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4605.7090 DISEASE REPORT INFORMATION.

Reports that are required under this chapter shall contain as much of the following information as is known:

A.

disease (whether a case, suspected case, carrier, or death);

B.

date of first symptoms;

C.

primary signs and symptoms;

D.

patient:

(1)

name;

(2)

birthdate;

(3)

gender;

(4)

ethnic and racial origin;

(5)

residence address, city, county, and zip code;

(6)

telephone number; and

(7)

place of work, school, or child care;

E.

date of report;

F.

health care practitioner name, address, and telephone number;

G.

name of hospital (if any);

H.

name of person reporting (if not health care practitioner);

I.

diagnostic laboratory findings and dates of tests;

J.

name and locating information of contacts (if any);

K.

vaccination history for the disease reported;

L.

pregnancy status and expected date of delivery, if the infection can be transmitted during pregnancy or delivery; and

M.

other information pertinent to the case.

Statutory Authority:

MS s 144.05; 144.072; 144.0742; 144.12; 144.122

History:

9 SR 2584; 20 SR 858; 30 SR 247; 41 SR 829

Published Electronically:

January 18, 2017