Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 840 - HEALTH AND HAZARDOUS SUBSTANCES REGISTRY CODE › Subpart D - OCCUPATIONAL DISEASE REGISTRY › Section 840.300 - Entities Required to Submit Information

Current through Register Vol. 48, No. 28, July 12, 2024
a) The Department requires the following
				facilities to report occupational disease incidence information:
1) Clinical laboratories and hospital
				laboratories registered, permitted or licensed by the State of Illinois for
				blood lead level testing and data collection. Clinical laboratories are
				required to submit:
A) Date of report,
				including month, day and year the report is completed, in the format
				mo/day/year, using two digits for month and day and four digits for
				year;
B) Last name of the
				case;
C) First name of the
				case;
D) Middle initial of the
				case;
E) Maiden name of the case,
				if applicable;
F) Complete address
				where the case resides on a permanent basis (refers to domicile, i.e., the
				address from which the case may lawfully register to vote if proper age is
				attained), including number, direction, street name, apartment number, type of
				street, city, state and ZIP code;
G) County where the case currently
				resides;
H) Telephone number of the
				case, including area code;
I) Date
				of birth of the case, using two digits for the month, two digits for the day
				and four digits for the year;
J)
				Gender: the appropriate number for the gender of the case, if available, as
				1=male, 2=female, 3=other (includes persons with both male and female
				reproductive organs and persons who have undergone sex change) or
				9=unknown;
K) Social security
				number of the case;
L) Name of
				submitting party, including the name of the person, industry, physician,
				hospital, laboratory, clinic or other facility submitting the blood lead sample
				to the laboratory to be analyzed;
M) Title, if applicable, of the person
				submitting the blood lead sample to the laboratory to be analyzed;
N) Telephone number of the submitting party
				(area code and seven digit number);
O) Submitting party type: as either
				physician, industry (employer), hospital, laboratory (private or public),
				clinic or other (e.g., nurse, other health care professional, judge);
P) Testing facility name: name of the
				laboratory analyzing the blood lead sample;
Q) Testing facility address: address of the
				laboratory analyzing the blood lead sample, including number, street name,
				direction and type of street, city, state and ZIP code;
R) Testing facility phone number, including
				area code;
S) Test results: blood
				lead level of the sample in micrograms per deciliter (mcg/dL);
T) Date of sample collection, using two
				digits for month and day and four digits for year;
U) Date of sample receipt by the laboratory,
				using two digits for month and day and four digits for year;
V) Date of sample analysis by the laboratory,
				using two digits for month and day and four digits for year;
W) Specimen type provided to the laboratory,
				as either venous, capillary or unknown;
X) Methodology used to analyze the blood lead
				sample, as either delves cup, extraction-atomic absorption spectrometry, carbon
				rod-atomic absorption spectrometry, graphite furnace-atomic absorption
				spectrometry, anodic stripping voltammetry, hematofluorometry or
				other.