TxEVER Medical Certification for Physicians

Welcome to TxEVER. This video is intended for medical certifiers
on death certificates. In this video, we will learn how to accurately
complete cause of death data entry. Let’s get started. After logging in, begin by clicking on the
death tab. This will take us to the death module of TxEVER. On this screen, select functions and then
click medical data entry. To select the record you want to work on,
click the “unresolved work queue” filter. Select the record. This screen tells you that you have been designated
to medically certify this record. If this is not your patient, you may reject
the record. You must explain why you are rejecting the
record. Click accept to begin entering information. We will start with medical tab 1. Click medical tab 1 on the left side of the
screen. First, we will verify that the decedent’s
name is correct. If a medical record number or medical examiner’s
case number is available, enter those into their fields. Next, verify that your name, title, address
and license number are correct. Finally, verify that the date and time of
death are accurate. When selecting time of death type, select
between actual, presumed, and estimated times of death. If a decedent was found at the time of death is unknown, select “found on” to indicate the date and time the body was found. Finally, click save. Move on to medical tab 2. Medical tab 2 is where we enter cause of death
information and is extremely important. Please take your time on this screen as this
data plays a significant role in public health. The cause of death is based on your best medical
opinion. We begin with cause of death, part 1. In box A, we will enter the immediate cause
of death. This is the final disease or condition resulting
in death. To the right of box A, enter the approximate
interval, or onset to death. If the cause of death will take longer than
5 days to determine, enter pending. In box B, we will enter what caused the condition
in box A. To the right of box B, enter the approximate interval. In box C, we will enter what caused the condition
in box B. To the right of box C, enter the approximate interval. In box D, we will enter what caused the condition
in box C. To the right of box D, enter the approximate interval. In cause of death part 2, enter any other
significant conditions contributing to death but not resulting in the underlying causes
given in part 1. Do not enter terminal events such as cardiac
arrest, respiratory arrest, or ventricular fibrillation in box A without explaining the
conditions that led to those events in the following boxes. We will then enter autopsy information, if
applicable. Was an autopsy performed? If so, were the autopsy findings available
to help determine the cause of death? Next, we move on to the manner of death. Physicians can only certify if the manner
of death is marked as natural. Any other manner of death must be certified
by the Justice of the Peace or a Medical Examiner. If the cause of death will take longer than
5 days to determine, select pending as the cause of death and enter pending into box
A. Finally, we will answer two questions. Did tobacco use contribute to death? If the decedent is a female aged 10-54, was
she pregnant in the last year? Be sure to carefully select the correct pregnancy
option, and do not select pregnant at time of death if the female was not pregnant. Finally, medical tab 3 asks us to provide
information related to injuries or accidental deaths. If there is no injury information to report,
select no, click save and move on. When finished, click save. To certify the record, click record, and then
click medical certification. If you have trouble with your PIN, please
see the video regarding PIN issues. You now know how to complete the medical portion
of a death certificate.

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