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The International Classification of Diseases (ICD) is designed to promote international comparability in the collection, processing, classification, and presentation of mortality statistics. This includes providing a format for reporting causes of death on the death certificate.
Death is usually considered ?natural? if it wasn't caused by an external factor. Simply put, a ?natural? death is one that occurs due to an internal factor that causes the body to shut down, such as cancer, heart disease or diabetes. It means there was no external reason for the death, such as a traumatic injury.
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.
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.
If the cause of death is unknown or if the death is sudden, suspicious, unnatural death a thorough and scientific investigation is necessary. Autopsy or postmortem examination is gold standard in this respect from ages to find the cause of death and to study diseases.