Document ID: chunk:federal_register_of_legislation:F2023C00151:reg:15:p25
Version: federal_register_of_legislation:F2023C00151
Segment Type: reg
Provision Reference: reg 15 (pt 25/28)
Character Range: 396310–399413

procedure or operation. Thus, once a rating from Table 14.2 has been made it is not to be changed, unless subsequent findings indicate that the earlier prognosis was based on incorrect clinical information.

If the assessment is made posthumously, the rating from Table 14.2 is not to be modified to reflect the actual duration for which the veteran survived after diagnosis. The table is only to be used for predicted probability of survival.

Ratings from Table 14.2 are not to be updated to account for the natural progression of the disease. However, it is expected that ratings from Table 14.2 will come to be exceeded by ratings from Table 14.1 during this time.

Ratings from Table 14.2 are not to be reduced because of favourable response to treatment, or because of better than expected survival. However, if the condition is being rated for the first time more than five years after diagnosis, and the disorder is in remission or appears to be cured, the impairment rating from this table is not to exceed ten.

If the veteran has more than one malignant condition accepted, Table 14.2 is to be applied to each condition. Table 14.2 is not to be applied to a recurrence of an old (already diagnosed) condition.

Functional Loss Table 14.1
MALIGNANT DISORDERS
Impairment Ratings          Criteria
NIL                         Minor symptoms that are easily tolerated.
TEN                         Mild to moderate symptoms that are irritating or unpleasant but rarely prevent completion of any activity. Symptoms may cause loss of efficiency in some activities.
TWENTY                      More severe symptoms that are more distressing but prevent few everyday activities. Loss of efficiency is discernible in a good few activities. Self-care is unaffected and independence is retained.
THIRTY-FIVE                 Loss of efficiency discernible in many everyday activities. Some elements of self-care are restricted but, in most respects, independence is retained.
FIFTY                       Major restrictions in many everyday activities. Capacity for self-care is increasingly restricted, leading to partial dependence on others.
SEVENTY                     Most everyday activities are prevented. Dependent on others for most kinds of self-care. Able to be maintained at home with considerable assistance and frequent medical care.

No age adjustment permitted for this table

Functional Loss Table 14.2
LIFE EXPECTANCY
Impairment Ratings          Predicted Survival at the Time of Diagnosis or Staging Procedure
NIL                         Normal, or near-normal, five year survival.
TEN                         Five year survival less than 75% of normal.
TWENTY                      Five year survival less than 50% of normal.
THIRTY-FIVE                 Five year survival less than 25% of normal.
FIFTY                       One year survival less than 50% of normal.
SEVENTY                     One year survival less than 25% of normal.

No age adjustment permitted for this table

Step 6: Compare the ratings obtained in Steps 4 and 5. Take the higher rating.

The higher