R433-1-3. Reporting of VLBW Maternal and Infant Data by Hospital Facilities

  Each hospital that admits a VLBW infant shall report to the Department within 40 days of discharge or death, if the infant dies in the hospital, the following:

  (1) child's name;

  (2) child's date of birth;

  (3) mother's name;

  (4) mother's date of birth;

  (5) mother's zip code

  (6) delivery hospital;

  (7) maternal risk factors;

  (8) major morbidities for the child;

  (9) age of infant at admission; in hours if the infant is less than 24 hours old and in days if the child is older than 24 hours;

  (10) infant's discharge status (e.g., transported to other facility, discharged to home, death)

  (11) age of child at discharge; in hours if the infant is less than 24 hours old and in days if the child is older than 24 hours;

  (12) if transported to another hospital, the name of the hospital.