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  • Antecedent Causes: Cause of Death Approximate Interval Between Onset and Death I

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    Pipit Pitriani
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    This document outlines a form for recording causes of death and contributing conditions. It includes sections for the direct cause of death and up to four antecedent causes or conditions that ultimately led to the direct cause. It also has a section for other significant conditions that may have contributed to death but were not directly related to the primary cause. Time intervals are to be recorded between the onset of each cause or condition and the ultimate time of death.

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    Cause of Death

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    This document outlines a form for recording causes of death and contributing conditions. It includes sections for the direct cause of death and up to four antecedent causes or conditions that ultimately led to the direct cause. It also has a section for other significant conditions that may have contributed to death but were not directly related to the primary cause. Time intervals are to be recorded between the onset of each cause or condition and the ultimate time of death.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    11 views1 page

    Antecedent Causes: Cause of Death Approximate Interval Between Onset and Death I

    Uploaded by

    Pipit Pitriani
    This document outlines a form for recording causes of death and contributing conditions. It includes sections for the direct cause of death and up to four antecedent causes or conditions that ultimately led to the direct cause. It also has a section for other significant conditions that may have contributed to death but were not directly related to the primary cause. Time intervals are to be recorded between the onset of each cause or condition and the ultimate time of death.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    Cause of death Approximate

    interval between
    onset and death
    I (a)........................................... ....................................................
    Disease or condition directly
    leading to death* Due to (or as a consequence of)

    Antecedent causes (b) .......................................... ....................................................


    Morbid conditions, if any,
    giving rise to the above cause, Due to (or as a consequence of)
    stating the underlying
    (c) .......................................... ....................................................

    Due to (or as a consequence of)

    (c) .......................................... ....................................................

    Due to (or as a consequence of)

    (d) .......................................... ....................................................

    II .................................................... ....................................................
    Other signifi cant conditions
    contributing to the death, but
    not related to the disease or .................................................... ....................................................
    condition causing it
    *This does not mean the mode of dying, e.g. heart failure,
    respiratory failure.
    It means the disease, injury, or complication that caused death

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