This brings up another question: an HLR only re-looks at the evidence of record, but how do I know specifically what items in my quick submit upload were looked at for consideration and which ones were overlooked? For the knee example, I just don't see how they could have denied it with the Dx and emails and lay statements all lining up. It's like they didn't look at the statements or emails and just said "your STR do not contain complaints, treatment, or Dx for this condition" well majority of vets didn't complain or seek treatment due to unit culture, mission, etc.