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.
The CE provider will use the specific requirements below to complete the CE report for a genitourinary disorder.
The CE provider will describe and discuss, as appropriate:
Malaise;
Fatigue;
Poor appetite;
Edema;
Headaches;
Bone pain;
Urinary frequency, dysuria, hematuria, and/or incontinence;
Renal ultrasound results;
Type and frequency of urological procedures; and
Acute weight gain or loss.
Pallor;
Fundoscopic and any retinal change;
Edema – type and location;
Anasarca;
Congenital abnormalities; and
Neurological findings – irritability and hypotonia.