ARCHETYPE Cause of death (openEHR-EHR-EVALUATION.cause_of_death.v1)

ARCHETYPE IDopenEHR-EHR-EVALUATION.cause_of_death.v1
ConceptCause of death
DescriptionDetails about specific diseases, conditions or injuries that caused or contributed to the death of an individual.
UseUse to record details about specific diseases, conditions or injuries that caused or contributed to the death of an individual. Examples of use cases include, but are not limited to: - a death certificate or notification, nested within the COMPOSITION.certificate archetype; - a post mortem report, nested within the COMPOSITION.report-post_mortem archetype, as one of a number of components of a post mortem report; or - disease registries and epidemiological surveillance, nested within the COMPOSITION.report-case_investigation archetype, as one of a number of components of a case investigation, such as a maternal mortality investigation. Example 1: - Cerebral haemorrhage (as 'Direct cause', A) -- 'due to' Metastasis of the brain (as 'Antecedent cause B'); -- 'due to' Breast cancer (as the earliest 'Antecedent cause C'). As Breast cancer is the earliest recorded antecedent cause, this condition may also be known as the 'Underlying cause'. Example 2: - Pulmonary embolus (as 'Direct cause', A) -- 'due to' Fractured femur (as 'Antecedent cause B') -- 'due to' Accidental fall (as 'Antecedent/Underlying cause C').
MisuseNot to be used to record details about diseases, conditions or injuries that have not contributed to the death of an individual. Use the EVALUATION.problem_diagnosis or ACTION.procedure archetypes for this purpose.
PurposeTo record details about specific diseases, conditions or injuries that caused or contributed to the death of an individual.
ReferencesCause of Death and the Death Certificate [Internet]. College of American Pathologists (CAP); 2006 [cited 2022 Jun 05]. Available from: https://www.health.state.mn.us/people/vitalrecords/physician-me/docs/capcodbook.pdf

International statistical classification of diseases and related health problems [Internet]. World Health Organisation; 2011, pp 211 & 214 [cited 2022 Jun 05]. Available from: https://icd.who.int/browse10/Content/statichtml/ICD10Volume2_en_2016.pdf.

Physicians' Manual on Medical Certification of Cause of Death [Internet]. New Delhi: Office of the Registrar General, India; 2012 [cited 2022 Jun 05]. Available from: ttps://ncdirindia.org/e-mor/Download/Physician's_Manual_MCCD.pdf.

Slik skal dødsmeldingen fylles ut [Internet]. Folkehelseinstituttets; 2019 Sep 13 [updated 2021 Jan 21; cited 2022 Jun 05]. Available from: https://www.fhi.no/hn/helseregistre-og-registre/dodsarsaksregisteret/slik-skal-elektronisk-dodsmelding-fylles-ut/.

US Standard Certificate of Death [Internet]. Atlanta; Centre for Disease Control; revised 2003 Nov (cited 2022 Jun 05]. Available from: https://www.cdc.gov/nchs/data/dvs/DEATH11-03final-ACC.pdf.
Copyright© openEHR Foundation
AuthorsAuthor name: Mikkel Johan Gaup Grønmo
Organisation: Forvaltningssenter EPJ, Helse-Nord RHF
Email: mikkel.johan.gaup.gronmo@helse-nord.no
Date originally authored: 2020-08-03
Other Details LanguageAuthor name: Mikkel Johan Gaup Grønmo
Organisation: Forvaltningssenter EPJ, Helse-Nord RHF
Email: mikkel.johan.gaup.gronmo@helse-nord.no
Date originally authored: 2020-08-03
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Cause of Death and the Death Certificate [Internet]. College of American Pathologists (CAP); 2006 [cited 2022 Jun 05]. Available from: https://www.health.state.mn.us/people/vitalrecords/physician-me/docs/capcodbook.pdf International statistical classification of diseases and related health problems [Internet]. World Health Organisation; 2011, pp 211 & 214 [cited 2022 Jun 05]. Available from: https://icd.who.int/browse10/Content/statichtml/ICD10Volume2_en_2016.pdf. Physicians' Manual on Medical Certification of Cause of Death [Internet]. New Delhi: Office of the Registrar General, India; 2012 [cited 2022 Jun 05]. Available from: ttps://ncdirindia.org/e-mor/Download/Physician's_Manual_MCCD.pdf. Slik skal dødsmeldingen fylles ut [Internet]. Folkehelseinstituttets; 2019 Sep 13 [updated 2021 Jan 21; cited 2022 Jun 05]. Available from: https://www.fhi.no/hn/helseregistre-og-registre/dodsarsaksregisteret/slik-skal-elektronisk-dodsmelding-fylles-ut/. US Standard Certificate of Death [Internet]. Atlanta; Centre for Disease Control; revised 2003 Nov (cited 2022 Jun 05]. Available from: https://www.cdc.gov/nchs/data/dvs/DEATH11-03final-ACC.pdf., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=D194CC05533222B1F032D4DF913FADCB, build_uid=57d38fbc-e198-4783-bb56-21c384fc271a, revision=1.0.2}
Keywordscertificate, cause, reason, death, condition, antecedent, post mortem, surveillance, notification, injury, disease, summary, autopsy
Lifecyclepublished
UID0dabe017-3bb4-4b2e-9714-047c0b0485e8
Language useden
Citeable Identifier1013.1.5606
Revision Number1.0.2
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Details about specific diseases, conditions or injuries that caused or contributed to the death of an individual., archetypeConceptComment=null, otherContributors=Marit Alice Venheim, Helse Vest IKT, Norway (openEHR Editor)
Vebjørn Arntzen, Oslo universitetssykehus HF, Norway
Astrid Askeland, Dips AS, Norway
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (Nasjonal IKT redaktør)
Aleocidio Balzanelo, DASA, Brazil
Malin Berg, DIPS ASA, Norway
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Marte Rime Bø, Direktoratet for e-helse, Norway
Yexuan Cheng, 浙江大学, China
Candice de Lisser, Ministry of Health and Wellness, Jamaica
Stefan Dubois, Dep't of Pathology and Genetics, University Hospitals of Lund and Malmö, Sweden
Are Edvardsen, SKDE, Helse Nord RHF, Norway
Kåre Flø, DIPS ASA, Norway
Grant Forrest, Lunaria Ltd, United Kingdom
Rosane Gotardo, Systema Ltda., Brazil
Heather Grain, Llewelyn Grain Informatics, Australia
Martin Grundberg, Cambio Healthcare Systems, Sweden
Maria Grønmo, Norway
Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (Nasjonal IKT redaktør)
Amanda Herbrand, University Hospital Basel, Switzerland
Joost Holslag, Nedap, Netherlands
Evelyn Hovenga, EJSH Consulting, Australia
Jörgen Kuylenstierna, eWeave AB, Sweden
Siri Laronningen, Kreftregisteret, Norway
Liv Laugen, Oslo universitetssykehus, Norway
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
Michael Lutz, BITsoft, Germany
Manisha Mantri, C-DAC, India
James McClay, University of Nebraska Medical Center, United States
Paul Miller, NES Digital Service, NHS Scotland, United Kingdom
Hilde Mjærfoss, Norsk Helsenett SF, Norway
Svenne Naumann, Finnmarkssykehuset, Norway
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Bjørn Næss, DIPS ASA, Norway
Norwegian Review Summary, Norwegian Public Hospitals, Norway
FREDERICO RIBEIRO, Hospital das Clínicas da UFPE, Brazil
Terje Sagmyr, Helse Vest IKT, Norway
Alan Smith, OXLEAS NHS Mental Health Foundation Trust, United Kingdom
Frode Stenvik, Helse Sør-Øst, Norway
Natalia Strauch, Medizinische Hochschule Hannover, Germany
Olav Thorsen, Stavanger University Hospital, Norway
Anders Thurin, VGR, Sweden
John Tore Valand, Helse Bergen, Norway (openEHR Editor)
Lars Uhlin Hansen, UNN, Norway
Martijn van Eenennaam, Nedap Healthcare, Netherlands
Ina Wille, Helse-Vest RHF, Norway
Lin Zhang, Taikang Insurance Group, China, originalLanguage=en, translators=
  • German: Hannes Bornhorst, Natalia Strauch, Darin Leonhardt, Medizinische Hochschule Hannover, PLRI, Strauch.Natalia@mh-hannover.de, leonhardt.darin@mh-hannover.de
  • Portuguese (Portugal): Patricia Borges, NTT Data, patricia.camaraborges@nttdata.com
  • Norwegian Bokmål: Mikkel Johan Gaup Grønmo, John Tore Valand, Regional forvaltning EPJ, Helse Nord, Helse Bergen, mikkel.johan.gaup.gronmo@helse-nord.no, john.tore.valand@helse-vest-ikt.no, Nasjonal IKT HF
  • Greek: Erasmia Partafylla, Sigmasoft, c.partafylla@sigmasoft.gr
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, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003], code=at0003, itemType=CLUSTER, level=2, text=Antecedent cause(s), description=Details about one or more diseases, conditions or injuries in the sequence of events preceding death, recorded in order from most recent onset to the earliest onset., comment=In the following example, there would only need to be two instances of this 'Antecedent cause(s)' CLUSTER represented in a template: - Cerebral haemorrhage (as 'Direct cause', A) - 'due to' Metastasis of the brain ('Antecedent cause B'); - 'due to' Breast cancer (as the earliest 'Antecedent cause C'; or 'Underlying cause'). If there is more than one 'Antecedent cause', each is represented as a separate instance of this CLUSTER., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0004], code=at0004, itemType=ELEMENT, level=3, text=Cause, description=Identification of an antecedent disease, condition or injury that directly contributed to the 'Direct cause'., comment=It is recommended that 'Cause' be coded with an external terminology., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=3, text=Order, description=Order of onset of the identified 'Antecedent cause' in the sequence of events leading to death., comment=The Cause labelled as 'B' is considered the cause that most closely preceded the 'Direct cause' and the Cause labelled as 'C' precedes 'B'. The Cause labelled as 'D' is considered the earliest Cause in the sequence of events leading to death, and may also be known as the 'Underlying cause'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
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    • B [The disease, condition or injury most closely preceding the 'Direct cause (A)'.]
    • C [The disease, condition or injury most closely preceding the 'Cause' order 'B'.]
    • D [The disease, condition or injury considered the earliest in the sequence of events leading to death.
      Also known as the 'Underlying cause'.]
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, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0020], code=at0020, itemType=CLUSTER, level=2, text=Contributing conditions, description=Details about other significant conditions that may have contributed to the death, but without a causal association., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0020]/items[at0018], code=at0018, itemType=ELEMENT, level=3, text=Condition, description=Name of a significant condition that may have contributed to the death, but without a causal association., comment=It is recommended that 'Condition' be coded with an external terminology., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0020]/items[at0021], code=at0021, itemType=ELEMENT, level=3, text=Duration, description=The approximate interval from onset of the identified 'Condition' to death., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
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All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0013], code=at0013, itemType=ELEMENT, level=2, text=Comment, description=Additional narrative about the cause of death, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], identities=[], other_participations=[], activities=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0014]/items[at0015], code=at0015, itemType=ELEMENT, level=2, text=Last updated, description=The date when the cause of death was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0014]/items[at0016], code=at0016, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models/formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
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