Code of Maryland Regulations (Last Updated: April 6, 2021) |
Title 10. Maryland Department of Health |
Part 3. |
Subtitle 10. LABORATORIES |
Chapter 10.10.13. Medical Laboratories—Testing for Hereditary and Congenital Disorders in Newborn Infants |
Sec. 10.10.13.24. Reporting Abnormal Test Results to the Follow-Up Unit
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A. Reporting Requirements. A permittee shall immediately report an abnormal or diagnostic test result to the Follow-Up Unit by:
(1) Telephoning and personally speaking to an individual in the Follow-Up Unit;
(2) Telephoning and personally speaking to a back-up individual representing the Follow-Up Unit, if an attempt to make in-person contact with an employee of the Follow-Up Unit fails; and
(3) Following up a telephonic report within 24 hours with a report by facsimile or electronic mail to the Follow-Up Unit.
B. Verification Requirement. A permittee shall contact the Follow-Up Unit by telephone at least once every 6 months to ensure that the permittee is able to meet the requirements in §A of this regulation.
C. Reporting Requirements; General. A permittee shall provide with each abnormal result, where applicable, the:
(1) Identity or name of each analyte measured;
(2) Measured numerical concentration or range of:
(a) Each analyte measured; and
(b) All related analytes measured;
(3) Value of any relevant ratios used to determine abnormality;
(4) Postnatal age of the newborn infant;
(5) Appropriate gestational age/birth weight control range;
(6) Cut-off level for the analyte of a hereditary or congenital disorder; and
(7) Measure of the degree of abnormality of the test result.
D. Reporting Requirements; Sickle Cell Disease Hemoglobin. A permittee shall report results for hemoglobin disorders as specified in Regulation .12C(7)-(10) of this chapter for sickle cell disease in terminology that includes:
(1) The alleles present in decreasing quantitative order; and
(2) Specifying trait states and possible disease states for at least the following alleles:
(a) Hemoglobin C;
(b) Hemoglobin D;
(c) Hemoglobin E;
(d) Hemoglobin G;
(e) Hemoglobin O; and
(f) Hemoglobin S.