Victorian Numbered Regulations Victorian Numbered RegulationsSchedule 3—Information to be recorded in Register kept by registered ART provider
1 Information relating to donors of gametes and embryos kept or stored by a registered ART provider
The following information is prescribed in relation to each donor of gametes and each person who produced the gametes from which a donated embryo was formed—
(a) the unique donor identifier;
(b) the full name of the donor;
(c) any other name by which the donor is or has been known;
(d) the date of birth of the donor;
(e) the donor's place of birth (suburb or town and country);
(f) the sex of the donor;
(g) the date on which the registered ART provider sighted the donor's passport, driver licence or other identification bearing the donor's photograph and signature;
(h) the donor's residential address and contact telephone number;
(i) the date on which the donor produced the gametes;
(j) the place at which the donor produced the gametes;
(k) if the gametes were or the embryo was not produced at the premises of the registered ART provider, the date on which the gametes were or the embryo was received by the registered ART provider;
(k) the ethnic background of the donor's parents and grandparents, if known;
(l) the donor's height;
(m) the donor's build;
(n) the donor's blood group;
(o) any known genetic abnormality of the donor and, if available, any results of tests undertaken in relation to that abnormality;
(p) the number of women who have given birth to children conceived using the donor's gametes or an embryo formed from the donor's gametes, including the donor and any current or former partner of the donor;
(q) the total number of children born as a result of treatment procedures carried out by the registered ART provider using the donor's gametes or an embryo formed from the donor's gametes;
(r) whether the donor has donated, or intends to donate, gametes or embryos to any other registered ART provider or to a doctor and, if so—
(i) the name and address of that registered ART provider; or
(ii) the full name and business address of that doctor.
2 Information relating to disposal by a registered ART provider of any gametes or embryos formed outside the body of a woman
(1) The following information is prescribed in relation to gametes disposed of by a registered ART provider—
(a) the date on which the gametes were produced;
(b) the place at which the gametes were produced;
(c) the unique donor identifier or the unique patient identifier of the person who produced the gametes;
(d) the date of disposal of the gametes.
(2) The following information is prescribed in relation to each embryo formed outside the body of a woman and disposed of by a registered ART provider—
(a) the date on which the embryo was formed;
(b) the embryo reference number;
(c) the unique donor identifier or the unique patient identifier of each person who produced the gametes used to form the embryo;
(d) the date of disposal of the embryo.
3 Information relating to each woman on whom a donor treatment procedure is carried out by a registered ART provider and the partner, if any, of each woman
(1) The following information is prescribed in relation to each woman on whom a donor treatment procedure is carried out by a registered ART provider—
(a) the full name of the doctor performing the procedure;
(b) the full name of the woman;
(c) the date of birth of the woman;
(d) the place of birth of the woman (suburb or town and country);
(e) any known genetic abnormality of the woman and, if available, any results of tests undertaken in relation to that abnormality;
(f) if the woman has given birth to a child as a result of a previous treatment procedure—
(i) the name of the registered ART provider or doctor who carried out the treatment procedure; and
(ii) if the child was conceived using any donor gametes, the unique donor identifier of each person who produced the gametes.
(2) If the woman has a partner, the following information is required in relation to her partner—
(a) the full name of the partner;
(b) the date of birth of the partner;
(c) the place of birth of the partner (suburb or town and country);
(d) the partner's gender;
(e) if the partner's gametes will be used in the treatment procedure, any known genetic abnormality of the partner and, if available, any results of tests undertaken in relation to that abnormality.
4 Information relating to each donor treatment procedure carried out on a woman by a registered ART provider
The following information is prescribed in relation to each donor treatment procedure carried out on a woman by a registered ART provider—
(a) the unique patient identifiers of the woman on whom the treatment procedure is carried out and, if applicable, her partner;
(b) the date of the woman's consent to undergo the treatment procedure and, if applicable, the date of her partner's consent to the treatment procedure;
(c) the date on which the treatment procedure was carried out;
(d) the place at which the treatment procedure was carried out;
(e) the kind of treatment procedure carried out;
(f) the full name of the doctor who carried out the treatment procedure;
(g) the date on which the treatment cycle commenced;
(h) in relation to any donor of gametes or embryos used in the treatment procedure—
(i) whether the donor was known to the woman; and
(ii) the date of the donor's consent to use the gametes or embryos in a treatment procedure; and
(iii) the unique donor identifiers for each person who produced the gametes or embryos used; and
(iv) if a donor embryo is used in the treatment procedure, the embryo reference number;
(i) the outcome of the treatment procedure.
5 Information relating to the use of donor gametes or donor embryos in a treatment procedure carried out by a registered ART provider
(1) The following information is prescribed in relation to each treatment procedure carried out by a registered ART provider using donor gametes or donor embryos—
(a) in the case of donor gametes—
(i) whether the gametes used in the treatment procedure were thawed or fresh; and
(ii) if the gametes used in the treatment procedure were transferred to the registered ART provider, the date the gametes were received by the registered ART provider and from whom the gametes were transferred; and
(iii) the outcome of the treatment procedure;
(b) in the case of donor embryos—
(i) whether the embryos used in the treatment procedure were thawed or fresh; and
(ii) if the embryos used in the treatment procedure were transferred to the registered ART provider, the date the embryos were received by the registered ART provider and from whom the embryos were transferred; and
(iii) the outcome of the treatment procedure.
(2) The following information is prescribed in relation to the formation or attempted formation of an embryo outside the body of a woman by a registered ART provider for the purposes of a donor treatment procedure—
(a) the embryo reference number;
(b) the full name of the doctor performing the treatment procedure;
(c) the registered ART provider record number, the unique donor identifier or the unique patient identifier, as the case requires, of—
(i) the man who produced the sperm; and
(ii) the woman who produced the oocyte;
(d) the date on which the gametes were produced;
(e) the time at which and date on which the sperm and oocyte were placed together;
(f) the time at which and date on which fertilisation was confirmed.
6 Information relating to sex selection in a treatment procedure carried out by a registered ART provider
The following information is prescribed in relation to each treatment procedure carried out by a registered ART provider using sex selected embryos—
(a) the number of sex selected embryos used;
(b) if sex selected embryos were used to avoid the risk of transmission of a genetic abnormality or a genetic disease, the particular abnormality or disease;
(c) if the Patient Review Panel approved the use of sex selected embryos, evidence of that approval;
(d) the embryo reference number;
(e) the full name of the doctor performing the treatment procedure;
(f) the registered ART provider record number, the unique donor identifier or the unique patient identifier, as the case requires, of—
(i) the man who produced the sperm; and
(ii) the woman who produced the oocyte;
(g) the date on which the gametes were produced;
(h) the time at which and date on which the sperm and oocyte were placed together;
(i) the time at which and date on which fertilisation was confirmed.
7 Information relating to gametes or embryos transferred to or from another registered ART provider or a doctor
The following information is prescribed in relation to each transfer of gametes or embryos to or from another registered ART provider or a doctor—
(a) the date of transfer;
(b) the name of the registered ART provider or the full name of the doctor from whom, or to whom, the gametes or embryos were transferred;
(c) the full name of the person who authorised the transfer;
(d) either—
(i) in the case of gametes, the unique donor identifier or the unique patient identifier of the person who produced the gametes; or
(ii) in the case of each embryo, the unique donor identifier or the unique patient identifier of each person who produced the gametes from which the embryo was formed;
(e) the date on which the gametes were produced;
(f) the place at which the gametes were produced;
(g) for each embryo transferred, the embryo reference number;
(h) the reason for the transfer.
8 Information relating to collection and storage of gametes or embryos by a registered ART provider
(1) The following information is prescribed in relation to gametes or embryos collected by a registered ART provider—
(a) either—
(i) in the case of gametes, the unique donor identifier or the unique patient identifier of the person who produced the gametes; or
(ii) in the case of each embryo, the unique donor identifier or unique patient identifier of each person who produced the gametes from which the embryo was formed;
(b) the date on which the gametes were provided;
(c) the place at which the gametes were provided.
(2) The following information is prescribed in relation to gametes or embryos stored by a registered ART provider—
(a) either—
(i) in the case of gametes, the unique donor identifier or the unique patient identifier of the person who produced the gametes; or
(ii) in the case of each embryo, the unique donor identifier or the unique patient identifier of each person who produced the gametes from which the embryo was formed;
(b) in the case of each embryo, the embryo reference number;
(c) the date on which the gametes were or the embryo was produced or collected;
(d) the place at which the gametes were or the embryo was produced or collected;
(e) if the gametes were or the embryo was transferred from another registered ART provider or from a doctor, the name of that provider or the full name of that doctor;
(f) the date first placed in storage or, if the gametes were or the embryo was transferred from another registered ART provider or from a doctor, the date first placed in storage by that provider or doctor;
(g) the place of storage;
(h) in the case of stored gametes, whether the Patient Review Panel has approved a longer or further storage period in accordance with section 31A of the Act and, if so, the longer or further period approved;
(i) in the case of a stored embryo, if—
(i) the persons who produced the gametes from which the embryo was formed have consented to a longer storage period in accordance with section 33(2)(b)(ii) of the Act; or
(ii) the Patient Review Panel has approved a longer or further storage period in accordance with section 33A of the Act—
the longer or further storage period consented to or approved, as the case requires;
(j) on removal from storage, the date on which the gametes were or the embryo was removed from storage.
9 Information relating to consents and withdrawals of consent to the storage and removal from storage of gametes or embryos by a registered ART provider
(1) The following information is prescribed in relation to each consent given to a registered ART provider to the storage of gametes or an embryo—
(a) the unique donor identifier or the unique patient identifier of the person providing consent;
(b) the date of the consent;
(c) the date on which the consent lapses or any other storage period specified in the consent ends;
(d) whether a longer or further storage period has been approved by the Patient Review Panel under section 31A or 33A of the Act and, if so, the period approved;
(e) in the case of an embryo, whether the persons who produced the gametes from which the embryo was formed have consented to a longer storage period in accordance with section 33(2)(b)(ii) of the Act and, if so, the period specified;
(f) if the consent is withdrawn, the date on which consent was withdrawn.
(2) The following information is prescribed in relation to each consent, given to a registered ART provider, to the removal from storage of gametes or an embryo—
(a) the unique donor identifier or unique patient identifier of the person providing consent;
(b) the date of the consent;
(c) if the consent is withdrawn, the date on which consent was withdrawn.
10 Information relating to the transfer into or out of Victoria of any donor gametes or donor embryos stored or kept by a registered ART provider
(1) The following information is prescribed in relation to the taking out of Victoria of any donor gametes or donor embryos that have been, or are, stored or kept by a registered ART provider—
(a) either—
(i) in the case of donor gametes, the unique donor identifier or the unique patient identifier of the person who produced the gametes; or
(ii) in the case of an embryo, the unique donor identifier or the unique patient identifier of each person who produced the gametes from which the embryo was formed;
(b) in the case of an embryo, the embryo reference number;
(c) the reason for taking the gametes or the embryo out of Victoria;
(d) the date on which the Authority approved taking the gametes or the embryo out of Victoria;
(e) the date on which the gametes were or the embryo was taken out of Victoria;
(f) the place to which the gametes were or the embryo was sent;
(g) the full name of the person who authorised the transfer;
(h) the date on which the gametes were or the embryo was first placed in storage by the registered ART provider.
(2) The following information is prescribed in relation to the bringing into Victoria of any donor gametes or donor embryos that have been, or are, stored or kept by a registered ART provider—
(a) either—
(i) in the case of gametes, the unique donor identifier or the unique patient identifier of the person who produced the gametes; or
(ii) in the case of an embryo, the unique donor identifier or the unique patient identifier of each person who produced the gametes from which the embryo was formed;
(b) in the case of an embryo, the embryo reference number;
(c) the reason for bringing the gametes or the embryo into Victoria;
(d) the place from which the gametes were or the embryo was received;
(e) the date on which the gametes were or embryo was received by the registered ART provider;
(f) the full name of the person who authorised the receipt of the gametes or the embryo;
(g) the date on which the gametes were or the embryo was first placed in storage by the registered ART provider, unless used in a treatment procedure immediately after being received by the registered ART provider.
11 Information relating to consent or withdrawal of consent for a treatment procedure carried out by a registered ART provider
The following information is prescribed in relation to each consent for a treatment procedure given under section 10(1) of the Act—
(a) the date on which the consent form was signed;
(b) the unique patient identifier of the person providing the consent, or the person's full name;
(c) the date on which the person received counselling in accordance with section 13 of the Act and the name of the counsellor who provided the counselling;
(d) if the consent is withdrawn, the date on which consent was withdrawn.
12 Information relating to donor's consent or withdrawal of consent
The following information is prescribed in relation to each consent provided by a donor under section 16 of the Act—
(a) the date on which the donor signed the consent form;
(b) the date on which the consent lapses under section 21 of the Act;
(c) if the consent is withdrawn, the date on which consent was withdrawn.
13 Information relating to the outcome of a donor treatment procedure
The following information is prescribed in relation to the outcome of each donor treatment procedure carried out by a registered ART provider—
(a) the unique patient identifiers of the woman who underwent the treatment procedure and her partner, if any;
(b) the unique donor identifiers of each person who produced any gametes used in the treatment procedure;
(c) the date on which the treatment procedure was carried out;
(d) the outcome of the treatment procedure.
14 Information relating to each child born as a result of a donor treatment procedure carried out by a registered ART provider
The following information is prescribed in relation to each child born (including each child born in a multiple birth) as a result of a donor treatment procedure carried out by a registered ART provider—
(a) the unique patient identifiers of the woman who underwent the procedure and her partner, if any;
(b) the unique donor identifier of each person who produced any gametes used in the treatment procedure;
(c) the date on which the treatment procedure was carried out;
(d) the child's full name and sex;
(e) the child's date of birth;
(f) the full address of the child's place of birth;
(g) the child's birth weight;
(h) the child's gestational age;
(i) any physical or other abnormality discerned at or about the time of birth;
(j) if the child was not liveborn, the reason;
(k) if the birth was a multiple birth—
(i) the place of the child in the order of birth; and
(ii) the total number of children of the birth, whether liveborn or not.