Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:114:p8
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 114 (pt 8/8)
Character Range: 205806–207568

are to be given for each affected function.

    If the gastrointestinal loss of function is due to a malignant condition, the step- by-step instructions in Chapter 14 (Malignant Conditions) are to be followed.

    If the gastrointestinal loss of function is intermittent in nature or has a significant intermittent component, Chapter 15 (Intermittent Impairment) is to be applied.

    If the gastrointestinal loss of function is very severe or causes marked debility, Chapter 16 (Activities of Daily Living) is to be applied.

    In particular, severely impaired liver function is to be rated by reference to
Chapter 16 (Activities of Daily Living).

Other Impairment (Tables 6.1.4 to 6.1.12)

 Tables 6.1.4 to 6.1.12 give specific impairment ratings for various gastrointestinal conditions, based largely on the presence of symptoms.  Each of the nine tables refers to a different region or aspect of the gastrointestinal tract or to one of the associated organs of digestion. If, for the same gastro-intestinal condition, ratings can be given both from one of the Functional Loss tables and from a gastrointestinal Other Impairment table, the higher rating is to be chosen.

 If multiple accepted conditions contribute to any of the ratings obtained from any of Tables 6.1.1, 6.1.2 or 6.1.3, Chapter 20 (Apportionment) is to be applied as required before making any comparison with a rating from one of the gastrointestinal Other Impairment tables.

  Calculation of the impairment rating for gastrointestinal conditions

 Follow the steps below to calculate the impairment due to accepted gastrointestinal conditions.

 (Each step is elaborated in the following pages.)

 STEP            Determine one or more ratings for loss of gastro-          Page