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March 3, 2026Social History of Medicine2 citationsOpen Access

From Deathbed to Database Using ICD10h: A Framework for Coding and Classifying Individual English Language Cause of Death Data Consistently Over Time, as Applied to Scotland 1855–1973

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ARAlice ReidEGEilidh GarrettHJHannaliis Jaadla

Key Points

  • The ICD10h system improves cause of death coding for historical data, capturing nuances over time.
  • ICD10h adapts WHO's ICD10, offering additional codes for archaic terms, allowing more detailed classifications.
  • Application of the ICD10h framework to individual-level cause of death data from Scotland reveals trends in disease.
  • This flexible classification system may enable more accurate historical health research, needing further validation.

Abstract

Abstract This paper describes the development of, and principles behind, ICD10h, a system for the coding and categorisation of individual-level causes of death from 1855 to the present day. ICD10h provides an adaptation of the WHO's ICD10 (2016 version) which, by supplying additional codes for archaic terms together with a suggested categorisation, allows broad disease groups to be followed over time. It is a flexible system, which allows researchers to code, classify and study historic (h), individual level, and cause of death (COD) information in the English language, both in fine detail and at more aggregated levels. Our paper outlines the background and development of the system, before describing its principles and key characteristics. It demonstrates the system in action using individual level COD data for Scotland 1855–1973, as well as several smaller datasets and the published returns from the Registrar-General of Scotland.

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Cite This Study

Reid et al. (2025) studied this question.

synapsesocial.com/papers/69a760fcc6e9836116a2e762https://doi.org/10.1093/shm/hkaf077
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