Document ID: chunk:federal_register_of_legislation:F2023L00188:clause:1_30
Version: federal_register_of_legislation:F2023L00188
Segment Type: clause
Provision Reference: sch 1 cl 30
Character Range: 98721–101809

30      There is an extreme impact on adaptive functioning.

            (1) At least one of the following applies:

                 (a)                 The person is assessed as having a score of adaptive behaviour of 50 or less on an adaptive behaviour scale; or

                  (b) The person is assessed as being within the percentile rank of less than 0.1 on a standardised assessment of adaptive behaviour.

Table 10 – Digestive and Reproductive Function

Introduction to Table 10

       * Table 10 is to be used to assess the functional impairment of a diagnosed condition related to digestive or reproductive system functions.

       * Digestive conditions may include cancer and other diseases that affect the mouth, salivary glands, oesophagus, stomach, intestines (small or large intestine), pancreas, liver, gall bladder, bile ducts, rectum or anus.

       * Reproductive system conditions may include gynaecological diseases (such as severe and intractable endometriosis, ovarian cancer, cervical cancer, endometrial cancers) and conditions of the male reproductive system (such as prostate cancer).

       * The diagnosis of the condition causing the impairment must be made by an appropriately qualified medical practitioner.

       * There must be corroborating evidence of the person's impairment.

       * Self-report of symptoms must be supported by corroborating medical evidence.

       * Examples of corroborating evidence for the purposes of this Table include, but are not limited to, the following:

         * a report from the person's treating doctor;

         * a report from a medical specialist (such as a gastroenterologist, a gynaecologist, an urologist or an oncologist) confirming diagnosis of a digestive or reproductive system condition;

         * results of investigations (such as X-Rays or other imagery, endoscopy or colonoscopy).

       * Personal care needs associated with digestive conditions include, but are not limited to, the need to take medications when symptoms occur, care of special feeding equipment (such as Percutaneous Endoscopic Gastrostomy (PEG) button or special feeding tube), special diets or feeding solutions, strategies to relieve chronic pain, additional toileting and personal hygiene needs.

       * Personal care needs associated with reproductive system conditions include, but are not limited to, strategies to relieve chronic pain or more frequent menstrual care.

       * When determining whether a descriptor applies that involves a person performing an activity, the descriptor applies if that person can do the activity when they would be expected to do so and not only once or rarely.

       * When assessing episodic or fluctuating impairments and conditions, a rating must be assigned which reflects the overall functional impact of those impairments, taking into account the severity, duration and frequency of the episodes or fluctuations as appropriate.

       * The examples used in descriptors are not an exhaustive list and are to be used only as a guide.

Points  Descriptors