69.18(1m)(b)(b) Extended fact-of-death information, which includes all of the following:
69.18(1m)(b)1.1. All information under par. (a).
69.18(1m)(b)2.2. Information on final disposition, manner, and cause of death.
69.18(1m)(b)3.3. Injury-related data.
69.18(1m)(c)(c) Statistical-use-only information, which includes all of the following:
69.18(1m)(c)1.1. All information other than that under par. (b) that is collected on the standard death record form recommended by the federal agency responsible for national vital statistics.
69.18(1m)(c)2.2. Other data, as directed by the state registrar, including race, educational background, and health risk behavior.
69.18(1m)(c)3.3. Beginning on September 1, 2025, data on the decedent’s usual occupation in a format directed by the state registrar that allows inclusion of up to 2 additional occupations, if applicable.
69.18(2)(2)Medical certification.
69.18(2)(a)(a) For a death record, in the manner prescribed by the state registrar under sub. (1) (b), the state registrar shall provide for a medical certification to be completed under this subsection.
69.18(2)(b)(b) If a person under the care of a physician dies from the illness or condition for which the care is given and a coroner or medical examiner does not certify the cause of death under par. (d) 1., the physician shall complete and sign a medical certification for the death under par. (f) and mail the medical certification within 5 days after the pronouncement of death or present the medical certification to the person responsible for filing the death record under sub. (1) within 6 days after the pronouncement of death.
Effective date noteNOTE: Par. (b) is amended eff. 3-1-26 by 2023 Wis. Act 172 to read:
Effective date text(b) If a person under the care of a physician dies from the illness or condition for which the care is given and a coroner or medical examiner does not certify the cause of death under par. (d) 1., the physician shall complete and sign a medical certification for the death under par. (f) and use the state registrar’s electronic system of vital records to present the medical certification to the person responsible for filing the death record under sub. (1) within 6 days after the pronouncement of death.
69.18(2)(c)(c) If the physician under par. (b) is absent or gives his or her written approval, the medical certification under par. (b) may be completed and signed by any one of the following who has access to the medical history of the decedent:
69.18(2)(c)1.1. If any other physician assisted in attending the decedent, the other physician.
69.18(2)(c)2.2. The chief medical officer of the hospital or nursing home in which the death occurred.
69.18(2)(c)3.3. The physician who performed an autopsy on the decedent.
69.18(2)(d)(d)
69.18(2)(d)1.1. Except as provided under par. (e), if a death is the subject of a coroner’s or medical examiner’s determination under s. 979.01 or 979.03, the coroner or medical examiner or a physician supervised by a coroner or medical examiner in the county where the event which caused the death occurred shall complete and sign the medical certification for the death and mail the death record within 5 days after the pronouncement of death or present the record to the person responsible for filing the death record under sub. (1) within 6 days after the pronouncement of death.
69.18(2)(d)2.2. Except as provided under par. (e), if the decedent was not under the care of a physician for the illness or condition from which the person died, the coroner or medical examiner, or a physician supervised by a coroner or medical examiner, in the county of the place of death shall complete and sign the medical certification for the death and mail the death record within 5 days after the pronouncement of death or present the record to the person responsible for filing the death record under sub. (1) within 6 days after the pronouncement of death.
69.18(2)(d)3.3. For a medical certification under this paragraph, except a medical certification of the cause of death of an indigent, a coroner or medical examiner may charge a fee established by the county board, not to exceed an amount reasonably related to the actual and necessary cost of providing the medical certification. The coroner or medical examiner, or the physician employed by the coroner or medical examiner, shall mail or present a medical certification as required under subd. 1., whether or not the fee has been paid.
Effective date noteNOTE: Par. (d) is amended eff. 3-1-26 by 2023 Wis. Act 172 to read:
Effective date text(d) 1. Except as provided under par. (e), if a death is the subject of a coroner’s or medical examiner’s determination under s. 979.01 or 979.03, the coroner or medical examiner or a physician supervised by a coroner or medical examiner in the county where the event which caused the death occurred shall complete and sign the medical certification for the death and use the state registrar’s electronic system of vital records to present the record to the person responsible for filing the death record under sub. (1) within 6 days after the pronouncement of death.
Effective date text2. Except as provided under par. (e), if the decedent was not under the care of a physician for the illness or condition from which the person died, the coroner or medical examiner, or a physician supervised by a coroner or medical examiner, in the county of the place of death shall complete and sign the medical certification for the death and use the state registrar’s electronic system of vital records to present the record to the person responsible for filing the death record under sub. (1) within 6 days after the pronouncement of death.
Effective date text3. For a medical certification under this paragraph, except a medical certification of the cause of death of an indigent, a coroner or medical examiner may charge a fee established by the county board, not to exceed an amount reasonably related to the actual and necessary cost of providing the medical certification. The coroner or medical examiner, or the physician employed by the coroner or medical examiner, shall use the state registrar’s electronic system of vital records to present a medical certification as required under subd. 1., whether or not the fee has been paid.
69.18(2)(e)(e) Unless the person is a physician supervised by a coroner or medical examiner, no person may act under par. (d) if the subject of the death record was his or her patient or a patient in a hospital, or nursing home, as defined in s. 50.01 (3), in which he or she has direct care of any patient.
69.18(2)(f)(f)
69.18(2)(f)1.1. A person signing a medical certification under par. (b), (c) or (d) shall describe, in detail, in the manner prescribed by the state registrar, the cause of death, show the duration of each cause, the sequence of each cause if the cause of death was multiple and, if the cause was disease, the evolution of the disease. The person shall describe a disease in medical terms and may not limit the description to symptoms or conditions resulting from disease. If the cause of a death is medically certified under par. (d), the coroner or medical examiner shall describe any violence related to the cause of death, its effect on the decedent and whether it was accidental, suicidal, homicidal or undetermined.
69.18(2)(f)2.2. If a person signing a medical certification under par. (b), (c) or (d) fails to satisfy the requirements of subd. 1., the medical certification shall be deemed incomplete and unsigned and may be returned to the person for completion.