Form 0920-0931 CBLS Aggregate Records - Excel

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Overview

QX 201X
QX 201X Unprocessed BLLs

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Sheet 1: QX 201X

Attachment 6c. Childhood Blood Lead Surveillance (CBLS) Aggregate Records Form
Number of Children Tested and Confirmed in [NAME OF JUSRISDICTION] by BLL Group, Children < 72 Months Old
Year	Number of Children Tested*	Total Confirmed BLL ≥10 µg/dL	Confirmed BLLs ≥10 µg/dL as % of Children Tested*		Number of Confirmed Children By Highest Blood Lead Level (µg/dL) at or Following Confirmation
				5-9 µg/dL^	10-14 µg/dL	15-19 µg/dL	20-24 µg/dL	25-44 µg/dL	45-69 µg/dL	≥70 µg/dL	≥5 µg/dL^
Quarter X (Month - Month) 201X
All data obtained from the [NAME OF AWARDEE] Program.
* Unprocessed BLL records not included; all unprocessed records are <5 µg/dL.
^ Blood lead levels 5-9 μg/dL are counted as a single capillary or venous sample.

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Sheet 2: QX 201X Unprocessed BLLs

Period	Number of Unprocessed BLLs
Quarter X (Month - Month) 201X
Unprocessed BLLs have not yet been matched to patient records. If processed, the number of children tested in the given period would be expected to increase. All unprocessed records are for BLLs <5 µg/dL.