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Medical Opinion: Direct Service Connection
1. Identify all relevant diagnosed conditions CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)
2. Provide a clear explanation to support the connection of COPD to the military service
3. Cite supporting records
4. Discuss the claimed cause of the condition
5. Discuss chronicity and continuity of condition

TERA Medical Opinion
Discuss the connection between the claimed condition and the TERA activity/exposure
For a negative opinion, discuss the factors that outweigh TERA as nexus