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Hawaii-IBIS Death Data Release Notes


General Release Notes

Cell Suppression Criteria

In accordance with data use restrictions set forth by Hawaii State Department of Health (DOH) and the National Center for Health Statistics (NCHS), cell counts of fewer than 9 events and rates based on counts of 9 or fewer will be suppressed and denoted with a double asterisk (**).

The NCHS further recommends that rates based on death counts of less than 20 be marked as unreliable.

Additional information on national standards for the collection and analysis of mortality statistics from the NCHS, National Vital Statistics System can be accessed here.

Causes of Death

While more than one cause of death can be listed on the death certificate, this system is based on the underlying cause-of-death which is defined by the World Health Organization (WHO) as "the disease or injury which initiated the train of events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury." Underlying cause-of-death is selected from the conditions entered by the physician on the cause of death section of the death certificate. When more than one cause or condition is entered by the physician, the underlying cause is determined by the sequence of conditions on the certificate, provisions of the ICD-10 code, and associated selection rules and modifications.
If you are interested in underlying and contributing causes of death, please contact us or visit CDC WONDER to access the Multiple Cause of Death data file.

Beginning with data for 2006, the valid ICD-10 codes used to classify causes of death changed. Effective with the 2006 data year, 18 codes were introduced as valid causes of death, and 4 codes were discontinued. Effective with the 2007 data year, 4 codes were introduced as valid causes of death, and 2 codes were discontinued. See ICD-10 Changes for more information.

Race/Ethnicity Data

The Death certificate allows for up to 4 race/ethnicities to be captured for the decedent. The DOH Office of Health Status Monitoring (OHSM) uses the following algorithm to code a single race/ethnicity for each individual.

Only one ethnicity is coded from the actual certificates. If more than one ethnicity is listed on the certificate, the following rules apply:
    1. If Hawaiian is one of the multiple ethnicities listed, Part-Hawaiian is coded.
    2. If a non-Caucasian ethnicity is listed with a Caucasian ethnicity, the non-Caucasian ethnicity is coded.
    3. If there is more than one non-Caucasian ethnicity listed, the first one is coded.
    4. If there is more than one Caucasian ethnicity listed, the first one is coded.

In IBIS, the most granular level is the program race/ethnicity (PRG) which rolls up into the DOH standard race/ethnicity (DOH), which rolls up into Census race reporting categories (Census). The table below illustrates how the data is aggregated.

Race/Ethnicity Classifications
Source Race/Ethnicity Program Race/Ethnicity (PRG) DOH Race/Ethnicity (DOH) Census Race (Census)
Asian Indian Asian Indian Other Asian Asian
Black Black Black Black or African American
Caucasian Caucasian Caucasian Caucasian
Chinese Chinese Chinese Asian
Cuban Cuban Other Other
Filipino Filipino Filipino Asian
Guamanian Guamanian Other Pacific Islander Native Hawaiian and Other Pacific Islander
Hawaiian Hawaiian Native Hawaiian Native Hawaiian and Other Pacific Islander
Part Hawaiian Part Hawaiian Native Hawaiian Native Hawaiian and Other Pacific Islander
Indian Indian Native Alaskan/American Indian Native Alaskan/American Indian
Japanese Japanese Japanese Asian
Korean Korean Other Asian Asian
Mexican Mexican Other Other
Portuguese Portuguese Caucasian Caucasian
Puerto Rican Puerto Rican Other Other
Samoan Samoan Other Pacific Islander Native Hawaiian and Other Pacific Islander
Vietnamese Vietnamese Other Asian Asian
Other Asian Other Asian Other Asian Asian


The information provided above is from the Hawaii Health Data Warehouse and the Hawaii State Department of Health's Hawaii-IBIS web site (http://ibis.hhdw.org/ibisph-view.). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 23 October 2020 1:10:40 from Hawaii State Department of Health, Hawaii Health Data Warehouse, Indicator-Based Information System for Public Health Web site: http://ibis.hhdw.org/ibisph-view ".

Content updated: Fri, 11 Sep 2020 09:21:06 HST