Document ID: chunk:federal_register_of_legislation:F2019L00641:reg:7
Version: federal_register_of_legislation:F2019L00641
Segment Type: reg
Provision Reference: reg 7
Character Range: 1650–3677

7               Kind of injury, disease or death to which this Statement of Principles relates
(1)          This Statement of Principles is about acute rheumatic fever and death from acute rheumatic fever.
Meaning of acute rheumatic fever
(2)          For the purposes of this Statement of Principles, acute rheumatic fever:
(a)          means a systemic, inflammatory autoimmune disease that follows laboratory confirmed infection with beta-haemolytic streptococcus; and
(b)          excludes post-streptococcal reactive arthritis.
             Note 1:  Acute rheumatic fever may affect the heart as clinical or subclinical carditis; the joints as polyarthritis, monoarthritis or polyarthralgia; the central nervous system; and the skin or subcutaneous tissues.  It can also present as isolated Sydenham chorea or indolent subclinical carditis.
             Note 2:  Laboratory confirmation of infection may occur at the time of the streptococcal infection using positive throat culture, positive rapid antigen test or positive molecular assay, or later using positive serology for streptococcus.
(3)          While acute rheumatic fever attracts ICD‑10‑AM code I00, I01 or I02, in applying this Statement of Principles the meaning of acute rheumatic fever 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), Tenth Edition, effective date of 1 July 2017, copyrighted by the Independent Hospital Pricing Authority, ISBN 978-1-76007-296-4.
Death from acute rheumatic fever
(5)          For the purposes of this Statement of Principles, acute rheumatic fever, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's acute rheumatic fever.
Note: terminal event is defined in the Schedule 1 – Dictionary.