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Manner of Death is the way to categorize death as required by the Washington State Department of Health. The classifications are natural, accident, suicide, homicide, undetermined, and pending.
Autopsy or postmortem examination is gold standard in this respect from ages to find the cause of death and to study diseases.
Multiple-cause data more accurately characterize the joint or sequential occurrence of factors that may be involved. 1 Such data include all morbid conditions, diseases and injuries entered on the death certificate.
Medical information The medical information on a death certificate includes the pronouncement of death as well as the medical certification of the cause of death, which has two components: the cause of death (Part 1) and contributing conditions (Part 2) (form 1).
Errors occur even at institutions where autopsy pathologists trained in death certification are an available resource. Such errors can range in severity from spelling errors and incomplete demographic information to reporting the wrong cause and/or manner of death altogether.
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Absence of time interval (80.9%), absence/inappropriateness of comorbidities (45.1%), incorrect underlying cause-of-death (COD) statement (38.9%), improper sequence (36.2%), mechanism of death with underlying COD (UCOD) (33.6%), abbreviations (33.0%), mechanism only (23.9%), competing causes (21.5%), two or more
About Multiple Cause of Death: Although each death certificate has only 1 Underlying Cause of death, up to 20 causes can be indicated in the Multiple Cause of Death field.
Two-thirds of death certificates contain more than one cause of death which can be used to explore disease interactions. Chronic diseases such as Diabetes and Hypertension have the most number of multiple causes of death. Injury surveillance may benefit from multiple cause analysis.

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