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  2. Aug 7, 2023 · Not recognizing the underlying cause – All certificates must report an underlying cause of death, but some clinicians mistake an immediate cause for an underlying one. An example of this would be if the death certificate only lists acute bronchopneumonia, which is an immediate cause of death which requires an underlying cause.

  3. Cause of Death Entered on Death Certificate: Undetermined (Not further specified) A cause of death cannot be determined due to circumstances or findings that make the above classifications inapplicable. Examples may include cases with inconsistent histories and/or other evidence that raise uncertainty about manner of death, or those which ...

    • Drugs, medicaments and biological substances causing adverse effects in therapeutic use (Y40-Y59) Complications of drugs. Although almost any condition reported due to drug therapy is regarded as a complication, there are a few diseases that are not considered complications.
    • Surgical procedures as the cause of abnormal reaction of the patient or later complication (Y83) a. Complications of surgical procedures. Although almost any condition reported due to surgery is regarded as a complication of surgery, there are a few diseases that are not considered complications.
    • Complications of medical procedures other than surgical (Y84) Medical procedures are any type of nonsurgical procedures used in the treatment of diseases or injuries.
    • Complications of procedures involving administration of drugs, radiation, and instruments. Many procedures (e.g., angiogram, barium enema, pyelogram) involve the administration of drugs and the use of x-ray or radioactive substances and various instruments.
  4. ALWAYS. enter the underlying cause of death on the lowest used line in Part I. • For each cause indicate the best estimate of the interval between the presumed onset and the date of death. The terms “unknown” or “approximately” may be used. General terms, such as minutes, hours, or days, are acceptable, if necessary.

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  5. Notes on the cause of death list Key considerations for registrars of births and deaths This list is not exhaustive and needs to be used in conjunction with the Registrars Handbook, particularly D2 and D4. The fact that a cause if death does not appear in this list does not necessarily mean that it is, or is not, acceptable.

  6. The death certificate should be completed as cause of death: Unexplained Sudden Death (No intrinsic or extrinsic factors identified); manner of death: Undetermined or Natural. The synoptic report and summary provided in the autopsy report are shown in Table A6.1 .

  7. The underlying cause of death is the disease or injury which initiated the train of morbid events leading directly or indirectly to death or the circumstances of the accident or violence which produced the fatal injury.

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