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(영문) 대전고등법원 2020.04.16 2019누12270
추가상병 및 재요양불승인처분취소
Text

1. The plaintiff's appeal is dismissed.

2. The costs of appeal shall be borne by the Plaintiff.

Purport of claim and appeal

The first instance court.

Reasons

1. Details of the disposition;

A. On May 28, 2016, the Plaintiff, as an employee of B Co., Ltd., was moving to the construction site of the building site of the apartment complex in Seo-gu, Seo-gu, Seocheon-gu, Seocheon-gu, Seocheon-gu, the Plaintiff sustained the 5th left hand in the lower part of the upper half of the 5th left hand, the upper half of the upper half of the 5th left hand, the left hand hand hand, and other hand hand (hereinafter referred to as “existing soldiers”).

The Plaintiff obtained medical care approval from the Defendant on August 19, 2016 regarding the existing injury and disease.

B. On July 13, 2016, the Plaintiff drafted a medical opinion from the F medical specialist in the E Hospital (hereinafter “E Hospital”); and on August 8, 2016, from the G medical specialist in the anesthesia medicine, the Plaintiff’s name of diagnosis was “one type, hands-on,” respectively.

C. On September 26, 2016, the Plaintiff filed an additional injury and disease application with the Defendant on the ground of the Plaintiff’s Type 1 (CRPS Common Syndrome type 1; hereinafter “instant injury and disease”). On November 15, 2016, the Plaintiff filed an additional medical care application with the Defendant.

On November 16, 2016, the Defendant rendered a disposition of non-approval of additional medical care on the ground that it is difficult to acknowledge a proximate causal relationship between the previous injury and the instant injury and disease, and that the Plaintiff separately filed an application for additional injury and disease with respect to the instant injury and disease, and that the Plaintiff’s symptoms on December 9, 2016 did not meet the standard for diagnosis of the instant injury and disease, respectively.

(hereinafter referred to as "each of the dispositions in this case" in total. (e)

The examination standards (hereinafter referred to as “the examination standards of this case”) among the Defendant’s guidelines for the performance of duties related to multiple perjury shall be as follows:

For clinical diagnosis, the following diagnosis standards must be met:

1. There shall be continuous documentary evidence which is not consistent with the events which have been induced;

2.At least three of the following four categories:

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