C-26, r. 105 - Regulation respecting the keeping of records by dietitians

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chapter C-26, r. 105
Regulation respecting the keeping of records by dietitians
DIETITIANS — PROFESSIONAL CODE — RECORDS
Professional Code
(chapter C-26, s. 91).
C-26
September 1 2012
DIVISION I
GENERAL PROVISIONS
1.01. In this Regulation, unless the context indicates otherwise,
(a)  “Order” means the Ordre professionnel des diététistes du Québec;
(b)  “dietitian” means every person whose name is entered on the roll of the Order.
R.R.Q., 1981, c. C-26, r. 75, s. 1.01.
1.02. The Interpretation Act (chapter I-16) applies to this Regulation.
R.R.Q., 1981, c. C-26, r. 75, s. 1.02.
1.03. Nothing in this Regulation shall be interpreted as excluding the use of data processing or any other technical means in constituting and keeping the records of a dietitian.
R.R.Q., 1981, c. C-26, r. 75, s. 1.03.
DIVISION II
KEEPING OF RECORDS
2.01. Subject to sections 2.07 and 2.08, the dietitian must keep a record for each of his clients in the premises where he practises his profession.
R.R.Q., 1981, c. C-26, r. 75, s. 2.01.
2.02. The dietitian must enter the following items and information in each record:
(a)  the date of opening the record;
(b)  where the client is an individual, the name and given names of the client at birth, the sex, address, telephone number, date of birth, and the health insurance number where such information is relevant;
(c)  where the client is a partnership, body or establishment, its name, style, the name of the representative, the business address and telephone number;
(d)  a summary description of the reasons for the consultation;
(e)  a description of the professional services rendered and their date;
(f)  the evaluation and evolution reports;
(g)  the recommendations made to the client;
(h)  the reports provided;
(i)  the notes, correspondence and other documents pertaining to the professional services rendered, in particular the prescriptions requiring his services.
R.R.Q., 1981, c. C-26, r. 75, s. 2.02.
2.03. A dietitian must keep each record up-to-date until he ceases to render professional services to the person concerned in that record.
R.R.Q., 1981, c. C-26, r. 75, s. 2.03.
2.04. A dietitian must keep each record for a period of at least 5 years from the date of the last service rendered.
R.R.Q., 1981, c. C-26, r. 75, s. 2.04.
2.05. A dietitian must keep his records in a room or cabinet which is not readily accessible to the public.
When, in accordance with section 1.03, the dietitian uses data processing or any other technical means in constituting and keeping his records, he must ensure that their confidentiality is respected.
R.R.Q., 1981, c. C-26, r. 75, s. 2.05.
2.06. When a document in a record is given to the client, the dietitian must insert a note in that record indicating the nature of the document and the date on which it was taken out.
R.R.Q., 1981, c. C-26, r. 75, s. 2.06.
2.07. Where a dietitian is a member or employed by a partnership, or if he is employed by a natural or legal person, the records kept by such partnership or employer in respect of the persons to whom services are rendered by that dietitian shall be considered, for the purposes of this Regulation, to be the latter’s records if he may enter therein the items or information referred to in section 2.02; if he cannot do so, he must keep a record for each of these persons.
The dietitian must sign or initial each entry or report that he puts in a record of his partnership or employer.
R.R.Q., 1981, c. C-26, r. 75, s. 2.07.
2.08. Where a dietitian practises in an institution to which the Act respecting health services and social services (chapter S-4.2) or the Act respecting health services and social services for Cree Native persons (chapter S-5) applies, the recipient’s record within the meaning of those Acts and their regulations shall be considered, for the purposes of this Regulation, as the record of that dietitian.
R.R.Q., 1981, c. C-26, r. 75, s. 2.08.
REFERENCES
R.R.Q., 1981, c. C-26, r. 75