Prompt: !?25,HD91,!?22,"Compensation and Pension Examination",!
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Prompt: ?33,"# "_WKSNUM_" Worksheet"
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Prompt: ?33,"# "_WKSNUM_" Worksheet"
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Prompt: !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
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Prompt: !!!!,"Narrative:"
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Prompt: ?13,$P(LY,";;",2),!
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Prompt: "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:"
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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):",!!!
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Prompt: ?5,"1) How does the residual disability affect the earning capacity",!?9,"of the veteran in job performance?",!!!!!!?5,"2) How does the residual disability affect normal everyday activities?",!!!!!!
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Prompt: ?5,"3) If the disability has constant activity, are there",!?9,"any periods of remission during the year?",!!!!!!
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Prompt: ?5,"4) If there are acute exacerbations, what effects are there on",!?9,"everyday life?",!!!!!!
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Prompt: $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:"