Mich. Admin. Code R. 325.78 - Patient information; diagnostic and clinical information to be reported
Rule 8.
(1)
Reportable information is information specifically related to patients with
known or suspected poisonings due to use of prescription or illicit drugs,
including fatal and nonfatal overdoses.
(2) International Classification of Disease
Codes (ICD) for medicinal and illicit drug poisonings and toxicological
laboratory evidence shall be considered evidence of poisoning.
(3) The health professional or health
facility shall submit its report in a format that ensures the inclusion of the
information listed under subdivisions (a) to (e) of this subrule as applicable.
(a) All of the following information with
respect to the patient shall be provided:
(i)
Last and first name and middle initial.
(ii) Sex.
(iii) Race, if available.
(iv) Ethnic group, if available.
(v) Birth date or age.
(vi) Residential address.
(vii) Telephone number.
(viii) If the individual is a minor, the name
of a parent or guardian.
(b) If the reporting entity is a health care
provider or health facility other than a clinical laboratory, the following
diagnostic information shall be provided, in addition to information specified
in subdivision (a) of this subrule.
(i) The
date of diagnosis.
(ii) The
diagnosis, including ICD diagnostic code, if available.
(iii) Brief narrative of the poisoning event,
including date, location, and type of medicine or drug involved, and any other
information considered by the health professional or health facility to be
related to health of the public.
(iv) Brief narrative of the patients signs
and symptoms, clinical findings, results of diagnostic tests, and clinical
outcome.
(c) If the
reporting entity is a clinical laboratory, the following information shall be
provided in addition to information specified in subdivision (a) of this
subrule.
(i) Unique specimen ID or accession
number, or both.
(ii) Name of the
clinical test performed.
(iii) Test
result, including units of measurement and LOINC and SNOMED codes.
(iv) Laboratory reference range including
units of measurement.
(v) Date the
laboratory test was ordered.
(d) Name, address, telephone, and other
contact information shall be provided for the reporting health professional. If
the reporting entity is a health facility, contact information for the
diagnosing, treating, and/or ordering physician shall be provided.
(e) Name, address, telephone and other
contact information for the health facility shall be provided if the reporting
entity is the facility.
Notes
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