Events After Death

[ericaVoss]

TYPE	NOTES
ITEM	How do we handle events after death?
FORUM POST	TBD
SOLUTION	Currently there is a convention very similar to this: Death Convention 2. "...If a patient has clinical activity (e.g. prescriptions filled, labs performed, etc) more than 60+ days after death you may want to drop the death record as it may have been falsely reported. .." However this doesn't specifically address what you do with records that come after a believable death.
NEXT STEPS	Move Death Conventions to either CONDITION_OCCURRENCE or PERSON. Add to this convention a statement like, If there records after a death that are records that make sense postmortem they can either be kept or removed based on the potential analytic use cases. We need to also associate how this is related to OBSERVATION_PERIOD

[chandryou]

In my case, I set death as top priority. So I removed all records after death.

[PRijnbeek]

Option two is the best. These things can happen for example from autopsy and make sense.
I would definitely not move the Death date!

[cgreich]

@PRijnbeek: I don't think @ericaVoss means to move the death date. I think she means to apply the convention to Condition and Person, now that we abolished the DEATH table in v6. Is that correct, @ericaVoss? Why "or"?

[PRijnbeek]

Aah okay yes that makes sense.

[ericaVoss]

Great conversation everyone! This is what THEMIS needs!

• @chandryou I think that is fine, in a lot of cases it might make sense to get rid of the records. But I can see in other cases they may want to keep them.
• @PRijnbeek agree, we are not moving the death date! Obviously the statement isn't clear so we can improve that.

Right now THEMIS is just logging what we want to address (THEMIS Progress Steps 1-3). We still have to agree to the THEMIS language, then put it out to the community on the forum for more feedback. So no worries, we aren't going off and making random rules on our own!

[dimshitc]

We need to also associate how this is related to OBSERVATION_PERIOD

Any thoughts?

[cgreich]

Same rule as for other Event tables? 60 days post mortem?

[MelaniePhilofsky]

CDM conventions updated. Closing this issue.

[MelaniePhilofsky]

This isn't documented in the new Themis convention library. Reopening until the library is updated with this convention.