<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 10.52.15.02" title_num="10" subtitle_num="52" chapter_num="15" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>“Attending clinician” means an individual who is:</text>
      <paragraph num="(a)">
        <text>A health care provider as defined in Health-General Article, §5-601, Annotated Code of Maryland; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Responsible for the care of newborn infants, and is either:</text>
        <paragraph num="(i)">
          <text>A certified nurse practitioner licensed by the Maryland Board of Nursing; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A certified nurse midwife licensed by the Maryland Board of Nursing.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>“Attending physician” means an individual who is:</text>
      <paragraph num="(a)">
        <text>A health care provider as defined in Health-General Article, §5-601, Annotated Code of Maryland;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Responsible for the care of a newborn infant;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Licensed to practice medicine in Maryland; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Board-certified by a member board of the American Board of Medical Specialties or an approved specialty board of the American Osteopathic Association in a specialty that includes the care of newborn infants.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>“Authorized health care provider” means an individual:</text>
      <paragraph num="(a)">
        <text>Who has received training in the screening protocol; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>For whom the CCHD screening tests are within his or her professional scope of practice.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>“Birth Defects Reporting and Information System” means the mandated reporting, monitoring, and follow-up of infants with birth defects as described in Health General Article, §18-206, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Birthing Facility.</text>
      <paragraph num="(a)">
        <text>“Birthing facility” means a facility that provides care for women during labor and delivery, and their newborn infants.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Birthing facility” includes a:</text>
        <paragraph num="(i)">
          <text>Unit of a hospital that is licensed and accredited to provide birthing services; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Freestanding birthing center as defined in COMAR 10.05.02.01B.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>“CCHD screening” means pulse oximetry testing.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Critical congenital heart disease (CCHD)” means a congenital heart defect that places an infant at significant risk of disability or death if not diagnosed soon after birth.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Department” means the Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Echocardiogram” means a test that uses ultrasound to provide an image of the heart.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Newborn infant” means an infant in the first 28 days of life who was born:</text>
      <paragraph num="(a)">
        <text>In Maryland; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>On federal property within Maryland.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(11)">
      <text>“Newborn Screening Follow-Up Unit” means the unit in the Department that carries out the duties set forth in Regulation .07 of this chapter.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Web-based system” means the web-based database used by the Department to collect data for newborn infant screening follow-up.</text>
    </paragraph>
  </paragraph>
</regulation>