Document ID: chunk:federal_register_of_legislation:F2019L00239:reg:7
Version: federal_register_of_legislation:F2019L00239
Segment Type: reg
Provision Reference: reg 7
Character Range: 1660–4514

7               Kind of injury, disease or death to which this Statement of Principles relates
(1)          This Statement of Principles is about Alzheimer disease and death from Alzheimer disease.
Meaning of Alzheimer disease
(2)          For the purposes of this Statement of Principles, Alzheimer disease means a central nervous system neurodegenerative disorder meeting the following clinical diagnostic criteria (derived from DSM-5):

             1. Evidence of major neurocognitive disorder or mild neurocognitive disorder.

              2. There is insidious onset and gradual progression of impairment in one or more cognitive domains.  There is steady progressive, gradual decline in cognition, without extended plateaus.

              3. There is either:

                (i)            evidence of a causative Alzheimer disease genetic mutation from family history or genetic testing; or

                (ii)         clear evidence of decline in memory and learning, except where there are atypical presentations of Alzheimer disease.

            D.           The cognitive deficits in Criteria A, B and C are not primarily due to any of the following:

                (i)            delirium;

                (ii)         another mental disorder (for example, major depressive disorder, schizophrenia); or

                (iii)       cerebrovascular disease, another neurodegenerative disease (for example, neurocognitive disorder with Lewy bodies, Parkinson's disease, Huntington's chorea), brain tumour, subdural haematoma, the effects of a substance, or systemic disorder (for example, hypothyroidism, vitamin B12 or folic acid deficiency, niacin deficiency, hypercalcaemia, neurosyphilis, human immunodeficiency virus infection).

            Note: atypical presentations of Alzheimer disease, DSM-5, major neurocognitive disorder and mild neurocognitive disorder are defined in the Schedule 1 – Dictionary.
(3)          While Alzheimer disease attracts ICD‑10‑AM code G30.0, G30.1, G30.8 or G30.9, in applying this Statement of Principles the meaning of Alzheimer 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 Alzheimer disease
(5)          For the purposes of this Statement of Principles, Alzheimer disease, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's Alzheimer disease.
Note: terminal event is defined in the Schedule 1 – Dictionary.