[et_pb_section fb_built=”1″ _builder_version=”4.24.0″ background_image=”https:\/\/nas.cste.org\/wp-content\/uploads\/2024\/10\/NAS_Section_CD_CaseClassification.png” custom_padding=”||855px|||” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” global_colors_info=”{}”][\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.24.0″ _module_preset=”default” custom_padding=”||0px|||” global_colors_info=”{}”][et_pb_row _builder_version=”4.16″ custom_padding=”||56px|||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.24.0″ text_font=”Poppins||||||||” text_font_size=”23px” text_line_height=”1.8em” header_font=”||||||||” header_font_size=”42px” header_2_font=”Noto Serif||||||||” header_2_font_size=”40px” header_2_line_height=”1.4em” custom_margin=”||4px|||” animation_style=”fade” header_2_font_size_tablet=”30px” header_2_font_size_phone=”24px” header_2_font_size_last_edited=”on|phone” locked=”off” inline_fonts=”Poppins” global_colors_info=”{}”]<\/p>\n
<\/span><\/p>\n <\/span><\/p>\n <\/span><\/p>\n<\/div>\n<\/div>\n [\/et_pb_text][et_pb_text _builder_version=”4.24.0″ text_font=”Poppins||||||||” text_font_size=”23px” text_line_height=”1.8em” header_font=”||||||||” header_font_size=”42px” header_2_font=”Noto Serif||||||||” header_2_font_size=”40px” header_2_line_height=”1.4em” custom_margin=”-36px||4px|||” custom_padding=”22px||27px||false|false” animation_style=”fade” header_2_font_size_tablet=”30px” header_2_font_size_phone=”24px” header_2_font_size_last_edited=”on|phone” locked=”off” inline_fonts=”Poppins” global_colors_info=”{}”]<\/p>\n Case classification as a part of Tier 1 surveillance for NAS can be complex and is based on a combination of clinical or diagnostic criteria (i.e. clinical signs, chief complaint, or provider diagnosis) as well as evidence of substance exposure (i.e. positive laboratory testing or documentation of substance use by the birthing parent during pregnancy). There are two classifications for neonates meeting the Tier 1 case definition for NAS: (1) confirmed cases that capture neonates with NAS and exposure to opiate, benzodiazepine, or barbiturate (OBB) substances, and (2) suspect cases that capture neonates with NAS and exposure to non-OBB or unknown types of substances. OBBs are the substances most commonly associated with withdrawal signs in neonates, however public health surveillance for NAS in neonates exposed to other types of substances allows for early public health detection of novel or emerging substances associated with NAS.<\/span><\/p>\n<\/div>\n<\/div>\n [\/et_pb_text][et_pb_image src=”https:\/\/nas.cste.org\/wp-content\/uploads\/2024\/10\/CD_FlowChart_FINAL-pdf.jpg” title_text=”CD_FlowChart_FINAL” _builder_version=”4.24.0″ _module_preset=”default” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][\/et_pb_image][et_pb_button button_text=”Download PDF” button_alignment=”center” _builder_version=”4.24.0″ _module_preset=”default” custom_button=”on” button_text_color=”#FFFFFF” button_bg_color=”#2a3282″ button_border_radius=”45px” custom_margin=”||76px|||” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″ button_url=”https:\/\/nas.cste.org\/wp-content\/uploads\/2025\/08\/CD_FlowChart_FINAL-2.pdf” 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custom_padding=”30px|20px|30px|20px|true|true” link_option_url=”https:\/\/nas.cste.org\/?page_id=268″ border_radii=”off|10px|||10px” box_shadow_style=”preset3″ box_shadow_blur=”100px” box_shadow_color=”rgba(85,103,127,0.6)” locked=”off” global_colors_info=”{}”]<\/p>\n Next,How To Read (S\/N\/O\/) or more notation<\/p>\n [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”About” _builder_version=”4.16″ _module_preset=”77f10ea6-8b12-4d6a-9cca-272a7cb46e4f” custom_margin=”||128px|||” custom_padding=”107px||54px|||” custom_width_px__hover=”1080px” custom_width_px__hover_enabled=”1080px” custom_width_percent__hover=”80%” custom_width_percent__hover_enabled=”80%” global_colors_info=”{}” make_fullwidth__hover=”off” make_fullwidth__hover_enabled=”off” use_custom_width__hover=”off” use_custom_width__hover_enabled=”off” width_unit__hover=”on” width_unit__hover_enabled=”on”][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.16″ _module_preset=”default” max_width=”80%” use_custom_width=”on” width_unit=”off” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.24.0″ _module_preset=”default” header_font=”||||||||” header_2_font=”Noto Serif||||||||” header_2_font_size=”40px” header_2_line_height=”1.4em” custom_margin=”||-2px|||” header_2_font_size_tablet=”30px” header_2_font_size_phone=”24px” header_2_font_size_last_edited=”on|phone” locked=”off” global_colors_info=”{}”]<\/p>\n [\/et_pb_text][et_pb_divider color=”#FFBA5A” divider_weight=”3px” _builder_version=”4.16″ _module_preset=”default” max_width=”80px” height=”3px” locked=”off” global_colors_info=”{}”] Case Classification Flowchart Case classification as a part of Tier 1 surveillance for NAS can be complex and is based on a combination of clinical or diagnostic criteria (i.e. clinical signs, chief complaint, or provider diagnosis) as well as evidence of substance exposure (i.e. positive laboratory testing or documentation of substance use by the birthing […]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-293","page","type-page","status-publish","hentry"],"aioseo_notices":[],"featured_image_src":null,"featured_image_src_square":null,"_links":{"self":[{"href":"https:\/\/nas.cste.org\/index.php?rest_route=\/wp\/v2\/pages\/293","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nas.cste.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nas.cste.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nas.cste.org\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/nas.cste.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=293"}],"version-history":[{"count":0,"href":"https:\/\/nas.cste.org\/index.php?rest_route=\/wp\/v2\/pages\/293\/revisions"}],"wp:attachment":[{"href":"https:\/\/nas.cste.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=293"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Continue The<\/span> Guide<\/span><\/h2>\n
\n[\/et_pb_divider][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_4,1_4,1_4,1_4″ _builder_version=”4.16″ _module_preset=”default” max_width=”80%” custom_margin=”|auto|-203px|auto||” custom_padding=”0px||73px|||” use_custom_width=”on” width_unit=”off” global_colors_info=”{}”][et_pb_column type=”1_4″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=” CASE DEFINITION ” url=”https:\/\/nas.cste.org\/?page_id=38″ image=”https:\/\/nas.cste.org\/wp-content\/uploads\/2024\/05\/CaseDefinition_Icon_600px.png” icon_placement=”left” image_icon_width=”140px” _builder_version=”4.24.0″ _module_preset=”default” header_font=”|700|||||||” header_text_color=”#E09900″ global_colors_info=”{}”][\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”DATA COLLECTION” url=”https:\/\/nas.cste.org\/?page_id=40″ image=”https:\/\/nas.cste.org\/wp-content\/uploads\/2024\/05\/DataCollection_Icon_600px.png” icon_placement=”left” image_icon_width=”140px” _builder_version=”4.24.0″ _module_preset=”default” header_font=”|700|||||||” header_text_color=”#d6391d” global_colors_info=”{}”][\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”PROVIDER COMMUNICATIONS” url=”https:\/\/nas.cste.org\/?page_id=34″ image=”https:\/\/nas.cste.org\/wp-content\/uploads\/2024\/05\/ProviderCommunication_Icon_600px.png” icon_placement=”left” image_icon_width=”140px” _builder_version=”4.24.0″ _module_preset=”default” header_font=”|700|||||||” header_text_color=”#b900e2″ global_colors_info=”{}”][\/et_pb_blurb][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.16″ _module_preset=”default” custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”SURVEILLANCE BY JURISDICTION” url=”https:\/\/nas.cste.org\/?page_id=36″ image=”https:\/\/nas.cste.org\/wp-content\/uploads\/2024\/05\/SurveillanceByJurisdiction_Icon_600px.png” icon_placement=”left” image_icon_width=”140px” _builder_version=”4.24.0″ _module_preset=”default” header_font=”|700|||||||” header_text_color=”#96db3d” global_colors_info=”{}”][\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"