333-018-0010 Form of the Report (1) A health care provider required to report reportable diseases under ORS 433.004 and these rules shall submit to the local public health administrator a report that includes but is not limited to: (a) The identity, address, and telephone number of the person reporting; (b) The identity, address, and telephone number of the attending health care provider, or other treating health care provider if any; (c) The name of the person affected or ill, that person's current address, telephone number, and date of birth; (d) The diagnosed or suspected disease, infection, or condition; and (e) The date of illness onset. (2) A licensed laboratory required to report reportable diseases under ORS 433.004 and these rules shall submit to the local public health administrator a report that includes but is not limited to: (a) The name and telephone number of the reporting laboratory; (b) The name, gender, age or date of birth, the address and county of residence of the person from whom the laboratory specimen was obtained, if known; (c) The date the specimen was obtained; (d) The specimen source site and the specimen type; for example, the specimen source site | specimen type pairings could be (knee | fluid, synovial) (cervix | tissue), (venous | blood). (e) The name, address and telephone number of the health care provider of the person from whom the laboratory specimen was obtained; (f) The name or description of the test; (g) The test result; and (h) Information required by the Oregon Health Authority (Authority)’s Manual for Mandatory Electronic Laboratory Reporting, if electronic reporting is required under OAR 333-018-0013. (3) Reportable disease reports shall be made in the following manner: (a) Reports for diseases or suspected diseases that are immediately reportable under OAR 333-018-0015 shall be submitted orally, by telephone, with a follow-up written report via facsimile. (b) Reports for diseases or suspected diseases that are required to be reported within one to seven days under OAR 333-018-0015 shall be submitted in writing via facsimile, through the Confidential Oregon Morbidity Report Portal at: www.healthoregon.org/howtoreport, if permitted under these rules, or by other means approved by the Authority or the local public health administrator, consistent with the need for timely reporting as provided in OAR 333-018-0015. (c) Electronically, if required by OAR 333-018-0013. (4) If requested by a local public health administrator or the Oregon Public Health Division, health care providers and licensed laboratories shall provide additional information of relevance to the investigation or control of reportable diseases or conditions (for example, reported signs and symptoms, laboratory test results (including negative results), potential exposures, contacts, and clinical outcomes). Statutory/Other Authority: ORS 413.042 & 433.004 Statutes/Other Implemented: ORS 433.004 History: PH 51-2023, amend filed 10/26/2023, effective 10/26/2023 PH 13-2021, amend filed 03/23/2021, effective 03/23/2021 PH 67-2020, temporary amend filed 09/25/2020, effective 10/01/2020 through 03/29/2021 PH 10-2015, f. 7-2-15, cert. ef. 7-3-15 PH 16-2013, f. 12-26-13, cert. ef. 1-1-14 PH 7-2011, f. & cert. ef. 8-19-11 PH 5-2010, f. & cert. ef. 3-11-10 PH 11-2005, f. 6-30-05, cert. ef. 7-5-05 OHD 3-2002, f. & cert. ef. 3-4-02 HD 29-1994, f. & cert. ef. 12-2-94 HD 10-1991, f. & cert. ef. 7-23-91 HD 5-1991, f. 3-29-91, cert. ef. 4-1-91 Reverted to HD 4-1987, f. 6-12-87, ef. 6-19-87 HD 13-1990(Temp), f. 5-25-90, cert. ef. 8-1-90 HD 4-1987, f. 6-12-87, ef. 6-19-87 HD 15-1981, f. 8-13-81, ef. 8-15-81