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If the Medical Examiner-Coroner honors the request for no autopsy, the body will undergo an external examination and postmortem ancillary studies to include complete toxicology analysis will commence but without incisions and further dissection of the internal organs.
In civil cases such as wrongful death lawsuits, the burden of proof lies with the plaintiff, the person filing the claim. The plaintiff's burden of proof for wrongful death cases is a preponderance of the evidence.
Often, the autopsy report confirms the cause and manner of death listed on the death certificate. When this happens, the family can have closure and move on. Sometimes, the autopsy report contradicts the death certificate. In cases like this, the medical examiner will have the death certificate amended.
Medicolegal autopsies are performed for several reasons: 1) to establish the cause of death when no reasonable diagnosis can be made from recent medical history, physical examination and/or circumstances surrounding the death; 2) to document internal injuries as well as external injuries; 3) to collect medical evidence ...
You do not need the results of an autopsy to file a wrongful death claim, but if there is suspicion that someone's untimely death was the result of another person's negligence, a post-mortem physical exam can be beneficial.