Document ID: chunk:federal_register_of_legislation:F2022C00906:front:0:p2
Version: federal_register_of_legislation:F2022C00906
Segment Type: other
Provision Reference: 
Character Range: 2940–6157

disease (Reasonable Hypothesis) (No. 56 of 2020).
     3               Authority
This instrument is made under subsection 196B(2) of the Veterans' Entitlements Act 1986.
     5               Application
This instrument applies to a claim to which section 120A of the VEA or section 338 of the Military Rehabilitation and Compensation Act 2004 applies.
     6               Definitions
The terms defined in the Schedule 1 - Dictionary have the meaning given when used in this instrument.
     7               Kind of injury, disease or death to which this Statement of Principles relates
(1)          This Statement of Principles is about renal artery atherosclerotic disease and death from renal artery atherosclerotic disease.
Meaning of renal artery atherosclerotic disease
(2)          For the purposes of this Statement of Principles, renal artery atherosclerotic disease means atherosclerosis of the renal arteries which causes a partial or complete occlusion of a renal artery and either:
(a)          warrants medical treatment; or
(b)          results in at least one of the following clinical manifestations:
(i)            moderate to severe hypertension;
(ii)         poorly controlled hypertension;
(iii)       persistent renal impairment;
(iv)        acute pulmonary oedema; or
(v)          chronic heart failure.
(3)          While renal artery atherosclerotic disease attracts ICD‑10‑AM code I70.1, in applying this Statement of Principles the meaning of renal artery atherosclerotic disease 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 renal artery atherosclerotic disease
(5)          For the purposes of this Statement of Principles, renal artery atherosclerotic disease, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's renal artery atherosclerotic disease.
            Note: terminal event is defined in the Schedule 1 – Dictionary.
     8               Basis for determining the factors
The Repatriation Medical Authority is of the view that there is sound medical‑scientific evidence that indicates that renal artery atherosclerotic disease and death from renal artery atherosclerotic disease can be related to relevant service rendered by veterans, members of Peacekeeping Forces, or members of the Forces under the VEA, or members under the MRCA.
Note: MRCA, relevant service and VEA are defined in the Schedule 1 – Dictionary.
     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 renal artery atherosclerotic disease or death from renal artery atherosclerotic disease with the circumstances of a person's relevant service:
(1)          having hypertension for a period of at least