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COVID-19 - GUIDELINES FOR DEATH CERTIFICATION AND CODING
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1. PURPOSE OF THE DOCUMENT
This document describes certification and classification (coding) of deaths related to COVID-19. The
primary goal is to identify all deaths due to COVID-19.
A simplified section specifically addresses the persons that fill in the medical certificate of cause of
death. It should be distributed to certifiers separate from the coding instructions.
2. DEFINITION FOR DEATHS DUE TO COVID-19
A death due to COVID-19 is defined for surveillance purposes as a death resulting from a clinically
compatible illness, in a probable or confirmed COVID-19 case, unless there is a clear alternative
cause of death that cannot be related to COVID disease (e.g. trauma). There should be no period of
complete recovery from COVID-19 between illness and death.
A death due to COVID-19 may not be attributed to another disease (e.g. cancer) and should be
counted independently of preexisting conditions that are suspected of triggering a severe course of
COVID-19.
3. GUIDELINES FOR CERTIFYING COVID-19 AS A CAUSE OF DEATH
In view of COVID-19 it is important to record and report deaths due to COVID-19 in a uniform way.
A- RECORDING COVID-19 ON THE MEDICAL CERTIFICATE OF CAUSE OF DEATH
COVID-19 should be recorded on the medical certificate of cause of death for ALL decedents where
the disease caused, or is assumed to have caused, or contributed to death.
B- TERMINOLOGY
The use of official terminology, COVID-19, should be used for all certification of this cause of death.
As there are many types of coronaviruses, it is recommended not to use “coronavirus” in place of
COVID-19. This helps to reduce uncertainty for the classification or coding and to correctly monitor
these deaths.
https://www.who.int/classifications/icd/Guidelines_Cause_of_Death_COVID-19.pdf