Ariz. Admin. Code § 9-19-305

Current through Register Vol. 30, No. 24, June 14, 2024

Section R9-19-305 - Fetal Death Registration

A. Before requesting the registration of a fetal death, a hospital, an abortion clinic, a physician, a nurse midwife, or a midwife shall:

1. Obtain, in a written format:

a. The information in subsections (B)(1)(a) through (f), (v), and (w) and (2)(a) through (f) from a parent of the deceased or another family member who is of legal age; and

b. A statement attesting to the validity of the information in subsections (B)(1)(a) through (f), (v), and (w) and (2)(a) through (f), signed and dated by the individual providing the information; and

2. Provide, in a Department-provided format, the information in:

a. Subsections (B)(1)(g) through (o) and (2)(g) through (u); and

b. Unless a funeral director is responsible for the final disposition of the human remains, subsections (B)(1)(p) through (u).

B. Except as provided in subsection (D) and R9-19-306, a hospital, an abortion clinic, a physician, a nurse midwife, or a midwife shall submit to the State Registrar or a local registrar, according to A.R.S. § 36-329 and in a Department-provided format:

1. Information for the deceased's certificate of fetal death registration:

a. The name of the deceased, if applicable;

b. Location where delivery occurred, including:

i. The city or town, zip code, and county where the delivery occurred; and

ii. Whether delivery occurred in a residence or another facility;

c. If delivery occurred at a residence, the street address of the residence or, if the residence where the delivery occurred does not have a street address, another indicator of the location at which the delivery occurred;

d. If delivery occurred in a facility, the:

i. Name of the facility where delivery occurred, and

ii. Type of facility where delivery occurred;

e. The following information about the deceased's father:

i. Name;

ii. Date of birth; and

iii. State, territory, or foreign country where the father was born;

f. The following information about the deceased's mother:

i. Current name;

ii. Street address, apartment number if applicable, city or town, state, zip code, and county of the mother's usual residence;

iii. If the mother's usual residence is not in the United States, the country of the mother's usual residence;

iv. Date of birth;

v. Name before first marriage; and

vi. State, territory, or foreign country where the mother was born;

g. The deceased's sex;

h. Plurality of delivery;

i. If plurality involves more than one, the deceased's order of birth;

j. Date of delivery;

k. Hour of delivery;

l. Any cause or condition that contributed to the fetal death, specified according to the applicable standards incorporated by reference in R9-19-303(C)(3) or R9-19-304(C), as applicable;

m. Any other significant causes or conditions related to the fetal death;

n. If a medical examiner of the registration district where the fetal death occurred took charge of the human remains under A.R.S. § 11-594, the name and health professional license number of the medical examiner;

o. The name and, if applicable, professional credential of the individual attending the delivery and

p. The anticipated final disposition of the human remains, including one or more of the following:

i. Hospital or abortion clinic disposition;

ii. Burial;

iii. Entombment;

iv. Cremation;

v. Anatomical gift, except for an anatomical gift of a part;

vi. Removal from the state; and

vii. Other final disposition of the human remains;

q. If an anticipated final disposition is anatomical gift, except for an anatomical gift of a part, another anticipated final disposition other than removal from the state;

r. If an anticipated final disposition is removal from the state:

i. Whether removal from the state includes removal from the United States; and

ii. Another anticipated final disposition specified in subsection (B)(1)(p)(ii), (iii), (iv), or (vii);

s. If an anticipated final disposition of the human remains is another means of final disposition, a description of the anticipated final disposition;

t. The name and location where each final disposition of the human remains took place, and the date of each final disposition;

u. If a funeral establishment is responsible for the final disposition of the human remains:

i. The name and address of the funeral establishment and

ii. The name and license number of the funeral director;

v. If a person is responsible for the final disposition of the human remains, the name and address of the responsible person; and

w. The name and title of the individual providing the information;

2. Other information for the deceased's fetal death record:

a. If delivery occurred at a residence, whether the delivery was planned to occur at the residence;

b. The following information about the deceased's father:

i. Race;

ii. Whether the father is of Hispanic origin and, if so, the type of Hispanic origin; and

iii. Highest degree or level of education completed by the father at the time of the deceased's delivery;

c. The following information about the deceased's mother:

i. Race;

ii. Highest degree or level of education completed by the mother at the time of the deceased's delivery;

iii. Whether the mother's usual residence is inside city limits;

iv. Whether the mother's usual residence is in a tribal community and, if so, the name of the tribal community; and

v. Height;

d. Whether the deceased's mother:

i. Is of Hispanic origin and, if so, the type of Hispanic origin;

ii. Received food from WIC for herself during the pregnancy; or

iii. Was married at the time of delivery;

e. The deceased's mother's history of

i. Smoking before or during the pregnancy,

ii. Prenatal care for this pregnancy, and

iii. Previous pregnancies and pregnancy outcomes;

f. The deceased's mother's:

i. Pre-pregnancy weight;

ii. Weight at delivery; and

iii. Date the last normal menses began;

g. The principal source of payment for the delivery;

h. If applicable, the National Provider Identifier of the facility where delivery occurred;

i. Estimation of the deceased's gestational age;

j. Weight in grams of the deceased at delivery;

k. Whether:

i. The deceased was dead at first assessment with no ongoing labor,

ii. The deceased was dead at first assessment with ongoing labor,

iii. The deceased died during labor after first assessment, or

iv. It is unknown when the deceased died;

l. The following medical information about the deceased's mother:

i. Medical risk factors during this pregnancy;

ii. Characteristics of the labor and delivery; and

iii. Medical complications during labor or delivery;

m. Whether the deceased's mother was transferred from one facility to another facility for a maternal medical condition or fetal medical condition before the delivery;

n. If the deceased's mother was transferred from one facility to another facility before the delivery, the name of the facility from which the deceased's mother was transferred;

o. Whether the prenatal record was available for completion of the fetal death report;

p. Any congenital anomalies of the deceased;

q. Whether an autopsy was planned or performed;

r. Whether a histological placental examination was performed;

s. Whether autopsy or histological placental examination results were used in determining the cause of the fetal death;

t. Whether the placenta appearance was normal or abnormal; and

u. A description of the fetal appearance at delivery; and

3. A written statement attesting to the validity of the submitted information, signed and dated by the designee of the person submit-ting the information.

C. To request the registration of a fetal death more than seven days after the fetal death, a hospital, an abortion clinic, a physician, a nurse midwife, or a midwife shall submit, in a Department-provided format, to the State Registrar:

1. The information required in subsections (A)(1) and (2);

2. A description of the circumstances causing the delay; and

3. A written statement attesting to the validity of the information required in subsections (B)(1) and (2), signed and dated by the person making the request.

D. Within seven days after receiving the human remains from a fetal death from a hospital, an abortion clinic, a physician, a nurse midwife, or a midwife, a responsible person or funeral director who is responsible for the final disposition of the human remains shall submit to the State Registrar or the local registrar of the registration district in which the fetal death occurred, in a Department-provided format, any information specified in subsections (B)(1)(a) through (f) and (p) through (w) and (2)(a) through (e) that had not been submitted by the hospital, abortion clinic, physician, nurse midwife, or midwife, according to subsection (B).

E. If a fetal death occurs in this state and is not registered within one year after the date of the fetal death, the State Registrar or a local registrar shall establish and register a delayed fetal death record.

F. When the State Registrar or a local registrar or deputy local registrar of the registration district where a fetal death occurred receives a request to register the fetal death, the State Registrar, local registrar, or deputy local registrar shall review the request according to R9-19-103.

G. A hospital, an abortion clinic, a physician, a nurse midwife, or a midwife responsible for submitting the information in subsection (B) to the State Registrar or a local registrar or deputy local registrar shall:

1. Maintain a copy of the evidentiary document in subsection (A) for at least 10 years after the date on the evidentiary document, and

2. Provide a copy of the evidentiary document in subsection (A) to the State Registrar for review within 48 hours after the State Registrar's request.

Ariz. Admin. Code § R9-19-305

Former Section R9-19-305 repealed, new Section R9-19-305 adopted effective February 20, 1980 (Supp. 80-1). Amended effective July 31, 1989 (Supp. 89-3). Section expired under A.R.S. 41-1056(E) at 11 A.A.R. 867, effective December 31, 2004 (Supp. 05-1). New Section made by final rulemaking at 12 A.A.R. 4387, effective January 6, 2007 (Supp. 06-4). Renumbered from R9-19-306 by final rulemaking at 22 A.A.R. 1783, effective 10/1/2016. Amended by final expedited rulemaking at 26 A.A.R. 1534, effective 7/7/2020.