1 condition in the Repatriation Medical Authority's Statements of Principles list goitre as a factor. If DVA has accepted your goitre, each of these has a documented pathway to a further claim.
Some Statement of Principles factors are not about service at all — they name another condition. Where DVA has already accepted your goitre, and another condition's SoP lists goitre as a factor, that part of the next claim is already established on your file. How a secondary claim works, in full →
Quoted from the instrument. A pathway existing is not the same as a claim succeeding — each factor carries thresholds your record has to satisfy.
RH No. 7 of 2022 · BoP No. 8 of 2022
Reasonable Hypothesis — factor (6): “having received iodine-131 (radioactive iodine) for the treatment of nodular goitre within the 10 years before the clinical onset of Graves disease” [clinical onset] — factor (17): “having received iodine-131 (radioactive iodine) for the treatment of nodular goitre within the 10 years before the clinical worsening of Graves disease” [worsening]
Balance of Probabilities — factor (6): “having received iodine-131 (radioactive iodine) for the treatment of nodular goitre within the 10 years before the clinical onset of Graves disease” [clinical onset] — factor (17): “having received iodine-131 (radioactive iodine) for the treatment of nodular goitre within the 10 years before the clinical worsening of Graves disease” [worsening]
No. It means the legislation contains a pathway. The factor still has to be met on your evidence, and the new condition still has to be diagnosed by a qualified practitioner.
Yes. DVA cannot accept liability for a condition that has not been diagnosed. If something here matches symptoms you have been living with, that is the conversation to have with a doctor.
No. Aggravation is where service worsened a condition you already had. A sequela is a separate condition arising from one already accepted, claimed in its own right with its own SoP.
The Repatriation Medical Authority Statements of Principles, as held in our SoP Library. We index the factor text of all 357 instruments. SoPs are amended regularly — confirm the current instrument before relying on it.
Have your record read against these pathways. A chart review establishes which are actually provable, with the page reference behind each one.
A claim is tested against the definition first. If the diagnosis on your file does not meet this wording, the factors below never get reached — so it is worth checking that what your doctor wrote matches what the instrument requires.
Goitre, for the purposes of the Statement of Principles, for the purposes of this Statement of Principles, goitre: (a) means an enlarged thyroid gland that has persisted for at least 4 weeks; and (b) includes: (i) a diffuse enlargement; and (ii) enlargement due to a solitary thyroid nodule (thyroid adenoma) or multiple nodules of the thyroid gland; and (c) excludes: (i) congenital goitre; (ii) dyshormogenetic goitre; (iii) Graves disease; (iv) Hashimoto thyroiditis; (v) haemorrhage or infarction of the thyroid gland; and (vi) primary or secondary malignancy, including malignant neoplasm of the thyroid gland.
Aggravation-only factors. In this instrument, subsections 9(14) to 9(27) apply only to material contribution to, or aggravation of, goitre where it was already present before or during service. If service caused goitre outright, those factors are not available to you.
RH No. 9 of 2022 · BoP No. 10 of 2022 · 25 factors

Reviewed by Dr Thomas Perkins
Founding doctor, Veterans Health Centre · former RAAF aviation medical officer · 13 years working exclusively with ADF members and veterans. Full profile →
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