archetype (adl_version=1.4; uid=38d7b6f7-4252-4cdb-bfb6-f7a4926efa4e)
	openEHR-EHR-EVALUATION.death_details_nor.v0

concept
	[at0000]	-- death_details_nor
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Mikkel Johan Gaup Grønmo">
		["organisation"] = <"Forvaltningssenter EPJ, Helse-Nord RHF">
		["email"] = <"mikkel.johan.gaup.gronmo@helse-nord.no">
		["date"] = <"2021-11-19">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record further details about an individuals death.">
			use = <"Use to record details about an individuals death.">
			keywords = <"certificate", "Medical Certificate of Cause of Death", "Medical Certificate of Death", "MCCD", "death date", "medical examiner's report", "coroner's report">
			misuse = <"Not to be used to record cause of death, for specific disease or conditions that caused, or contributed to death, please use the EVALUATION.cause_of_death archetype.">
			copyright = <"© openEHR Foundation, Nasjonal IKT HF">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <>
	other_details = <
		["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"] = <"Nasjonal IKT">
		["references"] = <"NVSS - U.S Standard Certificate of Death. november 2003,[Internet] Available from: https://www.cdc.gov/nchs/data/dvs/DEATH11-03final-ACC.pdf.

Hanzlick, Randy, og Randy Hanzlick. Cause of death and the death certificate: important information for physicians, coroners, medical examiners, and the public. College of American Pathologists,  2006. Available from: https://www.health.state.mn.us/people/vitalrecords/physician-me/docs/capcodbook.pdf.

«Slik skal dødsmeldingen fylles ut». Folkehelseinstituttet, https://www.fhi.no/hn/helseregistre-og-registre/dodsarsaksregisteret/slik-skal-elektronisk-dodsmelding-fylles-ut/#2-registrere-doedsaarsak. Opened 3. august 2020.

World Health Organization (2016). International statistical classification of diseases and related health problems, 10th revision, vol. 2, 5th edition. Geneva, World Health Organization. Page 203. Available from: https://icd.who.int/browse10/Content/statichtml/ICD10Volume2_en_2016.pdf

ICMR; Form 4/4A for MCCD; page 34-35; Available from: https://ncdirindia.org/e-mor/Download/Physician's_Manual_MCCD.pdf">
		["original_namespace"] = <"no.nasjonalikt">
		["original_publisher"] = <"Nasjonal IKT">
		["custodian_namespace"] = <"no.nasjonalikt">
		["MD5-CAM-1.0.1"] = <"D3DAA05C9C110B958B34D099EAC31475">
		["build_uid"] = <"ca1cd6a6-784c-477a-993b-a2ba3dcc3fd8">
		["revision"] = <"0.0.1-alpha">
	>

definition
	EVALUATION[at0000] matches {    -- death_details_nor
		data matches {
			ITEM_TREE[at0001] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					ELEMENT[at0002] matches {    -- Deceased
						value matches {
							DV_BOOLEAN matches {
								value matches {true; true}
							}
						}
					}
					ELEMENT[at0091] occurrences matches {0..1} matches {    -- Time of death
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
					ELEMENT[at0092] occurrences matches {0..1} matches {    -- Approximate time of death
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
					ELEMENT[at0003] occurrences matches {0..1} matches {    -- Surgery
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0004] occurrences matches {0..1} matches {    -- Date of surgery
						value matches {
							DV_DATE_TIME matches {*}
						}
					}
					ELEMENT[at0005] occurrences matches {0..1} matches {    -- Reason for surgery
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0007] occurrences matches {0..1} matches {    -- Autopsy
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0008] occurrences matches {0..1} matches {    -- Autopsy findings
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0010] occurrences matches {0..1} matches {    -- Manner of death
						value matches {
							DV_TEXT matches {*}
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0011,    -- Disease
									at0012,    -- Assault
									at0013,    -- Intentional self harm
									at0014,    -- Pending investigation
									at0015,    -- War
									at0016,    -- Legal intervention
									at0017,    -- Could not be determined, specify
									at0018]    -- Unknown
								}
							}
						}
					}
					ELEMENT[at0093] occurrences matches {0..1} matches {    -- Manner of death specified
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0019] occurrences matches {0..1} matches {    -- External cause or poisoning
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0021] occurrences matches {0..1} matches {    -- Place of occurence
						value matches {
							DV_TEXT matches {*}
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0022,    -- At home
									at0023,    -- Residential institution
									at0024,    -- School
									at0025,    -- Other institutions
									at0026,    -- Public administrative area
									at0027,    -- Sports and athletics area
									at0028,    -- Street and highway
									at0029,    -- Trade and service area
									at0030,    -- Industrial and construction area
									at0031,    -- Farm
									at0032,    -- Other, specify
									at0033]    -- Unknown
								}
							}
						}
					}
					ELEMENT[at0094] occurrences matches {0..1} matches {    -- Place of occurence specified
						value matches {
							DV_TEXT matches {*}
						}
					}
					ELEMENT[at0034] occurrences matches {0..1} matches {    -- Activity
						value matches {
							DV_TEXT matches {*}
							DV_CODED_TEXT matches {
								defining_code matches {
									[local::
									at0035,    -- Sporting/sports
									at0036,    -- Pasttime activites
									at0037,    -- Income generating activites
									at0038,    -- Unpaid activity
									at0039,    -- Activities of daily living, ADL
									at0040,    -- Other activities, please specify
									at0041]    -- Unknown
								}
							}
						}
					}
					CLUSTER[at0043] occurrences matches {0..1} matches {    -- Fetal or infant death
						items cardinality matches {1..*; unordered} matches {
							ELEMENT[at0044] occurrences matches {0..1} matches {    -- Stillborn
								value matches {
									DV_TEXT matches {*}
								}
							}
							ELEMENT[at0045] occurrences matches {0..1} matches {    -- First 24h
								value matches {
									DV_COUNT matches {
										magnitude matches {|0..24|}
									}
								}
							}
							ELEMENT[at0046] occurrences matches {0..1} matches {    -- Birth weight
								value matches {
									C_DV_QUANTITY <
										property = <[openehr::124]>
										list = <
											["1"] = <
												units = <"g">
												magnitude = <|>=0.0|>
											>
										>
									>
								}
							}
							ELEMENT[at0051] occurrences matches {0..1} matches {    -- Age of mother
								value matches {
									DV_COUNT matches {*}
								}
							}
							ELEMENT[at0052] occurrences matches {0..1} matches {    -- Completed weeks of pregnancy
								value matches {
									DV_COUNT matches {
										magnitude matches {|0..52|}
									}
								}
							}
							ELEMENT[at0053] occurrences matches {0..1} matches {    -- Multiple pregnancy
								value matches {
									DV_TEXT matches {*}
								}
							}
							ELEMENT[at0054] occurrences matches {0..1} matches {    -- Perinatal death
								value matches {
									DV_TEXT matches {*}
								}
							}
							CLUSTER[at0055] occurrences matches {0..1} matches {    -- Additional perinatal death details
								items cardinality matches {1..*; unordered} matches {
									ELEMENT[at0056] occurrences matches {0..1} matches {    -- Labour
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0057,    -- Before labour
													at0058,    -- During labour
													at0059]    -- Not known
												}
											}
										}
									}
									ELEMENT[at0060] occurrences matches {0..1} matches {    -- Mothers date of birth
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0061] occurrences matches {0..1} matches {    -- Number of previous live births
										value matches {
											DV_COUNT matches {*}
										}
									}
									ELEMENT[at0062] occurrences matches {0..1} matches {    -- Number of previous stillbirths
										value matches {
											DV_COUNT matches {*}
										}
									}
									ELEMENT[at0063] occurrences matches {0..1} matches {    -- Number of previous abortions
										value matches {
											DV_COUNT matches {*}
										}
									}
									ELEMENT[at0064] occurrences matches {0..1} matches {    -- Date of last pregnancy
										value matches {
											DV_DATE_TIME matches {*}
										}
									}
									ELEMENT[at0065] occurrences matches {0..1} matches {    -- Outcome of last previous pregnancy
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0066,    -- Live birth
													at0067,    -- Stillbirth
													at0068]    -- Abortion
												}
											}
										}
									}
									ELEMENT[at0069] occurrences matches {0..1} matches {    -- Menstrual periode
										value matches {
											DV_DATE matches {*}
										}
									}
									ELEMENT[at0070] occurrences matches {0..1} matches {    -- Delivery
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0071,    -- Normal spontaneous vertex
													at0072]    -- Other
												}
											}
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0073] occurrences matches {0..1} matches {    -- Delivery specified
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0074] occurrences matches {0..1} matches {    -- Child
										value matches {
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0095,    -- Single birth
													at0096,    -- First twin
													at0097,    -- Second twin
													at0098]    -- Other multiple
												}
											}
										}
									}
									ELEMENT[at0099] occurrences matches {0..1} matches {    -- Other multiple specified
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0086] occurrences matches {0..1} matches {    -- Attendant at birth
										value matches {
											DV_TEXT matches {*}
											DV_CODED_TEXT matches {
												defining_code matches {
													[local::
													at0087,    -- Physician
													at0088,    -- Trained midwife
													at0089]    -- Other
												}
											}
										}
									}
									ELEMENT[at0090] occurrences matches {0..1} matches {    -- Attendant specified
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
					}
					allow_archetype CLUSTER[at0042] occurrences matches {0..*} matches {    -- Additional death details
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0009] matches {*}    -- Item tree
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"death_details_nor">
					description = <"Details about the death of an individual.">
				>
				["at0001"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Deceased">
					description = <"Whether the individual is deceased.">
					comment = <"This element is also meant to be usable in a context outside of a death certificate, to state that the individual is deceased without submitting other registrations">
				>
				["at0003"] = <
					text = <"Surgery">
					description = <"Was surgery performed within the last 4 weeks?">
				>
				["at0004"] = <
					text = <"Date of surgery">
					description = <"Date when surgery was performed.">
				>
				["at0005"] = <
					text = <"Reason for surgery">
					description = <"Details about why the surgery was performed.">
				>
				["at0007"] = <
					text = <"Autopsy">
					description = <"Was autopsy requested?">
				>
				["at0008"] = <
					text = <"Autopsy findings">
					description = <"Were the findings used in the certification?">
				>
				["at0009"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0010"] = <
					text = <"Manner of death">
					description = <"How or in what setting did the patient die?">
				>
				["at0011"] = <
					text = <"Disease">
					description = <"">
				>
				["at0012"] = <
					text = <"Assault">
					description = <"">
				>
				["at0013"] = <
					text = <"Intentional self harm">
					description = <"">
				>
				["at0014"] = <
					text = <"Pending investigation">
					description = <"">
				>
				["at0015"] = <
					text = <"War">
					description = <"">
				>
				["at0016"] = <
					text = <"Legal intervention">
					description = <"">
				>
				["at0017"] = <
					text = <"Could not be determined, specify">
					description = <"">
				>
				["at0018"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0019"] = <
					text = <"External cause or poisoning">
					description = <"Please describe how external cause occurred.">
					comment = <"If poisoning please specify poisoning agent.">
				>
				["at0021"] = <
					text = <"Place of occurence">
					description = <"Place of occurrence of the external cause.">
				>
				["at0022"] = <
					text = <"At home">
					description = <"">
				>
				["at0023"] = <
					text = <"Residential institution">
					description = <"">
				>
				["at0024"] = <
					text = <"School">
					description = <"">
				>
				["at0025"] = <
					text = <"Other institutions">
					description = <"">
				>
				["at0026"] = <
					text = <"Public administrative area">
					description = <"">
				>
				["at0027"] = <
					text = <"Sports and athletics area">
					description = <"">
				>
				["at0028"] = <
					text = <"Street and highway">
					description = <"">
				>
				["at0029"] = <
					text = <"Trade and service area">
					description = <"">
				>
				["at0030"] = <
					text = <"Industrial and construction area">
					description = <"">
				>
				["at0031"] = <
					text = <"Farm">
					description = <"">
				>
				["at0032"] = <
					text = <"Other, specify">
					description = <"">
				>
				["at0033"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0034"] = <
					text = <"Activity">
					description = <"Type of activity when injured.">
				>
				["at0035"] = <
					text = <"Sporting/sports">
					description = <"">
				>
				["at0036"] = <
					text = <"Pasttime activites">
					description = <"">
				>
				["at0037"] = <
					text = <"Income generating activites">
					description = <"">
				>
				["at0038"] = <
					text = <"Unpaid activity">
					description = <"">
				>
				["at0039"] = <
					text = <"Activities of daily living, ADL">
					description = <"">
				>
				["at0040"] = <
					text = <"Other activities, please specify">
					description = <"">
				>
				["at0041"] = <
					text = <"Unknown">
					description = <"">
				>
				["at0042"] = <
					text = <"Additional death details">
					description = <"Additional details about death.">
				>
				["at0043"] = <
					text = <"Fetal or infant death">
					description = <"Details about pregnancy and infant death.">
				>
				["at0044"] = <
					text = <"Stillborn">
					description = <"Stillborn death.">
					comment = <"The definition of viability can be recorded in the Protocol.">
				>
				["at0045"] = <
					text = <"First 24h">
					description = <"If death within 24h specify number of hours survived.">
				>
				["at0046"] = <
					text = <"Birth weight">
					description = <"The first weight of the fetus or neonate obtained after birth.
For live births, birth weight should preferably be measured within the first hour of life before significant postnatal weight loss has occurred.">
					comment = <"While statistical tabulations include 500 g groupings for birth weight, weights should not be recorded in those groupings. The actual weight should be recorded to the degree of accuracy to which it is measured.">
				>
				["at0051"] = <
					text = <"Age of mother">
					description = <"What is the age of the mother at the time of death?">
				>
				["at0052"] = <
					text = <"Completed weeks of pregnancy">
					description = <"Number of completed weeks of pregnancy.">
				>
				["at0053"] = <
					text = <"Multiple pregnancy">
					description = <"Pregnancy with more than one fetus.">
					comment = <"For example: Twins, triplets.">
				>
				["at0054"] = <
					text = <"Perinatal death">
					description = <"If death was perinatal, please state conditions of mother that affected the fetus and newborn.">
				>
				["at0055"] = <
					text = <"Additional perinatal death details">
					description = <"Additional detail of perinatal deaths.">
					comment = <"Stillbirths and liveborn infants dying within 168 hours [1 week] from birth.">
				>
				["at0056"] = <
					text = <"Labour">
					description = <"At what stage of labour did the individual die.">
				>
				["at0057"] = <
					text = <"Before labour">
					description = <"Individual died before labour.">
				>
				["at0058"] = <
					text = <"During labour">
					description = <"Individual died during labour.">
				>
				["at0059"] = <
					text = <"Not known">
					description = <"Unknown at what time the individual died.">
				>
				["at0060"] = <
					text = <"Mothers date of birth">
					description = <"Date of birth of the fetus' or infant's mother.">
				>
				["at0061"] = <
					text = <"Number of previous live births">
					description = <"Number of infants born alive.">
					comment = <"This number can be deduced if existing data is available in the EHR, but there might also be a need to manually count and record instances">
				>
				["at0062"] = <
					text = <"Number of previous stillbirths">
					description = <"Number of stillbirths.">
					comment = <"This number can be deduced if existing data is available in the EHR, but there might also be a need to manually count and record instances.
The definition of viability can be recorded in the Protocol">
				>
				["at0063"] = <
					text = <"Number of previous abortions">
					description = <"Number of pregnancies that do not reach viability from all causes, including spontaneous miscarriages, induced terminations and ectopic pregnancies.">
					comment = <"This number can be deduced if existing data is available in the EHR, but there might also be a need to manually count and record instances">
				>
				["at0064"] = <
					text = <"Date of last pregnancy">
					description = <"Date of last pregnancy.">
				>
				["at0065"] = <
					text = <"Outcome of last previous pregnancy">
					description = <"Outcome of last previous pregnancy.">
				>
				["at0066"] = <
					text = <"Live birth">
					description = <"Outcome of last previous pregnancy was a live birth.">
				>
				["at0067"] = <
					text = <"Stillbirth">
					description = <"Outcome of last previous pregnancy was a stillbirh.">
				>
				["at0068"] = <
					text = <"Abortion">
					description = <"Outcome of last previous pregnancy was an abortion.">
				>
				["at0069"] = <
					text = <"Menstrual periode">
					description = <"First (1st) day of last menstrual period.">
				>
				["at0070"] = <
					text = <"Delivery">
					description = <"Status of the delivery.">
				>
				["at0071"] = <
					text = <"Normal spontaneous vertex">
					description = <"Delivery with normal spontaneous vertex.">
				>
				["at0072"] = <
					text = <"Other">
					description = <"Please specify.">
				>
				["at0073"] = <
					text = <"Delivery specified">
					description = <"Specify delivery complication.">
				>
				["at0074"] = <
					text = <"Child">
					description = <"Child number n in a multiple pregnancy.">
					comment = <"When there are multiple individuals in same pregnancy, please state which child in the birth order this registration regards.
For example: First twin, second triplet, fifth octuplet">
				>
				["at0086"] = <
					text = <"Attendant at birth">
					description = <"Type of attendant at birth.">
				>
				["at0087"] = <
					text = <"Physician">
					description = <"Attendee was a physician.">
				>
				["at0088"] = <
					text = <"Trained midwife">
					description = <"Attendee was a trained midwife.">
				>
				["at0089"] = <
					text = <"Other">
					description = <"Please specify type of attendant present at birth.">
				>
				["at0090"] = <
					text = <"Attendant specified">
					description = <"Further specified type of attendant at birth.">
				>
				["at0091"] = <
					text = <"Time of death">
					description = <"Time of death.">
					comment = <"For example: witnessed (in or out of hospital)">
				>
				["at0092"] = <
					text = <"Approximate time of death">
					description = <"Approximated or estimated time of death.">
					comment = <"Approximated or estimated time of death.
For example: based on findings pertaining to examination of the corpse and the pathologist's reconstruction of time of death based on post-mortem changes, temperature, etc.">
				>
				["at0093"] = <
					text = <"Manner of death specified">
					description = <"Specify how or in what setting did the patient die?">
				>
				["at0094"] = <
					text = <"Place of occurence specified">
					description = <"Specified place of occurrence of the external cause.">
				>
				["at0095"] = <
					text = <"Single birth">
					description = <"">
				>
				["at0096"] = <
					text = <"First twin">
					description = <"">
				>
				["at0097"] = <
					text = <"Second twin">
					description = <"">
				>
				["at0098"] = <
					text = <"Other multiple">
					description = <"">
				>
				["at0099"] = <
					text = <"Other multiple specified">
					description = <"Child number n in a multiple pregnancy.">
					comment = <"Specified other multiple.
For example: second triplet, fifth octuplet">
				>
			>
		>
	>