{"id":"F2005B02676","name":"Amendment of Statement of Principles concerning ischaemic heart disease No. 9 of 2004","slug":"amendment-of-statement-of-principles-concerning-ischaemic-heart-disease-no-9-of-2004","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"repealed","isInForce":false,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":32904,"registerId":"commonwealth-F2005B02676-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Repealed","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"1","sectionType":"section","heading":"Amendment of Statement of Principles concerning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. 9 of 2004","content":"Instrument No. 9 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(2) of the Veterans’ Entitlements Act 1986 (the Act), Instrument No. 53 of 2003, by:\n\n1.  in paragraph 5, deleting factors (h) and (y) and inserting in their place the following factors:\n\n“(h) an inability to undertake any physical activity greater than 3 METs for at least the five years immediately before the clinical onset of ischaemic heart disease; or”,\n\n“(y) an inability to undertake any physical activity greater than 3 METs for at least the five years immediately before the clinical worsening of ischaemic heart disease; or”,\n\nB. in paragraph 8, deleting the definition of “an inability to undertake more than a mildly strenuous level of physical activity”,\n\nC. 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\n  \n\nD. 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. 53 of 2003, and section 120A 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":3001},"content_quality":"ok","complexity_score":3,"scope_assessment":{"changed":false,"description":"The instrument maintains the original scope of establishing medical criteria for determining service-related ischaemic heart disease in veterans. It refines specific definitions and evidentiary thresholds without expanding the subject matter or coverage of the Statement of Principles."},"complexity_factors":["Requires cross-referencing with Instrument No. 53 of 2003 and the Veterans' Entitlements Act 1986 to understand full context","Introduction of technical medical measurement unit (MET - Metabolic Equivalent of Task)","Precise substitution of specific factors at paragraph level (paragraphs 5 and 8)","Use of medical classification codes (ICD-10-AM)"],"plain_english_summary":"This instrument tightens how ischaemic heart disease is assessed for Australian veterans’ compensation by replacing a vague fitness test with a precise physical-activity threshold (inability to do >3 METs for at least five years before the condition began or worsened) and by narrowing “chronic renal disease” to irreversible kidney damage with impaired function. It affects veterans’ eligibility for service-related treatment and disability benefits under the Veterans' Entitlements Act 1986."}},"importantCases":[],"_links":{"self":"/api/acts/amendment-of-statement-of-principles-concerning-ischaemic-heart-disease-no-9-of-2004","history":"/api/acts/amendment-of-statement-of-principles-concerning-ischaemic-heart-disease-no-9-of-2004/history","analysis":"/api/acts/amendment-of-statement-of-principles-concerning-ischaemic-heart-disease-no-9-of-2004/analysis","conflicts":"/api/acts/amendment-of-statement-of-principles-concerning-ischaemic-heart-disease-no-9-of-2004/conflicts","importantCases":"/api/acts/amendment-of-statement-of-principles-concerning-ischaemic-heart-disease-no-9-of-2004/important-cases","documents":"/api/acts/amendment-of-statement-of-principles-concerning-ischaemic-heart-disease-no-9-of-2004/documents"}}