Mich. Admin. Code R. 325.9072

Current through Vol. 24-21, December 1, 2024

Section R. 325.9072 - Reportable birth defects

Rule 2.

(1) Reportable birth defects are those birth defects identified in the following list of medical conditions:

(a) Congenital anomalies of the central nervous system.

(b) Congenital anomalies of the eye.

(c) Congenital anomalies of the ear, face, and neck.

(d) Congenital anomalies of the heart and circulatory system.

(e) Congenital anomalies of the respiratory system.

(f) Cleft palate and cleft lip.

(g) Congenital anomalies of the upper alimentary canal/ digestive system.

(h) Congenital anomalies of the genital and urinary systems.

(i) Congenital anomalies of the musculoskeletal system.

(j) Congenital anomalies of the integument.

(k) Chromosomal anomalies.

(2) Other congenital anomalies, including the following:

(a) Infectious conditions occurring in the perinatal period, including the following:

(i) Syphilis.

(ii) Congenital rubella.

(iii) Cytomegalovirus.

(iv) Listeriosis.

(v) Herpes simplex.

(vi) Malaria.

(vii) Toxoplasmosis.

(viii) Tuberculosis.

(ix) Zika.

(b) Familial/congenital neoplasms.

(c) Endocrine/metabolic disorders.

(d) Diseases of the blood and blood forming organs including the following:

(i) Hereditary hemolytic anemias.

(ii) Familial hypoplastic anemia.

(iii) Coagulation defects.

(iv) Primary thrombocytopenia.

(e) Diseases of the central and peripheral nervous system, including the following:

(i) Cerebral lipidoses.

(ii) Cerebral degeneration.

(iii) Hereditary spastic paraplegia.

(iv) Cerebral palsy.

(v) Werdnig-hoffman disease.

(vi) Disorders of the autonomic nervous system.

(vii) Cerebral palsy and spasms.

(viii) Cerebral cysts.

(ix) Polyneuritis cranialis.

(x) Hereditary and idiopathic peripheral neuropathy.

(xi) Myoneural disorders.

(xii) Muscular dystrophies and other myopathies.

(f) Diseases of the eye, including the following:

(i) Retinal disorders.

(ii) Chorioretinitis.

(iii) Blindness and low vision.

(iv) Hereditary optic atrophy and nystagmus.

(v) Any other irregular movement of the eye.

(g) Hearing deficiency, including structural and functional deficiencies.

(h) Diseases of the heart and circulatory system including the following:

(i) Cardiomyopathy.

(ii) Conductive cardiac disorders.

(iii) Dysrhythmias.

(iv) Occlusions of coronary arteries.

(v) Budd-chiari syndrome.

(i) Diseases of the gastrointestinal system, including the following:

(i) Anomalies of teeth, jaw, or hernia.

(ii) Stricture.

(iii) Volvulus.

(iv) Fistula of organs.

(j) Diseases of the genital and urinary systems involving fistula and obstruction.

(k) Fetal/placental anomalies.

(l) Musculoskeletal system diseases involving abnormal bone growth.

(m) Maternal causes of fetal morbidity, including the following:

(i) Infections, including those infections specified in subrule (2)(a) of this rule.

(ii) Alcohol use including fetal alcohol spectrum disorders.

(iii) Cocaine use, opioid use, and other toxic or medicinal agents affecting the fetus.

(n) Autism spectrum disorders, including Asperger syndrome and Rett syndrome.

(3) Diagnoses of birth defects that occur in children from birth to 2 years of age shall be reported to the department by those entities listed in subrules (3), (4), and (5) of this rule in a manner that is consistent with these rules. This subrule applies whether or not a child dies 2 years of age. The director of the department may designate the reporting of birth defects, diagnosed up to and including 12 years of age, for medical conditions that require surveillance and are commonly diagnosed after 2 years of age, including, but not limited to, any of the following:

(a) Fetal alcohol spectrum disorders.

(b) Cystic fibrosis.

(c) Muscular dystrophy.

(d) Autism.

(e) Cerebral palsy.

(4) Hospitals shall report diagnoses of birth defects. The administrative officer of each reporting facility shall establish the reporting procedures at that facility. These procedures shall ensure that every child from birth to 2 years of age, or up to 12 years of age for defects designated under subrule (2) of this rule, who is diagnosed either in the facility operated inpatient or outpatient setting as having a birth defect is reported to the birth defects registry. If a child is transported to another facility, the health care facility at which a reportable diagnosis is first made is responsible for reporting.

(5) Clinical laboratories shall report diagnoses of birth defects. The director of a laboratory that conducts postmortem examinations or cytogenetic tests shall report to the department any potential registrant who has a reportable birth defect.

(6) The director may designate diagnoses of birth defects to be reported by physicians, genetic counselors, health clinics, and other health professionals or health facilities involved in the diagnosis or treatment of children with birth defects as necessary to assure efficient and comprehensive surveillance of birth defects.

(7) Diagnoses of birth defects may be reported by local public health officials, other programs within the department, and by programs in other departments that provide treatment, services, medical, or other benefits to children with birth defects and their families.

(8) Reports shall be submitted within 30 days of a diagnosis in a form prescribed and approved by the department.

(9) Reports that are submitted on forms provided by the department or by electronic media shall meet data quality, format, and timeliness standards prescribed by the department, as described in the manual for completing the birth defects registry report form.

Mich. Admin. Code R. 325.9072