Statement of Principles concerning peritoneal adhesions (Balance of Probabilities) (No. 4 of 2016) (Cth)
Statement of Principles concerning peritoneal adhesions (Balance of Probabilities) (No. 4 of 2016)
made under subsection 196B(3) of the
Veterans' Entitlements Act 1986
Compilation No. 1
Compilation date: 18 September 2017
Includes amendments up to: Veterans' Entitlements (Statements of Principles—Cumulative Equivalent Dose) Amendment Determination 2017 (No. 58 of 2017) (F2017L01067)
The day of commencement of this Amendment Determination is 18 September 2017.
About this compilation
This compilation
This is a compilation of the Statement of Principles concerning peritoneal adhesions (Balance of Probabilities) (No. 4 of 2016) that shows the text of the law as amended and in force on 18 September 2017.
The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.
Uncommenced amendments
The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Legislation Register ( The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the series page on the Legislation Register for the compiled law.
Application, saving and transitional provisions for provisions and amendments
If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.
Modifications
If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the series page on the Legislation Register for the compiled law.
Self‑repealing provisions
If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.
Statement of Principles
concerning
PERITONEAL ADHESIONS
(Balance of Probabilities)
(No. 4 of 2016)
The Repatriation Medical Authority determines the following Statement of Principles under subsection 196B(3) of the Veterans’ Entitlements Act 1986.
Dated 18 December 2015
Contents
1Name........................................................................................................................................... 3
2Commencement........................................................................................................................ 3
3Authority..................................................................................................................................... 3
4Revocation................................................................................................................................. 3
5Application................................................................................................................................. 3
6Definitions.................................................................................................................................. 3
7Kind of injury, disease or death to which this Statement of Principles relates............... 3
8Basis for determining the factors........................................................................................... 4
9Factors that must exist............................................................................................................. 4
10Relationship to service............................................................................................................. 5
11Factors referring to an injury or disease covered by another Statement of Principles. 5
Schedule 1 - Dictionary............................................................................................. 6
1Definitions.................................................................................................................................. 6
Name
This is the Statement of Principles concerning peritoneal adhesions (Balance of Probabilities) (No. 4 of 2016).
Commencement
This instrument commences on 25 January 2016.
Authority
This instrument is made under subsection 196B(3) of the Veterans’ Entitlements Act 1986.
Revocation
The Statement of Principles concerning peritoneal adhesions No. 104 of 2007 made under subsection 196B(3) of the VEA is revoked.
Application
This instrument applies to a claim to which section 120B of the VEA or section 339 of the Military Rehabilitation and Compensation Act 2004 applies.
Definitions
The terms defined in the Schedule 1 - Dictionary have the meaning given when used in this instrument.
Kind of injury, disease or death to which this Statement of Principles relates
(1)This Statement of Principles is about peritoneal adhesions and death from peritoneal adhesions.
Meaning of peritoneal adhesions
(2)For the purposes of this Statement of Principles, peritoneal adhesions means pathological bonds that abnormally join abdominopelvic organs to each other, or to the abdominal wall or diaphragm. The adhesions may consist of a thin film of connective tissue, a thick fibrous bridge containing blood vessels and nerve tissue, or a direct adhesion between two organ surfaces.
(3)While peritoneal adhesions attracts ICD‑10‑AM code K66.0, K56.5, N73.6 or N99.4, in applying this Statement of Principles the meaning of peritoneal adhesions is that given in subsection (2).
(4)For subsection (3), a reference to an ICD‑10‑AM code is a reference to the code assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD‑10‑AM), Ninth Edition, effective date of 1 July 2015, copyrighted by the Independent Hospital Pricing Authority, ISBN 978‑1‑76007‑020‑5.
Death from peritoneal adhesions
(5)For the purposes of this Statement of Principles, peritoneal adhesions, in relation to a person, includes death from a terminal event or condition that was contributed to by the person’s peritoneal adhesions.
Note: terminal event is defined in the Schedule 1 – Dictionary.
Basis for determining the factors
On the sound medical‑scientific evidence available, the Repatriation Medical Authority is of the view that it is more probable than not that peritoneal adhesions and death from peritoneal adhesions can be related to relevant service rendered by veterans or members of the Forces under the VEA, or members under the MRCA.
Note: relevant service is defined in the Schedule 1 – Dictionary.
Factors that must exist
At least one of the following factors must exist before it can be said that, on the balance of probabilities, peritoneal adhesions or death from peritoneal adhesions is connected with the circumstances of a person’s relevant service:
(1)having intra-abdominal or pelvic surgery at least two days before the clinical onset of peritoneal adhesions;
(2)having peritonitis at least two days before the clinical onset of peritoneal adhesions;
(3)having a disease from the specified list of inflammatory diseases involving the peritoneum or peritoneal cavity at least two days before the clinical onset of peritoneal adhesions;
Note: specified list of inflammatory diseases is defined in the Schedule 1 - Dictionary.
(4)having a perforation of the peritoneum at least two days before the clinical onset of peritoneal adhesions;
(5)having penetrating trauma to the peritoneum or major blunt trauma to the abdominopelvic region at least two days before the clinical onset of peritoneal adhesions;
Note: major blunt trauma is defined in the Schedule 1 - Dictionary.
(6)having a bacterial or fungal infection involving the peritoneal cavity at least two days before the clinical onset of peritoneal adhesions;
(7)undergoing a course of therapeutic radiation for cancer, where the abdominopelvic region was in the field of radiation, at least four weeks before the clinical onset of peritoneal adhesions;
(8)having received a cumulative equivalent dose of at least 20 sieverts of ionising radiation to the abdominopelvic region at least four weeks before the clinical onset of peritoneal adhesions;
Note: cumulative equivalent dose is defined in the Schedule 1 - Dictionary.
(9)undergoing intraperitoneal chemotherapy or intraperitoneal dialysis at least two days before the clinical onset of peritoneal adhesions;
(10)having a primary or secondary malignant neoplasm involving the peritoneum at least two days before the clinical onset of peritoneal adhesions;
(11)inability to obtain appropriate clinical management for peritoneal adhesions.
Relationship to service
(1)The existence in a person of any factor referred to in section 9, must be related to the relevant service rendered by the person.
(2)The factor set out in subsection 9(11) applies only to material contribution to, or aggravation of, peritoneal adhesions where the person’s peritoneal adhesions was suffered or contracted before or during (but did not arise out of) the person’s relevant service.
Factors referring to an injury or disease covered by another Statement of Principles
In this Statement of Principles:
(1)if a factor referred to in section 9 applies in relation to a person; and
(2)that factor refers to an injury or disease in respect of which a Statement of Principles has been determined under subsection 196B(3) of the VEA;
then the factors in that Statement of Principles apply in accordance with the terms of that Statement of Principles as in force from time to time.
Schedule 1 - Dictionary
Note: See Section 6
Definitions
In this instrument:
cumulative equivalent dose means the total dose of ionising radiation received by the particular organ or tissue from external exposure, internal exposure or both, apart from normal background radiation exposure in Australia, calculated in accordance with the methodology set out in Guide to calculation of 'cumulative equivalent dose' for the purpose of applying ionising radiation factors contained in Statements of Principles determined under Part XIA of the Veterans' Entitlements Act 1986 (Cth), Australian Radiation Protection and Nuclear Safety Agency, as in force on 2 August 2017.
Note 1: Examples of circumstances that might lead to exposure to ionising radiation include being present during or subsequent to the testing or use of nuclear weapons, undergoing diagnostic or therapeutic medical procedures involving ionising radiation, and being a member of an aircrew, leading to increased levels of exposure to cosmic radiation.
Note 2: For the purpose of dose reconstruction, dose is calculated as an average over the mass of a specific tissue or organ. If a tissue is exposed to multiple sources of ionising radiation, the various dose estimates for each type of radiation must be combined.
major blunt trauma means severe non-penetrating trauma that causes the immediate development of pain and tenderness lasting for a period of at least three days.
MRCAmeans the Military Rehabilitation and Compensation Act 2004.
peritoneal adhesions—see subsection 7(2).
relevant service means:
(a)eligible war service (other than operational service) under the VEA;
(b)defence service (other than hazardous service and British nuclear test defence service) under the VEA; or
(c)peacetime service under the MRCA.
specified list of inflammatory diseases means:
(a)appendicitis;
(b)cholecystitis;
(c)diverticular disease of the colon with diverticulitis;
(d)endometriosis;
(e)inflammatory bowel disease;
(f)pancreatitis;
(g)pelvic inflammatory disease; or
(h)another condition that causes serosal inflammation.
terminal event means the proximate or ultimate cause of death and includes the following:
(i) pneumonia;
(j) respiratory failure;
(k) cardiac arrest;
(l) circulatory failure; or
(m) cessation of brain function.
VEA means the Veterans' Entitlements Act 1986.
Endnotes
Endnote 1—About the endnotes
The endnotes provide information about this compilation and the compiled law.
The following endnotes are included in every compilation:
Endnote 1—About the endnotes
Endnote 2—Abbreviation key
Endnote 3—Legislation history
Endnote 4—Amendment history
Abbreviation key—Endnote 2
The abbreviation key sets out abbreviations that may be used in the endnotes.
Legislation history and amendment history—Endnotes 3 and 4
Amending laws are annotated in the legislation history and amendment history.
The legislation history in endnote 3 provides information about each law that has amended (or will amend) the compiled law. The information includes commencement details for amending laws and details of any application, saving or transitional provisions that are not included in this compilation.
The amendment history in endnote 4 provides information about amendments at the provision (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.
Misdescribed amendments
A misdescribed amendment is an amendment that does not accurately describe the amendment to be made. If, despite the misdescription, the amendment can be given effect as intended, the amendment is incorporated into the compiled law and the abbreviation “(md)” added to the details of the amendment included in the amendment history.
If a misdescribed amendment cannot be given effect as intended, the abbreviation “(md not incorp)” is added to the details of the amendment included in the amendment history.
Endnote 2—Abbreviation key
| o = order(s) | |
| ad = added or inserted | Ord = Ordinance |
| am = amended | orig = original |
| amdt = amendment | par = paragraph(s)/subparagraph(s) |
| c = clause(s) | /sub‑subparagraph(s) |
| C[x] = Compilation No. x | pres = present |
| Ch = Chapter(s) | prev = previous |
| def = definition(s) | (prev…) = previously |
| Dict = Dictionary | Pt = Part(s) |
| disallowed = disallowed by Parliament | r = regulation(s)/rule(s) |
| Div = Division(s) | |
| exp = expires/expired or ceases/ceased to have | reloc = relocated |
| effect | renum = renumbered |
| F = Federal Register of Legislation | rep = repealed |
| gaz = gazette | rs = repealed and substituted |
| LA = Legislation Act 2003 | s = section(s)/subsection(s) |
| LIA = Legislative Instruments Act 2003 | Sch = Schedule(s) |
| (md) = misdescribed amendment can be given | Sdiv = Subdivision(s) |
| effect | SLI = Select Legislative Instrument |
| (md not incorp) = misdescribed amendment | SR = Statutory Rules |
| cannot be given effect | Sub‑Ch = Sub‑Chapter(s) |
| mod = modified/modification | SubPt = Subpart(s) |
| No. = Number(s) | underlining = whole or part not |
| commenced or to be commenced |
Endnote 3—Legislation history
| Name | Registration | Commencement | Application, saving and transitional provisions |
| Statement of Principles concerning peritoneal adhesions (Balance of Probabilities) (No. 4 of 2016) | 4 January 2016 F2016L00006 | 25 January 2016 | |
| Veterans' Entitlements (Statements of Principles—Cumulative Equivalent Dose) Amendment Determination 2017 (No. 58 of 2017) | 22 August 2017 F2017L01067 | 18 September 2017 |
Endnote 4—Amendment history
| Provision affected | How affected |
| Schedule 1 – Dictionary – ' "cumulative equivalent dose"……' | rs. No. 58 of 2017 |
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