3701-47-03 Reporting forms.

(A) "Abortion report" in this rule means a form completed in compliance with division (C) of this rule.

(B) The department shall be responsible for collecting and collating abortion data reported to the department as required by this rule.

(C) An individual abortion report for each abortion performed upon a woman shall be completed by her attending physician. The report shall be confidential and shall not contain the name of the woman. This report shall include, but not be limited to the following, in so far as the patient makes the data available which is not within the physician's knowledge:

(1) Patient number;

(2) Facility name and address;

(3) Date of abortion;

(4) Zip code of residence of pregnant woman;

(5) Age of pregnant woman;

(6) Race;

(7) Marital status;

(8) Number of previous pregnancies;

(9) Years of education;

(10) Number of living children;

(11) Number of previously induced abortions;

(12) Date of last induced abortion;

(13) Date of last live birth;

(14) Method of contraception at time of conception;

(15) Date of last menstrual period;

(16) Medical condition of the woman at the time of the abortion;

(17) Rh type of pregnant woman;

(18) Type of abortion procedure;

(19) Complications by type;

(20) Type of procedure done after the abortion;

(21) Type of family planning recommended;

(22) Type of additional counseling given;

(23) Signature of attending physician.

(D) Abortion reports shall by submitted by the hospital to the department within fifteen (15) days after the discharge of the woman.

(E) Appropriate certificate of birth shall be made out after the twentieth (20 th ) week of gestation.

(F) A copy of the abortion report shall be made a part of the medical record of the patient of the facility in which the abortion was performed.

(G) Each hospital shall file monthly and yearly (Fiscal year: July-June) reports listing the total number of women who had undergone a post twelve week gestation abortion and received post abortion care. These reports shall be filed within thirty (30) days following the end of the reporting period.

(H) Every case in which a physician treats a post abortion complication shall be reported on a post abortion complication form. The report shall be made upon a form prescribed by the department and shall be signed by the attending physician.

HISTORY: Eff 9-1-75; 12-2-76; 2-13-99
Rule promulgated under: RC Chapter 119 .
Rule authorized by: RC 3701.341
Rule amplifies: RC 3701.341 R.C. 119.032 Review Date: February 1, 2004


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Containing legislation passed and filed through August 1, 2000.