76AMeaning of expressions used in rules 77A to 78 and Group A20

76A Meaning of expressions used in rules 77A to 78 and Group A20 (1) The following expressions, when used in rules 77A to 77B or an item of Group A20, have the following meanings: > 3 Step Mental Health Process means a service provided to a patient under item 2574, 2575, 2577, 2578, 2704, 2705, 2707 or 2708 of the Health Insurance (General Medical Services Table) Regulations 2006 as in force on 30 April 2007. > mental disorder means a significant impairment of any or all of an individual’s cognitive, affective and relational abilities that: (a) may require medical intervention; and (b) may be a recognised, medically diagnosable illness or disorder; and (c) is not dementia, delirium, tobacco use disorder or mental retardation. > Note In relation to this definition, attention is drawn to the Diagnostic and Management Guidelines for Mental Disorders in Primary Care (ICD‑10, Chapter 5, Primary Care Version), developed by the World Health Organisation and published in 1996. > outcome measurement tool means a tool used to monitor changes in a patient’s health that occur in response to treatment received by the patient. (2) For rules 77B and 78, exceptional circumstances exist in relation to a service mentioned in an item for a patient if performance of the service for the patient is necessitated by: (a) a significant change in the patient’s clinical condition; or (b) a significant change in the patient’s care circumstances.