TN 23 (09-20)
Use the following guidelines to provide the minimum content in a CE report for a child disability case. Each Disability Determination Service (DDS) will notify medical sources of any additional requirements.
The CE report content guidelines in this section are in addition to the general pediatric CE report content guidelines in DI 22510.035. For additional CE policy in a child’s case, also see DI 25205.015.
Use the specific requirements below to complete the CE report for a hematological disorder.
The CE provider will describe and discuss, as appropriate:
Fatigue;
Anorexia;
Pain crises;
Headaches;
Weight loss or gain;
Edema;
Jaundice;
Ecchymoses bleeding;
Frequency of hospitalizations;
Hemoglobin values;
Infections; and
Frequency of red blood cell (RBC) or other blood component transfusions or infusions.
Any apparent abnormalities such as enlarged lymph nodes, edema, fatigue level, abnormal bruising, pallor, scleral icterus, and jaundice;
Evidence of bleeding – ecchymoses, petechiae, and hemarthrosis;
Liver and spleen size; and
Abnormal neurological findings.