Data used to categorize individuals for identification, records matching, and other purposes.

Data Element

Deceased Indicator
Description (*Please confirm or update this field for the new USCDI version*)

Indicates if the person is deceased or not.

Comment

Deceased Indicator

Deceased Indicator needs to align with the Medicolegal Death Investigation FHIR IG.

CMS and the ONC need to promote event driven exchange for this data element across payers, providers, and delegated entities using standards based APIs.

Deceased Indicator

TDH-OIA supports the inclusion of the Deceased Indicator data element as it improves accuracy of patient records and supports reliable data management across health information systems. 

CDC's comment for inclusion in USCDI v7

a. National Hospital Care Survey includes discharge status as a data element in restricted use data files and public use data files; “deceased” is one of the reported discharge status levels. Inclusion of this data element would improve accuracy of reporting discharge statuses in official federal statistics produced by NHCS data. We’ve demonstrated the utility of including mortality in analyses of restricted use data files in the following reports: National Health Statistics Reports Number 187 “National Hospital Care Survey Demonstration Projects: Mortality Following Nonfatal Opioid Overdose Visits  to the Emergency Department” at https://www.cdc.gov/nchs/data/nhsr/nhsr187.pdf and National Health Statistics Reports Number 167 “National Hospital Care Survey Demonstration Projects: Examination of Inpatient Hospitalization and Risk of Mortality Among Patients Diagnosed With Pneumonia” at https://www.cdc.gov/nchs/data/nhsr/NHSR167.pdf. Inclusion of Deceased Indicator will allow researchers to better estimate mortality among the hospitalized population of the United States.

b. Location of data element in the current HCS CDA IG V1.2: x-path ClinicalDocument/recordTarget/patientRole/patient/sdtc:deceasedInd . c. This data element is in C-CDA 4.0. Link in the C-CDA IG - /ClinicalDocument/recordTarget/patientRole/patient/sdtc:deceasedInd. C-CDA Artifact published here:  https://hl7.org/cda/us/ccda/StructureDefinition-USRealmHeader.html

c. Description of what DHCS currently receives in production: The majority of EHR encounters included discharge status code information in the NHCS. The x-path that is currently used to retrieve this data element for NHCS is encompassingEncounter/dischargeDispositionCode.
 

CDC's comment for proposed inclusion in USCDI v7

National Hospital Care Survey (NHCS) includes discharge status as a data element in restricted use data files and public use data files; “deceased” is one of the reported discharge status levels. Inclusion of this data element would improve accuracy of reporting discharge statuses in official federal statistics produced by NHCS data. Also, it would be beneficial to receive mortality data from hospitals

Location of data element in the current HCS CDA IG V1.2: x-path ClinicalDocument/recordTarget/patientRole/patient/sdtc:deceasedInd .

This data element is in C-CDA 4.0. Link in the C-CDA IG - /ClinicalDocument/recordTarget/patientRole/patient/sdtc:deceasedInd. C-CDA Artifact published here:  https://hl7.org/cda/us/ccda/StructureDefinition-USRealmHeader.html

Description of what DHCS currently receives in production: The majority of EHR encounters included discharge status code information in the NHCS. The x-path that is currently used to retrieve this data element for NHCS is encompassingEncounter/dischargeDispositionCode.

CDC's Comment for draft USCDI v6

CDC is requesting that the following Level 2 data element be added for consideration to USCDI V6 to inform hospital and ambulatory medical care survey data collection efforts. 

Justification: National Healthcare Surveys includes discharge status as a data element in restricted use data files and public use data files; “deceased” is one of the reported discharge status levels. Inclusion of this data element would improve accuracy of reporting discharge statuses in official federal statistics produced by National Healthcare Surveys data. Also, it would be beneficial to receive mortality data from hospitals.

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