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A serious medical illness or injury

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Last amended 
14 June 2015

Depressive disorder - A serious medical illness or injury Factor

The SoP factor is 'having a medical illness or injury which is life-threatening or which results in serious physical or cognitive disability'.  The Repatriation Medical Authority (RMA) has not defined this factor.

Whether a condition is life-threatening can be a difficult assessment, particularly where cancer has been diagnosed in the past but is currently causing little, if any, incapacity – for example a man with cancer of the prostate that attracts only 10 points under GARP for urinary problems.  It can be argued that cancer of any type (except perhaps skin) is always a serious disease, but in this case it is clearly not a serious physical or cognitive disability.  But is it "life-threatening"?  An assessment in terms of the Life-Expectancy table in GARP can help.  The phrase "normal, or near normal, five year survival" used in table 14.2 of GARP means that statistically there is little chance of dying from the disease in the next five years.  It doesn't mean the person will remain disease free, but if the person is disease free at five years after diagnosis or staging then there is little prospect of disease recurrence.  To a certain extent "life-threatening" is also a matter of perspective.  An 80 year old with low grade prostate cancer does not have a life threatening disease.  A 50 year old with aggressive prostate cancer does.

Last reviewed for CCPS 16 September 2011.

Preliminary questions [37302]

37289 there is some evidence that a serious medical illness or injury may be a factor in the development or worsening of the condition under consideration.

37310 the veteran has had a serious medical illness or injury at some time.

37311  a serious medical illness or injury means a medical illness or injury which is life-threatening or which results in serious physical or cognitive disability.

39685  the veteran has established the causal connection between the serious medical illness or injury and VEA service for depressive disorder.

39676   the condition under consideration is major depressive episode, recurrent major depressive disorder, dysthymic disorder or depressive disorder not otherwise specified.

37304   the veteran has established the causal connection between the serious medical illness or injury and VEA service for the clinical onset of the condition under consideration.

37307  the veteran has established the causal connection between the serious medical illness or injury and eligible service for the clinical onset of the condition under consideration.

or

37306  the veteran has established the causal connection between the serious medical illness or injury and operational service for the clinical onset of the condition under consideration.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

37305   the veteran has established the causal connection between the serious medical illness or injury and VEA service for the clinical worsening of the condition under consideration.

37309  the veteran has established the causal connection between the serious medical illness or injury and eligible service for the clinical worsening of the condition under consideration.

or

37308  the veteran has established the causal connection between the serious medical illness or injury and operational service for the clinical worsening of the condition under consideration.

Clinical onset and operational service [37306]

37312 the veteran had the identified illness or injury, a serious medical illness or injury, within the five years before the clinical onset of the condition under consideration.

37316  the identified illness or injury, a serious medical illness or injury, is causally related to operational service.

Clinical onset and eligible service [37307]

37313 the veteran had the identified illness or injury, a serious medical illness or injury, within the two years before the clinical onset of the condition under consideration.

37317  the identified illness or injury, a serious medical illness or injury, is causally related to eligible service.

Clinical worsening and operational service [37308]

37314 the veteran had the identified illness or injury, a serious medical illness or injury, after the clinical onset of the condition under consideration and within the five years before its clinical worsening.

37316  the identified illness or injury, a serious medical illness or injury, is causally related to operational service.

37318 the clinical onset of the veteran's condition under consideration occurred prior to that part of operational service to which the identified illness or injury, a serious medical illness or injury, is causally related.

Clinical worsening and eligible service [37309]

37315 the veteran had the identified illness or injury, a serious medical illness or injury, after the clinical onset of the condition under consideration and within the two years before its clinical worsening.

37317  the identified illness or injury, a serious medical illness or injury, is causally related to eligible service.

37319 the clinical onset of the veteran's condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, a serious medical illness or injury, is causally related.