Section 693.30  Reporting

 

a)         Every physician licensed under the provisions of the Illinois Medical Practice Act shall report each case in which the physician has clinically diagnosed or treated a case of AIDS, HIV infection, syphilis, gonorrhea, chlamydia, chancroid, or opthalmia neonatorum, or received a reportable STD laboratory result as set forth in Section 693.20(b).  A hospital may, at the request of the physician of a person who has been admitted to the hospital, submit the physician's report to the appropriate health authority through the identifiers established disease-reporting mechanism.  In all cases, the physician is responsible for ensuring that reporting is accomplished.

 

1)         The STD case report shall be mailed within seven days after such diagnosis or treatment.  The STD laboratory report shall be mailed within seven days after receipt of the laboratory results.

 

2)         If the reporting source is located in a county or city governed by a full-time Local Health Authority, the STD report shall be made to that health authority.  For syphilis, gonorrhea, chlamydia, chancroid, and opthalmia neonatorum patients in jurisdictions not covered by a Local Health Authority but by a Designated Agency, the STD reports shall be made to that Designated Agency. In all other cases, the STD report shall be made directly to the Illinois Department of Public Health.

 

3)         For cases of AIDS or HIV infection, the STD report shall be made on a form furnished by the Department.  For each report of AIDS, a physician shall complete the "Adult AIDS Confidential Case Report", as modified by the Department (or Pediatric AIDS Confidential Case Report, as modified by the Department for children under 13 years), which are forms developed by the Centers for Disease Control and Prevention (CDC), Public Health Service, U.S. Department of Health and Human Services, Atlanta, Georgia 30333, OMB No. 0920-0009. For cases of HIV infection, the STD report shall be made on a form furnished by the Department. The STD report shall state the name, address and telephone number of the physician, the date of the report, as well as the following information, as available:

 

            A)        For AIDS:

i)          The individual's name, Social Security Number, address, telephone number, age, date of birth, age at diagnosis, current status (date of death), race/ethnicity, sex, country of birth, residence at diagnosis, facility where diagnosis of AIDS was established;

 

ii)         Patient risk history;

 

iii)         Laboratory results of HIV antibody tests, HIV detection tests, or immunologic laboratory tests;

 

iv)        Information concerning the presence and method of diagnosis of AIDS indicator disease;

 

v)         Each successive AIDS indicator disease (e.g., Pneumocystis carinii pneumonia, Kaposi's sarcoma or esophageal candidiasis), regardless of whether the case is known or thought to have been previously reported in another state or health jurisdiction;

 

vi)        For reports submitted by health care facilities, the name and telephone number of the individual completing the form, if different from the physician;

 

vii)        Information concerning treatment services and referrals and, for women, information on both the current pregnancy status and births after 1977, and for prenatal cases, information about birth history;

 

viii)       Whether the individual has had any invasive procedures performed on him or her and, if so, the types of invasive procedures and the names, addresses and telephone numbers of the health care providers who performed those invasive procedures;

 

ix)        Whether the individual is a health care provider, if so, the type of health care provider and whether the individual has performed invasive procedures; and

 

x)         Whether post-test counseling and/or sex/needle sharing partner referral has taken place or whether assistance is needed from the Local Health Authority or the Department.

 

B)        Prior to July 1, 1999, for HIV infection in cases not clinically diagnosed or treated as AIDS by the reporting physician:

 

i)          The individual's city of residence, age, race/ethnicity, sex;

 

ii)         The laboratory findings;

 

iii)         Risk factors for HIV infection;

 

iv)        Whether the individual is known to have previously tested positive for antibodies to HIV;

 

v)         Reason for testing; and

 

vi)        Whether counseling and/or sex partner referral has taken place or whether assistance is needed from the Local Health Authority or the Department.

 

C)        On or after July 1, 1999, for HIV infection in cases not clinically diagnosed or treated as AIDS by the reporting physician:

 

i)          A patient code number derived from demographic information and elements of the individual's name and/or other identifying information, age, date of birth, age at diagnosis, current status (date of death), race/ethnicity, sex, country of birth, residence at diagnosis, facility where diagnosis of HIV was established;

 

ii)         Patient risk history;

 

iii)         Laboratory results of HIV antibody tests, HIV detection tests, or immunologic laboratory tests;

 

iv)        Information concerning the presence and method of diagnosis of AIDS indicator diseases;

 

v)         For reports submitted by health care facilities, the name and telephone number of the individual completing the form, if different from the physician;

 

vi)        Information concerning treatment services and referrals and, for women, information on both the current pregnancy status and births after 1977, and for perinatal cases, information about birth history;

 

vii)        Whether the individual has had any invasive procedures performed on him or her and, if so, the types of invasive procedures and the names of the health care providers who performed those invasive procedures;

 

viii)       Whether the individual is a health care provider and, if so, the type of health care provider and whether the individual has performed invasive procedures; and

 

ix)        Whether post-test counseling and/or sex/needle sharing partner referral has taken place or whether assistance is needed from the Local Health Authority or the Department.

 

D)        All reporting sources are required to maintain a system permitting the patient code number to be linked to a specific individual for purposes of additional follow-up if necessary.

 

E)         The Department will monitor HIV case reports to determine the effectiveness of the HIV surveillance system.  Beginning on July 1, 1999, the Department will collect data to be continually evaluated to determine whether the following criteria are satisfied:

 

i)          All elements of the patient identification code are complete in at least 90% of all reported cases;

 

ii)         Patient risk information is provided in 90% of case reports and the remaining information in the case report is complete in 85% of the case reports, after epidemiologic follow-up is completed;

 

iii)         No more than 5% of cases in the HIV databases are duplicate reports;

 

iv)        95% of providers will be able to link a patient code number to a case report when additional follow-up is necessary; and

 

v)         A system to link at least 95% of the patient code numbers for reported cases of HIV infection to the subject of the case report, maintained by at least 95% of providers.  For purposes of evaluation, the Department may review but may not copy records held by the reporting source.  The evaluation shall not identify by name or other identifying information any provider or subject of a case report.

 

F)         The Department shall complete its evaluation of the system no later than July 1, 2003.  If, at the conclusion of the evaluation, the Department has determined that the criteria described in subsection (a)(3)(E) of this Section have not been met, all subsequently reported cases of HIV infection not clinically diagnosed or treated as AIDS by the reporting physician shall include all of the information required in subsection (a)(3)(C) of this Section, except that the report shall include the test subject's name and the patient code number specified in subsection (a)(3)(C)(i) will not be generated by the provider.

 

4)         Syphilis, gonorrhea, chlamydia, chancroid, and opthalmia neonatorum cases and laboratory reports in cities having a population of 500,000 or more shall be made on a form furnished by the Local Health Authority.  In all other cases, the report shall be made on a form furnished by the Department.  The report shall state the name, address and telephone number of the physician, the date of the report, as well as the following information, as available:

 

A)        The individual's name, address, telephone number, age, birthdate, race/ethnicity, sex, marital status, pregnancy status;

 

B)        The diagnosis, diagnostic classification, and any laboratory findings;

 

C)        The amount and type of treatment, including preventive treatment, that the individual is receiving, has received or will receive, and whether treatment has been completed; and

 

D)        The type of treatment facility.

 

b)         Every laboratory and blood bank, through its Director, shall report each case in which the laboratory or blood bank performed a test for an STD that concluded with a reportable laboratory result.

 

1)         The STD laboratory report shall be mailed within seven days after the reportable laboratory test result.

 

2)         If the reporting source is located in a county or city governed by a full-time Local Health Authority, the STD laboratory report shall be made to that health authority.  For syphilis, gonorrhea, chlamydia, chancroid, and opthalmia neonatorum test subjects in jurisdictions not covered by a Local Health Authority but by a Designated Agency, such reports shall be made to that Designated Agency. In all other cases, the STD laboratory report shall be made directly to the Department.

 

3)         For HIV laboratory tests, the report shall be made on a form furnished by the Department.  The report shall state the name and address of the laboratory or blood bank, the date of the report, as well as the following information, as available:

 

A)        The name, address and telephone number of the physician or other person who submitted the specimen for testing (not applicable to blood banks);

 

B)        The individual's patient code number as provided by the physician, age, race/ethnicity, and sex; and

 

C)        The date the tests were performed,  the laboratory results, and the method employed.

 

4)         For CD4+ lymphocyte counts less than 200 CD4+ cells per microliter or less than 14 percent of total lymphocytes, the report shall be made on a form furnished by the Department.  The report shall state the name and address of the laboratory or blood bank, the date of the report, as well as the following information, as available:

 

A)        The name, address and telephone number of the physician or other person who submitted the specimen for testing (not applicable to blood banks);

 

B)        The individual's name, address, telephone number, age, race/ethnicity, sex, as provided by the physician or other person who submitted the specimen for testing by a laboratory; and

 

C)        The date the tests were performed, the laboratory results, and the method employed.

 

5)         Syphilis, gonorrhea, chlamydia, chancroid and opthalmia neonatorum laboratory reports in cities having a population of 500,000 or more shall be made on a form furnished by the Local Health Authority.  In all other cases, the report shall be made on a form furnished by the Department.  The report shall state the name and address of the laboratory or blood bank, the date of the report, as well as the following information, as available:

 

A)        The individual's name, address, telephone number, age, race/ethnicity, sex, marital status, or patient code number as provided by the physician or other person who submitted the specimen for testing by a laboratory;

 

B)        The name, address and telephone number of the physician or other person who submitted the specimen for testing (not applicable to blood banks); and

 

C)        The date the test was performed, the laboratory results, and the method employed.

 

6)         In addition to the above reporting requirements:

 

A)        If the subject of the test is under 12 years of age, any reactive or positive test results shall be reported to the Department by telephone immediately or as soon as Department business hours permit at 888-375-9613 for HIV/AIDS test results and 217-782-2747 for all other STD test results.

 

B)        If any culture that is positive for gonorrhea is determined to be resistant to antibiotics, the test results shall be reported by telephone immediately, or as soon as business hours permit, to the Local Health Authority, Designated Agency or the Department, as appropriate.

 

C)        Every laboratory and blood bank shall report the total number of tests performed for STDs each week.  This report shall be made to the Local Health Authority, Designated Agency or the Department, as appropriate.

 

c)         Physicians are not required to file HIV case reports for:

 

1)         Patients known to reside outside of Illinois;

 

2)         Persons tested at IDPH designated anonymous test sites; or

 

3)         Participants in research projects approved by an institutional review board when the research is not primarily intended to provide medical treatment to participants and is conducted under the following conditions:

 

A)        all personal identifiers are removed from the specimen before testing;

 

B)        the specimen cannot be linked to the individual from whom the specimen was collected; or

 

C)        positive HIV results are due to vaccine administration.

 

d)         All persons required to report pursuant to this Part shall maintain the strict confidentiality of all information and records relating to known or suspected cases of STDs in accordance with Section 693.100 and 77 Ill. Adm. Code 697.140.

 

e)         For each report of AIDS that it receives, pursuant to the provisions of this Section, the Local Health Authority shall forward a copy of the report to the Department's AIDS Registry System, within seven days after receiving the report (see Section 697.210 of the AIDS Confidentiality and Testing Code (77 Ill. Adm. Code 697)).  The Local Health Authority shall assure the completeness of the report form.  The Local Health Authority shall record the reporting source on the case report form, as available.

 

f)          A Local Health Authority shall forward to the Department a copy of each HIV report that it receives pursuant to the provisions of this Section, within seven days after receiving the report.

 

g)         A Local Health Authority or Designated Agency shall submit to the Department, on forms supplied by the Department, summary information on the reportable laboratory results for syphilis, gonorrhea, chlamydia, chancroid, and opthalmia neonatorum that it receives pursuant to the provisions of this Section, within seven days after receiving such results.

 

h)         A Local Health Authority or Designated Agency that receives a syphilis laboratory report with a patient code number shall contact the test subject's physician for information identifying that individual, within 24 hours after receiving the report.  The Department shall assume this responsibility within jurisdictions not covered by a Local Health Authority or Designated Agency.

 

i)          A Local Health Authority that receives an HIV laboratory report from a physician, laboratory or blood bank for an individual age three through 21 shall contact the physician listed in the report to obtain the individual's name and address, in order to comply with Section 697.400 of the AIDS Confidentiality and Testing Code (77 Ill. Adm. Code 697).  The Department shall assume this responsibility within jurisdictions not covered by a Local Health Authority.  The physician shall provide this information to the Local Health Authority or the Department unless the test subject is not enrolled in a public or private primary or secondary school.  The physician shall contact the Local Health Authority or the Department if the physician learns that the test subject has enrolled in school at any subsequent date.

 

(Source:  Amended at 25 Ill. Reg. 14497, effective November 1, 2001)