reglab/statecodes huggingface dataset:
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 7 - SCHOOL HEALTH SCREENING, PHYSICAL EXAMINATION AND VISUAL EVALUATION › Section 173-7-003 - WHO MUST BE SCREENED

Current through June 17, 2024
003.01 Minimum
				Required School Health Screening Schedule
The Department prescribes a schedule for screenings based on
				  current medical and public health practice. The schedule is incorporated in
				  these regulations by this reference, as Attachment 1.
003.02 Exception
A child is not required to submit to a school health
				  screening set forth in
				  7-004 if the child's parent or
				  guardian provides school authorities with a written statement as
				  follows:
7-003.02A For hearing,
				vision, and/or dental screenings: the statement must (1) attest that the child
				underwent the required screening; (2) reflect the date the screening occurred,
				which date must be no more than six months before the first day of school of
				the current school year; and (3) be signed by a physician, physician assistant,
				or advanced practice registered nurse practitioner practicing under and in
				accordance with his or her respective credentialing act, or other qualified
				provider as identified in
				7-005.01C2 of
				these regulations.
7-003.02B For
				height and weight measurement: the statement must object to such screening, be
				signed and dated by the parent or guardian, and be submitted before the
				screening is conducted. A statement submitted under this section is valid for
				the school year in which it is submitted; a new statement must be submitted
				each time such screening is required by these regulations.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 7 - SCHOOL HEALTH SCREENING, PHYSICAL EXAMINATION AND VISUAL EVALUATION › Section 173-7-004 - SCREENINGS TO BE PERFORMED

Current through June 17, 2024
004.01 Students in
				Nebraska schools must be screened periodically for vision, hearing, and dental
				health. In addition, the Department of Health and Human Services prescribes
				height and weight measurement, for the purpose of monitoring weight/height
				status at intervals for all students. The DHHS Minimum Required Health
				Screening schedule is shown in Attachment 1. Attachments 2A through 2E,
				incorporated herein by reference, contain the Competencies for each required
				screening. Additional resources on school health screening topics are available
				from the DHHS School Health Program.
004.02 Distance vision screening shall be
				accomplished by measuring a child's vision in each eye separately, using a
				chart viewed at 20 ft., or equivalent. Near vision screening shall be
				accomplished by using a chart viewed at 20 ft., both eyes together, using 2.5+
				diopter lenses, or equivalent.
004.03 Hearing screening shall be
				accomplished by measuring a child's response to audible tones delivered at 20
				decibels, to each ear separately, at 1000 Hz, 2000 Hz, and 4000 Hz.
004.04 Dental screening shall be accomplished
				by inspecting the inner and outer visible surfaces of the teeth for unexplained
				absence of teeth, erosion or deterioration, or severe discoloration, of the
				surfaces of the teeth.
004.05
				Weight/height status screening shall be accomplished by the measurement of
				height and weight, as described in the Height & Weight
				Competency.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 7 - SCHOOL HEALTH SCREENING, PHYSICAL EXAMINATION AND VISUAL EVALUATION › Section 173-7-005 - QUALIFICATIONS OF PERSONS AUTHORIZED TO SCREEN

Current through June 17, 2024
005.01 The
				qualified screener carries out the required screening activity, following the
				competencies for accurate, reliable measurement as described in
				7-004 and found in Attachments 2A
				through 2E. The qualified screener meets one of the following descriptions:
7-005.01A The screener has been determined
				competent to perform the screening method by a licensed health care
				professional within the previous three years. Documentation in writing of such
				competency determination shall include:
7-005.01A1 The name of the individual who
				successfully completed the competency determination and the date the
				determination was conducted;
7-005.01A2 The type of screening with type(s)
				of equipment used in the competency determination for the respective
				screenings; and
7-005.01A3 The name
				and license number of the licensed health professional conducting the
				competency assessment; OR
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 7 - SCHOOL HEALTH SCREENING, PHYSICAL EXAMINATION AND VISUAL EVALUATION › Section 173-7-006 - NOTIFICATION OF PARENTS / GUARDIANS OF SCREENING RESULTS

Current through June 17, 2024
Parents / guardians are to be notified in writing of findings
				  in the school health screening indicating a need for further evaluation, and
				  necessity of professional attendance for the child, in accordance with
Neb. Rev. Stat.
§
									79-248.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 7 - SCHOOL HEALTH SCREENING, PHYSICAL EXAMINATION AND VISUAL EVALUATION › Section 173-7-007 - TIMETABLE FOR PERFORMING SCREENING

Current through June 17, 2024
007.01 Annual
				Screening
During each school year the school district must provide a
				  health screening program for children in attendance as outlined in Attachment
				  1.
007.02 Screening for New
				Enrollees
As children enter school during the year, health screening
				  must be confirmed upon their entrance to school. If prior screening results
				  corresponding to the schedule in Attachment 1 are not available, the student
				  must be screened as identified in the minimum required
				  schedule.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 7 - SCHOOL HEALTH SCREENING, PHYSICAL EXAMINATION AND VISUAL EVALUATION › Section 173-7-008 - ENFORCEMENT/ PENALTIES

Current through June 17, 2024
008.01 The boards
				of education and school boards of the school districts of the state are
				responsible under
Neb. Rev. Stat.
§
									79-248
				for enforcement of the provisions of the school health screening statutes and
				these regulations.
008.02 Any
				person violating any of the provisions of
Neb. Rev.
				Stat.
§§
									79-248
				to
				79-252
				is guilty of a Class V misdemeanor, as provided in
Neb. Rev.
				Stat.
§
									79-253.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 7 - SCHOOL HEALTH SCREENING, PHYSICAL EXAMINATION AND VISUAL EVALUATION › Section 173-7-009 - PHYSICAL EXAMINATION AND VISUAL EVALUATION REQUIREMENTS FOR SCHOOL ENTRY

Current through June 17, 2024
In accordance with
Neb. Rev. Stat.
§
									79-214,
				  the school board of any school district, before admitting a child, shall
				  require evidence of the following:
009.01 Physical Examination Required
Physical examination by a physician, physician assistant, or
				  advanced practice registered nurse-nurse practitioner within the six months
				  prior to the entrance of a child into the beginner grade and the seventh grade,
				  or in the case of a transfer from out of state, to any other grade of the local
				  school, is required. Either a completed, signed, and dated physical exam
				  report, or a printed or typewritten form signed by a qualified examiner
				  indicating that a physical examination was administered on a specific date
				  within the previous six-month period on a specifically named individual,
				  provided to the school by the parent/guardian, constitutes sufficient evidence
				  of compliance.
009.02
				Visual Evaluation Required
Visual evaluation by a physician, a physician assistant, an
				  advanced practice registered nurse-nurse practitioner, or an optometrist within
				  six months prior to the entrance of a child into the beginner grade or, in the
				  case of transfer from out of state, to any other grade of the local school, is
				  required. The visual evaluation must consist of testing for amblyopia,
				  strabismus, and internal and external eye health, with testing sufficient to
				  determine visual acuity. The visual evaluation report inclusive at a minimum of
				  the specific tests named above, signed and dated by the qualified examiner,
				  provided to the school by the parent/guardian constitutes sufficient evidence
				  of compliance.
009.03
				Notification of Right to Refuse Physical Examination or Visual Evaluation
At the time a parent/guardian is notified of the requirements
				  for physical examination and visual evaluation for school entry, that
				  parent/guardian must also be notified of his or her right to submit a written
				  statement refusing such examination or evaluation.
009.04 Parent/Guardian Objection to Physical
				Examination or Visual Evaluation
No such physical examination or visual evaluation as
				  described in 7-009.01 and 7-009.02 is required of the student whose
				  parent/guardian submits a written statement of objection to the
				  school.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 7 - SCHOOL HEALTH SCREENING, PHYSICAL EXAMINATION AND VISUAL EVALUATION › Attachment 173-7-1 - DHHS MINIMUM REQUIRED ANNUAL SCHOOL HEALTH SCREENINGS

Current through June 17, 2024
SCREENING by Grade or Age Level
For procedural guidelines and competencies for each
								screening, see DHHS School Health Guidelines for Nebraska Schools.
Age 3-5 yrs
K
1
2
3
4
5
6
7
8
9
10
11
12
HEARING: pure tone audiometry
annually
X
X
X
X
X
X
X
VISION: distance
annually
X
X
X
X
X
X
X
VISION: hyperopia (near vision)
X
X
DENTAL: inspection of teeth
annually
X
X
X
X
X
X
X
WEIGHT/HEIGHT STATUS:
annually
X
X
X
X
X
X
X
Physical Examination
By physician, physician assistant, or advanced
								practice registered nurse
X
X
Visual Evaluation
By physician, physician assistant, advanced
								practice registered nurse, or optometrist.
X
Additional Indications for
								Screening:
Notes:
1. New to district at any time, with no previous
								screening results available.
2. Student enters the Student Assistance Process,
								with no recent or current screening results available.
3. Periodic screenings as specified by the
								student's Individualized Education Plan (IEP)
4. Nurse concern, i.e. sudden wt. loss/gain, change
								in stature or appearance; parent or teacher concern; audiologist
								referral.
5. Unremediated concerns from previous year.
1. The student with known hearing or vision
								deficits may not need periodic screenings for these conditions. This will be
								determined on an individual basis by the child's Individualized Education Plan
								(IEP) and/or school personnel following the student.
2. Screening results may be taken from physical
								examination, visual evaluation, or dental examination reports if equivalent
								screening results are available and documented.
3. If parent/guardian wishes to refuse
hearing, vision, and/or dental
screening,
								parents/guardian must submit written statement(s) from a qualified examiner
								that the child has received the minimum required screenings within the previous
								six months, or the child will be screened at school.
4. Parents/guardians may waive
height
								and weight measurement
by submission of written statement of
								objection to the school.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 7 - SCHOOL HEALTH SCREENING, PHYSICAL EXAMINATION AND VISUAL EVALUATION › Attachment 173-7-2D - HYPEROPIA (NEAR VISION) SCREENING COMPETENCIES

Current through June 17, 2024
VISION SCREENING COMPETENCIES: NEAR VISION
Essential Steps for Accurate Measurement
COMPETENCY
KEY POINTS AND PRECAUTIONS
1. Assemble required equipment and supplies.
In addition to eye chart and accurate floor
								distance measurement, as required for distant vision screening, this screening
								also requires the use of + 2.50 diopter lenses, suitable for the student
								holding in front of their eyes to view the vision chart.
Hyperopia screening can be conducted smoothly and
								efficiently as a final step in distant vision assessment, taking very little
								additional time and preparation.
2. After the child completes distant vision
								screening, instruct him or her to remain in place, heels on the line of
								measurement from the chart, and briefly close and rest the eyes.
The child is instructed (or provided demonstration)
								of holding up the diopter lenses in front of the eyes as one would hold opera
								glasses.
Correct recognition of more than half the letters,
								pictures or symbols on the 20/30 line, viewed through the diopter lenses,
								constitutes a "
non-passing"
result.
Screening under poor lighting will affect screening
								results.
Monocular testing for distant vision may fatigue
								the eyes, so many students benefit from briefly closing both eyes.
Some nurses find it helpful, on noticing that a
								child is struggling or straining to read letters on the chart, to simply ask
								the question: "Are the letters clear or are they blurry?" (Students who pass
								the test often comment that the letters are blurry.)
If the student wears glasses, the glasses remain on
								for near vision screening and the diopter lenses are held in front of the
								student's own glasses.
The inability to read the 20/30 line is considered
passing
and the child likely has no treatable hyperopia.
3. Record results
A child who can successfully read through the
								diopter lenses
does NOT pass
the
								screening.
Rescreening should be conducted in 2-4 weeks to
								verify results prior to referral.
4. Carry out rescreen and notification procedures
								per local school practice/policy
Parents should be notified of need for further
								evaluation by a vision professional if rescreening results in non-passing
								outcome.
Additional information and resources are available from the
				  DHHS School Health Program, 402-471-1373.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 7 - SCHOOL HEALTH SCREENING, PHYSICAL EXAMINATION AND VISUAL EVALUATION › Attachment 173-7-2F - WEIGHT/HEIGHT STATUS SCREENING COMPETENCIES

Current through June 17, 2024
WEIGHT/HEIGHT STATUS SCREENING
				  COMPETENCIES:
Essential Steps for accurate
				  measurement.
COMPETENCY
KEY POINTS AND PRECAUTIONS
1. Assure students' privacy needs are met.
A cubicle or stall-style approach to provide visual
								privacy is suggested. Making a line for students to stand behind while waiting
								helps reduce crowding and teasing around the scale Avoid statements about a
								student's weight that others will be able to hear.
2. Assemble equipment and prepare environment for
								measurements.
3. Assure scale balances correctly at "0" pounds,
								or scale shows "0" when empty.
4. Stadiometer is correctly placed with "0" at
								floor level
5. Students remove shoes and heavy outer clothing
								prior to measurement.
Excessive shoes and excessive clothing will affect
								accuracy of measurement.
Errors in measurement can have a larger effect on
								accuracy than expected.
6. For weight measurement, student stands in center
								of weighing platform, bearing full weight equally on both feet, no
								shoes.
7. Measure weight in pounds to nearest quarter
								pound ( 0.25).
8. For height measurement, student stands straight
								and looking straight ahead with back touching stadiometer surface.
Measurement surface touching student's head should
								be at least 3" wide. Press down sufficiently to flatten hair on top of head.
								Have student look straight ahead, ears in (horizontal) line with nose.
9. Immediately recheck height. If second measure is
								not within ¼" (.25 ") of first measure, recheck a third time.
Accurately measure height in inches to nearest
								¼ ( 0.25)".
10. Record results.
11. Carry out rescreen and notification procedures
								per local school practice/policy.
See guidelines for more information. Aggregate
								information about weight/height status of students may be useful for evaluating
								School Wellness Policies, or contributing to community-level efforts to promote
								healthy living.
Additional technical information and resources are available
				  from the DHHS School Health Program, 402-471-1373 0160.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 8 - CONCERNING THE ESTABLISHMENT AND OPERATION OF THE NEBRASKA STATE IMMUNIZATION INFORMATION SYSTEM › Section 173-8-001 - SCOPE AND AUTHORITY

Current through June 17, 2024
The purpose of these regulations is to implement Nebraska
				  Revised Statute (Neb. Rev. Stat.) §§
									71-539 to
				  71-544.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 8 - CONCERNING THE ESTABLISHMENT AND OPERATION OF THE NEBRASKA STATE IMMUNIZATION INFORMATION SYSTEM › Section 173-8-003 - WHO MAY REPORT AND HOW TO REPORT

Current through June 17, 2024
Any person who provides immunizations may submit
				  immunization information to the Department as follows
003.01
DATA
				SUBMISSION.
Immunization data may be manually entered or
				electronically submitted using secure message transport protocols and data
				encryption.
003.02
ELECTRONIC DATA.
Electronic data must be submitted as
				an Immunization Standard Message. Real-time messages must meet the Department's
				HL7 specifications. File formats must be approved and agreed upon by the
				Department prior to submission of messages.
003.03
MINIMUM
				DATASET.
The minimum dataset should be manually entered or
				electronically submitted within 14 calendar days of the date of immunization
				administration.
003.04
AUTHORIZED USERS.
Authorized users may submit data
				directly to the Department or through a third party acting as their agent.
				Authorized users selecting this option are responsible for ensuring that all
				data specifications conform to the requirements of these regulations.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 8 - CONCERNING THE ESTABLISHMENT AND OPERATION OF THE NEBRASKA STATE IMMUNIZATION INFORMATION SYSTEM › Section 173-8-004 - ACCESS TO IMMUNIZATION RECORDS

Current through June 17, 2024
An authorized user may only access unrestricted information
				  in the Immunization Information System as follows:
004.01
LEVEL OF
				ACCESS.
An authorized user will be given a unique user
				identification, password, and system role which will determine the level of
				access to unrestricted immunization information on an individual who is
				presently under that authorized user's care, or enrolled in the authorized
				user's facility, school, post-secondary educational institution, program or
				health plan, except as otherwise provided by law.
004.02
LOCAL PUBLIC HEALTH
				AUTHORITY.
An authorized user that is a state or local public
				health authority may, in addition to accessing unrestricted information
				described in subsection 173 NAC 8-005.01, access unrestricted information on an
				individual within the public health jurisdiction for assessment, evaluation,
				surveillance and outreach related to immunization promotion and
				vaccine-preventable disease prevention.
004.03
EVIDENCE OF CARE OR
				ENROLLMENT.
The Department may require any authorized user who has
				accessed an individual's record to provide evidence that such individual was
				under the care of the authorized user or enrolled in the authorized user's
				facility, school, post-secondary educational institution, program or health
				plan at the time the individual's record was accessed.
004.04
INDIVIDUALS, PARENTS, AND
				GUARDIANS ACCESS TO THEIR CHILD'S IMMUNIZATION RECORD.
In order
				for individuals, parents, and guardians to access to their own or their child's
				immunization record, the following requirements must be met:
(A) The first name, last name, date of birth,
				and social security number must be populated in the Immunization Information
				System in order for the record to be accessed.
(B) The individual, parent, or guardian must
				search for a record using the first name, last name, date of birth, and social
				security number of the individual for whom they are searching.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 8 - CONCERNING THE ESTABLISHMENT AND OPERATION OF THE NEBRASKA STATE IMMUNIZATION INFORMATION SYSTEM › Section 173-8-005 - DATA CONFIDENTIALITY AND SECURITY

Current through June 17, 2024
An authorized user shall not disclose information from the
				  Immunization Information System except to another authorized user or as
				  otherwise stated in these regulations. All authorized users shall abide by such
				  security policies and procedures to safeguard information in the Immunization
				  Information System deemed necessary by the Department. Such policies and
				  procedures may include, but are not limited to, confidentiality agreements, the
				  use of computer passwords, and user identification codes.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 9 - ELECTRONIC REPORTING OF ELECTRONIC HEALTH RECORD DATA FOR PUBLIC HEALTH SYNDROMIC SURVEILLANCE › Section 173-9-001 - SCOPE AND AUTHORITY

Current through June 17, 2024
This chapter establishes a syndromic surveillance program
				  for the purposes of protecting public health and tracking the impact of disease
				  prevention strategies, pursuant to Nebraska Revised Statute (Neb. Rev. Stat.)
				  §
									71-552.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 9 - ELECTRONIC REPORTING OF ELECTRONIC HEALTH RECORD DATA FOR PUBLIC HEALTH SYNDROMIC SURVEILLANCE › Section 173-9-002 - DEFINITIONS

Current through June 17, 2024
For purposes of this chapter, the following definitions
				  apply:
002.01
ACUTE CARE
				ENCOUNTER.
A patient seen in a hospital emergency department or
				urgent care facility.
002.02
BATCH MESSAGE FILE.
The transmission of a file
				containing multiple discrete standard electronic messages to the Department
				from the hospital data system on a periodic basis less than real
				time.
002.03
DATA
				ENCRYPTION.
The electronic obfuscation of data within an
				electronic message using industry standard practices for encryption.
002.04
DE-IDENTIFIED PATIENT
				DATA.
Electronic health record information that does not identify
				an individual and to which there is no reasonable basis to believe that the
				information can be used to identify an individual.
002.05
ACUTE CARE ENCOUNTER
				STANDARD MESSAGE.
A standard electronic message as specified in
				the most current version of the Syndromic Surveillance Event Detection of
				Nebraska (SSEDON) Emergency Department Syndromic Surveillance Health Level 7
				Implementation Guide.
002.06
HEALTH CARE FACILITY.
Any facility licensed under the
				Health Care Facility Licensure Act, and such additional clinics or facilities
				not licensed under that act, such as Federally Qualified Health Centers
				(FQHCs), primary care clinics, ambulatory care clinics, and outpatient surgical
				centers.
002.07
HOSPITAL.
A hospital licensed by the Department
				pursuant to Neb. Rev. Stat. § 71401 et seq., including critical access
				hospitals and general acute hospitals as defined by Neb. Rev. Stat.
				§§
									71-419,
				71-409, and
				71-412.
002.08
PUBLIC HEALTH
				AUTHORITY.
An agency or authority of the United States, a state, a
				territory, a political subdivision of a state or territory, or an Indian tribe,
				or a person or entity acting under a grant of authority from or contract with
				such public agency, including the employees or agents of such public agency or
				its contractors or persons or entities to whom it has granted authority, that
				is responsible for public health matters as part of its official
				mandate.
002.09
REAL
				TIME MESSAGE.
The transmission of discrete standard electronic
				messages to the Department as they are generated by the hospital data
				system.
002.10
SECURE
				MESSAGE TRANSPORT PROTOCOL.
A method of sending electronic data to
				the Department in a way that prevents unauthorized access to the data as
				specified by the Department.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 9 - ELECTRONIC REPORTING OF ELECTRONIC HEALTH RECORD DATA FOR PUBLIC HEALTH SYNDROMIC SURVEILLANCE › Section 173-9-003 - WHO MUST REPORT

Current through June 17, 2024
Hospitals that treat patients in an emergency department or
				  urgent care setting shall submit to the Department a minimum data set on all
				  emergency department and urgent care encounters.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 9 - ELECTRONIC REPORTING OF ELECTRONIC HEALTH RECORD DATA FOR PUBLIC HEALTH SYNDROMIC SURVEILLANCE › Section 173-9-004 - DATA STANDARDS AND SPECIFICATIONS

Current through June 17, 2024
The data content and format for acute care encounters shall
				  conform to the acute care encounter standard message; the minimum set of acute
				  care data elements is listed in Attachment 1.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 9 - ELECTRONIC REPORTING OF ELECTRONIC HEALTH RECORD DATA FOR PUBLIC HEALTH SYNDROMIC SURVEILLANCE › Section 173-9-005 - DATA EXCHANGE

Current through June 17, 2024
Data exchange must employ industry standard secure message
				  transport protocols and data encryption. Encounter data shall be submitted a
				  minimum of once per day as a batch message file containing the previous day's
				  acute care encounters and updates.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 9 - ELECTRONIC REPORTING OF ELECTRONIC HEALTH RECORD DATA FOR PUBLIC HEALTH SYNDROMIC SURVEILLANCE › Section 173-9-006 - SUBMISSION OF REPORTING PLAN FOR ACUTE CARE ENCOUNTERS

Current through June 17, 2024
Beginning no later than six months after the effective date
				  of this chapter, every hospital that treats patients in an emergency department
				  or urgent care setting shall submit to the Department for approval an
				  implementation plan that specifies how and when it will submit acute care
				  encounter data to the Department in compliance with 173 Nebraska Administrative
				  Code (NAC)
				  9-004 of this chapter. Amendments to a
				  previously approved plan require Department approval. The plan shall include at
				  a minimum:
(A) Timing of messages,
				either real time or batch;
(B)
				Secure message transport protocols to be used when submitting data to the
				Department;
(C) Proposed format of
				data if the hospital is not able to conform to the standard electronic message
				as specified in 173 NAC
				9-005;
(D) Proposed format code set domain values if
				the hospital is not able to conform to the code sets defined in standard
				electronic messages as specified in 173 NAC
				9-005;
(E) Hospital technical contact(s) and contact
				information for the Department to utilize in the event technical assistance or
				support is necessary;
(F) Expected
				date to begin sending messages; and
(G) If a change request, the reason for
				change.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 9 - ELECTRONIC REPORTING OF ELECTRONIC HEALTH RECORD DATA FOR PUBLIC HEALTH SYNDROMIC SURVEILLANCE › Section 173-9-007 - SUBMISSION OF DATA THROUGH A THIRD PARTY

Current through June 17, 2024
Hospitals may submit data directly to the Department or
				  through a third party acting as their agent. Providers selecting this option
				  are responsible for ensuring that all terms of this chapter are met by the
				  third party.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 9 - ELECTRONIC REPORTING OF ELECTRONIC HEALTH RECORD DATA FOR PUBLIC HEALTH SYNDROMIC SURVEILLANCE › Section 173-9-008 - RELEASE OF DE-IDENTIFIED PATIENT DATA AND PATIENT CONTACT

Current through June 17, 2024
To safeguard the health of the citizens of Nebraska, the
				  Director or the Director's designee may authorize the collection of information
				  as to enable contact with a patient, physician or provider based upon data
				  authorized and submitted under this chapter.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 9 - ELECTRONIC REPORTING OF ELECTRONIC HEALTH RECORD DATA FOR PUBLIC HEALTH SYNDROMIC SURVEILLANCE › Section 173-9-009 - REPORTING AND SUBMISSION OF HOSPITAL INPATIENT ENCOUNTER DATA BY HOSPITALS

Current through June 17, 2024
Hospitals that treat patients in an inpatient setting may
				  submit to the Department a data set on all hospital inpatient encounters. Such
				  submissions shall conform pursuant to specifications as defined by the
				  Department. The Director may require reporting of hospital inpatient encounter
				  data by hospitals if deemed necessary to detect diseases, syndromes, or
				  exposures that can cause or are suspected to cause serious morbidity or
				  mortality and such other reporting as necessary to protect public
				  health.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 9 - ELECTRONIC REPORTING OF ELECTRONIC HEALTH RECORD DATA FOR PUBLIC HEALTH SYNDROMIC SURVEILLANCE › Section 173-9-010 - REPORTING AND DATA SUBMISSION BY PROVIDERS OTHER THAN HOSPITALS

Current through June 17, 2024
Other health care facilities may submit electronic health
				  record data to the Department. Such submissions shall conform pursuant to
				  specifications as defined by the Department. The Director may require reporting
				  of providers other than hospitals if deemed necessary to detect diseases,
				  syndromes, or exposures that can cause or are suspected to cause serious
				  morbidity or mortality and such other reporting as necessary to protect public
				  health.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 3 - VIEWING AND RELEASE OF VITAL RECORDS › Section 174-3-001 - SCOPE

Current through June 17, 2024
These regulations govern access to and release of birth,
				  death, marriage, and dissolution of marriage certificates under Nebraska
				  Revised Statutes ( Neb. Rev. Stat. ) §§
									71-612(1),(6),(7),and
				  (8) and
				  71-602(2).
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 3 - VIEWING AND RELEASE OF VITAL RECORDS › Section 174-3-002 - DEFINITIONS

Current through June 17, 2024
The definitions of Neb. Rev. Stat. §
									71-601.01 and this apply.
002.01
APPLICANT.
A
				person requesting a certified copy , seeking to view a certificate , or
				requesting to view confidential information.
002.02
APPLICATION.
A request for a record in writing containing information required by the
				Department.
002.03
CERTIFIED COPY.
A certificate certified by the
				Department as provided by law.
002.04
LEGAL
				REPRESENTATIVE.
T he registrant's attorney, legal guardian or
				conservator, custodian, personal representative, executor, or executrix of the
				registrant's estate or other person showing lawful authority to act on the
				registrant's behalf.
002.05
PROOF OF IDENTITY.
Documentation issued by a federal,
				state, or local political subdivision, corporation, or other entity, that
				contains the applicant's photograph , facts identifying the applicant, or other
				documentary evidence establishing identity.
002.06
PROOF OF
				QUALIFICATION.
Written documentation establishing the credentials
				or authority of the applicant or facts required by these regulations to
				demonstrate a proper purpose.
002.07
REGISTRANT.
T
				he individual who is the subject of the vital record.
002.08
RESEARCH.
A
				Systematic statistical study, conforming to or in accordance with generally
				accepted medical or scientific standards or principles, designed to develop or
				contribute to medical or scientific knowledge, and which does not identify the
				persons in the study.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 3 - VIEWING AND RELEASE OF VITAL RECORDS › Section 174-3-003 - VIEWING COPIES OF CERTIFICATES

Current through June 17, 2024
Applicants who wish to view a copy of a certificate may do so
				  in the Department's office upon payment of the statutory fee.
003.01
CONTENTS OF VIEWING
				COPIES.
Viewing copies will be stamped "NOT A LEGAL DOCUMENT - FOR
				REVIEW ONLY" and will not include social security numbers, information
				contained in the portion of the certificate titled "medical or health
				information" or "information for statistical purposes only," or other
				statistical information not registering the vital event itself.
003.02
USE OF VIEWING
				COPIES.
Copies may not be removed from the area provided for
				viewing, photocopied, photographed or electronically stored on any device, or
				otherwise reproduced by applicants. Copies must be returned to the Department
				before the applicant leaves the viewing area. Applicants may make and retain
				notes on the certificate's contents.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 3 - VIEWING AND RELEASE OF VITAL RECORDS › Section 174-3-004 - CERTIFIED COPIES FOR APPLICANTS FOR ANY PROPER PURPOSE

Current through June 17, 2024
Applicants for any proper purpose as defined in this chapter
				  may obtain a certified copy of a birth, death, marriage, or dissolution of
				  marriage record, except as otherwise provided by law or court order, upon
				  approval of their application by the Department and payment of the statutory
				  fee for each certified copy or search for a certified copy, whether or not the
				  record is found, unless exempt from payment by law
004.01
APPLICATIONS.
Applications may be made in person or by mail or electronic means approved by
				the Department. Applicants must:
(A) Furnish
				sufficient information for the Department to locate and identify each certified
				copy requested;
(B) Provide the
				applicant's name, address, telephone number, and proof of identity. More than 1
				document proving identity may be required;
(C) Describe the purpose for each certified
				copy requested and provide proof satisfactory to the Department that the
				request is for a proper purpose as defined in this chapter; and
(D) If the applicant is involved in medical,
				scientific, law enforcement, government, genealogical, or historical research,
				provide the name of any entity that the applicant represents; the name of the
				principal investigator, if other than the applicant; the applicant's
				qualifications, if appropriate; the location where the research will take
				place; and the means by which the research will take place.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 3 - VIEWING AND RELEASE OF VITAL RECORDS › Section 174-3-005 - PROPER PURPOSE

Current through June 17, 2024
Proper purpose includes the following circumstances in this
				  section.
005.01
PERSONAL
				USE.
Personal use by registrants of their own certificate, or the
				registrants' spouse, child, or parent with proof of the requestor's
				relationship with the registrant.
005.02
LEGAL USE.
Use by a registrant's legal representative of a certificate for a legal purpose
				that requires documentation of a vital event to obtain a legal right or
				privilege . A legal purpose includes, but is not limited to, the following:
(A) Establishing the fact of death or
				identity in a probate or estate action;
(B) Transfering title to a motor vehicle or
				other personal or real property;
(C) Obtaining government documents such as a
				driver's license, identification card, social security, passports, or other
				state or federal licenses, benefits, or certificates;
(D) Obtaining admission to school;
(E) Establishing a legal relationship with
				another person or property right, such as an inheritance, insurance, or
				dependency benefit; and
(F)
				Providing a copy of a certificate of birth resulting in stillbirth to the
				parent(s) as listed on the fetal death record.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 3 - VIEWING AND RELEASE OF VITAL RECORDS › Section 174-3-006 - RELEASE OF CONFIDENTIAL INFORMATION TO APPROVED RESEARCHERS

Current through June 17, 2024
Researchers may be provided with confidential information as
				  described in Neb. Rev. Stat. §
									71-602(2)  upon
				  approval of an application as provided in this section or an application made
				  pursuant to the terms of an agreement between the Department and a government
				  health agency to which the Department releases such information under the
				  authority of Neb. Rev. Stat. §
									71-602(2).
006.01
APPLICATION.
Applicants must submit:
(A) The
				qualifications of the applicant and the primary researcher;
(B) The purpose of the research project and
				anticipated time of completion;
(C)
				Location where the research will take place and the resources available to the
				applicant to carry out the project;
(D) The funding resource for the
				project;
(E) The specific data
				being requested and the use of that data;
(F) Description of the measures being taken
				to secure the data and maintain the confidentiality of the data;
(G) How the data will be disposed of at the
				end of the project; and
(H) If an
				Institution's Review Board approved the research, a copy of the approval must
				be provided.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 4 - REGULATIONS GOVERNING AMENDMENT OF MARRIAGE AND DISSOLUTION OF MARRIAGE RECORDS › Section 174-4-001 - SCOPE OF REGULATIONS

Current through June 17, 2024
A marriage or dissolution of marriage record filed with the
				  Department of Health and Human Services (Department) may be amended only in
				  accordance with the provisions of these regulations. For purposes of these
				  regulations, record of marriage includes an abstract of marriage as provided in
				  Nebraska Revised Statute (Neb. Rev. Stat.) §
									71-601.01.
				  Amendment of incomplete or erroneous information on records of marriage or
				  dissolution may be made upon presentation of the same kinds and numbers of
				  documents required to amend birth and death certificates.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 4 - REGULATIONS GOVERNING AMENDMENT OF MARRIAGE AND DISSOLUTION OF MARRIAGE RECORDS › Section 174-4-002 - APPLICATION FOR AMENDMENT

Current through June 17, 2024
Application for amendment of a marriage record must be made
				  by a spouse or by the county court required to file the record with the
				  Department. Application for amendment of a dissolution of marriage record must
				  be made by a plaintiff or by the clerk of the district court required to file
				  the record with the Department.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 4 - REGULATIONS GOVERNING AMENDMENT OF MARRIAGE AND DISSOLUTION OF MARRIAGE RECORDS › Section 174-4-003 - AMENDMENT OF OBVIOUS ERRORS

Current through June 17, 2024
Amendment of obvious errors, transposition of letters in
				  words of common knowledge, or omissions on marriage or dissolution of marriage
				  records may be made by the Department within the first year after the date of
				  the event, either upon its own observation, upon query, or upon request of a
				  person with a direct and tangible interest in the record.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 4 - REGULATIONS GOVERNING AMENDMENT OF MARRIAGE AND DISSOLUTION OF MARRIAGE RECORDS › Section 174-4-004 - EVIDENCE REQUIRED

Current through June 17, 2024
All other amendments to a marriage or dissolution of marriage
				  record made during the first year unless otherwise provided in these
				  regulations must be supported by (a) an affidavit setting forth information to
				  identify the record, the incorrect data as it is placed on the record, and the
				  correct data as it should appear; and (b) one item of documentary evidence
				  supporting the amendment.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 4 - REGULATIONS GOVERNING AMENDMENT OF MARRIAGE AND DISSOLUTION OF MARRIAGE RECORDS › Section 174-4-005 - APPLICATION FOR AMENDMENT MADE AFTER A YEAR

Current through June 17, 2024
Application for an amendment to a marriage or dissolution of
				  marriage record made one year or more after the event, unless otherwise
				  provided in these regulations, must be supported by (a) an affidavit setting
				  forth information to identify the record, the incorrect data as it is listed on
				  the record, and the correct data as it should appear; and (b) two or more items
				  of documentary evidence which support the alleged facts and which were
				  established at least five years prior to the date of application for amendment
				  or within seven years of the date of the event.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 4 - REGULATIONS GOVERNING AMENDMENT OF MARRIAGE AND DISSOLUTION OF MARRIAGE RECORDS › Section 174-4-006 - REQUIREMENTS FOR ADDITIONAL AMENDMENT

Current through June 17, 2024
When an entry on a marriage or dissolution of marriage record
				  has been amended, that entry will not be amended again unless it can be shown
				  that the first amendment was made through mistake.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 4 - REGULATIONS GOVERNING AMENDMENT OF MARRIAGE AND DISSOLUTION OF MARRIAGE RECORDS › Section 174-4-007 - FEES

Current through June 17, 2024
The fees charged by the Department for the making of
				  amendments to marriage or dissolution of marriage records are identical to
				  those charged for the making of amendments to birth or death
				  records.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 6 - RELEASE OF MEDICAL HISTORY, ORIGINAL BIRTH CERTIFICATE, AND RELATIVE'S INFORMATION FOLLOWING THE ADOPTION OF A NEBRASKA BORN PERSON › Section 174-6-001 - SCOPE AND AUTHORITY

Current through June 17, 2024
These regulations implement the laws governing the release of
				  information to a person who was adopted or for whom relinquishment or consents
				  for adoption were given pursuant to Nebraska Revised Statutes (Neb. Rev. Stat.)
				  §§
									43-121 to
				  43-146.17, the Nebraska Indian
				  Child Welfare Act, and Neb. Rev. Stat. §
									43-107.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 6 - RELEASE OF MEDICAL HISTORY, ORIGINAL BIRTH CERTIFICATE, AND RELATIVE'S INFORMATION FOLLOWING THE ADOPTION OF A NEBRASKA BORN PERSON › Section 174-6-002 - REQUIREMENTS FOR ACCESS TO RECORDS ABOUT PERSONS ADOPTED OR FOR WHOM A RELINQUISHMENT OR CONSENT FOR ADOPTION WAS GIVEN PRIOR TO SEPTEMBER 1, 1988

Current through June 17, 2024
To obtain access to names of relatives or his or her original
				  certificate of birth for a person that was adopted or for whom a relinquishment
				  or consent for adoption was given prior to September 1, 1988, the requester
				  must meet the statutory requirements and must submit to the Department:
(A) A request on a form provided by the
				Department;
(B) Evidence of having
				attained at least the age of 25 years;
(C) Evidence of having been born in the State
				of Nebraska; and
(D) The required
				search fee as established in this chapter.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 6 - RELEASE OF MEDICAL HISTORY, ORIGINAL BIRTH CERTIFICATE, AND RELATIVE'S INFORMATION FOLLOWING THE ADOPTION OF A NEBRASKA BORN PERSON › Section 174-6-003 - REQUIREMENTS FOR ACCESS TO RECORDS ABOUT PERSONS ADOPTED OR FOR WHOM A RELINQUISHMENT OR CONSENT FOR ADOPTION WAS GIVEN ON OR AFTER SEPTEMBER 1, 1988

Current through June 17, 2024
To obtain access to the names of relatives or to his or her
				  original birth certificate for a person that was adopted or for whom a
				  relinquishment or consent for adoption was given on or after September 1, 1988,
				  the requester must meet the statutory requirements and must submit to the
				  Department:
(A) A request on a form
				provided by the Department;
(B)
				Evidence of having attained the age of 21 years;
(C) Evidence of having been born in the State
				of Nebraska; and
(D) The required
				search fee as established in this chapter.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 6 - RELEASE OF MEDICAL HISTORY, ORIGINAL BIRTH CERTIFICATE, AND RELATIVE'S INFORMATION FOLLOWING THE ADOPTION OF A NEBRASKA BORN PERSON › Section 174-6-004 - REQUIREMENTS FOR ACCESS BY AN ADOPTED PERSON'S HEIR TO ORIGINAL INFORMATION ABOUT THE ADOPTED PERSON

Current through June 17, 2024
To obtain access to an adopted person's original adoptive
				  information the requester must meet the statutory requirements and must submit
				  to the Department:
(A) A request on a
				form provided by the Department;
(B) Evidence that the requester is an heir of
				the adopted person;
(C) Evidence of
				having attained the age of 21 years;
(D) Evidence that the adopted person is
				deceased;
(E) Evidence that the
				adopted person's biological parent(s) is or are deceased;
(F) Evidence that the spouse(s) of the
				biological parent(s) is or are deceased; and
(G) The required fee as established in this
				chapter.
Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 174 - VITAL RECORDS › Chapter 6 - RELEASE OF MEDICAL HISTORY, ORIGINAL BIRTH CERTIFICATE, AND RELATIVE'S INFORMATION FOLLOWING THE ADOPTION OF A NEBRASKA BORN PERSON › Section 174-6-005 - REQUIREMENTS FOR ACCESS BY AN ADOPTED PERSON'S HEIR TO ORIGINAL INFORMATION ABOUT THE ADOPTED PERSON WHEN A 100 YEARS OR MORE HAS PASSED SINCE THE BIRTH OF THE ADOPTED PERSON

Current through June 17, 2024
To obtain access to an adopted person's original adoptive
				  information the requester must meet the statutory requirements and must submit
				  to the Department:
(A) A request on a
				form provided by the Department;
(B) Evidence that the requester is an heir of
				the adopted person;
(C) Evidence of
				having attained the age of 21 years; and
(D) The required fee as established in this
				chapter.