Guideline Autopsy

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Text of Guideline Autopsy

Microsoft Word - Guidelines on autopsy practice - Main document.doc

The Royal College of Pathologists

Guidelines on autopsy practiceReport of a working group of

The Royal College of Pathologists

================September 2002Guidelines on autopsy practiceReport of a working group of

The Royal College of PathologistsThis document was placed for consultation on the Fellows and Members Area of The Royal College of Pathologists website from 1030 April 2002. 27 replies were received. These were forwarded to the Working Party who found them very useful in preparing this final draft of their report, although inevitably some contentious issues remain.

Dr John A LeeDirector of Publications===The Royal College of Pathologists2 Carlton House Terrace London SW1Y 5AFRegistered Charity No. 261035 2002 The Royal College of PathologistsFurther copies of this publication can be obtained from the College website at www.rcpath.orgCONTENTSb=~KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKN=N=oKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO= O=q=~===~=~====d KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKP= P=`= KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKQ= Q=jJ~=~=~=~~ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKS= R=^W==~==~=~ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNM= S=e~=~=~== KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNO= T=^=~~= KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNS= U=^=~~=~=W==~~=~=~~ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKNU= V=^= KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOO= NM=p~=~ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOQ= NN=^~~=m~=q~ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOS= NO=^===~ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOT=_~ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKOV=`~=KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPQ=^ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPR=^=N=e~~=d=P=~ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPR=^=O=d==~===e~~=d=Q=~==~=~~ KKKKKKKKKPS=^=P=m===J=~~====== J==~~W=e~~=d=P==efsI=~=`I= I=`Jg~=~ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKPT=^=Q=k~===~ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKQS=^=R=j=~~=~==~==~~=~====~=~ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKQT=^=S=d==~=~==~=~=~~=~ KKKKKKKKKKKKKKKKKKKKKKKKKKKKQV=^=T=d==~=~==J~~=~=~=====~==~KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKRN=^=U=k~~=~KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKRQ=^=V=j~~=~KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKRS=^=NM=c=~~ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKRU=^=NN=p==~KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKSM=^=NO=j===t=m~===^ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKSN====EXECUTIVE SUMMARY=N=q= ~= ~= = ~= = = = ~~~= = ~= ~I=~= = ~= ~= = ~= ~= ~= ~= = = = = = ~= K= k= = = = = ~~= = ~= ~= ~= =K==O=t= = = = ~= ~= ~= = ~= ~~= = ~= ~= ~= ~= = ~~I= = ~= = = = = ~= ~~= =~=~=~=K=n~==~=~===dI=== ~= = = = ~~I= ~= ~= = ~= ~= ~I= = = ~= = ~= ~= ~I= ~= = ~= = ~= = = ==~==~=~K=q========~=~K===P= q= = = ~~= = ~= ~= ~= = ~I= ~= = =~===`~==~=b~=~=t~I=~=~==~= = = ~= = ~= K= ^= = = ~= = ~= = = ~= I= = = = = ~= = = = ~= = = ~= ~= = ~K= f= = dI= = = = ~= = = ~= EKK= ~= F= ~= ~~=~=E=FK=^=~~======~K===Q=p= = ~= = ~= ~I= ~= ~= ~= = = ~~= ~I=~= = ~= = = = ~= `= = m~= c~I= = ~= = = =`~= ~= ~= = = = = ~= = = ~K= q= ~= ~=~~===`~=I=~~==~==~=~K=q=`= = = = = = e= l= o= = `= p= = = = ~= = = ~= = ~= ~= ~K= q= = ~= ~= = ~= ~= = = = = ~= ~= ~= ~I= ~= ~= ==~==~=~~=~===~=\==R=pJ~~==~=~=~=~==I=~=~= = ~~= = = = = = = ~= = ~= ~= = K= q= ~= = = = = ~= ~= E= ~~= = = ~~= ~= = ~I= ~= = = = = ~FK= f~= ~= ~= = = ~= ~= = ~= ~~= = = ~= = = ~~= = ~K= m~= = = = = = ~= = = ~= = = ~= = =~~===~=~=~K===S=^= = ~= = ~= ~= EF= ~= ~= ~= = = ~I= ~= ~= ~= = = ~~= = = rhK= q= d==~=~~=~~===~=====~=~=K===T=q= = ~I= = ~= ~= ~= = ^~~= m~= q~= E^mqFI==~=~====~=I===~=~K=q=~==~==~===dI==^mq=====~=~==~=~==~==K===1REMIT=NKN=f= NVVUI= q= o~= `= = m~= = ~= `= = m~= = ~===rhK=q=~==~W=~=~=~=~=~~==~=~=~=~==

~=~=~=

===^~~=m~=q~=E^mqF=~==J~=~K===NKO=f===~==~=~=~====~=~===`=~= ~=~=~=~=~===~==~I=~=~==~=~= ==~===J~=I=~=~=~K==NKP=q==d=~=====q=o~=`==m~=~= = ~~= = = rh= ~= ~~K= q= `= ~= = = = ==j~=OMMM=~=~==X==~===~==~=== dK===NKQ=q~= = ~= ~= = = = ~= ~= = = = =~= = = K= q= = = ~= = ~= = = dX= ~=`=====K===NKR=oI=~===~==~=~=~I==W==J=~=~=~=EjofF=~=~==~=~=====~=~=~=~~=~=J===~=

J~===~=~==~=~=~===

=~===EKK=NR======~FK===NKS=^~= = = jof= ~~I= = = ~= = ~= = = = = = ~~I= ~= I= = ~= = = = = = = = ~= = = ~~=~K=q=`=======I== ~=~~K=t==~=~=~======~=~= = = = = ~= ~= ~= ~= = ~I= = ~~= = = ===~==~=~==~====~K==NKT=^= ~= = = = d= = = = = = = = ~= = ~~= ~~= K= cI= = J =~= ===~==~=~====EKK=~== I=I=I=~~=~=~=FK===NKU=o~= ~= = = J~= ~= ~= = = = = dK= p= ~= = = = = e= l= o= = `= p= ~= ~= ===~=~K=

2THE IMPORTANCE OF THE AUTOPSY AND OVERVIEW OF THESE GUIDELINES=OKN=l= ~= = ~= ~= = = ~= ~= = = ~= NRM=~= ~= = ~= = ~= K= f= = rhI= = ~= = = ~= =~=~==~==PM=~I=====J~=~===~K=f=b~=~=t~=~=~I=~=NPM=MMM=~=~=K=q=~=~===~==~=~I==I==~=VMB=~=~==~=`K= j= = = ~I= ~~= ~= ~~= ~= ~= = ~= ~=~=~===~=~K===OKO=^=q=o~=`==m~==^~~~=~W=q=~==~=~= I= ~= = I= ~= ~= = ~= ~= ~= K= q= = ~= = = = = = = = ~= = = = = = = = ~= = ~= ~= = = K= ^= ~= = ~= ~= I= ~= = = ~=~====~==~=I====~=~I= ==~==~~=~==~==~=~=~===== =~==K==OKP=q=~==~=~=~=~====~=~=~= ====~==~===~==~==~=K= q= ~= = = = J~= ~= = = ~= = ~= ~= = = = ~~= = ~K= p~I= = ~= ~= = = = = = ~= = ~= = = = = ~~= = ~= = ~=~= = = K= j~= = = ~= = ~= ~== ~J= ~= J= ~= = ~= ~= ~= ~= = ~= ~==~=K===OKQ=m~=~==~=======~====~=====~=~===~=~K=^==~====~= ~= = ~I= = = ~= ~= ~= = = ON= = = ~= ~= ~= = = = ~= I= ~~= = ~= ~= = ~= = ~= = = ~K= q= = = ~= ~= ~= ~= ~I= = I= ~= = ~= = = ~K= q= ~= = ~= = ~= ~====~=~==~==~==~J=~= J= ~X= = ~= ~= = = = ~= ~= ~= =~~==~===K===OKR=q=~==~=~~=~=~~===~==~=~=~=~=~=~K===OKS=f==~=~==~=~=~=~==~====~~=~= ~= = = = ~= ~I= = = ~= = = = ~= = ~~= K= q= = = = ~= ~= = ~= = =~W======~=~=~=====~=~K===OKT=m~= = = ~= ~= = ~= ~= = ~= ~= ==~~==~===~=~=~=~==~=~~=== ~= ~K= p~~= = = = = ~= ~= ~~= = = K= s~~= = ~= ~= = = = = ~= ~= ~= = = ~= = ~~= ~J= ~I= ~= = = = = ~= = ~J= = ~= ~= ~K= qI= ~= = ~= ~= ~~=~=~K=eI=q=o~=`==m~==~==~=~=== ~I= ~= = = = ~= ~= = ~~= E= ~~F= ~= ==K=3CONSENT ISSUESPKN=p= = ~= = = ~= I= = ~= ~= ~= = ~= = = ~= = = = = = ~= = = K= ^= = = ~= ~= = = q= o~= `= = m~= j~= OMMM= ~= = K= kep= ~~J= = = ~= = = ~= `~=~= = = ~= ~= ~= = = ~= = = ~= = = K==PKO=l~= = = = ~I= ~= = ~= = = = ~= = =~I= = = = = = = ~= = = ~J~= ~= ~=I=~===~=~K===PKP=q= = = = ~~~= = ~= = = `= ~= ~= = ~= = = ~= ~I= = ~= = ~= ~L= = ~= = I==`==~==~==~===~K==PKQ=q=~===~=====~====~W=~=~=~=~~===~=~=~=~====== ~===~=~====K=q======= ==`==~=~==~====~=~=~===~=~~==~==~~~I==I====~=====I==~=~===~====~=~==~=~======~===~===~K==PKR=^=====~==~===~==~=~==~== ~=~=~===~=K=t==~==~=I== = = ~= = ~= = ~= ~= = = ~= ~= ~= ~= ~= = ~=E~=~==~===~=FK==PKS=q= ~= = = ~~= ~= = ~= = = = = = = = = = ~= = ~= ~K= q= = = = ~= = ~= ~= ~~= ~= ~= = = = = ~= = = ~= ~= = = = = ~= ~K= c~= = = ~= = = = ~= ~= = = = = K= q= ~= ~= = = = = = = ~= ==~=~K=q=~====~===~====~===~==~~=K===PKT=_= = ~= = ~= ~I= = ~= = = ~= ~= ~= = = = = = = = ~= = = ~= ~= = I= ~= = = = = ~= = = K= f= = ~~= = = ~= ~= = = ~= ~= = ~= = = ~= = ~= = = ~I= = = = = = = = = = ~= ~= = ~= = = ~= = ~~I=== ~==~=K=f======== ~====~~===I==~==== ==~K=

=PKU=t= = ~~= = = ~I= = = = ~= = = = ~~= = ~= ~I= ~= = ~= = = = = = `= = m~= c~I= = ~= = = ~= = = I= = = = `= = = =~=K==PKV=t= = `= E= m~= c~F= = = ~= = ~= = ~= J = ~~= ~= = ~~= = = ~= = = ~= ~~~= = = = = E= = ~= = = `F= ~I= = ~I= = ~= = = ~= = = `= I= = = ~= = = ~= ~= = = =`I= ~= = = = ~= = = = = = ~= J= ~~I===~=~==J=~~====~~K==PKNM=t= = ~~= = = ~= ~= ~= ~= = ~= = = ~= = =`= I= = ~= = = = ~= ~= I= = = ~= = = = ~= = = `K= e= = = = = = = = ~= = =~=====~==K=

=PKNN=m~=f==~=~I==~==~===~W==~=EKK===F==~=~I=~I=~=~=~I=K===~=~I==~K==^==~==~~===~X===~===~= ~= = = = ~= = ~= = = = ~= ~= ~~= Ebn^F=~=~K=

= q=d~=j~=`=Edj`F=~===~=~=~=== = = ~I= ~= = = ~= K= q= ~= = ~= = W===o=~=~=====~=~=I=~=~= =~=~==~K=^=====~== ~=~==E~====~===~=FI==``qs= ===~~==~K===m~=OW=o=======m~~~=RK=v======~~===~=== =K=k=========~=I==~I= =I===~==~===~==~== ~= ~=~==~==

~==~=~=

==m~~~=SK=p==~===~==~=~=~=== ==~K=f=~===~~==~===~I=~= ~=====~====~==~=I= ~=~====~K== =m~=PW=o======m~~~=UK=t==~=~=J=~~I==== ==~==~==~==~=~===== ~=~==~K=f==~=====~=J~=~I= ========`==m~=c~=E= p~F==~=~==~K====m~~~=OQK=v===~=====J~=~= ==I=======~=== ~K=mJ~=~==~=~K=q=== ==~===m~=O=~K=4MEDICO-LEGAL ASPECTS AND AUTHORISATIONQKN=d~=`~==QKNKN=q= d= ~= = = = = ~~= = = = `~= = = b~= ~= t~K= t= = = = = = ~= = p= ~I= = = = ===~======m~=c~=K=QKNKO=f= = ~= OMMMI= NOQ= RMM= ~= = = = b~= ~= t~= ~=~~==

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