Instrument No.52 of 1997
Determination
of
Statement of Principles
concerning
FIBROMUSCULAR DYSPLASIA
ICD CODES: 447.3, 447.8
Veterans’ Entitlements Act 1986
1. This Statement of Principles is determined by the Repatriation Medical Authority under subsection 196B(3) of the Veterans’ Entitlements Act 1986 (the Act).
Kind of injury, disease or death
2. (a) This Statement of Principles is about fibromuscular dysplasia and death from fibromuscular dysplasia.
(b) For the purposes of this Statement of Principles, “fibromuscular dysplasia” means a nonatherosclerotic, noninflammatory segmental stenosing disease with or without focal aneurysmal outpouchings of the affected artery in which any layer of the vessel wall may be affected, attracting ICD code 447.3 or 447.8. The disease commonly involves medium-sized arteries and is most often found in the renal artery and in the internal carotid artery.
Basis for determining the factors
3. On the sound medical-scientific evidence available, the Repatriation Medical Authority is of the view that it is more probable than not that fibromuscular dysplasia and death from fibromuscular dysplasia can be related to relevant service rendered by veterans or members of the Forces.
Factors that must be related to service
4. Subject to clause 6, the factor set out in the paragraph in clause 5 must be related to any relevant service rendered by the person.
Factors
5. The factor that must exist before it can be said that, on the balance of probabilities, fibromuscular dysplasia or death from fibromuscular dysplasia is connected with the circumstances of a person’s relevant service is:
(a) inability to obtain appropriate clinical management for fibromuscular dysplasia.
Factors that apply only to material contribution or aggravation
6. Paragraph 5(a) applies only to material contribution to, or aggravation of, fibromuscular dysplasia where the person’s fibromuscular dysplasia was suffered or contracted before or during (but not arising out of) the person’s relevant service; paragraph 8(1)(e), 9(1)(e) or 70(5)(d) of the Act refers.
Other definitions
7. For the purposes of this Statement of Principles:
“ICD code” means a number assigned to a particular kind of injury or disease in the Australian Version of The International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM), effective date of 1 July 1996, copyrighted by the National Coding Centre, Faculty of Health Sciences, University of Sydney, NSW, and having ISBN 0 642 24447 2;
“relevant service” means:
(a) eligible war service (other than operational service); or
(b) defence service (other than hazardous service).
Dated this Fourth day of July 1997
The Common Seal of the )
Repatriation Medical Authority )
was affixed to this instrument )
in the presence of )
KEN DONALD
CHAIRMAN