Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:207:p3
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 207 (pt 3/4)
Character Range: 341524–344654

an old (already diagnosed) condition.

Functional Loss
Table 14.1

      Impairment

MALIGNANT DISORDERS
      Ratings Criteria

      NIL  Minor symptoms that are easily tolerated.

               TEN            Mild to moderate symptoms that are irritating or unpleasant but rarely prevent completion of any activity. Symptoms may cause loss of efficiency in some activities.

               TWENTY     More severe symptoms that are more distressing but prevent few everyday activities. Loss of efficiency is discernible in a good few activities.  Self-care is unaffected and independence is retained.

      THIRTY-  Loss of efficiency discernible in many everyday
FIVE            activities. Some elements of self-care are restricted but, in most respects, independence is retained.

      FIFTY Major restrictions in many everyday activities.
Capacity for self-care is increasingly restricted, leading to partial dependence on others.

               SEVENTY Most everyday activities are prevented. Dependent on others for most kinds of self-care. Able to be maintained at home with considerable assistance and frequent medical care.
No age adjustment permitted for this table

Other
    Impairment
     Table 14.2 LIFE EXPECTANCY

        Impairment                Predicted Survival at the Time of
Ratings                     Diagnosis or Staging Procedure
         NIL                          Normal, or near-normal, five year survival. TEN                          Five year survival less than 75% of normal. TWENTY                  Five year survival less than 50% of normal. THIRTY-FIVE            Five year survival less than 25% of normal. FIFTY                       One year survival less than 50% of normal. SEVENTY                One year survival less than 25% of normal.

No age adjustment permitted for this table

Step 6: Compare the ratings obtained in Steps 4 and 5. Take the higher rating.

    The higher of these two
     ratings will be the rating for the malignant condition on the basis of this chapter.

     Step 7: Compare the ratings obtained in Steps 3 and 6. Take the higher rating.
If the rating obtained in Step 3 is higher than that obtained in Step 6, go to Step 8. If the rating obtained in Step 6 is higher than that obtained in Step 3, then the rating
obtained in Step 6 becomes the final rating for the malignant condition and is to be included in the final combining of all ratings.

    Step 8: If the rating obtained in Step 3 is higher than the rating obtained in Step 6, separate the components of the rating obtained in Step 3 so that each can be included in the final combining of all impairment ratings.

    For example, in the case of an accepted carcinoma of the rectum postulated under Step 1, each of the ratings from Chapters 1, 3, and 6 of the Guide is to be separately included in the final combining of all impairment ratings.

NOTES

     Chapter 15
     Intermittent Impairment

    INTRODUCTION

    Intermittent disorders are conditions:

     + that remain at a low level of impairment between discrete episodes of increased impairment;