{"id":"F2008B00273","name":"Statement of Principles concerning anal fissure No. 247 of 1995","slug":"statement-of-principles-concerning-anal-fissure-no-247-of-1995","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"repealed","isInForce":false,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":73058,"registerId":"commonwealth-F2008B00273-current","compilationNumber":null,"startDate":"2026-04-02","status":"Repealed","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"Statement of Principles","sectionType":"part","heading":"Statement of Principles","content":"## Statement of Principles\n\n### concerning\n\n## ANAL FISSURE\n\n##### ICD CODES: 565.0\n\n###### Veterans’ Entitlements Act 1986 \nsubsection 196B(2)\n\n1. Being of the view that there is sound medical-scientific evidence that indicates that anal fissure and death from anal fissure can be related to operational service rendered by veterans, peacekeeping service rendered by members of Peacekeeping Forces and hazardous service rendered by members of the Forces, the Repatriation Medical Authority determines, under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (the Act), that the factors that must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting anal fissure or death from anal fissure with the circumstances of that service, are:\n\n(a) undergoing anal surgery immediately before the clinical onset of anal fissure; or\n\n(b) suffering trauma to the perineum immediately before the clinical onset of anal fissure; or\n\n(c) being infected with HIV before the clinical onset of anal fissure; or\n\n(d) suffering Crohn's disease before the clinical onset of anal fissure; or\n\n(e) suffering constipation immediately before the clinical onset of anal fissure; or\n\n(f) suffering from ulcerative colitis before the clinical onset of anal fissure; or\n\n(g) inability to obtain appropriate clinical management for the anal fissure.\n\n2. Subject to clause 3 (below) at least one of the factors set out in paragraph 1(a) to 1(g) must be related to any service rendered by a person.\n\n3. The factor set out in paragraph 1(g) applies only where:\n\n(a) the person's anal fissure developed before a period, or part of a period, of service to which the factor is related; and\n\n(b) the relationship suggested between the anal fissure and the particular service of a person is a relationship set out in paragraph 8(1)(e), 9(1)(e), 70(5)(d) or 70(5A)(d) of the Act.\n\n4. For the purposes of this Statement of Principles:\n\n“anal fissure” means a longitudinal, elliptical or rounded defect in the anoderm, extending part or all of the way from the anal verge to the pectinate line, attracting ICD code 565.0;\n\n“being infected with HIV” means serological evidence of infection with Human Immunodeficiency Virus, attracting an ICD code in the range 042 - 044;\n\n“constipation” means infrequent or difficult evacuation of the faeces that leads to straining at stool, attracting ICD code 564.0;\n\n“Crohn's disease” means an inflammatory disease of the digestive system, involving the bowel wall, characterised by the presence of epithelioid cell granuloma, often with giant cells, attracting ICD code 555;\n\n“'ICD code' means a number assigned to a particular kind of injury or disease in the Australian Version of The International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM), effective date of 1 July 1996, copyrighted by the National Coding Centre, Faculty of Health Sciences, University of Sydney, NSW, and having ISBN 0 642 24447 2;\n\n \n\n“trauma to the perineum” means injury to the region between the thighs caused, for example, by childbirth, laceration by a foreign body, sexual assault or surgical procedures, attracting ICD code 664, 863.89 or 863.99;\n\n“ulcerative colitis” means a chronic recurrent inflammatory disease of the colon, usually limited to the mucosa and submucosa, characterised by diffuse inflammatory cell infiltrate and crypt abscesses, attracting ICD code 556;\n\n“trauma to the perineum” means injury to the region between the thighs caused, for example, by childbirth, laceration by a foreign body, sexual assault or surgical procedure, attracting ICD code 664;\n\n“ulcerative colitis” means a chronic recurrent inflammatory disease of the colon, usually limited to the mucosa and submucosa, characterised by diffuse inflammatory cell infiltrate and crypt abscesses, attracting ICD code 556.\n\n \n\n> Notes to Statement of Principles concerning anal fissure (Instrument No. 247 of1995)\n\nThe Statement of Principles concerning anal fissure (Instrument No. 247 of 1995) in force under section 196B(2) of the Veterans’ Entitlements Act 1986, as shown in this compilation is amended as indicated in the Tables below.\n\nTable of Instruments\n\n| Title | Date of notificationin Gazette or FRLI registration | Date ofcommencement | Application, saving ortransitional provisions |\n| ---------------------------------------------------------------------------------------- | --------------------------------------------------- | ------------------- | --------------------------------------------- |\n| Statement of Principles concerning anal fissure (Instrument No. 247 of1995) | 28 June 1995 (see Gazette 1995, No. GN25) | 28 June 1995 | |\n| Amendment of Statement of Principles concerning anal fissure (Instrument No. 11 of 1997) | 29 January 1997 (see Gazette 1997, No. GN4) | 29 January 1997 | |\n\n \nTable of Amendments\n\n```html\n

ad. = added or inserted am. = amended rep. = repealed rs. = repealed and substituted

Provision affected

How affected

Heading of Instrument - ‘ICD CODE: 565.0’

am. Instrument No.11 of 1997

Paragraph 4 - ‘ “anal fissure” means a longitudinal……………..’

am. Instrument No. 11 of 1997

Paragraph 4 – ‘ “ICD code” means a number assigned……………’

rs. Instrument No. 11 of 1997

Paragraph 4 – ‘ “trauma to the perineum” means injury to the region………’

am. Instrument No. 11 of 1997

\n```","sortOrder":0},{"sectionNumber":"concerning","sectionType":"division","heading":"concerning","content":"## Statement of Principles\n\n### concerning\n\n## ANAL FISSURE\n\n##### ICD CODES: 565.0\n\n###### Veterans’ Entitlements Act 1986 \nsubsection 196B(2)\n\n1. Being of the view that there is sound medical-scientific evidence that indicates that anal fissure and death from anal fissure can be related to operational service rendered by veterans, peacekeeping service rendered by members of Peacekeeping Forces and hazardous service rendered by members of the Forces, the Repatriation Medical Authority determines, under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (the Act), that the factors that must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting anal fissure or death from anal fissure with the circumstances of that service, are:\n\n(a) undergoing anal surgery immediately before the clinical onset of anal fissure; or\n\n(b) suffering trauma to the perineum immediately before the clinical onset of anal fissure; or\n\n(c) being infected with HIV before the clinical onset of anal fissure; or\n\n(d) suffering Crohn's disease before the clinical onset of anal fissure; or\n\n(e) suffering constipation immediately before the clinical onset of anal fissure; or\n\n(f) suffering from ulcerative colitis before the clinical onset of anal fissure; or\n\n(g) inability to obtain appropriate clinical management for the anal fissure.\n\n2. Subject to clause 3 (below) at least one of the factors set out in paragraph 1(a) to 1(g) must be related to any service rendered by a person.\n\n3. The factor set out in paragraph 1(g) applies only where:\n\n(a) the person's anal fissure developed before a period, or part of a period, of service to which the factor is related; and\n\n(b) the relationship suggested between the anal fissure and the particular service of a person is a relationship set out in paragraph 8(1)(e), 9(1)(e), 70(5)(d) or 70(5A)(d) of the Act.\n\n4. For the purposes of this Statement of Principles:\n\n“anal fissure” means a longitudinal, elliptical or rounded defect in the anoderm, extending part or all of the way from the anal verge to the pectinate line, attracting ICD code 565.0;\n\n“being infected with HIV” means serological evidence of infection with Human Immunodeficiency Virus, attracting an ICD code in the range 042 - 044;\n\n“constipation” means infrequent or difficult evacuation of the faeces that leads to straining at stool, attracting ICD code 564.0;\n\n“Crohn's disease” means an inflammatory disease of the digestive system, involving the bowel wall, characterised by the presence of epithelioid cell granuloma, often with giant cells, attracting ICD code 555;\n\n“'ICD code' means a number assigned to a particular kind of injury or disease in the Australian Version of The International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM), effective date of 1 July 1996, copyrighted by the National Coding Centre, Faculty of Health Sciences, University of Sydney, NSW, and having ISBN 0 642 24447 2;\n\n \n\n“trauma to the perineum” means injury to the region between the thighs caused, for example, by childbirth, laceration by a foreign body, sexual assault or surgical procedures, attracting ICD code 664, 863.89 or 863.99;\n\n“ulcerative colitis” means a chronic recurrent inflammatory disease of the colon, usually limited to the mucosa and submucosa, characterised by diffuse inflammatory cell infiltrate and crypt abscesses, attracting ICD code 556;\n\n“trauma to the perineum” means injury to the region between the thighs caused, for example, by childbirth, laceration by a foreign body, sexual assault or surgical procedure, attracting ICD code 664;\n\n“ulcerative colitis” means a chronic recurrent inflammatory disease of the colon, usually limited to the mucosa and submucosa, characterised by diffuse inflammatory cell infiltrate and crypt abscesses, attracting ICD code 556.\n\n \n\n> Notes to Statement of Principles concerning anal fissure (Instrument No. 247 of1995)\n\nThe Statement of Principles concerning anal fissure (Instrument No. 247 of 1995) in force under section 196B(2) of the Veterans’ Entitlements Act 1986, as shown in this compilation is amended as indicated in the Tables below.\n\nTable of Instruments\n\n| Title | Date of notificationin Gazette or FRLI registration | Date ofcommencement | Application, saving ortransitional provisions |\n| ---------------------------------------------------------------------------------------- | --------------------------------------------------- | ------------------- | --------------------------------------------- |\n| Statement of Principles concerning anal fissure (Instrument No. 247 of1995) | 28 June 1995 (see Gazette 1995, No. GN25) | 28 June 1995 | |\n| Amendment of Statement of Principles concerning anal fissure (Instrument No. 11 of 1997) | 29 January 1997 (see Gazette 1997, No. GN4) | 29 January 1997 | |\n\n \nTable of Amendments\n\n```html\n

ad. = added or inserted am. = amended rep. = repealed rs. = repealed and substituted

Provision affected

How affected

Heading of Instrument - ‘ICD CODE: 565.0’

am. Instrument No.11 of 1997

Paragraph 4 - ‘ “anal fissure” means a longitudinal……………..’

am. Instrument No. 11 of 1997

Paragraph 4 – ‘ “ICD code” means a number assigned……………’

rs. Instrument No. 11 of 1997

Paragraph 4 – ‘ “trauma to the perineum” means injury to the region………’

am. Instrument No. 11 of 1997

\n```","sortOrder":1},{"sectionNumber":"ANAL FISSURE","sectionType":"part","heading":"ANAL FISSURE","content":"## Statement of Principles\n\n### concerning\n\n## ANAL FISSURE\n\n##### ICD CODES: 565.0\n\n###### Veterans’ Entitlements Act 1986 \nsubsection 196B(2)\n\n1. Being of the view that there is sound medical-scientific evidence that indicates that anal fissure and death from anal fissure can be related to operational service rendered by veterans, peacekeeping service rendered by members of Peacekeeping Forces and hazardous service rendered by members of the Forces, the Repatriation Medical Authority determines, under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (the Act), that the factors that must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting anal fissure or death from anal fissure with the circumstances of that service, are:\n\n(a) undergoing anal surgery immediately before the clinical onset of anal fissure; or\n\n(b) suffering trauma to the perineum immediately before the clinical onset of anal fissure; or\n\n(c) being infected with HIV before the clinical onset of anal fissure; or\n\n(d) suffering Crohn's disease before the clinical onset of anal fissure; or\n\n(e) suffering constipation immediately before the clinical onset of anal fissure; or\n\n(f) suffering from ulcerative colitis before the clinical onset of anal fissure; or\n\n(g) inability to obtain appropriate clinical management for the anal fissure.\n\n2. Subject to clause 3 (below) at least one of the factors set out in paragraph 1(a) to 1(g) must be related to any service rendered by a person.\n\n3. The factor set out in paragraph 1(g) applies only where:\n\n(a) the person's anal fissure developed before a period, or part of a period, of service to which the factor is related; and\n\n(b) the relationship suggested between the anal fissure and the particular service of a person is a relationship set out in paragraph 8(1)(e), 9(1)(e), 70(5)(d) or 70(5A)(d) of the Act.\n\n4. For the purposes of this Statement of Principles:\n\n“anal fissure” means a longitudinal, elliptical or rounded defect in the anoderm, extending part or all of the way from the anal verge to the pectinate line, attracting ICD code 565.0;\n\n“being infected with HIV” means serological evidence of infection with Human Immunodeficiency Virus, attracting an ICD code in the range 042 - 044;\n\n“constipation” means infrequent or difficult evacuation of the faeces that leads to straining at stool, attracting ICD code 564.0;\n\n“Crohn's disease” means an inflammatory disease of the digestive system, involving the bowel wall, characterised by the presence of epithelioid cell granuloma, often with giant cells, attracting ICD code 555;\n\n“'ICD code' means a number assigned to a particular kind of injury or disease in the Australian Version of The International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM), effective date of 1 July 1996, copyrighted by the National Coding Centre, Faculty of Health Sciences, University of Sydney, NSW, and having ISBN 0 642 24447 2;\n\n \n\n“trauma to the perineum” means injury to the region between the thighs caused, for example, by childbirth, laceration by a foreign body, sexual assault or surgical procedures, attracting ICD code 664, 863.89 or 863.99;\n\n“ulcerative colitis” means a chronic recurrent inflammatory disease of the colon, usually limited to the mucosa and submucosa, characterised by diffuse inflammatory cell infiltrate and crypt abscesses, attracting ICD code 556;\n\n“trauma to the perineum” means injury to the region between the thighs caused, for example, by childbirth, laceration by a foreign body, sexual assault or surgical procedure, attracting ICD code 664;\n\n“ulcerative colitis” means a chronic recurrent inflammatory disease of the colon, usually limited to the mucosa and submucosa, characterised by diffuse inflammatory cell infiltrate and crypt abscesses, attracting ICD code 556.\n\n \n\n> Notes to Statement of Principles concerning anal fissure (Instrument No. 247 of1995)\n\nThe Statement of Principles concerning anal fissure (Instrument No. 247 of 1995) in force under section 196B(2) of the Veterans’ Entitlements Act 1986, as shown in this compilation is amended as indicated in the Tables below.\n\nTable of Instruments\n\n| Title | Date of notificationin Gazette or FRLI registration | Date ofcommencement | Application, saving ortransitional provisions |\n| ---------------------------------------------------------------------------------------- | --------------------------------------------------- | ------------------- | --------------------------------------------- |\n| Statement of Principles concerning anal fissure (Instrument No. 247 of1995) | 28 June 1995 (see Gazette 1995, No. GN25) | 28 June 1995 | |\n| Amendment of Statement of Principles concerning anal fissure (Instrument No. 11 of 1997) | 29 January 1997 (see Gazette 1997, No. GN4) | 29 January 1997 | |\n\n \nTable of Amendments\n\n```html\n

ad. = added or inserted am. = amended rep. = repealed rs. = repealed and substituted

Provision affected

How affected

Heading of Instrument - ‘ICD CODE: 565.0’

am. Instrument No.11 of 1997

Paragraph 4 - ‘ “anal fissure” means a longitudinal……………..’

am. Instrument No. 11 of 1997

Paragraph 4 – ‘ “ICD code” means a number assigned……………’

rs. Instrument No. 11 of 1997

Paragraph 4 – ‘ “trauma to the perineum” means injury to the region………’

am. Instrument No. 11 of 1997

\n```","sortOrder":2},{"sectionNumber":"ICD CODES: 565.0","sectionType":"section","heading":"ICD CODES: 565.0","content":"## Statement of Principles\n\n### concerning\n\n## ANAL FISSURE\n\n##### ICD CODES: 565.0\n\n###### Veterans’ Entitlements Act 1986 \nsubsection 196B(2)\n\n1. Being of the view that there is sound medical-scientific evidence that indicates that anal fissure and death from anal fissure can be related to operational service rendered by veterans, peacekeeping service rendered by members of Peacekeeping Forces and hazardous service rendered by members of the Forces, the Repatriation Medical Authority determines, under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (the Act), that the factors that must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting anal fissure or death from anal fissure with the circumstances of that service, are:\n\n(a) undergoing anal surgery immediately before the clinical onset of anal fissure; or\n\n(b) suffering trauma to the perineum immediately before the clinical onset of anal fissure; or\n\n(c) being infected with HIV before the clinical onset of anal fissure; or\n\n(d) suffering Crohn's disease before the clinical onset of anal fissure; or\n\n(e) suffering constipation immediately before the clinical onset of anal fissure; or\n\n(f) suffering from ulcerative colitis before the clinical onset of anal fissure; or\n\n(g) inability to obtain appropriate clinical management for the anal fissure.\n\n2. Subject to clause 3 (below) at least one of the factors set out in paragraph 1(a) to 1(g) must be related to any service rendered by a person.\n\n3. The factor set out in paragraph 1(g) applies only where:\n\n(a) the person's anal fissure developed before a period, or part of a period, of service to which the factor is related; and\n\n(b) the relationship suggested between the anal fissure and the particular service of a person is a relationship set out in paragraph 8(1)(e), 9(1)(e), 70(5)(d) or 70(5A)(d) of the Act.\n\n4. For the purposes of this Statement of Principles:\n\n“anal fissure” means a longitudinal, elliptical or rounded defect in the anoderm, extending part or all of the way from the anal verge to the pectinate line, attracting ICD code 565.0;\n\n“being infected with HIV” means serological evidence of infection with Human Immunodeficiency Virus, attracting an ICD code in the range 042 - 044;\n\n“constipation” means infrequent or difficult evacuation of the faeces that leads to straining at stool, attracting ICD code 564.0;\n\n“Crohn's disease” means an inflammatory disease of the digestive system, involving the bowel wall, characterised by the presence of epithelioid cell granuloma, often with giant cells, attracting ICD code 555;\n\n“'ICD code' means a number assigned to a particular kind of injury or disease in the Australian Version of The International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM), effective date of 1 July 1996, copyrighted by the National Coding Centre, Faculty of Health Sciences, University of Sydney, NSW, and having ISBN 0 642 24447 2;\n\n \n\n“trauma to the perineum” means injury to the region between the thighs caused, for example, by childbirth, laceration by a foreign body, sexual assault or surgical procedures, attracting ICD code 664, 863.89 or 863.99;\n\n“ulcerative colitis” means a chronic recurrent inflammatory disease of the colon, usually limited to the mucosa and submucosa, characterised by diffuse inflammatory cell infiltrate and crypt abscesses, attracting ICD code 556;\n\n“trauma to the perineum” means injury to the region between the thighs caused, for example, by childbirth, laceration by a foreign body, sexual assault or surgical procedure, attracting ICD code 664;\n\n“ulcerative colitis” means a chronic recurrent inflammatory disease of the colon, usually limited to the mucosa and submucosa, characterised by diffuse inflammatory cell infiltrate and crypt abscesses, attracting ICD code 556.\n\n \n\n> Notes to Statement of Principles concerning anal fissure (Instrument No. 247 of1995)\n\nThe Statement of Principles concerning anal fissure (Instrument No. 247 of 1995) in force under section 196B(2) of the Veterans’ Entitlements Act 1986, as shown in this compilation is amended as indicated in the Tables below.\n\nTable of Instruments\n\n| Title | Date of notificationin Gazette or FRLI registration | Date ofcommencement | Application, saving ortransitional provisions |\n| ---------------------------------------------------------------------------------------- | --------------------------------------------------- | ------------------- | --------------------------------------------- |\n| Statement of Principles concerning anal fissure (Instrument No. 247 of1995) | 28 June 1995 (see Gazette 1995, No. GN25) | 28 June 1995 | |\n| Amendment of Statement of Principles concerning anal fissure (Instrument No. 11 of 1997) | 29 January 1997 (see Gazette 1997, No. GN4) | 29 January 1997 | |\n\n \nTable of Amendments\n\n```html\n

ad. = added or inserted am. = amended rep. = repealed rs. = repealed and substituted

Provision affected

How affected

Heading of Instrument - ‘ICD CODE: 565.0’

am. Instrument No.11 of 1997

Paragraph 4 - ‘ “anal fissure” means a longitudinal……………..’

am. Instrument No. 11 of 1997

Paragraph 4 – ‘ “ICD code” means a number assigned……………’

rs. Instrument No. 11 of 1997

Paragraph 4 – ‘ “trauma to the perineum” means injury to the region………’

am. Instrument No. 11 of 1997

\n```","sortOrder":3},{"sectionNumber":"Veterans’ Entitlements Act 1986subsectio","sectionType":"section","heading":"Veterans’ Entitlements Act 1986subsection 196B(2)","content":"###### Veterans’ Entitlements Act 1986 \nsubsection 196B(2)\n\n1. Being of the view that there is sound medical-scientific evidence that indicates that anal fissure and death from anal fissure can be related to operational service rendered by veterans, peacekeeping service rendered by members of Peacekeeping Forces and hazardous service rendered by members of the Forces, the Repatriation Medical Authority determines, under subsection 196B(2) of the Veterans’ Entitlements Act 1986 (the Act), that the factors that must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting anal fissure or death from anal fissure with the circumstances of that service, are:\n\n(a) undergoing anal surgery immediately before the clinical onset of anal fissure; or\n\n(b) suffering trauma to the perineum immediately before the clinical onset of anal fissure; or\n\n(c) being infected with HIV before the clinical onset of anal fissure; or\n\n(d) suffering Crohn's disease before the clinical onset of anal fissure; or\n\n(e) suffering constipation immediately before the clinical onset of anal fissure; or\n\n(f) suffering from ulcerative colitis before the clinical onset of anal fissure; or\n\n(g) inability to obtain appropriate clinical management for the anal fissure.\n\n2. Subject to clause 3 (below) at least one of the factors set out in paragraph 1(a) to 1(g) must be related to any service rendered by a person.\n\n3. The factor set out in paragraph 1(g) applies only where:\n\n(a) the person's anal fissure developed before a period, or part of a period, of service to which the factor is related; and\n\n(b) the relationship suggested between the anal fissure and the particular service of a person is a relationship set out in paragraph 8(1)(e), 9(1)(e), 70(5)(d) or 70(5A)(d) of the Act.\n\n4. For the purposes of this Statement of Principles:\n\n“anal fissure” means a longitudinal, elliptical or rounded defect in the anoderm, extending part or all of the way from the anal verge to the pectinate line, attracting ICD code 565.0;\n\n“being infected with HIV” means serological evidence of infection with Human Immunodeficiency Virus, attracting an ICD code in the range 042 - 044;\n\n“constipation” means infrequent or difficult evacuation of the faeces that leads to straining at stool, attracting ICD code 564.0;\n\n“Crohn's disease” means an inflammatory disease of the digestive system, involving the bowel wall, characterised by the presence of epithelioid cell granuloma, often with giant cells, attracting ICD code 555;\n\n“'ICD code' means a number assigned to a particular kind of injury or disease in the Australian Version of The International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM), effective date of 1 July 1996, copyrighted by the National Coding Centre, Faculty of Health Sciences, University of Sydney, NSW, and having ISBN 0 642 24447 2;\n\n \n\n“trauma to the perineum” means injury to the region between the thighs caused, for example, by childbirth, laceration by a foreign body, sexual assault or surgical procedures, attracting ICD code 664, 863.89 or 863.99;\n\n“ulcerative colitis” means a chronic recurrent inflammatory disease of the colon, usually limited to the mucosa and submucosa, characterised by diffuse inflammatory cell infiltrate and crypt abscesses, attracting ICD code 556;\n\n“trauma to the perineum” means injury to the region between the thighs caused, for example, by childbirth, laceration by a foreign body, sexual assault or surgical procedure, attracting ICD code 664;\n\n“ulcerative colitis” means a chronic recurrent inflammatory disease of the colon, usually limited to the mucosa and submucosa, characterised by diffuse inflammatory cell infiltrate and crypt abscesses, attracting ICD code 556.\n\n \n\n> Notes to Statement of Principles concerning anal fissure (Instrument No. 247 of1995)\n\nThe Statement of Principles concerning anal fissure (Instrument No. 247 of 1995) in force under section 196B(2) of the Veterans’ Entitlements Act 1986, as shown in this compilation is amended as indicated in the Tables below.\n\nTable of Instruments\n\n| Title | Date of notificationin Gazette or FRLI registration | Date ofcommencement | Application, saving ortransitional provisions |\n| ---------------------------------------------------------------------------------------- | --------------------------------------------------- | ------------------- | --------------------------------------------- |\n| Statement of Principles concerning anal fissure (Instrument No. 247 of1995) | 28 June 1995 (see Gazette 1995, No. GN25) | 28 June 1995 | |\n| Amendment of Statement of Principles concerning anal fissure (Instrument No. 11 of 1997) | 29 January 1997 (see Gazette 1997, No. GN4) | 29 January 1997 | |\n\n \nTable of Amendments\n\n```html\n

ad. = added or inserted am. = amended rep. = repealed rs. = repealed and substituted

Provision affected

How affected

Heading of Instrument - ‘ICD CODE: 565.0’

am. Instrument No.11 of 1997

Paragraph 4 - ‘ “anal fissure” means a longitudinal……………..’

am. Instrument No. 11 of 1997

Paragraph 4 – ‘ “ICD code” means a number assigned……………’

rs. Instrument No. 11 of 1997

Paragraph 4 – ‘ “trauma to the perineum” means injury to the region………’

am. Instrument No. 11 of 1997

\n```","sortOrder":4}],"analysis":{"kimi_summary":{"_metrics":{"model":"kimi-k2.5","source":"moonshot-realtime","completionTokens":2506},"content_quality":"ok","complexity_score":3,"scope_assessment":{"changed":false,"description":"The instrument maintains its original narrow scope as a specific medical determination for anal fissure under the Veterans' Entitlements Act 1986. The 1997 amendments were technical updates to definitions and coding references, not an expansion of the instrument's purpose or coverage."},"complexity_factors":["Seven defined medical terms in clause 4 requiring anatomical and clinical knowledge (e.g., 'anoderm', 'pectinate line', 'epithelioid cell granuloma')","Reference to external classification system (ICD-9-CM) with specific edition, ISBN, and effective date","Conditional limitation in clause 3 creating a nested exception for factor (g) restricting it to specific pre-service onset scenarios","Cross-references to specific paragraphs of the Veterans' Entitlements Act 1986 (sections 8, 9, 70)"],"plain_english_summary":"This rule sets the medical test for linking an anal fissure to military service for veterans, peacekeepers, and defence members seeking disability or death benefits. It deems service-connected if a reasonable hypothesis links the fissure to at least one of seven specified medical factors (e.g., recent anal surgery or perineal trauma, HIV or inflammatory bowel disease, constipation, or inadequate treatment). Diagnoses follow defined ICD-9-CM criteria."}},"importantCases":[],"_links":{"self":"/api/acts/statement-of-principles-concerning-anal-fissure-no-247-of-1995","history":"/api/acts/statement-of-principles-concerning-anal-fissure-no-247-of-1995/history","analysis":"/api/acts/statement-of-principles-concerning-anal-fissure-no-247-of-1995/analysis","conflicts":"/api/acts/statement-of-principles-concerning-anal-fissure-no-247-of-1995/conflicts","importantCases":"/api/acts/statement-of-principles-concerning-anal-fissure-no-247-of-1995/important-cases","documents":"/api/acts/statement-of-principles-concerning-anal-fissure-no-247-of-1995/documents"}}