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Additionally, errors may occur in coding of death certificate data.
We also argue that there is no reason to suspect that there would be differential coding of death certificates according to urgency of treatment as the physician completing the death certificate would not necessarily have been aware of the assigned urgency at registration for CABG.
GM and AHS directed mortality data collection and coding of death certificates.
Currently the coding of death certificates is a complex process which involves many entities.
Coding of death certificates was executed by trained nosologists according to the International Classification of Diseases ICDD), Ninth or Tenth Revision.
For instance, manual coding of deaths certificates is not 100%% repeatable with the same result for the same ICD, as has been shown by Harteloh et al. (2010).
Whilst the quality of the mortality data collection in countries such as the Netherlands is generally high, coding of death certificates has some problems, due primarily to the number of ill-defined cardiovascular codes.
In 1993, multiple-cause coding of death certificates was introduced as standard practice in England, but information about multiple-cause mortality for longer-term trends is not available nationally.
The difference remained even after adjusting for international differences in demographics and healthcare and was also found for deaths from all causes, which controls for potential differences in the coding of death certificates (Table 2).
Though the geographic distribution of specific-cause mortality might be affected by differences in the quality of death certification between one part of the country and another, there are not too many arguments that could support possible inconsistencies and differences of criteria in the coding of death certificates.
This study shows that it is feasible to achieve high levels of accuracy when using NLP tools to identify cases of pneumonia and influenza cases from electronic death records while still providing a system that can be used for real time coding of death certificates.
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