ARCHETYPE Death summary (openEHR-EHR-EVALUATION.death_summary.v1)

ARCHETYPE IDopenEHR-EHR-EVALUATION.death_summary.v1
ConceptDeath summary
DescriptionSummary information about the circumstances and context of the death of an individual, excluding the cause(s) of death.
UseUse to record summary information about the circumstances and context of the death of an individual, excluding the cause(s) of death. This archetype has been designed to carry the details about the death of an individual that only need to be recorded once within a health record, including, but not limited to: - the date and time of death; - the place of death, as a category, named place or an address; - context about the death of a mother giving birth; - context about the death of a newborn; and - manner and circumstances related to the death. It is anticipated that one or more data elements in this archetype may be used in the following use cases: - Death certificate - date/time of death and location of death; - Post mortem report - describing known circumstances related to the death, including information related to maternal, fetal or neonatal death. - Disease registries.
MisuseNot to be used to record information about the formal cause(s) of death - use EVALUATION.cause_of_death for this purpose. Not to be used to record information about post-mortem examination findings such as lividity or rigor mortis - use appropriate examination-related findings within the COMPOSITION.report-post_mortem container archetype. Not to be used to record information about vital status - use OBSERVATION.vital_status for this purpose.
PurposeTo record summary information about the circumstances and context of the death of an individual, excluding the cause(s) of death.
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: 2021-11-19
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: 2021-11-19
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=EE74E31BF266130B499C996EC36FB948, build_uid=96f4c8c1-8f3d-42c7-a028-41eb22294c5e, revision=1.0.0}
Keywordscertificate, death, MCCD, dead, summary, note, killed, attestation, fatal accident
Lifecyclepublished
UID345da189-6e77-4d41-94fd-5d5b3e477764
Language useden
Citeable Identifier1246.145.1726
Revision Number1.0.0
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Summary information about the circumstances and context of the death of an individual, excluding the cause(s) of death., 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, UHG Brasil, Brazil
Malin Berg, DIPS ASA, Norway
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Ian Bull, ACT Health, Australia
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
Maria Grønmo, Norway
Mikkel Johan Gaup Grønmo, Regional forvaltning EPJ, Helse Nord, Norway (Nasjonal IKT redaktør)
Finn Harald Stokland, DIPS AS
Amanda Herbrand, University Hospital Basel, Switzerland
Anca Heyd, DIPS AS
Joost Holslag, Nedap, Netherlands
Evelyn Hovenga, EJSH Consulting, Australia
Kjetil Jørgensen, DIPS AS
Anjali Kulkarni, Karkinos, India
Kanika Kuwelker, Helse Vest IKT, Norway (openEHR Editor)
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
Hanne Marte Bårholm, Helse Vest IKT, Norway (openEHR Editor)
James McClay, University of Nebraska Medical Center, United States
Hilde Mjærfoss, Norsk Helsenett SF, Norway
Arunakiry Natarajan, medondo, Germany
Svenne Naumann, Finnmarkssykehuset, Norway
Anna Navarro Serra, IN2, Spain
Karin Nilsson, Region Västmanland, Sweden
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Bjørn Næss, DIPS ASA, Norway
Azra Resulbegovic, DIPS AS
Norwegian Review Summary, Norwegian Public Hospitals, Norway
Terje Sagmyr, Helse Vest IKT, Norway
Benjamin Senst, Germany
Frode Stenvik, Helse Sør-Øst, Norway
Natalia Strauch, Medizinische Hochschule Hannover, Germany
Olav Thorsen, Stavanger University Hospital, Norway
Anders Thurin, VGR, Sweden
Pencho Tonchev, Medical University- Pleven, Bulgaria
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, Medizinische Hochschule Hannover, Strauch.Natalia@mh-hannover.de
  • Norwegian Bokmål: Mikkel Johan Gaup Grønmo, John Tore Valand, Regional forvaltning EPJ, Helse Nord RHF, Helse Bergen, mikkel.johan.gaup.gronmo@helse-nord.no, john.tore.valand@helse-vest-ikt.no, Nasjonal IKT HF
, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={relationships=[], identities=[], credentials=[], context=[], provider=[], target=[], capabilities=[], description=[], state=[], activities=[], details=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0009]/items[at0103], code=at0103, itemType=ELEMENT, level=2, text=Information source(s), description=Narrative description about source(s) of information., comment=For example: capturing information about one or more sources for this information, including their contribution. This may be useful if there is potentially conflicting sources of information and to enable consideration of their credibility/reliability., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0009]/items[at0101], code=at0101, itemType=ELEMENT, level=2, text=Last updated, description=The date when the death summary 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[at0009]/items[at0102], code=at0102, 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:
All not explicitly excluded archetypes, extendedValues=null]], items=[], other_participations=[], source=[], ism_transition=[], content=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0092], code=at0092, itemType=ELEMENT, level=2, text=Date/time of death, description=The known, or assumed, date and time of death., comment=Partial dates and an absence of time of death are allowed, if necessary. For example: based on findings pertaining to examination of the body and the pathologist's reconstruction of time of death based on post-mortem changes, temperature, etc. May also be known as DOD (date of death). If more than one 'Date of death alternatives' have been proposed, this data element could be renamed in a template as the 'Confirmed/Agreed date of death'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Date/Time
  •  Interval of Date/Time

, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0104], code=at0104, itemType=SLOT, level=2, text=Date of death alternatives, description=Additional details about possible alternative dates of death., comment=For example: In situations where there is no authoritative single source of death, there may be potentially conflicting dates & times of death from different sources., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.dod_alternative.v0, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=2, text=Manner of death, description=Context or setting of the death., comment=For example: 'Disease'; 'Accident'; 'Assault'; 'Poisoning'; 'Homicide'; 'Suicide'; and 'Indeterminate'. It is recommended that 'Manner of death' be coded with an external terminology., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0093], code=at0093, itemType=ELEMENT, level=2, text=Manner description, description=Narrative description about the context or setting of the death., 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], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0021], code=at0021, itemType=ELEMENT, level=2, text=Place category, description=The category of the place where the individual died., comment=This data element has multiple occurrences to allow more than one level of category, including subcategories about the place of death. It is recommended that 'Place category' be coded with an external terminology. For example: hospital or home; or, within the context of a hospital: 'delivery suite'; 'ward'; or 'operating theatre'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0109], code=at0109, itemType=ELEMENT, level=2, text=Place of death, description=The simple name, address or landmark of the place where the individual died., comment=For example: 'City Hospital'; 'Mother's house'; or 'Mt Vesuvius crater'; or 'Corner of Smith & Brown Streets'. This data element has multiple occurrences to allow more than one level of detail about the place of death, such as recording both 'City Hospital' and 'Ward 6 North'., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0100], code=at0100, itemType=SLOT, level=2, text=Structured place of death, description=Structured detail about the place where the individual died., comment=For example: details about a facility or institution; or a landmark or a road intersection., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.address.v1 and specialisations or
openEHR-EHR-CLUSTER.organisation.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0054], code=at0054, itemType=ELEMENT, level=2, text=Age at death, description=The age of the individual at the time of death., comment=If the age is ≤28 days, the death may be categorised as a neonatal death., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Allowed values: years, months, weeks, days, hours, minutes
>=0 minutes
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0119], code=at0119, itemType=ELEMENT, level=2, text=Place of injury, description=The category of the place where the injury contributing to death occurred., comment=Use this data element to record additional details if an external cause or poisoning has been recorded using the 'Manner of death'. For example: 'Residential institution'; ' At home'; 'Street and highway'; 'Farm' and 'Sports and athletics area'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0120], code=at0120, itemType=ELEMENT, level=2, text=Date of injury, description=The known, or assumed, date and time of injury., comment=Use this data element to record additional details if an external cause or poisoning has been recorded using the 'Manner of death'., 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=/data[at0001]/items[at0121], code=at0121, itemType=ELEMENT, level=2, text=Activity at the time of injury, description=Type of activity at the time of injury., comment=Use this data element to record additional details if an external cause or poisoning has been recorded using the 'Manner of death'. For example: 'Driving a car'; 'Skiing' and 'Showering'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0110], code=at0110, itemType=ELEMENT, level=2, text=Pregnancy context, description=Timing of a woman's death categorised as a phase of the active pregnancy., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Antenatal [The woman died while pregnant and before labour commenced.]
    • During labour/delivery [The woman died during labour or delivery.]
    • Postnatal [The woman died ≤42 days after delivery.]
    • Late postnatal [The woman died >42 days and ≤1 year after delivery.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0106], code=at0106, itemType=ELEMENT, level=2, text=Days post partum, description=The number of days after birth to the death of a mother., comment=While the post partum period is usually regarded as 42 days, the late post natal period used in reporting lasts until 1 year after birth., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Allowed values: days
0 days..365 days
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0044], code=at0044, itemType=ELEMENT, level=2, text=Gestation at death, description=Number of completed weeks of gestation of the foetus at the time of foetal death., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DURATION, bindings=null, values=Allowed values: weeks, days
0 days..50 weeks
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0116], code=at0116, itemType=ELEMENT, level=2, text=Stillbirth context, description=Timing of a stillborn foetus' death categorised as a phase of pregnancy., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
  •  Coded Text
    • Antenatal [The foetus died before labour commenced.]
    • During labour/delivery [The foetus died during labour or delivery.]
  •  Text
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0042], code=at0042, itemType=SLOT, level=2, text=Additional details, description=Additional structured details related to the death., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0105], code=at0105, itemType=ELEMENT, level=2, text=Comment, description=Additional narrative about the death, not captured in other fields., comment=For example: Recording the degree of certainty for place of death., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], events=[], contacts=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0009], code=at0009, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001], code=at0001, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0009]/items[at0103], code=at0103, itemType=ELEMENT, level=2, text=Information source(s), description=Narrative description about source(s) of information., comment=For example: capturing information about one or more sources for this information, including their contribution. This may be useful if there is potentially conflicting sources of information and to enable consideration of their credibility/reliability., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0009]/items[at0101], code=at0101, itemType=ELEMENT, level=2, text=Last updated, description=The date when the death summary 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[at0009]/items[at0102], code=at0102, 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:
All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]