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It targets medical assessment experts who are responsible for determining the presence of silicosis and related conditions, assessing their causal relationship to occupational quartz dust exposure, and evaluating functional consequences including loss or reduction of earning capacity (MdE). In addition, it offers guidance for clerks of statutory accident insurance institutions as well as social courts and aimed to improve the plausibility, internal consistency, and transparency of expert reports and resulting decisions for affected individuals. The guideline specifies required investigations and their evaluation, emphasizing that symptomatology, cardiopulmonary functional, and conventional chest radiography display rather low levels of correlation. 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