DECISION SUPPORT UNIT
3rd Floor Blackburn House, 199 Grenfell St, Adelaide
Level 8, 259 Queen St, Brisbane
Intranet site: http://intranet/nat/comp/dp/Nop/dsu/dsudefault.htm
SOP Bulletin No. 95
27July 2005
RELEASE NOTES - CCPS VERSION 2005/07
Version 2005/07 of the Medical Knowledge Base for CCPS was released into
production on Wednesday 27 July 2005. 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
SOP amendments
incorporated into CCPS
Nil
Chronic lymphoid leukaemia (CLL)
Epilepsy
Gastro-oesophageal reflux disease (GORD)
Inguinal hernia
Sleep apnoea
Enhancements of CCPS
rulebases and commentary
Achilles tendonitis or bursitis
Acquired hallux valgus
Adenocarcinoma of the kidney
Aortic aneurysm
Carotid arterial disease
Colorectal adenoma
Diverticular disease of the colon
Haemorrhoids
Inflammatory bowel disease
Malignant melanoma of the skin
MN bladder
MN larynx
Non-aneurysmal aortic atherosclerotic disease
Non-Hodgkin’s lymphoma
Open angle glaucoma
Plantar fasciitis
Pruritis ani
Pterygium
Pulmonary thromboembolism
Seborrhoeic dermatitis
Additional amendments –
not noteworthy
Conjunctivitis
Hypertension
New SOPs incorporated into CCPS
Nil
SOP amendments incorporated into CCPS
Chronic lymphoid leukaemia (CLL)
The low frequency electromagnetic field factor has been removed.
For information on this SoP refer to SoP Bulletin No. 90 of 7/3/05.
Epilepsy
New factors for HIV, Alzheimer’s disease, CJD and multiple sclerosis have been added
under the contention heading of A specified disease for epilepsy which now also
includes central nervous system SLE. Previous factors for bacterial, viral and parasitic
meningitis/encephalitis have been combined in the new factor Infection of the brain or
meninges. The previous factor for cerebrovascular diseases had been replaced by 2
factors – CVA and subarachnoid haemorrhage.
For information on this SoP refer to SoP Bulletin No. 90 of 7/3/05.
Inguinal hernia
The factor for increased intra-abdominal pressure has been spilt into 7 factors for
each different cause except for ascites, chronic ambulatory peritoneal dialysis,
extensive intra-abdominal neoplastic disease, pneumoperitoneum and straining at
micturition which are all grouped under increased intra-abdominal pressure due to a
medical condition. When any of the other causes, such as coughing, is due to an
identified medical condition, this aspect is dealt with in that specific factor and not in the
above group.
The factor involving straining at stool due to constipation or diarrhoea is similar to
the previous factor however in CCPS the rulebase has been changed to allow for
constipation or diarrhoea to be the casual result of service as well as propagation to an
underlying condition.
The reject reasons for the factors involving coughing or sneezing and straining at
stool due to constipation or diarrhoea refer to both situations; the reasons should be
edited, for example, to just coughing if that is the contention.
There are claimant and medical questionnaires available for the various increased intraabdominal pressure factors; these questionnaires refer to the RH standard of proof of
“within the 30 days” so for BOP cases this should be edited to “within the 3 days”.
For information on this SoP refer to SoP Bulletin No. 90 of 7/3/05.
Gastro-oesophageal reflux disease (GORD)
There is only one smoking factor in CCPS as the smoking requirements for GORD are
incompatible with the operation of the smoking module. All types of smoking
(cigarettes, cigars and pipe tobacco) must be combined to calculate the quantity of
tobacco products smoked during the relevant period. This combined smoking factor
also incorporates material contribution (Kattenberg) considerations.
There are two RH worsening only drugs factors that are above line:
 Treatment with non-steroidal anti-inflammatory drugs (NSAIDs) as these are
commonly used within the veteran community; and
 Treatment with doxycycline as this antibiotic drug is sometimes prescribed as an
antimalarial within the ADF.
The below line factor ‘eradication of Helicobactor pylori’ (RH only) necessarily
propagates to the chronic gastritis rulebase, but only if it involves the stomach body.
Not all treatment for Helicobacter pylori results in the eradication of the infection,
therefore, establishing that eradication has taken place is an essential part of the
investigation process. Both the chronic gastritis and the eradication of Helicobacter
pylori must be within the six months before the onset or worsening of GORD.
For information on this SoP refer to SoP Bulletin No. 91 of 8/4/05.
Sleep apnoea
The new alcohol consumption factor (worsening only) has been placed above line.
The new end stage renal failure factor requires identification of the underlying
condition/s resulting in the renal failure.
For information on this SoP refer to SoP Bulletin No. 91 of 8/4/05.
Enhancements of CCPS rulebases and commentary
Haemorrhoids
The rulebase for the straining at stool factor has been revised to allow for constipation
to be the casual result of service as well as propagation to an underlying condition.
Kattenberg changes have also been made to the following conditions and
the factors specified:
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Achilles tendonitis or bursitis (vigorous physical activity)
Acquired hallux valgus (ill fitting footwear)
Adenocarcinoma of the kidney (smoking – cigarettes only for BOP, asbestos)
Aortic aneurysm (smoking)
Carotid arterial disease (smoking)
Colorectal adenoma (smoking and physical inactivity)
Diverticular disease of the colon (lower dietary fibre – RH only)
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Inflammatory bowel disease (smoking)
Malignant melanoma of the skin (PUVA treatment)
MN bladder (specified chemicals, smoking, polycyclic aromatic hydrocarbons (PAH),
atomic radiation)
MN larynx (passive smoking, insecticides, herbicides)
Non-aneurysmal aortic atherosclerotic disease (smoking)
Non-Hodgkin’s lymphoma (potable water Vietnam)
Open angle glaucoma (corticosteroid therapy)
Plantar fasciitis (running)
Pruritis ani (anal hygiene, diarrhoea)
Pterygium (dust)
Pulmonary thromboembolism (smoking)
Seborrhoeic dermatitis (personal hygiene)
Contact Officers for this bulletin:
Maureen Anderson
50365
Susan Lee
50227
Gaynor Cavanagh
48331
Bernadette McCabe
48393
Remember! If you are having any problems with SOPs, or SOPs in
CCPS, talk to us!