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Evidence checklist

Hepatitis B

DC 734538 CFR § 4.114Digestive

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
Nexus opinion linking hepatitis B to service ("at least as likely as not")Critical

A medical opinion connecting HBV to service-related blood exposure, jet gun inoculations (pre-1997), sexual transmission during deployment, or other service-related exposure events.

Private provider · independent opinion
Liver biopsy or FibroScan for fibrosis staging

Liver biopsy or FibroScan results staging the degree of hepatic fibrosis (F0–F4) and necroinflammatory activity — critical for establishing hepatitis B disease severity.

Private provider · independent opinion
02

Treating physician

0 of 1 collected
Hepatitis B viral markers (HBsAg, HBeAg, HBV DNA, anti-HBc)Critical

Comprehensive hepatitis B serologic panel documenting surface antigen status, e-antigen, HBV DNA viral load, and core antibody — establishing active infection, chronic carrier state, or resolved infection.

Your treating provider · written request
03

Treatment records

0 of 3 collected
Serial liver function tests (ALT, AST, bilirubin, albumin, INR)Critical

Longitudinal liver panel results documenting disease activity, inflammatory flares (ALT spikes), and hepatic synthetic function — key indicators of chronic disease severity.

VA or private records · written request
Antiviral treatment records (tenofovir, entecavir)

Records documenting antiviral therapy with tenofovir alafenamide, tenofovir disoproxil, or entecavir, including duration, viral suppression, and resistance testing.

VA or private records · written request
Complications documentation (cirrhosis, hepatocellular carcinoma screening)

Records of hepatocellular carcinoma surveillance (AFP, ultrasound), cirrhosis complications, or immune-mediated extrahepatic manifestations (polyarteritis nodosa, glomerulonephritis).

VA or private records · written request
04

Lay statements

0 of 2 collected
Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
05

Benefits questionnaire

0 of 1 collected
Completed DBQ Liver ConditionsCritical

Standardized form capturing HBV marker status, fibrosis stage, liver function results, treatment, and functional impact.

Provider-completed · VA DBQ formHow to get this →
06

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180
Condition guideRating criteria and what VA looks forC&P exam prepWhat the examiner will askBuddy statement builderGuided VA Form 21-10210

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