641—1.4(135,139A) Reporting requirements.
	1.4(1) Who is required to report.
	a. 	Communicable and infectious diseases, and poisonings.
	(1)	Health care providers, hospitals, and clinical laboratories and other health care facilities are required to report cases of reportable diseases, poisonings and conditions. Health care providers and hospitals are exempted from reporting communicable and infectious disease laboratory results and blood lead testing if the health care provider or hospital ensures that the laboratory performing the analysis provides a report containing the required information to the department.
	(2)	School nurses are required to report suspected cases of a reportable disease, poisoning or condition occurring among the children supervised.
	(3)	Poison control and poison information centers are required to report inquiries about cases of a reportable disease, poisoning or condition received by them.
	(4)	Medical examiners are required to report their investigatory findings of any death that was caused by or otherwise involved a reportable disease, poisoning or condition.
	(5)	Occupational nurses are required to report cases of reportable diseases, poisonings and conditions.
	(6)	Hospitals, health care providers and clinical laboratories outside the state of Iowa shall immediately report any confirmed or suspected case of a reportable disease, poisoning or condition in an Iowa resident.
	b. 	Reportable cancers. Health care providers, hospitals, clinical laboratories and health care facilities involved in the diagnosis, care or treatment of individuals are required to report individuals with a reportable cancer.
	c. 	Congenital and inherited disorders. Health care providers, clinics, clinical laboratories and other health care facilities are required to report cases of a congenital or inherited disorder.
	1.4(2) What to report. Each report will contain all information as listed in Iowa Code chapter 139A, in addition to:
	a. 	For communicable and infectious diseases:
	(1)	The name of the reportable disease.
	(2)	The treatment provided for the reportable disease.
	b. 	For poisonings:
	(1)	The analytical result.
	(2)	In the case of blood lead testing, whether the sample is a capillary or venous blood sample.
	(3)	For conditions not identified by a laboratory analysis, the date that the condition was diagnosed.
	(4)	In the case of occupational conditions, the name of the patient’s employer.
	c. 	For reportable cancers:
	(1)	Follow-up data.
	(2)	Demographic, diagnostic, prognostic, treatment, and other medical information.
	d. 	For congenital and inherited conditions:
	(1)	Follow-up data.
	(2)	Demographic, diagnostic, treatment and other medical information.
	(3)	Tissue samples, which may also be submitted.
	1.4(3) How to report. Information on when and how to report any of the diseases, conditions, or injuries included in this chapter can be found in Appendices A and B.
	a. 	Immediate reporting by telephone of diseases identified as immediately reportable.  A health care provider and a public, private, or hospital clinical laboratory will immediately report any confirmed or suspect case of a disease identified in Appendix A as immediately reportable to the department.
	b. 	Other diseases that carry serious consequences or spread rapidly. A health care facility, health care provider and a public, private, or hospital clinical laboratory will immediately report any confirmed or suspected case of a common source epidemic or disease outbreak of unusual numbers.
	c. 	Reporting to other public health authorities. The department may authorize hospitals, health care providers or clinical laboratories outside the state of Iowa to report any confirmed or suspect case of a reportable disease, poisoning, or condition to another public health authority for the purpose of facilitating a report to the department.
	d. 	Cancers. The department has delegated to the Iowa Cancer Registry the responsibility for collecting cancer data.
	(1)	Those required to report shall submit required data to the Iowa Cancer Registry monthly, in an electronic format specified by the Iowa Cancer Registry. Those required to report may employ registrars with Iowa Cancer Registry-approved training, or contract with the Iowa Cancer Registry or an outside vendor to submit reportable cancer cases and required data elements to the Iowa Cancer Registry.
	(2)	As needed for SEER surveillance activities, the Iowa Cancer Registry shall have remote electronic access, where available, or physical access to all cancer-relevant medical records.
	e. 	Congenital and inherited disorders. The department has delegated to the Iowa Registry for Congenital and Inherited Disorders the responsibility to maintain a central registry for congenital and inherited disorders. The Iowa Registry for Congenital and Inherited Disorders shall:
	(1)	Prior to collecting the data from health care providers, hospitals, clinics, clinical laboratories and other health care facilities, work with the reporting facility to develop a process for abstracting records that is agreeable to the reporting facility.
	(2)	Develop and distribute reporting forms where applicable.
	(3)	Develop an abstracting process for data to be supplemented with information obtained from records from hospitals, treatment centers, outpatient centers, clinics, pathology laboratories and physician offices.
[ARC 8070C, IAB 6/12/24, effective 7/17/24]