Section 843.10  Definitions

"Activities of daily living for children" means those activities of children that involve continuity of purpose and action, and goal or task orientation; that is, the practical implementation of skills mastered at earlier ages as specified in the Code of Federal Regulations 20 CFR 416.924a(C) as amended February 11, 1991.

"Age-appropriate activities" means the normal activities of a child of any age; that is, what a child is expected to be able to do given his or her age as specified in the Code of Federal Regulations 20 CFR 416.924a(C) as amended February 11, 1991.

"Bureau" means the Bureau of Disability Determination Services.

"Claimant representative" means an attorney or other individual appointed by the claimant to act for him/her in the prosecution of a disability claim, who is qualified pursuant to the definition of "representative" in 89 Ill. Adm. Code 853.10.

"Clear-cut cessation" means a decision to discontinue disability benefits/payments without current medical development (i.e., the acquisition of medical evidence subsequent to the receipt of the case file by the Bureau for the purpose of conducting continuing disability review) when the claimant has returned to full-time work as defined in and meets the criteria as set forth in the Program Operations Manual System DI 28030.035 et seq. as amended June 1991.

"Complete medical history" means the records of the claimant's medical sources covering a time period as specified in the Code of Federal Regulations 20 CFR 404.1512(d)(2) and 416.912(d)(2) as amended August 1, 1991.

"Continuing Disability review" means the periodic reexamination of a case, which is conducted pursuant to 89 Ill. Adm. Code 850 for which an allowance has been processed in order to determine if the claimant continues to be disabled.

"Daily activities development" means the process of obtaining a description of the claimant's customary actions, interests, and interpersonal relationships from medical and/or lay sources who have knowledge of the claimant's living conditions.

"Developmental domain" means a broad area of development including major spheres of physical, cognitive, communication, social, and emotional activity for children from birth to age six as specified in the Code of Federal Regulations 20 CFR 416.924a(C) as amended February 11, 1991.

"Developmental milestones" means a child's expected principal developmental achievements at particular points in time as specified in the Code of Federal Regulations 20 CFR 416.924a(C) as amended February 11, 1991.

"Domain" means a broad sphere of physical and mental functioning measured by how well the child can do age-appropriate activities as specified in the Code of Federal Regulations 20 CFR 416.924a(C)a as amended February 11, 1991.

"Every reasonable effort" means that the Bureau will make an initial request for evidence from the claimant's medical source, and at any time between 10 and 20 calendar days after the initial request, if the evidence has not been received, the Bureau will make one follow-up request to obtain the medical evidence necessary to make a determination according to the specifications in the Code of Federal Regulations 20 CFR 404.1512(d)(1) and 416.912(d)(1) as amended August 1, 1991.

"Evidence" means any information submitted relative to a claim for disability as described in the Code of Federal Regulations 20 CFR 404.1512 and 416.912 as amended August 1, 1991.

"Functional domain" means a broad area of development including major spheres of physical, cognitive, communication, social, and emotional activity for children from age six to age sixteen as specified in the Code of Federal Regulations 20 CFR 416.924a(C) as amended February 11, 1991.

"Functional equivalence" means the decision, based on an assessment of a child's functioning, that an impairment(s) exists which is of comparable severity to an impairment which would disable an adult as specified in the Code of Federal Regulations 20 CFR 416.926a as amended February 11, 1991.

"Individualized functional assessment" means the evaluation of functional limitations and abilities in a child to determine whether an impairment(s) exists which would disable an adult as specified in the Code of Federal Regulations 20 CFR 416.924a(C) as amended February 11, 1991.

"Medical evidence of record" means medical information on file for a patient, such as reports of exams, progress notes, and test results, which are obtained from a treating source or source of record as defined in Program Operations Manual System DI 22505. 003 as amended August 1991.

"Medical Information Unit" (MIU) means the unit established by the Bureau to perform various functions involving the consultative examination process and to coordinate all correspondence, communication, and record-keeping between the Bureau and Cook County Hospital and Fantus Clinic of Chicago, Illinois.

"Presumptive disability/blindness decision" means a favorable decision rendered for a Supplemental Security Income (SSI) claim based on the evaluation criteria as set forth in the Program Operations Manual System DI 23535.005, as amended October 1988; such decision permits the claimant to receive payments prior to the formal decision.

"Program Operations Manual System" means the policies and procedures of the Social Security Administration which set forth the objectives and requirements of the disability programs and furnish the standards with which Social Security Administration operating components must comply in the administration of the functions they perform.  The Social Security Act is the basis for all standards set forth in the Program Operations Manual System.

"Residual functional capacity" means the ability to function in a work setting despite the limitations imposed by a physical or mental impairment as determined pursuant to Program Operations Manual System DI 24510.001 as amended July 1989 and DI 25001.001, as amended March 1989.

"Sequential evaluation" means the order in which factors regarding impairment severity and work status are considered in the adjudication process, pursuant to 89 Ill. Adm. Code 845.

"Source of record" means a hospital, clinic or other source that has provided the claimant with medical treatment or evaluation but does not have or did not have an ongoing treatment relationship with the claimant as described in the Code of Federal Regulations 20 CFR 404.1502 and 416.902 amended August 1, 1991.

"Trailer mail" means medical evidence and other case-related correspondence received in the Bureau after the claim has been adjudicated and released.

"Treating source" means a medical source currently providing treatment to a claimant for alleged or documented impairments as described in the Code of Federal Regulations 20 CFR 404.1502 and 416.913 as amended August 1, 1991.

"Vocational evidence" means documentation of the claimant's residual functional capacity, age, education, and work experience used when a disability decision based on medical evidence alone cannot be made.

"Work evaluation" means a program conducted at a work evaluation facility, which has an annual service agreement pursuant to 89 Ill. Adm. Code 530, to assess by testing of function and job sampling the claimant's ability to adjust to work pursuant to Program Operations Manual System DI 22515.010 as amended November 1988.

(Source:  Amended at 16 Ill. Reg. 10316, effective June 15, 1992)