Certificate of Death and Cause of Death Regulations, 2008

L.N. 11 of 2008

PUBLIC HEALTH ACT

(CAP. 465)

Certificate of Death and Cause of Death Regulations, 2008

IN exercise of the powers conferred by article 26(b) of the Public

Health Act, the Minister for Health, the Elderly and Community Care

has made the following regulations>–

The title of these regulations is the Certificate of Death and Citation and

commencement.

Cause of Death Regulations, 2008.

CERTIFICATE OF DEATH AND CAUSE THEREOF

(Regulation 2)

1. Name and Surname …………………………………………………

2. Identity Document No………………………………………………..

Every medical practitioner shall, in every case of death, Duty of medical

immediately report to the Police and Superintendent of Public Health practitioners.

the death and the cause thereof in writing and in accordance with the

form set out in the Schedule hereto.

Sex: male  female  unascertained 

4.Age…….………

5.Date of birth…….………….………..

For infant and fetal deaths

Birth weight (g):…………. Gestation (weeks)…………….. Time of birth……………… ……..

Place of birth…………………………………………………....

8. Nationality………….…………….……..

Permanent residence……………………..………………………………………………………

Employment status

employed  unemployed  pensioner  housekeeper  student  unable to work



Occupation (if retired please write previous occupation)………………………………………

Name and surname of Parents and whether living or dead…………………………………….

………………………………………………………………………………………………………

13a. Marital status

bachelor/spinster  married  widowed  other  (specify): ………………………………

13b. Where applicable, name and surname of spouse………..…………………………………….

Hour, day, month and year of death……………………………………………………………

Place where death occurred……………………………………………………………………..

Cause of death

Approximate interval

I

between onset & death

Disease or condition directly

leading to death*

a……..……………………………………………………………………………...….…………….…

due to (or as a consequence of)

Antecedent causes

b. …………………………………………………………………………………….…………...……..

Morbid conditions, if any,

due to (or as a consequence of)

giving rise to the above

cause, stating the

c. …………………………………………………………………………………….…………...……...

underlying condition last

due to (or as a consequence of)

d….………………………………………………………………………………………………..…….

II: Other significant conditions

contributing to death but not

related to the disease or

condition causing it

* This does not mean mode of dying e.g. respiratory failure. It means the disease, injury or complication that caused death.

Deaths due to accidents or injuries

Date of Injury

Place of injury

How injury occurred

Injury at work

Yes

No

If female indicate if

- death occurred during pregnancy



- death occurred within 42 days after pregnancy: 

- death occurred between 42 days and 1 year after pregnancy: 

Place of Burial………………… Burial Permit no……………………

20.Name, Surname and Medical Council number of Medical Practitioner

…………………………………………………………………………….

21. Address ….…………………………….………………………………

Signature of Medical Practitioner…….…………….………….………

Date……………………………………...….

Instructions for certifiers

All information should be clear and legible. Do not use abbreviations. All information regarding the deceased as requested on the death certificate

should be completed.

Item 2: Identity Document number: This is important to identify the deceased individual. If identity card number is not available, passport number or other

identification number should be entered.

Item 6: For Infant and fetal deaths: For all infant deaths up to 1 year of age and fetal deaths it is important to record birth weight in grams, gestation in

completed weeks and time of birth, besides date of birth in item 5.

Item 9: Permanent residence: The person’s place of residence is the place where he/she has been regularly resident for the past year. Never enter a temporary

residence as one used during a visit or holiday. If a person has resided in a home or institution for a long time (more than one year) enter address of home or

institution otherwise enter previous residence. In the case of foreigners residing abroad (e.g. tourists) their full address abroad should be entered.

Item 11: Occupation: This should be as complete as possible, describing the type of work done and the kind of business/industry to which the occupation is

related. e.g. machine-operator in furniture factory, teacher in secondary education. If retired, write type of work done during most of working life.

Item 16: Cause of death

Part I – is for diseases or conditions related to the sequence of events leading directly to the death. Only one cause should be entered on each line. If the

condition on line a resulted from another cause, this other cause should be entered on line b, and so on, until the full sequence is reported. Always enter the

underlying cause of death (the disease or injury which initiated the chain of morbid events that led directly to death, or the circumstances of the accident or

violence which produced the fatal injury) on the lowest used line in Part I. For each cause indicate the best time interval between the presumed onset and the date

of death. Terminal events e.g. cardiac arrest or respiratory arrest, should not be used.

If an organ failure such as congestive heart failure, hepatic failure, renal failure or respiratory failure is listed as a cause of death, always report its etiology on the

line(s) below it. (e.g. congestive heart failure secondary to ischaemic heart disease).

Part II – is for any other significant condition/s that contributed to the fatal outcome, but was not related to the disease or condition directly causing death.

Examples

Right: Part Ia. Brain metastases

Wrong: Part Ia. Primary carcinoma lung

Ib. Primary carcinoma lung

Ib. Brain metastases

Right: Part Ia. Fat embolism

Wrong: Part Ia. Fat embolism

Ib. Fracture neck of femur

Ib. Fracture femur

Ic. Fell down stairs at home

Right: Part Ia. Bleeding of oesophageal varices

Wrong: Part Ia. Bleeding oesophageal varices

Ib. Portal hypertension

Ic. Liver cirrhosis

Id. Chronic Hepatitis B

Part II: Diabetes mellitus

Part II: Liver cirrhosis

Item 17: Deaths due to accident or injury: it is important to give information about the exact time of incident, place where injury occurred e.g. home, street,

restaurant etc. as well as how injury occurred e.g. while painting roof, as well as indicating whether accident happened while at work.

Item 18. Pregnancy status: This is an important source of information needed to calculate maternal mortality.

Note: Further information and examples on how to complete a death certificate can be accessed through the Department of Health Information and Research

website

http://www.sahha.gov.mt/entities/healthinformation.html

Data Protection statement: The Health Division treats personal sensitive information in a confidential manner, and undertakes to comply with the Data

Protection Act, Cap. 440. Details on this certificate will only be disclosed to Entities within this Division and any other authority/body as permitted by

law. Address any queries to Department of Health Information and Research, 95, G’Mangia Hill, G’Mangia PTA 1313 or via e-mail at

healthinfo@gov.mt

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