Just like with any type of medical evaluation the doctor needs to know the following: maternal history, birth history (prenatal care if any, birth weight, height, and head circumference, gestational age, Apgar scores), medical examinations, tests, and hospitalizations.
Ongoing measurements over time are extremely helpful to assess growth. Current developmental milestones (vocalizing, sitting alone, eating semisolid food, strong eye contact) are also helpful.
Sometimes statements are available from the caregivers about the child’s personality, demeanor, and skills. It’s very helpful if the orphanage doctors give an opinion about whether the child has any signs of fetal alcohol syndrome, genetic syndromes or any other type of medical issues. It has become more common to get Video recording of the child playing and pictures to evaluate.