Section DHS 181.06 - Contents of report(1) INFORMATION TO ACCOMPANY BLOOD SAMPLE FOR LABORATORY ANALYSIS. Any health care provider who submits a human blood sample to a clinical laboratory for a determination of the lead concentration in the blood shall include all of the following information with the blood sample: (a) The patient's first name, middle initial and last name.(b) The patient's month, day and year of birth.(e) The patient's ethnicity.(f) The patient's street address, apartment number, city or town, county, zip code, and telephone number. Note: A street address must be provided if available. A post office box is not an acceptable alternative.
(g) For a patient under 18 years of age, a parent's or guardian's first name, middle initial and last name.(h) For a patient under 18 years of age, a parent's or guardian's telephone number.(i) For a patient 16 years of age or older, the patient's occupation and employer's name, full address, and telephone number, if employed.(l) The month, day and year the blood sample was collected. (m) The method of blood sample collection, venous or capillary.(n) The name of the health care provider submitting the blood sample, name of that person's facility or practice, full address and telephone number.(o) The name and address of the patient's physician, if other than the health care provider.(2) ADDITIONAL INFORMATION TO BE PROVIDED BY LABORATORY. A clinical laboratory that determines the lead concentration in a sample of blood shall submit to the department a report on the results of the blood lead test in accordance with ss. DHS 181.05 and 181.07. That report shall include all the information in sub. (1) and, in addition, all of the following information: (a) The name of the clinical laboratory performing the analysis, and the laboratory's street address, city or town, state, zip code, telephone number, and clinical laboratory improvement amendments number.(b) The month, day and year the laboratory analysis was completed.(c) Results of the blood lead test in micrograms of lead per deciliter of blood.Wis. Admin. Code Department of Health Services DHS 181.06
Cr. Register, May, 2000, No. 533, eff. 6-1-00.Amended by, CR 19-019: am. (1) (c) to (f), (h), (i), r. (j), (k), am. (1) (L), (n), (2), r. (3) Register December 2019 No. 768, eff. 1/1/2020