Australian Capital Territory Numbered Regulations

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PUBLIC HEALTH REGULATIONS 2000 (2000 NO 1) - REG 89

Medical record—information

(1)     The proprietor of a private hospital must keep a record (a medical record ) of the following information for a patient treated at the hospital:

        (a)     the name, age, sex and address of the patient;

        (b)     a short history of the patient while in the hospital, including the following:

              (i)     the date of admission;

              (ii)     any diseases apparent at the time of admission or afterwards;

              (iii)     any operations performed, with the name of the person performing the operation and the anaesthetist;

              (iv)     any anaesthetic used;

              (v)     the outcome of any operation;

              (vi)     the date when the patient left the hospital, or, if the patient died, the date of death.

Maximum penalty: 10 penalty units.

(2)     For a patient attending a private hospital for the delivery of a baby, the proprietor must, as well as the information under subregulation (1), make a record of the following information:

        (a)     a short history of the delivery;

        (b)     the outcome of the delivery and the subsequent period spent at the hospital;

        (c)     the sex and condition of the baby or babies.

Maximum penalty: 10 penalty units.

(3)     If a patient has been consulting a doctor, or has been cared for by a registered nurse, the proprietor must record the name and address of the doctor or nurse (or both, as the case requires).

Maximum penalty: 10 penalty units.



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