Amendment to AO No. 2018-0007

June 21, 2018

DOH ADMINISTRATIVE ORDER NO. 2018-0007-A

 

On March 9, 2018 an orientation on the standard procedures in autopsy was conducted by an expert from the UP-PGH DITF and was attended by the autopsy teams from the respective DOH Reference Hospitals. During the said orientation, several issues and clarifications were raised by the participants necessary for the proper implementation of the autopsy procedures.

Pursuant to A.O. No. 2018-0007 entitled "Interim Guidelines on Investigating Deaths related to Dengvaxia Immunization" the following provisions and specific Annexes are hereby amended:

V. GENERAL GUIDELINES

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Under Nos. 02 and 03

2. All medical documents of Dengvaxia-related deaths shall be submitted to UP-PGH DITF within 24 hours after death, for assessment of causality.

3. All Dengvaxia related deaths shall be advised for autopsy, including those who have already been buried, provided the required consent of the next of kin of the deceased, and the local health officer were obtained, accordingly.

The aforementioned is hereby amended to include no. 02 and to read as follows:

2. To verify if the deceased received Dengvaxia vaccine, ensure that the deceased has the Dengue Identification Card (ID) issued by the Department of Health (DOH). This may be verified thru the following DOH Dengue hotline:

a. DOH Central Office (02) 711-1001, (02) 711-1002 0920-110-7498, 0915-772-5621

b. Regional Office III (045) 455-2322

c. Regional Office IV-A (02) 440-3372 0927-580-5551

d. Regional Office VII (032) 418-7010 0922-397-2334

3. All medical documents of Dengvaxia-related deaths shall be submitted to UP-PGH DITF within 24 hours after death, for assessment of causality through their respective Regional Offices (ROs).

4. All Dengvaxia related deaths shall be advised for autopsy, including those who have already been buried, provided the required consent of the next of kin of the deceased, and the local health officer were obtained, accordingly. However, to prevent exposure of hospital personnel to any potential risk, the autopsy procedure must not be performed if the deceased is highly suspected to have acquired any of the following dangerous communicable diseases (as enumerated on PD 856 Code on Sanitation of the Philippines and Administrative Order 2010-0033 Revised Implementing Rules and Regulations of PD 856 Code of Sanitation of the Philippines Chapter XXI "Disposal of Dead Persons"):

a. Hepatitis B and C

b. Rabies

c. Invasive group A streptococcal infections

d. Transmissible spongiform encephalopathies (e.g., Creutzfeldt-Jakob disease with necropsy, mad cow disease)

e. HIV/AIDS

f. Meningococcemia

g. Viral hemorrhagic fevers (e.g., African Ebolas, Lassa or Marburg)

h. Yellow fever

i. Plague

j. Severe Acute Respiratory Syndrome (SARS)

k. Other communicable diseases that shall be declared by the Department

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VI. SPECIFIC GUIDELINES

Under No. 1, 2e (inclusion), 3d, 3e, 3f (inclusion), 8a, 9c, 10a and 10b

1. Submission of Clinical Records to UP-PGH DITF:

All public and private hospitals are required to submit within 24 hours to UP-PGH DITF the complete clinical records of the deaths related to Dengvaxia vaccines, for assessment.

3. Institutions/Persons Authorized to Perform Autopsy:

d. For deaths occurring in hospitals not identified as DOH Reference Hospitals or deaths in private hospitals, the designated Autopsy Team shall conduct the autopsy in the nearest government hospital, or in the National Bureau of Investigation (NBI)-accredited morgue (Annex B), within the locality.

e. The Autopsy Team shall be composed of the following from the DOH Reference Hospital:

i. One (1) Anatomical Pathologist

ii. Two (2) Mortician trained in evisceration

DOH may invite a foreign pathology expert as resource person in the Autopsy Team, if deemed necessary.

8. Requirements for Exhumation

a. The disinterment or exhumation permit shall be issued by the local health officer and all disinterment of remains shall be under their supervision.

9. Risk Communication to Bereaved Family:

c. Any proprietary or confidential information obtained during the autopsy shall not be disclosed without prior consent or clearance from DOH.

10. Referral Facilities Authorized to Conduct Autopsy

a. All DOH Reference Hospitals in Regions III, IV-A, NCR and VII will conduct autopsy.

b. If patient died in a lower level facility or at home, the autopsy may be conducted by the autopsy team in a NBI-accredited morgue.

The aforementioned is hereby amended to read as follows:

1. Submission of Clinical Records to UP-PGH DITF:

All public and private hospitals are required to submit within 24 hours to UP-PGH DITF through their ROs the complete clinical records of the deaths related to Dengvaxia vaccines, for assessment, provided that consent for the release of medical records and information necessary for the investigation deaths in English (Annex E) and Filipino (Annex F) shall be secured from the next of kin.

2. Consent before the Conduct of Autopsy

e. The Autopsy consent form is in English (Annex G) and Filipino (Annex H). The DOH Reference Hospitals may translate the said consent form into their respective dialects.

3. Institutions/Persons Authorized to Perform Autopsy:

d. For deaths occurring in hospitals not identified as DOH Reference Hospitals or deaths in private hospitals, the designated Autopsy Team shall conduct the autopsy in the nearest government hospital within the locality.

e. The Autopsy Team shall be composed of the following from the DOH Reference Hospital:

i. One (1) Anatomic Pathologist

ii. One (1) Morgue technician or any designated hospital personnel provided that he/she shall be trained by the hospital Anatomic Pathologist

iii. Health Education and Promotion Officer (HEPO)

iv. Other specialist(s)/subspecialist(s), if necessary, which may include but is not limited to a/an:

1. Pediatrician

2. Internist

3. Infectious Disease specialist

The DOH may also invite a foreign pathology expert as resource person in the Autopsy Team, if deemed necessary.

f. Universal precautions are the basic standard of infection control. Hence, all authorized/permitted personnel present during the conduct of autopsy must wear complete Personal Protective Equipment (PPE) which includes: gloves, mask, eye protection/goggles, scrub/gowns/aprons, rubber boots among others.

8. Requirements for Exhumation

a. The disinterment or exhumation permit shall be issued by the local health officer once approval of the respective DOH Regional Directors has been granted. The disinterment of remains shall be under the supervision of the local health officer. Refer to Annex D on the Exhumation Indorsement Form.

9. Risk Communication to Bereaved Family:

c. Information to be given to the families should only be the initial findings based on the autopsy report. It should be emphasized that these findings are still inconclusive as it needs to be correlated with the causality assessment done by UP-PGH DITF. Any other

10. Referral Facilities Authorized to Conduct Autopsy

a. All DOH Reference Hospitals in Regions III, IV-A, NCR and VII will conduct autopsy. The identification of Reference Hospitals per region does not limit the Regional Offices/Reference Hospitals to seek the assistance from other DOH Reference Hospitals and their respective Autopsy teams in the conduct of autopsy.

b. If patient died in a lower level facility or at home, the autopsy may be conducted by the autopsy team in the nearest government hospital.

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Annex A DOH Reference Hospitals-Region III:

Name

Location

Region III

1. Dr. Paulino J. Garcia Memorial Research and Medical Center	Cabanatuan City, Nueva Ecija
2. Jose B. Lingad Memorial Regional Hospital	San Fernando, Pampanga

 

The aforementioned is hereby amended to include Bataan General Hospital as a DOH Reference Hospital in Region III and to read as follows:

 

Name

Location

Region III

4. Dr. Paulino J. Garcia Memorial Research and Medical Center	Cabanatuan City, Nueva Ecija
2. Jose B. Lingad Memorial Regional Hospital	San Fernando, Pampanga
3. Bataan General Hospital	Balanga, Bataan

 

And to exclude Annex B NBI Accredited Morgue to be replaced by Autopsy Report Guide

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All other provisions of AO 2018-0007 shall remain in effect and provisions/issuances inconsistent or contrary to this Order are hereby rescinded or modified accordingly.

This order shall take effect immediately.

(SGD.) FRANCISCO T. DUQUE III, MD, MSc

Secretary of Health

ANNEX B

Autopsy Report Guide

I. Secure consent for autopsy (DOH Autopsy Form No. 1) from next of kin.

II. Review clinical history/historical summary (includes patient's medical history, laboratory and imaging findings) and discuss with the attending physician(s).

a. Secure pre-mortem blood and other body fluid samples from the laboratory (if available) and store them following DOH AO2018-000

III. Prior to performing external examination of the body, VERIFY that the name on the consent matches the body/name tag attached the corpse prior to any incision. Verify identifying markers carefully. The birth date can be a useful cross-check for correct patient identification.

IV. Universal precaution MUST be observed at all times. PPE (as a last report in providing a barrier to the hazard)

a. Gloves for handling all potentially contaminated materials, containers, equipment, or surfaces.

b. Face protection (face shields, splash goggles worn with masks, masks with built-in eye shield).

c. Laboratory coats and gowns to prevent exposure of street clothing, and gloves or bandages to protect nonintact skin.

d. Additional respiratory protection if warranted by risk assessment.

Demographic Data Checklist:

1. Include the name and address of the institution on the autopsy report.

2. Identify the patient by name, hospital number.

3. Provide the patient's date of birth.

4. Assign a unique autopsy number for each case.

5. The final admission date, obtained from hospital records, allows calculation of the duration of hospital stay.

6. Include the date and time of death.

7. State the place of death, ward, hospital service, or other source of the autopsy case, as appropriate.

8. State the date and time of autopsy.

9. State the extent of autopsy, including restrictions. An unrestricted autopsy should be described as such. Permissions and restrictions given by the responsible party should be listed.

10. The prosector's name should be included. The prosector is defined as the person who dissects the organs. This individual may be the same person as the attending pathologist, in which case the name should be listed redundantly.

11. Include other necessary information like the patient's address, as well as the patient's usual occupation.

12. A listing of ancillary studies (e.g. microbiology, toxicology, serology, photomicrography, and electron microscopy), and the patient's physicians of record may be included on the report.

V. Perform external examination of the body

a. Document findings using notes, drawings and photographs.

b. Include pertinent negatives.

c. Include body height, weight, nutrition, eyes (irides, sclera, and conjunctiva), nose, ears, mouth, teeth, neck, chest, abdomen, genitalia, and extremities.

d. For all pediatric autopsies, include head, abdominal and chest circumference.

VI. Evisceration and Internal Examination (all internal organs should be inspected, weighed and described)

a. Eviscerate the body using the standard Y-shaped incision.

b. After removal of the sternal plate, collect the following specimens:

• Blood — approximately 5-10 cc.

1. Central (or heart blood)

2. Peripheral (or iliac/femoral blood)

• Urine — approximately 5-10 cc.

• Vitreous humor (mandatory especially for embalmed and decomposing remains) — collect as much fluid as possible from both eyes; a single syringe may be used to obtain and keep the fluid from both eyes.

• Stomach contents (only if oral poisoning is being considered)

• Cerebrospinal fluid and other swabs (if microbial studies are needed)

• For collection of body fluid, use clean syringe for each body cavity.

c. Proceed with removal of the organ bloc.

d. Dissect the organ bloc, documenting all findings by notation and photography.

• Weigh each major organ.

• The external and cut surfaces of all major organs should be described in terms of color, appearance and consistency. Dissect thoroughly.

• All positive findings should be described in terms of measurement, color, appearance and consistency. Measurements should be in centimeters (cm).

• Take photos of whole and sectioned organs together with label and ruler.

• Pertinent negatives should also be listed based on the peculiarities of the case.

• Body cavities

o Organ arrangement

o General appearance of viscera (degree of decomposition, color)

o Adipose layer of anterior abdominal body wall

• Central Nervous System

o Weight of brain

o Configuration of brain

o Meninges

o Abnormalities evident externally (hemorrhage, herniations, infection, etc.)

o Blood vessels

o Internal abnormalities

o Ventricular system

o Pituitary gland

o Scalp and skull

• Neck

o General appearance

o Trachea

o Lymph nodes

o Airway

o Blood vessels

o Other abnormalities noted:

• Cardiovascular system

o Heart (g):

o Dominance (L/R):

o Configuration

o Coronary arteries

Right coronary artery:

o Valves (including circumferences, if abnormal)

Tricuspid Valve:

Pulmonic Valve:

Mitral Valve:

Aortic Valve:

o Myocardium (including left and right ventricular wall thickness)

Left ventricular wall thickness

Right ventricular wall thickness

o Pericardium (ml)

Contents:

o Aorta and vena cava

• Respiratory system

o Pleural fluid: R(ml): L (ml):

o Other types of fluid Adhesions: R: L:

o Lung weights R(g) L(g)

o Parenchymal appearance, with details of diffuse or focal lesions

o Tracheobronchial tree

o Arteries

o Nodes

• Liver and biliary system

o Liver (g)

o Color

o Consistency

o Gall bladder and contents (Contents(ml/stones)

• Gastrointestinal tract

o Peritoneal (ml):

Describe fluid:

o Esophagus

o Stomach

o Small intestine

o Large intestine

o Colon/Rectum

o Appendix

• Genitourinary tract

o Kidneys R(g) L(g)

o Kidney appearance

Cortex

Medulla

o Ureters

o Bladder

o Male genital tract

Testes: R (g): L(g):

o Female genital tract

Uterus & Cervix:

Ovaries R (cm): L (cm):

Fallopian Tubes

• Reticuloendothelial system

o Spleen (g):

o Appearance of lymph nodes

o Thymus (g)

• Endocrine system

o Thyroid gland (g)

o Pancreas:

o Adrenals: R (g): L (g):

• Musculoskeletal system

o General appearance of bones, musculature, and soft tissues

e. If consent for a complete autopsy is obtained, proceed with removal of the brain using a posterior coronal incision. Proceed as above in step D.

f. Collect tissue samples:

• For embalmed (formalin-fixed) remains

One set of tissues shall be collected as formalinized tissues as detailed below.

 

Post-mortem tissues from all major organs should be submitted for evaluation. Specimens should include: a. Heart (right ventricle, septum, and left ventricle). b. CNS (cerebral cortex, thalamus, basal ganglia, midbrain, pons, medulla, cerebellum, and spinal cord). Representative sections from the ff: a. Right & left lungs b. Right & left kidneys c. Spleen d. Liver e. Bone marrow f. Lymph nodes g. Any other organ showing significant gross pathology. h. Effusion: pleural and pericardial fluids For limited autopsy, liver and spleen should at least be included.

Collect specimen, as soon as possible after death.

At least one piece measuring around 5.0 x 5.0 x 1.0 cm from each organ.   Additional samples from the liver, spleen and lungs would be helpful.   Place each specimen in a wide-mouthed container/jar, submerged in 10% NEUTRAL BUFFERED FORMALIN. (Label should include: patient's name, specimen type, laterality, date and time collected.)       At least 5 to 10 mL fixed in 95% Ethanol (1:1 ratio).

Room temperature

• Transport in a well-sealed container. • Store and ship at room temperature. • Specimens should not be frozen.

 

• For fresh tissues

Two sets of tissues shall be collected — one set collected and stored fresh as detailed below and a second set collected and stored as formalinized tissues as detailed above.

 

Post-mortem tissues from all major organs should be submitted for evaluation. Specimens should include: a. Heart (right ventricle, septum, and left ventricle) b. CNS (cerebral cortex, thalamus, basal ganglia, midbrain, pons, medulla, cerebellum, and spinal cord) Representative sections from the ff: a. Right & left lungs b. Right & left kidneys c. Spleen d. Liver e. Bone marrow f. Lymph nodes g. Any other organ showing significant gross pathology h. Effusion: pleural and pericardial fluids For limited autopsy, liver and spleen should at least be included.

Collect specimen FRESH, as soon as possible after death.

At least three (3) pieces from each organ, each piece measuring at least 2.0 cm. All specimens (including effusion fluid) should be collected aseptically. Use a separate sterile instrument for each collection site. Place each specimen in sterile wide-mouthed container/jar (Label should include patient's name, specimen type, laterality, date and time collected).       At least 5 to 10 ml without any fixative.

Frozen at — 20ºC prior to shipping. If biofreezer is unavailable, store at 2 to 8ºC in a standard refrigerator.

• Transport immediately in a well-sealed container. • Use the prescribed transport box with gel or ice packs • Avoid repetitive freezing and thawing of specimens.

 

VII. Trim sections for microscopic examination.

VIII. Perform microscopic examination.

IX. Prepare autopsy report which should include the following:

a. Case identifiers

b. Gross description

• External examination

• Internal examination

c. Microscopic description

** Make a key or summary noting block and slide designations.

d. Ancillary studies (include any reports of microbiological, chemical, histochemical, toxicologic and immunologic analyses; electron microscopy; cytogenetic studies; or of any other studies performed on materials form the autopsy).

e. Anatomic diagnosis

f. Summary and interpretation which should include:

• Brief clinical summary including pertinent laboratory and radiologic findings

• A clinicopathologic summary providing an objective correlation of clinical findings with gross and microscopic findings and the results of other studies performed at autopsy to describe the death and to elucidate the sequence of events leading to death.

• Cause of death statement which must include the immediate and/or intermediate and/or underlying cause of death.

g. The autopsy release date or autopsy completion date.

SOME KEY POINTERS:

Ancillary Studies

1. If copies of photographs or radiographs are available but are not included in the protocol, make a note of their existence, location, and content.

Clinical History

1. Clinical history may be a part of the autopsy report, but it should be no more than a summary of factual material contained in the patient chart.

Communication: Completion and Distribution of Reports

1. If the autopsy diagnoses and findings are provisional, that fact should be indicated on the face sheet.

** There will be occasions when the pathologist determines that an autopsy should not be released until further information is received, even when this lengthens the turnaround time of the autopsy. For example, the pathologist may decide that the cause of death cannot be determined without a full evaluation of neuropathology and special studies of brain slides. The pathologist might decide that it would be pointless and misleading to release the autopsy while these studies are still pending. In such cases, the pathologist should not feel obligated to release the autopsy. On the other hand, if the cause of death is apparent, the pathologist might release the autopsy report rapidly and add the results of pending studies as supplemental reports as they become available.

X. Submit autopsy report to PGH DITF.

ANNEX D

Exhumation Form for Dengvaxia Vaccinees

 

ANNEX E

Consent for Release of Medical Records and Information

 

ANNEX F

Pahintulot para sa Pagpapalabas ng Medikal na Tala at Impormasyon

ANNEX G

Autopsy Consent Form for Dengvaxia Vaccinees

 

Autopsy — Information for the Family

What is an autopsy?

A physician who specializes in pathology (a pathologist), will perform an examination of a body after death to determine the cause of death or the character and extent of changes produced by disease. This includes the external and internal examination of the body and its organs and supplemented by microscopic examination when necessary.

Why is it performed?

An autopsy can confirm or determine the cause of death, and identify the nature and extent of any other diseases present. It may also help you better understand the deceased's illness and cause of death. It may provide information that may be relevant to you and other relatives' health conditions.

General Information

• You are able to decide whether the deceased will have a complete or a limited hospital autopsy. It is important that you understand and are comfortable with what you are asked to authorize.

• During a complete autopsy, a pathologist undertakes an external and internal examination of the body. To allow this to happen, the internal organs are removed from the chest, abdomen, and head and are examined.

• In a limited autopsy, the examination is restricted to only particular regions or organs of the body that you agree to. However, a limited hospital autopsy may not provide all the information necessary to determine what caused or contributed to the death.

• Removing and keeping diagnostic samples is a usual part of most autopsies. These samples may be examined by the pathologist using a microscope.

• Most organs and tissues are returned to the body at the end of the hospital autopsy unless you give specific permission for an organ or organs to be retained for further examination. Certain medical conditions (such as diseases of the brain), may require retaining the entire organ. Allowing the pathologist discretion in this matter ensures maximum possible information in the final autopsy report.

• At the completion of the examination, these organs and any samples that remain after testing will be:

o disposed of respectfully by the hospital, or

o at your request, released to a funeral director for burial or cremation at a later date, (may incur additional funeral costs to the family), or

o at your request, all samples are returned to the body before the funeral (may also incur additional funeral costs to the family)

• You can consent to diagnostic samples and/or extra tissue being removed for purposes of research, teaching and future laboratory use. Separate authorization will be sought for your consent for the use of samples or tissues in specific research projects.

What happens after the autopsy?

The organs are returned to the body and the body is closed with great care and respect so that it is always possible for a viewing after the hospital autopsy.

Will the autopsy team delay the funeral?

The funeral will only be delayed if you decide that all of the diagnostic samples must be returned prior to the funeral.

How will the family know the outcome of the autopsy?

The detailed autopsy report will be completed by the pathologist. The report will then be sent to the UP-PGH DITF thru the Department of Health (DOH) and the report shall be discussed with the family thru our DOH Regional Offices.

Confidentiality:

All information gained from a hospital autopsy is confidential. All medical and autopsy information is communicated only between treating doctors, pathologists and other authorized health professionals. Confidentiality will be applied to any resulting medical publication to ensure the deceased's identity is not revealed.

If you have further questions, you can ask the attending physician or the pathologist.

ANNEX H

Pahintulot para sa Autopsiya ng mga Nabakunahan ng Dengvaxia

Autopsiya-Impormasyon para sa Pamilya

Ano ang autopsiya?

Isang doktor na may epesyalisasyon sa patolohiya (isang patologo) ay magsasagawa ng eksaminasyon ng isang bangkay upang matukoy ang sanhi ng kamatayan o ang mga katangian at saklaw ng mga pagbabagong dulot ng sakit. Kabilang dito ang panlabas at panloob na eksaminasyon ng bangkay at ng mga organ nito at sinasamahan ng mikroskopikong eksaminasyon kung kinakailangan.

Bakit ito isinasagawa?

Maaaring kumpirmahin o tukuyin ng autopsiya ang sanhi ng kamatayan, at tukuyin ang katangian at saklaw ng anumang sakit. Nakatutulong din itong maunawaan ang sakit ng namatay at sanhi ng kamatayan nito. Makapagbibigay ito ng impormasyong maaaring maging makabuluhan sa kalusugan mo o ng mga kamag-anak mo.

Pangkalahatang Impormasyon

• Maaari kang magpasiya kung ang namatay ay magkakaroon ng buo o ng limitadong autopsiya. Mahalagang maunawaan mo at maging komportable ka sa mga bagay kung saan hinihingi ang iyong pahintulot.

• Sa isang buong autopsiya, ang isang patologo ay nagsasagawa ng isang panlabas at panloob na eksaminasyon ng katawan. Upang maganap ito, ang mga laman-loob ay tinatanggal mula sa dibdib, tiyan at ulo at saka ineeksamen.

• Sa isang limitadong autopsiya, ang eksaminasyon ay nasa isang tiyak na bahagi o organ lamang na sinang-ayunan mong maeksamen. Gayunpaman, posibleng hindi maibigay ng isang limitadong autopsiya sa ospital ang lahat ng impormasyong kailangan sa pagtukoy ng sanhi o anumang nakapag-ambag sa kamatayan.

• Ang pagkuha at pag-iingat ng mga diagnostic sample ay karaniwang bahagi ng karamihan sa mga autopsiya. Ang mga sample na ito ay maaaring suriin ng isang patologo gamit ang isang mikroskopyo.

• Karamihan sa mga organ a tisyu ay ibinabalik sa katawan pagkatapos ng isang autopsiya sa ospital maliban na lamang kung ikaw ay nagbigay ng tiyak na pahintulot ng pag-iingat ng mga ito para sa ibayong eksaminasyon. May mga kalagayang medikal (katulad ng sakit sa utak) kung saan kakailanganin ang pag-iingat sa buong organ. Ang pagbibigay ng pahintulot sa patologo sa usaping ito ay makapagbubunga ng pinakamahusay na posibleng impormasyon sa huling ulat ng autopsiya.

• Sa pagtatapos ng eksaminasyon, ang mga organ at ano mang sample na mananatili ay:

o tamang pamamaraan ng pagtapon ng ospital, o

o kung iyong hihingin ay ibibigay sa isang tagapamahala ng punerarya o kremasyon sa isang tukoy na petsa, (maaaring magdulot ng karagdagang gastusin sa pamilya), o

o Kung iyong hihingin, ang lahat ng sample ay ibabalik sa katawan bago ang burol, (maaari ding makaragdag sa gastusin ng pamilya).

• Maaaring magbigay ng pahintulot sa pagbibigay ng mga diagnostic sample at/o pagkuha ng karagdagang tisyu para sa mga layuning pampananaliksik, pagtuturo at paggamit sa laboratoryo.

Ano ang mangyayari pagkatapos ng autopsiya?

Ang mga organ ay ibinabalik sa katawan at ang katawan ay isinasara nang may ibayong pag-iingat at paggalang upang maging maayos pa ring tingnan pagkatapos ng autopsiya sa ospital.

Kakailanganin bang ilipat ang petsa ng burol dahil dito?

Maaapektuhan lamang ang petsa ng burol kung magpasiya kang ibalik sa katawan lahat ng diagnostic sample bago ang burol.

Paano malalaman ng pamilya ang resulta ng autopsiya?

Kukumpletuhin ng patologo ang detalyadong ulat ng autopsiya. Ipadadala ito sa UP-PGH DITF sa tulong ng Department of Health (DOH). Ang DOH Regional Offices ang siyang nakatalagang magtalakay ng resulta sa pamilya.

Pagiging Kompidensyal:

Lahat ng impormasyong makukuha sa isang autopsiya sa ospital ay kompidensyal. Lahat ng impormasyong medikal at mula sa autopsiya ay nasa mga doktor na naglapat ng atensyong medikal, patologo at iba pang awtorisadong health professional lamang. Ilalapat ang ganitong pag-iingat ng impormasyon sa anumang medikal na lathalain upang matiyak na hindi mabubunyag ang pagkakakilanlan ng namatay.

Kung may mga karagdagang katanungan, maaaring magtanong sa doktor na naglapat ng atensyong medikal o sa patologo.