Narrative patient data relevant to the context identified by note types.

Data Element

Information from the submission form

Cause of Death
Cause of death information includes the sequence of events leading to death as well as other conditions significantly contributing to death. The underlying cause of death may be different than the terminal condition. This may include summary of death note, and/or death information that may be captured within the discharge summary note or other cause of death documentation within the clinical notes section.


CDC's Consolidated Comment

NCHS/DVS Vital Records SME feedback - From the medicolegal death investigation perspective, vital records supports this element but recognizes that this is limiting info to determine certify a cause of death. A clinical death note may not be sufficient to determine cause of death.  Medical examiner and Coroner’s would conduct their own investigation and need the full medical record to complete death certification.

Cause of Death Information

• We would need to consider capturing this variable in order to support the following domain related to Paul Coverdell National Acute Stroke Program/American Hospital Association’s (AHA) Get With The Guidelines (GTWG). The goal is to reduce gaps in stroke care across the continuum of care in states with high burden populations. • The information captured from stroke patients and those who encounter mobility related issues and are at risk of multiple hospitalizations due to post-discharge complications can help in reducing the gaps in care and to plan quality improvement efforts. # Domain # of Variables Variable Details Required or Optional 1 Death 1 1. If patient died, cause of death. Required Use-Case Justification: The most challenging part is capturing the information post-hospital discharge for acute stroke patients. A lot of the pre-hospital care is captured through National Emergency Medical Services Information System (NEMSIS), a national database that stores EMS data from the U.S. States and Territories). The follow-up elements proposed above have been developed as a part of the Paul Coverdell National Acute Stroke Program (link provided below) and captured within EHR for submission into American Heart Association’s (AHA) Get With The Guidelines (GTWG) module. The ability to extract the follow-up encounter related dates would help with the identification of gaps in post-hospital discharge date for stroke patients and plan strategies for Quality Improvement efforts. This field is for general comments on this specific data element. To submit new USCDI data classes and/or data elements, please use the USCDI ONDEC system:

USCDI_Version_2_Draft_Template for Comments_DHDSP_vFinal_04.14.2021_5.docx

Log in or register to post comments