DEPARTMENT OF COMMUNITY HEALTH

              BUREAU OF COMMUNITY LIVING, CHILDREN AND FAMILIES

                        BLOOD LEAD ANALYSIS REPORTING

(By authority conferred on the department of community health by 1978 PA 368, 
MCL 333.5111, 333.5474(1)(c), and 333.20531, 1978 PA  312,  MCL  325.78,  and 
Executive Reorganization Order No. 1996-1, MCL 330.3101)


R 325.9081 Definitions.
  Rule 1. (1) As used in these rules:
  (a) "Blood lead analysis report form" means the form  used  to  report  the 
required reportable information for blood that has been analyzed for lead.
  (b) "Agency" means the community public health agency.
  (c) "Physician/provider" means a licensed professional who provides  health 
care services and  who  is  authorized  to  request  the  analysis  of  blood 
specimens. For  this  purpose,  provider  may  also  mean  the  local  health 
department.
  (2) The term "local health department," as defined in Act No.  368  of  the 
Public Acts of 1978, as amended, being §333.1101  et  seq.  of  the  Michigan 
Compiled Laws, has the same meaning when used in these rules.

  History: 1997 AACS.


R 325.9082 Reportable information.
  Rule 2. (1) Reportable information is specifically related to blood samples 
submitted to clinical laboratories for lead analysis.
  (2)  Upon   initiating   a   request   for   blood   lead   analysis,   the 
physician/provider ordering the blood lead analysis shall complete the client 
information (section I) and the physician/provider information  (section  II) 
of a blood lead analysis report  form  designated  by  the  agency  or  shall 
complete another similar form that ensures the inclusion of the same required 
data and shall provide all of the following information:
  (a) All of the following information with respect to the individual tested:
  (i) Name.
  (ii) Sex
  (iii) Racial/ethnic group.
  (iv) Birthdate.
  (v) Address, including county.
  (vi) Telephone number.
  (vii) Social security number and medicaid number, if applicable.
  (viii) If the individual is a minor, the name of a parent or  guardian  and 
social security number of the parent or guardian.
  (ix) If the individual is an adult, the name of his or her employer.
  (b) The date of the sample collection.
  (c) The type of sample (capillary or venous).
  (3) The blood lead analysis report form or a document with  the  same  data 
shall be submitted with the sample for analysis to a clinical laboratory that 
performs blood lead analysis.
  (4) Upon receipt of the  blood  sample  for  lead  analysis,  the  clinical 
laboratory shall  complete  the  laboratory  information  (section  III)  and 
provide  all  of  the  information   required   and/or   submitted   by   the 
physician/provider and the following:
  (a) The name, address, and phone number of the laboratory.
  (b) The date of analysis.
  (c) The results of the blood  lead  analysis  in  micrograms  of  lead  per 
deciliter of whole blood rounded to the nearest whole number.

  History: 1997 AACS.


R 325.9083 Reporting responsibilities.
  Rule 3. (1) All clinical laboratories doing business  in  this  state  that 
analyze blood samples for lead shall report all blood lead  results,  rounded 
to the nearest whole number, for adults and children to the Community  Public 
Health Agency, Childhood Lead Poisoning Prevention Program (CPHA/CLPPP), 3423 
N.M.L. King Jr. Blvd., Lansing , MI 48909.
Reports shall be made within 5 working days after test completion.
  (2) Nothing in this rule shall be construed to relieve  a  laboratory  from 
reporting results of a blood lead analysis to the physician or  other  health 
care provider who ordered the test or to any  other  entity  as  required  by 
state, federal, or local  statutes  or  regulations  or  in  accordance  with 
accepted standard of practice, except that reporting in compliance with  this 
rule satisfies the blood lead reporting requirements of Act No.  368  of  the 
Public Acts of 1978, as amended, being §333.1101  et  seq.  of  the  Michigan 
Compiled Laws.

  History: 1997 AACS.


R 325.9084 Electronic communications.
  Rule 4. (1) A clinical laboratory  shall  submit  the  data  required  in R 
325.9083 electronically to the agency.
  (2)  For  electronic  reporting,  upon  mutual  agreement    between    the 
reporting laboratory and the agency,  the  reporting  shall    utilize    the 
data  format specifications provided by the agency. 

  History: 1997 AACS; 2006 AACS.


R 325.9085 Quality assurance.
  Rule 5. For purposes of  assuring  the  quality  of  submitted  data,  each 
reporting entity shall allow the agency to  inspect  copies  of  the  medical 
records that will be submitted by the reporting entity to verify the accuracy 
of the submitted data. Only the portion of the medical record  that  pertains 
to the blood lead testing shall be  submitted.  The  copies  of  the  medical 
records shall not be recopied by the agency and shall be  kept  in  a  locked 
file cabinet when not being used.  After verification of submitted data,  the 
agency shall promptly destroy the copies of the medical records.

  History: 1997 AACS.


R 325.9086  Confidentiality of reports.
  Rule 6. (1) Except as provided in subrule (2)  of  this  rule,  the  agency 
shall maintain the  confidentiality  of  all  reports  of  blood  lead  tests 
submitted  to the agency and shall not release reports  or  information  that 
may be  used  to directly link the information to a particular individual.
  (2) The agency may release  reports  or  information,  otherwise  protected 
under subrule (1) of this rule under 1 of the following conditions:
  (a) If the agency has received written consent from  the   individual,   or 
from the  individual's   parent   or   legal   guardian,    requesting    the 
release  of information.
  (b) If necessary for law  enforcement  investigation  or  prosecution  of a 
property manager, housing commission, or owner of a rental unit  under   2004 
PA 434, MCL 333.5475a.
  (c) If the director of the department determines that release  is   crucial 
to protect the public health against imminent threat or danger.
  (3)  Medical  and  epidemiological  information  that  is  released   to  a 
legislative body shall  not  contain   information    that    identifies    a 
specific individual.  Aggregate  epidemiological    information    concerning 
the  public health that is released to the public for informational  purposes 
only  shall not contain information that identifies a specific individual.

 History: 1997 AACS; 2006 AACS. 


R 325.9087 Blood lead analysis report form.
  Rule 7. The blood lead analysis report form reads as follows:


                    MICHIGAN DEPARTMENT OF COMMUNITY HEALTH
                          BLOOD LEAD ANALYSIS REPORT
 DATA/INFORMATION REQUIRED BY ADMINISTRATIVE RULES R 325.9082 and R 325.9083




                                I. CLIENT INFORMATION

_____________________  ______________________  ___   ________________________ 
Last Name                   First Name       M.I.      Birth Date

_____________________ _________________ _______  __________  ________________ 
Mailing Address             City         State   Zip Code        County

__________________________         _______________________________ Area  Code 
and Phone Number         Client's Social Security Number

____________________________________          _______________________________ 
If Client is an adult, list Employer          If an adult, list Occupation

____________________________________ Medicaid Number
     Sex                              Race Ethnic Group
     • Male                           • White
     • Female                         • Black
                                      • Hispanic
                                      • Native American
                                      • Middle Eastern
                                      • Asian/Pacific


Sample Collection Date ___________________

Type of Sample
  • Capillary  • Venous

_____________________       __________________________ Parent/Guardian Name   
     Parent/Guardian SS Number







                              II.PHYSICIAN/PROVIDER INFORMATION

Mail Report to:

Physician/Provider

______________________ _________________ __________   __________
   Mailing Address      City     State       Zip Code

_______________________ Area Code and Phone Number


                                 III.LABORATORY INFORMATION

Completion required by testing laboratory

___________________________ __________________________
     Laboratory Name        Area Code and Phone Number

__________________________ __________________ _____ __________
   Mailing Address               City         State  Zip Code

________________________________ ________________________________ Specimen
           Number                      Date of Analysis

BLOOD LEAD LEVEL_______________MICROGRAMS PER DECILITER

MDCH - Childhood Lead Poisoning Prevention Program, 3423 N.  M.L.  King,  Jr. 
Blvd., Lansing, MI 48909 (517) 335-8885 Fax Number (517) 335-8509