Medicolegal Death Investigation

Indonesia

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Death Registration Declaration and Notification Informants

Who is designated primary informant for unnatural or suspicious deaths?

Specified officer of the medical legal system

Recommended Practice based on International Guidelines

Regardless of whether the death occurred with or without medical supervision, designating a specified officer of the medicolegal system as an informant has been most effective in notification and declaration of deaths in suspicious or unnatural death cases.
To ensure that unnatural and suspicious deaths are registered, legislation should clearly specify who is responsible for notifying the registrar of the fact of death. The fact of death should be notified within the required time frame, even if a coroner or medical examiner’s inquiry into cause of death is still underway.
Depending on the circumstances surrounding an unnatural or suspicious death, responsibility may be placed on emergency services, health workers, coroners, medical examiners, police or other medical-legal officers for ensuring registration of death. Responsibility should not be placed on the family, as that may result in the death not being declared to the registrar.
Law Source
UNGOLF para 310, 336 and 363
Death Registration Procedure Evidence

What evidence or documents are required to register death?

Notice of death

Recommended Practice based on International Guidelines

Countries should ideally require an accurate, detailed and medically certified cause of death to register a death. However, failure to ascertain cause of death should not prevent death registration. When medical cause of death certificate is unavailable, evidence of fact of death should be sufficient to register death. Evidence of fact of death could be a notification of death or other similar document, a Medical Certificate of Cause of Death, Witness Statement or other similar evidence.
Law Source
UNGOLF para 315
Death Registration Procedure Incomplete Records, Amendments, and Corrections

Can the death registration record be amended by the registrar in medicolegal cases, after the inquiry has concluded?

Recommended Practice based on International Guidelines

There may be need to amend a death registration record after conclusion of medicolegal inquiry that reveals cause of death or a person's identity. Adjudication in courts may also result in change of manner of death. The civil registrar should have the authority to amend this information with submission of medical certificate of cause of death or court order.
Law Source
UNGOLF para 405
Law Source
Death Registration Medicolegal Death Investigations Medicolegal Death Investigations Authority

Who is the medicolegal death investigation (MLDI) authority in the jurisdiction?

Recommended Practice based on International Guidelines

Law Source
Law Source

Does the law clearly state what types of cases must be referred to the MLDI authority and is this in accordance with international guidance?

Recommended Practice based on International Guidelines

Deaths due to known or suspected unnatural or external causes should be referred to the Medicolegal Death Investigation (MLDI) authority. This includes deaths due to violence, injury, self-harm, suspicious causes, and sudden, unexplained or unexpected deaths.
Law Source
UNGOLF paras 179 and 180
Law Source
Death Registration Medicolegal Death Investigations Death in custody

Does the law mandate that deaths in custody be referred to the medicolegal death investigation authority and specify who is responsible for notifying the authority?

Recommended Practice based on International Guidelines

All deaths in custody should be viewed as potentially unlawful or suspicious deaths and referred to the medical-legal authorities for investigation, as required by the Minnesota Protocol on the Investigation of Potentially Unlawful Death. Death in custody includes detention facilities, pursuit or apprehension by police. The law should clearly state who is responsible for notifying the medical-legal authorities, when a death in custory occurs. For deaths that occur in detention facilites the head of facility should initiate the process. For deaths occuring during pursuit or apprehension by law enforcement, police chief should initiate the process.
Law Source
Cause of Death Compulsory Certification Certifier

Does the law clearly state who is responsible for medically certifying cause of death when deaths are unnatural or suspicious, or otherwise referred to the MLDI authority?

No

Recommended Practice based on International Guidelines

Deaths due to unnatural causes (such as accident, self-harm or violence); man-made or natural disasters; suspiciouos causes, or where CoD cannot be determined by the attending physician should be referred to the Medicolegal Death Investigation (MLDI) authority for medical certification of cause of death. The coroner may be responsible for certifying cause of death in cases of unnatural death.
Law Source
UNGOLF para 179, 180 and 316
Law Source
Cause of Death Medical Certificate of Cause of Death Form Form

Is the same form used for all types of deaths, including natural deaths and deaths referred to MLDI?

No

Recommended Practice based on International Guidelines

It is recommended practice to use the same WHO MCCD (or WHO MCCD compliant) form for all types of deaths.
Law Source
UNGOLF para 341
Law Source
Cause of Death Transmission of Cause of Death Data Transmission of Cause of Death Data

For a death referred to the MLDI system, does the law specify how cause of death information is transmitted to the civil registrar and/or statistics agency?

Yes for transmission of information to statistics agency

Recommended Practice based on International Guidelines

Coordination among medical and legal authorities is crucial for the consistent management of unnatural and suspicious deaths and their timely registration in the civil registration system. Law enforcement, medical-legal authorities and emergency services must work closely and collaboratively to ensure that unnatural and suspicious deaths are promptly registered and that cause and manner of death are certified and reported to the registrar or national statistics agency. The medical certificate of cause of death should be transmitted to the registrar (or statistics authority) by the coroner or medical examiner.
Law Source
UNGOLF paras 188 and 363