Document ID: chunk:federal_register_of_legislation:F2023L00156:reg:9:p1
Version: federal_register_of_legislation:F2023L00156
Segment Type: reg
Provision Reference: reg 9 (pt 1/3)
Character Range: 5887–9061

9               Factors that must exist
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting vascular neurocognitive disorder or death from vascular neurocognitive disorder with the circumstances of a person's relevant service:
(1)          having a cerebrovascular accident or subarachnoid haemorrhage before the clinical onset of vascular neurocognitive disorder;
(2)          having a specified disease of the cerebral vessels, in the presence of neuroimaging (magnetic resonance imaging or computed tomography) findings of cerebral white matter lesions, haemorrhage or infarction, before the clinical onset of vascular neurocognitive disorder;
Note 1: specified disease of the cerebral vessels is defined in the Schedule 1 – Dictionary.
Note 2: neuroimaging (magnetic resonance imaging or computed tomography) findings is defined in the Schedule 1 – Dictionary.
(3)          having hypertension before the clinical onset of vascular neurocognitive disorder;
(4)          having dyslipidaemia before the age of 65 years, and before the clinical onset of vascular neurocognitive disorder;
Note: dyslipidaemia is defined in the Schedule 1 – Dictionary.
(5)          having sick sinus syndrome, atrial fibrillation or atrial flutter, at the time of the clinical onset of vascular neurocognitive disorder;
(6)          having hyperhomocysteinaemia before the clinical onset of vascular neurocognitive disorder;
Note: hyperhomocysteinaemia is defined in the Schedule 1 - Dictionary.
(7)          having carotid artery disease, ischaemic heart disease or heart failure before the clinical onset of vascular neurocognitive disorder;
(8)          having cardiac surgery within the 12 months before the clinical onset of vascular neurocognitive disorder;
(9)          having diabetes mellitus for at least the 5 years before the clinical onset of vascular neurocognitive disorder;
(10)      having smoked tobacco products:
(a)          in an amount of at least 10 pack-years before the clinical onset of vascular neurocognitive disorder; and
(b)          commencing at least 5 years before the clinical onset of vascular neurocognitive disorder; and
         if smoking has ceased before the clinical onset of vascular neurocognitive disorder, then that onset occurred within 20 years of cessation;
Note: one pack-year is defined in the Schedule 1 - Dictionary.
(11)      an inability to undertake any physical activity greater than 3 METs for at least 5 years within the 20 years before the clinical onset of vascular neurocognitive disorder;
Note: MET is defined in the Schedule 1 - Dictionary.
(12)      being obese for at least 5 years within the 20 years before the clinical onset  of vascular neurocognitive disorder;
Note: being obese is defined in the Schedule 1 – Dictionary
(13)      having depressive disorder at least 5 years before the clinical onset of vascular neurocognitive disorder;
(14)      having posttraumatic stress disorder at least 5 years before the clinical onset of vascular neurocognitive disorder;
(15)      having chronic kidney disease before the clinical onset