FREQUENTLY ASKED QUESTIONS

 

Ø      Why was I sent this Cause of Death Query Form?

 

Did you read both sides of the query form?  If you still are unsure what to do, contact Dorene Harris at margaret.harris@arkansas.gov or call her at 501-661-2369

 

Ø      I don’t know the cause of death.  What do I do?

 

See Unknown and Uncertain Causes of Death.

 

Ø      Do I have to complete the death certificate at the time of death?

 

No!  State law gives all certifiers two work days in which to complete the cause of death section and sign the death certificate.  No one can require the certifier to complete and sign the death certificate at the time of death or at the death scene.

 

A death certificate is NOT required prior to removing the body from the death scene.  The funeral home may remove the body if death has been pronounced and the physician or appropriate official (county coroner or state medical examiner) has been notified and permits removal of the body. 

 

In fact, many funeral homes complete Items 1-22 of the certificate before giving it to the certifier to complete and sign the cause of death section.      

 

It might be convenient and time-saving to complete the cause of death and sign the certificate at the time of death.  However, this often results in inadequate reporting of the cause of death.  The most important medical information on the death certificate is to identify the underlying cause of death.  In many cases, the underlying cause of death cannot be determined without reviewing the complete medical history or record and/or contacting the deceased’s regular physician. 

 

Ø      Does the pronouncer also have to complete the death certificate?

 

No.  The person who pronounces death may not know enough about the deceased’s medical history to adequately identify the causes of death, especially the underlying cause of death.  One person may pronounce death so the body can be removed, then the cause of death may be completed and signed later by the deceased’s regular physician or another person who is familiar with the deceased’s medical history.  See also FAQ, Do I have to complete the death certificate at the time of death

 

Ø      Is there a list of conditions that can be reported?

 

No.  Such a list would be very long!  Also, such a list would imply that terms not on the list should not be used on the death certificate.  The National Center for Health Statistics instructs states NOT to use “pick lists” of allowable medical terms. 

 

There are, however, lists of conditions that do not adequately identify the underlying cause of death.  These are not forbidden terms, just terms that require further explanation.  See also Terms that don’t identify underlying cause of death.

 

 

Ø      You sent me a query form. Do I need to submit a new certificate?

 

No.  We’ve already accepted and filed a certificate for that death.  Add or correct information on the same query form you were sent. 

 

Ø      I reported an injury, but checked manner of death “NATURAL.” Do I still have to fill in injury items 27 – 32?

 

Yes.  Even if you checked “natural”, you have still reported an injury as a cause of death.    Complete items 27-32, and notify the coroner.  See also What is an injury? 

 

Ø      Do I have to complete all four lines, A/B/C/D?

 

No.  If you can identify the complete sequence of conditions causing death in less lines, that’s acceptable.  If death occurred directly from a single condition that had no  complications,  the immediate cause of death can also be the underlying cause of death.  In that case, line (a) is the only line that needs to be completed.  Never leave line (a) blank.

 

Ø      My computer won’t let me report certain causes of death.

 

Are you reporting causes of death using an ICD medical code-based computer program or printout?  If so, there’s a good chance you are not reporting the conditions as specifically as you should.  ICD codes are for insurance billing and statistics, not reporting causes of death.  For example, specific causes of death such as “oat cell carcinoma of the right lung” or “mesothelioma of the lungs” are lost when you report the cause of death as the ICD code 162.9 title, “Malignant neoplasm of the bronchus and lung.” 

 

Ø      Where can I get cause of death statistics or other health statistics?

 

See “Data and Research” at healthyarkansas.com