PHIT Death Data Caveats

Caveats for the death data available in PHIT

Caveats

Massachusetts Deaths Caveats – Changes Between 2013 and 2014 Data Years

The Vitals Information Partnership (VIP) system is designed to streamline and integrate vital event registration, securely, across the Commonwealth. In September 2014, the death application was launched in VIP. At this time, new variables were added and changes were made to variable coding for some historical variables. Please see below a summary of the changes that took place between the 2013 and 2014 death files. Comparisons between data collected before 2014 and data collected 2014 and onward should be interpreted with caution.

Place of Death

Nursing home and assisted living facility or rest home were not available for all observations prior to 2015. In earlier years, these would have been coded as Other.

On VIP, response options for place of death include:

  • Hospital-Inpatient
  • Hospital-ER/Outpatient
  • Hospital-Dead on Arrival (DOA)
  • Decedent’s Residence
  • Hospice
  • Nursing Home
  • Assisted Living Facility or Rest Home
  • Other
  • Unknown

On pre-VIP death files, response options for place of death included:

  • Hospital-Inpatient
  • Hospital-ER/Outpatient
  • Hospital-Dead on Arrival (DOA)
  • Hospital-Hospital Status Unknown
  • Decedent’s Residence
  • Nursing Home
  • Other
  • Not Classifiable

For PHIT, the pre-VIP response options were matched to the VIP response options as follow:

VIPPre-VIP
Hospital, InpatientHospital, Inpatient
Hospital, ER/OutpatientHospital, ER/Outpatient
Hospital, DOAHospital, DOA
Decedent’s ResidenceDecedent’s Residence
HospiceNo match, not a possible response
Nursing HomeNursing Home

Assisted Living Facility or Rest Home

No match, not a possible response
OtherOther
UnknownHospital-Hospital Status Unknown, Not Classifiable

Manner of Death

Therapeutic complication was not available for all observations prior to 2015. In earlier years, these would have been coded as a natural cause of death if no injury information was also provided and an accidental cause of death if injury information was provided.

On VIP, response options for manner of death include:

  • Natural
  • Accident
  • Suicide
  • Homicide
  • Pending Investigation
  • Could Not be Determined
  • Therapeutic Complication
  • Other

On pre-VIP death files, response options for manner of death included:

  • Natural
  • Accident
  • Suicide
  • Homicide
  • Pending Investigation
  • Could Not be Determined
  • Not Classifiable

For PHIT, the pre-VIP response options were matched to the VIP response options as follow:

VIPPre-VIP
NaturalNatural
AccidentAccident
SuicideSuicide
HomicideHomicide
Pending investigationPending investigation
Could not be determinedCould not be determined
Therapeutic complicationNo match, not a possible response
OtherNot classifiable

Decedent’s Education

Certificate, Refused/Not Obtainable, and Special Education were not available for all observations prior to 2015.

On VIP, response options for decedent’s education include:

  • 8th grade or less
  • 9-12 grade, no diploma
  • High school graduate or GED completed
  • Some college credit, but no degree
  • Certificate
  • Associate degree
  • Bachelor’s degree
  • Master’s degree
  • Doctorate or professional degree
  • Unknown
  • Refused/not obtainable
  • Special education

On pre-VIP death files, response options for decedent’s education included:

  • Elementary/Secondary: 00-12
  • College: 13-17
    • 13=1 year
    • 14=2 years
    • 15=3 years
    • 16=4 years
    • 17=5+ years
  • Not Classifiable: 99

For PHIT, the pre-VIP response options were matched to the VIP response options as follow:

VIPPre-VIP
8th grade or less00-08
9-12 grade, no diploma09-11
High school graduate or GED completed12
Some college credit, but no degree13, 15
CertificateNo match, not a possible response
Associate degree14
Bachelor’s degree16
Master’s degree17
Doctorate or professional degree17 with occupation like lawyer, attorney, doctor, or physician
Unknown99
Refused/not obtainableNo match, not a possible response
Special educationNo match, not a possible response

Decedent’s Race

  • Prior to the implementation of VIP, families of decedents began to report race separately from ethnicity and can now choose more than one race from standard checkbox lists. Previously, families wrote free-form responses in a single field that were often difficult to categorize and may have resulted in some misclassifications. While the new method improves accuracy, an algorithm must still be used to analyze multiple race responses for the categorical race variable provided in PHIT to choose the most appropriate standard race category from among these options: White, Black or African American, Asian, American Indian or Alaska Native, Native Hawaiian or Other Pacific Islander, Some Other Race, Unknown. Because Hispanic ethnicity was captured as a race in the pre-2014 data, these decedents have been classified as Unknown race in the categorical race variable for PHIT.
  • RACE12 (Guamanian or Chamorro) and RACE13 (Samoan) were not available for all observations prior to 2015
  • All non-classifiable races (RACE=99) were categorized as RACE_NOT_OBT, so RACE_REFUSED and RACE_UNK will not be a possible response in the pre-2014 data
VIPPre-VIP
American Indian/Alaska Native/Native AmericanRace is Indian [American, Alaska, Canadian, and Mexican Indian, Eskimo and Aleut]
AsianRace is Chinese, Japanese, Laotian, Vietnamese, Thai, Cambodian
BlackRace is Black
Hispanic/Latino/BlackRace is Black and Hispanic ethnicity is Puerto Rican, Dominican, Cuban, Other Central American, South American, Mexican, Other and Unknown Hispanic
Hispanic/Latino/OtherRace is Hispanic or Hispanic ethnicity is Other and Unknown Hispanic
Hispanic/Latino/WhiteRace is White and Hispanic ethnicity is Puerto Rican, Dominican, Cuban, Other Central American, South American, Mexican, Other and Unknown Hispanic
Native HawaiianRace is Hawaiian
SamoanNo match, not a possible response
WhiteRace is White [Includes Mexican, Puerto Rican, and other Caucasian]
Other Pacific IslanderRace is Other Asian or Pacific Islander
Specify Other Hispanic/LatinoRace is Hispanic or Hispanic ethnicity is Other and Unknown Hispanic
OtherRace is Other Non-white
Race Not ObtainableRace is Not Classifiable
Race UnknownNo match, not a possible response
Race RefusedNo match, not a possible response

Decedent’s Ethnicity

  • Many of the VIP ethnicity variables were not available for all observations prior to 2015 (see below for full list).
    • DETHNIC_COLUMBIAN, DETHNIC_GUATEMALAN, DETHNIC_HONDORAN, DETHNIC_SALVADOR were not available for all observations prior to 2015 (these go into the creation of the Hispanic variable in VIP files).
VIPPre-VIP
ColombianNo match, not a possible response
CubanHispanic ethnicity is Cuban
DominicanHispanic ethnicity is Dominican
GuatemalanNo match, not a possible response
HonduranNo match, not a possible response
Mexican, Mexican American, ChicanoHispanic ethnicity is Mexican
Other Central AmericanHispanic ethnicity is Other Central American
Other South AmericanHispanic ethnicity is Other and Unknown Hispanic
Puerto RicanHispanic ethnicity is Puerto Rican
SalvadoranNo match, not a possible response
Native American, ethnicityRace is Indian [American, Alaska, Canadian, and Mexican Indian, Eskimo and Aleut]
ChineseRace is Chinese
JapaneseRace is Japanese
VietnameseRace is Vietnamese
Cambodian, EthnicityRace is Cambodian
Cape VerdeanRace is Cape Verdean
LaotianRace is Laotian
UnknownNo match, not a possible response
Not ObtainableNo match, not a possible response
RefusedNo match, not a possible response
AfricanNo match, not a possible response
African (specify)No match, not a possible response
African AmericanNo match, not a possible response
AmericanNo match, not a possible response
BrazilianNo match, not a possible response
Caribbean IslanderNo match, not a possible response
Caribbean Islander (specify)No match, not a possible response
EuropeanNo match, not a possible response
European (specify)No match, not a possible response
GuatemalanNo match, not a possible response
HaitianNo match, not a possible response
Middle EasternNo match, not a possible response
Middle Eastern (specify)No match, not a possible response
PortugueseNo match, not a possible response
RussianNo match, not a possible response
Other Pacific IslanderNo match, not a possible response
Other PortugueseNo match, not a possible response
Other Portuguese (specify0No match, not a possible response
OtherNo match, not a possible response
Other (specify)No match, not a possible response
Other Central American (specify)Hispanic ethnicity is Other and Unknown Hispanic) and specified as “Other Central American”
South American (specify)Hispanic ethnicity is Other and Unknown Hispanic) and specified as “South American”
Asian IndianNo match, not a possible response
KoreanNo match, not a possible response

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