310:512-3-5. Reporting requirements (1) Laboratories shall report the results of all blood lead tests performed on children 6 months to 72 months of age that are residents of Oklahoma to the Childhood Lead Poisoning Prevention Program. These reports shall be confidential and may be utilized only for the purpose of assuring service delivery, program administration, data analysis, and evaluation.
(2) Laboratories shall report the following information to the Childhood Lead Poisoning Prevention Program by mail, telephone, facsimile, or electronic data transmission: name, date of birth, address, county of residence, type of sample (venous or capillary), blood lead level, health provider ordering the test, laboratory identifiers, date the sample was collected and the date of analysis. The laboratory receiving the sample from the health care provider taking the sample shall assure that the laboratory requisition slip is fully completed and includes the information required pursuant to the Subsection.
(3) Time limits for reporting to the Childhood Lead Poisoning Prevention Program shall be as follows:
(A) Results of all blood lead levels <10 μg/dL at a minimum of a monthly basis.
(B) Results of all blood lead levels equal to or >10 μg/dL at a minimum of a weekly basis and if possible daily.
(4) All clinical laboratories shall notify the provider ordering the blood lead test by telephone or fax, the results of any analysis in a child up to 72 months of age which is ≥20 μg/dL within 24 hours of the date of the analysis.
(5) Nothing in this Subsection shall be construed to relieve any laboratory from reporting results of any blood lead analysis to the physician, or other health care provider that ordered the test or to any other entity as required by State, Federal or local statutes or regulations or in accordance with accepted standard of practice.
(b) Health care providers.
(1) All health care providers should ensure that all of the information specified is completed for all blood lead analyses ordered by health care providers and that this information accompanies the sample to the testing laboratory.
(2) On written or verbal notification of an elevated capillary lead level, ≥10 mg/dL, the child's health care provider will obtain a confirmatory test by venous sample.
(3) All health care providers shall notify the Childhood Lead Poisoning and Prevention Program of any blood lead level in a child up to 72 months of age equal to or >10 μg/dL within 1 week and equal to or >20 μg/dL within 24 hours of having been notified of this result by the testing laboratory; the following information shall be provided when reporting: name, date of birth, address, county of residence, type of sample (venous or capillary), blood lead level, health provider ordering the test, laboratory identifiers, date the sample was collected and the date of analysis.
(4) Upon notification of a blood lead level ≥20 μg/dL, an environmental investigation and public health followup will be carried out by the Oklahoma State Department of Health.
(5) On written notification of unsatisfactory specimens, the child's health care provider will obtain a repeat specimen.
(6) These reports shall be confidential and may be utilized only for the purpose of assuring service delivery, program administration, data analysis, and evaluation.
[Source: Added at 12 Ok Reg 3055, eff 7-27-95]