The CE provider will use the specific requirements below to complete the CE report
            specific to cancer.
         
         
            
               1. Current medical history
               
             
            
               The CE provider will describe and discuss as appropriate:
               
                  - 
                     
                        a.  
                           Fatigue, malaise, and/or affected organ systems; 
 
 
- 
                     
                        b.  
                           Type of therapy received or planned, including prescribed medications and their side
                              effects (for each cancer condition if more than one). If multimodal therapy, dates
                              each therapy was completed/scheduled and performed by which physician;
                            
 
 
- 
                     
                        c.  
                           Effects of any post-therapeutic residuals; 
 
 
- 
                     
                  
- 
                     
                  
- 
                     
                        f.  
                           Prognosis, if available; and 
 
 
- 
                     
                        g.  
                           Dates and results of relevant diagnostic procedures, such as biopsy or tissue pathologic
                              examination and imaging studies, as these results relate to information on cancer
                              stage, when possible.
                            
 
 
 
          
         
            
            
               The CE provider will describe and discuss as appropriate:
               
                  - 
                     
                        a.  
                           Review of any biopsy or tissue pathologic examination; 
 
 
- 
                     
                  
- 
                     
                        c.  
                           Other body systems affected by adverse effects of treatment.