Reasonable Hypothesis SOP [1] | 31 of 2021 as amended |
Balance of Probabilities SOP [1] | 32 of 2021 as amended |
SOP Bulletin 219 [2]
SOP Bulletin 232 [3]
Asthma is a common chronic respiratory condition with variable recurring symptoms, variable airflow obstruction, bronchial hyperresponsiveness and an underlying inflammation. The SOP also covers reactive airways dysfunction syndrome, which is a specific asthma-like condition that can arise following intense exposure to certain irritants.
The diagnosis of asthma requires respiratory symptoms consistent with asthma (intermittent shortness of breath, chest tightness, cough, and wheezing), together with demonstrated variable, reversible expiratory airflow obstruction on spirometry. Asthma can be difficult to distinguish from other inflammatory disorders of the airways, particularly (smoking-related) chronic obstructive pulmonary disease.
For a diagnosis of reactive airways dysfunction syndrome the specific criteria detailed in the SOP need to be met.
The relevant medical specialist is a respiratory physician.
* another SOP applies
Asthma may develop at any age, but onset is before age seven in around 75% of cases. There is often a remission in symptoms in adolesence with recurrence later in life. The symptoms of asthma are non-specific, but medical attention is likely to have been sought very soon after relevant symptoms commenced.
Asthma is one of the very few SOPs that include a definition of clinical worsening. The requirements of that definition must be fulfilled before clinical worsening can be considered.
Asthma - Exposure to an agent as specified for reactive airways dysfunction syndrome Factor
Last reviewed for CCPS 05 April 2002.
Investigative Documents
Claimant Report - Reactive Airways Dysfunction Syndrome - Asthma [CR9198] [6] Medical Report - Reactive Airways Dysfunction Syndrome - Asthma [MR9272] Preliminary questions [31529]
31549 [8] the condition under consideration is reactive airways dysfunction syndrome. 31551 — the veteran was exposed to an agent as specified within the 24 hours before the clinical onset of the condition under consideration. 31552 — the veteran has established the causal connection between the exposure to an agent as specified and VEA service for the clinical onset of the condition under consideration. 31553 — the veteran has established the causal connection between the exposure to an agent as specified and operational service for the clinical onset of the condition under consideration. or 31554 — the veteran has established the causal connection between the exposure to an agent as specified and eligible service for the clinical onset of the condition under consideration. Clinical onset and operational service [31553] Clinical onset and eligible service [31554]
Asthma - Exposure to an antigenic or nonantigenic stimulus Factor
Last reviewed for CCPS 05 April 2002.
Investigative Documents
Claimant Report - Development of Asthma [CR9069] [16] Claimant Report - Smoking [CRD905] [17] Claimant Report - Smoking [CRV905] [18] Medical Report - Aggravation of Asthma [MR9093] Preliminary questions [19091] 19105 — the veteran has been exposed to an antigenic or non-antigenic stimulus at some time. 18063 — the veteran has established the causal connection between the exposure to an antigenic or non-antigenic stimulus and VEA service for the clinical worsening of asthma. 18066 — the veteran has established the causal connection between the exposure to an antigenic and non-antigenic stimulus and operational service for the clinical worsening of asthma. or 18067 — the veteran has established the causal connection between the exposure to an antigenic and non-antigenic stimulus and eligible service for the clinical worsening of asthma. Clinical worsening and operational service [18066] or or 19098 — the identified illness or injury, which caused the veteran to be exposed to an antigenic or non-antigenic stimulus, is causally related to operational service. [29] [30] Clinical worsening and eligible service [18067] or or 19101 — the identified illness or injury, which caused the veteran to be exposed to an antigenic or non-antigenic stimulus, is causally related to eligible service. [29] [30]
Asthma - Exposure to an antigenic stimulus causing asthma Factor
Last reviewed for CCPS 05 April 2002.
Investigative Documents
Claimant Report - Development of Asthma [CR9069] [16] Medical Report - Development of Asthma [MR9092] Preliminary questions [31528] 31534 — the veteran has established the causal connection between the exposure to an antigenic stimulus causing asthma and VEA service for the clinical onset of the condition under consideration. 31535 — the veteran has established the causal connection between the exposure to an antigenic stimulus causing asthma and operational service for the clinical onset of the condition under consideration. or 31536 — the veteran has established the causal connection between the exposure to an antigenic stimulus causing asthma and eligible service for the clinical onset of the condition under consideration. Clinical onset and operational service [31535] or
31541 [43] as a consequence of the identified illness or injury, the veteran was exposed to an antigenic stimulus causing asthma within the 24 hours before the clinical onset of the condition under consideration. 31542 — the identified illness or injury, which caused the exposure to an antigenic stimulus causing asthma, is causally related to operational service. [44] [45] Clinical onset and eligible service [31536] or
31541 [43] as a consequence of the identified illness or injury, the veteran was exposed to an antigenic stimulus causing asthma within the 24 hours before the clinical onset of the condition under consideration. [44]
31547 — the identified illness or injury, which caused the exposure to an antigenic stimulus causing asthma, is causally related to eligible service. [49] [45]
Asthma - Exposure to an occupational antigen Factor
Last reviewed for CCPS 05 April 2002.
Investigative Documents
Claimant Report - Development of Asthma [CR9069] [16] Medical Report - Development of Asthma [MR9092] Preliminary questions [18058] 18062 — the veteran has established the causal connection between the exposure to an occupational antigen and VEA service for the clinical onset of asthma. 18064 — the veteran has established the causal connection between the exposure to an occupational antigen and operational service for the clinical onset of asthma. or 18065 — the veteran has established the causal connection between the exposure to an occupational antigen and eligible service for the clinical onset of asthma. Clinical onset and operational service [18064] Clinical onset and eligible service [18065]
Asthma - Gastro-oesophogeal reflux disease Factor
Last reviewed for CCPS 05 April 2002.
Preliminary questions [31530]
31558 [53] there is some evidence that gastro-oesophageal reflux disease may be a factor in the worsening of the condition under consideration.
7334 [19] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran has had gastro-oesophageal reflux disease at some time.
31561 [54] the veteran was suffering from gastro-oesophageal reflux disease at the time of the clinical worsening of the condition under consideration. 31562 — the veteran has established the causal connection between the gastro-oesophageal reflux disease and VEA service for the clinical worsening of the condition under consideration. 31563 — the veteran has established the causal connection between the gastro-oesophageal reflux disease and operational service for the clinical worsening of the condition under consideration. or 31564 — the veteran has established the causal connection between the gastro-oesophageal reflux disease and eligible service for the clinical worsening of the condition under consideration. Clinical worsening and operational service [31563] 31565 — the gastro-oesophageal reflux disease is causally related to operational service. [55] [56] Clinical worsening and eligible service [31564] 31566 — the gastro-oesophageal reflux disease is causally related to eligible service. [58] [56]
Asthma - Inability to obtain appropriate clinical management for asthma Factor
Last reviewed for CCPS 05 April 2002.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [18059] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [19] the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service. the condition under consideration permanently worsened. the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 [62] 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. Clinical worsening and operational service [11235] or 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. [66] [67] Clinical worsening and eligible service [11236] or 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. [66] [67]
Links
[1] http://www.rma.gov.au/sops/condition/asthma
[2] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20219.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20232.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63296%23comment-form
[5] http://www.rma.gov.au/SOP/alpha_ind/a.htm
[6] https://clik.dva.gov.au/ccpsclaimant-211
[7] https://clik.dva.gov.au/ccpsh002rc-2
[8] https://clik.dva.gov.au/ccpsh002rc-3
[9] clikpopup://CCPS/reject31549No
[10] clikpopup://CCPS/reject31592No
[11] clikpopup://CCPS/reject31555No
[12] clikpopup://CCPS/rejectwilful
[13] clikpopup://CCPS/reject31591No
[14] clikpopup://CCPS/reject31556No
[15] clikpopup://CCPS/reject31557No
[16] https://clik.dva.gov.au/node/75298
[17] https://clik.dva.gov.au/ccpsclaimant-182
[18] https://clik.dva.gov.au/node/75067
[19] https://clik.dva.gov.au/node/69021
[20] clikpopup://CCPS/Reject/OnsetAfterService
[21] clikpopup://CCPS/Reject/NoPermanentWorsening
[22] clikpopup://CCPS/reject1866No
[23] clikpopup://CCPS/reject18873No
[24] clikpopup://CCPS/reject18874No
[25] clikpopup://CCPS/reject3922No
[26] clikpopup://CCPS/reject19275No
[27] clikpopup://CCPS/reject19278No
[28] clikpopup://CCPS/reject19279No
[29] clikpopup://CCPS/reject19097No
[30] clikpopup://CCPS/reject19098,19101No
[31] clikpopup://CCPS/Onset of asthma before operational service to which antigen exposing illness related
[32] clikpopup://CCPS/reject19099No
[33] clikpopup://CCPS/reject19096No
[34] clikpopup://CCPS/reject18880No
[35] clikpopup://CCPS/reject18881No
[36] clikpopup://CCPS/reject19280No
[37] clikpopup://CCPS/reject19281No
[38] clikpopup://CCPS/Onset of asthma before eligible service to which antigen exposing illness related
[39] clikpopup://CCPS/reject19102No
[40] https://clik.dva.gov.au/18058-exposure-occupational-antigen
[41] clikpopup://CCPS/reject1831No
[42] clikpopup://CCPS/reject31538No
[43] clikpopup://CCPS/Exposed to an antigenic stimulus as consequence of an illness or injury causing asthma in 24 hours
[44] clikpopup://CCPS/reject31541No
[45] clikpopup://CCPS/reject31542,31547No
[46] clikpopup://CCPS/Onset of asthma occurred on eligible service
[47] clikpopup://CCPS/reject4093No
[48] clikpopup://CCPS/reject31544No
[49] clikpopup://CCPS/reject31547No
[50] clikpopup://CCPS/reject18071No
[51] clikpopup://CCPS/reject18073No
[52] clikpopup://CCPS/reject18074No
[53] https://clik.dva.gov.au/ccpsh002rc-10
[54] clikpopup://CCPS/Suffering gastro-oesophageal reflux disease at time of clinical worsening of the condition under consideration
[55] clikpopup://CCPS/reject31561No
[56] clikpopup://CCPS/reject31565,31566No
[57] clikpopup://CCPS/Condition occurred prior to operational service related to gastro-oesophageal reflux disease
[58] clikpopup://CCPS/reject31567No
[59] clikpopup://CCPS/Condition occurred prior to eligible service related to gastro-oesophageal reflux disease
[60] clikpopup://CCPS/reject31568No
[61] https://clik.dva.gov.au/ccpsother-31
[62] clikpopup://CCPS/Asthma/ACM - contributed to worsening
[63] clikpopup://CCPS/ACM/NoContribution
[64] clikpopup://CCPS/ACM/NotOpService
[65] clikpopup://CCPS/ACM/NotOperDuties
[66] clikpopup://CCPS/ACM/NoIllness
[67] clikpopup://CCPS/reject7390,7391No
[68] clikpopup://CCPS/Asthma/ACM - onset prior to operational service
[69] clikpopup://CCPS/ACM/OnsetFailOper
[70] clikpopup://CCPS/ACM/NotEligService
[71] clikpopup://CCPS/ACM/NotEligDuties
[72] clikpopup://CCPS/Asthma/ACM - onset prior to eligible service
[73] clikpopup://CCPS/ACM/OnsetFailElig