DEPARTMENT OF COMMUNITY HEALTH  
BUREAU OF EPIDEMIOLOGY  
DIVISION OF ENVIRONMENTAL AND OCCUPATIONAL  
EPIDEMIOLOGY  
HEAVY METAL AND PESTICIDE ANALYSIS REPORTING  
(By authority conferred on the director of the department of community health by  
sections 5111 and 2226(d) of 1978 PA 368, section 8 of 1978 PA 312, and Executive  
Reorganization Order Nos. 1996-1 and 1997-4, MCL 333.5111, 333.2226(d),  
325.78, 330.3101, and 333.26324)  
R 325.61 Definitions.  
Rule 1. (1) As used in these rules:  
(a) "Heavy metal analysis report form" means the form used to  
report the  
required reportable information for blood and urine that  
arsenic, cadmium, or mercury.  
has  
been analyzed for  
(b) "Pesticide poisoning report form" means the form used to  
required reportable information for blood that has been  
acetylcholinesterase or pseudocholinesterase.  
report the  
analyzed for  
(c) "Pesticide" means any substance or mixture of substances including inert  
ingredients and adjuvants used to prevent, destroy, mitigate, or repel any pest.  
Pesticides include, but are not limited to, insecticides, herbicides, fungicides,  
rodenticides, repellents, fumigants, wood treatment products, and disinfectants.  
(d) "Department" means the Michigan department of community health.  
(e) "Physician/provider" means a person who is licensed under Article 15 of the  
public health code MCL 333.16101 to 333.18838 who provides health care services  
and who is authorized to request the analysis of blood and urine specimens.  
History: 2005 AACS.  
R 325.62 Reportable information.  
Rule 2. (1) Reportable information is specifically related to blood and urine  
samples submitted to clinical laboratories for analysis.  
(2) Upon initiating a request for analysis of arsenic, cadmium, mercury,  
acetylcholinesterase,  
or  
pseudocholinesterase,  
the physician/provider ordering  
the analysis shall complete the client  
information (section I) and the physician/provider information (section II) of a  
heavy metal analysis report form or pesticide poisoning report form designated by the  
department.Or, the physician/provider shall complete a similar form that ensures the  
inclusion of the same required data and provide all of the following information:  
(a) All of the following information with respect to the individual tested:  
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(i) Name.  
(ii) Sex, if available.  
(iii) Race, if available.  
(iv) Ethnic group, if available.  
(v) Birthdate or age.  
(vi) Address.  
(vii) Telephone number.  
(viii) If the individual is a minor, then the name of a parent or guardian.  
(ix) If the individual is an adult, then the name and address of his or her employer,  
if available.  
(b) The date the sample was collected.  
(3) The heavy metal analysis report form or pesticide poisoning analysis  
report form, or a document with the same data, shall be submitted with the sample for  
analysis to a clinical laboratory that performs the analysis.  
(4) Upon receipt of the blood or urine sample for analysis,  
the clinical  
laboratory shall complete the laboratory information (section III) and provide all of  
the information required and/or submitted by the physician/provider along with all of  
the following:  
(a) The name, address, and phone number of the laboratory.  
(b) The date of analysis.  
(c) The results of the analysis. All values, normal and abnormal, shall be reported.  
For arsenic, blood levels shall be reported in micrograms per milliliter (µg/ml) and  
urine levels in micrograms per liter (µg/L).For cadmium, blood levels shall be  
reported as micrograms per liter (µg/L) of whole blood and urine tests shall be reported  
as micrograms per gram of creatinine (µg/gram creatinine) or micrograms per liter  
(µg/L).Mercury shall be reported as nanograms per milliliter of blood (ng/ml) and  
micrograms per liter (µg/L) of urine. Acetylcholinesterase shall be reported as units per  
gram of hemoglobin (U/g hemoglobin), and the laboratory normal range shall be  
included. Pseudocholinesterase levels shall be reported as units per liter (U/L) of  
plasma, and the laboratory normal range shall be included. Alternate units will be  
accepted for reporting purposes, as approved by the department.  
History: 2005 AACS.  
R 325.63 Reporting responsibilities.  
Rule 3. (1) All clinical laboratories doing business in this state that analyze  
blood or urine samples for arsenic, cadmium, mercury, acetylcholinesterase,  
or pseudocholinesterase shall report all results to the department of community  
health, bureau of epidemiology, division  
of occupational and environmental  
epidemiology, 3423 N. Martin Luther King Jr. Blvd., Lansing, MI 48909. Reports  
shall be made within 5 working days after test completion.  
(2) Nothing in this rule shall be construed to relieve a laboratory from reporting  
results of a blood or urine  
analysis  
for  
arsenic,  
cadmium, mercury,  
acetylcholinesterase, or pseudocholinesterase to the physician or other health care  
provider who ordered the test or to any other entity as required by state, federal, or local  
statutes or regulations or in accordance with accepted standard of practice, except  
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that reporting in compliance with this rule satisfies the reporting requirements of 1978  
PA 368, MCL 333.1101.  
History: 2005 AACS.  
R 325.64 Electronic communications.  
Rule 4. (1) A clinical laboratory may submit the data required in R 325.62  
electronically to the department.  
(2) For electronic reporting, upon mutual agreement between the reporting  
laboratory and the department, the reporting shall  
specifications provided by the department.  
utilize  
the data format  
History: 2005 AACS.  
R 325.65 Investigation and quality assurance.  
Rule 5. (1) The department, upon receiving a report under  
R
325.63 may  
investigate to determine the accuracy of the report, patient's source of exposure, and  
adverse health effects resulting from the exposure.  
(2) Requests for individual medical and epidemiologic information to validate  
the completeness and accuracy of reporting are specifically authorized.  
(3) The copies of the medical records shall not be recopied by the department  
and shall be kept in a locked file cabinet when not in use.  
(4) Reports may be released to other state, local, or federal agencies for those  
agencies to administer and enforce provisions of laws or rules to protect individuals from  
exposure to hazardous levels  
of  
arsenic, mercury, cadmium, or pesticides.  
Confidential information may be released to another governmental agency only after  
execution of a signed interagency agreement assuring that the other agency will abide  
by the confidentiality requirements of R 325.66.  
(5) Nothing in this rule shall be construed to relieve or preempt any other entities  
from investigating hazards associated with these substances under state, federal, or  
local statutes or regulations.  
History: 2005 AACS.  
R 325.66 Confidentiality of reports.  
Rule 6. (1) Reports submitted to the department under R 325.63 are not public  
records and are exempt from disclosure pursuant to the freedom of information act,  
1976 PA 442, MCL 15.243, section 13(1)(d).  
(2) The department shall maintain the confidentiality of all reports  
of all tests  
submitted to the department and shall not release reports or any information that may  
be used to directly link the information to a particular individual, unless the  
department has received written consent from the individual, or from the individual's  
parent or legal guardian, requesting the release of information.  
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(3) Medical and epidemiological information that is released to a legislative  
body shall not contain information that identifies a specific individual. Aggregate  
epidemiological information concerning the public health that is released to the public  
for informational purposes only shall not contain information that identifies a specific  
individual.  
History: 2005 AACS.  
R 325.67 Heavy metal analysis report form.  
Rule 7. The heavy metal analysis report form reads as follows:  
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH  
HEAVY METAL ANALYSIS REPORT  
DATA/INFORMATION REQUIRED BY ADMINISTRATIVE RULE R 325.62  
I. CLIENT INFORMATION  
Last name  
First name  
M.I.  
Sex (M/F)  
Race (White/Black/Asian/Pacific  
Islander/American  
Indian/Alaskan/mixed)  
Ethnicity (Hispanic Y/N)  
Street address  
Birth date or age Phone number  
City  
State/Zip Code/County  
Name of parent or guardian if individual is a minor  
Employer name (if adult)  
Employer street address  
City  
State/Zip Code  
II. PHYSICIAN/PROVIDER INFORMATION  
(
)
Provider last name  
First name  
Phone number  
Provider street address  
City  
State/Zip Code  
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III. LABORATORY INFORMATION  
(
)
Name of testing laboratory  
Laboratory street address  
Date sample taken  
Results  
Phone number  
State/Zip Code  
City  
Date sample analyzed  
Sample  
Mercury  
Arsenic  
Cadmium  
µg/L  
Blood  
µg/ml  
ng/ml  
Urine  
OR  
µg/L  
µg/gram creatinineµg/L  
µg/L  
MDCH - Bureau of Epidemiology, Division of Occupational and Environmental  
Epidemiology 3423 N. M.L. King, Jr. Blvd., Lansing, MI 48909 o Fax Number (517)  
335-9775 o Phone number (517) 335-8350  
History: 2005 AACS.  
R 325.68 Pesticide poisoning analysis report form.  
Rule 8. The pesticide poisoning report form reads as follows:  
MICHIGAN DEPARTMENT OF COMMUNITY HEALTH  
PESTICIDE POISONING REPORT  
DATA/INFORMATION REQUIRED BY ADMINISTRATIVE RULE R 325.62  
I. CLIENT INFORMATION  
Last name  
First name  
M.I.  
Sex (M/F)  
Race (White/Black/Asian/Pacific  
Islander/American  
Indian/Alaskan/mixed)  
(
)
Ethnicity (Hispanic Y/N)  
Birth date  
Phone number  
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Street address  
City  
State/Zip Code/County  
Name and address of parent or guardian if individual is a minor  
Employer  
Employer street address  
City  
State/Zip Code/County  
II. PHYSICIAN/PROVIDER INFORMATION  
(
)
Provider last name  
First name  
Phone number  
Name of medical facility of requesting physician/provider  
Facility street address City  
State/Zip Code  
III. LABORATORY INFORMATION  
(
)
Name of testing laboratory  
Laboratory street address  
Date sample taken  
Results  
Phone number  
State/Zip Code  
City  
Date sample analyzed  
Test  
Laboratory normal range  
U/g hemoglobin U/g hemoglobin  
Acetylcholinesterase  
-
Pseudocholinesterase  
U/L  
-
U/L  
MDCH - Bureau of Epidemiology, Division of Occupational and Environmental  
Epidemiology 3423 N. M.L. King, Jr. Blvd., Lansing, MI 48909 o Fax Number (517)  
335-9775 o Phone number (517) 335-8350  
History: 2005 AACS.  
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