Ambulatory Surgery Data Records – Cal. Health & Safety Code § 128737

Each general acute hospital and freestanding ambulatory surgical clinic must file an Ambulatory Surgery Data Record for each patient where surgery was performed and must include the following:

1. Date of birth
2. Sex
3. Race
4. Ethnicity
5. Principal language spoken
6. Zip code
7. Patient social security number
8. Service date
9. Diagnoses
10. Causes of injury
11. Procedures
12. Patient disposition
13. Expected source of payment

The statute outlines that it is the intent that patient confidentiality not be violated in reporting the above.  The data is also required to be de-identified when disclosing.