Causes of death (hlth_cdeath)

National Reference Metadata in Single Integrated Metadata Structure (SIMS)

Compiling agency: Office of Statistics Liechtenstein


Eurostat metadata
Reference metadata
1. Contact
2. Metadata update
3. Statistical presentation
4. Unit of measure
5. Reference Period
6. Institutional Mandate
7. Confidentiality
8. Release policy
9. Frequency of dissemination
10. Accessibility and clarity
11. Quality management
12. Relevance
13. Accuracy
14. Timeliness and punctuality
15. Coherence and comparability
16. Cost and Burden
17. Data revision
18. Statistical processing
19. Comment
Related Metadata
Annexes (including footnotes)
 



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1. Contact Top
1.1. Contact organisation

Office of Statistics Liechtenstein

1.2. Contact organisation unit

Register

1.5. Contact mail address

Amt für Statistik
Aeulestrasse 51
Postfach 684
9490 Vaduz
Liechtenstein


2. Metadata update Top
2.1. Metadata last certified 26/01/2023
2.2. Metadata last posted 09/06/2022
2.3. Metadata last update 18/11/2022


3. Statistical presentation Top
3.1. Data description

Data on causes of death (COD) provide information on mortality patterns and form a major element of public health information.

COD data refer to the underlying cause which - according to the World Health Organisation (WHO) - is "the disease or injury which initiated the train of morbid events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury".

Causes of death are classified by the 86 causes of the "European shortlist" of causes of death. This shortlist is based on the International Statistical Classification of Diseases and Related Health Problems (ICD).

COD data are derived from death certificates. The medical certification of death is an obligation in all Member States. The information provided in the medical certificate of cause of death is coded into ICD codes according to the rules specified in the ICD.

Data are broken down by sex, 5-year age groups, cause of death and by residency and country of occurrence.

3.2. Classification system
Data year ICD revision used (ICD-8, ICD-9, ICD-10) For ICD-10: updates used
1990    
1991    
1992    
1993    
1994    
1995    
1996    
1997    
1998    
1999    
2000    
2001    
2002    
2003    
2004    
2005    
2006    
2007    
2008    
2009    
2010 ICD-10 1999 
2011 ICD-10  1999 
2012 ICD-10  1999
2013 ICD-10 2010
2014 ICD-10 2010
2015 ICD-10 2010
2016 ICD-10 2010
2017 ICD-10 2010
2018 ICD-10 2016
2019 ICD-10 2019
2020 ICD-10 2019
2021 ICD-10 2019
3.3. Coverage - sector

Public Health

3.4. Statistical concepts and definitions

No additional definitions.

3.4.1. National definition used for usual residency

The permanent resident population in Liechtenstein includes all Liechtenstein residents and foreigners who reside in Liechtenstein for 12 months or longer on the reference date or who intend to reside in Liechtenstein for 12 months or longer.

3.4.2. Stillbirth definition and characteristics collected

Liechtenstein is exempted from collecting data on stillbirths because data on stillbirths from neighbouring countries are not available to national authorities.

3.5. Statistical unit

The statistical units are the deceased persons and the stillborns, respectively.

3.6. Statistical population

Information relating to this concept is provided by reporting on its sub-concepts.

3.6.1. Neonates of non-resident mothers

Neonates of non-resident mothers are not considered residents.

3.6.2. Non-residents

3.6.3. Residents dying abroad

R The public health officer inquires with the family doctor about the cause of death to classify it accordingly. Sthe cause of death is known in most cases.

3.7. Reference area

Liechtenstein

3.8. Coverage - Time

Time series are available from 1999. Due to the fact that 2011 data is the first data collection with a legal basis (and few changes in the requested variables and breakdowns), the data between 1999-2010 and starting from 2011 are not always comparable. This is in part due to the different groupings of causes of death.

3.9. Base period

Not applicable.


4. Unit of measure Top


5. Reference Period Top

2021


6. Institutional Mandate Top
6.1. Institutional Mandate - legal acts and other agreements

Countries submitted data to Eurostat on the basis of a gentleman's agreement established in the framework Eurostat's Working Group on "Public Health Statistics" until data with reference year 2010. The first data submitted according to the Regulation (EU) No 328/2011 is data with reference year 2011.

A Regulation on Community statistics on public health and health and safety at work (EC) No 1338/2008 was signed by the European Parliament and the Council on 16 December 2008. This Regulation is the framework of the data collection on the domain. Within the context of this framework Regulation, a Regulation on Community statistics on public health and health and safety at work, as regards statistics on causes of death (EU) No 328/2011 was signed by the European Parliament and the Council on 5 April 2011.

National statistics on Causes of Death Statistics are based on the Statistics Act of 17 September 2008, LGBl. 2008 No 271.

6.2. Institutional Mandate - data sharing

COD data produced jointly by the Office of Statistics and the Office of Public Health.

According to the Law on Statistics (Statistics Act), the Office of Statistics may transmit personal data to other foreign statistical offices and research institutes for exclusively statistical purposes.

Data are transmitted to Eurostat according to Commission Regulation (EU) No 328/2011 of 5 April 2011 implementing Regulation (EC) No 1338/2008 of the European Parliament and of the Council on Community statistics on public health and health and safety at work, as regards statistics on causes of death.


7. Confidentiality Top
7.1. Confidentiality - policy

The Law on Statistics (Statistics Act) requires the protection of personal data collected for statistical purposes through appropriate technical and organisational measures.

Statistical results that have been published or made available may not enable any conclusions to be drawn regarding the circumstances of an individual, identifiable person, unless this information is publicly accessible.

7.2. Confidentiality - data treatment

All age groups showing a total mortality of less than 4 cases are considered as confidential. Therefore, any 'confidential' age group is grouped with another one to have higher numbers. The age groups considered as confidential show then the value '*'.


8. Release policy Top
8.1. Release calendar

The release calender of the Office of Statistics is updated at the end of each semester for the following semester.

 

 

8.2. Release calendar access

The release calender is available on the data portal of the Office of Statistics. COD statistics are published as "Todesursachen".

https://www.statistikportal.li/de/anwendungen-datenbanken/erscheinungskalender 

8.3. Release policy - user access

Data are released on the date according to the release calendar at 09:00. The website as well as a newsletter for subscribers informs users about the release of new data.


9. Frequency of dissemination Top

Annual.


10. Accessibility and clarity Top
10.1. Dissemination format - News release

COD data are published annually. A newsletter gives some information about the new publication, a link to download the publication and a link to the topic on the homepage of the Office of Statistics.

10.2. Dissemination format - Publications

COD data are published on the statistics portal of the Office of Statitstics. Data can be downloaded in excel format.

https://www.statistikportal.li/de/themen/gesundheit/todesursachen

10.3. Dissemination format - online database

COD data are available on the online database of the Office of Statistics. Data can be found in the Health subject area.

www.etab.llv.li

10.3.1. Data tables - consultations

Not available.

10.4. Dissemination format - microdata access

No COD microdata are available.

10.5. Dissemination format - other

Not available.

10.5.1. Metadata - consultations

Not available.

10.6. Documentation on methodology

Documentation on the methodology is included in the tab "Methodik und Qualität" on the website.

https://www.statistikportal.li/de/themen/gesundheit/todesursachen

10.6.1. Metadata completeness - rate

Not available.

10.7. Quality management - documentation

The production of COD statistics follows the European Code of Practice as well as the general quality guidelines of the Office of Statistics:

https://www.llv.li/inhalt/1597/amtsstellen/qualitatsgrundsatze

Documentation on the quality management specific to COD is included in the tab "Methodik und Qualität" on the website:

https://www.statistikportal.li/de/themen/gesundheit/todesursachen


11. Quality management Top
11.1. Quality assurance

COD statistics are based on the deceased persons according to the birth and death statistics. Data on deaths are based on the central population register. The production of birth and death statistics takes place as part of the production of population statistics.

All COD are classified by a single public health officer.

11.2. Quality management - assessment

No COD specific quality assessment was conducted.


12. Relevance Top
12.1. Relevance - User Needs

The main users are Research Institutes, Universities, and Public Government agencies.

12.2. Relevance - User Satisfaction

No COD specific user satisfaction survey was conducted. The most recent general user satisfaction survey was conducted in 2018. Results are published on the website of the Office of Statistics.

https://www.llv.li/inhalt/118512/amtsstellen/nutzungsbefragung

12.3. Completeness

Data are transmitted to Eurostat according to Commission Regulation (EU) No 328/2011 of 5 April 2011 implementing Regulation (EC) No 1338/2008 of the European Parliament and of the Council on Community statistics on public health and health and safety at work, as regards statistics on causes of death.

Liechtenstein is exempted from collecting data on stillbirths because data on stillbirths from neighbouring countries are not available to national authorities. 

12.3.1. Data completeness - rate

1. For mandatory variables:

All mandatory data for Neonatal deaths and other deaths according to Regulation No 328/2011 are transmitted to Eurostat.

Liechtenstein is exempted from collecting data on stillbirths because data on stillbirths from neighbouring countries are not available to national authorities.

2. For voluntary variables:

Age of the mother by age group is transmitted to Eurostat. Region of occurrence (NUTS 2) of residents dying abroad, region of residence (NUTS 2) for non-residents who died in the reporting country and parity are not transmitted to Eurostat.

3. For additional variables:

  • External CoD

 External COD are transmitted to Eurostat.

  • Place of occurrence for external CoD

 Place of occurence for external COD are not transmitted to Eurostat.

  • Activity for external CoD

 Activity for external COD are not transmitted to Eurostat.


13. Accuracy Top
13.1. Accuracy - overall

All personal information about the deceased person with the exception of the cause of death is directly taken from the central population register which ensures high data quality. Information on the cause of death depends directly on the amount of information available to the public health officer. Differences in assessing the cause of death are not possible, since only one public health officer is responsible for the classification.

13.2. Sampling error

Not applicable.

13.2.1. Sampling error - indicators

Not applicable.

13.3. Non-sampling error

13.3.1. Coverage error

The number of deceased persons is derived from the central population register. Over- or under-coverage are not possible.

13.3.1.1. Over-coverage - rate

The number of deceased persons is derived from the central population register. There are no specific issues in over- or under-coverage.

13.3.1.2. Common units - proportion

Not applicable.

13.3.2. Measurement error

All personal information about the deceased person with the exeption of the cause of death is directly taken from the central population register which ensures a high data quality. Information on the cause of death depends directly on the amout of information available to the public health officer.

13.3.3. Non response error

The number of deceased persons is derived from the central population register.

13.3.3.1. Unit non-response - rate

The number of deceased persons is derived from the central population register.

13.3.3.2. Item non-response - rate

When information about the cause of death is missing, the public health officer responsible for coding inquires directly with the physician.

13.3.4. Processing error

No processing errors are known.

13.3.5. Model assumption error

Not applicable.


14. Timeliness and punctuality Top
14.1. Timeliness

Year

Number of months between the end of the reference year and the publication at national level

2011

11 months

2012

11 months

2013

11 months

2014

11 months

2015

11 months

2016

11 months

2017

11 months

2018

11 months

2019

11 months

2020

11 months

2021

11 months

14.1.1. Time lag - first result

Not applicable.

14.1.2. Time lag - final result

Not applicable.

14.2. Punctuality

According to the Regulation either aggregated or micro final data for 2021 shall be transmitted before 31 December 2023.

The data were transmitted on 18 November 2022.

14.2.1. Punctuality - delivery and publication
Reference year Time between the end of the reference year and the delivery of final data to Eurostat
2011  31 months
2012  23 months
2013  24 months
2014  21 months
2015  18 months
2016  15 months
2017  23 months
2018  13 months
2019  13 months
2020 13 months
2021 11 months


15. Coherence and comparability Top
15.1. Comparability - geographical

The collection of the data takes place at the Office of Statistics. The classfication of all causes of death is carried out by a single public health officer.

15.1.1. Asymmetry for mirror flow statistics - coefficient

Not applicable.

15.2. Comparability - over time

Data between 1999 and 2010 as well as starting from 2011 are not always comparable. This is in part due to the different groupings of causes of death, which are the result of the first data collection with a legal basis in 2011.

15.2.1. Length of comparable time series

COD data since 2011 are comparable. There are eight comparable reference periods.

15.3. Coherence - cross domain

COD statistics are based on the deceased persons according to the birth and death statistics. Data on deaths are based on the central population register. The production of birth and death statistics takes place as part of the production of population statistics. COD data are thus fully coherent with birth and death statistics and population statistics.

15.3.1. Coherence - sub annual and annual statistics

Not applicable.

15.3.2. Coherence - National Accounts

Not applicable.

15.4. Coherence - internal


16. Cost and Burden Top

There is no systematic recording of costs associated with the production of COD statistics. The cost of the data collection is being reduced by improving the existing IT-solution for COD statistics.

COD data are based on the central population register. There is thus no burden on respondents.


17. Data revision Top
17.1. Data revision - policy

17.2. Data revision - practice

No COD data revisions have been carried out.

17.2.1. Data revision - average size

Not applicable.


18. Statistical processing Top
18.1. Source data

Central population register and register of deceased persons

18.2. Frequency of data collection

Administrative data are used. Continuous data collection of the deceased persons. The causes of death of the deceased persons are collected once a year.

18.3. Data collection

The collection of the data takes place at the Office of Statistics. The classification of all causes of death is carried out by a single public health officer.

18.3.1. Certification

 

Table on certification (Percentage)

Year

All doctors (certifiers) trained in the certification All doctors (certifiers - pathologists or others doctors) trained in the post-mortem examination (autopsies) Certificates filled by persons who attended a course on certification or post-mortem examination Death certificates that are queried (only queries related to medical part of the death certificate should be included) Replies received for queries sent Deaths where the underlying cause is changed as a result of the query Death certificates with incorrect sequence
2011              
2012              
2013              
2014              
2015              
2016              
2017              
2018  0  0  0  3  50  100  na
2019  na  na  na  na  na  na  na
2020  0  0  0  68  62  0  na
2021  0  0  0  74  59  0  na
18.3.2. Automated Coding
Data year Use of any form of automated coding System used (IRIS, MICAR, ACME, STYX, MIKADO, others)
2011  No  
2012  No  
2013  No  
2014  No  
2015  No  
2016  No  
2017  No  
2018  No  
2019  No  
2020  No  
2021  No  
18.3.3. Underlying cause of death
Data year Only manual selection of underlying cause Manual with ACME decision tables (if yes, version of ACME) ACS utilising ACME decision tables (if yes, version of ACME) Own system (ACS without ACME) Comments
2011  Yes  No  No  No  
2012  Yes  No  No  No  
2013  Yes  No  No  No  
2014  Yes  No  No  No  
2015  Yes  No  No  No  
2016  Yes  No  No  No  
2017  Yes  No  No  No  
2018  Yes  No  No  No  
2019  Yes  No  No  No  
2020  Yes  No  No  No  
2021  Yes  No  No  No  
18.3.4. Availability of multiple cause
Data year Information stored in the national CoD database, UC (Underlying cause) or MC (Multiple cause)
2011  UC
2012  UC
2013  UC
2014  UC
2015  UC
2016  UC
2017  UC
2018  UC
2019  UC
2020  UC
2021  UC
18.3.5. Stillbirths and Neonatal certificates

Stillbirths: Not applicable. Liechtenstein is exempted from collecting data on stillbirths because data on stillbirths from neighbouring countries are not available to national authorities.

Neonates: T

18.4. Data validation

The deceased persons in the reporting year according to the central population register are compared with the register of the deceased persons where the causes of death are registered.

18.4.1. Coding

Description of coding procedure (central level, distributed among other bodies, etc.):

The coding procedure is centralised in the Office of Public Health. The responsible public health officer uses the information provided on the death certificate to determine the cause of death. When this information is missing, she inquires directly with the physician. In cases where an autopsy was performed, the officer also obtains further information on the cause of death from the forensic physician.

Description of the procedures to detect errors (i.e.errors such as potential inconsistency in the death certificate or error due to mistake when filling the deaths certificates):

The public health officers checks the completeness of the of death certificate.

Description of the measures taken in order to solve detected errors:

The public health officer contacts the phyisician to complete missing information.

Coding performed by a certifier:

 No.

Estimation of the percentage of autopsy from which information is available for coding:

  100%

Description of double coding exercises and rate of codification errors for underlying cause of death:

 No double coding exercises were carried out.

18.4.2. Unspecified CoD code

ICD codes for the underlying cause (% of the Total)

Year Unspecified CoD (for ICD10: R00-R99 codes, for ICD9: 780-790 codes) Unknown CoD (for ICD10: R98-R99 codes, for ICD9: 799.9, 798.9, 798.2 codes) Deaths due to senility (for ICD10: R54 code, for ICD9: 797 code) Deaths due to exposure to unspecified factor (for ICD10: X59 code, ICD9: 928.9 code)
2011  8.11%  0.00%  8.11%  0.00%
2012  13.70%  0.00%  13.70%  0.00%
2013  17.83%  0.00%  17.20%  2.55%
2014  20.47%  1.17%  16.96%  1.17%
2015  11.76%  2.35%  8.24%  0.59%
2016  8.33%  2.60%  5.73%  0.52%
2017  8.14%  0.58%  7.56%  0.00%
2018  16.95%  3.39%  12.99%  2.82%
2019  15.38%  4.73%  10.06%  1.18%
2020  5.85%  1.46%  3.90%  0.00%
2021  11.52%  2.42%  4.85%  1.82%
18.4.3. Unknown country or region

Unknown country/region (%) for residents and non-residents who died in the country

 

Year Residents Non-residents
Unknown residency (NUTS2) Unknown occurrence (NUTS2) Unknown residency (country) Unknown residency (NUTS2) Unknown occurrence (NUTS2)
2011  0 0  0  100  0
2012  0 0  0  100  0
2013  0 0  0  100  0
2014  0 0  0  100  0
2015  0 0  0  100  0
2016  0 0  0  100  0
2017  0 0  0  100  0
2018  0 0  0  100  0
2019  0 0  0  100  0
2020  0 0  0  100  0
2021  0 0  0  100  0

Note: In the case of residents dying abroad, only the country of occurence is recorded.

18.4.4. Validation of the coverage

COD statistics are based on the deceased persons according to the birth and death statistics. Data on deaths are based on the central population register. The production of birth and death statistics takes place as part of the production of population statistics. COD data are thus fully coherent with birth and death statistics and population statistics.

18.5. Data compilation

Not applicable.

18.5.1. Imputation - rate

Not applicable.

18.6. Adjustment

18.6.1. Seasonal adjustment

Not applicable.


19. Comment Top


Related metadata Top


Annexes Top