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Evidence checklist

Pancreatitis

DC 734738 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
CT abdomen or MRCP documenting pancreatic inflammation or changesCritical

CT scan of the abdomen (with contrast) or MRCP showing pancreatic edema, necrosis, pseudocysts, ductal dilation, or parenchymal atrophy consistent with acute or chronic pancreatitis.

Private provider · independent opinion
Nexus opinion linking pancreatitis to service ("at least as likely as not")Critical

A medical opinion connecting pancreatitis to service-connected alcohol use disorder, hypertriglyceridemia, gallstone disease, or medications (e.g., steroids, tetracyclines) used during service.

Private provider · independent opinion
02

Treating physician

0 of 1 collected
Serum lipase and amylase levels during acute episodesCritical

Lab results showing elevated serum lipase (>=3x upper limit of normal) and/or amylase during acute pancreatitis episodes, confirming the diagnosis.

Your treating provider · written request
03

Treatment records

0 of 1 collected
Hospitalization records for acute pancreatitis episodes

Inpatient records documenting acute pancreatitis admissions, severity scoring (Ranson, BISAP), ICU stays, interventions, and length of stay.

VA or private records · written request
04

Lay statements

0 of 3 collected
Pain-episode frequency and hospitalization documentationCritical

Medical records or a personal log documenting how many abdominal or mid-back pain episodes you have per year and whether each required outpatient treatment or hospitalization — central to the DC 7347 rating (30% for at least one episode a year needing ongoing outpatient care, 60% for three or more episodes with at least one hospitalization, 100% for daily pain with three or more hospitalizations a year).

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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 Gallbladder and Pancreas ConditionsCritical

Standardized form capturing episode frequency, imaging findings, enzyme levels, complications, and functional limitations.

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

What you mark here is saved in this browser, on this device only — not to an account. Changing the target rating shows different items, but never loses what you have already marked.