For the Record
This is where the medical opinion can be found?
What is: The CAS/IMO
If there is no diagnosis for a condition
What is: Less likely
DOES THE VETERAN HAVE A DIAGNOSIS OF (A) INSOMNIA THAT IS AT LEAST AS LIKELY AS NOT (50 PERCENT OR GREATER PROBABILITY) INCURRED IN OR CAUSED BY (THE) VETERAN WAS HIT BY IED WHILE IN IRAQ DURING SERVICE?
What is: Direct
IMO means this?
What is: Independent Medical Opinion
QTC stands for?
What is: Quality, Timeliness, Customer Service.
The VA needs this to grant service connection?
What is: Proof that the injury occured in service with records to validate claim, the injury/condition exists today, The bridge to connect both of the above to form a nexus.
Mr. X's sleep condition is a symptom of his Anxiety Disorder, Unspecified. His Anxiety Disorder was the result of his anxiety, nervousness and tension resulting from his exposure to battlefields in Iraq and Afghanistan in 2005 and 2010 respectively. He worked as a truck driver and refueler during his deployments. Therefore,
What is: THE CLAIMED CONDITION WAS AT LEAST AS LIKELY AS NOT
Is the Veteran's peripheral neuropathy at least as likely as not (50 percent or greater probability) proximately due to or the result of Diabetes Mellitus II with erectile dysfunction?
What is: Secondary
The rendered opinion can state "maybe, possibly or partly"?
What is: NO!
VA hearing loss is considered when this CNC score is below what?
What is: 94%
The Veterans Enlistment/Separation exam should be listed here?
What is: The Evidence section
There is no DIAGNOSIS OF RIGHT MANDIBULAR DISLOCATION. Claimant is not claiming a right mandibular dislocation as a result of the mandibular fracture.
What is: Less likely
If the requested opinion cannot be rendered without resorting to speculation, the examiner must state whether the need to speculate is caused by a deficiency in the state of general medical knowledge, i.e., no one could respond given medical science and the known facts, or by a deficiency in the record or the examiner, i.e., additional facts are required, or the examiner does not have the needed knowledge or training.
What is: Reconciliation of Conflicting opinion
These are the 5 types of medical opinions?
What is: Direct, Secondary, Aggravation of pre-existing, Aggravation of non service to service connected disability and Reconciliation.
I can loop a case from this tab?
What is: The review tab?
The medical opinion is necessary when?
What is: When the records contains evidence that the Veteran has a current disability or persistent signs/symptoms. S/S of a disability may be associated with active service and the record does not contain sufficient information to make a decision about the claim.
The veteran was exposed to distressing events during service in Vietnam and he has had over the years and continues to experience recurrent recollection of these events which have negatively impacted his life, even though his functioning at work was good, as reported by the veteran. Following separation, he restarted his job as a forest engineer/land surveyor but he became profoundly distressed by the death of his 8 y/o daughter who was tragically and accidentally shot dead by her 10 y/o brother at the veteran's father home. Therefore, this veteran's PTSD...
What is: Addendum required. This rationale needs to be clarified as Provider stated Veteran had traumatic events in service. However, was the Veterans PTSD aggravated by the loss of his daughter?
Is it at least as likely as not (50 percent or higher degree of probability) the currently diagnosed chronic kidney disease was caused by or etiologically related to Veterans HTN?
What is: Secondary
This individual must add the first 1015 on the triage tab?
What is: The OSA.
PDCK means this?
What is: Pre-delivery check
ACE is what?
What is: Acceptable clinical evidence.
The Veteran stated that his tinnitus started while in the reserves. It is a constant bilateral ringing. He states he did right handed weapon firing (rifle shotgun and pistols) and had to qualify every three months. He rode in helicopters, Humvees, tanks, and 8 ton trucks. Veteran did not report any tinnitus prior to his military service and he does not have any other forms of significant noise exposure since leaving the military.
What is: Less likely
Was the Veteran's low back disability (which clearly and unmistakably existed prior to service) aggravated beyond its natural progression by Whether there is clear and unmistakable evidence (i.e., obvious and manifest) that the Veteran's current back disability preexisted service, and if so, identify such clear and unmistakable evidence or medical principle that makes it so.
What is: Aggravation of a pre-existing condition
IMO's must always include this?
What is: A well-reasoned, comprehensive supporting rationale.
These are the two condition/contention types?
What is: Claimed and Established