Document ID: chunk:federal_register_of_legislation:F2018L01182:reg:7
Version: federal_register_of_legislation:F2018L01182
Segment Type: reg
Provision Reference: reg 7
Character Range: 1699–3971

7               Kind of injury, disease or death to which this Statement of Principles relates
(1)          This Statement of Principles is about adrenal insufficiency and death from adrenal insufficiency.
Meaning of adrenal insufficiency
(2)          For the purposes of this Statement of Principles, adrenal insufficiency:
(a)          means an endocrine disease characterised by biochemically-demonstrated deficient production of adrenal cortical hormones, sufficient to produce clinical symptoms and signs, and to necessitate glucocorticoid, mineralocorticoid or adrenal androgen replacement therapy; and
(b)          includes drug-induced adrenal insufficiency; and
(c)          excludes heritable and congenital forms of adrenal insufficiency.
Note 1: Adrenal cortical hormones are mineralocorticoids, cortisol and adrenal androgens.
            Note 2: Clinical symptoms and signs of adrenal insufficiency are nonspecific and may include nausea, vomiting, abdominal cramps and diarrhoea, fatigue, myalgias, arthralgias, weakness, fever, dizziness, weight loss, amenorrhoea, decreased libido and depression.
            Note 3: Adrenal insufficiency may be acute or chronic.  Acute adrenal insufficiency may present as an adrenal crisis.  Primary adrenal insufficiency is also known as Addison disease.
(3)          While adrenal insufficiency attracts ICD‑10‑AM code E27.1, E27.2, E27.3, E27.4, E89.6, A18.7 or A39.1, in applying this Statement of Principles the meaning of adrenal insufficiency 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 adrenal insufficiency
(5)          For the purposes of this Statement of Principles, adrenal insufficiency, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's adrenal insufficiency.
Note: terminal event is defined in the Schedule 1 – Dictionary.