Das C, van der Wal G
Vrije Universiteit Medisch Centrum, afd. Sociale Geneeskunde/Instituut voor Extramuraal Geneeskundig Onderzoek, Amsterdam.
Ned Tijdschr Geneeskd. 2002 Oct 26;146(43):2040-3.
'Cause of death' is an ambiguous concept. Terms such as 'immediate', 'underlying' or 'primary' cause of death are used, along with indications such as 'associated conditions' and 'contributing factors'. Furthermore, the terms 'mechanism', 'manner' and 'method' of death are used internationally. The Dutch classification of the manner of death with just two categories (natural and unnatural death) is not used in other countries. Belgium, Germany, England and the USA use more or other categories. It is recommended that the Netherlands consistently use these terms in accordance with the international codes for both the death certificate as well as the registration form for the cause of death statistics. The circumstances of death of which the medical examiner needs to be notified should be explicitly stated on the death certificate.
“死因”是一个模糊的概念。人们使用诸如“直接”“根本”或“主要”死因等术语，以及“相关病症”和“促成因素”等表述。此外，“死亡机制”“死亡方式”和“死亡方法”等术语在国际上也被使用。荷兰仅分为两类（自然死亡和非自然死亡）的死亡方式分类在其他国家并不使用。比利时、德国、英国和美国使用更多或其他类别。建议荷兰根据国际编码在死亡证明以及死因统计登记表中始终如一地使用这些术语。死亡证明上应明确注明需要通知法医的死亡情况。
