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Enter the chain of events?diseases, injuries, or complications?that directly caused the death. DO NOT enter terminal events such as cardiac arrest, respiratory arrest, or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line.
ICD codes are assigned to all causes and conditions reported by the certifying physician, medical examiner or coroner on the death certificate. That information is then used to determine the underlying cause of death to report aggregate and comparable mortaility statistics.
It should not be considered a failure to reach a conclusion. Any death which cannot be classified in any of the categories. The actual cause of death may or may not be known in these cases. An example of an undetermined death would be a drug overdose where it is unclear if the victim intended to die.
Deaths classified as undetermined are deaths in which, after a thorough investigation and consideration of all information available, one manner of death is no more compelling than another manner of death.
The classifications are natural, accident, suicide, homicide, undetermined, and pending. Only medical examiner's and coroners may use all of the manners of death. Other certifiers must use natural or refer the death to the medical examiner.