{"id":"F2005B02681","name":"Amendment of Statement of Principles concerning ischaemic heart disease No. 10 of 2004","slug":"amendment-of-statement-of-principles-concerning-ischaemic-heart-disease-no-10-of-2004","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"repealed","isInForce":false,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":32905,"registerId":"commonwealth-F2005B02681-current","compilationNumber":null,"startDate":"2026-04-01","status":"Repealed","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"1","sectionType":"section","heading":"Amendment of Statement of Principles concerning ischaemic heart disease No. 10 of 2004","content":"Instrument No. 10 of 2004\n\nAmendment of Statement of Principles\n\nconcerning\n\nISCHAEMIC HEART DISEASE\n\nVeterans’ Entitlements Act 1986\n\n1.  The Repatriation Medical Authority amends, under subsection 196B(3) of the Veterans’ Entitlements Act 1986 (the Act), Instrument No. 54 of 2003, by:\n\n1.  in paragraph 5, deleting factor (h) and inserting in its place the following factor:\n\n“(h) an inability to undertake any physical activity greater than 3 METs for at least the 7 years immediately before the clinical onset of ischaemic heart disease; or”,\n\nB. inserting immediately after factor (t) in paragraph 5, the following factor:\n\n“(ta) an inability to undertake any physical activity greater than 3 METs for at least the 7 years immediately before the clinical worsening of ischaemic heart disease; or”,\n\nC. in paragraph 8, deleting the definition of “an inability to undertake more than a mildly strenuous level of physical activity”,\n\nD. inserting immediately after the definition of “ICD-10-AM code” in paragraph 8, the following:\n\n“‘MET’ means a unit of measurement of the level of physical exertion. 1 MET = 3.5 ml of oxygen/kg of body weight per minute or, 1.0 kcal/kg of body weight per hour, or resting metabolic rate;”\n\nE. in paragraph 8, deleting the definition of “chronic renal disease” and inserting in its place the following:\n\n“‘chronic renal disease’ means irreversible kidney damage which leads to impaired renal function;”\n\n2. The amendment made by this instrument applies to all matters to which Instrument No. 54 of 2003, and section 120B of the Act apply.\n\nDated this 26th day of March 2004\n\nThe Common Seal of the )\n\nRepatriation Medical Authority )\n\nwas affixed to this instrument )\n\nin the presence of )\n\nKEN DONALD\n\nCHAIRMAN","sortOrder":0}],"analysis":{"kimi_summary":{"_metrics":{"model":"kimi-k2.5","source":"moonshot-batch","completionTokens":2030},"content_quality":"ok","complexity_score":3,"scope_assessment":{"changed":false,"description":"The amendment maintains the existing scope of determining liability for ischaemic heart disease under veterans' compensation law. It represents a technical refinement of medical criteria—replacing subjective activity descriptions with objective MET measurements—rather than an expansion into new policy areas or conditions."},"complexity_factors":["Cross-references to Instrument No. 54 of 2003 and section 120B of the Veterans' Entitlements Act 1986","Medical terminology including METs, ICD-10-AM codes, and clinical definitions","Amendment structure requiring navigation of specific paragraphs and factors in the original instrument","Scientific measurement units requiring precise physiological definition"],"plain_english_summary":"This instrument tightens how veterans’ ischaemic heart disease claims are judged by replacing vague “mildly strenuous” activity with the METs (Metabolic Equivalent of Task) measure. To qualify, veterans must show inability to perform activities over 3 METs for at least seven years before disease onset or clinical worsening. It also narrows chronic renal disease to irreversible, function‑impairing kidney damage. These changes aim to make compensation decisions more objective and consistent."}},"importantCases":[],"_links":{"self":"/api/acts/amendment-of-statement-of-principles-concerning-ischaemic-heart-disease-no-10-of-2004","history":"/api/acts/amendment-of-statement-of-principles-concerning-ischaemic-heart-disease-no-10-of-2004/history","analysis":"/api/acts/amendment-of-statement-of-principles-concerning-ischaemic-heart-disease-no-10-of-2004/analysis","conflicts":"/api/acts/amendment-of-statement-of-principles-concerning-ischaemic-heart-disease-no-10-of-2004/conflicts","importantCases":"/api/acts/amendment-of-statement-of-principles-concerning-ischaemic-heart-disease-no-10-of-2004/important-cases","documents":"/api/acts/amendment-of-statement-of-principles-concerning-ischaemic-heart-disease-no-10-of-2004/documents"}}