Specimen Death Certificate   The International Form of Medical Certificate of Cause of Death prescribed by the world Health Organisation calls for statements on the morbid condition directly leading to death, the conditions antecedent to it, the underlying cause of death, and contributory conditions not related to the direct or antecedent causes.   With a view to making uniform the procedure for tabulating statistics and enhancing their usefulness as instruments of research, the Sixth Decennial International revision Conference, meeting in Paris in 1948, agreed that the cause of death to be tabulated should be the underlying cause defined as: (a) the disease or injury which initiated the train of morbid events leading directly to death or; (b)the circumstances of the accident or violence which produced the fatal injury   The principal deficiencies found in death certificates are:   a) the term describes a symptom that may arise from diseases classified under several different headings of the International List. b) The term describes a morbid condition that could result from several types of infection or poison and the certifier omits the causative agent c) the morbid condition is one that requires for its classification a knowledge of the circumstances in which it arose, in addition to the diagnosis.