Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:44:p1
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 44 (pt 1/2)
Character Range: 78673–81800

44

STEP Calculate the Other Impairment rating for the accepted Page
     3 hypertension by applying Table 2.1.1. 45

    STEP (Omit this step if there is no target organ damage.) Page
4 Compare the rating obtained in Step 2 with the rating 46 obtained in Step 3. Take the higher of these two ratings.

 Step 1: Establish whether any target organ damage is present.

 For the purposes of this chapter, "target organ damage" means any of the following:
+ hypertensive retinopathy, grade III or IV;
+ hypertensive  cardiac disease, with ECG or X-ray evidence of left ventricular hypertrophy;
   + hypertensive nephropathy demonstrated at biopsy, or by presence of proteinuria or elevated serum creatinine level; or
+ hypertensive cerebral haemorrhage.

 Certain other conditions have hypertension as a contributing factor in their aetiology (for example: ischaemic heart disease and peripheral vascular disease). Such conditions are not to be regarded as being target organ damage when applying Part 2.1.

 Step 2: Calculate the total functional impairment due to any accepted target organ damage.

 Accepted hypertensive retinopathy is to be assessed by applying Chapter 8.

    If other ophthalmic conditions are present, they must be allowed for by applying Chapter 20 (Apportionment) or Chapter 19 (Partially Contributing Impairment) as appropriate.

 Accepted hypertensive cardiac disease is to be assessed by applying Chapter 1.

    If other cardiorespiratory conditions are present, they must be allowed for by applying Chapter 20 (Apportionment) or Chapter 19 (Partially Contributing Impairment) as appropriate.

 Accepted hypertensive nephropathy is to be assessed by applying Chapter 9.

    If other renal conditions are present, they must be allowed for by applying Chapter 20 (Apportionment) or Chapter 19 (Partially Contributing Impairment) as appropriate.

 Accepted hypertensive cerebral haemorrhage is to be assessed according to the specific effects of the haemorrhage.

 The impairment ratings attributable to the accepted target organ damage are to be combined by applying Chapter 18 (Combined Values Chart) to obtain the total impairment rating for accepted target organ damage.

 Target organ damage which is not an accepted condition cannot be assessed under this Guide.  Target organ damage can be assessed under this Guide only after it has been claimed and has become an accepted condition.

 The criterion in Table 2.1.1 which refers to "hypertension of such a degree that target organ damage is present" is not an assessment of the target organ damage itself but is a measure of the severity of the hypertension.

    Step 3: Determine an impairment rating for hypertension from Table 2.1.1.

Other Impairment Table 2.1.1

        Impairment

HYPERTENSION
        Ratings Criteria

                 NIL              Hypertension adequately controlled by diet and weight loss without long-term medication.

                 TWO       Hypertension requiring long-term medication but without side-effects of the medication and with no evidence of target organ damage.

   * Hypertension