| What does the underlying cause of death represent in the MCCD forms? | that morbid condition which initiated the chain of events leading to death | 1. The necessary data is collected in the prescribed Form No. Institutional Deaths (Appendix-II) as filled in by the concerned hospital authorities. A separate Form No.4A-Non institutional Deaths (Appendix-III) has been prescribed for non-institutional deaths, which are attended to by the medical practitioners. These forms conform to the international format of medical certification of cause of death as evolved by the World Health Organization (WHO). These forms comprising two parts incorporate immediate and antecedent causes of death along with the identification and other particulars of the deceased. Part-I provides for entering the diseases in a specific sequence of events leading to death, so that the immediate cause is recorded first and the underlying cause, the last. The underlying cause is that morbid condition which initiated the chain of events leading to death. | 809 | definition | 1.000 | https://censusindia.gov.in/nada/index.php/catalog/42681/download/46350/Annual_Report_on_MCCD_2020.pdf | The underlying cause is that morbid condition which initiated the chain of events leading to death. | 14 | page=14,block=4 | 0.700 | valid |
| What is the structure of the ICD-10 alphanumeric coding system? | a letter in the first position and a number in the second, third and fourth positions; the fourth character follows a decimal point | Major Groups and the description of ICD-10 Codes The classification of diseases may be defined as a system of categories to which morbid entities are assigned according to established criteria. The Tenth Revision of International Classification of Diseases (ICD-10) is a single coded list of three-character categories, each of which can be further divided into up to ten four-character subcategories. In place of the purely numeric coding system of ICD-9, ICD-10 uses alphanumeric code with a letter in the first position and a number in the second, third and fourth positions; the fourth character follows a decimal point. The code numbers can range from A00.0 to Z99.9. Earlier the letter U was not used and kept blank for use in future. Codes U00-U49 was kept reserved to be used for the provisional assignment of new diseases of uncertain etiology. | 492 | definition | 1.000 | https://censusindia.gov.in/nada/index.php/catalog/42681/download/46350/Annual_Report_on_MCCD_2020.pdf | In place of the purely numeric coding system of ICD-9, ICD-10 uses alphanumeric code with a letter in the first position and a number in the second, third and fourth positions; the fourth character follows a decimal point. |
| What is the term used for injuries caused by exposure to fire-related hazards? | Exposure to smoke, fire and flames | 1 COVID-19, Virus Identified U07.1 2 COVID-19, Virus not Identified U07. Accidental Falls Other Violence E55 E56 Complications of medical and surgical care Accidental drowning and submersion Exposure to smoke, fire and flames Accidental poisoning by and exposure to noxious substances Intentional self-harm (Suicide- attempted) Assault (Homicide) XXII Code for Special Purposes Provisional Assignment of New Diseases of Uncertain Etiology or Emergency Use E57 Other external causes of accidental injury, not elsewhere classified Late effects of external causes of morbidity and mortality | 191 | definition | 1.000 | https://censusindia.gov.in/nada/index.php/catalog/42681/download/46350/Annual_Report_on_MCCD_2020.pdf | Accidental Falls Other Violence E55 E56 Complications of medical and surgical care Accidental drowning and submersion Exposure to smoke, fire and flames Accidental poisoning by and exposure to noxious substances Intentional self-harm (Suicide- attempted) Assault (Homicide) XXII Code for Special Purposes Provisional Assignment of New Diseases of Uncertain Etiology or Emergency Use E57 Other external causes of accidental injury, not elsewhere classified Late effects of external causes of morbidity and mortality |
| What is the underlying cause of death as defined in the MCCD forms? | that morbid condition which initiated the chain of events leading to death | 1. The necessary data is collected in the prescribed Form No. Institutional Deaths (Appendix-II) as filled in by the concerned hospital authorities. A separate Form No.4A-Non institutional Deaths (Appendix-III) has been prescribed for non-institutional deaths, which are attended to by the medical practitioners. These forms conform to the international format of medical certification of cause of death as evolved by the World Health Organization (WHO). These forms comprising two parts incorporate immediate and antecedent causes of death along with the identification and other particulars of the deceased. Part-I provides for entering the diseases in a specific sequence of events leading to death, so that the immediate cause is recorded first and the underlying cause, the last. The underlying cause is that morbid condition which initiated the chain of events leading to death. | 809 | definition | 1.000 | https://censusindia.gov.in/nada/index.php/catalog/42681/download/46350/Annual_Report_on_MCCD_2020.pdf | The underlying cause is that morbid condition which initiated the chain of events leading to death. | 14 |
| What should be stated as the immediate cause of death in the medical certificate? | the disease, injury or complication which caused death, not the mode of dying such as heart failure, asthenia, etc. | (See Rule 7) MEDICAL CERTIFICATE OF CAUSE OF DEATH (For non-institutional deaths. Not to be used for still births) To be sent to Registrar along with Form No. 2 (Death Report) I hereby certify that the deceased Shri/Smt/Km…………………………………………………… son/wife/daughter of ……………………… resident of ……………………………………………………………………… was under my treatment from ……………………… to …… …………………………. and he/she died on …………………………………… at ……………….A.M./P.M. NAME OF DECEASED For use of Statistical Office Sex Age at Death If 1 year or more, age in years If less than 1 year, age in month If less than one month, age in days If less than one day, age in hours 3. Male 4. Female CAUSE OF DEATH I Immediate cause State the disease, injury or complication which caused death, not the mode of dying such as heart failure, asthenia, etc. | 682 | definition | 1.000 | https://censusindia.gov.in/nada/index.php/catalog/42681/download/46350/Annual_Report_on_MCCD_2020.pdf | Female CAUSE OF DEATH I Immediate cause State the disease, injury or complication which caused death, not the mode of dying such as heart failure, asthenia, etc. |
| What should be stated under antecedent cause in the medical certificate of cause of death? | Morbid conditions, if any, giving rise to the above cause, stating underlying conditions last | Antecedent cause Morbid conditions, if any, giving rise to the above cause, stating underlying conditions last II Other significant conditions contributing to the death but not related to the disease or condition causing it (a) …………………………………….. due to (or as a consequences of) (b) …………………………………….. due to (or as a consequences of) (c) …………………………………….. ….…………………………………….. ….…………………………………….. Interval between onset and death approx. If deceased was a female, was pregnancy the death associated with? 1. Yes 2. No If yes, was there a delivery? 1. Yes 2. No Name and signature of the Medical Practitioner certifying the cause of death Date of verification …………………………………………………………………. (To be detached and handed over to the relative of the deceased) Certified that Shri/Smt/Kum………………………………………................. S/W/D of Shri ...... …………………………………………….. | 17 | definition | 1.000 | https://censusindia.gov.in/nada/index.php/catalog/42681/download/46350/Annual_Report_on_MCCD_2020.pdf | Antecedent cause Morbid conditions, if any, giving rise to the above cause, stating underlying conditions last II Other significant conditions contributing to the death but not related to the disease or condition causing it (a) …………………………………….. |
| What type of information can be recorded in Part-II of the form? | information on other significant morbid conditions, but not directly related to the cause of death | Besides, there is also a provision for recording the approximate intervals between onset of disease and death in the sequence of events. Part- II of the form allows recording information on other significant morbid conditions, but not directly related to the cause of death. Doctors attending to the deceased during his/her terminal illness are required to fill the forms up. 1. World Health Organization (WHO) periodically reviews the system of International Classification of Diseases (ICD).Tenth revision of the ICD (ICD-10) was endorsed by the Forty-third World Health Assembly in May 1990 and came into use in WHO Member States as from 1994; however, it has been adopted in the ORGI for classification of causes of deaths since 1999 Report on MCCD. The statistics on medically certified causes of deaths has been tabulated as per the National | 175 | definition | 1.000 | https://censusindia.gov.in/nada/index.php/catalog/42681/download/46350/Annual_Report_on_MCCD_2020.pdf | Part- II of the form allows recording information on other significant morbid conditions, but not directly related to the cause of death. |
| What does the code range R00-R99 represent? | (R00-R99) XIX Injury, poisoning and certain other consequences of external causes | (R00-R99) XIX Injury, poisoning and certain other consequences of external causes (S00-T98) XX External causes of morbidity and mortality (V01-Y89) XXI* Factors influencing health status and contact with health services (Z00-Z99) XXII Code for Special Purposes - Covid 19 (U00-U49) * Not in use in India. | 0 | definition | 0.980 | https://censusindia.gov.in/nada/index.php/catalog/42681/download/46350/Annual_Report_on_MCCD_2020.pdf | (R00-R99) XIX Injury, poisoning and certain other consequences of external causes (S00-T98) XX External causes of morbidity and mortality (V01-Y89) XXI* Factors influencing health status and contact with health services (Z00-Z99) XXII Code for Special Purposes - Covid 19 (U00-U49) * Not in use in India. | 217 | page=217,block=2 | 0.700 | valid |
| From whom does the Office of the Registrar General, India, collect data on causes of death? | the Chief Registrar of Births and Deaths of different States and Union Territories | The Office of the Registrar General, India, (ORGI) obtains data on causes of death from the Chief Registrar of Births and Deaths of different States and Union Territories, under the Registration of Births & Deaths Act, 1969. 1. The Conference on Improvement of Vital Statistics held in 1961 had recommended the introduction of the scheme of MCCD in limited areas to begin with, and its progressive implementation in phases thereafter. In the first phase, it was to be introduced in the teaching hospitals in the State headquarter-towns including field practice rural areas attached to them, missionary hospitals and such other hospitals which were willing to join. The main objective of the first phase was to gather the practical experience of the problems arising in the introduction of the scheme, so as to place it on sound lines. | 88 | relationship | 0.970 | https://censusindia.gov.in/nada/index.php/catalog/42681/download/46350/Annual_Report_on_MCCD_2020.pdf | The Office of the Registrar General, India, (ORGI) obtains data on causes of death from the Chief Registrar of Births and Deaths of different States and Union Territories, under the Registration of Births & Deaths Act, 1969. |
| What factor limits inter-state comparative analysis of major causes of death? | wide variation between the level of medical certification and the registration of deaths across the States | 3.5. The chart 3.5 shows the percentage share of leading cause groups of death in MCCD for the years 2000, 2005, 2010, 2015 and 2020. 3. The State/UT wise distribution of medically certified deaths by nine major cause groups is given in Statement 3.6. The institutions covered under the MCCD are mostly located in urban areas of the different States/UTs in view of the availability of requisite facilities. the number of deaths reported therein may lack the representative character at the State level. owing to wide variation between the level of medical certification and the registration of deaths across the States, any inter-state comparative analysis of major determinants of deaths will have limitations. | 512 | relationship | 0.970 | https://censusindia.gov.in/nada/index.php/catalog/42681/download/46350/Annual_Report_on_MCCD_2020.pdf | owing to wide variation between the level of medical certification and the registration of deaths across the States, any inter-state comparative analysis of major determinants of deaths will have limitations. | 39 |