{"id":"F2021L00026","name":"Statement of Principles concerning otitis externa (Reasonable Hypothesis) (No. 25 of 2021)","slug":"statement-of-principles-concerning-otitis-externa-reasonable-hypothesis-no-25-of-2021","collection":"legislative_instrument","jurisdiction":"commonwealth","status":"in_force","isInForce":true,"actNumber":null,"makingDate":null,"administeringDepartment":null,"currentVersion":{"id":440743,"registerId":"F2021L00026-fast-fetch-1775956273050","compilationNumber":null,"startDate":"2026-04-12","status":"InForce","reasons":null,"registeredAt":null},"sections":[{"sectionNumber":"1","sectionType":"section","heading":"Statement of Principles concerning otitis externa (Reasonable Hypothesis) (No. 25 of 2021)","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\nOTITIS EXTERNA (Reasonable Hypothesis)\n\n(No. 25 of 2021)\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 24 December 2020\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 otitis externa (Reasonable Hypothesis) (No. 25 of 2021).\n\n2 Commencement\n\n This instrument commences on 25 January 2021.\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 otitis externa No. 58 of 2012 (Federal Register of Legislation No. F2012L01801) made under subsections 196B(2) and (8) of the VEA is repealed.\n\n5 Application\n\nThis instrument applies to a claim to which section 120A of the VEA or section 338 of the Military Rehabilitation and Compensation Act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 otitis externa and death from otitis externa.\n\nMeaning of otitis externa\n\n(2) For the purposes of this Statement of Principles, otitis externa:\n\n(a) means an infectious or non-infectious inflammation of the external auditory canal; and\n\n(b) includes:\n\n(i) acute diffuse otitis externa;\n\n(ii) acute localised otitis externa (furunculosis);\n\n(iii) eczematous otitis externa;\n\n(iv) malignant otitis externa;\n\n(v) acquired cholesteatoma of the external auditory canal; and\n\n(vi) otomycosis.\n\nNote 1: Otitis externa may be acute or chronic.\n\nNote 2: Typical symptoms of otitis externa include ear pain, pruritus, discharge and hearing loss.\n\nNote 3: Otitis externa may be accompanied by inflammation of the auricle.\n\nNote 4: otomycosis is defined in the Schedule 1 - Dictionary.\n\n(3) While otitis externa attracts ICD‑10‑AM code H60, H62.0, H62.1, H62.2, H62.3 or H62.4, in applying this Statement of Principles the meaning of otitis externa 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 otitis externa\n\n(5) For the purposes of this Statement of Principles, otitis externa, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's otitis externa.\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 otitis externa and death from otitis externa 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 otitis externa or death from otitis externa with the circumstances of a person's relevant service:\n\n(1) participating in aquatic activities within the ten days before the clinical onset of otitis externa;\n\nNote: aquatic activities is defined in the Schedule 1 - Dictionary.\n\n(2) being exposed to hot and humid weather conditions or heavy rains, on at least ten days within the 30 days before the clinical onset of otitis externa;\n\nNote: hot and humid weather conditions is defined in the Schedule 1 - Dictionary.\n\n(3) undergoing a course of therapeutic radiation for cancer, where the affected ear was in the field of radiation, before the clinical onset of otitis externa;\n\n(4) having trauma to the external auditory canal of the affected ear within the ten days before the clinical onset of otitis externa;\n\nNote: Examples of trauma include a blunt or penetrating injury, a surgical procedure and blast force.\n\n(5) having a foreign object or implement inserted into, or removed from, the external ear canal of the affected ear within the ten days before the clinical onset of otitis externa;\n\nNote: An example of a foreign body or implement is an ear lavage instrument used for aural irrigation.\n\n(6) blocking the external auditory canal of the affected ear with an extrinsic aural device for a cumulative period of at least eight hours within the seven days before the clinical onset of otitis externa;\n\nNote: extrinsic aural device is defined in the Schedule 1 - Dictionary.\n\n(7) having an acquired, persistent narrowing or obstruction of the external auditory canal of the affected ear at the time of the clinical onset of otitis externa;\n\nNote 1: Examples of causes of narrowing or obstruction of the external auditory canal include:\n\n(a) benign or malignant neoplasm;\n\n(b) cerumen accumulation;\n\n(c) exostosis of the external auditory canal; and\n\n(d) granuloma.\n\nNote 2: exostosis of the external auditory canal is defined in the Schedule 1 - Dictionary.\n\n(8) having an inflammatory skin disease at the time of the clinical onset of otitis externa, where the skin disease involves the external auditory canal of the affected ear;\n\nNote 1: Examples of an inflammatory skin disease include allergic or irritant contact dermatitis, seborrhoeic dermatitis, lichen planus, psoriasis and eczema.\n\nNote 2: Irritant or allergic contact dermatitis of the external auditory canal may be caused by shampoos, ototopical medications or accidental chemical splashes to the ear.\n\n(9) having an infectious, autoimmune or granulomatous disease at the time of the clinical onset of otitis externa, where the disease involves the external auditory canal of the affected ear;\n\nNote: Examples of an infectious, autoimmune or granulomatous disease include herpes zoster, relapsing polychondritis and sarcoidosis.\n\n(10) having chronic suppurative otitis media, involving the middle ear of the affected side, within the 30 days before the clinical onset of otitis externa;\n\nNote: chronic suppurative otitis media is defined in the Schedule 1 - Dictionary.\n\n(11) having diabetes mellitus at the time of the clinical onset of otitis externa;\n\n(12) being in an immunocompromised state as specified at the time of the clinical onset of otitis externa;\n\nNote: immunocompromised state as specified is defined in the Schedule 1 - Dictionary.\n\n(13) for otomycosis only, taking a course of oral antibiotic therapy or having ototopical therapy for the treatment of otitis externa of the affected ear within the 30 days before the clinical onset of otitis externa;\n\nNote: otomycosis is defined in the Schedule 1 - Dictionary.\n\n(14) participating in aquatic activities within the ten days before the clinical worsening of otitis externa;\n\nNote: aquatic activities is defined in the Schedule 1 - Dictionary.\n\n(15) being exposed to hot and humid weather conditions or heavy rains, on at least ten days within the 30 days before the clinical worsening of otitis externa;\n\nNote: hot and humid weather conditions is defined in the Schedule 1 - Dictionary.\n\n(16) undergoing a course of therapeutic radiation for cancer, where the affected ear was in the field of radiation, before the clinical worsening of otitis externa;\n\n(17) having trauma to the external auditory canal of the affected ear within the ten days before the clinical worsening of otitis externa;\n\nNote: Examples of trauma include a blunt or penetrating injury, a surgical procedure and blast force.\n\n(18) having a foreign object or implement inserted into, or removed from, the external ear canal of the affected ear within the ten days before the clinical worsening of otitis externa;\n\nNote: An example of a foreign body or implement is an ear lavage instrument used for aural irrigation.\n\n(19) blocking the external auditory canal of the affected ear with an extrinsic aural device for a cumulative period of at least eight hours within the seven days before the clinical worsening of otitis externa;\n\nNote: extrinsic aural device is defined in the Schedule 1 - Dictionary.\n\n(20) having an acquired, persistent narrowing or obstruction of the external auditory canal of the affected ear at the time of the clinical worsening of otitis externa;\n\nNote 1: Examples of causes of narrowing or obstruction of the external auditory canal include:\n\n(a) benign or malignant neoplasm;\n\n(b) cerumen accumulation;\n\n(c) exostosis of the external auditory canal; and\n\n(d) granuloma.\n\nNote 2: exostosis of the external auditory canal is defined in the Schedule 1 - Dictionary.\n\n(21) having an inflammatory skin disease at the time of the clinical worsening of otitis externa, where the skin disease involves the external auditory canal of the affected ear;\n\nNote 1: Examples of an inflammatory skin disease include allergic or irritant contact dermatitis, seborrhoeic dermatitis, lichen planus, psoriasis and eczema.\n\nNote 2: Irritant or allergic contact dermatitis of the external auditory canal may be caused by shampoos, ototopical medications or accidental chemical splashes to the ear.\n\n(22) having an infectious, autoimmune or granulomatous disease at the time of the clinical worsening of otitis externa, where the disease involves the external auditory canal of the affected ear;\n\nNote: Examples of an infectious, autoimmune or granulomatous disease include herpes zoster, relapsing polychondritis and sarcoidosis.\n\n(23) having chronic suppurative otitis media, involving the middle ear of the affected side, within the 30 days before the clinical worsening of otitis externa;\n\nNote: chronic suppurative otitis media is defined in the Schedule 1 - Dictionary.\n\n(24) having diabetes mellitus at the time of the clinical worsening of otitis externa;\n\n(25) being in an immunocompromised state as specified at the time of the clinical worsening of otitis externa;\n\nNote: immunocompromised state as specified is defined in the Schedule 1 - Dictionary.\n\n(26) for otomycosis only, taking a course of oral antibiotic therapy or having ototopical therapy for the treatment of otitis externa of the affected ear within the 30 days before the clinical worsening of otitis externa;\n\nNote: otomycosis is defined in the Schedule 1 - Dictionary.\n\n(27) inability to obtain appropriate clinical management for otitis externa.\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(14) to 9(27) apply only to material contribution to, or aggravation of, otitis externa where the person's otitis externa 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 aquatic activities means an activity in which the external ear opening is submerged in water, or which causes retention of water in the ear canal.\n\nNote: Examples of aquatic activities include swimming, underwater diving, water sports and trekking through watercourses.\n\n chronic renal failure means:\n\n(a) having a glomerular filtration rate of less than 15 mL/min/1.73 m2 for a period of at least three months; or\n\n(b) a need for renal replacement therapy (dialysis or transplantation) for treatment of complications of decreased glomerular filtration rate which would otherwise increase the risk of morbidity and mortality; or\n\n(c) undergoing chronic dialysis.\n\n chronic suppurative otitis media means a recurrent or continuous infective disorder of the middle ear characterised by perforation of the tympanic membrane and aural discharge.\n\n exostosis of the external auditory canal means abnormal bone growth within the external auditory ear canal caused by irritation from prolonged or repeated exposure to cold wind and water. It is also known as surfer's ear.\n\n extrinsic aural device means an instrument which occludes the external auditory canal or creates a seal over the ear.\n\nNote: Examples of extrinsic aural devices include:\n\n(a) ear buds or plugs;\n\n(b) hearing aids;\n\n(c) headphones; and\n\n(d) stethoscopes.\n\n hot and humid weather conditions means:\n\n(a) ambient humidity exceeding 40 percent; and\n\n(b) maximum temperature exceeding 30 degrees Celsius.\n\n immunocompromised state as specified means a condition of substantially lowered immune function, such as would occur in the following conditions or circumstances:\n\n(a) being treated with an immunosuppressive drug;\n\n(b) having a haematological or solid organ malignancy;\n\n(c) having chronic renal failure;\n\n(d) having infection with human immunodeficiency virus;\n\n(e) having severe malnutrition; or\n\n(f) undergoing solid organ, stem cell or bone marrow transplantation.\n\nNote: chronic renal failure and immunosuppressive drug are also defined in the Schedule 1 - Dictionary.\n\n immunosuppressive drug means a drug or an agent which results in substantial suppression of immune responses.\n\nNote: Examples of an immunosuppressive drug include:\n\n(a) chemotherapeutic agents used for the treatment of cancer;\n\n(b) corticosteroids, other than inhaled or topical corticosteroids;\n\n(c) drugs used to prevent transplant rejection; and\n\n(d) tumour necrosis factor-α inhibitors.\n\n MRCA means the Military Rehabilitation and Compensation Act 2004.\n\n otitis externa—see subsection 7(2).\n\n otomycosis means a fungal infection of the external auditory canal.\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 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":{"complexity_score":4,"scope_assessment":{"changed":false,"description":"This instrument updates and replaces the 2012 Statement of Principles (s4) but does not materially expand the overall purpose: it still establishes medical factors that can link otitis externa to relevant service. The changes are mainly technical and clarifying (definitions, explicit onset vs worsening factors, and a specific factor for inability to obtain appropriate clinical management (s9(27))). Those are refinements to application and evidentiary thresholds rather than a substantive broadening of scope beyond the original intent to identify service-related otitis externa."},"complexity_factors":["Relatively short instrument (11 main sections + Schedule 1) but with detailed factor lists in s9","Approximately 14 defined terms in Schedule 1 (e.g. aquatic activities, extrinsic aural device, hot and humid weather conditions, immunocompromised state as specified, otomycosis, terminal event)","27 enumerated factors in s9, many duplicated to cover both 'clinical onset' and 'clinical worsening' (so repetition increases reading cost)","Multiple short, strict temporal windows and quantitative thresholds (10 days, 30 days, 7 days, cumulative 8 hours; humidity >40% and max temperature >30°C) that require cross-checking","Cross-references to other instruments and coding systems (repeal of 2012 Statement in s4; ICD-10-AM codes referenced in s7(3)-(4); referral to other Statements under s11)","A small discretionary/interpretive element (e.g. 'inability to obtain appropriate clinical management' in s9(27))","Inclusion of death via a defined \"terminal event\" (Schedule 1) adds one more outcome to track"],"plain_english_summary":"**What this instrument does (mechanics)\n\n- It sets a medical \"Statement of Principles\" about otitis externa (infection/inflammation of the outer ear canal) and death from otitis externa. (See s7.)\n- It replaces an earlier 2012 Statement of Principles for the same condition (s4) and commenced on 25 January 2021 (s2).\n- It applies to claims processed under the Veterans' Entitlements Act (VEA) and the Military Rehabilitation and Compensation Act (MRCA) (s5, Schedule 1 definitions).\n- It defines the medical condition (what counts as \"otitis externa\") and a set of specific factual or clinical factors that, if present, are sufficient to raise a \"reasonable hypothesis\" that the condition is related to a person’s relevant military service (s7, s9).\n- The instrument lists two broad groups of factors: those tied to the clinical onset of otitis externa (s9(1)–(13)) and those tied to clinical worsening or material contribution/aggravation where the condition pre‑existed service (s9(14)–(27)).\n- It requires that any listed factor relied on must be related to the person's relevant service (s10(1)). It also says factors that refer to other conditions covered by other Statements of Principles should be dealt with by the relevant Statement (s11).\n\n**Who this affects**\n\n- Primary affected parties: veterans and current/former members of the Australian Defence Forces (and occupants of Peacekeeping Forces) who lodge claims for disability/dependant benefits where otitis externa (or death from it) is alleged to be connected to their service (s5, Schedule 1).\n- Decision-makers: administrative decision-makers and medical assessors who determine whether a \"reasonable hypothesis\" connects the ear condition to service will use this Statement as the medical framework.\n- Indirectly affected: healthcare providers (for clinical records), and the Department/agency that administers entitlements (because it uses this evidence standard to admit or reject service connection).\n\n**Why it matters (official basis and practical effect)\n\n- Official basis: the Repatriation Medical Authority (RMA) states there is sound medical-scientific evidence that otitis externa and death from it can be related to relevant service (s8). That is the explicit policy rationale.\n- Practical effect: the Statement creates bright-line factual/temporal triggers (for example, aquatic exposure within 10 days, trauma within 10 days, blocking the ear with an external device for a cumulative 8 hours in the prior 7 days, diabetes present at onset, immunocompromised states, inability to obtain appropriate clinical management, etc.) that, if proved and linked to service, permit a finding that a reasonable hypothesis exists that the condition is service-related (s9; Schedule 1 definitions).\n\n**How the instrument affects incentives, costs and behaviour (analyst’s checklist)\n\n- Who pays / benefits: Individuals who can establish one or more of the listed factors (and link them to service) stand a stronger, presumptive case for service connection; the public benefits system pays any entitlement if the claim succeeds. The instrument concentrates clear benefit probabilities on claimants who can show specific exposures or clinical states (s9).\n- Evidence burden and compliance cost: claimants must produce service records, clinical notes and sometimes temporal evidence (e.g. dates of aquatic activity, treatment or trauma) matching the short time windows set out (10 days, 30 days, 7 days, cumulative 8 hours). That raises the practical compliance burden on claimants and on adjudicators (s9; Schedule 1).\n- Measurement and implementation issues: some factors require proxy or contextual proof (for example, \"hot and humid weather\" is defined as humidity >40% and max temperature >30°C — Schedule 1), which may require cross-referencing climate records; \"inability to obtain appropriate clinical management\" (s9(27)) is a non‑clinical system factor that will require administrative evidence and interpretive judgment.\n- Interaction with other medical conditions and Statements: the instrument cross-refers to other Statements of Principles where a factor references another injury or disease (s11). The Statement also distinguishes onset factors from aggravation factors (s10(2)), which affects how pre-existing conditions are assessed.\n- Risk of substitution or narrow evidentiary capture: the list-style approach makes certain exposures (e.g. aquatic exposure or ear trauma) dispositive for a reasonable hypothesis if proved, while other plausible but unlisted exposures will be harder to rely on. That concentrates benefits for claimants able to document the listed triggers and may exclude otherwise related but less-documentable pathways.\n\n**Key provisions to note (by section)**\n\n- What counts as otitis externa (medical scope): s7(2) and notes; ICD-10-AM codes are referenced but the text definition governs (s7(3)–(4)).\n- Required minimum factors to raise a reasonable hypothesis: s9 (numerical subsections list the specific factors and timing windows).\n- Relationship to service requirement and aggravation rules: s10.\n- Definitions that matter in practice (examples): \"aquatic activities\", \"extrinsic aural device\", \"hot and humid weather conditions\", \"immunocompromised state as specified\", \"otomycosis\" and \"terminal event\" are all defined in Schedule 1 and contain thresholds or examples adjudicators will use.\n\n**Trade-offs, costs and implementation risks (short)**\n\n- Trade-offs: the Statement simplifies adjudication by giving specific, testable factors, but that clarity comes at the cost of excluding non-listed causal paths unless they are covered by other Statements or proven by other means (s11).\n- Administrative cost: the Department will need to gather and verify short temporal exposures and clinical records, and sometimes external data (weather) to apply the thresholds.\n- Discretion and interpretive burden: some items (e.g. \"inability to obtain appropriate clinical management\") require judgment and could generate case-by-case variability (s9(27)).\n\n(Sections cited above are the ones in the instrument: s2, s4, s5, s7–s11 and Schedule 1.)"},"flash_summary_failed":{"failed":true,"reason":"A positive credit balance is required for all requests, including BYOK, so fallback providers remain available. Add credits at https://vercel.com/d?to=%2F%5Bteam%5D%2F%7E%2Fai%3Fmodal%3Dtop-up to continue.","source":"analysis-cron"},"kimi_summary":{"content_quality":"ok","complexity_score":4,"scope_assessment":{"changed":false,"description":"This instrument maintains the standard scope of Repatriation Medical Authority Statements of Principles. It replaces the 2012 version (No. 58 of 2012) with updated medical evidence and refined definitions, but does not expand beyond the established purpose of determining service-related causation for otitis externa in the veterans' compensation scheme. The structure follows the standard template used for all such instruments."},"complexity_factors":["Moderate length (approximately 12 pages when formatted)","27 distinct factors with specific temporal requirements (e.g., 'within 10 days', 'at least 8 hours within 7 days', 'at least 10 days within 30 days')","14 defined terms in Schedule 1, including nested definitions (e.g., 'immunocompromised state as specified' refers to 'chronic renal failure' and 'immunosuppressive drug', which are separately defined)","Parallel structure for clinical onset (factors 1-13) and clinical worsening (factors 14-26), creating repetition but also conditional logic","Specific exclusion/limitation in section 10(2): factors 14-27 only apply to aggravation of pre-existing conditions, not new onset during service","Cross-reference mechanism in section 11 allowing incorporation of other Statements of Principles by reference","Medical terminology requiring clinical interpretation (ICD-10-AM codes, specific disease classifications)"],"plain_english_summary":"This Statement of Principles sets out the medical and factual circumstances that, if proven, create a \"reasonable hypothesis\" that otitis externa was caused or aggravated by Australian military service — triggering a veteran‑favouring standard for compensation. It applies to current and former ADF members, peacekeepers, and dependents claiming death benefits. It matters because it standardises decision‑making by linking service exposures (e.g. water activities, hot/humid deployments, ear trauma/procedures, device‑related blockage, pre‑existing conditions, radiation, or limited care) to claims."}},"importantCases":[],"_links":{"self":"/api/acts/statement-of-principles-concerning-otitis-externa-reasonable-hypothesis-no-25-of-2021","history":"/api/acts/statement-of-principles-concerning-otitis-externa-reasonable-hypothesis-no-25-of-2021/history","analysis":"/api/acts/statement-of-principles-concerning-otitis-externa-reasonable-hypothesis-no-25-of-2021/analysis","conflicts":"/api/acts/statement-of-principles-concerning-otitis-externa-reasonable-hypothesis-no-25-of-2021/conflicts","importantCases":"/api/acts/statement-of-principles-concerning-otitis-externa-reasonable-hypothesis-no-25-of-2021/important-cases","documents":"/api/acts/statement-of-principles-concerning-otitis-externa-reasonable-hypothesis-no-25-of-2021/documents"}}