The medical community does not know the cause of the disease, has difficulty diagnosing it, and cannot test for it.
Because the medical community does not know the cause, they cannot diagnose or test for it.
The medical community does not know the cause and has difficulty diagnosing it, so it is hard to test.
The medical community does not know the cause, diagnosis, or test.
Additionally, the medical community cannot cause, diagnose, or test for the disease.