Hanzlick R
Department of Pathology and Laboratory Medicine, Emory University, School of Medicine, Atlanta, Georgia, USA.
Am J Forensic Med Pathol. 1996 Dec;17(4):319-23. doi: 10.1097/00000433-199612000-00009.
A cause-of-death statement may result in a query by the vital records registrar to clarify cause of death information or to educate the certifier of death in recommended death certification procedures. The level of querying depends on local need and resources, and is usually conducted at one of six query priority levels. When applying International Classification of Disease (ICD) coding to cause-of-death information, nosologists use a General Rule and 12 additional rules, as needed, to identify an underlying cause of death for statistical purposes. Incorrectly or poorly written cause-of-death statements, and even well-written ones, may result in queries that could have been avoided, or in codes for the underlying cause of death that differ from those intended by either the certifier of death. In an attempt to foster improvement in cause-of-death statements and to facilitate coding, this article presents basic information about queries and coding rules so that certifiers of death will be aware of potential problems and coding issues. In general, cause-of-death statements that are complete, specific, timely, correct in temporal sequence, and written according to guidelines reduce the need for queries and facilitate the ICD coding process.
死因声明可能会导致生命记录登记员进行询问，以澄清死因信息或就推荐的死亡证明程序对死亡证明人进行培训。询问的程度取决于当地需求和资源，通常按照六个询问优先级之一进行。在将国际疾病分类（ICD）编码应用于死因信息时，疾病分类学家根据需要使用一条通用规则和另外12条规则来确定统计目的的根本死因。编写不正确或质量差的死因声明，甚至编写良好的声明，都可能导致本可避免的询问，或者导致根本死因编码与死亡证明人的预期编码不同。为了促进死因声明的改进并便于编码，本文介绍了有关询问和编码规则的基本信息，以便死亡证明人能够意识到潜在问题和编码问题。一般来说，完整、具体、及时、时间顺序正确且按照指南编写的死因声明可减少询问需求并便于ICD编码过程。
