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ummc:va:cprs_templates
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| Both sides previous revisionPrevious revisionNext revision | Previous revision | ||
| ummc:va:cprs_templates [2023/12/18 14:48] – [Clinic Note] admin | ummc:va:cprs_templates [2023/12/18 14:51] (current) – [Clinic Note] admin | ||
|---|---|---|---|
| Line 44: | Line 44: | ||
| [ ] hobbies such as wood working | [ ] hobbies such as wood working | ||
| [ ] mold/water damage in the house | [ ] mold/water damage in the house | ||
| + | |||
| + | Military-specific exposures: | ||
| + | [ ] Agent orange - Vietnam War | ||
| + | [ ] Depleted Uranium - Gulf War | ||
| + | [ ] Asbestos - Navy due to shipyards | ||
| + | [ ] Mustard gas – WWI | ||
| + | [ ] Particulate matter | ||
| + | [ ] Burn pit | ||
| + | [ ] Chromium | ||
| + | |||
| + | Occupational exposures outside the military : | ||
| + | [ ] Asbestos - construction workers, elictricians, | ||
| + | [ ] Ionizing radiation - uranium mining | ||
| + | [ ] Vinyl chloride - pulp & paper workers | ||
| + | [ ] Arsenic - smelting of ores, pesticide application, | ||
| + | [ ] Beryllium - ceramic workers, missile technicians, | ||
| + | [ ] chromium - stainless steel production, welding, tanning industries | ||
| + | [ ] Nickel - battery makers, ceramic makers, electroplaters, | ||
| PMH: | PMH: | ||
| Line 57: | Line 75: | ||
| SH: | SH: | ||
| + | Functional status: @@ | ||
| + | [ ] fully independent in ADLs and IADLs | ||
| + | [ ] uses cane at baseline | ||
| + | [ ] uses walker at baseline | ||
| + | [ ] uses wheelchair at baseline | ||
| + | [ ] uses oxygen at baseline | ||
| + | |||
| [ ] Tobacco Smoking – | [ ] Tobacco Smoking – | ||
| Age of onset of smoking: years | Age of onset of smoking: years | ||
| Line 71: | Line 96: | ||
| [ ] Indoor emission from household combustion | [ ] Indoor emission from household combustion | ||
| [ ] Outdoor air pollution | [ ] Outdoor air pollution | ||
| - | |||
| - | Military-specific exposures: | ||
| - | [ ] Agent orange - Vietnam War | ||
| - | [ ] Depleted Uranium - Gulf War | ||
| - | [ ] Asbestos - Navy due to shipyards | ||
| - | [ ] Mustard gas – WWI | ||
| - | [ ] Particulate matter | ||
| - | [ ] Burn pit | ||
| - | [ ] Chromium | ||
| - | |||
| - | Occupational exposures outside the military : | ||
| - | [ ] Asbestos - construction workers, elictricians, | ||
| - | [ ] Ionizing radiation - uranium mining | ||
| - | [ ] Vinyl chloride - pulp & paper workers | ||
| - | [ ] Arsenic - smelting of ores, pesticide application, | ||
| - | [ ] Beryllium - ceramic workers, missile technicians, | ||
| - | [ ] chromium - stainless steel production, welding, tanning industries | ||
| - | [ ] Nickel - battery makers, ceramic makers, electroplaters, | ||
ummc/va/cprs_templates.1702910921.txt.gz · Last modified: 2023/12/18 14:48 by admin
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