TN 38 (09-15)
   
   
   
    
   
   Generally, when an individual is hospitalized or a medical source significantly restricts
      an individual's activities, the symptoms, signs and laboratory findings establish
      that the impairment(s) is still disabling. Hospitalization, prescribed therapy that
      interferes with functioning, or the judgment by the medical source that the individual
      should not work are not, in themselves, sufficient evidence to support a finding of
      continuance.
   
   
   Disability examiners must consider the evidence provided by the individual's medical
      source in making an independent judgment as to:
   
   
   
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               An individual's medical improvement. 
 
 
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               An individual's ability to engage in substantial gainful activity. 
 
 
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               Whether the current impairment(s) causes significant functional limitations in a Title
                  XVI child case.
                
 
 
Carefully consider the possibility that the medical source has additional evidence
      not reflected in the file that might support a finding of continuance. For procedures
      on obtaining evidence from medical sources, see DI 22505.001.