Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
Remote Death Certification Using Telemedicine in Japan
Kemmyo SugiyamaShintaro YanakaToshiaki YasudaTakashi WatanabeAkira YamashiroJunichi NaritaAkio TomodaIsamu Sohtome
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JOURNAL OPEN ACCESS Advance online publication

Article ID: 6588-20


A 92-year-old woman diagnosed with dementia and end-stage gastric cancer received end-of-life care on the island where she lived. Informed consent concerning remote death certification based on the Japanese government's guidelines was obtained from a family member in case a physician was unavailable. A physical examination after cardiopulmonary arrest was conducted, supported by telemedicine and a well-trained registered nurse under remote supervision of the physician who last saw the deceased directly. Death certification was provided accordingly. To our knowledge, this was the first case of remote death certification using telemedicine in Japan.

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© 2022 by The Japanese Society of Internal Medicine
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