<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".02" citation="COMAR 26.02.01.02" title_num="26" subtitle_num="02" chapter_num="01" heading="Information to be Reported.">
  <paragraph num="A.">
    <text>Who Shall Report. The laboratory, health care provider’s office, or other facility that draws a blood specimen from a child 18 years old or younger for a blood lead level test shall obtain the information required by §D(1)—(5) and (8) of this regulation at the time of drawing the blood specimen.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Time and Method for Reporting by a Facility that Initially Draws a Blood Specimen.</text>
    <paragraph num="(1)">
      <text>A laboratory that performs blood lead analysis shall provide a referral form of paper or electronic requisition that specifies the required information for use by a laboratory, a health care provider’s office, or another facility that draws a blood specimen.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The facility that draws a blood specimen shall:</text>
      <paragraph num="(a)">
        <text>Record the information required under §D(1)—(5) and (8) of this regulation on the laboratory's referral form or similar form; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Forward the required information concurrently with the blood specimen to the laboratory that performs blood lead analysis.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Time and Method for Reporting by a Laboratory. A laboratory required to report a blood lead level test under this regulation shall report the blood lead level test in the format approved by the Department and include all of the information required under §D of this regulation.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The blood lead level test to be reported shall include the following information:</text>
    <paragraph num="(1)">
      <text>The child's demographic information, including:</text>
      <paragraph num="(a)">
        <text>First name, last name, and middle initial;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Date of birth, country of birth, sex, race, and ethnicity;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Medical assistance number if the child is enrolled in Medicaid or the Maryland Children’s Health Program;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Complete home address at the time the blood specimen was drawn, including house or apartment number, street, city or town, county or Baltimore City, zip code, and state;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Telephone number; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Parent or guardian's name;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If the child being tested is female, whether the child was pregnant at the time of the blood lead level test;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Type of blood specimen, venous or capillary, and the blood draw date;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The health care provider’s office name, address, telephone number, and national provider identifier (NPI);</text>
    </paragraph>
    <paragraph num="(5)">
      <text>If the draw site is different from the health care provider’s office, the laboratory’s or other facility’s name, address, telephone number, and NPI;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>All of the following information about the laboratory performing the blood lead analysis:</text>
      <paragraph num="(a)">
        <text>Laboratory name, address, telephone number, and clinical laboratory improvement amendment number (CLIA);</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Laboratory method used to analyze the blood specimen;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The limit of detection for the method used to analyze the blood specimen; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>If reporting a “no result” test result, the limit of detection for the laboratory;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>Blood lead level in micrograms per deciliter expressed with a numeric results comparator of:</text>
      <paragraph num="(a)">
        <text>Equal, if the blood lead level is an exact measurement; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Less than or greater than, if a blood lead level reading is below or above a certain level that a device used to analyze a blood specimen can accurately record; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>Additional information as may be required by the Department.</text>
    </paragraph>
  </paragraph>
</regulation>