Who international death records icd

Death certificates are Federal state specific; they consist of a confidential and a non-confidential part. Inspection of the body and completion of the death certificate are regulated by the funeral laws of the federal states. Errors and gaps in the causal chain of causes of death result in inaccuracies in the causes of death statistics. This short tutorial "Cause of death on the death certificate" as at January is only available in German language.

In addition, DIMDI conducts encoding training courses at the regional statistical offices in order to ensure standardised encoding. The Education and Implementation Committee EIC of the WHO -Family of International Classification Network has developed framework curricula for training on death certificates, the encoding of causes of death and also morbidity encoding.

In addition, WHO offers an interactive training tool for its ICD to explain the structure of ICD and the encoding process; this tool can be used free of charge online.

Classification of Death and Injury Resulting from Terrorism

Iris is an electronic system for coding multiple causes of death and for the selection of the underlying cause of death documented in the death certificate. Causes of death statistics for research, planning and prevention What preventive and medical-curative measures increase life expectancy and quality of life?

ICD WHO as the basis for the causes of death statistic In Germany, the causes of death of all deceased are recorded by the regional statistical offices; they are then included in the mortality statistics of the federal government and of the federal states. The non-confidential part is handed to the next of kin for submission to the registry office. Part II can optionally include diseases that were a contributing factor towards the death but formed no direct part of the causal chain leading to the death.

We are not able to comment on the extent of investigation in to each perinatal death.

Considerations should be given to changes in perinatal death codes in the ICD revision process. This is consistent with previous findings using a stillbirth classification that included a category for fetal growth restriction based on birthweight and gestational age. The inherent challenges in assigning a perinatal cause of death can partly be overcome by improving capture of the maternal condition. Where it is not possible to see a clear entry point for intervention by looking at the perinatal causes of death, it may be the maternal condition that adds the information needed.

Currently, a clinician documenting the cause of death for an intrauterine fetal demise in a woman with eclampsia is limited in what they can assign as the cause of death to that fetus.

Having the maternal condition captured and analysed together with the perinatal cause of death offers valuable information on plausible pathways leading to the perinatal death, and further guidance as to where interventions might be beneficial. Another demonstration of the added value of capturing the maternal condition is in the case of unexplained fetal death. In the South African data, antepartum stillbirths with a maternal condition e.

The UK data have no antepartum cases with this code, but a significant number of unexplained fetal deaths with associated maternal conditions. However, the different codes but from the point of ICD coding rules, equally valid do not offer the necessary detail on the cause of perinatal death, nor do they indicate where intervention should be directed.

Perinatal death classification systems frequently have high rates of unexplained fetal deaths. Improving the quantity and quality of data on the maternal condition present at perinatal death may provide the necessary critical information to target interventions to prevent these deaths.

Design of the ICD

Although this may be challenging in some settings, moving forward it is important to keep the emphasis on each death regardless of the time period. Based on this pilot testing, it could be suggested that programmes addressing management of hypertension, the outcomes of intrapartum care, and the prevention of preterm birth are needed in a setting like South Africa, and those addressing prematurity and the maternal and obstetric complications of placenta, cord and membranes, are highlighted as needed from the UK data.


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A classification system is only as good as the data entered in to it. It is true that in perinatal mortality, there is scope for conflicting data or variable interpretations of causes of death. WHO, with guidance from experts, has worked to address these concerns of classification systems in two ways. The audit guide aims to generate information about modifiable factors contributing to stillbirths and neonatal deaths and to use the information to guide action.

Community and Environment

EA and OT drafted the manuscript. JG and RCP provided access to the databases and guidance for the pilot testing.


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EA and AQ undertook the analyses. The data are collected with permission from the South African Department of Health. This secondary analysis was approved by the PPIP technical task team. This article reflects the views of the named authors only, and not the views of their institutions or organisations. Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries other than missing content should be directed to the corresponding author for the article.

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Share Give access Share full text access. Share full text access. Please review our Terms and Conditions of Use and check box below to share full-text version of article. Setting South Africa, UK. Population Perinatal death databases.

ICD-9 to ICD The Coding Migration - ACEP Now

Main outcome measures Causes of perinatal mortality, associated maternal conditions. Maternal condition M1 Complications of placenta, cord and membranes M2 Maternal complications of pregnancy M3 Other complications of labour and delivery M4 Maternal medical and surgical conditions M5 No maternal condition.

Figure 1 Open in figure viewer PowerPoint. Acknowledgements We would like to acknowledge the input of the following participants of the technical consultation which took place on 10—11 November in Geneva, Switzerland: Hannah Blencowe, Rogelio Gonzalez, Robert Jakob, Kate Kerber, Edward A. Supporting Information. Filename Description bjosupTableS National, regional, and worldwide estimates of stillbirth rates in with trends since a systematic analysis.

International Statistical Classification of Diseases and Related Health Problems

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