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While M-DET is not designed to substitute physician coding of causes of death it could be a useful tool for cause of death quality assurance.
Substantial changes in the coding of causes of death in Poland were introduced in 1997.
A second limitation of death registers is related to the assignment and coding of causes of deaths.
VA methods for low- and middle-income countries are becoming increasingly standardized, adapted and simplified through machine coding of causes of death (23, 24 ).
Since its initiation in 1893, this international standard for the coding of causes of death has been revised ten times in the twentieth century (WHO 2004; Anderson 2011).
The data are based on death certificates, and the coding of causes of death is controlled by medical experts at the local level and at Statistics Finland [ 27].
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The MDS has been restricted to 3-digit, and not 4-digit, ICD-10 coding of cause of death.
Also, coding of cause of death data is delayed pending funds, and periodicity of routine updates is longer.
The Danish National Death Register changed coding of cause of death from ICD-8 to ICD-10 from 1 January 1994.
Following the practice of the National Center for Health Statistics, coding of cause of death for CTS participants is automated, adhering to World Health Organization rules by using the Automated Classification of Medical Entities system, which eliminates intercoder differences that arise with manual coding.
The coding of cause of death was validated with written information from the general practitioners and by manually going through copies of the original death certificates which could be acquired for 296 patients.
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