Iowa Administrative Code
Agency 641 - Public Health Department
Chapter 1 - Reportable Diseases, Poisonings and Conditions, and Quarantine and Isolation
Rule 641-1.4 - Reporting Requirements
Universal Citation: IA Admin Code 641-1.4
Current through Register Vol. 47, No. 6, September 18, 2024
(1) Who is required to report.
a. Communicable
and infectious diseases, and poisonings.
(1)
Health care providers, hospitals, and clinical laboratories and other health
care facilities are required to report cases of reportable diseases, poisonings
and conditions. Health care providers and hospitals are exempted from reporting
communicable and infectious disease laboratory results and blood lead testing
if the health care provider or hospital ensures that the laboratory performing
the analysis provides a report containing the required information to the
department.
(2) School nurses are
required to report suspected cases of a reportable disease, poisoning or
condition occurring among the children supervised.
(3) Poison control and poison information
centers are required to report inquiries about cases of a reportable disease,
poisoning or condition received by them.
(4) Medical examiners are required to report
their investigatory findings of any death that was caused by or otherwise
involved a reportable disease, poisoning or condition.
(5) Occupational nurses are required to
report cases of reportable diseases, poisonings and conditions.
(6) Hospitals, health care providers and
clinical laboratories outside the state of Iowa shall immediately report any
confirmed or suspected case of a reportable disease, poisoning or condition in
an Iowa resident.
b.
Reportable cancers. Health care providers, hospitals, clinical laboratories and
health care facilities involved in the diagnosis, care or treatment of
individuals are required to report individuals with a reportable
cancer.
c. Congenital and inherited
disorders. Health care providers, clinics, clinical laboratories and other
health care facilities are required to report cases of a congenital or
inherited disorder.
(2) What to report. Each report will contain all information as listed in Iowa Code chapter 139A, in addition to:
a. For communicable and infectious diseases:
(1) The name of the reportable
disease.
(2) The treatment provided
for the reportable disease.
b. For poisonings:
(1) The analytical result.
(2) In the case of blood lead testing,
whether the sample is a capillary or venous blood sample.
(3) For conditions not identified by a
laboratory analysis, the date that the condition was diagnosed.
(4) In the case of occupational conditions,
the name of the patient's employer.
c. For reportable cancers:
(1) Follow-up data.
(2) Demographic, diagnostic, prognostic,
treatment, and other medical information.
d. For congenital and inherited conditions:
(1) Follow-up data.
(2) Demographic, diagnostic, treatment and
other medical information.
(3)
Tissue samples, which may also be submitted.
(3)
How to report.
Information on when and how to report any of the diseases, conditions, or
injuries included in this chapter can be found in Appendices A and B.
a.
Immediate reporting by telephone
of diseases identified as immediately reportable. A health care
provider and a public, private, or hospital clinical laboratory will
immediately report any confirmed or suspect case of a disease identified in
Appendix A as immediately reportable to the department.
b.
Other diseases that carry serious
consequences or spread rapidly. A health care facility, health care
provider and a public, private, or hospital clinical laboratory will
immediately report any confirmed or suspected case of a common source epidemic
or disease outbreak of unusual numbers.
c.
Reporting to other public health
authorities. The department may authorize hospitals, health care
providers or clinical laboratories outside the state of Iowa to report any
confirmed or suspect case of a reportable disease, poisoning, or condition to
another public health authority for the purpose of facilitating a report to the
department.
d.
Cancers. The department has delegated to the Iowa Cancer
Registry the responsibility for collecting cancer data.
(1) Those required to report shall submit
required data to the Iowa Cancer Registry monthly, in an electronic format
specified by the Iowa Cancer Registry. Those required to report may employ
registrars with Iowa Cancer Registry-approved training, or contract with the
Iowa Cancer Registry or an outside vendor to submit reportable cancer cases and
required data elements to the Iowa Cancer Registry.
(2) As needed for SEER surveillance
activities, the Iowa Cancer Registry shall have remote electronic access, where
available, or physical access to all cancer-relevant medical
records.
e.
Congenital and inherited disorders. The department has
delegated to the Iowa Registry for Congenital and Inherited Disorders the
responsibility to maintain a central registry for congenital and inherited
disorders. The Iowa Registry for Congenital and Inherited Disorders shall:
(1) Prior to collecting the data from health
care providers, hospitals, clinics, clinical laboratories and other health care
facilities, work with the reporting facility to develop a process for
abstracting records that is agreeable to the reporting facility.
(2) Develop and distribute reporting forms
where applicable.
(3) Develop an
abstracting process for data to be supplemented with information obtained from
records from hospitals, treatment centers, outpatient centers, clinics,
pathology laboratories and physician offices.
Disclaimer: These regulations may not be the most recent version. Iowa may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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