State of California law (California
Code of Regulations, Title 17, Sections 6531 & 6532) requires that neural
tube defects (NTDs) and/or chromosomal abnormalities found in fetuses or infants
less than one year of age be reported to the California Genetic Disease
Screening Program (GDSP). HIPAA does not affect this reporting requirement.
While California law mandates that these data be submitted within 30 days of
diagnosis, many facilities find it more practical to submit reports on a
quarterly basis. Accordingly, the Quarterly Tracking of Birth Defects Form is
provided to facilitate quarterly reporting.
The Quarterly Tracking of
Birth Defects Form should serve as a cover page for the quarterly report
submission. If there are no birth defect cases to report for the quarter, simply
complete the form and return it by itself. If there are birth defect cases to
report on behalf of your hospital or clinic, please be sure to indicate the
quantities of reportable cases and include all companion forms and any available
cytogenetic laboratory reports. All forms relevant to quarterly reporting are
available by clicking on the various links on this page.
Confidential Case Report (CCR) of a Birth Defect Form is designed for reporting
neural tube defects and chromosomal abnormalities. To report neural tube defects
(ICD-10-CM Codes Q00.0-Q01.9, Q05.0-Q05.9, Q07.0-Q07.03), please complete and
submit a CCR Form for each case. To make reporting less labor intensive for
hospitals, the Chromosomal Abnormalities Worksheet is designed to collect
essential data about more than one case on a single page. To report chromosomal
abnormalities (ICD-10-CM Codes Q90.0-Q99.9, excluding Q97.3, Q98.3, Q99.1, and
Q99.2), hospitals may complete and submit a Chromosomal Abnormalities Worksheet
for the quarter. To report chromosomal abnormalities, cytogenetic laboratories
should complete and submit individual CCR Forms for each case. Should the
occurrence of both a neural tube defect and a chromosomal abnormality need to be
reported for the same patient, please submit only one CCR Form with information
pertaining to both sets of conditions. If any information requested on a form is
unavailable, please be sure to indicate any other possible source where such
information might be obtained.
The cooperation and assistance of the
many reporting sources across the state is greatly appreciated. These birth
defects data are vital for evaluating the effectiveness of the California Prenatal Screening Program and for monitoring the
geographical and ethnic distribution of birth defects (neural tube defects and
chromosomal abnormalities) throughout California.
Forms may either be
faxed or mailed.
Fax forms to (510) 412-1560, Attention: Jasmine
Address all mailed correspondence to:
Genetic Disease Screening Program
850 Marina Bay
Room F-175, Mailstop 8200
Richmond, CA 94804
Questions? Contact Jasmine Stewart-Oliver at (510) 412-1524 or CDPH_PNSRegistry@cdph.ca.gov.