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§2842. Registration of deaths


Published: 2015

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§2842. Registration of deaths






Except as authorized by the department, a certificate of each death that occurs in this State must be filed with the State Registrar of Vital Statistics or clerk of the municipality where death occurred within a reasonable period of time,
as specified by department rule, after the day on which death occurred and prior to the removal of the body from
the State. [2009, c. 601, §25 (AMD).]








1. Certificate filed by funeral director. 
The funeral director or other authorized person in charge of the disposition of
the dead human body or its removal from the State is responsible for filing the certificate. The funeral director or authorized person shall obtain the personal data from the best qualified person or source available.


[
2009, c. 601, §25 (AMD)
.]








2. Medical certificate by physician, nurse practitioner or physician assistant. 
The medical certification of the cause of death must be completed and signed in a timely manner, as specified by department rule, by a physician, nurse practitioner or physician assistant authorized to practice
in the State who has knowledge of the patient's recent medical condition, in accordance
with department rules and other laws detailing who can certify and in what time frame, except when the
death falls under the jurisdiction of the medical examiner as provided in section
3025. If the patient was a resident of a nursing home licensed under section 1817
at the time of death and if the health care provider in charge of the patient's care
or another health care provider designated by the health care provider in charge had
not examined the patient within 48 hours prior to death, or within 2 weeks prior to
death in the case of a terminally ill patient, the health care provider in charge
or another health care provider designated by the health care provider in charge shall
examine the body prior to completing the certification of death process. Any health
care provider who fails to complete the medical certification of the cause of death
fully, in a timely manner, or who fails to examine the body of a nursing home resident prior
to certifying cause of death as required by this section must be reported to the Board
of Licensure in Medicine, the Board of Osteopathic Licensure or the State Board of
Nursing, whichever is appropriate, by the State Registrar of Vital Statistics of the
Department of Health and Human Services.


For the purposes of this subsection, the following terms have the following meanings.




A. "Life-sustaining procedure" means any medical procedure or intervention that, when
administered to a qualified patient, will serve only to prolong the dying process
and does not include nutrition and hydration. [2001, c. 574, §26 (AMD).]










B. "Terminally ill patient" means a patient who has been diagnosed as having an incurable
or irreversible condition that, without the administration of life-sustaining procedures,
will, in the opinion of the attending health care provider, result in death within
a short time. [2005, c. 359, §1 (AMD).]










C. "Health care provider" means a physician authorized to practice in this State, nurse
practitioner or physician assistant. [2007, c. 56, §1 (AMD).]










D. "Nurse practitioner" means an advanced practice registered nurse who is a certified
nurse practitioner authorized to practice without the supervision of a physician pursuant
to Title 32, chapter 31. [2005, c. 359, §1 (NEW).]










E. "Physician assistant" means a person who has graduated from a physician assistant
or surgeon assistant program accredited by the American Medical Association Committee
on Allied Health Education and Accreditation or the Commission on Accreditation of
Allied Health Education Programs or its successor and who has passed the certifying
examination administered by the National Commission on Certification of Physician
Assistants or its successor. [2007, c. 56, §1 (NEW).]







[
2009, c. 601, §25 (AMD)
.]








2-A. Medical certification. 
Notwithstanding subsection 2, with respect to a person who dies within the State
naturally and for whom the physician, nurse practitioner or physician assistant was
the attending health care provider, the medical certification of the cause of death
may be completed and signed by a physician, nurse practitioner or physician assistant
authorized to practice at the United States Department of Veterans Affairs at Togus or at another federal medical facility within the State or by a physician,
an advanced practice registered nurse or physician assistant licensed to practice
in New Hampshire, Vermont or Massachusetts who, at the request of the Chief Medical
Examiner, is willing to do so.


[
2009, c. 601, §25 (AMD)
.]








3. Medical certificate by medical examiner or the Office of the Chief Medical Examiner. 
When a death occurs under circumstances that make it a medical examiner case as
defined in section 3025, or when inquiry as to the cause of death is required by law,
the medical examiner or the Office of the Chief Medical Examiner shall complete the medical certification of the cause of death as specified by department
rule and sign the death certificate. A certification need not be completed before
the remains are ready for release.


The medical examiner or the Office of the Chief Medical Examiner is responsible for the identity of the deceased and the time, date, place, cause,
manner and circumstances of death on the death certificate. Entries may be left "pending"
if further study is needed; or, at the specific direction of the Attorney General
relative to cases under investigation by the Attorney General's office, entries must
be left "withheld" until such time as the Attorney General, in the Attorney General's
sole discretion, determines that any criminal investigation and prosecution will not
be harmed by public disclosure of such information. Notwithstanding section 2706,
subsection 4, unless directed otherwise by the Attorney General as specified in this
subsection, this information for which the medical examiner is responsible may be
made available to the general public by the Office of the Chief Medical Examiner.


[
2013, c. 31, §1 (AMD)
.]








4. Correction of errors on death statistic records filed under chapter 711. 
Certificates of death in medical examiner cases, as defined in section 3025, may
be completed or amended at any time by means described in rule by the department to
the Office of the Chief Medical Examiner. Either the Chief Medical Examiner or the medical examiner
assigned to the case may sign the forms or submit an electronic amendment or file a certificate using the electronic death
registration system in accordance with section 2847. A person authorized by the Chief Medical Examiner may amend a certificate of death
with respect to the time, date, place and circumstances of death. The medical examiner
assigned shall submit the form or electronic amendment to the Office of the Chief Medical Examiner for filing with the State Registrar of
Vital Statistics. These forms or electronic amendments may be filed at any time after death and need not include a summary description of
the evidence in support of the completion or amendment.


[
2013, c. 31, §1 (AMD)
.]





SECTION HISTORY

1977, c. 232, §2 (AMD).
1977, c. 382, (AMD).
1979, c. 538, §1 (AMD).
1985, c. 611, §§2,3 (AMD).
1987, c. 72, (AMD).
1987, c. 296, §§1,2 (AMD).
1987, c. 329, §1 (AMD).
1987, c. 769, §A75 (AMD).
1993, c. 600, §§B21,22 (AMD).
2001, c. 574, §§26,27 (AMD).
2003, c. 74, §§1,2 (AMD).
2003, c. 433, §2 (AMD).
2003, c. 689, §B6 (REV).
2005, c. 359, §§1,2 (AMD).
2007, c. 56, §§1, 2 (AMD).
2009, c. 601, §25 (AMD).
2013, c. 31, §1 (AMD).