Journal article

Reliability of ICD-10 external cause of death codes in the National Coroners Information System

Lynda Bugeja, Angela J Clapperton, Jessica J Killian, Karen L Stephan, Joan Ozanne-Smith



Availability of ICD-10 cause of death codes in the National Coroners Information System (NCIS) strengthens its value as a public health surveillance tool. This study quantified the completeness of external cause ICD-10 codes in the NCIS for Victorian deaths (as assigned by the Australian Bureau of Statistics (ABS) in the yearly Cause of Death data). It also examined the concordance between external cause ICD-10 codes contained in the NCIS and a re-code of the same deaths conducted by an independent coder. Of 7,400 NCIS external cause deaths included in this study, 961 (13.0%) did not contain an ABS assigned ICD-10 code and 225 (3.0%) contained only a natural cause code. Where an ABS assigned..

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Funding Acknowledgements

An Australian Postgraduate Award supported the first and third authors for their PhD candidature. The Monash University Accident Research Centre Doctoral Student Fund supported funding for independent coding of ICD-10 cause of death. Many thanks to Jessica Pearse (Manager, NCIS) and Leanne Daking (Quality Manager, NCIS) for their expert advice and review and comments on the manuscript. Thanks also to Dr Kirsten McKenzie (Deputy Director and Senior Research Fellow, National Centre for Health Information Research and Training Queensland University of Technology) for providing information on the ABS ICD-10 coding processes and valuable comment on the manuscript.