Reasonable Hypothesis SOP [1] | 5 of 2016 |
Balance of Probabilities SOP [2] | 6 of 2016 |
SOP Bulletin 187 [3]
ICD-10-AM Codes: H11.3, S00, S20, S30, S40, S50, S60, S70, S80, S90, T11.05, T13.05, T14.05
An external bruise is a bruise / contusion / haematoma visible on the surface of the body, i.e. in the skin or subcutaneous tissues or the conjuctiva or sclera of the eye.
The diagnosis can be made, based on the clinical appearance, by any medical practitioner.
Diagnoses covered by these SOPs
Clinical onset wil be within a short time (minutes to hours) after the trauma to the site that has caused the bruise.
External bruises typically resolve completely within weeks. Larger bruises may take longer to heal and may require drainage. Calcification of bruises with longer term consequences can occur with a deep bruise but generally not with an external (superficial) bruise.
An external bruise means a contusion or haematoma. A haematoma is a swelling from an accumulation of blood in the tissues immediately under the skin. This may be accompanied by discolouration of the unbroken skin as with a bruise. An external bruise is bleeding from the capillary blood vessels immediately below the skin. This is evidenced by discolouration of the unbroken skin which may appear black, blue or purple. The area may be painful to touch. As the bruise heals, the skin may develop a greenish or yellow tinge as the blood breaks down. Sometimes, because of gravity, skin discolouration may appear at a lower location than where the actual trauma occurred eg a blow above the eye socket or on the bridge of the nose may result in bruising under the eye. This skin discolouration does not appear immediately but may show within a few hours or days.
Inability to obtain appropriate clinical management
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | Inability to Obtain Appropriate Clinal Management | GQACM.pdf [6] | GQACM.docx [7] |
11109 the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7066 there is some evidence that an inability to obtain appropriate clinical management for the condition under consideration may be a factor in the worsening of the condition under consideration.
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.
7378 the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration.
11234 the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration.
11235 the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration.
or
11236 the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration.
7384 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during operational service.
21084 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during operational service, as a causal result of operational service.
7387 the veteran's inability to obtain appropriate clinical management for the condition under consideration during operational service was due to the veteran's serious default, wilful act or serious breach of discipline.
or
7389 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, because of an illness or injury which is identifiable.
7390 the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service.
7392 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related.
7385 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during eligible service.
7386 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during eligible service, as a causal result of eligible service.
7388 the veteran's inability to obtain appropriate clinical management for the condition under consideration during eligible service was due to the veteran's serious default, wilful act or serious breach of discipline.
or
7389 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, because of an illness or injury which is identifiable.
7391 the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service.
7393 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related.
Physical trauma means a knock, blow, hit or firm compression (as may occur with seat belt injuries). Physical trauma does not have to be severe in order to cause an external bruise. Some people bruise more easily than others because of an underlying fragility.
A history of physical trauma may be documented in the evidence. However, unless the trauma was severe, the person probably would not have sought medical attention. In addition, doctors' notes and hospitals' records may have been destroyed or can no longer be obtained. If clinical records cannot be obtained, a statement regarding the circumstances of the physical trauma that caused the bruise will generally be accepted, unless there is contradictory evidence.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Claimant Report | External Bruise | CR9297.pdf [8] | CR9297.docx [9] |
7088 the veteran has had physical trauma to the area of side and site of the body at some time.
7093 the veteran satisfies the occurrence provisions for the physical trauma and VEA service for the clinical onset of external bruise.
7096 the veteran had physical trauma to the area of side and site of the body within the 72 hours before the clinical onset of the condition under consideration.
or
7101 the veteran had physical trauma to the area of side and site of the body within the 24 hours before the clinical onset of the condition under consideration.
7090 the veteran has established the causal connection between the physical trauma and VEA service for the clinical onset of external bruise.
7094 the veteran has established the causal connection between the physical trauma and operational service for the clinical onset of external bruise.
or
7095 the veteran has established the causal connection between the physical trauma and eligible service for the clinical onset of external bruise.
7097 on operational service, the veteran had physical trauma to the area of side and site of the body within the 72 hours before the clinical onset of the condition under consideration.
7098 the physical trauma to the area of side and site of the body within the 72 hours before the clinical onset of the condition under consideration, on operational service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
7089 the veteran had physical trauma to the area of side and site of the body before the clinical onset of the condition under consideration as a consequence of an illness or injury which is identifiable.
7099 the veteran had physical trauma to the area of side and site of the body within the 72 hours before the clinical onset of the condition under consideration as a consequence of an illness or injury which is identifiable.
7100 the identified illness or injury which caused the physical trauma to the area of side and site of the body is causally related to operational service.
7102 on eligible service, the veteran had physical trauma to the area of side and site of the body within the 24 hours before the clinical onset of the condition under consideration.
7103 as a causal result of eligible service, the veteran had physical trauma to the area of side and site of the body within the 24 hours before the clinical onset of the condition under consideration.
7104 the physical trauma to the area of side and site of the body within the 24 hours before the clinical onset of the condition under consideration, on eligible service, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
7089 the veteran had physical trauma to the area of side and site of the body before the clinical onset of the condition under consideration as a consequence of an illness or injury which is identifiable.
7105 the veteran had physical trauma to the area of side and site of the body within the 24 hours before the clinical onset of the condition under consideration as a consequence of an illness or injury which is identifiable.
7106 the identified illness or injury which caused the physical trauma to the area of side and site of the body is causally related to eligible service.
Links
[1] http://www.rma.gov.au/assets/SOP/2016/005.pdf
[2] http://www.rma.gov.au/assets/SOP/2016/006.pdf
[3] https://clik.dva.gov.au/system/files/media/2016-01%20Bulletin%20187%20new%20SOPs.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63517%23comment-form
[5] http://www.rma.gov.au/SOP/alpha_ind/e.htm
[6] https://clik.dva.gov.au/system/files/media/GQACM_13.pdf
[7] https://clik.dva.gov.au/system/files/media/GQACM_13.docx
[8] https://clik.dva.gov.au/system/files/media/CR9297.pdf
[9] https://clik.dva.gov.au/system/files/media/CR9297.docx