North Dakota Code § 25-17-06

Pulse oximetry screening for critical congenital heart defects - Exception
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Before discharge of a newborn child born in a hospital with a birthing center, the newborn 
child must receive a pulse oximetry screening for critical congenital heart defects. The screening 
requirement of this section does not apply if the parents or guardians of a newborn child object 
to the screening. The department shall provide medical staff and facilities that provide birthing 
services with notice regarding this screening requirement. For purposes of this chapter, pulse 
oximetry screening is not a test under section 25 -17-05 and a congenital heart defect detected 

by screening under this section is not a metabolic disease or genetic disease as those terms are 
used under this chapter.

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