Regulations for the Monitoring of Medical Assistance in Dying (SOR/2018-166)

1 The following information in respect of the person who made the request for medical assistance in dying and for whom the substance was dispensed:

• (a) date of birth; and

• (b) health insurance number and the province or territory that issued it or, in the case where they do not have a health insurance number or the pharmacist or pharmacy technician does not know the person’s health insurance number, the province or territory of their usual place of residence on the day on which the pharmacist or pharmacy technician dispensed the substance.

2 The following information in respect of the pharmacist or pharmacy technician:

• (a) name and an indication of whether they are a pharmacist or pharmacy technician;

• (b) the province or territory in which they practise and, if they practise in more than one province or territory, the province or territory in which they dispensed the substance;

• (c) the licence or registration number assigned to them in the province or territory in which they dispensed the substance; and

• (d) the mailing address and email address that they use for work.

3 The following information in respect of the practitioner who prescribed the substance or obtained the substance from the pharmacist or pharmacy technician:

• (a) name; and

• (b) the licence or registration number assigned to the practitioner in the province or territory in which they received the request.

4 The following information in respect of the dispensing of the substance:

• (a) the date on which the substance was dispensed; and

• (b) an indication of whether the pharmacist or pharmacy technician dispensed the substance in a hospital pharmacy or community pharmacy or, if they dispensed the substance elsewhere, a description of that place.