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Procedure for the medical examination of service incapacity and pension for military personnel

Original Language Title: Besluit procedure geneeskundig onderzoek blijvende dienstongeschiktheid en pensioenkeuring militairen

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Decision of 23 December 1996 laying down a procedure for a medical examination of permanent service incapacity and a pension assessment of servicemen (the medical examination procedure and the assessment of the pension for pensions) military)

We Beatrix, at the grace of God, Queen of the Netherlands, Princess of Orange-Nassau, etc. etc. etc.

On the nomination of the Secretary of State for Defence of 26 July 1996, No P/96002773;

Having regard to, Article 12 B and I of the Military Staff Act 1931 , Article 12 of the Service Law and Article T1 of the General Military Pensions Act;

The Council of State heard (opinion delivered on 9 October 1996, No WO7 9600333);

Having regard to the further report of the State Secretary for Defence of 19 December 1996, No P/96006120;

Have found good and understand:


Paragraph 1. Conceptual provisions

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Article 1

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For the purpose of this Decision:

  • a. Our Minister: Our Minister of Defence;

  • b. medical authority: the medical authority to be designated by our Minister, who shall advise him on permanent service incapacity;

  • c. Medical examination: a military medical examination of the existence of permanent incapacity for the fulfilment of the military service;

  • d. Pension inspection: a medical examination of the generation, expression or aggravation, the nature and effects of injury, diseases or defects, as a result of the application or under the control of Military Pensions Framework Law the provisions on incapacity for work and on invalidity with employment;

  • e. pension insurance authority: a medical adviser to be referred to by Our Minister, advising him on the pension insurance aspects;

  • f. commission: the commission mentioned in Article 3 .


Section 2. The medical examination of permanent service incapacity

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Article 2

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  • 1 In the case of long-term absenteeism prior to the medical examination of permanent service to work, a first assessment of the question of whether the duration of the work is to be assessed at the latest in the 26th week of the first day of the absence of the job shall be presented for a medical examination of this kind. This assessment shall take place in a manner to be determined by the medical authority. If necessary, this assessment shall be repeated in the 12th month.

  • 2 A medical examination and a repeated medical examination of permanent service incapacity shall be carried out under the responsibility of the medical authority under the instructions of our Minister.

  • The medical authority shall notify the pension insurance authority of the contract referred to in the previous paragraph.


Article 3

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  • 1 A medical examination, whether or not to be conducted after prolonged illness, or a repeated medical examination of permanent service incapacity, shall be instituted by a committee consisting of at least three doctors, of which the chairman, also a member, and the other members shall be appointed by the medical authority.

  • 2 As regards the composition of a committee as referred to in paragraph 1, the following shall apply:

    • a. Not as a member may be appointed by the treating physician of the military and also for a repeated medical examination a doctor, who as a member has taken part in the committee, which shall carry out the medical examination of has set up permanent service incapacity;

    • b. If possible, a chief officer is designated as a member.


Article 4

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The President of the Commission shall announce the purpose of the examination of the military to be examined in the written call for a medical or repeated medical examination of a lasting service incapacity.


Article 5

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If, by reason of his or her situation, the military is prevented from appearing at the place determined by the chairman of the committee, the chairman shall determine where and how the medical or repeated medical examination is to be carried out. continued service unsuitability as then will take place.


Article 6

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The military authorities shall, subject to the privacy regulations based on the Act of personal registration, be obliged to forward to the President of the Commission, at his request, a State of Service relating to the military and, furthermore, to provide the information required by the Commission, in particular:

  • a. A report on the progress of the failure to control and the failure to provide guidance;

  • b. a report on the reintegration activities of the armed forces and, where appropriate, external services;


Article 7

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The committee assesses a military officer on the existence of lasting unsuitability for carrying out military service subject to compliance Military control regulation .


Article 8

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  • 1 The Committee shall issue a report on the medical examination and the repeated medical examination of permanent service incapacity. The report shall include a statement of evidence on the unserviceability of the military, whether permanent or non-permanent, and the information on which this Award is based and the repeated medical examination, a further consideration of the the reasons given for military action by the military.

  • 2 In the case of non-permanent incapacity to carry out the military service, the report shall also contain an explanation or recovery of the military within a period of 6 months after the expiry of the 2-year period of sickness absence. expect, in such a way that this could lead to a more appropriate explanation.

  • 3 A member of the committee who, on one or more points, considers that there is a different opinion of the majority, shall be entitled to make it appear, specifying the grounds on which it is based, to be attached to the report. note.

  • 4 The chairman of the committee shall forward the report to the medical authority as referred to in the third paragraph, as well as any notes referred to it.


Article 9

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  • 1 The medical authority may submit to the committee the reasons for further justification of the report, if necessary after an examination of its burden has been carried out.

  • 2 The medical authority shall send to our Minister an extract of the report after having provided it with his visa. This extract shall contain a statement of the unsuitability of the military service of the military and any other information which may be necessary by the medical authority, whether or not it is permanent.

  • 3 Before the statement referred to in paragraph 2 above to Our Minister, the medical authority shall inform the military of whether or not he considers him to be permanently unfit for military service and the grounds on which it is to be It shall be able to provide for the possibility for the fourth member to be provided.

  • 4 Within six weeks of the day on which the military has been informed of the judgment referred to in paragraph 3, the military may, in writing and with the grounds of objection, give a written statement to our Minister, and within six weeks of the date of A repeated medical examination may be initiated.


Article 10

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In special cases, our Minister may provide that the full report is to be sent to him for the purposes of full review of the judgment of the medical authority, by a staff member appointed by him to carry out the task of to act on his behalf in medical matters.


Article 11

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Our Minister may determine that an investigation of an officer's conscientious officer is considered to be an examination of medical examinations.


Paragraph 3. The pension verification

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Article 12

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  • 1 The pension insurance authority may, in order to determine the claims of the military, use the medical examination by the commission to replace its own pension.

  • 2 If the pension insurance authority wishes to make use of the option provided for in paragraph 1, he shall make a request to the medical authority at the same time as the investigating medical adviser.

  • 3 The Committee shall issue a further report to the Pension Insurance Authority of any pension claims made by the military.

  • Where appropriate, the committee may also be asked to give an opinion on the question whether, if so, the extent to which injury, diseases or defects is still to be discharged after the termination of the term of office of the Member State concerned, Military Pensions Framework Law Provisions adopted concerning invalidity with employment.


Article 13

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  • 1 In determining the degree of invalidity with employment as referred to in the case of or under Military Pensions Framework Law provisions adopted shall be taken on the basis of the War Pensions Committee scale as set out in the Annex.

  • 2 In some cases, our Minister may derogate from the scale referred to in paragraph 1, or give instructions for the application of these provisions.


Paragraph 4. Final provisions

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Article 14

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The Medical Examination Procedure shall be revoked.


Article 15

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This Decision shall enter into force from the day following the date of issue of the State Sheet where it is placed.


Article 16

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This decision may be referred to as: The medical examination procedure and the military service of permanent service and pension assessment.

Burden and order that this Decision, together with the accompanying note of explanatory note to the State Sheet will be placed.

' s-Gravenhage, 23 December 1996

Beatrix

The Secretary of State for Defence,

J. C. Gmelich Meijling

Published on the 20th of February 1997

The Minister of Justice,

W. Sorgdrager


DRAFT DISABILITY SCALE (1 January 1953)

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Contents

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Foreword 13

Chapter I:

Upper limbs

13

Chapter II:

Lower limbs

17

Chapter III:

Skull and gelate

20

Chapter VI:

Spine, thorax and pelvis

23

Chapter V:

Other conditions of bones and joints

25

Chapter VI:

Nervous system disorders (neurological disorders)

26

Chapter VII:

Psychiatric disorders

31

Chapter VIII:

Sympatic nervous system and Endocrinology

33

Chapter IX:

Tft-rhino laryngology

35

Chapter X:

Opthalmology

37

Chapter XI:

Blood diseases

40

Chapter XII:

Skin diseases

41

Chapter XIII:

Heart and vascular system

42

Chapter XIV:

Respiratory system

44

Chapter XV:

Digestive system and abdominal wall

46

Chapter XVI:

Urogenital system

48

Chapter XVII:

Tuberculosis

50

Chapter XVIII:

Tropical diseases

53

Comments 54

FOREWORD

1. Definitions:

  • a. With disability, it is intended to reduce the anatomical integrity or functional capacity of the individual.

  • b. By being disabled, it is meant to suffer from any form of disability.

2. The invalidity is appreciated by the ability to accomplish the normal life functions of the disabled compared to that of a non-disabled person. Its valuation is determined by the general degree of loss of employment due to invalidity and not by the remaining work capacity in a particular occupation. The invalidity shall be expressed in percentages of 1 to 100.

3. The appreciation of the disability is generally based on the findings during the investigation.

In cases, where no clear abnormalities are found during the study, the history of the disease may be taken into account and expected to be taken into account, and an average estimate for a given period of time may be observed. period. 1

4. The percentages mentioned in the scale are minima. These can be overwritten if details or complications affecting the work ability are present. In such cases, reference should be made to a different number of the scale. As a rule, a margin has been given in the scale, within which the minimum is, usually at the lowest point of it.

5. The above percentages apply only if maximum possible improvement through treatment, rehabilitation, prosthesis etc. has been reached.


CHAPTER I. UPPER EXTREMITIES


A. AMPUTATIONS

The rates of invalidity are minima and apply only to:

  • a. medically and surgically finished stump, with good movement in the sewing joint or joints;

  • b. Full rehabilitation;

  • c. possibility of good use of a prosthesis.

    In case of complications such as keloid, neuromata, motion restriction, may be above the indicated percentages, as well as if, due to medical reasons, the amputees are unable to wear a prosthesis or use a proper one.

1. Scholder and arm (right or left)

0101

Exarticulation of the shoulder

90

0102

Amputation of the humerus, stomp shorter than 20 cm, measured from the acromion

80

0103

Amputation of the humerus, blunt 20 cm or longer measured from the acromion, exarticulation of the lower arm in the elbow, or amputation just below the elbow with a stump shorter than 11 cm, measured from the olecranon

70

0104

Amputation of the forearm, round 11 cm or longer from the olecranon

60

0105

Exarticulation of the wrist

60

2. Fingers (right or left)

0106

Loss of all fingers of the hand (thumb included)

60

0107

Loss of 4 fingers, thumb retained and moveable

45

0108

Loss of 4 fingers, thumb included

55

0109

Loss of 3 fingers, thumb, wise and middle finger

50

0110

Loss of 3 fingers, waist, ring finger and pink

25

0111

Loss of 3 fingers, wise, wakeside and ring finger

30

0112

Loss of 2 fingers, thumb and index finger

40

0113

Loss of 2 fingers, wise and middle finger

25

0114

Loss of 2 fingers, waist and ring finger

20

0115

Loss of 2 fingers, ring finger and pink

20

0116

Loss of the thumb and mid-hand cover

35

0117

Loss of 2 kooks of thumb

30

0118

Loss of 1 cage of thumb

15

0119

Loss of the top of the thumb

5

0120

Loss of index finger

14

0121

Loss of 2 kooks of index finger

11 2

0122

Loss of end member of index finger

9

0123

Loss of the top of the index finger

5

0124

Loss of middle finger

12 3

0125

Loss of 2 kooks of middle finger

9

0126

Loss of the end member of the middle finger

7

0127

Loss of the top of the middle finger

4

0128

Loss of the ring finger

7

0129

Loss of 2 kooks of the ring finger

6

0130

Loss of the end member of the ring finger

5

0131

Loss of the top of the ring finger

2

0132

Loss of the pink

8

0133

Loss of 2 kooks from the pink

6

0134

Loss of the end member of the pink

5

0135

Loss of the top of the pink

2

3. Double-sided amputations

0136

Loss of 2 hands

100

0137

Loss of 2 thumbs

70

0138

Loss of 2 thumbs up with their middle-hand cloves

80

0139

Loss of a hand and a foot

100


B. FUNCTIONAL IMPAIRMENT

Note: The indicated minimum rates apply to both the right and left arm.

Ankylose is intended to be complete immovability in the joint, or at most, a very low one degree of motility.

Complications of the same extremities, such as disorders of other joints, contractures, painful callus osteomyelitis, etc., may lead to a higher percentage according to the general rules, but the rate for amputation of the Part of extremity may not be exceeded. If an invalidity surgical procedure improves, the percentage of the condition after the procedure should be determined.

1. Scholder

0140

Recurrent shoulder luxation

20

0141

Recurrent shoulder luxation, frequent

30

0142

Motion limitation in the shoulder to a low degree

10

0143

Movement limitation in the shoulder, abduction no further than horizontal

20

0144

Motion limitation in the shoulder, abduction limited to less than horizontal

30

0145

Ankylose from the shoulder, scapula fixed

45

0146

Ankylose from the shoulder, scapula moveable

30

0147

"Los joint" of the shoulder with excission of the humerus head

50

2. Upper arm

0148

Poorly healed humerus fracture, with deformation, atrophy and strength loss

10

0149

Poorly healed humerus fracture, with clear shortening and more pronounced deformation, atrophy and power loss

20

0150

Pseudarthrose in middle part humerus

45

3. Elbow (180 ° means fully stretched forearm)

0151

Movement in elbow active possible from 110 ° to 75 °

15

0152

Movement in elbow active possible from 75 ° to 35 °

25

0153

Movement in elbow active possible from 110 ° to 180 °

30

0154

Full ankylosis of the elbow (hand in semi-pronation position) in favourable position (semi-flexie)

35

0155

Full bottom ylose of the elbow in unfavorable position (flexion mode)

40

0156

Full ankylose of the elbow in unfavorable position (extension stand)

50

0157

Ankylose from the elbow with retention of supination and pronation in favorable stand (half-flexie)

25

0158

Ankylose of the elbow in unfavorable position (flexion mode)

30

0159

Ankylose of the elbow in unfavorable position (extension stand)

40

0160

"Los joint" of the elbow

50

4. Underarm

0161

Poorly healed fracture of radius and ulna with rufment and decreased gripping power of the hand

10

0162

Poorly cured fracture of radius and ulna with smolgation and decreased gripping strength, hand fixed in supine

30

0163

Poorly cured fracture of radius and ulna with smolgation and decreased gripping power of the fingers, hand fixed in pronstulation

20

0164

Idem with hand fixed in semi-pronged state (thumb to top)

15

0165

Pseudarthrosis of the radius and ulna

45

0166

Pseudarthrosis of the radius at favorable level

10

0167

Pseudarthrosis of the radius at unfavourable level

20

0168

Pseudarthrosis of the ulna

15

5. Pols and hand

0169

Ankylose of the wrist (fingers motionless) in palmair flexion or with malformed hand in ulnaire or radial abduction

45

0170

Bottom ylose of the wrist (fingers moveable) in any other unfavourable position

35

0171

Bottom ylose of the wrist (fingers moveable) in favorable position (light dorsally flexion)

25

0172

Practical loss of the use of the hand (e.g., Paralysis of Volkman)

60

0173

"Los joint" of the wrist

35

6. Fingers

0174

Ankylosis of the joints of all fingers, thumb and metacarpophalangeal joints included

60

7. Nervous Lesions Upper Extremities

The invalidity rates apply to complete paralysis (paralysed). They should be reduced in the case of partial paralysis, recovery of movement and minor remaining sensitivity disorders.

0175

Lesion of the plexus branchialis-paralyse upper roots (Duchenne-Srb)

50

0176

Lesion of the plexus brachialis paralyse lower roots (Klumpke)

55

0177

Paralyse of the N. Subscapularis

15

0178

Paralyse of the N. axillaris

25

0179

Paralyse of the N. musculo-cutaneous

20

0180

Paralyse of the N. medianus

50

0181

Paralyse of the N. medianus, only hand muscles

25

0182

Paralyse of the N. ulnaris

30

0183

Paralyse of the N. ulnaris, only hand muscles

20

0184

Paralyse of the N. radialis

55

0185

Paralyse of N. radialis, M. triceps not included

40

0186

Paralyse of the N. medianus and the N. ulnaris

55


CHAPTER II. LOWER LIMBS


A. AMPUTATIONS

The introductory note to Chapter I on the upper limbs applies equally to the lower limbs.

1. Heup

0201

Exarticulation of the hip with possibility of prosthesis

90

0202

Exarticulation of the hip without possibility of prosthesis

100

2. Dijon (round measured from the Trochanter major)

0203

Amputation stomp shorter than 13 cm

80

0204

Amputation stump from 13 cm to the middle of the femur

70

0205

Amputation stump from the middle of the femur to the knee

60

0206

Exarticulation in the knee

60

3. Subleg (blunt measured from the tibia head)

0207

Amputation very short stump less than 10 cm

60

0208

Amputation, ideal stump 10-15 cm

50

0209

Amputation, stomp longer than 15 cm

45

0210

Amputation according to Syme and Guyon

30

4. Voet

0211

Foot amputation with bearing stump (according to Pirogoff)

30

0212

Amputation of the middle foot (Chopart)

30

0213

Amputation of the forefoot (Lisfranc)

30

0214

Veries of all toes of a foot

20

0215

Loss of big toe with metatarsal

25

0216

Loss of big toe (middle footbated)

12

0217

Loss of 4 toes, big toe not included

9

0218

Loss of 3 outer toes

5

0219

Loss of 2 outer toes

3

0220

Loss of 5th toe

1

5. Double-sided amputations

0221

Loss of two thigh or femur to one, one foot on the other side

100

0222

Loss of two feet (tibi-tarsal amputation according to Syme or Guyon)

90

0223

Loss of two feet with bearing stump according to Pirogoff

90

0224

Loss of two front feet, mid-tarsal amputation according to Chopart

90

0225

Loss of two forequares, tarso-metatarsal amputation according to Lisfranc

65

0226

Loss of all toes (metatarso phalangeal) of two foot-Loss of a foot and a hand (see 0139)

35


B. FUNCTIONAL IMPAIRMENT

The following invalidity rates are to be held for both right and left leg.

'ankylose' means a complete immovability of the joint, or at most, a very slight margin of motion of a few degrees.

A pseudarthrose cannot be evaluated with a prosthesis in accordance with the anatomical loss of the extremity or part thereof. If a well-restraining prosthesis is possible, the valuation may be equivalent to an ankylosis of the lower joint.

Complications of the same extremity, such as osteitis, contractures, painful callus, disorders of other joints, etc., may lead to higher valuation according to the general rules, but the rate for amputation of the relevant part The extremity of the extremity must not be exceeded.

If an invalidity surgical procedure improves, the percentage of the condition after the procedure should be determined.

1. Heup and thigh

0227

Ankylose from the hip in favorable position

50

0228

Ankylose from the hip in unfavorable position

65

0229

Motion limitation of the flexion and extension hip, movement possible from full flexion to 175 °

10

0230

Movement possible from hyperextension to 160 °

40

0231

Movement possible from hyperextension to 135 °

25

0232

Movement possible from hyperextension to 100 °

15

0233

"Los joint" of the hip

70

0234

Pseudarthrose of the femur

65

0235

Maltreatment of femoral fracture with atrophy and deformation (not included)

10

2. Knee

0236

Motion limitation of the knee, motion possible of 180 ° -60 °

5

0237

Motion limitation of the knee, motion possible of 180 ° -90 °

10

0238

Ankylosis in favourable position

30

0239

Ankylosis in very poor mode (from 135 ° to total inflecting)

60

0240

Change of sequence of sequence, varusstand or genu recurvatum

10

0241

'Los joint' of the knee (including shortening)

60

0242

Clear abnormal movement of the knee

20

0243

Recurrent chronic hydrops genu (not of tuberculosis nature)

20

0244

Idem on the one hand,

40

3. Subleg

0245

Malhealed fracture with movement of the axle from the foot inward or outward

20

0246

Pseudarthrosis of tibia and fibula

55

4. Single and foot

0247

Important motion limitation of the single or power loss

15

0248

Only motion limitation of the single or power loss

5

0249

Ankylosis of the tibi-tarsaaljoint in adverse position with clear acquired malformations

30

0250

Ankylosis of the tibi-tarsaaljoint in favourable position with clear acquired malformations

20

0251

Pronounced post-traumatic pes planus

10

0252

Pronounced post-traumatic pes calcanus, pes valgus, pes varus or pes aquinus

30

0253

Ankylose of the forefoot

10

0254

Ankylose from the big toe in favorable position

3

0255

Bottom ylose from the big toe in unfavorable position

10

5. Disorder of the lower extremity

0256

Reduction of less than 4 cm

5

0257

Reduction of 4 to 7 cm

20

0258

Reduction from 7 to 10 cm

30

0259

Reduction of more than 10 cm

50

6. Nervous lesions lower extremity

The invalidity rates apply to complete paralysis (paralysed). They should be reduced in the case of partial paralysis, recovery of movement and minor remaining sensitivity disorders.

0260

Paralyse of the N. femoralis

50

0261

Paralyse of the N. isciadicus

55

0262

Paralyse of the N. tibialis

25

0263

Paralyse of the N. peroneus

25

0264

Paralyse of the N. obturatorius

10


CHAPTER III. SKULL AND GELATE

1. Headskin and Hair

0301

Scars, baldness, etc. Appreciating the potential for possible mismanagement

2. Schedel

Note: Skull lesions are of interest only by their neurological or postcommotional consequences. Consolidation may take 6-12 months. A closed cranial defect can cause more lasting and unpleasant consequences than an open defect. In the case of bone loss, the extent of the defect will often not be the only factor determining the disability. The examination should always be based on objective symptoms on the spot and on the side of the brain, and on subsequent post-commotional symptoms.

0302

Close cranial injury or injury to the tabula externa from the skull to appreciate to post-commotional and other phenomena.

0303

Non-recovered bone loss, with some pulsation in the case of exertion or coughing (the post-commotional signs not considered), less than 4 cm 2

20

0304

Non-recovered bone loss, with clear pulsations in exertions or coughing (post-commotional phenomena aside latching), from 4-12 cm 2

30

0305

Non-recovered bone loss, with clear pulsations in the case of exerting or coughing (post-commotional manifestations not considered), of more than 12 cm 2

50

3. Gelate-Loyal of the face

0306

Although it does not need to be accompanied by problems of use, there is a compensation in place for the cosmetic defects. Disability may be valued only after all surgical and prosthetic possibilities are exhausted and will vary depending on the degree of mutilation from 5 to 100%, taking into account both sex and age.

4. Upper and lower jaw

0307

Extensive mutilation of the face or upper and lower jaw with important kauw, swallow and speech disorders

100

0308

Consequences of poorly consolidated multipele fractures of top and/or lower jaw with kauw and speech objections and a very poor occlusion of the teeth.

50

0309

Bad healing fracture of the upper jaw with chewable concerns both left and right

50

0310

Bad healing fracture of the upper jaw with chewable objections on one side

20

0311

Loss of about half-palate, with connections to the sinuses, not to correct with a prosthesis

60

0312

Idem, but with a prosthesis to correct

15

0313

Loss of part of the weke palate or part of the hard palate with speech disorders.

20

0314

Partial loss or pseudarthrosis of the mandible, with maintenance of the movement in the temporo-mandibular joint not to correct with a prosthesis

40

0315

Idem, but with a prosthesis to correct

10

0316

Movement restriction in the temporo-mandibular joint (by ankylosis, poorly consolidated fractures, luxation, etc.); such that only liquid food can be used-opening between top and bottom not more than 6 mm

60

0317

Idem, in such a way that the maximum opening between the top and bottom teeth is not more than 12 mm

30

0318

Idem, such that this maximum aperture is between 12 and 24 mm, with some disorders of chewing power and speech

10

5. Gebit

The Subcommittee is of the opinion that it does not include an invalidity assessment of dental diseases and recommends that the relevant services (army, fleet, air force, civil services) be employed in the service of their relevant staff. keeping care and supervision and not letting go of their service for the dentures is fully in order.

6. Sole

0319

Complete amputation of the tongue

80

0320

Extensive amputation of the tongue with speech, swallow and chewable disorders

40

0321

Partial clearance of the tongue, mild impairment

15

Paralysis of the tongue: see Chapter VI (No. 0633: Paralysis of the N. Hypoglossus)


CHAPTER IV. SPINE, THORAX, PELVIS


A. SPINE

1. Halsspine

0401

Ankylose of the cervical vertebrae in poor position

40

0402

Ankylose of the cervical vertebrae in good position

30

0403

Important limitation of movements in a nuisance and painful position

30

0404

Limitation of movements in less irritable and less painful position

20

0405

Low motion restriction, now and then painfully almost normal mode

10

0406

Occopital neuralgia

10

0407

Primal brachial neuralgia

10

2. Borstspinal column

0408

Ankylosis of the chest vertebrae with major medial or lateral malformation (bochel)

40

0409

Ankylose of the pectoral vertebrae in good position, some round (not to correct) back

20

0410

Limited mobility, local gibbus

10

0411

Geocalized intercostaal neuralgia

5

0412

Multi-roots intercostaal neuralgia

20

3. Lendenspine

0413

Bottom ylose of the lumbar vertebrae in unfavourable position

40

0414

Ankylose of the lumbar vertebrae in a favourable position

20

0415

Major motion restriction

20

0416

Moderate motion restriction

10

0417

Low squabbing with some pain

5

0418

Painful, uncorrectable scoliosis

20

0419

Painful, double-sided athritis sacro-iliacas

30

0420

Idem, one-sided

20

0421

Full-rigid dorso-lumbar spine with impairment of the joints of the limbs

100

0422

Idem, without impairment of the joints v.d. limbs

70

0423

Rheumatic of the spine (arthroses, spondylarthritis) to assess the limitation of motility and the pain

N.B. Sickness of Pott: see Chapter XVII.


B. THORAX

The following invalidity rates are for self-standing defects of the bony thorax. If the underlying organs in the chest cavity are also affected, the invalidity estimates shall be added as a rule in accordance with the relevant chapters.

1. Sternum

0424

Effects of star numfracture with deformation, pain and impaired strength

10-20

For deviations from the intra thoracic organs see Chapters XIII, XIV and XVII.

0425

Luxation or dislocation chondro-sternale

5-15

2. Ribben

0426

Consequences of fractures of one or more ribs, depending on the extent and severity of the symptoms and the deformation

1-25

0427

Effects of rib resection, without exertion in effort

5-30

0428

Effects of rib resection, with exuiling in effort

15-40

0429

Thoracic acid, depending on the number of ribs involved, does not include the effect on the lungs (see Chapter XIV and XVII)

20-50

0430

Ribosteomyelitis, without appreciating fistelation as in rib resection (0427 and 0428)

0431

Ribosteomyelitis, with fistulas to be appreciated as effects of empyeem (see 1417)

0432

Chronic chondritis

10-30


C. PELVIS

0433

Consequences of fractures with painful callusformation without influence on walking or standing-mostly neuralgic pains

5

0434

Idem, with effect on walking or standing

20

0435

Non-consolidated symphysisfracture, abnormal motility, pain in long run

25

In case of complications from the hip joint or the urinary tract, see the relevant chapters.


CHAPTER V. OTHER CONDITIONS OF BONES AND JOINTS

As far as not listed under limb function (Chapter I and II).

0501

Osteomyelitis or osteitis (not understood in the points on impaired function), unbound with the need for long-term immobilisation

100

0502

Idem, uncalm but immobilisation not required, with fistulls and influence of the general condition

50

0503

Idem, quiet, good general condition, with fistulas

20

These percentages may, where appropriate, be added to the percentages for limb impairment. However, the sum of these percentages may not exceed the rate of amputation of the relevant part of the extremity.

0504

Moderate progressive bone tumor

100

0505

Benign bone tumor, to be assessed according to existing futile dysfunction

0506

Arthritis and arthrosis, appreciating according to the restriction of motion, pain, etc.


CHAPTER VI. NERVOUS System


1. Brains and menages


a. Post-traumatic post-commotional syndrome (or consequences of an infectious meningitis)

0601

Subjective objections, headache, asthenia, and light signs of the equilibrium organ

20

0602

Syndrome with persistent photo-vestibular apparent fatigue

30

0603

Severe syndrome with persistent rtch-vestibular and ocular disorders

50


b. Epilepsy

The frequency and intensity of the seizures, their impact on the general activity and the treatment options are important in the assessment of disability. The mental disorders related to the condition must be taken into account.

0604

Slight general seizures or equivalents, on average once a month, little change in personality

20

0605

Local (Jacksons) epilepsy with no loss of consciousness in the same frequency

5

0606

General insulin during daytime, 2 to 4 times per month

40

0607

Local (Jacksons) epilepsy, with no loss of consciousness, in the same frequency

10

0608

6-8 times per month

70

0609

Local (Jacksons) epilepsy, with no loss of consciousness, idem or greater frequency

20

0610

General seizures almost daily

100

N.B. Only night time attacks and partial loss of consciousness may lead to lower valuation.

0611

Epileptic dementia

100


c. Corpus alienum

0612

Foreign object in the cranial cavity without further phenomena


d. Hemiplegia

0613

Hemiplegia, complete or partial, without aphasia, run impossible

100

0614

Partial hemiplegia, without aphasia, walk with help or stick possible

60

0615

Light hemiplegia, without aphasia, walk possible without tools

20

0616

Motor aphasia, writing possible

80

0617

Mixed aphasia, contact with environment impossible

100


e. Paraplegie (of cerebral or medullary origin

0618

Complete paraplegic, permanent bed rest or stay in a chair necessary

100

0619

Incomplete, difficult but possible with help, prostheses, or crutches

80

0620

Incomplete, possible walking with sticks

60

0621

Incomplete, slightly spastic

30

In the case of sphincter disorders, etc.: see 0667 ff.


2. Hersennerves (see also senses)


a. N. trigeminus (V)

0622

(Full) Paralysis with important sensitivity disorders and trophoric disorders

50

0623

Simple, painless anaesthesia in the area of a peripheral branch without trophoric disorders

5

0624

Neuritis or facial pain algia with intermittent painful tic (depending on the frequency and severity of the attacks)

30

0625

Continuous facial space algia (sympatic)

30-70


b. N. facialis (VII)

0626

Permanent paresis on one side, without opthalmological

5

0627

(Full) lasting paralyse to a side, complications

30

0628

Idem, double sided

50


c. N. glosso-pharyngeus (IX)

0629

(Full) double-sided paralyse

30

0630

Paresis on one side

5


d. N. Vvagus (X): see the chapters on the relevant organs.


e. N. accessorius (XI)

0631

Paralyse of the Mm. trapezius and sternocleidomastoideus

20

0632

Unilateral paralysis of the weke intemelte and larynx (Avellis syndrome)

10


f. N. Hypoglossus (XII)

0633

Lopsided paralysis of the hemi-atrophy of the tongue

20

0634

Combined paralyse of the last four nerves (IX to XII)

30


3. Other disorders of the central nervous system

0635

Effects of infectious or traumatic encephalitis, meningitis, brain abscess to appreciate depending on the symptoms

0636

Brain tumor, to be appreciated depending on the symptoms

0637

Paralysis agitans (Parkisonism) to assess depending on the severity of symptoms

20-100

0638

Bulbary Paralysis-Minimum Percentage

30

0639

Severe bulbary myasthenia (included myasthenia gravis)

70-100

0640

Bulbary myasthenia with reasonable remissions

40

0641

Effects of Sydenham's Chorea, see below

0642

Huntingtons of chorea, see below

0643

Acquired athetosis, see tics (below)

0644

Commonly occurring tics, every activity prevented, mostly with mental and psychological disorders

100

0645

Extensive tics, finer movements preventing and making social life more difficult

50

0646

Local tics with some influence on the finer movements (eg poignant cramp)

20

0647

Tics of spasms, without influence on the workability

5

0648

Monthly Migraineattacks

20

0649

Less frequent migraine attacks

5


4. Back-marrow

0650

Commotio medulla (consequence of trauma or electrocution): to be assessed according to post-commotional syndrome (see 0601-0603)

0651

Quadriplegia medullac (complete)

100

0652

Medullary paraplegia to assess as cerebral paraplegia with the usual increases for sphincter disorders and ongoing pains

0653

Brachial monoplegie, practical loss of the use of the arm

90

0654

Idem, grabbing possible, but without power and clumsy

40

0655

Idem, light monopigy, slight loss of strength, reflexes and disturbed

10

0656

Crural monoplegie, practical loss of the use of the leg (non-spastic paralyse)

90

0657

Idem, possible walk with help or with crutches

60

0658

Idem, walk without help, but quickly fatigued, muscle atrophies

40

0659

Idem, light monopotgy, run difficult without tools, minor force loss, light atrophies

20

0660

Medullar hemiplegia to assess the state of the upper extremity, see brachial monoplegies (0653-0655)

0661

Sensitive disorders of medullary origin, to appreciate the severity and extent of the symptoms

0662

Brownd-Sqouard syndrome-haematomyelia syndrome

To be combined with the percentages given in this chapter, if they do not add up without further addition

0663

Cauda-Equina-Syndrome

To be assessed according to the abnormalities of the lower extramity and sphincter disorders, see also paraplegia

0664

Sphincter disturbances with complete urinary retention with probe a demeure

60

0665

Spincter disorders with intermittent urinary retention, catheterization necessitative

20

0666

Continuous incontinence urinae, portable urine essential

50

0667

Intermittent incontinentin urinae

20

0668

Full and continuous incontinence alvae

80

0669

Incomplete or intermittent incontinence alvae

30

0670

Pollomyelitis, to be assessed according to the residual state in view of the impaired limb function, diaphragm, etc.

0671

Severe tabes dorsalis with opthalmological complications, arthropathies, sphincter disorders etc.

100

0672

Severe tabes dorsalis with important ataxia or arthrophracies

70

0673

Tabes dorsalis with numerous pines and light ataxia

40

0674

Multiple sclerosis, severe form with motor disorders, walking impossible, continous stay in bed or chair, usually vis-age

100

0675

Idem, progressive shape, walk and stand possible but arduous

80

0676

Idem, little progressive form, or remission, walk with stick possible

60

0677

Idem, mild form with slight symptoms

50

0678

Amyotrophic lateral sclerosis, as Multiple sclerosis, but somewhat higher valuations; increase in swallow disorders

0679

Combined sclerosis, severe sclerosis: as multiple sclerosis

0680

Syringo myelemia, severe form of atrophy, major malformations or bulbary disorders

100

0681

Idem, progressive form with trophoric or motor disorders

50

0682

Idem, mild, little progressive form with limited sensitivity disorders

20

0683

Defined medullary atrophies, to be assessed according to the impairment of the limbs

0684

Peripheral nerves, see Chapter I, II, IX, etc.


5. Neuritids and Neuralgates

The neuritids of the motor nerves are accompanied by impaired nerves which are partly based on the paralysis of the nerves. These symptoms should be appreciated as compared to the paralysis of the relevant nerve. Neuritids of the sensitive nerves can be assessed, having regard to the trigeminus neuralgia (0622, 0625). Neuritis and mixed nerves neuralgenics have mixed symptomatology, both taking into account the cause and the presence of the objective symptoms.

0685

Chronic, one-sided ischiadicus neuralgia, some difficulty in walking and without deviations of reflexes

10

0686

Idem, or neuritis with obvious objective symptoms, are difficult

40

0687

Idem, or neuritis, severe form, run very painful, clear muscle atrophy and caustic

80

0688

Double-sided polyneuritis of the extensors of the forearm

40-80

0689

Double-sided polyneuritis of the small hand muscles and the buteners of the fingers

50-80

0690

Double-sided polyneuritis of the extensors of the foot and polyneuritis pseudo-tabetica

30-50

0691

Double-sided polyneuritis of the M. quadriceps femoris

40-50

0692

Clear polyneuritic paraplegic

60-80

0693

Severe polyneuritic quadriplegia

100


CHAPTER VII PSYCHIATRIC DISORDERS


1. Psychosen

0701

Chronic, utterly antisocial psychosis

100

0702

Remission after or during a psychosis with important disorders of personality structure antisocial, hallucinations, deliration, but mental nursing not necessary

100

0703

Psychosis of benign nature (hallucinatoir, delirant or exhaustion sychosis) or intermittent psychosis during a long remission, limited social treatment and any useful pursuits

50

0704

Slight change in personality structure and character after an acute psychosis or between acute periodic attacks

10-40

The various forms of schizophrenia, manie, dementia (toxic, infectious, circulatory) should be assessed accordingly. This group is also included in the exhaustion of its exhaustiy.


2. Adborn intelligentile dysfunction

0705

If an appreciation is desired of congenital intelligentile dysfunction (debilitas mentis, imbecillity, idiotion) manual one according to the following points (dementia).


3. Demorings (or progressive and acquired frazsanity)

0706

Complete (with or without enuresis), usually with clinical nursing

100

0707

Reduction of memory, emotional life and activity with shorter or longer periodic improvements, but no other activity

100

0708

Reducing memory, emotional life and activity, but limited social management and productive activity

40

0709

Low disorders of emotional life and activity, without proper dementia

20

0710

Meningo-encephalitis luetics (Bayle disease), general paralysis with a stylization or exclusion of whatever activity

100

0711

Meningo-encephalitis luetics (Bayle disease), but in a period of remission, limited social treatment and productive activity admission

40


4. Psychoneurosen, neuroses

0712

This group includes angaras, obsessions, phoconfess, neurastenie, hysteria and blending forms, the terminology of which varies in the various countries involved. It has not been possible or advisable to establish a scale to which the invalidity may be established. Each case is to be regarded as a separate problem with its individual factors and must be assessed accordingly.


CHAPTER VIII. SYMPHATIC NERVOUS SYSTEM AND ENDOCRINOLOGY


A. SYMPATIC NERVOUS SYSTEM

1. Sensibility disorders

0801

Causalgie of the extremities to appreciate the severity and extent of the symptoms

0802

Trigenimus neuralgia-see 0624 and 0625

0803

Neuralgia from neck and shoulders-see Chapter VI-5. Neuritids and Neuralges

2. Motor disorders

0804

Reflectoric physio-pathic disorders

to appreciate the severity and extent of the symptoms

0805

Paresis or irritation of cervical sympaticus

3. Visceral disorders

0806

To be valued depending on the permanent impairment.

4. General sympathetic vultures

0807

Hypervagotony

5-30

0808

Hypersympatotomy

5-20


B. ENDOCRINOLOGY

1. Gl. Thyreodiea

0809

Toxic struma (hyperthyroidism) with partial or incomplete Syndrome of Basedow (joint loss, tachycardie, hypersymptom cotonia) or not quite a fine result after surgery

10-30

0810

Idem, clearly Syndrome of Basedow, Basal Metabolism around plm. 30, or moderate result after surgery

30-50

0811

Idem, Basedow ' s Syndrome with severe visceral disorders, important joint loss, mental disorders or bad result after surgery

50-100

0812

Atoxic struma without symptoms or cosmetic disorders

0

0813

Atoxic struma with pressure signs or cosmetic disorders

5-30

0814

Myxedema (hypothyroidie)-incomplete, syndrome, favourazing treatment

5-10

0815

Idem, psychically inhibits, cold feeling, basal metabolism from -10 to -20

10-30

0816

Idem, severe form, nutritional disorders, basal metabolism approximately -30

30-80

0817

Cachexia strumapriva, not responsive to treatment

80-100

2. Gl. Parathyreoidea

0818

Hypoparathyreoidie with tetanic attacks, depending on the general condition

30-50

0819

Hyperparathyreoidie, to be appreciated according to bone and joint abnormalities

3. Hypophysis

0820

Acromegaly with deformity of the extremities, but without visual abnormalities and without functional disturbances

10-20

0821

Acromegaly with vis-age abnormalities, to appreciate according to the visr abnormalities (see Chapter X) and then increase by

Plm. 20

0822

Giant growth, depending on the degree of extensiveness of the secondary disorders

5-30

0823

Dwarf growth to an important extent

10-50

0824

Cushing's syndrome, virilismus, pilosus

20-50

0825

Dystrofia adiposo-genitalis

10-50

0826

Clearly developed Simmonds syndrome

40-100

4. Epiphysis

0827

Macrogenitosomia

10

5. Gl. suprarenales

0828

M. Addison

20-100

0829

Hyperepinephria

10-50

6. Testes and Ovaria

See Chapter XVI (urogenital system)

7. Diabetes mellitus

0830

Well regulated with diet, no insulin required

5-20

0831

Daily insulin doses necessary to remain in equilibrium

20-50

0832

With acidosis

50-80

0833

With seizures of coma, neuritids and eye abnormalities

100

8. Disabilities of the hydrogen exchange

0834

Diabetes insipidus

20-50

0835

Deficiency-oedema (e. g. hunger oedema) To be appreciated as in polyneuritis and depending on the function of the disease and the general condition


CHAPTER IX. RTD-RHINO-LARYNGOLOGY


A. DOOFIT

0901

Full loss of hearing on an ear, while the other ear is normal

20

0902

Full loss of hearing on both ears

90

0903

Reduction of hearing sharpness on both ears-See table


B. NOSE

0904

Anosmia or parosmia

5-10

0905

Ozena

10-20

0906

Destruction of bony part of the nose

30

0907

Whole loss of the nose (including deformity and stenosis)

60

0908

Total one-sided closure of a nasal passage (without malformation)

5

0909

Double-sided closure of the nasal passage (without malformation)

10-20


C. SINUSITUS-if chronic and alpha-iic

0910

Sinusitis maxillaris unilaterally

5

0911

Sinusitis maxillary double-sided

10

0912

Sinusitis maxillary with fistula to mouth or face or with osteitis or corpus alienum

10-30

0913

Sinusitis frontalis or ethmoidalis unilaterally

20

0914

Sinusitis frontalis or ethmoidalis double-sided

30

0915

Pansinusitis

40


D. OREN

0916

Complete loss of ear shell without recovery (plastic or prothetical) one-sided

20

0917

Idem, double-sided

40

0918

Atresia of the external ear canal to be appreciated according to the reduction of hearing (see table)

0919

Chronic letter otide media, one-sided, to be appreciated according to table, plus

5-10

0920

Idem, double-sided, plus

10-20

0921

Nuisance deafness due to deafness, to be appreciated by table, plus

5-15


E. EQUILIBRIUM ORGAN

0922

Labyrinthar dizzy intervals, periodically, not frequent, light-evident in vestibular trials

10

0923

Labyrinthar dizzy intervals, periodic, severe form, leading to nest

30

0924

Pronounced and continuous dizzy disturbances, often with cochlear disorders

60-100


F. NOSE-CHICKLE CAVITY

0925

Scar stricture, depending on the degree of swallow disorders and dietary ingestion disorders

10-30

0926

Loss of taste

10


G. LARYNX

0927

Larynx stenosis, depending on the frequency and severity of dyspnoea

10-100

0928

Laryngostomy or permanent tracheotomy

80

0929

Organic aphonia, without dyspnoea

40

0930

Idem with dyspnoea

50-100

0931

Disability table for bilateral deafness 4

Conversation speech intelligible at

Group

9 m

0

1

3 m

15

2

120 cm

30

3

60 cm

50

4

30 cm

60

5

10 cm

70

6

ad concham

75

7

not heard

90

8

N.B. Bilateral deafness is being investigated by means of the conversation speech. Both ears are examined simultaneously, where the patient is placed in fish-à-vis the researcher, except for groups 7 and 8.


CHAPTER X. OPHTHALMOLOGY


1. Blindness

A blind eye is an eye without a light perception. An eye, which after optimal correction has a visual acuity of less than 1/20 (0.05 or 3/60) is considered to be a blind eye. If this condition exists in respect of both eyes, the examination shall be considered to be blind.

1001

Blindness or loss of both eyes

100

1002

A blind eye without mismaking

30

1003

Atrophy or loss of an eyeball, carry prosthesis possible, to appreciate according to reduction of visus (see table), plus

5

1004

Atrophy or loss of an eyeball, carry of prosthesis not possible, miskindness of adnexa included, to appreciate according to decrease visus (see table), plus

10


2. Reduction of the central visus of both eyes

1005

This should be assessed after application of optimal binocular useable correction. See table at the end of this chapter.


3. Loss of peripheral visus (visual field restriction)

Concentric limitation of the field of vision (result of objective lesions). The following percentages may be added to those to be assigned to a possible reduction of the central visus.

1006

Field of vision restriction up to between 30 ° and 10 ° on an eye

5

1007

Idem, on both eyes

20

1008

Field of vision restriction to less than 10 °, on one eye

10

1009

Idem, on both eyes

80

1010

Visual field restriction on both eyes to less than 10 °, combined with a reduction of the corrected central visus up to 2/10 or less at best eye

100

Field-of-vision restriction at monocular visus

1011

Total loss of the nasal part of the field of vision

40

1012

Total loss of the lower part of the field of vision

60

1013

Total loss of the temporal area of the field of vision

50

1014

Total loss of the upper part of the field of vision

20

Hemianopsia (central visus retained)

1015

Vertical homonyme hemianopsia, side-sided

30

1016

Idem, Right-sided

40

1017

Vertical binasal hemianopsia

20

1018

Vertical bitemporal hemianopsia

55

1019

Horizontal upper hemianopsia

20

1020

Horizontal lower hemianopsia

65

Quadrant opsion

1021

Anopsion in homonyme top quadrants

10

1022

Anopsion in homonyme lower quadrants, left sided

20

1023

Idem, Right-sided

35


4. Diplopia

1024

Diplopia in primary position

20


5. Lensdeviations

1025

Cataract of one or both eyes, inoperable, appreciating according to the visus

1026

Aphakie of an eye, postoperatively appreciating according to the corrected visus, multiplying with

10

The combined percentage may, if the other eye (if necessary after correction) has a normal vis-vis, do not exceed the percentage of point 1002.

1027

Aphakie of both eyes value according to the corrected visus; when the stereoscopic depth is seen has been lost with a

20


6. Accommodation Deviations

1028

Internal opthalmoplegie of both eyes

20

1029

An eye's internal opthalmoplegie

10


7. Disorders of the adnexa

1030

Ptosis of the upper eyelids, pupils covered in normal head posture (not including deformity) both eyes

20

1031

Idem, an eye

5

1032

Chronic conjunctivitis of one or both eyes

5-20

1033

Ectropien of both eyes

5-20

1034

Ectropien of an eye

5-10

1035

Entropion of both eyes

5-20

1036

An eye's entropion

5-10

1037

Epiphora as a self-standing condition

1-10

1-6/9

6/12

6/18

6/24

6/36

6/60

3/60

3/60

1-7/10

6/10

5/10

4/10

3/10

2/10

10

1/20

1/20

1-6/9

1-7/10

0

0

5

7

9

10

12

14

16

20

25

30

6/10

0

8

9

11

x

14

x

18

x

26

33

37

6/12

5/10

5

9

11

15

17

18

20

23

25

30

38

41

4/10

7

11

15

17

x

22

x

27

x

36

42

46

6/18

9

x

17

x

24

x

28

x

34

40

45

50

3/10

10

14

18

22

x

28

x

31

x

43

49

54

6/24

12

x

20

x

28

x

33

x

40

48

55

60

2/10

14

18

23

27

x

31

x

42

x

53

62

69

6/36

16

x

25

x

34

x

40

x

48

57

69

77

6/60

10

20

26

30

36

40

43

48

53

57

68

80

90

3/60

1/20

25

33

38

42

45

49

55

62

69

80

91

95

< 3/60

< 1/20

30

37

41

46

50

54

60

69

77

90

95

100

Note:

1. This table should be read and used as a table of multiplication.

2. The breaking numbers on the left and above give the viscous on both eyes.

3. The figures in the table indicate the disability rate.

4. In enucleation, 5% must be added to the percentage corresponding to the visus.

5. Upon mismaking, an additional percentage can be given above.


CHAPTER XI. DISEASES OF BLOOD AND BLOOD-FORMING ORGANS


1. Anaemic Syndromes

1101

Hypochrome anaemia-appreciating according to the influence of the general condition

5-20

1102

Pernicieuse anaemia (Biermer)

10-100

1103

Aplastic anaemia

10-100

1104

Essential polyglobulic oil (Vaquez)

10-40

1105

Toxic, inflective, or essential haemoglobinuria

30-60

1106

Congenital or acquired haemolytic icterus

10-60

1107

Purpura haemorrhagica

10-100

1108

Haemophilia

10-50


2. Leucaemic, pseudo-leucaemic and agranulocytotic syndromes

1109

Lymphoid leukaemia

50-100

1110

Myeloid leukaemia

30-100

1111

Agranulocytosis

100

1112

Hodgkin

30-100

1113

Reticulosen

30-100

1114

Essential splenomegafia

20-50

1115

Splenectomy

10-30


CHAPTER XII SKIN DEFECTS

1201

Dermo-epidermitis, folliculitis, epidermomycosis etc. (depending on the localization and the extent)

5-30

1202

Chronic radiummitis or radiumdermitis (depending on the extent and danger of malignant degeneration)

10-70

1203

Chronic ulcers, atenated scars (according to localization and extensiveness)

10-60

1204

Chronic eczemen (according to localization and extensiveness)

5-30

1205

Very serious chronic eczemen

30-70

Benign tumors of the skin

1206

Angiomes, naevi, lymphangiomas, lipomes, etc. Appreciating according to deformity

Malignant tumors of the skin

1207

After surgical or other treatment, according to backward local residual phenomena

1208

Incurable or during treatment, depending on localization, extendness and severity

50-100

1209

Scars, not appreciated by other defects with or without tissue loss

5-30

1210

Keloid developing in scars-adding

1-10


CHAPTER XIII. HEART RATE AND VASCULAR SYSTEM


1.

1301

Organic heart disease at initial stage with now and then slight symptoms, slight reduction in the tolerance for effort well compensated

10-30

1302

Organic heart disease, always mild symptoms present, moderate tolerance for effort, no symptoms of decompensation

30-50

1303

Organic heart disease with incipient decompensation symptoms, favourazing the treatment

60-80

1304

Organic heart disease with further decompensation, depending on the extent of the decompensation

80-100

1305

Active, infectious organic heart disease (endocarditis, myocarditis pericarditis, etc.)

70-100

1306

Essential paroxysmal tachycardie

10-30

1307

Pathological bradycarcase of organic origin

10-50

1308

Extrasystolic, lipothymie, cardio-vascular lability, unpleasant praecordial sensations, etc. provided that no organic cause is

0

1309

Real angina pectoris and/or coronair Thrombosis and/or myocardial infarction

50-100

1310

Corpus alienum in the heart, to appreciate the effect on the function and increase with

10


2. Blood Vessels

1311

General arteriosclerosis, not complicated, depending on the tax tests

10-30

1312

-with dilatation cordis

30-50

1313

-with severe anginous symptoms

60-100

1314

-with renal impairment

30-100

1315

-with important venous stuwing, without or with ascites or anasarca

60-100

1316

-with atrial fibrilation

70-100

Arterial hypertension (cardiac symptoms included)

Note: In the case of the disability estimation of hypertension, only the diastolic pressure must be taken into account, since it is the most important in the essential hypertension of the prognosis.

1317

-with light phenomena (diastolic pressure of 105 mm to 110 mm)

20-30

1318

-with mild heart failure, light malleolar oedema, etc.

30-50

1319

-severe form, with cardiac, renal or retinal complications

70-100

1320

malignant

100

1321

Aneurysm aortic value to be appreciated according to arteriosclerosis

1322

Arterial aneurysms-see Chapter I and II

1323

Arterio-venous aneurysms-see Chapters I, II and XIII

1324

Arterial closure (evt. due to ligature), inadaequate vicarizing circulation, without or with atrophy of the affected extremity

10-50

1325

Arterial closure with gangrene (M. Burger etc.), to be appreciated as amputations-see Chapter I and II

1326

M. Raynaud

10-50

1327

Erythromelalgia

5-30

1328

Venous closure with chronic oedema of an extremity

10-30

1329

Idem, with chronic oedema of both legs, tropical disorders, etc.

30-70


Varices

1330

Clear varices, not above the knee, on one or both lower legs

1-10

1331

Clear varices, also above the knee, without or with edema on one or both legs

10-30


Ulcus cruris Varicosum

1332

Chronic or recurrent ulcern cruris dependent on the extensiation of ulcerations, deices, etc., on one leg

5-40

1333

Idem, on both legs

30-60


CHAPTER XIV. RESPIRATORY SYSTEM (EXCLUDING TUBERCULOSIS)


1. Upper respiratory tract

See Chapter IX .


2. Diaphragm

1401

Posttraumatic paralyse of the M. phrenicus, one-sided

5-15

1402

Hernia diaphragmatica-see Chapter XV


3. Trachea and Bronchi

1403

Chronic bronchitis emphysema, radiographically characterized by a for age to strong connective tissue formation and an too hefty hilus

5-20

1404

Chronic bronchitis with emphysema and some dyspnoea in effort

25-50

1405

Chronic bronchitis with emphysema and dyspnoea in the lightest effort

50-80

1406

Chronic bronchitis with emphysema and dyspnoea also at rest

100

1407

Asthma bronchial (allergic), light form with few seizures

10-20

1408

Asthma bronchial, with more frequent seizures, but no significant impact on general work force

20-50

1409

Asthma bronchial, severe form, frequent seizures, significant impact on general work force

50-100

1410

Foetide bronchitis with important influence on general condition

50-100

1411

Bronchiectacies, depending on the expecteration and the general condition

10-100


4. Pleura

1412

Chronic pleurodynia or pleural diaptation without or with deformation or immobilisation of the chest

5-40

1413

Pleural dithering with permanent fistula

40-50

1414

Effects of oily pleuritis (empyema), rib resection (including bone failure)

20-70


5. Longen

1415

Corpus alienum in the lung with pain

5-10

1416

Corpus alienum in the lung with bronchitis and connective tissue formation

20-50

1417

Effects of lung abscess or longcyst of a lung lobe, general condition satisfactory

10-30

1418

Effects of more extensive alpha lung processes, depending on the general condition

20-100

1419

Lobectomy

20-30

1420

Pneumonectomy

60

1421

Pneumoconiesis-1st stage, with bronchitis, some dyspnoea in effort

20-40

1422

Pneumoconiesis-2nd stage, connective tissue formation and important dyspnoea in effort

40-70

1423

Pneumoconiesis-3rd stage, dispnoe at rest, important connective tissue formation, heart disorders

70-100

1424

Long-actinomycosis-to be appreciated as 1417 and 1418


CHAPTER XV. ALIMENTARY SYSTEM AND ABDOMINAL WALL


1. Tongue, lips, dentures-see Chapter III


2. Oesophagus

1501

Stenosis with slight sludge concerns without appreciable influence on general condition

10-30

1502

Stenosis, only use of liquid or semi-liquid substances, authorisation, treatment requiring the use of instrumental sinceral

70-100


3. Buikwand

1504

Large adhaerent scar with obstruction of the movements of the fuselage

10-30

1505

Hernia cicatricalis, by keeping devices

5-20

1506

Hernia cicatricalis, not by keeping resources properly

30-50

1507

Hernia inguinalis or H. femoralis, reponite and decent to keep up with tools

3-10

1508

Idem, double-sided

10-20

1509

Large H. inguinalis or H. femoralis, not properly held with tools, or irreponibele H. scrotalis, one-sided

20-30

1510

Idem, double-sided

30-50

1511

H. umbilicalis or H. epigastrica

5-30

1512

H. Diaphragmatics

30-70


4. Peritoneum

1513

Adhaesia, dependent on pain or closure symptoms

10-50


5. Maag and duodenum

1514

Chronic gastritis or chronic dyspepsia

5-30

1515

Chronic objectively determined ulcer disease with an active ulcer no more than one or twice a year

10-30

1516

Idem, with more active attacks and a constantly strict diet

30-50

1517

As 1516, with severe complications (repeated haematemesis, etc.)

50-80

Post-operative effects after gastrectomy-or gastra-enterostomy

1518

-, favourable result

10-20

1519

-, with legal phenomena, which make a strict diet necessary

20-50

1520

-, unfavourable result, depending on the general situation

50-100

1521

Permanent gastrostomy

70-100


6.

1522

Resection, dependent on sealing symptoms, etc.

10-70

1523

Dunbowel fistel, depending on location and size

30-80

1524

Colonfistel, depending on location and size

30-50

1525

Colostomy (anus praeternaturalis)

70-100

1526

Chronic enteritis or chronic colitis, depending on the frequency of the pain attacks and of the nutritional status

5-20

1527

Colitis chronica ulcerosa

30-70


7. Rectum and anus

1528

Incontinence due to local trauma of sphincter ani

10-30

N.B. Incontinence to be appreciated by organic paresis or paralyse as in Chapter VI.

1529

Stenosis of rectum or anus, depending on the pain and the impairment

30-60

1530

Permanent rectum prolapse without incontinence

20-50

1531

Haemorrhoids, depending on site, size, blooking and thrombosation

5-30

1532

Anal fistula with intact sphincter

10-20

1533

Anal fistula with continuous loss of faecos

20-40


8. Speekselglands

1534

External fistula

10-30


9. Lever

1535

Permanent external bile or bile fistula

30-60

1536

Hepatic cirrhosis or chronic nepatitis at initial stage

20-40

1537

Hepatic cirrhosis with light ascites or some haemorrhages

40-70

1538

Hepatic cirrhosis with important ascites and severe influence on general condition

100

1539

Chronic cholecystitis or now and then galstone colises

10-30

1540

Severe chronic cholecystitis or frequent bile duct colication

30-60


10. Milt-see Chapter XI.


CHAPTER XVI. URIGENITAL SYSTEM


1. Nieren and Ureteren

1601

Nephrectomy, function of the remaining kidney normal

30

1602

Nephrectomy, function of the transfer kidney to two-thirds reduced

60

1603

Nephrectomy, function of the transfer kidney reduced to half and lower

70-100

1604

Scar-rupture after renal surgery

10-20

1605

Unilateral ptosis of the kidney, depending on the frequency of pain attacks and renal function

5-20

1606

Unilateral hydrenephrosis, or consequences of kidney injury, depending on the frequency of pain attacks and renal function

10-30

1607

Chronic, one-sided pyelo-nephrosis

20-30

1608

Chronic, double-sided pyelonephrose depending on the general condition

50-80

1609

Mild chronic nephritis, with slight effect on renal function, intermittent albuminuria

10-30

1610

Chronic nephritis albuminuria, light oedema, renal function slightly backward

30-60

1611

Severe chronic nephritis (continued increased levels of urea, blood pressure increase, retina abnormalities, etc.), depending on renal function.

60-100


2. Bladder

1612

Hernia hypogastric na cystostomy

10-20

1613

Blow-fistula or cystostomy

70

1614

Gluteal perineal, sacral or other urine tables

70-100

1615

Bladder-or bladder-rectum fistulas

70-100

1616

"Irritated" bladder (poliakisurie)

5-20

1617

Chronic cystitis, without pyelonephritis

10-30

1618

Chronic cystitis, with pyelonephritis

50-80


3. Manorous Urethera

1619

Stricture, easy to dilatate (2 to 3 dilatations per year, urine clear, no fever attacks)

5-10

1620

Stricture with recurrent complaints (1 dilatation per month, no choral attacks, urine clear)

10-20

1621

Stricture, difficult to dilatch (with fever attacks, residue, mictics objections, haemorrihagia)

30-50

1622

Stricture with urethafistle in the shine penis

30

1623

Extensive destruction of the urethra with perineal urethrachile, with retention of sphincter vesicae, if not infected

40-70

1624

Prostate abnormalities to be used as cystitis


4. Penis and testicles

1625

Complete loss of penis and testicles depending on age and endocrine disorders

80-100 5

1626

Complete loss of the penis depending on the age

60-90 6

1627

Gemis of the shine penis depends on the age

20-40 7

1628

Injury of the corpora cavernosi, erection impossible, depending on the age

35-65

1629

Atrophy or loss of both testicles depending on age and endocrine disorders

50-85

1630

Atrophy or loss of a testicle

10


5. Gynaecology

1631

Urethrastricture without infection

5-20

1632

Urethra-vaginal fistula, sphincter vesicae intact

10-30

1633

Vesico-vaginal-fistula

30-60

1634

Recto-vaginal fistula

70-100

1635

Chronic Salpingitis and/or Metritis

5-40

1636

Total or subtotal hysterectomy with endocrine disorders depending on age and outcome of treatment of endocrine disorders

10-85

1637

Hysterectomy without endocrine disorders depending on age

5-40

1638

Exstirpation or destruction of both ovaries depending on age and endocrine disorders

10-85

1639

Ovarian exstirtation

10

1640

Prolapsus uteri, with rectorale and/or cystocele depending on the objections of walking and mixing

20-50

1641

Prolapsus uteri c.q. vaginalis without rectocele or cystocele

1-15


6. Female mammary glands

1642

Loss of both breasts, depending on the age

30-60

1643

Loss of a breast, depending on the age

10-30

1644

Loss of a nipple, depending on the age

5-20


CHAPTER XVII. TUBERCULOSIS


1. Tuberculosis from the respiratory system


a. Neustuberculosis

1701

Tuberculosis ulcer of the nasal area, as a separate condition

10-30


b. Larynx tuberculosis

1702

Larynx tuberculosis

70-100


c. Longtuberculosis

Inactive lung tuberculosis

Pulmonary tuberculosis is considered inactive in the absence of a fever without weight loss, no increased bleeding rate, no bacilli found in repeated studies, unless the X-ray indicates the contrary.

1703

No or minor signs; no extensive radiological abnormalities; no activity over the past 5 years or normal activity possible within this period

1-20

1704

Clear signs; extensive radiological anomalies; no activity during the past 3 years or on medical grounds resumption of normal activities allowed within this period

20-50

Active lung tuberculosis

1705

Single low-activity fireplace, good general state, complete rest not necessary

60-100

1706

All other forms of active pulmonary tuberculosis

100

1707

Active lung tuberculosis with localization in other organ systems

100

Therapeutic Pneumothorax

1708

One-sided collapstherapy for the first 12 months (including the pulmonary anomalies)

100

1709

One-sided collapstherapy, after 12 months regularly maintained, depending on the possibility of resuming normal pursuits

40-70

1710

Double-sided collapstherapy for the first two years (including the pulmonary anomalies)

100

1711

Double-sided collapstherapy, maintained after 2 years of regular maintenance, depending on the possibility of resuming normal pursuits

60-80

1712

Thoracoplastics and rib resection During active Phases, see above

1713

After consolidation of the surgical and internal anomalies, the following points must be taken into account in the case of the Invalidity Estimate:-permanent abnormality of the thorax (see no. 0429)-possible restrictions of movement of upper limbs and spine-decreased general resistance at a standstill or practically cured tuberculosis process. This explains why the valuation may be higher than for a corresponding non-tuberculous condition. In general, above the invalidity estimate for the other derogations should be granted

5-20

Tuberous Pleurritides

1714

Residual manifestations of exudative pleuritis characterized by a slight reduction in thorax expansion and localised pain.

5-20

1715

Residual symptoms of exudative pleuritis with clear reduction of lung function, depending on general state and ability to make effort.

20-50

1716

Fistula of tuberculosis cold abscess, depending on general condition

40-70


2. Tuberculosis from the Digestive System

1717

Tuberous enteritis

100

1718

Tuberous colitis

70-100

1719

Tuberculosis peritonitis, depending on the degree of activity and the general condition

50-100

Tuberculosis-type Analfistel (see 1532)

1720

Cold abscess in small pelvis with fistula

20-50


3. Tuberculosis of the Nervous System

1721

Effects of tuberculous meningitis to be appreciated depending on the lasting abnormalities and subsequently increased by

20


4. Tuberculosis from the Separation System

1722

Unilateral kidney tuberculosis, including cystitis

50-100

1723

Double-sided kidney tuberculosis, including cystitis and other complications

100

1724

Posttuberculosis kidney defects, to be appreciated as with nephritis (1609, 1610, 1611) and subsequently propagate with

10

1725

Nephrectomy due to kidney tuberculosis, to be appreciated as nephrectomy (1601-1603) and then added with

10

1726

Self-contained chronic tuberculous cystitis

30-70

1727

Tuberculous epididymitis, one-sided, without fistulins

10-20

1728

Tuberculous epididymitis, one-sided, with fistulls

20-40

1729

Tuberous epididymitis, double-sided, with or without fistulins

30-60


5. Huidttuberculosis

1730

Skin tuberculosis with or without ulcer disease, depending on the outcome of the treatment and from the extent of the

5-40

1731

Lupus tuberculosis, depending on the extent and deformity of the disease

20-100

1732

Paratuberculosis (erythème induré, lupus erythematoides), depending on the extent and influence of the general state

10-100


6. Tuberculosis from the Lymphatic System

1733

Residual state of the cervical lymph disease, without fistula, depending on the state of the scar and deformity

1-10

1734

Residual state of the cervical lymph disease, with fistula, depending on the general condition and deformity

10-30

1735

Residual state of other localizations (armpit, groin, hilus, etc.) depending on the condition of the scar and the general state

1-20


7. Leg-and joint-curcates

1736

Osteitis with fistelation to appreciate according to the loss of function and then multiply by

10

1737

Residual condition after osteitis, to be appreciated according to the loss of function and the condition of the scar

1738

Page of Pott, active, without or with cold abscess or fistelation

100

1739

Residual conditions of Pott ' s Disease, without abscess or fistulas, to be appreciated as ankylose or deformation (see Chapter IV) and then increase by

20

1740

Osteo-arthritis of other joints during the active phase

100

1741

Effects of osteo-arthritis of other joints, to be appreciated according to the function of the disease and subsequently increased by

10-20


CHAPTER XVIII TROPICAL AND PARASITIC DISEASES

1801

Active malaria without visceral abnormality

1-10

1802

Chronic malaria with visceral abnormality

10-80

1803

Malariakachexie

100

1804

Trypanosomiasis without defects in CSF

10-50

1805

Trypanosomiasis with cerebral anomalies

50-100

1806

Trypanosomiasis (residual phenomena of-) according to effects on spiritual or organo-vegative balance

10-50

1807

Leishmaniosis (cutaneous osa)

10

1808

Leishmaniosis (cutaneo-mucosa)

20-70

1809

Leishmaniosis (visceral)

30-100

1810

Amoebiasis (with light enteritis)

5-20

1811

Amoebiasis (with severe, repeated enteritis attacks)

20-50

1812

Amoebiasis (with liver or other complications)

50-100

1813

Leprosy

50-100

1814

Distomiasis according to localization and general state influence

5-100

1815

Bilharziasis

10-100

1816

Filariasis Loa

10-30

1817

Filariasis Bancrofti

10-100


BEMERISIONS IN TABLE 0931

The Dutch delegate considers that a total deaf, where the auditability cannot be improved by means of a hearing prosthesis, is more disabled than a total deaf, which can be improved, so that a difference can be made. must be made in the form of invalidity between those two cases.

As a result, it may only be accented with Table 0931 if it is used in accordance with paragraph 5 of the preface or if the following note is added to the table:

" This table is only to be used in those cases, where no improvement with a hearing prosthesis is to be obtained. If an ear prosthesis improves and the device is worn by the disabled, the disability rates must be reduced by an amount depending on the improvement to be achieved and other factors inhale to the use of a hearing prosthesis. ';


COMMENTS ON NO 0121-0124 AND 0216

The Dutch delegate does not accept the percentages fixed for No 0121-0124 and 0216, not on medical grounds, but on legal ground, as the Dutch law provides that invalidity rates are rounded up above 10% in multiples of 10, so that a percentage of 11 or 12 would lead to retirement on foot of 20%. For this reason, it considers that the above cases should not exceed 10%.