Prompt: "Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD5,!?14,HD6
Line Location: EN+4
Function Call: WRITE
Prompt: !!!!,"Narrative:"
Line Location: EN+5
Function Call: WRITE
Prompt: ?13,"Complications and/or medical side effects should always be",!?13,"reported, even when not specifically requested.",!!
Line Location: EN+6
Function Call: WRITE
Prompt: "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:",!!!!!!!!!!!
Line Location: EN+7
Function Call: WRITE
Prompt: $S($D(CMBN):"A. ",1:"D. "),"Specific evaluation information required by the rating board",!?4,"(if the information requested is included elsewhere, do not",!?4,"repeat here):",!!!
Line Location: EN+8
Function Call: WRITE
Prompt: ?8,"1. Frequency of urination -",!!!!!?8,"2. Presence or absence of pyuria -",!!!!!
Line Location: EN+9
Function Call: WRITE
Prompt: ?8,"3. Pain or tenesmus -",!!!!!?8,"4. Incontinence requiring pads or appliance -",!!!!!
Line Location: EN+10
Function Call: WRITE
Prompt: $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!