Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 181 - SPECIAL HEALTH PROGRAMS
Chapter 10 - SCREENING OF NEWBORNS FOR CRITICAL CONGENITAL HEART DISEASE
Section 181-10-002 - DEFINITIONS

002.01 CRITICAL CONGENITAL HEART DISEASE (CCHD). One of seven targeted lesions for which newborn screening by pulse oximetry is intended to detect. The seven lesions are hypoplastic left heart syndrome, pulmonary atresia, tetralogy of Fallot, total anomalous pulmonary venous return, transposition of the great arteries, tricuspid atresia, and truncus arteriosus.

002.02 ECHOCARDIOGRAM. A diagnostic test that uses ultrasound waves to create an image of the heart muscle. Echocardiograms can show the size, shape, and movement of the heart's valves and chambers as well as the flow of blood through the heart.

002.03 HOSPITAL. Any facility defined under Neb. Rev. Stat. § 71-419.

002.04 HYPOPLASTIC LEFT HEART SYNDROME. A structural birth defect that involves a number of underdeveloped or too small of structures on the left side of the heart including the left ventricle, mitral valve, aortic valve, ascending portion of the aorta. Often babies with this syndrome will also have an atrial septal defect, or hole between the left and right atria.

002.05 INCONCLUSIVE SCREEN RESULT. A result of the screening algorithm which is neither positive (failed) or negative (passed) but requires further screening to make a determination of positive or negative.

002.06 NEGATIVE SCREEN RESULT. An oxygen saturation screening test result that is above the cut-off, and the difference in measurement of the oxygen saturation between the right hand and foot is below a specified percent. A passed screen is a negative screen result for critical congenital heart disease.

002.07 NEONATAL INTENSIVE CARE UNIT (NICU). A hospital unit staffed and equipped to provide intensive care to premature, low birthweight and seriously ill newborns.

002.08 PHYSICIAN. A person licensed to practice medicine and surgery or osteopathic medicine and surgery.

002.09 POSITIVE SCREEN RESULT. An oxygen saturation screening test result that is below the cut off, or the difference in measurement of the oxygen saturation between the right hand and foot exceeds a specified percent. A failed screen is a positive screen result for possible critical congenital heart disease.

002.010 PRENATAL CARE PROVIDER. A licensed health care professional providing care to pregnant women before delivery of the newborn.

002.011 PULMONARY ATRESIA. A structural birth defect in which the pulmonary valve between the right ventricle and pulmonary artery is abnormal and does not open. This may also result in a small or missing right ventricle.

002.012 PULSE OXIMETRY. A non-invasive method of measuring the percent oxygen saturation of hemoglobin in the arterial blood.

002.013 TETRALOGY OF FALLOT. Structural birth defects of the heart affecting four parts. Ventricular septal defect is a hole in the wall between the two lower chambers of the heart. Pulmonary stenosis is a narrowing of the pulmonary valve and main pulmonary artery. The aortic valve is enlarged and open to both ventricles instead of just the left ventricle. Right ventricular hypertrophy is a thickening of the lower right chamber muscle wall.

002.014 TOTAL ANOMALOUS PULMONARY VENOUS RETURN. A condition present at birth in which the oxygen rich blood returns from the lungs to the right atrium or a vein flowing to the right atrium instead of the left side of the heart.

002.015 TRANSPOSITION OF THE GREAT OF ARTERIES. A birth defect in which the two main arteries going out of the heart, the pulmonary artery and the aorta, are switched in position.

002.016 TRICUSPID ATRESIA. A structural birth defect in which the tricuspid heart valve is either missing or abnormally developed.

002.017 TRUNCUS ARTERIOSIS. A structural birth defect in which only one vessel comes out of the right and left ventricles instead of the two normal vessels (pulmonary artery and aorta). There is usually also a ventricular septal defect or large hole between the two ventricles.