{"id":"F2019L00858","name":"Statement of Principles concerning irritable bowel syndrome (Reasonable Hypothesis) (No. 65 of 2019)","slug":"statement-of-principles-concerning-irritable-bowel-syndrome-reasonable-hypothesis-no-65-of-2019","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"in_force","isInForce":true,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":440134,"registerId":"F2019L00858-fast-fetch-1775955885235","compilationNumber":null,"startDate":"2026-04-12","status":"InForce","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"1","sectionType":"section","heading":"Statement of Principles concerning irritable bowel syndrome (Reasonable Hypothesis) (No. 65 of 2019)","content":"---\nmeta-content-style-type: text/css\nmeta-content-type: application/xhtml+xml; charset=utf-8\nmeta-generator: Aspose.Words for .NET 20.2\n---\n\n?xml version=\"1.0\" encoding=\"utf-8\" standalone=\"no\"?>\n\n\n\n \n\nStatement of Principles\n\nconcerning\n\nIRRITABLE BOWEL SYNDROME (Reasonable Hypothesis)\n\n(No. 65 of 2019)\n\nThe Repatriation Medical Authority determines the following Statement of Principles under subsection 196B(2) of the Veterans' Entitlements Act 1986.\n\n \n\nDated 21 June 2019\n\n \n\n \n\n \n\n \n\n \n\n| The Common Seal of the Repatriation Medical Authority was affixed to this instrument at the direction of:
|\n| --- |\n| 
Professor Nicholas Saunders AO
Chairperson
|\n\n\n \n\n \n\n\nContents\n\n1 Name\n\n2 Commencement\n\n3 Authority\n\n4 Repeal\n\n5 Application\n\n6 Definitions\n\n7 Kind of injury, disease or death to which this Statement of Principles relates\n\n8 Basis for determining the factors\n\n9 Factors that must exist\n\n10 Relationship to service\n\n11 Factors referring to an injury or disease covered by another Statement of Principles\n\nSchedule 1 - Dictionary\n\n1 Definitions\n\n \n\n\n\n\n1 Name\n\nThis is the Statement of Principles concerning irritable bowel syndrome (Reasonable Hypothesis) (No. 65 of 2019).\n\n2 Commencement\n\n This instrument commences on 22 July 2019.\n\n3 Authority\n\nThis instrument is made under subsection 196B(2) of the Veterans' Entitlements Act 1986.\n\n4 Repeal\n\nThe Statement of Principles concerning irritable bowel syndrome No. 27 of 2011 (Federal Register of Legislation No. F2011L00783) made under subsection 196B(2) of the VEA is repealed.\n\n5 Application\n\nThis instrument applies to a claim to which section 120A of the VEA or section 338 of the Military Rehabilitation and Compensation Act 2004 applies.\n\n6 Definitions\n\nThe terms defined in the Schedule 1 - Dictionary have the meaning given when used in this instrument.\n\n7 Kind of injury, disease or death to which this Statement of Principles relates\n\n(1) This Statement of Principles is about irritable bowel syndrome and death from irritable bowel syndrome.\n\nMeaning of irritable bowel syndrome\n\n(2) For the purposes of this Statement of Principles, irritable bowel syndrome means recurrent abdominal pain occurring on average at least one day per week for at least three months, where the pain is associated with two or more of the following:\n\n(a) defaecation;\n\n(b) a change in the frequency of stool; or\n\n(c) a change in the form (appearance) of stool;\n\nwith the symptom onset at least six months prior to the diagnosis.\n\n(3) While irritable bowel syndrome attracts ICD‑10‑AM code K58, in applying this Statement of Principles the meaning of irritable bowel syndrome is that given in subsection (2).\n\n(4) For subsection (3), a reference to an ICD-10-AM code is a reference to the code assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Tenth Edition, effective date of 1 July 2017, copyrighted by the Independent Hospital Pricing Authority, ISBN 978-1-76007-296-4.\n\nDeath from irritable bowel syndrome\n\n(5) For the purposes of this Statement of Principles, irritable bowel syndrome, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's irritable bowel syndrome.\n\nNote: terminal event is defined in the Schedule 1 – Dictionary.\n\n8 Basis for determining the factors\n\nThe Repatriation Medical Authority is of the view that there is sound medical‑scientific evidence that indicates that irritable bowel syndrome and death from irritable bowel syndrome can be related to relevant service rendered by veterans, members of Peacekeeping Forces, or members of the Forces under the VEA, or members under the MRCA.\n\nNote: MRCA, relevant service and VEA are defined in the Schedule 1 – Dictionary.\n\n9 Factors that must exist\n\nAt least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting irritable bowel syndrome or death from irritable bowel syndrome with the circumstances of a person's relevant service:\n\n(1) being a prisoner of war before the clinical onset of irritable bowel syndrome;\n\n(2) having a clinically significant disorder of mental health as specified within the six months before the clinical onset of irritable bowel syndrome;\n\nNote: clinically significant disorder of mental health as specified is defined in the Schedule 1 - Dictionary. \n\n(3) having an episode of severe diarrhoea within the six months before the clinical onset of irritable bowel syndrome;\n\nNote: episode of severe diarrhoea is defined in the Schedule 1 - Dictionary. \n\n(4) living or working in a hostile or life-threatening environment for a cumulative period of at least four weeks within the six months before the clinical onset of irritable bowel syndrome;\n\nNote: hostile or life-threatening environment is defined in the Schedule 1 - Dictionary. \n\n(5) experiencing a category 1A stressor within the six months before the clinical onset of irritable bowel syndrome;\n\nNote: category 1A stressor is defined in the Schedule 1 - Dictionary. \n\n(6) experiencing a category 1B stressor within the six months before the clinical onset of irritable bowel syndrome;\n\nNote: category 1B stressor is defined in the Schedule 1 - Dictionary. \n\n(7) experiencing a category 2 stressor within the one year before the clinical onset of irritable bowel syndrome;\n\nNote 1: A category 2 stressor can arise in a variety of circumstances connected with service. Such circumstances can arise during the course of service, as a result of separation from service and the conditions associated with that separation, and in the transition to civilian life in the years following separation.\n\nNote 2: category 2 stressor is defined in the Schedule 1 - Dictionary. \n\n(8) experiencing severe childhood abuse before the clinical onset of irritable bowel syndrome;\n\nNote: severe childhood abuse is defined in the Schedule 1 - Dictionary.\n\n(9) having a clinically significant disorder of mental health as specified within the six months before the clinical worsening of irritable bowel syndrome;\n\nNote: clinically significant disorder of mental health as specified is defined in the Schedule 1 - Dictionary. \n\n(10) having an episode of severe diarrhoea within the six months before the clinical worsening of irritable bowel syndrome;\n\nNote: episode of severe diarrhoea is defined in the Schedule 1 - Dictionary. \n\n(11) living or working in a hostile or life-threatening environment for a cumulative period of at least four weeks within the six months before the clinical worsening of irritable bowel syndrome;\n\nNote: hostile or life-threatening environment is defined in the Schedule 1 - Dictionary. \n\n(12) experiencing a category 1A stressor within the six months before the clinical worsening of irritable bowel syndrome;\n\nNote: category 1A stressor is defined in the Schedule 1 - Dictionary. \n\n(13) experiencing a category 1B stressor within the six months before the clinical worsening of irritable bowel syndrome;\n\nNote: category 1B stressor is defined in the Schedule 1 - Dictionary. \n\n(14) experiencing a category 2 stressor within the one year before the clinical worsening of irritable bowel syndrome;\n\nNote: category 2 stressor is defined in the Schedule 1 - Dictionary. \n\n(15) inability to obtain appropriate clinical management for irritable bowel syndrome.\n\n10 Relationship to service\n\n(1) The existence in a person of any factor referred to in section 9, must be related to the relevant service rendered by the person.\n\n(2) The factors set out in subsections 9(9) to 9(15) apply only to material contribution to, or aggravation of, irritable bowel syndrome where the person's irritable bowel syndrome was suffered or contracted before or during (but did not arise out of) the person's relevant service.\n\n11 Factors referring to an injury or disease covered by another Statement of Principles\n\nIn this Statement of Principles:\n\n(1) if a factor referred to in section 9 applies in relation to a person; and\n\n(2) that factor refers to an injury or disease in respect of which a Statement of Principles has been determined under subsection 196B(2) of the VEA;\n\nthen the factors in that Statement of Principles apply in accordance with the terms of that Statement of Principles as in force from time to time.\n\n \n\n \n\nSchedule 1 - Dictionary \n\nNote: See Section 6\n\n1 Definitions\n\nIn this instrument:\n\n category 1A stressor means one of the following severe traumatic events:\n\n(a) experiencing a life-threatening event;\n\n(b) being subject to a serious physical attack or assault including rape and sexual molestation; or\n\n(c) being threatened with a weapon, being held captive, being kidnapped or being tortured.\n\ncategory 1B stressor means one of the following severe traumatic events:\n\n(a) killing or maiming a person;\n\n(b) being an eyewitness to a person being killed or critically injured;\n\n(c) being an eyewitness to atrocities inflicted on another person;\n\n(d) participating in the clearance of a corpse or a critically injured casualty; or\n\n(e) viewing a corpse or a critically injured casualty as an eyewitness.\n\nNote: corpse and eyewitness are also defined in the Schedule 1 - Dictionary.\n\n category 2 stressor means one of the following negative life events, the effects of which are chronic in nature and cause the person to feel ongoing distress, concern or worry:\n\n(a) being socially isolated and unable to maintain friendships or family relationships, due to physical location, language barriers, disability, or medical or psychiatric illness;\n\n(b) experiencing a problem with a long-term relationship including the break-up of a close personal relationship, the need for marital or relationship counselling, marital separation or divorce;\n\n(c) having concerns in the work or school environment including ongoing disharmony with fellow work or school colleagues, perceived lack of social support within the work or school environment, perceived lack of control over tasks performed and stressful workloads, or experiencing bullying in the workplace or school environment;\n\n(d) experiencing serious legal issues including being detained or held in custody, ongoing involvement with the police concerning violations of the law, or court appearances associated with personal legal problems;\n\n(e) having severe financial hardship including loss of employment, long periods of unemployment, foreclosure on a property or bankruptcy;\n\n(f) having a family member or significant other experience a major deterioration in their health; or\n\n(g) being a full-time caregiver to a family member or significant other with a severe physical, mental or developmental disability.\n\nNote: significant other is also defined in the Schedule 1 - Dictionary.\n\n clinically significant disorder of mental health as specified means one of the following conditions, which is of sufficient severity to warrant ongoing management:\n\n(a) agoraphobia;\n\n(b) alcohol use disorder;\n\n(c) anxiety disorder;\n\n(d) bipolar disorder;\n\n(e) depressive disorder;\n\n(f) eating disorder;\n\n(g) obsessive compulsive disorder;\n\n(h) panic disorder; or\n\n(i) posttraumatic stress disorder.\n\nNote 1: Management of the condition may involve regular visits (for example, at least monthly) to a psychiatrist, counsellor or general practitioner.\n\nNote 2: To warrant ongoing management does not require that any actual management was received or given for the condition.\n\ncorpse means the human remains or body parts of one or more persons who have met a violent or horrific death.\n\nNote: Examples of a violent or horrific death may include death due to suicide, gunshot, improvised explosive devices, natural and technological disasters, terrorist attacks or motor vehicle accidents. Seeing a closed body bag or viewing a body in an open-casket coffin are excluded from this definition.\n\n episode of severe diarrhoea means an acute illness characterised by the passage of frequent, loose, watery motions assessed as being caused by an infective organism, and of sufficient severity to warrant medical attention, or in the absence of medical intervention, lasting at least four days.\n\n eyewitness means a person who experiences an incident first hand and can give direct evidence of it. This excludes persons exposed only to public broadcasting or mass media coverage of the incident.\n\n hostile or life-threatening environment means a situation or setting which is characterised by a pervasive threat to life or bodily integrity, such as would be experienced in the following circumstances:\n\n(a) experiencing or being under threat of artillery, missile, rocket, mine or bomb attack; or\n\n(b) experiencing or being under threat of nuclear, biological or chemical agent attack; or\n\n(c) being involved in combat or going on combat patrols.\n\n irritable bowel syndrome—see subsection 7(2).\n\n MRCA means the Military Rehabilitation and Compensation Act 2004.\n\n relevant service means:\n\n(a) operational service under the VEA;\n\n(b) peacekeeping service under the VEA;\n\n(c) hazardous service under the VEA;\n\n(d) British nuclear test defence service under the VEA;\n\n(e) warlike service under the MRCA; or\n\n(f) non-warlike service under the MRCA.\n\nNote: MRCA and VEA are also defined in the Schedule 1 - Dictionary.\n\n severe childhood abuse means:\n\n(a) serious physical, emotional, psychological or sexual harm whilst a child aged under 16 years; or\n\n(b) neglect involving a serious failure to provide the necessities for health, physical and emotional development, or wellbeing whilst a child aged under 16 years;\n\nwhere such serious harm or neglect has been perpetrated by a parent, a care provider, an adult who works with or around that child, or any other adult in contact with that child.\n\n significant other means a person who has a close family bond or a close personal relationship and is important or influential in one's life.\n\n terminal event means the proximate or ultimate cause of death and includes the following:\n\n(a) pneumonia;\n\n(b) respiratory failure;\n\n(c) cardiac arrest;\n\n(d) circulatory failure; or\n\n(e) cessation of brain function.\n\n VEA means the Veterans' Entitlements Act 1986.\n\n \n\n \n","sortOrder":0}],"analysis":{"flash_summary_failed":{"failed":true,"reason":"Unauthenticated. Configure AI_GATEWAY_API_KEY or use a provider module. Learn more: https://ai-sdk.dev/unauthenticated-ai-gateway","source":"analysis-cron"},"flash_summary":{"complexity_score":5,"scope_assessment":{"changed":true,"description":"This SOP replaces the 2011 Statement of Principles for IBS (s.4) and expands/clarifies the criteria used to raise a reasonable hypothesis. Notable changes in scope and emphasis include: (a) an explicit, operational clinical definition of IBS for claims purposes with an onset timing requirement (s.7(2)); (b) inclusion of death from IBS via contribution to a terminal event (s.7(5)); (c) addition or clearer articulation of a broader set of psychosocial and service-related factors (including severe childhood abuse, specific stressor categories and the \"inability to obtain appropriate clinical management\") (s.9, Schedule 1); (d) explicit timing windows for onset and worsening and a separate rule limiting some factors to material contribution/aggravation where IBS pre-dated service (s.10(2)); and (e) tighter cross-reference rules to other SOPs where factors overlap (s.11). Together, these changes broaden and specify the circumstances in which IBS may be linked to service, while also introducing more detailed evidentiary thresholds and definitions that affect claim assessment."},"complexity_factors":["Extensive Schedule of defined terms (Schedule 1) — multiple clinically and contextually specific definitions (e.g. category 1A/1B/2 stressors, episode of severe diarrhoea, clinically significant disorder of mental health, hostile environment, severe childhood abuse)","Clear but numerous timing windows and thresholds (onset at least 6 months prior to diagnosis; six-month windows for many factors; one-year window for category 2 stressors; cumulative four-week threshold for hostile environments)","Mirrored factor sets for clinical onset and clinical worsening (sections 9(1)–9(8) vs 9(9)–9(15)), producing conditional rules on causation vs aggravation (s.10(2))","Cross-references to other legislation and instruments (VEA, MRCA, ICD-10-AM) and to other Statements of Principles (s.4, s.5, s.11, s.7(4))","Reliance on factual findings of service-relationship (s.10(1)), which requires administrative and medical interpretation rather than purely formulaic application","Replacement of an earlier SOP (s.4) — users must track version history when comparing past claim outcomes","Mixture of clinical and non-clinical factors (medical definitions alongside life-event descriptors) increases definitional complexity","Specific exclusions or clarifications in definitions (e.g. what \"corpse\" excludes, examples of terminal events) add fine-grained interpretive detail","Relatively short instrument overall, but the policy and evidentiary implications magnify practical complexity for claim processing"],"plain_english_summary":"**What this instrument does (mechanics)\n\n- This is a Statement of Principles (SOP) issued by the Repatriation Medical Authority under the Veterans' Entitlements Act 1986. It sets out the medical and situational factors that, if present, are sufficient to raise a \"reasonable hypothesis\" that a person's irritable bowel syndrome (IBS) (or death from IBS) is related to their military \"relevant service\" (see s.3, s.5, s.8 and s.9).\n- The SOP gives a precise medical definition of IBS for the purpose of claims (recurrent abdominal pain at least one day per week for at least three months, plus two of defaecation / change in stool frequency / change in stool form; onset at least six months before diagnosis) (s.7(2)). It also treats death that was contributed to by IBS as within scope (s.7(5)).\n- It lists specific factors that must exist to raise the reasonable hypothesis (s.9). Those factors include service-related events or conditions (for example: being a prisoner of war; clinically significant mental-health disorders in the six months before onset; an episode of severe diarrhoea in the six months before onset; living or working in a hostile or life-threatening environment for ≥4 weeks in the six months before onset; listed traumatic \"category 1A/1B\" or chronic \"category 2\" stressors; severe childhood abuse; and inability to obtain appropriate clinical management) (s.9(1)–(15)).\n- Many of the terms used in the list of factors are defined in the Dictionary (Schedule 1) and include exact time-windows and thresholds (for example: what counts as \"episode of severe diarrhoea\", \"category 1A/1B/2 stressors\", \"hostile or life‑threatening environment\") (Schedule 1).\n- The SOP also clarifies that factors must be related to the person’s relevant service (s.10(1)), and that certain factors (sections 9(9)–9(15)) only apply to material contribution or aggravation where the IBS pre‑dated or began during service (s.10(2)).\n- If a listed factor refers to an injury or disease that is covered by another SOP, that other SOP's rules apply to that factor (s.11).\n\nWho it affects and who decides\n\n- Affected individuals: veterans, members of Peacekeeping Forces, and members of the ADF whose claims fall under the relevant parts of the Veterans' Entitlements Act 1986 (VEA) or the Military Rehabilitation and Compensation Act 2004 (MRCA) (s.5, Schedule 1 definitions for \"relevant service\").\n- Decision-makers: departmental claims officers, medical assessors and tribunals use this SOP as the medical test for whether a \"reasonable hypothesis\" exists linking IBS to service (s.8–s.11). The Repatriation Medical Authority provided the Statement (s.3).\n- Who pays: any financial or medical entitlements that follow from an accepted claim will be met under the VEA or MRCA by the Commonwealth (through the Department of Veterans' Affairs) in accordance with those statutes (s.5 points to those Acts).\n\nWhy it matters (purpose claim and practical consequences)\n\n- The official purpose: the Authority states there is sound medical-scientific evidence that IBS and death from IBS can be related to relevant service, so the SOP identifies the minimum factors required to raise a reasonable hypothesis (s.8, s.9).\n- Practical effect: the SOP lowers or raises the evidentiary threshold in particular factual scenarios by telling decision-makers when to accept a plausible link between IBS and service. If a claimant can show at least one listed factor that is related to their service (and meets timing/definition requirements), a reasonable hypothesis is said to be raised and the claim proceeds to further consideration under the VEA or MRCA (s.9, s.10).\n\nTrade-offs, incentives and implementation costs\n\n- Who pays and who benefits: benefits are concentrated on claimants who meet the listed factors; costs are borne by the Commonwealth (taxpayers) through the normal VEA/MRCA payment and treatment mechanisms (s.5, s.8). The SOP creates eligibility rules that can expand or clarify who receives compensation/medical care.\n- Evidence and compliance burden: claimants must produce evidence for the presence, timing and service-relationship of listed factors (medical records, service records, documentation of traumatic events), which can be difficult for events like childhood abuse or undocumented episodes of diarrhoea (s.9, Schedule 1 definitions). This raises administrative and evidentiary burdens on both claimants and decision-makers.\n- Incentives for claim behaviour: the presence of clearly defined, time‑limited factors (six months, one year, cumulative four-week thresholds) encourages claimants to frame medical histories to match the listed windows. Where records are sparse, there is a risk of contested factual enquiries and reliance on clinical judgment and veteran testimony.\n- Implementation risk and discretion: the SOP relies on interpretation of definitions (for example, what qualifies as \"clinically significant disorder of mental health\" or \"episode of severe diarrhoea\") and the link between factor and \"relevant service\" (s.10). Decision-makers and medical assessors retain discretionary roles in deciding whether the evidence meets the definitions and timing requirements. This can create variability in outcomes and appeals.\n- Interaction with other SOPs and cross-references: where a listed factor overlaps with another SOP (for example, a mental-health injury with its own SOP), the other SOP controls how that factor is treated (s.11). This interdependence can complicate claim assessment and requires cross-referencing.\n\nEffects on private enterprise, competition and markets\n\n- Direct effects on private business are minimal. The SOP primarily determines eligibility for state-provided entitlements; it does not regulate private markets, prices, or competition.\n- Indirect effects: private medical practitioners may see increased demand for documentation, assessments, and ongoing management records to support claims (Schedule 1 notes on \"management\" and medical evidence). Insurers outside the veteran system are not directly affected by this instrument.\n\nConcrete behaviour changes required\n\n- Claimants: must produce evidence that a listed factor existed, its timing, and that it is related to their relevant service (s.9, s.10, Schedule 1).\n- Decision-makers and medical assessors: must apply the SOP’s definitions, time-windows and cross‑references to determine whether a reasonable hypothesis is raised (s.9–s.11).\n\nKey sections to consult when using this SOP\n\n- Definition of IBS used for claims: s.7(2).\n- List of factors that suffice to raise a reasonable hypothesis: s.9.\n- Relationship-to-service rules and limitations on aggravation/material contribution: s.10.\n- Definitions that fix thresholds and timing (for stressor categories, episode of severe diarrhoea, clinically significant mental-health disorder, hostile environment, etc.): Schedule 1.\n\nLimitations and practical concerns\n\n- Some definitions require subjective or retrospective judgment (e.g. severity and chronicity for category 2 stressors, whether an episode of diarrhoea was caused by an infective organism and lasted four days if unrecorded) (Schedule 1). This increases the chance of disputed findings and appeal.\n- The SOP replaces the earlier 2011 SOP for IBS (s.4), and so it should be read as the operative instrument for claims from its commencement (22 July 2019) (s.2, s.4)."},"kimi_summary":{"content_quality":"ok","complexity_score":5,"scope_assessment":{"changed":false,"description":"This is a standard replacement Statement of Principles under the veterans' compensation scheme. It maintains the established scope of determining service connection for IBS under the 'reasonable hypothesis' standard. While it updates the 2011 version, it does not expand beyond the original purpose of providing medical criteria for compensation claims. The structure and approach are consistent with other RMA Statements of Principles."},"complexity_factors":["15 distinct factors with specific temporal requirements (6-month or 1-year windows before onset or worsening)","Complex defined terms in Schedule 1 including: 3 categories of stressors (1A, 1B, 2) with multiple sub-criteria each, 9 specific mental health disorders, and detailed definitions for 'corpse', 'eyewitness', and 'hostile environment'","Conditional logic in section 10(2) restricting factors 9-15 to material contribution/aggravation cases where IBS pre-existed service or arose during service but not from service","Cross-referencing mechanism in section 11 allowing factors to incorporate other Statements of Principles by reference","Dual statutory framework application (VEA and MRCA) with different service definitions","Specific medical diagnostic criteria in section 7(2) incorporating ICD-10-AM coding by reference"],"plain_english_summary":"This Statement of Principles from the Repatriation Medical Authority sets the medical criteria for linking irritable bowel syndrome (IBS) to military service for VEA and MRCA claims. It guides decision‑makers on when a reasonable hypothesis exists that service caused or worsened IBS, affecting veterans, peacekeepers, and current/former ADF members seeking compensation.\n\nIt lists specific service‑related factors (e.g., POW experience, recent severe diarrhoea, clinically significant mental disorders, traumatic stressors, hostile deployments, childhood abuse, lack of treatment) and limits some factors to worsening of pre‑existing IBS."}},"importantCases":[],"_links":{"self":"/api/acts/statement-of-principles-concerning-irritable-bowel-syndrome-reasonable-hypothesis-no-65-of-2019","history":"/api/acts/statement-of-principles-concerning-irritable-bowel-syndrome-reasonable-hypothesis-no-65-of-2019/history","analysis":"/api/acts/statement-of-principles-concerning-irritable-bowel-syndrome-reasonable-hypothesis-no-65-of-2019/analysis","conflicts":"/api/acts/statement-of-principles-concerning-irritable-bowel-syndrome-reasonable-hypothesis-no-65-of-2019/conflicts","importantCases":"/api/acts/statement-of-principles-concerning-irritable-bowel-syndrome-reasonable-hypothesis-no-65-of-2019/important-cases","documents":"/api/acts/statement-of-principles-concerning-irritable-bowel-syndrome-reasonable-hypothesis-no-65-of-2019/documents"}}