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Death

Epic equivalent: Discharge records (deceased disposition) / State death index / Vital statistics

The death table captures mortality information — one row per deceased person. At Emory, sources include EHR discharge records and state death data supplements.

This table is critical for survival analysis, mortality endpoints, and time-to-event studies.

Epic-to-OMOP Field Mapping

Field reference (click to expand)
OMOP Field Epic Equivalent What It Captures
person_id Patient ID / MRN Identifies the deceased patient
death_date Date of death As recorded from available sources
death_datetime Time of death Rarely populated unless from inpatient EHR
death_type_concept_id Data provenance EHR, claims, registry, state death data
cause_concept_id Primary cause of death SNOMED concept for cause (if available)
cause_source_value ICD-10 cause code Original value from death certificate or discharge diagnosis

What to Watch For

Common pitfalls

Absence does not mean alive
If a patient is not in the death table, they may still be deceased — the death simply wasn't captured. This is a right-censoring issue in survival analysis.
Date precision varies
Deaths from external sources (claims, state indices) may have imprecise dates. Validate for time-to-event analyses.
Cause of death is often missing
Structured cause of death requires vital records data. Many EHR-only deaths have no cause_concept_id.

Research Patterns

Question Tables Involved
All-cause mortality in the oncology cohort death + condition_occurrence (cancer)
Median survival from Alzheimer's diagnosis condition_occurrence (Alzheimer's) + death.death_date
30-day post-surgical mortality procedure_occurrence + death + date interval
Cause-of-death distribution in stroke patients condition_occurrence (stroke) + death.cause_concept_id
Mortality and social risk factors observation (SDoH) + death