Person—underlying cause of death, code (ICD-10 2nd edn) ANN-ANN

Identifying and definitional attributes
Metadata item type:	Data Element
Short name:	Underlying cause of death
Synonymous names:	UCOD code
METEOR identifier:	307931
Registration status:	Health, Qualified 03/08/2023
Definition:	The disease or injury which initiated the train of morbid events leading directly to a person's death or the circumstances of the accident or violence which produced the fatal injury, as represented by a code. (WHO 2004)
Data Element Concept:	Person—underlying cause of death
Value Domain:	Underlying cause of death code (ICD-10 2nd edn) ANN-ANN

Value domain attributes
Representational attributes
Classification scheme:	International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, (2nd edition)
Representation class:	Code
Data type:	String
Format:	ANN-ANN
Maximum character length:	7

Source and reference attributes
Submitting organisation:	Australian Institute of Health and Welfare

Data element attributes
Collection and usage attributes
Guide for use:	Underlying cause of death is central to mortality coding and comparable international mortality reporting.
Comments:	The Australian Bureau of Statistics (ABS) codes and classifies the underlying cause of death (UCOD) according to the rules and guidelines for mortality coding adopted by the World Health Assembly and set out in the World Health Organisation's International Classification of Diseases and Related Health Problems (ICD). The ABS uses the Mortality Medical Data System (MMDS) to process and code cause-of-death information reported on death certificates.
Source and reference attributes
Submitting organisation:	Australian Bureau of Statistics
Origin:	Australian Bureau of Statistics 2004. Information Paper: Cause of death certification. Catalogue no. 1205.0.55.001. Canberra: Australian Bureau of Statistics. Viewed 31 August 2005. National Center for Health Statistics 2005. About the Mortality Medical Data System. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Viewed 31 August 2005. World Health Organisation 2004. The International statistical classification of diseases and related health problems, tenth revision, (2nd edn). Geneva: World Health Organisation.
Reference documents:	Australian Bureau of Statistics 2004. Information Paper: Cause of death certification. Catalogue no. 1205.0.55.001. Canberra: Australian Bureau of Statistics. Viewed 31 August 2005. World Health Organisation 2004. The International statistical classification of diseases and related health problems, tenth revision, (2nd edn). Geneva: World Health Organisation.
Relational attributes
Related metadata references:	Has been superseded by Person—underlying cause of death, code (ICD-10 2016 version) ANN{.N} Health, Standard 16/01/2020 Has been superseded by Person—underlying cause of death, code (ICD-10 Third Edition) ANN-ANN Health, Qualified 03/08/2023
Implementation in Data Set Specifications: All attributes +	Acute coronary syndrome (clinical) DSS Health, Superseded 01/09/2012 DSS specific attributes + Conditional obligation: If a date of death is recorded, the cause of death must also be recorded. These data are recorded regardless of the cause of death. Acute coronary syndrome (clinical) DSS Health, Superseded 02/05/2013 DSS specific attributes + Conditional obligation: If a date of death is recorded, the cause of death must also be recorded. These data are recorded regardless of the cause of death. Acute coronary syndrome (clinical) NBPDS 2013- Health, Standard 02/05/2013 DSS specific attributes + Implementation start date: 01/07/2013 Conditional obligation: If a date of death is recorded, the cause of death must also be recorded. These data are recorded regardless of the cause of death. Cancer (clinical) DSS Health, Superseded 08/05/2014 DSS specific attributes + Conditional obligation: Recorded when the patient has died. Cancer (clinical) DSS Health, Superseded 14/05/2015 DSS specific attributes + Conditional obligation: Recorded when the patient has died. Cancer (clinical) NBPDS Health, Standard 14/05/2015 DSS specific attributes + Conditional obligation: Recorded when the patient has died. National Bowel Cancer Screening Program NBEDS 2014-18 Health, Superseded 06/09/2018 DSS specific attributes + Implementation start date: 01/07/2014 Implementation end date: 30/06/2018 Conditional obligation: Only to be answered if the person has died. National Bowel Cancer Screening Program NBEDS 2018–19 Health, Superseded 12/12/2018 DSS specific attributes + Implementation start date: 01/07/2018 Implementation end date: 30/06/2019 Conditional obligation: Only to be answered if the person has died. National Bowel Cancer Screening Program NBEDS 2019–20 Health, Superseded 16/01/2020 DSS specific attributes + Implementation start date: 01/07/2019 Implementation end date: 30/06/2020 Conditional obligation: Only to be answered if the person has died.
Implementation in Indicators:	Used as Numerator National Bowel Cancer Screening Program: PI 11-Colorectal cancer mortality rate Health, Standard 06/09/2018 National Bowel Cancer Screening Program: PI 11-Colorectal cancer mortality rate Health, Superseded 06/09/2018 National Healthcare Agreement: P03-Incidence of end-stage kidney disease, 2010 Health, Superseded 08/06/2011 National Healthcare Agreement: P20-Potentially avoidable deaths, 2010 Health, Superseded 08/06/2011 National Healthcare Agreement: P59-Age-standardised mortality by major cause of death, 2010 Health, Superseded 08/06/2011 National Healthcare Agreement: PI 03-Incidence of end-stage kidney disease, 2011 Health, Superseded 30/10/2011 National Healthcare Agreement: PI 03-Incidence of end-stage kidney disease, 2012 Health, Retired 25/06/2013 National Healthcare Agreement: PI 08-Major causes of death, 2013 Health, Superseded 30/04/2014 National Healthcare Agreement: PI 08-Major causes of death, 2014 Health, Superseded 14/01/2015 National Healthcare Agreement: PI 08-Major causes of death, 2015 Health, Superseded 08/07/2016 National Healthcare Agreement: PI 08–Major causes of death, 2016 Health, Superseded 31/01/2017 National Healthcare Agreement: PI 08–Major causes of death, 2017 Health, Superseded 30/01/2018 National Healthcare Agreement: PI 08–Major causes of death, 2018 Health, Superseded 19/06/2019 National Healthcare Agreement: PI 08–Major causes of death, 2019 Health, Superseded 13/03/2020 National Healthcare Agreement: PI 09-Incidence of heart attacks (acute coronary events), 2015 Health, Superseded 08/07/2016 National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2016 Health, Superseded 31/01/2017 National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2017 Health, Superseded 30/01/2018 National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2018 Health, Superseded 19/06/2019 National Healthcare Agreement: PI 09–Incidence of heart attacks (acute coronary events), 2019 Health, Superseded 13/03/2020 National Healthcare Agreement: PI 09-Incidence of heart attacks, 2013 Health, Superseded 30/04/2014 National Healthcare Agreement: PI 09-Incidence of heart attacks, 2014 Health, Superseded 14/01/2015 National Healthcare Agreement: PI 16-Potentially avoidable deaths, 2013 Health, Superseded 30/04/2014 National Healthcare Agreement: PI 16-Potentially avoidable deaths, 2014 Health, Superseded 14/01/2015 National Healthcare Agreement: PI 20-Potentially avoidable deaths, 2011 Health, Superseded 31/10/2011 National Healthcare Agreement: PI 20-Potentially avoidable deaths, 2011 Health, Superseded 31/10/2011 National Healthcare Agreement: PI 20-Potentially avoidable deaths, 2012 Health, Superseded 25/06/2013 National Healthcare Agreement: PI 59-Age-standardised mortality by major cause of death, 2011 Health, Superseded 31/10/2011 National Healthcare Agreement: PI 59-Age-standardised mortality by major cause of death, 2012 Health, Superseded 25/06/2013 Used as Disaggregation National Healthcare Agreement: PI 08-Major causes of death, 2013 Health, Superseded 30/04/2014 National Healthcare Agreement: PI 08-Major causes of death, 2014 Health, Superseded 14/01/2015 National Healthcare Agreement: PI 59-Age-standardised mortality by major cause of death, 2011 Health, Superseded 31/10/2011 National Healthcare Agreement: PI 59-Age-standardised mortality by major cause of death, 2012 Health, Superseded 25/06/2013 National Indigenous Reform Agreement: P02-Mortality rate (and excess deaths) by leading causes, 2010 Community Services (retired), Superseded 04/04/2011 National Indigenous Reform Agreement: P10-Mortality rates (and excess deaths) for children under 5 by leading causes, 2010 Community Services (retired), Superseded 04/04/2011 National Indigenous Reform Agreement: P10-Mortality rates (and excess deaths) for children under 5 by leading causes, 2010 Community Services (retired), Superseded 04/04/2011 National Indigenous Reform Agreement: PI 02-Mortality rate (and excess deaths) by leading causes, 2011 Indigenous, Superseded 01/07/2012 National Indigenous Reform Agreement: PI 02-Mortality rate (and excess deaths) by leading causes, 2012 Indigenous, Superseded 13/06/2013 National Indigenous Reform Agreement: PI 02-Mortality rate by leading causes, 2013 Indigenous, Superseded 13/12/2013 National Indigenous Reform Agreement: PI 02-Mortality rate by leading causes, 2014 Indigenous, Superseded 24/11/2014 National Indigenous Reform Agreement: PI 06-Under five mortality rate by leading cause, 2013 Indigenous, Superseded 13/12/2013 National Indigenous Reform Agreement: PI 06-Under five mortality rate by leading cause, 2013 Indigenous, Superseded 13/12/2013 National Indigenous Reform Agreement: PI 06-Under five mortality rate by leading cause, 2014 Indigenous, Superseded 24/11/2014 National Indigenous Reform Agreement: PI 06-Under five mortality rate by leading cause, 2014 Indigenous, Superseded 24/11/2014 National Indigenous Reform Agreement: PI 10-Mortality rates (and excess deaths) by leading causes for children under 5, 2011 Indigenous, Superseded 01/07/2012 National Indigenous Reform Agreement: PI 10-Mortality rates (and excess deaths) by leading causes for children under 5, 2011 Indigenous, Superseded 01/07/2012 National Indigenous Reform Agreement: PI 10-Mortality rates (and excess deaths) by leading causes for children under 5, 2012 Indigenous, Superseded 13/06/2013 National Indigenous Reform Agreement: PI 10-Mortality rates (and excess deaths) by leading causes for children under 5, 2012 Indigenous, Superseded 13/06/2013