105 of 2021 | |
106 of 2021 |
SOP Bulletin 226 [3]
This is an unexplained symptom disorder, the main feature of which is severe chronic fatigue, which cannot be improved by bed rest and which is interfering with the person’s work and daily activities.
Specific diagnostic criteria (as per the SOP definition) must be met. This diagnosis should be accepted with caution and only after other chronic conditions, including pre-existing psychiatric diseases, have been satisfactorily excluded. To confirm this diagnosis you will therefore need a detailed medical report indicating that other potential causes for the patient’s condition have been appropriately investigated and ruled out (see the list below for examples). An assessment by a psychiatrist will allow psychiatric conditions to be excluded.
(this list is not exhaustive, seek medical advice if in doubt)
Clinical onset will be based on the time of new or definitive onset of severe fatigue.
The only SOP worsening factor is for inability to obtain appropriate clinical management. There is limited evidence that treatment interventions (cognitive behavior therapy, exercise therapy, diet, medications) can alter the course of the condition. The prognosis for functional recovery is generally poor, although a proportion of patients will improve over time.
Place holder node for Rulebase for chronic fatigue syndrome
Chronic fatigue syndrome - Coxiella burnetii (Q fever) infection Factor
Last reviewed for CCPS 17 December 2003.
Investigative Documents
Medical Report - Infections - Chronic Fatigue Syndrome [MR9304] Preliminary questions [33176] 33179 — the veteran has established the causal connection between Coxiella burnetii (Q fever) infection and VEA service for the clinical onset of chronic fatigue syndrome. 33180 — the veteran has established the causal connection between Coxiella burnetii (Q fever) infection and operational service for the clinical onset of chronic fatigue syndrome. or 33181 — the veteran has established the causal connection between Coxiella burnetii (Q fever) infection and eligible service for the clinical onset of chronic fatigue syndrome. Clinical onset and operational service [33180] Clinical onset and eligible service [33181]
Chronic fatigue syndrome - Inability to obtain appropriate clinical management for chronic fatigue syndrome Factor
Last reviewed for CCPS 17 December 2003.
Investigative Documents
Medical Report - Inability to Obtain Appropriate Clinical Management - [GQACM] Preliminary questions [15391] 11109 — the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7334 [11] 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 [14] 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. [19] [20] 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. [19] [20]
Chronic fatigue syndrome - Ross River virus infection Factor
Last reviewed for CCPS 17 December 2003.
Investigative Documents
Medical Report - Infections - Chronic Fatigue Syndrome [MR9304] Preliminary questions [24894] 24897 — the veteran has established the causal connection between the Ross River virus infection and VEA service for the clinical onset of chronic fatigue syndrome. 24898 — the veteran has established the causal connection between the Ross River virus infection and operational service for the clinical onset of chronic fatigue syndrome. or 24899 — the veteran has established the causal connection between the Ross River virus infection and eligible service for the clinical onset of chronic fatigue syndrome. Clinical onset and operational service [24898] Clinical onset and eligible service [24899]
Chronic fatigue syndrome - Symptomatic Epstein-Barr virus infection Factor
Last reviewed for CCPS 17 December 2003.
Investigative Documents
Medical Report - Infections - Chronic Fatigue Syndrome [MR9304] Preliminary questions [24884] 24885 — the veteran has established the causal connection between symptomatic Epstein-Barr virus infection and VEA service for the clinical onset of chronic fatigue syndrome. 24887 — the veteran has established the causal connection between symptomatic Epstein-Barr virus infection and operational service for the clinical onset of chronic fatigue syndrome. or 24888 — the veteran has established the causal connection between symptomatic Epstein-Barr virus infection and eligible service for the clinical onset of chronic fatigue syndrome. Clinical onset and operational service [24887] Clinical onset and eligible service [24888]
Links
[1] http://www.rma.gov.au/assets/SOP/2021/668271b196/105.pdf
[2] http://www.rma.gov.au/assets/SOP/2021/1655ce60af/106.pdf
[3] https://clik.dva.gov.au/system/files/media/SOP%20Bulletin%20226.pdf
[4] https://clik.dva.gov.au/user/login?destination=comment/reply/63378%23comment-form
[5] https://clik.dva.gov.au/ccpsmedical-261
[6] clikpopup://CCPS/reject33177No
[7] clikpopup://CCPS/reject33178No
[8] clikpopup://CCPS/reject33182No
[9] clikpopup://CCPS/reject33183No
[10] https://clik.dva.gov.au/ccpsother-31
[11] https://clik.dva.gov.au/node/69352
[12] clikpopup://CCPS/Reject/OnsetAfterService
[13] clikpopup://CCPS/Reject/NoPermanentWorsening
[14] clikpopup://CCPS/Chronic fatigue syndrome/ACM %C2%96 Contributed to worsening
[15] clikpopup://CCPS/ACM/NoContribution
[16] clikpopup://CCPS/ACM/NotOpService
[17] clikpopup://CCPS/ACM/NotOperDuties
[18] clikpopup://CCPS/rejectwilful
[19] clikpopup://CCPS/ACM/NoIllness
[20] clikpopup://CCPS/reject7390,7391No
[21] clikpopup://CCPS/Chronic fatigue syndrome/ACM %C2%96 onset prior to operational service
[22] clikpopup://CCPS/ACM/OnsetFailOper
[23] clikpopup://CCPS/ACM/NotEligService
[24] clikpopup://CCPS/ACM/NotEligDuties
[25] clikpopup://CCPS/Chronic fatigue syndrome/ACM %C2%96 onset prior to eligible service
[26] clikpopup://CCPS/ACM/OnsetFailElig
[27] clikpopup://CCPS/reject24895No
[28] clikpopup://CCPS/reject24896No
[29] clikpopup://CCPS/reject24900No
[30] clikpopup://CCPS/reject24901No
[31] clikpopup://CCPS/reject24906No
[32] clikpopup://CCPS/reject24886No
[33] clikpopup://CCPS/reject24891No
[34] clikpopup://CCPS/reject24892No