Key Benefits:
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:
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 .
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.
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.
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.
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.
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;
The committee assesses a military officer on the existence of lasting unsuitability for carrying out military service subject to compliance Military control regulation .
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.
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.
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.
Our Minister may determine that an investigation of an officer's conscientious officer is considered to be an examination of medical examinations.
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.
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.
The Medical Examination Procedure shall be revoked.
This Decision shall enter into force from the day following the date of issue of the State Sheet where it is placed.
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 1997The Minister of Justice,
W. Sorgdrager
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 |
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.
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 |
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 |
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 |
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 |
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) |
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. |
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 |
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. |
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. |
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 |
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 |
0612 |
Foreign object in the cranial cavity without further phenomena |
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 |
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. |
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 |
0626 |
Permanent paresis on one side, without opthalmological |
5 |
0627 |
(Full) lasting paralyse to a side, complications |
30 |
0628 |
Idem, double sided |
50 |
0629 |
(Full) double-sided paralyse |
30 |
0630 |
Paresis on one side |
5 |
0631 |
Paralyse of the Mm. trapezius and sternocleidomastoideus |
20 |
0632 |
Unilateral paralysis of the weke intemelte and larynx (Avellis syndrome) |
10 |
0633 |
Lopsided paralysis of the hemi-atrophy of the tongue |
20 |
0634 |
Combined paralyse of the last four nerves (IX to XII) |
30 |
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 |
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. |
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 |
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. |
0705 |
If an appreciation is desired of congenital intelligentile dysfunction (debilitas mentis, imbecillity, idiotion) manual one according to the following points (dementia). |
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 |
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. |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
0925 |
Scar stricture, depending on the degree of swallow disorders and dietary ingestion disorders |
10-30 |
0926 |
Loss of taste |
10 |
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-Ã -vis the researcher, except for groups 7 and 8.
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 |
1005 |
This should be assessed after application of optimal binocular useable correction. See table at the end of this chapter. |
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 |
1024 |
Diplopia in primary position |
20 |
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 |
1028 |
Internal opthalmoplegie of both eyes |
20 |
1029 |
An eye's internal opthalmoplegie |
10 |
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.
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 |
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 |
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 |
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 |
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 |
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 |
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 |
See Chapter IX .
1401 |
Posttraumatic paralyse of the M. phrenicus, one-sided |
5-15 |
1402 |
Hernia diaphragmatica-see Chapter XV |
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 |
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 |
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 |
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 |
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 |
1513 |
Adhaesia, dependent on pain or closure symptoms |
10-50 |
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 |
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 |
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 |
1534 |
External fistula |
10-30 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
1701 |
Tuberculosis ulcer of the nasal area, as a separate condition |
10-30 |
1702 |
Larynx tuberculosis |
70-100 |
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 |
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 |
1721 |
Effects of tuberculous meningitis to be appreciated depending on the lasting abnormalities and subsequently increased by |
20 |
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 |
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 |
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 |
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 |
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 |
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. ';
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%.