R398-5-5. Critical Congenital Heart Disease (CCHD) Screening Reporting

  CCHD Screening results shall report or cause to report to the department within 40 days of discharge the following:

  (1) newborn's name;

  (a) last name;

  (b) first name;

  (2) newborn's date of birth;

  (3) newborn's gender;

  (4) newborn's gestational age;

  (5) newborn's birth weight;

  (6) newborn's medical record number;

  (7) newborn's newborn screening kit number;

  (8) newborn's delivery institution;

  (9) newborn's discharge unit (if applicable);

  (10) newborn's CCHD Screening result for each attempt:

  (a) date;

  (b) time;

  (c) probe location;

  (d) SpO2 result; and

  (e) outcome of attempt.

  (11) Newborn's first echocardiogram (if indicated):

  (a) date; and

  (b) time.

  (12) mother's name;

  (a) last name;

  (b) first name;

  (c) maiden name;

  (13) mother's date of birth; and

  (14) mother's medical record number.