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Civil Status (Medical Certificate of Cause of Death) Regulations, 2022 (Statutory Instrument 56 of 2022)

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This is the latest version of this legislation commenced on 05 May 2022.

Seychelles

Civil Status Act

Civil Status (Medical Certificate of Cause of Death) Regulations, 2022

Statutory Instrument 56 of 2022

  • Assented to on 20 April 2022
  • Commenced on 5 May 2022

  • [This is the version of this document from 5 May 2022.]


In exercise of the powers conferred by sections 2 and 165 of the Civil Status Act, as amended, the Minister responsible for Civil Status makes the following regulations—


1. Citation

These regulations may be cited as the Civil Status (Medical Certificate of Cause of Death) Regulations, 2022.

2. Medical Certificate of Cause of Death

The certificate set out in Schedule 1 shall be the Medical Certification of Cause Death for the purposes of the Act.

3. Variation of certificate

The Principal Secretary responsible for health may modify, alter or add such words or phrases to the certificate contained in Schedule 1 and any such variation shall not affect the validity or regularity of the certificate.


Schedule 1 (Regulation 2)

Medical Certificate of Cause of Death


ADMINISTRATIVE DATA
1. FIRST NAMES 2. LAST NAME 3. SEX
4. DATE OF BIRTH 5. PLACE OF RESIDENCE 6. OCCUPATION 7. NATIONALITY
8. NATIONAL IDENTITY NUMBER/PASSPORT NUMBER 9. DATE OF DEATH 10. TIME OF DEATH
11. PLACE OF DEATH (Check one only)
HOSPITAL☐ Inpatient ☐ ER/Outpatient ☐ DOA
OTHER
☐ Institution☐ Residence☐ Other (Specify)
12. FACILITY NAME
FRAME A
13. PART I.Enter condition, disease or injury that caused death. Do not enter mode of dying, such as cardiac or respiratory arrest, shock or heart failure. List only one cause on each line. The condition thought to be the underlying cause of death should appear last. Approximate time interval between onset and death ______________________________________________________________
1(a) Final disease or condition leading to death (immediate cause of death)

1(b) Other disease or condition if any leading to

a
1(c) Other disease or condition if any leading to b

1(d) Other disease or condition if any leading to c

a. ________________

b. ________________

c. ________________

d. ________________
14. PART II. Other significant conditions leading to death but not resulting in the underlying cause given in Part I____________________________________________________________________________________________________ 15. WAS AN AUTOPSY PERFORMED?☐ Yes ☐ No
16. WERE AUTOPSY FINDINGS USED IN COMPLETING THIS CERTFICATE? ☐ Yes ☐ No
FRAME B
17a. WAS SURGERY PERFORMED DURING LAST 4 WEEKS?☐ Yes ☐ No ☐ Unknown 17b. IF YES SPECIFY DATE OF SURGERY 17c. IF YES SPECIFY REASON FOR SURGERY (Disease or condition)
18. MANNER OF DEATH
☐ Natural
☐ Accident
☐ Suicide
☐ Homicide
☐ Pending investigation
☐ Could not be determined
19a. DATE OF INJURY 19b. TIME OF INJURY 19c. INJURY AT WORK?☐ Yes ☐ No
  19d.  DESCRIBE HOW INJURY OCCURRED
19e. PLACE OF INJURY - at home, farm, street, factory, office building, construction site etc.
19f. LOCATION OF INJURY (geographical location)
20a. IF FEMALE:
☐ Not pregnant, but pregnant within 42 days of death

☐ Not pregnant within past year

☐ Pregnant at time of death

☐ Not pregnant, but pregnant 43 days to 1 year before death

☐ Unknown If pregnant within the past year
21. IF FOETAL OR INFANT DEATH:
21a. Multiple pregnancy☐ Yes ☐ No☐ Unknown

21b. Stillborn☐ Yes ☐ No☐ Unknown

21c. If death within 24 hours specify number of hours survived:
21d. BIRTH WEIGHT IN GRAMMES:
21e. AGE OF MOTHER IN YEARS:
20b. DID THE PREGNANCY CONTRIBUTE TO THE DEATH?
☐ Yes ☐ No☐ Unknown
21f. IF DEATH WAS PERINATAL, PLEASE STATE CONDITIONS OF MOTHER THAT AFFECTED THE FOETUS OR NEWBORN:
22. NAME OF CERTIFYING PHYSICIAN 23. To the best of my knowledge, death occurred at the time, date and place and due to the cause(s) and manner stated.
24. STAMP/REGISTRATION NUMBER 25a. NAME AND TITLE

25b. SIGNATURE 

25c. DATE

MADE this 20th day of April, 2022.Errol FonsekaMinister of Internal Affairs