5 | ||
| 6 | <em:Or iginatingS ystem part icipatingS ystemName= "VBMS"/> | |
| 7 | <em:De stination participat ingSystemN ame="VBA C ontractor" contracto rName="QTC "/> | |
| 8 | <em:Ex amScheduli ngRequestC reatedEven t eventUui d="2f5fb79 d-f54a-4f2 7-98ec-5a4 42fb4f703" | |
| 9 | eventDtg ="2016-08- 22T09:49:4 1.152-04:0 0" | |
| 10 | modelVer sion="1.1" | |
| 11 | examSche dulingRequ estUuid="4 abe3d4d-d1 2c-44b1-9e 8d-a99f355 719c9"> | |
| 12 | <e m:EventSou rce partic ipatingSys temName="V BMS"/> | |
| 13 | <e m:PostSepa rationClai mInformati on claimDa te="2016-0 8-22-04:00 " | |
| 14 | claimId ="60007494 5" | |
| 15 | claimLa bel="New" | |
| 16 | endProd uctCode="0 20NEW" | |
| 17 | payeeNu mber="00" | |
| 18 | benefit ProgramTyp e="CP Live "> | |
| 19 | <em:Vete ranService MemberInfo participa ntId="9100 777632" | |
| 20 | fullName= "QTC Testi ng" | |
| 21 | lastName= "Testing" | |
| 22 | firstName ="QTC" | |
| 23 | gender="M ale" | |
| 24 | dateOfBir th="1950-0 1-01" | |
| 25 | emailAddr ess="Test@ gmail.com" | |
| 26 | fileNumbe r="5009418 00"> | |
| 27 | <em: SocialSecu rityNumber > | |
| 28 | <em:Value> 500941800< /em:Value> | |
| 29 | </em :SocialSec urityNumbe r> | |
| 30 | <em: Address> | |
| 31 | <em:Addres s1>12101 P INE FOREST </em:Addre ss1> | |
| 32 | <em:Addres s2>CIR</em :Address2> | |
| 33 | <em:City>F AIRFAX</em :City> | |
| 34 | <em:State> VA</em:Sta te> | |
| 35 | <em:ZipCod e>22030</e m:ZipCode> | |
| 36 | <em:Countr y>USA</em: Country> | |
| 37 | </em :Address> | |
| 38 | <em: Phone prim aryPhone=" 7031231234 "/> | |
| 39 | <em: PeriodsOfS ervice> | |
| 40 | <em:Period branchOfS ervice="Co ast Guard" entryOnDu ty="1970-0 1-01-05:00 " radDate= "1975-01-0 1-05:00"> | |
| 41 | <em:Er as> | |
| 42 | <e m:Era>Viet nam Era</e m:Era> | |
| 43 | </em:E ras> | |
| 44 | </em:Perio d> | |
| 45 | </em :PeriodsOf Service> | |
| 46 | <em: RegionalOf fice area= "SOUTHERN" stationNu mber="314" roName="R oanoke Reg ional Offi ce"> | |
| 47 | <em:Physic alAddress> | |
| 48 | <em:Ad dress1>116 N Jeffers on Street< /em:Addres s1> | |
| 49 | <em:Ci ty>Roanoke </em:City> | |
| 50 | <em:St ate>VA</em :State> | |
| 51 | <em:Zi pCode>2401 6</em:ZipC ode> | |
| 52 | <em:Co untry>US</ em:Country > | |
| 53 | </em:Physi calAddress > | |
| 54 | <em:Mailin gAddress> | |
| 55 | <em:Ad dress1>116 N Jeffers on Street< /em:Addres s1> | |
| 56 | <em:Ci ty>Roanoke </em:City> | |
| 57 | <em:St ate>VA</em :State> | |
| 58 | <em:Zi pCode>2401 6</em:ZipC ode> | |
| 59 | <em:Co untry>US</ em:Country > | |
| 60 | </em:Maili ngAddress> | |
| 61 | </em :RegionalO ffice> | |
| 62 | </em:Vet eranServic eMemberInf o> | |
| 63 | </ em:PostSep arationCla imInformat ion> | |
| 64 | <e m:ExamRela tedContent ions> | |
| 65 | <em:Exam RelatedCon tention ex amRelatedC ontentionU uid="98c5e 124-f347-4 6e4-b11c-d 2ad21d649f 2" name="R ight knee" | |
| 66 | co ntentionTy pe="NEW" c laimId="60 0074945" a ceEligible ="true"> | |
| 67 | <em: Contention Descriptio n>N/A</em: Contention Descriptio n> | |
| 68 | <em: Classifica tion code= "8997" nam e="8997 na me"/> | |
| 69 | <em: DbqRequest s> | |
| 70 | <em:DbqReq uest name= "MUSC Knee and Lower Leg"/> | |
| 71 | </em :DbqReques ts> | |
| 72 | <em: StandardLa nguageEntr ies> | |
| 73 | <em:Standa rdLanguage Entry> | |
| 74 | The Ve teran is c laiming se rvice conn ection for Right kne e. Please examine th e Veteran for a | |
| 75 | chroni c disabili ty related to his or her claim ed conditi on and ind icate the current le vel of | |
| 76 | severi ty. | |
| 77 | </em:Stand ardLanguag eEntry> | |
| 78 | <em:Standa rdLanguage Entry>�</e m:Standard LanguageEn try> | |
| 79 | <em:Standa rdLanguage Entry> | |
| 80 | Clinic ian: If us ing the AC E process to complet e the Medi cal Examin ation, ple ase explai n the | |
| 81 | basis for the de cision not to examin e the Vete ran, and i dentify th e specific materials reviewed | |
| 82 | to com plete the Medical Ex amination. | |
| 83 | </em:Stand ardLanguag eEntry> | |
| 84 | <em:Standa rdLanguage Entry>�</e m:Standard LanguageEn try> | |
| 85 | <em:Standa rdLanguage Entry> | |
| 86 | The Ve teran does not need to report for all ex aminations for the f ollowing C ontention: | |
| 87 | </em:Stand ardLanguag eEntry> | |
| 88 | <em:Standa rdLanguage Entry>Righ t knee</em :StandardL anguageEnt ry> | |
| 89 | <em:Standa rdLanguage Entry>�</e m:Standard LanguageEn try> | |
| 90 | <em:Standa rdLanguage Entry> | |
| 91 | For th is Content ion, VBMS expects a results pa ckage to a t a minimu m include data perta ining to | |
| 92 | the fo llowing DB Q(s) / ass ociated CU I Output: | |
| 93 | </em:Stand ardLanguag eEntry> | |
| 94 | <em:Standa rdLanguage Entry>�</e m:Standard LanguageEn try> | |
| 95 | <em:Standa rdLanguage Entry>���� ������? MU SC Knee an d Lower Le g</em:Stan dardLangua geEntry> | |
| 96 | <em:Standa rdLanguage Entry>�</e m:Standard LanguageEn try> | |
| 97 | <em:Standa rdLanguage Entry> | |
| 98 | When c ompleting any muscul oskeletal DBQ, addit ional info rmation is required to comply with a | |
| 99 | recent US Court of Appeals for Veter ans Claims (CAVC) de cision in the case o f Mitchell v. | |
| 100 | Shinse ki, relati ng to func tional lim itations. In the sec tion of th e DBQ titl ed ?Functi onal loss | |
| 101 | and ad ditional l imitation in ROM,? a dditional questions must be ad dressed. F or each jo int | |
| 102 | examin ed, please provide a n opinion. | |
| 103 | </em:Stand ardLanguag eEntry> | |
| 104 | <em:Standa rdLanguage Entry>�</e m:Standard LanguageEn try> | |
| 105 | <em:Standa rdLanguage Entry> | |
| 106 | ������ ����1. Whe ther pain, weakness, fatigabil ity, or in coordinati on could s ignificant ly limit | |
| 107 | functi onal abili ty during flare-ups, or when t he joint i s used rep eatedly ov er a perio d of time, | |
| 108 | and | |
| 109 | </em:Stand ardLanguag eEntry> | |
| 110 | <em:Standa rdLanguage Entry>�</e m:Standard LanguageEn try> | |
| 111 | <em:Standa rdLanguage Entry> | |
| 112 | ������ ����2. Des cribe any such addit ional limi tation due to pain, weakness, fatigabili ty or | |
| 113 | incoor dination, and if fea sible, thi s opinion should be expressed in terms o f the degr ees of | |
| 114 | additi onal ROM l oss due to /?pain on use or du ring flare -ups/?. | |
| 115 | </em:Stand ardLanguag eEntry> | |
| 116 | <em:Standa rdLanguage Entry>�</e m:Standard LanguageEn try> | |
| 117 | <em:Standa rdLanguage Entry> | |
| 118 | ������ ����3. If such opini on is not feasible, please sta te and pro vide an ex planation as to why | |
| 119 | the op inion cann ot be rend ered. | |
| 120 | </em:Stand ardLanguag eEntry> | |
| 121 | </em :StandardL anguageEnt ries> | |
| 122 | </em:Exa mRelatedCo ntention> | |
| 123 | </ em:ExamRel atedConten tions> | |
| 124 | </em:E xamSchedul ingRequest CreatedEve nt> | |
| 125 | ||
| 126 | </em:ExamM anagementE ventNotifi cation> |
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