Data Reporting for In-Office Blood Lead Testing

About Required Data Reporting

  • Data reporting requirements for in-office blood lead testing are designed to be easy for providers while ensuring clear, timely, and complete reporting to the Childhood Lead Poisoning Prevention Program.
  • All blood lead results for children under 6 years must be reported to the Childhood Lead Poisoning Prevention Program within 48 hours of the test.
  • All elevated blood lead levels still require a venous confirmation through the State Health and Environmental Testing Laboratory. See our recommended follow-up schedule for more information.
  • As of November 2012, the only approved method of reporting results is by fax. When blood lead result reporting becomes available through ImmPact2, providers approved to perform in-office blood lead testing will be required to report results of all in-office blood lead testing through ImmPact2.
  • Why is reporting important? The Childhood Lead Poisoning Prevention Program uses blood lead test results to monitor public health and plan, evaluate, and target resources for lead poisoning prevention activities. We use all results, even those below 10 ug/dl, for these purposes.
  • Maine Childhood Lead Poisoning Prevention Program staff will review approved providers every two years to evaluate the effectiveness of reporting in-office blood lead test results. If problems are identified during this evaluation, staff of the Childhood Lead Poisoning Prevention Program will discuss the problems and possible solutions with the provider. If problems with reporting continue, approval for in-office blood lead testing will be revoked.
  • Read the complete rules related to in-office blood lead testing. External site disclaimer

What Do I Have to Report?

Providers approved to perform in-office blood lead testing must report results from all in-office blood lead tests directly to the Maine Childhood Lead Poisoning Prevention Program. Reports must be complete, timely, and legible.

Report the following for all in-office blood lead test results regardless of the blood lead level within 48 hours of test.

  • Patient Information
    • Last Name
    • First Name
    • Date of Birth
    • Sex
    • Physical Street Address, including apartment number
    • City/Zip
    • County (if available)
    • Mailing Address (if different from physical address)
    • Mailing Address City/Zip
    • Home Phone Number
    • Race (American Indian/Alaskan Native, Asian, Black or African American, Native Hawaiian/Pacific Islander, White, Unknown)
    • Ethnicity (Hispanic/Latino, Non-Hispanic/Non-Latino, Unknown)
  • Blood Lead Analysis
    • Results
    • Date of Test
  • Parent/Guardian Information
    • Last Name
    • First Name
  • Provider Information
    • Provider Last Name
    • Provider First Name
    • Practice Name
    • Phone Number

If available, please report the following optional patient information:

  • If patient is an immigrant or refugee
  • Language spoken at home if other than English
  • MaineCare status

How to Report

As of November 2012, the only approved method of reporting results is by fax. When blood lead result reporting becomes available through ImmPact2, providers approved to perform in-office blood lead testing will be required to report results of all in-office blood lead testing through ImmPact2.

Use one these options below to report.

  1. Print and fax from patient's electronic medical record
    • Use this option if the majority of required information listed above is available on a printed page from the patient's electronic medical record.
    • Include any missing information, such as blood lead test result and date of test on printed page.
  2. Download and fill in a prepared form to fax
    • Reports must be legible.
    • Providers may cut and paste the form onto their letterhead and fax as long as all required data is reported.

Fax reports to the Maine Childhood Lead Poisoning Prevention Program at 207-287-3981. You must report all in-office blood lead test results regardless of the blood lead level within 48 hours of test.

Questions?

Contact Eric Frohmberg, Manager, Childhood Lead Poisoning Prevention Program, 207-287-8141 or eric.frohmberg@maine.gov.