Where a death occurs inside a health facility, the death must be declared by the relative of the deceased who is present, or the administrator or director of the establishment.
Head of the household or nearest relative is the designated informant.
Where there are signs of violent death or suspicion of crime or when the doctor declares ignorance of the cause of death, Article 238 requires the civil registrar to abstain from registering the death and to immediately inform judicial or police authorities to conduct an autopsy and investigation. Impliedly, this suggests that medicolegal authorities must take over, instead of the usual informants.
Deaths must be certified by health professionals, with evidence of a medical certificate of death. In the absence of one, the registrar must request one from the local health authority who must verify the death and issue the certificate.
A medical doctor must still verify the death. However where this is impossible, the certificate may be replaced by a record drawn up by administrative or police authority with two witnesses, stating that the death was verified and whether there are signs of violence. This is then sent to the doctor or health authority to classify disease/ cause of death and issue the medical certificate of death.
Other institutions play a role in death registration in the case of an abandoned corpse. Directors of hospitals, prisons and similar establishments also have a notification role to play where relatives are not present or unknown.