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<regulation prefix="Regulation" num=".01" citation="COMAR 10.03.01.01" title_num="10" subtitle_num="03" chapter_num="01" heading="Definitions.">
  <paragraph num="A.">
    <text>In this chapter, the following terms have the meanings indicated.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Terms Defined.</text>
    <paragraph num="(1)">
      <text>Amendment.</text>
      <paragraph num="(a)">
        <text>“Amendment” means an alteration of or change to a vital record based on a court order or documentation specified in this chapter.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Amendment” includes more than one alteration of or change to a vital record, if the alterations or changes are specified in the same court order or the same request supported by documentation specified in this chapter.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>“Amendment to change a name” means changing or altering any part of the name on a vital record.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>“Attending clinician” means the physician, nurse midwife, or direct-entry midwife in charge of a birth outside an institution.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Authorized Representative.</text>
      <paragraph num="(a)">
        <text>“Authorized representative” means a parent, guardian, or other representative of the subject of the vital record who presents evidence, satisfactory to the Secretary, that that individual is an authorized representative.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>“Authorized representative” includes but is not limited to:</text>
        <paragraph num="(i)">
          <text>A member of the immediate or surviving family;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A direct ascendant or descendent;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>An executor;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>An attorney; or</text>
        </paragraph>
        <paragraph num="(v)">
          <text>After October 1, 1999, a confidential intermediary or the Director of the Social Services Administration of the Department of Human Services.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>“Common carrier” means a public transportation business, line, or system which moves persons or goods from place to place. For the purpose of these regulations, “common carrier” does not include a funeral director's hearse or vehicle.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>“Confidential intermediary” means an individual or child placement agency qualified by the Director of the Social Services Administration of the Department of Human Services for the purpose of providing search, contact, and reunion services, as defined at §B(19) of this regulation.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>“Correction of a name” means altering the spelling of a name to eliminate an obvious misspelling, such as Jaon to Joan, or to eliminate a spelling contrary to the one used by the family, such as Smith to Smythe.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>“Dead body” means a lifeless human body or parts of a body or its bones from the condition of which it reasonably may be concluded that death has occurred. The term “dead body” does not apply to amputated parts.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>“Delayed birth registration” means registration of a birth when the child is more than 1 year old.</text>
    </paragraph>
    <paragraph num="(10)">
      <text>“Department” means the Maryland Department of Health.</text>
    </paragraph>
    <paragraph num="(11)">
      <text>“Direct-entry midwife” means an individual licensed to practice direct-entry midwifery under Health Occupations Article, Title 8, Subtitle 6C, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(12)">
      <text>“Electronic signature” means an electronic process associated with a record and executed by an individual with the intent to sign the record.</text>
    </paragraph>
    <paragraph num="(13)">
      <text>“Fetal death” means death before the complete expulsion or extraction from its mother of a product of human conception, irrespective of the duration of pregnancy. The death is indicated by the fact that after the separation, the fetus does not breathe or show any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles.</text>
    </paragraph>
    <paragraph num="(14)">
      <text>“Filing” means the presentation of a certificate, report, or other record provided for in this subtitle, of a birth, death, fetal death, adoption, marriage, or divorce for registration by the Secretary.</text>
    </paragraph>
    <paragraph num="(15)">
      <text>“Final disposition” means the burial, interment, cremation, or other disposition of a dead body or fetus.</text>
    </paragraph>
    <paragraph num="(16)">
      <text>“Human remains” means a dead body or dead fetus for whom a death certificate is required to be filed under this chapter or Health-General Article, Title 4, Subtitle 2, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(17)">
      <text>“Institution” means any establishment, public or private:</text>
      <paragraph num="(a)">
        <text>Which provides in-patient medical, surgical, or diagnostic care or treatment;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Which provides nursing, custodial, or domiciliary care to two or more unrelated individuals; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>To which persons are committed by law.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(18)">
      <text>“Live birth” means the complete expulsion or extraction from its mother of a product of human conception, irrespective of the period of gestation, which, after separation, breathes or shows any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscle, whether the umbilical cord has been cut or the placenta is attached.</text>
    </paragraph>
    <paragraph num="(19)">
      <text>“Mortician” means a funeral director and mortician as defined in Health Occupations Article, Title 7, Annotated Code of Maryland, or other person who is authorized to make final disposition of the human remains.</text>
    </paragraph>
    <paragraph num="(20)">
      <text>“Nurse midwife” means an individual certified to practice as a nurse midwife under Health Occupations Article, Title 8, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(21)">
      <text>“Physician” means a person authorized or licensed to practice medicine in this State pursuant to the provisions of Health Occupations Article, Title 14, Annotated Code of Maryland.</text>
    </paragraph>
    <paragraph num="(22)">
      <text>“Physician Assistant” means an individual who is licensed under Health Occupations Article, Title 15, Annotated Code of Maryland, to practice medicine with physician supervision.</text>
    </paragraph>
    <paragraph num="(23)">
      <text>“Registration” means the acceptance by the Secretary and the incorporation in the Department's official records of certificates, reports, or other records provided for in this subtitle, of births, deaths, fetal deaths, adoptions, marriages, or divorces.</text>
    </paragraph>
    <paragraph num="(24)">
      <text>“Search, contact, and reunion service” means a service to:</text>
      <paragraph num="(a)">
        <text>Locate adopted individuals and biological parents of adopted individuals;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Assess the mutual desire for communication or disclosure of information between adopted individuals and biological parents of adopted individuals; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Provide, or provide referral to, counseling for adopted individuals and biological parents of adopted individuals.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(25)">
      <text>“Secretary” means the Secretary of Health.</text>
    </paragraph>
    <paragraph num="(26)">
      <text>“Vital records” means records of birth, death, fetal death, marriage, divorce, adoption, and adjudication of paternity required by law to be registered with the Secretary.</text>
    </paragraph>
  </paragraph>
</regulation>