Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:1d:p1
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 1D (pt 1/4)
Character Range: 210641–214064

1D

Determine whether the percentage loss of weight is due to the accepted gastrointestinal condition being assessed. If it is, then the percentage loss of weight may be used in applying Table 6.1.2.

If the percentage loss of weight is not due to the accepted gastro- intestinal condition being assessed, then no impairment rating based on involuntary loss of weight can be given from Table 6.1.2.

  Substep If non-accepted conditions contribute to the percentage loss of
   1E weight, Chapter 19 (Partially Contributing Impairment) is to be
           applied.

Functional Loss
Table 6.1.2

LOSS OF GASTROINTESTINAL FUNCTION: MAINTENANCE OF NUTRITION

      Impairment
      Ratings Criteria

               NIL              Minor or no modification to diet, eg high fibre diet or necessity to avoid certain foodstuffs.
TWO       Malabsorption well controlled with appropriate replacement therapy.
                  * Prescribed exclusion diet or major dietary
                restrictions, eg gluten-free diet.
                  * Laboratory evidence of malabsorption or nutritional deficiency despite therapy (including dietary restriction), but no signs or symptoms.
TEN            Laboratory evidence of malabsorption together with some signs or symptoms.
TWENTY     Involuntary weight loss of 10% or more with evidence of active disease and minor symptoms only.
      THIRTY  Involuntary weight loss of 10% or more with evidence
of active disease and associated with local symptoms or mild systemic symptoms.
                  * Involuntary weight loss of 20% or more with
                evidence of active disease.
                  * Ileostomy, jejunostomy, oesophagostomy or gastrostomy.
SIXTY   Involuntary weight loss of 20% or more with evidence of active disease and associated with severe, frequent local symptoms and systemic symptoms, eg fever, malaise, anaemia.

               Only one rating is to be selected from this table for any condition or combination of conditions.
No age adjustment
permitted for this table

Functional Loss
Table 6.1.3
LOSS OF GASTROINTESTINAL FUNCTION: FAECAL EXCRETION

         Impairment
         Ratings Criteria

         NIL  Intermittent constipation. TWO Persistent constipation.
FIVE Minor faecal incontinence   associated with occasional soiling.
         TEN Faecal soiling necessitating frequent changes of
                  underwear, or a precautionary incontinence pad.
TWENTY Faecal incontinence necessitating use of incontin- ence pads on most days.
                     * Faecal incontinence necessitating several changes
                  of incontinence pads on most days.
                     * Colostomy.
         FIFTY Complete faecal incontinence.

   No age adjustment permitted for this table

Only one rating is to be selected from this table.

    Step 2: Determine any Other Impairment ratings that are applicable.

    Determine which of the Other Impairment tables apply to the accepted gastrointestinal condition and select the appropriate impairment rating from each.

    There are nine gastrointestinal Other Impairment tables:
+ Table 6.1.4   Oral cavity and oesophagus
+ Table 6.1.5   Non-ulcer dyspepsia, nausea and vomiting
+ Table 6.1.6   Peptic ulcers: duodenal or gastric ulcers
+ Table 6.1.7   Effects of past gastric surgery
+ Table 6.1.8   Disorders of the large and small bowel
+ Table 6.1.9   Disorders of the anus and