Electronic Death Certification in the Grand-Est Region. Bulletin of June 18, 2025.

Published on 18 June 2025

Key Points

Electronic certification is mandatory for all deaths occurring in healthcare facilities as of June 1, 2022 (see Decree of February 28, 2022)
Under certain conditions, a state-certified nurse may issue death certificates (see Article 56 of Law No. 2025-199 of February 28, 2025)
As of January 1, 2025, the neonatal certificate has been replaced by the infant certificate, which is to be used for deaths occurring up to 364 days of life (see Order of May 29, 2024)

38% of deaths certified electronically in the Grand Est region (vs. 49% in France) in 2024, ranging from 14.1% in the Ardennes to 52.3% in Meurthe-et-Moselle
The adoption of electronic certification is higher in public (57.6%) and private (76.8%) healthcare facilities than in nursing homes (19.6%)
Electronic death certification remains underutilized in home settings (7.7%) and on public roads (3%) and could be facilitated by connecting municipalities to the HuBEE portal