"The major objective of the Guides is to define the assessment and reporting of medical impairments so that physicians can collect, describe, and analyze information about impairments in accordance with a single set of standards..." "...Analysis of the records and reports in question will disclose the disparities, which should be in matters of fact rather than opinion..." "Compare this approach with some impairment evaluations wherein physicians examine and report on patients without a standard protocol. In such instances, it is impossible to compare reports, because there is no assurance that the physicians have examined the same body parts or systems in the same way..." "When physicians follow the Guides to measure and report their impairment estimates, the persons who receive the evaluations may be held accountable for assessing the results in accordance with the Guides recommendations..." "In general, the physician should estimate the extent of the patient's primary impairment or impairing condition, that is, the condition that seems to be of most concern to the patient. The estimate should be based on current findings and evidence. It may be necessary to refer to the criteria and estimates ......If in spite of an observation or test result the medical evidence appears not to be of sufficient weight to verify that an impairment of a certain magnitude exists, the physician should modify the impairment estimate accordingly,..." "A clear, accurate, and complete report is essential to support a rating of permanent impairment. The following kinds of information are expected." "Medical Evaluation