Autopsy rate (%) for hospital deaths

Albania

Ministry of Health.

Armenia

Source of data: National Health Information Analytic Center, Ministry of Health of the Republic of
Armenia http://moh.am/?section=static_pages/index&id=625&subID=824,29.
Data collected annually, reference period: 31 December.

Belgium

Source: Federal Public Service of Public Health, Food Chain Safety and Environment. Health Care
Facilities Organization (DG1). Minimal Hospital Data. Data are percentage of autopsies carried out
on patients who died at hospital during their classical stay.

Bosnia and Herzegovina

The data are from Public Health Institute of Bosnia and Herzegovina

Croatia

Source: Croatian National Insitute of Public health

Cyprus

Data source: death registry.
It is the ratio (in %) of the total number of autopsies requested for hospital deaths to the total
number of deaths occurred in hospital.
The increase from 2011 to 2012 might be due to the use of a new software registration (IRIS
software).

Czechia

Source: From 1970 to 2000: Institute of Health Information and Statistics of CR (IHIS CR). Survey on
activity of health establishment in out-patient care - pathology. From 2007 to 2012: Czech
Statistical Office (CZSO) ? Vital Statistics
Deaths in all in-patient establishments are included.

Denmark

Source: The Cause of Death register, The Danish Health Data Authority
No data for 2007 due to missing data.

Estonia

Source: up to 2008 annual reporting, State Statistical Office. From 2009 Estonian Causes of Death
Registry, National Institute for Health Development.

Finland

Source: Cause-of-Death Statistics. Statistics Finland.

France

Data are not available.

Georgia

Source: National Centre for Disease Control and Public Health of Georgia (NCDC) (http://www.ncdc.ge)

Germany

Data are not available.

Hungary

Source until 2003: Center for Health Care Information (GYOGYINFOK). Source from 2004: National
Institute for Strategic Health Research (ESKI). Source from 2012: National Institute for Quality-
and Organizational Development in Healthcare and Medicines (GYEMSZI). Source from 2015: Directorate
for Organizing and Developing Healthcare Service (µEEK).

Iceland

Source: National University Hospital

Ireland

Source: The data presented are derived from the HIPE (Hospital In-Patient Enquiry) data set, which
records data on discharges from all publicly funded acute hospitals. The Healthcare Pricing Office
(HPO) manages the HIPE system. See www.hpo.ie.
Coverage:
HIPE data covers all in-patients and day cases receiving curative and rehabilitative care in
publicly funded acute hospitals in the State.
For historical reasons, a small number of non-acute hospitals are included in the database. This
activity represents less than 0.5% of total activity in HIPE.
HIPE data do not include private hospitals. Activity data for private hospitals is not available,
however based on a household survey carried out by the Central Statistics Office in 2010 it is
estimated that approximately 15% of all hospital inpatient activity in Ireland is undertaken in
private hospitals. It should be emphasized that this is an estimate only and so should be
interpreted with caution.
Data for Psychiatric in-patients and day-cases receiving curative and rehabilitative care in
specialist psychiatric hospitals have not been included. It is maintained on a separate database
which uses ICD 10 for coding diagnosis and also includes long-stay patients. This activity accounts
for approximately 2% of all Irish hospital activity. Psychiatric patients in acute general hospitals
are recorded in HIPE.
The data coverage in HIPE exceeds 96%, i.e. overall approximately 4% of activity in publicly funded
acute general hospitals is missing from HIPE.
Deviation from the definition: None
Break in time series: None

Israel

Number of autopsies of hospital deaths divided by the number of hospital deaths.
Source: National Center of Forensic Medicine and the Health Information Division, Ministry of
Health.

Italy

Source: Ministry of Health. Information are derived from S.D.O.(Scheda di Dimissione Ospedaliera)
source. Data refer to all public and private hospitals. Clinical data gathered in the hospital
discharges database are coded with the following versions: until 2005 with ICD9-CM version 1997,
from 2006 to 2008 with ICD9-CM version 2002, since 2009 with the ICD9-CM version 2007.

Latvia

Source of data: Since 1999 ? the Death Causes Database.
Coverage: Including forensic autopsies since 2000.
Break in time series: till 2011 the data sources were both the annual statistical reports of health
establishments and the State Centre for Forensic Medicine Examination. Starting from 1999 the data
source is the Death Causes Database.

Lithuania

Source: HI HIC, annual report data. From 2010 onwards: HI HIC Causes of death register.

Malta

Source: Department of Health Information and Research (National Mortality Register).

Montenegro

Data are not available.

Netherlands

Source of data: Statistics Netherlands: Cause-of-death statistics.

Norway

Source of data: Norwegian Institute of Public Health, Statistics on causes of death. Cause of Death
Registry.
Coverage: The statistics on causes of death comprise all deaths, covering Norwegian residents,
whether the person in question was a Norwegian citizen or not and irrespective of whether the deaths
occurred in Norway or not. Causes of death for non-residents are registered separately.
Methodology: Statistics on causes of death has been published annually by Statistics Norway from
1925, from 2013 by the Norwegian Institute of Public Health (NIPH).
ICD-10 was implemented in 1996.
Further information: http://www.fhi.no/artikler/?id=86276

Portugal

Ministry of Health ? Central Administration of Health System (ACSS). Coverage: Only the acute
hospitals that belong to the National Health Service (NHS) on the mainland are included. The data
from the hospitals located in the autonomous regions of Azores and Madeira, and the private
hospitals are not included.

Romania

Data refers to both autopsies and biopsies.

Serbia

Source of data: Institute of Public Health of Serbia, Death certificates.

Slovakia

Source: Statistical Office of the Slovak Republic

Slovenia

Source of data: National Institute of Public Health, Slovenia (NIJZ)

Difference in methodology: From 2013 there are some changes in the methodology of collecting data.

Spain

Source up to 1996: National Statistics Institute and Ministry of Health and Consumer Affairs.
Statistics on Health Establishments Providing Inpatient Care. Source from 1996: Ministry of Health,
Social Services and Equality.
http://www.msssi.gob.es/estadEstudios/estadisticas/estHospiInternado/inforAnual/homeESCRI.htm
Autopsy for 100 hospital deaths, excluding deaths in emergency department.

Sweden

Source: National Board of Health and Welfare (NBHW). Statistics, Health and Diseases, Causes of
death.

Türkiye

No data are available.

Ukraine

For hospitals under Ministry of Health only.
Source: Centre of Health Statistics, Ministry of Health

United Kingdom

Scotland: This data is no longer collected by Scotland