(38 CFR 3.400, 38 CFR 3.401) The claims file was reviewed and the impairments noted in the VA form 21-2680 are primarily from the service connected COPD with emphysema and severe restrictive lung disease. They are met based on an inability prepare your own meals without getting winded, the need for assistance in bathing and tending to other hygiene needs from being out of breath. This primary issue is service connected from July 10,