Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:15:p23
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 15 (pt 23/28)
Character Range: 390307–393885

general sense. The second table relates to reduced life expectancy which is regarded as an Other Impairment.

If the impairment rating from Chapter 14 is 70 points on the basis of either the malignant disorders functional table (Table 14.1) or the malignant disorders Other Impairment table (Table 14.2), there is no need to follow the steps set out in the following pages. If the rating from Chapter 14 is below 70 points, the steps are to be followed.

Determine the impairment rating for an accepted malignant condition

Follow the steps below to calculate the impairment due to an accepted malignant condition.

(Each of these steps is elaborated in the following pages.)

STEP 1  Establish which body systems are affected by the malignant condition.                                                                                                                                   Page 168
STEP 2  Determine the functional impairment ratings for the affected body systems.                                                                                                                              Page 168
STEP 3  Determine the total combined impairment rating for the various body system impairments attributable to the malignant condition.                                                                         Page 168
STEP 4  Determine the impairment rating based on Table 14.1 (Malignant Disorders).                                                                                                                              Page 168
STEP 5  Determine the impairment rating based on Table 14.2 (Life Expectancy).                                                                                                                                  Page 169
STEP 6  Compare the ratings obtained in Steps 4 and 5. Take the higher rating.                                                                                                                                  Page 170
STEP 7  Compare the ratings obtained in Steps 3 and 6. Take the higher rating.                                                                                                                                  Page 170
STEP 8  If the rating obtained in Step 3 is higher than that obtained in Step 6, separate the components of the rating obtained in Step 3 so that each can be included in the final combining of all ratings.   Page 171

Step 1: Establish which body systems are affected by the malignant condition.

Before a malignant condition is assessed, information regarding the extent of the condition must be available. Such information includes the site of the primary, the sites of any secondaries, the effects of any surgery and the effects of any radiotherapy or chemotherapy.

From that information the affected body systems can be established and the applicable chapters of this Guide applied.

For example, in the case of an accepted carcinoma of the rectum, there may be surgical resection of the rectum with a colostomy, secondary spread of the cancer to the lungs and spine, and radiotherapy with some resultant digestive disturbances. In such a case, Chapters 1, 3, and 6 of this Guide will have to be applied in Step 1 to arrive at an appropriate functional impairment rating.

Step 2: Determine the functional impairment ratings for the affected body systems.

Depending on the body systems that are affected by the malignant condition and its treatment, each of the relevant chapters of the Guide is to be used and appropriate ratings obtained.

If other accepted