Wisconsin Statutes Statistics (Ch. 69) § 69.186. Induced abortion reporting

(a) The state and, if this state, the county, of residence.

(b) Patient number.

(c) Race.

(d) Age.

(e) Marital status.

(f) Month and year in which the induced abortion was performed.

(g) Education.

(h) The number of weeks since the patient's last menstrual period.

(hf) The probable postfertilization age of the unborn child, as defined in s. 253.107(1)(c), and whether an ultrasound was used to assist in making the determination of postfertilization age of the unborn child, or, if the probable postfertilization age of the unborn child was not determined, the nature of the medical emergency, as defined in s. 253.10(2)(d).

(hm) Whether the abortion was a chemically induced abortion, a surgical abortion or a surgical abortion following a failed or incomplete chemical abortion.

(i) Complications, if any, resulting from performance of the induced abortion.

(j) If the patient is a minor, whether consent was provided under s. 48.375(4)(a)1. for the abortion and, if so, the relationship of the individual providing consent to the minor; or, if consent under s. 48.375(4)(a)1. was not provided, on which of the bases under s. 48.375(4)(a)2. or (b)1., 1g., 1m., 2. or 3. the abortion was performed.

(k) If the unborn child is considered to be capable of experiencing pain under s. 253.107(3)(a), the nature of the medical emergency, as defined in s. 253.10(2)(d), that the pregnant woman had.

(L) If the unborn child is considered to be capable of experiencing pain under s. 253.107(3)(a), a statement whether the method of abortion used was one that, in reasonable medical judgment, provided the best opportunity for the unborn child to survive or, if such a method was not used, the basis of the determination that termination of the pregnancy in that manner posed a greater risk either of the death of the pregnant woman or of the substantial and irreversible physical impairment of a major bodily function of the woman than other available methods.

(a) The department may use information concerning the patient number under sub. (1)(b) or concerning the identity of a specific reporting hospital, clinic or other facility for purposes of information collection only and may not reproduce or extrapolate this information for any purpose.

(b) The department shall immediately destroy all reports submitted under sub. (1) after information is extrapolated from the reports for use in publishing the annual demographic summary under this subsection.