Review of the patient’s medical history should provide adequate information to state a reasonable or likely cause of death. Licensees are not expected or required to establish beyond a doubt the specific cause of death but should exercise their best judgment under the circumstances using available information. The Board recognizes that you may not be comfortable with uncertainty, however, a licensee should not decline to complete medical certification of death simply because the exact anatomic or physiologic cause of death is uncertain. Delaying the completion or refusing to sign a death certificate makes an already difficult time for surviving loved ones and may result in unnecessary complications with funeral arrangements, estate proceedings, and other legal and personal matters. General Guidance for Completing Medical Certifications of DeathThe certification of death must be completed and signed by the physician, physician assistant, or nurse practitioner in charge of the care of the patient for the illness or condition that resulted in death. A report of death under ORS 432.133 requires a medical certification to be completed by the decedent’s primary or attending physician, physician assistant, or nurse practitioner who was in charge of the care of the patient for the illness or condition that resulted in death.
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