Each report of medical treatment following abortion shall contain the following

Each report of medical treatment following abortion shall contain the following information: 1. The age and race of the patient 2. The characteristics of the patient, including residency status, county of residence, marital status, education, number of previous pregnancies, number of stillbirths, number of living children and number of previous abortions 3. The date the abortion was performed and the method used if known 4. The type of facility where the abortion was performed 5. The condition of the patient that led to treatment, including, but not limited to, pelvic infection, hemorrhage, damage to pelvic organs, renal failure, metabolic disorder, shock, embolism, coma or death 6. The amount billed to cover the treatment of the complication, including whether the treatment was billed to Medicaid, insurance, private pay or other method. This should include charges for physician, hospital, emergency room, prescription or other drugs, laboratory tests and any other costs for the treatment rendered. 7. The charges are to be coded with the current ICD medical coding classification system in such a way as to distinguish treatment following induced abortions from treatments following ectopic or molar pregnancies.