Note: this list is not meant to be all-inclusive in terms of providing the evidentiary requirements for the evaluation of disabilities. Rather it is meant to provide helpful hints for locating commonly used types of medical evidence.
What do I need? |
Where to go in CAPRI |
MUSCULOSKELETAL (DC 5000, 5100, 5200, 5300) |
|
History and Physical Examinations |
C&P Exam, Notes, Discharge Summaries |
Magnetic Resonance Imaging (MRI) |
Imaging Tab |
X-rays |
Imaging Tab |
Arthrograms (X-ray dye) |
Imaging Tab |
Arthroscopies |
Imaging Tab |
Range of Motion Studies |
Notes Tab, Consults Tab |
Surgical Procedures |
Reports Tab/Surgery Report |
Surgical Pathology |
Labs Tab/Anatomic Pathology |
Prescribed medications |
Meds Tab |
EYE (DC 6000) |
|
History and Physical Examinations |
C&P Exam, Notes, Discharge Summaries |
Ophthalmology reports |
Notes Tab, Consults Tab |
Eye exams w/Snellen test (visual acuity) and Goldmann Perimeter Chart (field test) |
Notes Tab, Consults Tab |
Surgical Procedures |
Reports Tab/Surgery Report |
Surgical Pathology |
Labs Tab/Anatomic Pathology |
Prescribed medications |
Meds Tab |
EAR AND OTHER SENSE ORGANS (DC 6100, 6200) |
|
History and Physical Examinations |
C&P Exam, Notes, Discharge Summaries |
Audiologic (conductive/sensorineural) tests |
Notes Tab, Consults Tab |
Audiograms (puretone threshold/speech recognition scores) |
Notes Tab, Consults Tab |
Electrogustometry (taste sensation) |
Notes Tab, Consults, Procedures Tab |
Prescribed medications |
Meds Tab |
What do I need? |
Where to go in CAPRI |
INFECTIOUS DISEASES, IMMUNE DISORDERS AND NUTRITIONAL DEFICIENCIES (DC 6300) |
|
History and Physical Examinations |
C&P Exam, Notes, Discharge Summaries |
Blood tests (creatinine, BUN, albumin) |
Labs Tab/Cumulative/Graph |
Skin tests |
Labs Tab/Anatomic Pathology, Notes, Consults |
Stool cultures |
Labs Tab/Microbiology/Cumulative |
T4 Cell Count |
Labs Tab/Cumulative/Graphs |
Serology |
Labs Tab/Cumulative/Graphs |
Weight Loss |
Vitals Tab/Graph |
Prescribed medications |
Meds Tab |
RESPIRATORY SYSTEM (DC 6500, 6600, 6700, 6800) |
|
History and Physical Examinations |
C&P Exam, Notes, Discharge Summaries |
Pulmonary Function Tests (PFT) |
Procedures Tab, Notes Tab (interpretation) |
X-rays |
Imaging Tab |
Sleep Studies |
Notes Tab, Consults Tab |
Surgical Procedures |
Reports Tab/Surgery Report |
Surgical Pathology |
Labs Tab/Anatomic Pathology |
Prescribed medications |
Meds Tab |
CARDIOVASCULAR SYSTEM (DC PORT, 7100) |
|
History and Physical Examinations |
C&P Exam, Notes, Discharge Summaries |
X-rays |
Imaging Tab |
Electrocardiograms (ECG/EKG) |
Procedures, Consults, Notes (interpretation) |
Exercise Stress tests (METS) |
Procedures, Consults, Notes (interpretation) |
Echocardiography/Ejection Fraction tests |
Procedures, Consults, Notes (interpretation) |
Holter monitor |
Procedures, Consults, Notes (interpretation) |
Doppler studies (ankle/brachial index) |
Imaging Tab |
Blood Pressure |
Vitals Tab/Graph |
Surgical Procedures |
Reports Tab/Surgery Report |
Surgical Pathology |
Labs Tab/Anatomic Pathology |
Prescribed medications |
Meds Tab |
What do I need? |
Where to go in CAPRI |
DIGESTIVE (DC 7200, 7300) |
|
History and Physical Examinations |
C&P Exam, Notes, Discharge Summaries |
X-rays |
Imaging Tab |
Barium enema (colon X-ray) |
Imaging Tab |
Sigmoidoscopies |
Notes Tab, Consults Tab |
Endoscopies |
Notes Tab, Consults Tab |
Proctoscopies |
Notes Tab, Consults Tab |
Colonoscopies |
Notes Tab, Consults Tab |
Liver biopsies |
Labs Tab/Anatomic Pathology |
Gastrointestinal – upper and lower – series |
Imaging Tab |
Liver Function Tests (LFT) |
Labs Tab/Cumulative/Graph |
Weight Loss |
Vitals Tab/Graph |
Dietary Restrictions |
Nutritional Assessment Tab, Diet Tab |
Surgical Procedures |
Reports Tab/Surgery Report |
Surgical Pathology |
Labs Tab/Anatomic Pathology |
Prescribed medications |
Meds Tab |
GENITOURINARY SYSTEM (DC 7500) |
|
History and Physical Examinations |
C&P Exam, Notes, Discharge Summaries |
Urinalysis (macro and micro) |
Labs Tab/Cumulative/Microbiology/Graphs |
Blood tests (creatinine, BUN, albumin) |
Labs Tab/Cumulative/Graph |
Complete Blood Count test (CBC) |
Labs Tab/Cumulative/Graph |
Uroflowmetry |
Consults Tab, Notes Tab |
Semen and endocrine evaluations |
Labs Tab/Cumulative/Graph |
Surgical Procedures |
Reports Tab/Surgery Report |
Surgical Pathology |
Labs Tab/Anatomic Pathology |
Prescribed medications |
Meds Tab |
What do I need? |
Where to go in CAPRI |
GYNECOLOGICAL CONDITIONS AND DISORDERS OF THE BREAST (DC 7600) |
|
History and Physical Examinations |
C&P Exam, Notes, Discharge Summaries |
Laparoscopies |
Notes Tab, Consults Tab |
X-rays |
Imaging Tab |
Ultrasounds |
Imaging Tab |
Pap smears |
Labs Tab/Cumulative/Microbiology |
Urinalysis (macro and micro) |
Labs Tab/Cumulative/Microbiology/Graphs |
Complete Blood Count test (CBC) |
Labs Tab/Cumulative/Graph |
Ultrasounds |
Imaging Tab |
Mammographies |
Imaging Tab |
Surgical Procedures |
Reports Tab/Surgery Report |
Surgical Pathology |
Labs Tab/Anatomic Pathology |
Prescribed medications |
Meds Tab |
HEMIC AND LYMPHATIC SYSTEMS (DC 7700) |
|
History and Physical Examinations |
C&P Exam, Notes, Discharge Summaries |
Hemoglobin – See CBC |
Labs Tab/Cumulative/Graph |
X-rays |
Imaging Tab |
Platelet count (Thrombocyte) – See CBC |
Labs Tab/Cumulative/Graph |
Magnetic Resonance Imaging (MRI) |
Imaging Tab |
CT scans |
Imaging Tab |
Prescribed medications |
Meds Tab |
SKIN (DC 7800) |
|
History and Physical Examinations |
C&P Exam, Notes, Discharge Summaries |
Skin biopsies |
Labs Tab/Anatomic Pathology |
Surgical Procedures |
Reports Tab/Surgery Report |
Surgical Pathology |
Labs Tab/Anatomic Pathology |
Prescribed medications |
Meds Tab |
What do I need? |
Where to go in CAPRI |
|
ENDOCRINE SYSTEM (DC 7900) |
||
History and Physical Examinations |
C&P Exam, Notes, Discharge Summaries |
|
T4 (Thyroxine test) |
Labs Tab/Cumulative/Graph |
|
T3 (Triiodothyronine or T3 Radioimmunoassay test) |
Labs Tab/Cumulative/Graph |
|
TSH (Thyrotropin or Thyroid Stimulating Hormone test) |
Labs Tab/Cumulative/Graph |
|
Renal function tests |
Labs Tab/Cumulative/Graph |
|
Blood sugar |
Labs Tab/Cumulative/Graph |
|
Urinalysis (macro and micro) |
Labs Tab/Cumulative/Graph/Microbiology |
|
Dietary Restrictions |
Nutritional Assessment, Diet Tab (inpatient) |
|
Glucose Tolerance test |
Labs Tab/Cumulative/Graph |
|
Surgical Procedures |
Reports Tab/Surgery Report |
|
Surgical Pathology |
Labs Tab/Anatomic Pathology |
|
Prescribed medications |
Meds Tab |
|
NEUROLOGICAL CONDITIONS AND CONVULSIVE DISORDERS (DC 8000-8900) |
||
History and Physical Examinations |
C&P Exam, Notes, Discharge Summaries |
|
Electromyographies, Myograms (EMG) |
Procedures, Consults, Notes (interpretation) |
|
Nerve Conduction Velocity (NCV) |
Procedures, Consults, Notes (interpretation) |
|
Electroencephalograms, Brain wave tests |
Procedures, Consults, Notes (interpretation) |
|
Magnetic Resonance Imaging (MRI) |
Imaging Tab |
|
X-rays |
Imaging Tab |
|
Prescribed medications |
Meds Tab |
|
What do I need? |
Where to go in CAPRI |
MENTAL DISORDERS (DC 9200-9500) |
|
History and Psychiatric Examinations |
C&P Exam Tab, Notes Tab, Discharge Summaries Tab |
Social and Industrial Surveys |
Notes Tab, Consults Tab |
Global Assessment of Functioning (GAF) |
Notes Tab, Consults Tab |
Dietary Restrictions |
Nutritional Assessment Tab, Diet Tab (inpatient) |
Weight Loss |
Vitals Tab/Graph |
Prescribed medications |
Meds Tab |
DENTAL AND ORAL CONDITIONS (DC 9900) |
|
History and Dental Examinations |
C&P Exam Tab, Notes Tab, Discharge Summaries Tab |
X-rays |
Imaging Tab |