Ariz. Admin. Code § 9-4-502

Current through Register Vol. 30, No. 45, November 8, 2024

Section R9-4-502 - Reporting Sources; Information Submitted to the Department

A. The designee of a hospital shall:

1. Upon the request of the Department and no more often than once per month, prepare a report, in a format specified by the Department, identifying all individuals:

a. Who are patients or the mothers of patients; and

b. Whose:

i. Discharge date is within the time period for which the report is being prepared, as specified in subsection (A)(2)(d); and

ii. Medical records include for the principal diagnosis, a secondary diagnosis, or a procedure performed on the individual, an ICD Code for a diagnosis or a procedure code specified in a list provided to the hospital by the Department;

2. Include the following information in the report specified in subsection (A)(1):

a. The name, address, and telephone number of the hospital, or the identification number assigned by the Department to the hospital;

b. The name, telephone number, and e-mail address of the designee of the hospital;

c. The date the report was completed;

d. The time period for which the report is being prepared; and

e. For each patient or the mother of the patient:

i. The patient's or mother's medical record number;

ii. The name of the patient or patient's mother, if available, and, if applicable, any other name by which the patient or patient's mother is known;

iii. The patient's gender and date of birth, if applicable;

iv. The admission and discharge dates;

v. The principal and secondary diagnoses or the ICD Codes for the principal and secondary diagnoses for the patient or patient's mother; and

vi. The codes for procedures provided to the patient or patient's mother; and

3. Submit the report specified in subsection (A)(1) to the Department, in a format specified by the Department, within 30 calendar days after the Department's request.

B. The designee of a prenatal diagnostic facility, high-risk perinatal practice, or clinic shall:

1. Upon the request of the Department and no more often than once per month, prepare a report, in a format specified by the Department, identifying all individuals:

a. For whom a specified test was conducted, with test results indicating a diagnosis in a list provided by the Department; or

b. Whose medical records include a principal diagnosis or secondary diagnosis specified in a list provided by the Department;

2. Include the following information in the report specified in subsection (B)(1):

a. Either:

i. The name, address, and telephone number of the prenatal diagnostic facility, high-risk perinatal practice, or clinic; or

ii. The identification number assigned by the Department to the prenatal diagnostic facility, high-risk perinatal practice, or clinic;

b. The name, telephone number, and e-mail address of the designee of the prenatal diagnostic facility, high-risk perinatal practice, or clinic;

c. The date the report was completed;

d. The time period for which the report is being prepared;

e. The mother's name, date of birth, and medical record number;

f. The estimated gestational age of the patient at the time of the test or diagnosis, as applicable;

g. The mother's estimated date of confinement;

h. The outcome of the pregnancy, if known;

i. The location and date of the patient's birth, if known;

j. The patient's gender, if known;

k. The principal diagnosis and secondary diagnoses for the patient or the patient's mother, as applicable; and

l. Information about the test leading to the diagnosis, including:

i. The type of test performed,

ii. The date the test was completed, and

iii. The results of the test; and

3. Submit the report specified in subsection (B)(1) to the Department, in a Department-provided format, within 30 calendar days after the Department's request.

C. The designee of a genetic testing facility shall:

1. Prepare a report , in a format specified by the Department, for all individuals:

a. Who are patients or the mothers of patients, and

b. For whom the genetic testing facility performed a test specified in a list provided by the Department;

2. Include the following information in the report specified in subsection (C)(1):

a. The name, address, and telephone number of the genetic testing facility, or the identification number assigned by the Department to the genetic testing facility;

b. The name, telephone number, and e-mail address of the designee of the genetic testing facility;

c. The date the report was completed;

d. The month for which the report is being prepared, if reporting according to subsection (C)(3)(a); and

e. For each patient or mother of a patient:

i. If the test was performed on the patient:

(1) The patient's name, date of birth, and gender; and

(2) The name of the patient's parent or guardian;

ii. If the test was performed on the mother of the patient:

(1) The mother's name and date of birth;

(2) The estimated gestational age of the patient when the test was performed, if available; and

(3) The mother's estimated date of confinement when the test was performed, if available;

iii. The name of the physician, registered nurse practitioner, or physician assistant who ordered the test for the patient or the patient's mother; and

iv. Information about the test, including:

(1) The type of test performed on the patient or the patient's mother,

(2) The date the test was completed, and

(3) The results of the test; and

3. Submit to the Department the report specified in subsection (C)(1) and a copy of the test results within 30 calendar days after either:

a. The end of the month during which the test was completed, or

b. The date of the test.

Ariz. Admin. Code § R9-4-502

Adopted effective September 25, 1991 (Supp. 91-3). New Section R9-4-502 renumbered from R9-4-501and amended by final rulemaking at 7 A.A.R. 712, effective January 17, 2001 (Supp. 01-1). Section repealed; new Section made by final rulemaking at 13 A.A.R. 1702, effective June 30, 2007 (Supp. 07-2). Amended by final rulemaking at 25 A.A.R. 3429, effective 1/1/2020.