N.H. Admin. Code § He-M 501.04

Current through Register No. 45, November 7, 2024

Section He-M 501.04 - Methods of Submission and Content of Records

(a) Reporters shall submit to the bureau demographic and diagnostic information pertaining to each patient newly diagnosed as having ASD. Such records shall be submitted via:

(1) An electronic interface available at http://business.nh.gov/dhhs_ autism/Autism.aspx,; or

(2) Written records.

(b) Demographic and diagnostic information submitted regarding each patient shall include the patient's:

(1) First initial of last name;

(2) Last 4 digits of social security number, if applicable;

(3) Date of birth;

(4) Gender;

(5) City, county, state, and zip code of birth residence;

(6) Residence, including city or town and zip code, at time of diagnosis;

(7) Ethnicity, identified as either:

a. American Indian or Alaskan Native;

b. Asian;

c. Hispanic;

d. Non-Hispanic Black;

e. Non-Hispanic White;

f. Native Hawaiian or other Pacific Islander;

g. Not reported; or

h. Other, specified;

(8) Specific diagnosis, identified as either:

a. Autism spectrum disorder;

b. Asperger's syndrome;

c. Pervasive developmental disorder, not otherwise specified (PDD-NOS);

d. Other PDD;

e. Atypical Autism; or

e. Childhood autism; and

(9) Date of diagnosis.

(c) Reporters submitting records to the autism registry shall include the reporter's:

(1) Full name;

(2) Address, including:

a. Street or P.O. box;

b. City or town;

c. State; and

d. Zip code;

(3) Phone number;

(4) E-mail address;

(5) Licensure type;

(6) Highest educational degree attained;

(7) Specialty and subspecialty, if applicable; and

(8) Signature and date signed.

(d) The bureau shall assign a unique identifying code to each patient. The code shall not include the patient's name or address.

(e) The bureau shall supply to reporters an informational notice describing the purposes of the autism registry and the name, phone number, and e-mail address of a contact person for questions.

(f) Each reporter shall:

(1) Post the informational notice described in (e) above conspicuously in his or her place of practice; and

(2) Inform each patient, parent of a patient who is a minor child, or guardian, as applicable, of the reporting requirements under the registry law, RSA 171-A:30.

N.H. Admin. Code § He-M 501.04

#9161, eff 5-17-08

Amended by Volume XXXVI Number 23, Filed June 9, 2016, Proposed by #11103, Effective 5/25/2016, Expires 11/21/2016.

Amended by Volume XXXVI Number 49, Filed December 8, 2016, Proposed by #12052, Effective 11/18/2016, Expires 11/18/2026.