As used in this chapter
(A) "Abnormal condition" means any condition
established at conception or acquired in utero which results in a morphologic
(structural), metabolic (biochemical), functional or behavioral derangement
necessitating medical or other intervention.
(B) "Birth defect" means an abnormal
condition resulting from an error of metabolism (biochemical), morphogenesis
(structural) or both, which is either established at conception or in utero
including congenital tumors and birth marks (hamartoneoplasia).
(C) "Birth Defects Information System" or
"system" means the collection and maintenance of information regarding abnormal
conditions, birth defects and congenital anomalies of fetal deaths and of
children from birth to five years of age, and the provision of referral
services to families with a child from birth to five years of age with a birth
defect. In Ohio, the system is named the "Ohio Connections for Children with
Special Needs" or "OCCSN".
(D)
"Congenital anomaly" means an error of morphogenesis (structural) which is
either established at conception or acquired during intrauterine
life.
(E) "Director" means the
director of the Ohio department of health or his or her designee.
(F) "Freestanding birthing center" means any
facility in which deliveries routinely occur, regardless of whether the
facility is located on the campus of another health care facility, and which is
licensed under Chapter 3711. of the Revised Code as level one, two, or three
maternity unit or a limited maternity unit.
(G) "Hospital" means a hospital classified
under section
3701.07 of the Revised Code as a
general hospital or children's hospital.
(H) "ICD-9-CM" means the
"International Classification of Diseases, Clinical Modification", 9th edition,
used to code and classify morbidity data from inpatient and outpatient records,
physician offices, and most "National Center for Health Statistics"
surveys.
(I)
(H) "Local health
department" means a health department operated by the board of health of a city
or general health district or the authority having the duties of a board of
health under section
3709.05 of the Revised Code.
(J) "Metabolic disorder" means
inborn errors of metabolism (biochemical) and designated as metabolic
disorders, dysmetabolic conditions or biochemical disorders. Metabolic
disorders include those disorders listed in rule
3701-55-02
of the Administrative Code.
(K)
(I) "Physician" means
an individual authorized under Chapter 4731. of the Revised Code to practice
medicine and surgery or osteopathic medicine and surgery.
(L) "Primary diagnosis" means the
principal disease or condition assigned based on the history of the disease
process, signs and symptoms, laboratory data, and special
tests.
(M)
(J) "Referral
services" means a formal process to assure that parents or guardians of
children with birth defects are informed of medical and support services for
which they may be eligible in order to improve health outcomes and/or enhance
the quality of their children's lives.
(N)
(K) "Stillbirth" or
"fetal death" means death of a product of conception of at least twenty weeks
of gestation prior to the complete expulsion or extraction from its mother
which, after such expulsion or extraction, does not breathe or show any other
evidence of life such as beating of the heart, pulsation of the umbilical cord,
or definite movement of voluntary muscles.
(O)
(L) "Surveillance"
means the ongoing systematic collection, analysis, interpretation and
dissemination of outcome-specific data for use in the planning, implementation
an evaluation of public health practice.
