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    MCCOD Guidelines For Physicians

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    Bernadette Quiñones
    The document provides guidelines for physicians in correctly certifying causes of death. It lists several guidelines including using the current death certificate form, completing all required portions, and accurately indicating the underlying cause of death without abbreviations or ill-defined terms. It identifies information that must be included when specifying conditions like neoplasms, infections, or injuries. Physicians should complete the certificates legibly and use permanent ink for signatures to ensure validity. Mechanistic terminal events and vague conditions are considered ill-defined and should not be used as the underlying cause of death.

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    MCCOD Guidelines For Physicians

    Uploaded by

    Bernadette Quiñones
    7 views1 page
    The document provides guidelines for physicians in correctly certifying causes of death. It lists several guidelines including using the current death certificate form, completing all required portions, and accurately indicating the underlying cause of death without abbreviations or ill-defined terms. It identifies information that must be included when specifying conditions like neoplasms, infections, or injuries. Physicians should complete the certificates legibly and use permanent ink for signatures to ensure validity. Mechanistic terminal events and vague conditions are considered ill-defined and should not be used as the underlying cause of death.

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    MCCOD Guidelines for Physicians

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    The document provides guidelines for physicians in correctly certifying causes of death. It lists several guidelines including using the current death certificate form, completing all required portions, and accurately indicating the underlying cause of death without abbreviations or ill-defined terms. It identifies information that must be included when specifying conditions like neoplasms, infections, or injuries. Physicians should complete the certificates legibly and use permanent ink for signatures to ensure validity. Mechanistic terminal events and vague conditions are considered ill-defined and should not be used as the underlying cause of death.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7 views1 page

    MCCOD Guidelines For Physicians

    Uploaded by

    Bernadette Quiñones
    The document provides guidelines for physicians in correctly certifying causes of death. It lists several guidelines including using the current death certificate form, completing all required portions, and accurately indicating the underlying cause of death without abbreviations or ill-defined terms. It identifies information that must be included when specifying conditions like neoplasms, infections, or injuries. Physicians should complete the certificates legibly and use permanent ink for signatures to ensure validity. Mechanistic terminal events and vague conditions are considered ill-defined and should not be used as the underlying cause of death.

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    © All Rights Reserved
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    of 1

    Medical Certification of Cause of Death

    Guidelines for Physicians

    Below is a brief list of guidelines and ill-defined causes of death to assist you in the correct certification of death.

    Guidelines in the Medical Certification of Cause of Death


    Use the current form
     Certificate of Death (Municipal Form No. 103, Revised January 2007)
     Certificate of Fetal Death (Municipal Form No. 103A, Revised January 2007)
    Accomplish the required attachment/s (if applicable): ___ Indigenous People (IP) Form ___ Muslim Form

    Completely fill-out the required portions in the form


    A. For deaths of individuals aged 0-7 days Accomplish items 14 to 19a at the back of the Certificate of Death
    B. For deaths of individuals aged 8 days and above Accomplish items 19b to 22 of the Certificate of Death
    C. For fetal deaths Accomplish items 19b to 22 of the Certificate of Fetal Death

    Accurately complete the Causes of Death (19b)


     No ill-defined cause of death especially in the underlying cause of death.
     No medical symbols or abbreviations such as T/C, R/O, OGK.
     The only accepted abbreviations are HIV, AIDS.
     Record one entry per line except in (II) Other significant conditions contributing to death.
     Line (a) must always have an entry.
     No skipping of lines.
     Write the interval/s from the onset and death. Note for consistency of the intervals and the logical disease pattern.
     If there is uncertainty in the entries for causes of death, it is ACCEPTABLE to use qualifying terms such as “probable” or
    “presumed”.

    Complete entries as to specific condition


     Neoplasm Site, laterality, benign or malignant, primary or secondary, type (histology report) if available
     Infection Site, laterality, primary or secondary, route, causative agent
     External Injury/Poisoning External event (accident or with intent), body trauma, fatal derangement
     Periprocedural Combined format for natural; split format for accidental

    Complete each item legibly using a computer printer with high resolution or typewriter with black ribbon or print pen using a
    permanent black ink.
    For all signatures, use pen with permanent black ink. Rubber stamps or facsimile signatures are not acceptable
    Do not make alterations or erasures. Obvious changes could affect the validity of a certificate which may be rejected by the Local
    Civil Registrar.

    Ill-defined causes of death, “garbage codes”, under ICD-10 are vague conditions insufficiently detailed to be of public health
    importance. These include: a) Signs, symptoms, and abnormal clinical/laboratory findings; b) Mode of Death; c) Mechanistic
    Terminal Events (MTEs); and d) other ill-defined or residual categories of other major illness.
    Mechanistic terminal events should NEVER be written as underlying cause of death.

    Mode of Death Other ill-defined causes of death Mechanistic Terminal Events (MTEs)
     Asphyxia  Acute, Chronic, or unspecified renal failure  Arrest: cardiac, respiratory,
     Asthenia, Debility,  Disseminated Intravascular coagulation cardio-respiratory, asystole
    Exhaustion  Essential Hypertension, or Hypotension, unspecified  Electromechanical dissociation
     Cachexia  External causes of death not specified as accident or  Ventricular fibrillation
     Coma with intent
     Organ failure:  Heart or cardiovascular disease, or myocarditis
    cardiac, brain, liver, unspecified
    respiratory, cardio-  Ill-defined cancer sites
    respiratory, etc.  Pulmonary edema, Pulmonary embolism without
     Shock, Syncope mention of cor pulmonale
     Vagal inhibition,  Respiratory failure of the Newborn, unspecified or if
    Vasovagal Attack not elsewhere classified
     Senility, senescence, old/advanced age
     Streptococcal and other septicemia
     Ventricular tachycardia, fibrillation or flutter
     Volume depletion

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