Guidance for Certifying COVID-19 Deaths

This interim guidance came from the National Vital Statistics System at the CDC. The CDC will publish formal guidance soon. Although no individuals have tested positive in Minnesota for COVID-19 as of March 5, 2020, the Office of Vital Records wants medical certifiers to be aware and ready to report COVID-19 related deaths accurately.

See the Minnesota Department of Health Coronavirus Disease 2019 (COVID-19) webpages for situation updates and a host of other information for health professionals, schools, businesses, and employers.

 

Guidance for Certifying COVID-19 Deaths
March 4, 2020

NCHS is receiving questions about how deaths involving the new coronavirus strain should be reported on death certificates. We are working on formal guidance to certifiers to be published as soon as possible. In the meantime, to address the immediate need, here is some basic information that can be shared in advance of the more formal and detailed guidance. It is important to emphasize that Coronavirus Disease 2019 or COVID-19 should be reported on the death certificate for all decedents where the disease caused or is assumed to have caused or contributed to death. Other terminology, e.g., SARS-CoV-2, can be used as long as it is clear that it indicates the 2019 coronavirus strain, but we would prefer use of WHO’s standard terminology, e.g., COVID-19. Specification of the causal pathway leading to death in Part I of the certificate is also important.  For example, in cases when COVID-19 causes pneumonia and fatal respiratory distress, both pneumonia and respiratory distress should be included along with COVID-19 in Part I.  Certifiers should include as much detail as possible based on their knowledge of the case, medical records, laboratory testing, etc.  If the decedent had other chronic conditions such as COPD or asthma that may have also contributed, these conditions can be reported in Part II. Here is an example:

For more general guidance and training on cause-of-death reporting, certifiers can be referred to the Cause of Death mobile app available through https://www.cdc.gov/nchs/nvss/mobile-app.htm and the Improving Cause of Death Reporting online training module, which can be found at https://www.cdc.gov/nchs/nvss/improving_cause_of_death_reporting.htm.