Medical Records
Medical Records - continued
The amendments to the medical records provisions of Regulation 1093 amend some of
the requirements regarding medical records and stipulate requirements for updating
records. The provisions regarding electronic records have been amended to provide greater
clarification and guidance with respect to making and maintaining electronic records.
Previous Version
Amended Version
Section 22(1) outlined the
information required in respect
of the records of each companion
animal. Paragraph 1 required
“patient identification, including
species, age and sex.” Paragraph
7 required “particulars of
each assessment, including
any laboratory investigations,
performed or ordered by the
member and the results of each
assessment.”
The requirements in section 22(1) have a few amendments.
Paragraph 1 now requires that records required in respect of each
companion animal must contain “animal identification, including
species, breed, colour, age and sex.” Paragraph 7 is amended and
now requires “Particulars of each assessment, including physical
examination data and any diagnostic investigations, performed or
ordered by the member and the results of each assessment.”
Sections 22(4.1) and 22(4.2) introduce medical records requirements
which only apply to members in certain circumstances in which they
are exempt from the VCPR requirement. They state:
(4.1) A member who provides veterinary services in a temporary
facility is not required to keep the information referred to in
subsections (1) to (4) in respect of an animal receiving services at
the temporary facility but shall maintain records containing the
information specified in the certificate of accreditation for the
temporary facility in accordance with subsections (5) and (6).
(4.2) A member who provides veterinary services with respect to