1. Mortality data – the importance of the ICD Dr Paul Jelfs, Health Information Branch Ms Anneke Schmider, Vitals Information

2. The ICD Foundation ICD Foundation Health Information

3. Overview ABS role in mortality information ICD one of the standards ICD reflected in history Future importance of ICD/mortality Preparing for ICD 11

4. Australian Mortality Data Collection Complex and challenging Interjurisdictional collection, multiple agencies Deaths Collections is produced first – requires significant statistical processing work and underpins population estimates Causes of Death then coded once Deaths is finalised

5. Mortality data flows State and Territory Registrars of BDM ABS NCIS Compilation, Demographic Processing, ICD and other Coding, Quality Assurance Coordinating Registrar (proposed) Data users

6. ABS mortality data features Coded to ICD 10 using a combination of auto-coder and manual coding Multiple cause of death codes recorded Use of coronial information at initial coding and in subsequent rounds

7. ICD one of the standards Age Sex Marital status Standard Australian Classification of Countries Australian Standard Classification of Occupations Australian Standard Geographical Classification Aboriginal and Torres Strait Islander Status International Classification of Diseases

8. ICD reflected in history Australia has had a civil registration system since the beginnings of European settlement Australia established a coordinated approach to cause of death coding in 1907, although specific States began this work earlier

9. Changing ICD in Australia VersionPeriod COD1907-1909 COD1910-1917 ICD21918-1921 ICD31922-1930 ICD41931-1939 ICD51940-1949 ICD61950-1957 ICD71958-1967 ICD81968-1978 ICD91979-1996 ICD101997- present

10. GRIM Books Generalised Record of the Incidence of Mortality Compiled by the AIHW using ABS coded causes of death data

11. Circulatory Disease

12. Cervical cancer

13. Cancer

14. Asthma

15. Population Analysis Leading causes of death for the Indigenous population

16. Future importance of the ICD mortality data combination –Government health reporting COAG, PAF, ROGS, NHPF –Public health monitoring Life Expectancy, Cancer, Infectious diseases, suicide, occupational health –Research support National Death Index State and Territory data linkage

17. ICD 11 Preparation Influence – process and implementation Training – people and users Systems – adapt, replace, purchase Comparisons – analyse and understand Dissemination – meta-data, analysis, test outcomes Promotion – new standard, national and international

18. Acknowledgements Registrars of Births, Deaths and Marriages and their data suppliers National Coronial Information System AIHW staff and support in preparing the GRIM Books ABS staff for their causes of death work