Table: Death

Death is mapped from discharge status and ICD9 codes. The cause of death is not available in Premier. Discharge status from the PAT table should be used first, and if no codes are found, then ICD9 codes are used. ICD codes that indicate death are found in the source to concept map, see applied rule section below. Keep only one record for each patient, if both discharge status and ICD9 codes indicate death, use discharge status first. No records should be populated for that person 32 days after the death date.

The field mapping is as follows:

Destination Field Source Field Applied Rule Comment
PERSON_ID PAT.MEDREC_KEY    
DEATH_DATE VISIT_OCCURRENCE.VISIT_END_DATE   The exact date of death cannot be determined thus the VISIT_END date is used.
DEATH_DATETIME   NULL  
DEATH_TYPE_CONCEPT_ID PAT.DISC_STATUS
PATICD.ICD_CODE
Logic based on discharge status or ICD9 diagnosis code. A discharge status of PAT.DISC_STATUS in (20, 40, 41, 42) indicates death. If discharge status is present then assign 32812 (claim discharge record). Otherwise search PATICD.ICD_CODE records for ICD codes and assign 32875 (provider financial system).

To identify death ICD codes, use the following. QUERY: SOURCE TO STANDARD SELECT SOURCE_CODEFROM CTE_VOCAB_MAP WHERE SOURCE_VOCABULARY_ID = ‘JNJ_DEATH’
 
CAUSE_CONCEPT_ID   NULL  
CAUSE_SOURCE_VALUE   NULL  
CAUSE_SOURCE_CONCEPT_ID   NULL  

Change log:

  • 2021.08.12: DEATH_TYPE_CONCEPT_ID so that it leveraged standard type concepts moving forward.

Please contact Clair Blacketer (https://github.com/clairblacketer) if you have any questions