Designated Representative (DesRep) cases
If a death falls under the jurisdiction of the Medical Examiner and the patient had been under in-patient medical care for a period of time, the death still needs to be reported to the medical investigator on duty. After discussing the circumstances of the case, the death may be classified as a ‘Designated Representative’ (DesRep) case.
This designation indicates there has been sufficient diagnostic testing for a cause of death to be determined. If death is due to trauma, there will be a query as to the type of injuries and their documentation. The possibility of criminal charges will also be taken into consideration as to whether the body is sent to the OME or not. An OME case number will be assigned but the treating physician will be authorized to complete the death certificate.
If a death is reported to the OME and after review the circumstances do not necessitate that the OME assume jurisdiction, the case will be handled as an ‘Inquiry’ by our office. This may require you to provide at least some basic personal information regarding the deceased as well as information regarding your diagnoses and treatments of the individual.