dˌaɪəɡnˈoʊsɪs ɔːɹ tɹˈiːtmənt ɹɪzˈʌlts ɪn hˈaɪ tʊ ɛkstɹˈiːmli hˈaɪ ɹˈɪsk tə ðə mˈɪlətˌɛɹi ɔːɹ pˈeɪʃənt dˈuː tə pətˈɛnʃəl ɪmpˈɛɹmənt ʌv dˈuːɾi fˈʌŋkʃən, ɹˈɪsk tə ðə mˈɪʃən ɔːɹ ɐbˈɪləɾi tə meɪntˈeɪn sᵻkjˈʊɹɹᵻɾi klˈɪɹəns ænd wˌɪtʃ hɐz ɔːlɹˌɛdi ˌʌndɚɡˈɑːn ɐn ˌɛmˌiːbˈiː mˈɛdɪkəl ɪvˌæljuːˈeɪʃən bˈoːɹd.
Diagnosis or treatment results in high to extremely high risk to the military or patient due to potential impairment of duty function, risk to the mission or ability to maintain security clearance and which has already undergone an MEB (Medical Evaluation Board).