availability of medical records nature and course of the disease or disability, and amount of time that elapsed since military service. Do not merely dismiss the presence of disability because there is Important: an absence of accompanying medical treatment records. The absence of treatment records does not necessarily mean the absence of disability. Moreover the absence of medical records during combat conditions does not necessarily establish the absence of disability. For more information on aggravation of a pre-existing disability Reference: during combat conditions, see , 230 F.3d 1330 (Fed. Cir. 2000), and , 19 F.3d 1413 (Fed. Cir. 1994). 5. Determining Secondary SC, Including by Aggravation This topic contains information on determining secondary SC, including by Introduction aggravation, including provisions for SC under 38 CFR 3.310(a) and (b) medical evidence required to show a non-service-connected (NSC) disability was aggravated by an SC disability developing claims based on aggravation of an NSC disability by an SC disability information that must be included in the report for secondary SC examiner’s based on aggravation, and determining the extent to which an NSC disability was aggravated by an SC disability. January 20, 2016 Change Date
availability of medical records nature and course of the disease or disability, and amount of time that elapsed since military service. Important: Do not merely dismiss the presence of disability because there is an absence of accompanying medical treatment records. The absence of treatment records does not necessarily mean the absence of disability. Moreover the absence of medical records during combat conditions does not necessarily establish the absence of disability. Reference: For more information on aggravation of a pre-existing disability during combat conditions, see , 230 F.3d 1330 (Fed. Cir. 2000), and , 19 F.3d 1413 (Fed. Cir. 1994). 5. Determining Secondary SC, Including by Aggravation Introduction This topic contains information on determining secondary SC, including by aggravation, including provisions for SC under 38 CFR 3.310(a) and (b) medical evidence required to show a non-service-connected (NSC) disability was aggravated by an SC disability developing claims based on aggravation of an NSC disability by an SC disability information that must be included in the examiner’s report for secondary SC based on aggravation, and determining the extent to which an NSC disability was aggravated by an SC disability. Change Date January 20, 2016