Document ID: chunk:federal_register_of_legislation:F2022L01127:reg:7
Version: federal_register_of_legislation:F2022L01127
Segment Type: reg
Provision Reference: reg 7
Character Range: 1737–4419

7               Kind of injury, disease or death to which this Statement of Principles relates
(1)          This Statement of Principles is about malignant neoplasm of the anus and anal canal and death from malignant neoplasm of the anus and anal canal.
Meaning of malignant neoplasm of the anus and anal canal
(2)          For the purposes of this Statement of Principles, malignant neoplasm of the anus and anal canal:
(a)          means a primary malignant neoplasm arising from the epithelial cells of the anus or anal canal; and
(b)          includes:
                 (i)            adenocarcinoma;
                 (ii)         adenocarcinoma in situ;
                 (iii)       carcinoma in situ;
                 (iv)        high-grade anal squamous intra-epithelial lesion (HSIL); and
(v)          squamous cell carcinoma; and
(c)          excludes:
                 (i)            atypical squamous cell histology of undetermined significance in the anal canal;
                 (ii)         haematolymphoid tumours including Hodgkin's lymphoma and non-Hodgkin lymphoma;
                 (iii)       low-grade anal squamous intra-epithelial lesion (LSIL);
                 (iv)        malignant melanoma;
                 (v)          mesenchymal tumours including soft tissue sarcoma;
                 (vi)        neoplasms of the perianal skin (anal margin); and
                 (vii)     neuroendocrine tumours.
               Note: Anatomically, the anus and anal canal extends from the anus (anal verge) to the junction of the anal canal with the rectum, including the anorectal transformation zone.
(3)          While malignant neoplasm of the anus and anal canal attracts ICD‑10‑AM codes C21.0, C21.1, C21.2 or D01.3, in applying this Statement of Principles the meaning of malignant neoplasm of the anus and anal canal 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 malignant neoplasm of the anus and anal canal
(5)          For the purposes of this Statement of Principles, malignant neoplasm of the anus and anal canal, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's malignant neoplasm of the anus and anal canal.
Note: terminal event is defined in the Schedule 1 – Dictionary.