Death is a VERY important outcome to track. But one with a lot of issues around it. Often, there can be a big delay in learning about death outside hospital or outside other institution (outside nursing home).
For a sensitivity analysis, it may be important to know the breakdown of death-within-hospital-or-institution
and death-at-home
(or perhaps death-outside-an-institution
). From data quality point of view, we anticipate missing data for death-outside-an-institution. Knowing that death-within-institutions agree with the expectation provides insights into data quality. (are there still missing deaths if only considering death-within-institution?)
In v6, Death Types were made Condition Types. (see query here for relevant condition types: http://athena.ohdsi.org/search-terms/terms?standardConcept=Standard&conceptClass=Death+Type&page=1&pageSize=15&query= )
In absence of a specific field that would say LOCATION _OF_DEATH, we hope to only ascertain somehow death-within-hospital-or-institution from claims data. (if that is possible at all; perhaps using Condition Code in the Header or Detail information of claims). In other words, the OMOP query should replicate what is stated here https://www.ncbi.nlm.nih.gov/pubmed/515338 and here Where do Americans die?.
Here is our US-based question for medical coders or users of claims data out there:
What is the in-hospital death code we can search for in OMOPed data? (I am afraid it is not a simple ICD or CPT code; or is it?)
p.s.
(relevant death discussion here Store death causes in condition_occurrence table · Issue #210 · OHDSI/CommonDataModel · GitHub)
There seem to be no ICD9CM codes mapped to THE DEATH SCT CODE (http://athena.ohdsi.org/search-terms/terms/4306655). From where comes the existing list of ICD10CM codes and is it complete? (think “validation of death-via-claims phenotype”)