Statement of Principles concerning ureteric calculus No. 181 of 1995 (Cth)

Instrument No.181 of 1995

Statement of Principles

concerning

URETERIC CALCULUS

ICD CODE: 592.1

Veterans' Entitlements Act 1986
subsection 196B(3)

1.         Being of the view that, on the sound medical-scientific evidence available to the Repatriation Medical Authority, it is more probable than not that ureteric calculus and death from ureteric calculus can be related to eligible war service (other than operational service) rendered by veterans and defence service (other than hazardous service) rendered by members of the Forces, the Repatriation Medical Authority determines, under subsection 196B(3) of the Veterans’ Entitlements Act 1986 (the Act), that the factors that must exist before it can be said that, on the balance of probabilities, ureteric calculus or death from ureteric calculus is connected with the circumstances of that service, are:

(a)       suffering from nephrolithiasis immediately before the clinical onset of signs or symptoms of ureteric calculus; or

(b)       inability to obtain appropriate clinical management for the ureteric calculus.

2.         Subject to clause 3 (below) at least one of the factors set out in paragraphs 1(a) and 1(b) must be related to any service rendered by a person.

3.         The factor set out in paragraph 1(b) applies only where:

(a)       the person's ureteric calculus developed before a period, or part of a period, of service to which the factor is related; and

(b)       the relationship suggested between the ureteric calculus and the particular service of a person is a relationship set out in paragraph 8(1)(e), 9(1)(e), or 70(5)(d) of the Act.

4.         For the purposes of this Statement of Principles:

“ICD code” means a number assigned to a particular kind of injury or disease in the tenth edition of the International Classification of Diseases 9th Revision, effective date of 1 October 1993, copyrighted by the US Commission on Professional and Hospital Activities, and having the Library of Congress number 77-94472

“nephrolithiasis” (also known as renal calculi) means a condition marked by the presence of kidney stones that consist of calcium salts (predominantly oxalate or phosphate), uric acid, cystine or struvite (the triple salt of magnesium, ammonium and phosphate); attracting ICD code 274.11 or 592.0;

“ureteric calculus” means the presence of stones, generally smaller than 0.5 cm in diameter, that arise from the kidney and pass into the ureter impacting at sites of ureteral narrowing, attracting ICD code 592.1.

Dated this       Twenty-fifth                day of   May              1995

The Common Seal of the    )

Repatriation Medical Authority                   )

was affixed to this instrument   )

in the presence of:   )

KEN DONALD

CHAIRMAN