(1) For section 17 of the Act, the following information is prescribed:
(a) for a termination performed at not more than 14 weeks pregnant, using a termination drug:
(i) the date of birth of the woman who received the termination; and
(ii) the number of gestational weeks at which the termination was performed; and
(iii) the date the termination was initiated; and
(iv) the location where the termination was initiated; and
(v) the region of the usual place of residence of the woman who received the termination; and
(vi) the full name and provider number of the suitably qualified medical practitioner who performed the termination or directed the performance of the termination; and
(vii) whether a follow up appointment in relation to the termination was arranged;
(b) for a termination performed at not more than 14 weeks pregnant, by surgical procedure:
(i) the date of birth of the woman who received the termination; and
(ii) the number of gestational weeks at which the termination was performed; and
(iii) the date the termination was performed; and
(iv) the name of the premises where the termination was performed; and
(v) the location where the termination was performed; and
(vi) the region of the usual place of residence of the woman who received the termination; and
(vii) the full name and provider number of:
(A) the suitably qualified medical practitioner who performed the termination; or
(B) if the termination was performed in an emergency situation under section 10 of the Act – the medical practitioner who performed the termination; and
(viii) whether a follow up appointment in relation to the termination was arranged;
(c) for a termination performed at more than 14 weeks pregnant:
(i) the method of termination; and
(ii) the date of birth of the woman who received the termination; and
(iii) the number of gestational weeks at which the termination was performed; and
(iv) the date the termination was performed; and
(v) the name of the premises where the termination was performed; and
(vi) the location where the termination was performed; and
(vii) the region of the usual place of residence of the woman who received the termination; and
(viii) the full name and provider number of:
(A) the suitably qualified medical practitioner who performed the termination; and
(B) the suitably qualified medical practitioner who was consulted and who assessed the woman prior to the termination in accordance with section 9(a) of the Act; or
(C) if the termination was performed in an emergency situation under section 10 of the Act – the medical practitioner who performed the termination; and
(ix) whether a follow up appointment in relation to the termination was arranged.
(2) In this regulation:
"gestational weeks "means the number of weeks of a woman's pregnancy as determined by a medical practitioner.
"initiated" means the point in relation to performing a termination, at which a termination drug is first administered to the woman.
"location "means a town or a suburb of a city.
"method of termination "means any of the following:
(a) termination by surgical procedure;
(b) termination by use of a termination drug;
(c) termination by a combination of both means mentioned in paragraphs (a) and (b);
(d) termination by a means other than a means mentioned in paragraph (a) or (b).
"region "means one of the following regions in the Territory:
(a) Alice Springs;
(b) Barkly;
(c) Belyuen;
(d) Central Desert;
(e) Coomalie;
(f) Darwin;
(g) East Arnhem;
(h) Katherine;
(i) Litchfield;
(j) MacDonnell;
(k) Palmerston;
(l) Roper Gulf;
(m) Tiwi Islands;
(n) Victoria Daly;
(o) Wagait;
(p) West Arnhem;
(q) West Daly.