At a Glance: Practitioners’ Reporting Responsibilities for Medical Assistance in Dying Infographic

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Organization: Health Canada

Published: 2018-10-26

Medical Assistance in Dying (MAID) - Your reporting responsibilities as a physician or nurse practitioner

This graphic is a snapshot of the various outcomes that could occur once a practitioner receives a patient's written request for MAID, and when reporting is required.

If you receive a written request for medical assistance in dying, you may be responsible for filing a report. A written request can be made in many formats (e.g. text, email, paper). It does not have to be the formal signed and witnessed request required under the Criminal Code.

Federal reporting requirements for medical assistance in dying are in effect as of November 1, 2018. This means any written request received on or after November 1, 2018, may trigger reporting requirements under the new regulations. Some provinces and territories have shorter timelines for filing a report (contact your provincial or territorial health ministry if you have questions).

Upon receipt of a written request, six reportable outcomes are possible - four that do not result in MAID and two that do.

If you receive a patient's written request for MAID, but you do not provide MAID, you still need to report if one of the following occurs within 90 days of receiving the written request.

  • You refer the patient or transfer their care as a result of the request. A report is required within 30 days after the day of the referral/transfer.
  • You find the patient to be ineligible for MAID. A report is required within 30 days after the day ineligibility is determined.
  • You become aware that the patient withdrew the request for MAID. A report is required within 30 days after you became aware of the withdrawal.
  • You become aware of the patient's death from a cause other than MAID. A report is required within 30 days after the day you became aware of the patient's death.

When MAID is provided, either through administering a substance, or prescribing or providing a substance for self-administration, reporting is always required, regardless of the time elapsed since receipt of the request. In cases where a substance is administered, a report is required within 30 days after the substance is administered. Where a substance is prescribed or provided for self-administration by the patient, a report is required between 90-120 days after the day of prescribing or providing a substance. Reporting may be completed earlier if the practitioner knows the patient has died.

If you have questions about your reporting responsibilities, please visit the Health Canada website

https://www.canada.ca/en/health-canada/services/medical-assistance-dying/guidance-reporting-summary.html

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