Change The Assessment Regulation

Original Language Title: Änderung der Einschätzungsverordnung

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251. Regulation of the Federal Minister for labour, Social Affairs and consumer protection regarding further provisions relating to the determination of the degree of disability (Assessment Regulation)

According to § 14 para 3 of the disabled setting Act, Federal Law Gazette No. 22/1970, as last amended by the Federal Act Federal Law Gazette I no. 51/2012, is prescribed:

The assessment regulation, Federal Law Gazette II No. 261/2010, is amended as follows:

1. paragraph 5:

"The regulation with the day following the proclamation into force."

The annex to the Assessment Ordinance is amended as follows:

2. position number is: 01.01.02



01.01.02









Medium-weight, extended forms









20 - 40%











20 - 30%:



For longer continuous existence; largely limited, with functional impairments, protracted despite adequate therapy course, relapse. Atopic Eczema (atopic dermatitis, endogenous eczema) for longer continuous existence. Rosacea, rhinophyma stronger expansion, disfiguring effect. Acne of severe grade with occasional abscess and Fistula formation and localization-related impairments.



40%:



Atopic Eczema (atopic dermatitis, endogenous eczema) with generalizing skin symptoms





3. position number is: 02.01.02



02.01.02









Functional limitations of medium level









30 - 40%









Recurrent episodes (several times per year) for weeks all the time, radiological changes, ongoing therapy supplies such as physiotherapy, physical therapy, analgesics, example: herniated disc without root irritation (pseudoradicular symptoms)

30%: recurrent episodes (several times per year) for weeks all the time, radiological changes

continuous therapy needs such as physiotherapy, physical therapy, analgesics

40%: recurring and persistent, persistent pain may be episodic deterioration, radiological and/or morphological changes

significant restrictions in everyday life





4. position number 02.01.03 is:



02.01.03









Functional restrictions of severe degree









50 - 80%









50%: Radiological changes and clinical deficits

Significant restrictions in everyday life

60%: Chronic pain with episodic deterioration

Simple analgesic therapy (NSAIDs) no longer sufficient

70%: Intractable instability Symptomatik at advanced stages of spinal sliding, spinal stenosis with claudication spinalis (short distance), severe scoliosis with required bodice supply or surgical indication

Postlaminektomie syndrome



80%:



Additional adverse effects such as chronic neurogenic pain, Opionidindikation

Indications for invasive therapies including pain pacemaker (SCS) and pain pumps, Periduralkatheter

Paralysis with gait disturbance

Reinforcement of at least several segments





5. position number phone is:



phone









Functional effects of advanced degree









50 - 70%









50%: lasting significant functional limitations, therapeutically heavily influenced disease activity, need for at least 6 months ongoing therapy

70 long %: significant functional limitations with significant restrictions in everyday life, therapeutic heavily influenced disease activity, walking difficulties





6 item number is: 02.05.12



02.05.12









Functional impairment of severe degree on both sides









60 - 100%









Corresponds to a stiffening in an unfavourable position (flexed position or stronger AB or adduction position)





7 position number is: 02.05.17



02.05.17









Snap hip









10%











Knee joint



Functional limitations in the knee joint as a result of band -, cartilage and meniscus lesions. Characteristics of cartilage damage of heavier, lower and middle level be included in the assessment.





8. after the item number 02.07.02 following position number 02.08 is inserted:



02.08

              

Short stature



02.08.01









Proportional short stature









30 - 40%









Body size between 130 and 140 cm after conclusion of bine elongation









02.08.02









Dysproportionaler short stature









50 - 60%









Depending on body size and Dysproportion for short stature under 130 cm





9 position number is: 03.01.02



03.01.02









Intellectual deficiency with low to moderate social adjustment disorders









30 - 40%









History light adjustment disorder

Problems in education

Independence in self-catering, in everyday life





10 position number 03.01.03 is:



03.01.03









Intellectual deficit with major adjustment disorders









50 - 80%









50-70%: Manifest problems in coping with everyday life

Unskilled work

Full independence rarely



70-80%:



Manifest problems in coping with everyday life, supervised forms of work

Significant problems with the unbearable, self-sufficiency only under supervision, instructions, help external supervisors/employees who are living alone only limited possible, necessary





11 position number is: 03.03.01



03.03.01









Expression easier denial Elle deficits









10 - 40%









30-40%: Diagnosis must be verified

New memory error, slight difficulty in solving complex tasks, stable in the psychopathological status

Minor limitations of performance





12 position number is: 03.05.06



03.05.06









Heavy grade









80 - 100%











80 - 90%:



Psychopathologisch severe personality changes, highly pronounced social withdrawal, greatly reduced drive

Consistent activities cannot consistently despite regular guidance during the course of the entire day ensue,



100%:



Severe affective personality changes, social isolation, loss of propulsion





13 position number 03.06.02 is:



03.06.02









Depressive disorders of medium level of manic disorder of medium level









50 - 70%









50%: Depression: performance and social interaction difficult to sustain

Completely interrupted Mania: during the phases of work performance and social functioning

70%: performance of permanently restricted no full remission despite adequate therapy





14 position number is: 03.07.01



03.07.01









Light history form









10 - 40%









10-20%: Psychopathologisch stable, medication in the wave, acute psychotic state image in the history (E.g. drug-induced psychosis)

30%: Psychopathologisch stable interval therapies, residual State with small abnormalities, in everyday life fully integrated

40%: Psychopathologisch striking (incipient fault of formal thinking, occasional Mania content and negative symptoms) despite continuous therapy

Moderate low restricted social impairment in daily life





15 position number 03.07.02 is:



03.07.02









Medium course form









50 - 70%









50%: At least two psychotic state images in the last 1.5 years, psychotic symptoms in the State, psychopathologisch unstable (of formal thought disorder, delusions content and negative symptoms), despite continuous therapy. Significantly reduced social integration in everyday life

60%: Consistently low carrying capacity in all areas of life, social isolation, social descent

70%: Long history, high-dose therapy, additional affective, disorders, cognitive height a ERG wheel side affects (orientation, memory capacity), heavy and continuous social impairment





16 position number 03.08.01 is:



03.08.01









Addicted with slight physical and mental changes










10 - 40%









10% - 20%: dependency exists, 1-2 clinical criteria of addiction, therapy and medication on some occasions, socially integrated

30%: Dependency exists, 3 to 4 socially integrated clinical criteria of addiction, therapy and medication, maintain performance

40%: 30%, but an inpatient withdrawal within the last 2 years, problems in the social environment, moderate social impairment, controlled addiction, substitution therapy





17 position number 05.04.05 is eliminated.

18. the 07.04.04-07.04.06 position numbers are as follows:



07.04.04









Chronic intestinal disorders of slight degree without chronic mucosal lesions









10 - 20%







 







Low-impact, small problems (irritable bowel symptoms)

No or low impact of the forces - and nutritional status, rare diarrhea of light level, without chronic mucosal lesions





 









07.04.05









Chronic intestinal disorders of medium level with chronic mucosal lesions









30 - 40%







 







30%: Common recurrent or long-lasting problems, frequent diarrhea, with demonstrably chronic mucosal lesions, low to moderate impairment of the General and nutritional status

40%: Frequent diarrhea, with demonstrably chronic mucosal lesions, moderate impairment of the General and nutritional status





 









07.04.06









Chronic intestinal disorders of severe degree with severe chronic mucosal lesions









50 - 60%







 







Daily, also nocturnal diarrhea, prolonged or frequently recurrent considerable discomfort, substantial impairment of the General and nutritional status, pronounced mucosal lesions and severe impairment of the nutritional status





19 position number 07.05.08 is eliminated.

20th position number 07.07.03 is eliminated.

21 position number 09 together with the heading is as follows:

'09 ENDOCRINE SYSTEM

The degree of disability in disorders of the metabolism and the internal secretion is dependent on the impact of these disorders on the individual organ systems.

Where no assessment is provided for in section 09, the functional deficits under the respective sections are to assess safe diagnosis without significant functional deficits with 10%.

Standard deviations of the laboratory values require for themselves alone or no degree of disability.

Overweight (obesity) in itself requires no assessment. Obesity is severe (BMI > 40) and these are associated with functional limitations, depending on the constraints under the respective sections to assess.

Malignant forms are to assess under section 13. Concerns, these separately under section 03 are also mental function constraint to estimate. „

22 position number 09.01 including heading is:

"09.01 endocrine disorder

Endocrine organs secrete their secretions (hormones) inwards, directly into the blood. Parent and sub-functions that lead depending on the extent and mechanism of action in the individual organ systems to complex functional limitations are functionally indistinguishable. They are caused by an excess or a deficiency of hormones. These symptoms typically are combined, one speaks of syndromes

The hormone delivery (endocrine secretion) are controlled by activating and inhibitory (neuro) secretory carrier substances.

The extent of the most complex disease affecting multiple organ systems and therefore the height of the degree of disability is determined by the effect on the end organs and possible medication (hormonal substitution or inhibition).

The most common endocrine disease - diabetes mellitus - is pictured at 09.02 assessment and demarcation criteria in detail.

The functional limitations of other endocrine glands (such as, for example, thyroid disease, Adrenogenital syndrome, dwarfism, adrenal and parathyroid disorders, pituitary disorders, pancreatic diseases and hormonal disorders of the sexual organs) were to assess according to functional limitations and treatment options. „

23. the 09.01.01-09.01.04 position numbers are as follows:



09.01.01









Endocrine light degree









10 - 40%









If therapeutic measures ensure the maintenance of body functions



10 - 20%:



Drug substitution/inhibition well adjusted. No or low likelihood of derailment. Subjective visibility when beginning medication overdose/under dosing of substitution, inhibition therapy is very good. The disease is largely stable, everyday life is largely unhindered, leisure is not or little limited



30 - 40%:



Drug substitution/inhibition well adjusted. Low probability of derailment. Subjective visibility when beginning medication overdose/under dosing of

Substitution, inhibition therapy is good to moderate. The disease is largely stable, everyday life is largely unhindered, leisure time is slightly restricted









09.01.02









Endocrine light level until the age of 18









50%









In children and adolescents up to 18 years of age, a strict monitoring because of limited self-awareness at derailment situations and usually much assignments disease situation and generally unstable metabolic and hormonal situation is required

Strict and accurate compliance with therapeutic measures is particularly important to avoid acute disorders and complications during the particularly vulnerable stages of development. Derailments speak quickly or without prior notice, so that close monitoring is required









09.01.03









Endocrine medium level









50 - 70%









Regular therapeutic measures are necessary, the disease is stable at a high level, moderate to higher likelihood of derailment situations, unbearable is independently, however medium restricted, restricted leisure









09.01.04









Endocrine disturbances of severe degree









80 - 100%









Regular close therapeutic measures are necessary, the intensity of the disease is located on high to highest level, high risk of a derailment situation and/or rapid course, assistance in tackling everyday life, quality of life and leisure behavior significantly restricted





24 position number 09.03 along with heading and position numbers 09.03.01-09.03.04 are:



"09.03

              

Metabolic disorder



Metabolic disorders are genetic or congenital errors of metabolism that are quantifiable from birth or become manifest at a later date.

The principle pathogenic mechanism is an enzyme defect leading to an abnormal accumulation of the appropriate substrate or a lack of metabolism products and subsequently causes clinical symptoms. An accumulation of substrates can lead to intoxication, enzyme inhibition, accumulation and activation of alternative metabolic pathways. The deficiency leads to metabolic deficiencies.

Metabolic disorders are complex, rare diseases, requiring diagnosis and treatment of a Department. The severity of the disease and thus the height of the degree of disability are determined by the existing functionality of this website, as well as the required therapies.



09.03.01









Metabolic disorders of light degree









10 - 40%









If therapeutic measures ensure the maintenance of body functions. More extensive treatment measures the higher assessment.



10 - 20%:



Only dietary measures allow the maintenance of body functions. The disease is largely stable. Work and everyday life is largely unhindered. Leisure time is not or slightly restricted.



30 - 40%:



Additional therapeutic measures are necessary in order to maintain the body's functions. The disease is largely stable. Work and everyday life is largely unhindered. Leisure time is not or slightly restricted.










09.03.02









Metabolic disorders of light level until the age of 18









50%









In children and adolescents up to 18 years of age is particularly important to complications, especially vulnerable during development to avoid rapid aggravation adherence to diet or a therapeutic measures strict complementary compliance with strict. Metabolic disorders expressed often quickly and without prior notice, so that close monitoring is required.









09.03.03









Metabolic disorders of medium level









50 - 70%









Dietary and regular therapeutic measures are necessary. The disease is stable at a high level. Working life is restricted to moderately challenging and/or moderate activities. Unbearable is automatically possible. Leisure Limited.









09.03.04









Metabolic disorders of severe degree









80 - 100%









Dietary and regular therapeutic measures are necessary. The intensity of the disease is high to highest level. Work life is severely restricted, heaped sick days, necessary support in the workplace. Assistance in coping with everyday life. Significantly restricted quality of life and leisure.





25. the item numbers accounts for 09.04 to 09.07.

26. the position numbers 10.02.02 and 10.02.03 are eliminated.

27. the position number 10.03 and heading is as follows:



10.03

              

Neoplasms of lymphoid, haematopoietic and related tissue



Hodgkin's lymphoma











10.03.01









Crohn's disease Hodkin Lymphoma in ongoing therapy









60 - 100%









The amount of the assessment is dependent on the general condition and the functional deficits









10.03.02









Hodgkin's lymphoma in full remission for 3 years









50%









Then, an assessment according to the remaining functional deficits is to make







Non Hodgkin's lymphomas



10.03.03









Non Hodgkin's lymphomas with low impact









30 - 40%









No major complaints, no general symptoms, no need for therapy, no significant progression









10.03.04









Non Hodgkin's lymphomas during ongoing treatment









50 - 100%









Choice of chassis Kit depending on the symptoms, effects of the therapy and progression







Acute leukemias



10.03.05









Acute leukaemia with low impact









30 - 40%









No major complaints, no need for therapy, no progression, no general symptoms, acute leukemia in complete remission









10.03.06









Acute leukemia with a medium-to heavy-grade effects









50 - 100%









Choice of chassis Kit depending on the symptoms, effects of the therapy and progression



60 - 100%:



Acute leukemias in ongoing therapy







Chronic Myeloproliferative Disorders



10.03.07









Myeloproliferative Disorders with light effects









30 - 40%









Under this heading are, for example, Polycythämien, Thrombocythämien, Osteomyelofibrose, and chronic myeloid leukemia to assess, no major complaints, no general symptoms, no significant progression









10.03.08









Myeloproliferative Disorders with a medium-to heavy-grade effects









50 - 100%









Choice of chassis Kit depending on the symptoms, effects of the therapy and progression







Plasmacytoma



10.03.09









Plasmacytoma with mild to moderate effects









30 - 40%









No significant impact on the general condition, no need for therapy, no significant progression









10.03.10









Plasmacytoma with strong to severe impact









50 - 100%









Depending on the general condition, extent of the skeleton changes, renal injury and pain







Loss of spleen



10.03.11









Mild to moderate functional consequences









10%











10.03.12









Mild to moderate functional consequences for children and adolescents up to the age of 8









20%









Immunodeficiencies



10.03.13









Light immunodeficiencies









10 - 40%









Susceptibility increased despite therapy, but no unusual infections









10.03.14









Medium degree-immunodeficiencies









50 - 70%









Despite therapy, increased susceptibility and repeated unusual infections, atypical pneumonia









10.03.15









Severe immunodeficiencies









80 - 100%









Despite therapy increased susceptibility and repeated unusual infections, atypical pneumonia, Lymphadenopathiesyndrom, stage A and B - asymptomatic to mild symptoms, increased susceptibility to infection, but no unusual infections, susceptibility increased despite therapy despite therapy, repeated unusual infections, significant reduced general condition and performance





28. the item numbers account for 10.04 and 10.08.

29. the position number 12.03.01 is:



12.03.01









Mild to medium level-balance errors









10 - 40%









Always the clinical finding is relevant to the assessment. Standard deviation alone result in no assessment in fact collected neurootological research



10%:



Symptom-free, with sense of insecurity at everyday loads, such as walking, bending, erecting, head spins, light activities in different posture

Slight uncertainty, less dizziness at higher stresses such as lifting, walking in the dark, abrupt body movement

Greater uncertainty with dizziness phenomenon (case inclination, pull to one side) only in extraordinary loads such as standing and walking on scaffolding, sporting exercises with rapid movement of the body

Meniere's disease with one or two attacks per year



20%:



Slight uncertainty, slight dizziness appearance such as swaying, stumbling, lunge at everyday loads

Greater uncertainty and Vertigo appearance at higher loads

Slight deviation in the walking and standing attempts at higher stress level



30 - 40%:



Greater insecurity, dizziness appearance with case tendency in everyday stress

Severe dizziness with autonomic symptoms (nausea, vomiting) in higher and exceptional loads

Significant deviation in the walking and standing attempts already at low load level

Meniere's disease more frequent seizures, depending on the severity of





30 13.02.01, 13.02.02 and 13.03.01 get the names 13.01.03, januaryy and 13.01.05 items.

Hundstorfer