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 has been analyzed for arsenic, cadmium, or  
mercury.  
(b) "Pesticide poisoning report form" means the form used to report the required  
reportable information for blood that has been analyzed for acetylcholinesterase or  
pseudocholinesterase.  
(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:  
(i) Name.  
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(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 that reporting in compliance with  
this rule satisfies the reporting requirements of 1978 PA 368, MCL 333.1101.  
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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 utilize the data format specifications provided by the  
department.  
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.  
(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.  
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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  
M.I.  
First name  
Sex (M/F)  
Race  
(White/Black/Asian/Pacific Islander/American  
Indian/Alaskan/mixed)  
Ethnicity (Hispanic Y/N) Birth date or age Phone number  
Street address  
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  
III. LABORATORY INFORMATION  
(
)
Name of testing laboratory  
Phone number  
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Laboratory street address  
Date sample taken  
Results  
City  
State/Zip Code  
Date sample analyzed  
Sample  
Blood  
Arsenic  
µg/ml  
µg/L  
Cadmium  
Mercury  
µg/L  
ng/ml  
Urine  
OR  
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  
State/Zip Code/County  
Street address  
City  
Name and address of parent or guardian if individual is a minor  
Employer  
Page 5  
Employer street address  
City  
State/Zip Code/County  
Phone number  
II. PHYSICIAN/PROVIDER INFORMATION  
(
)
Provider last name  
Name of medical facility of requesting physician/provider  
Facility street address City State/Zip Code  
III. LABORATORY INFORMATION  
First name  
(
)
Name of testing laboratory  
Laboratory street address City  
Date sample taken  
Phone number  
State/Zip Code  
Date sample analyzed  
Results  
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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