Prompt: !?25,HD91,!?22,"Compensation and Pension Examination",!
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Function Call: WRITE
Prompt: ?33,"# 1510 Worksheet"
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Prompt: ?33,"# 1510 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,"Describe the location and nature of the injury or disease",!?13,"with particular attention to the interference with speech,",!?13,"sense of smell, and/or breathing space. If all or part of the",!?13,"nose is missing provide"
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Prompt: " photographs. Localize manifestations",!?13,"of chronic sinusitis, if present.",!!!
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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: ?8,"1. Interference with breathing space -",!!!!?8,"2. Headaches, severity, and frequency -",!!!!?8,"3. Purulent discharge -",!!!!
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Prompt: ?8,"4. Frequency of allergic attacks, baseline status in between -",!
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Prompt: !!!?8,"5. Dyspnea -",!!!!!!!
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Function Call: WRITE
Prompt: $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!