SOP Bulletin No. 56

Decision Support Unit

4 — th Floor AMP Place, 10 Eagle St Brisbane  3 — rd Floor Blackburn House, 199 Grenfell St Adelaide

Intranet site:  http://intranet/nat/comp/dp/Nop/dsu/dsudefault.htm

14 January 2002

RELEASE NOTES - CCPS VERSION 2001/12

Version 2001/12 of the Medical Knowledge Base for CCPS was released into production today.  This Bulletin provides a summary of the new and amended SOPs that this version of CCPS incorporates.  This Bulletin also details changes to some existing rulebases and commentary.

New SOPs incorporated into CCPS	Nil
SOP amendments incorporated into CCPS	Open-angle glaucoma Osteoarthrosis Pes planus
Enhancements of CCPS rulebases and commentary	Nil
Additional amendments - not noteworthy	Chronic lymphoid leukaemia Non melanotic malignant neoplasm of the skin Pterygium Meniere's disease

New SOPs incorporated into CCPS

Nil

SOP amendments incorporated into CCPS

Osteoarthrosis

• The old malalignment factor has been replaced by a “disordered joint mechanics” factor. It is important to understand the definition of this factor  - particularly the concept of maldistribution of forces. This is explained in the commentary. There is a new medical questionnaire to assist with investigation.
• There is also a claimant questionnaire to assist with investigation of the new “kneeling or squatting” factor.

For information about the SOP see SOP Bulletin No. 53 15/10/01

Open angle glaucoma

• The new corticosteroids factor has been placed above line because these drugs are commonly used for a variety of medical conditions.
• The significant trauma factor has been moved below line because the severity of the trauma required by the SOP is such that this factor would rarely apply.

For information about the SOP see SOP Bulletin No. 52 13/9/01

Pes planus

• Congenital and acquired pes planus are now dealt with by the one SOP.  The most important thing is to get the diagnosis correct – the great majority of cases are congenital in origin.  Although present from birth, the existence of congenital pes planus may not be noticed for many years after birth.  Bilateral flat feet in a teenager or young adult are very likely to be congenital in origin.  Acquired pes planus is a rare condition in persons of military age and typically affects one foot only, particularly if due to trauma.
• The causal factors in the SOP apply only to acquired pes planus, the worsening factors apply to congenital and acquired pes planus.

For information about the SOP see SOP Bulletin No. 51 20/8/01

Enhancements of CCPS rulebases and commentary

Nil

Additional amendments

Amendments to the following incorporated conditions are included in this release. However, there are no noteworthy CCPS features:

• Chronic lymphoid leukaemia
• Non melanotic malignant neoplasm of the skin
• Pterygium
• Meniere's disease

Remember! If you are having any problems with SOPs, or SOPs in CCPS, talk to us!