Document ID: chunk:federal_register_of_legislation:F2020L00498:reg:7
Version: federal_register_of_legislation:F2020L00498
Segment Type: reg
Provision Reference: reg 7
Character Range: 1641–3579

7               Kind of injury, disease or death to which this Statement of Principles relates
(1)          This Statement of Principles is about coeliac disease and death from coeliac disease.
Meaning of coeliac disease
(2)          For the purposes of this Statement of Principles, coeliac disease:
(a)          means a malabsorption disorder in susceptible people due to immune-mediated mucosal inflammation of the small intestine, characterised by villous atrophy and crypt hyperplasia, and triggered by hypersensitivity to ingested gluten; and
(b)          excludes:
(i)            non-coeliac gluten sensitivity;
(ii)         non-coeliac wheat protein sensitivity; and
(iii)       wheat allergy.
                Note 1: Coeliac disease is associated with autoantibodies to tissue transglutaminase (tTG-IgA) and to endomysium (EMA-IgA).
                Note 2: Coeliac disease is characterised by other gastrointestinal manifestations in addition to malabsorption, and by extraintestinal manifestations involving a wide range of organ systems.
(3)          While coeliac disease attracts ICD‑10‑AM code K90.0, in applying this Statement of Principles the meaning of coeliac 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 coeliac disease
(5)          For the purposes of this Statement of Principles, coeliac disease, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's coeliac disease.
Note: terminal event is defined in the Schedule 1 – Dictionary.