Problem List Update

The lack of a formal problem list update is not a fatal issue for your claim, but you must proactively ensure the evidence is properly submitted. The key is that your VA PCP’s clinical notes, which document the diagnoses and note continuity of symptoms since your deployment, constitute the core medical evidence required under 38 CFR 3.303(a) for establishing a current disability. For IBS (diagnostic code 7319) and sinusitis/rhinitis (diagnostic codes 6510-6514), which are presumptive under 38 CFR 3.317 for qualifying Southwest Asia service, your claim hinges on proving a current diagnosis and a nexus through the presumption—your doctor’s notes linking symptoms to your service period directly support this nexus. To strengthen your filing, take these actionable steps: First, file an Intent to File immediately to preserve your earliest possible effective date. Then, when submitting your formal claim (VA Form 21-526EZ), explicitly cite the presumptive regulations and reference the specific progress notes from your PCP visit by date; you can attach a highlighted copy. You may also request a free VA Claims Insider’s DBQ for each condition to have your specialist complete, or ask your PCP to add the conditions to your problem list via a secure message to create a clear, consolidated record. The principle from *Buchanan v. Nicholson*—that the VA must consider all evidence of record—supports that the detailed notes are valid even if not on a summary list, but providing a clear, organized claim minimizes delay.

*This information is for educational purposes regarding the VA claims process and is not intended as legal or medical advice.*