3701-57-02 Reporting Requirements.

(A) Each physician, hospital and freestanding birthing center shall report to the birth defects information system information concerning all fetal death and children from birth to five years of age with any of the following abnormal conditions, birth defects and congenital abnormalities:

(1) Central nervous system disorders:

(a) Anencephalus, with “ICD-9-CM” codes 740.0 to 740.1;

(b) Spina bifida without anencephalus, with “ICD-9-CM” codes 741.0, 741.9, without 740.0 to 740.1;

(d) Encephalocele, with “ICD-9-CM” code 742.0; and

(e) Microcephalus, with “ICD-9-CM” code 742.1;

(2) Eye and ear disorders:

(a) Anophthalmia/microphthalmia, with “ICD-9-CM” codes 743.0, 743.1;

(b) Congenital cataract, with “ICD-9-CM” codes 743.30-743.34;

(d) Anotia/microtia, with “ICD-9-CM” codes 744.01, 744.23;

(3) Cardiovascular disorders:

(a) Common truncus, with “ICD-9-CM” code 745.0;

(b) Transposition of great arteries, with “ICD-9-CM” codes 745.1, 745.11, 745.12, 745.19;

(d) Ventricular septal defect, with “ICD-9-CM” code 745.4;

(e) Atrial septal defect, with “ICD-9-CM” code 745.5;

(f) Endocardial cushion defect, with “ICD-9-CM” codes 745.60, 745.61, 745.69;

(g) Pulmonary valve atresia and stenosis, with “ICD-9-CM” codes 746.01, 746.02;

(h) Tricuspid valve atresia and stenosis, with “ICD-9-CM” code 746.1;

(i) Ebstein’s anomaly, with “ICD-9-CM” code 746.2;

(j) Aortic valve stenosis, with “ICD-9-CM” code 746.3;

(k) Hypoplastic left heart syndrome, with “ICD-9-CM” code 746.7;

(l) Patent ductus arteriosus (include only if weight =or is greater than 2500 grams or note if unable to exclude less than 2500 grams infants), with “ICD-9-CM” code 747.0; and

(m) Coarctation of aorta, with “ICD-9-CM” code 747.10;

(4) Orofacial disorders:

(a) Cleft palate without cleft lip, with “ICD-9-CM” code 749.0;

(b) Cleft lip with and without cleft palate, with “ICD-9-CM” codes 749.1, 749.2; and

(5) Gastrointestinal disorders:

(a) Esophageal atresia/tracheoeesophageal fistula, with “ICD-9-DM” code 750.3;

(b) Rectal and large intestinal atresia/stenosis, with “ICD-9-CM” code 751.2;

(d) Hirshsprung’s diease (congenital megacolon), with “ICD-9-CM” code 751.3; and

(e) Biliary atresia, with “ICD-9-CM” code 751.61;

(6) Genitourinary disorders:

(a) Renal agenesis/hypoplasia, with “ICD-9-CM” code 753.0;

(b) Bladder exstrophy, with “ICD-9-CM” code 753.5;

(d) Hypospadias and epispadias, with “ICD-9-CM” codes 752.61, 752.62;

(7) Musculosketal disorders:

(a) Reduction deformity, upper limbs, with “ICD-9-CM” codes 755.20 to 755.29;

(b) Reduction deformity, lower limbs, with “ICD-9-CM” codes 755.30 to 755.39;

(d) Omphalocele, with “ICD-9-CM” code 756.79;

(e) Congenital hip dislocation, with “ICD-9-CM” codes 754.30, 754.31, 754.35; and

(f) Diaphragmatic hernia, with “ICD-9-CM” code 756.6;

(8) Chromosomal disorders:

(a) Trisomy 13, with “ICD-9-CM” code 758.1;

(b) Down syndrome (Trisomy 21), with “ICD-9-CM” code 758.0; and

(9) Other disorders:

(a) Fetal alcohol syndrome, with “ICD-9-CM” code 760.71; and

(b) Amniotic bands.

(B) The director may elect to implement the birth defects information system by phasing in the system in specified regions of the state. Each physician, hospital and freestanding birthing center within the specified region shall report cases as described in paragraph (A) of this rule in an electronic or written format as prescribed by the director. The report shall contain information regarding the child which includes:

(1) Child’s name (first, middle, last, suffix);

(2) Child’s county of residence;

(3) Child’s address (street, city, state, zip code);

(4) Phone number of child’s guardian (area code and number);

(5) Guardian name if different than child’s mother;

(6) Child’s date of birth;

(7) Child’s gender;

(8) Child’s race;

(9) Child’s Hispanic ethnicity;

(10) Date of diagnosis of birth defect(s), syndrome, or disorder;

(11) Text description of birth defect(s), syndrome, or disorder;

(12) Child’s birth plurality, birth order;

(13) “ICD-9_CM” code, if applicable;

(14) Child’s date of death, if applicable;

(15) Child’s underlying cause of death, if applicable;

(16) Mother’s name (first, maiden, last);

(17) Mother’s date of birth;

(18) Mother’s race;

(19) Mother’s Hispanic ethnicity;

(20) Reporter contact information (name, facility, phone number); and

(21) Date of report.

(C) Each physician, hospital and freestanding birthing center shall report the case within one month (thirty days) from the date of diagnosis unless the physician, hospital, or freestanding birthing center has evidence that the case has already been reported.

(D) All physicians, hospitals and freestanding birthing centers providing diagnostic or treatment services to individuals with birth defects as specified in paragraph (A) of this rule shall grant to the director, or those representatives authorized in accordance with division (C) of section 3705.32 of the Revised Code, access to records that identify cases of birth defects.

(E) A physician, hospital, or freestanding birthing center is not subject to liability in an action for damages, or other relief for furnishing the information including records, reports, statements, notes, memoranda or other information to the director as required by this rule, or to a qualified person or governmental entity authorized by division (C) of section 3705.32 of the Ohio Revised Code.

(F) The director shall establish a form for use by parents and legal guardians who seek to have identifying information regarding their children removed from the birth defects information system. The director shall make the form available to hospitals, local health departments and physicians.

Effective: 06/03/2005

R.C. 119.032 review dates: 06/01/2010

Promulgated Under: 119.03

Statutory Authority: R.C. 3705.35

Rule Amplifies: R.C. 3705.30 to 3705.36