Organ Donor: Difference between revisions

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== Collection process for Organ Donor who has been declared brain dead ==
In ICD10 see
*'''Diagnosis''': brain death or death has been declared
* [[Guideline for coding organ donation after death]]
*'''Patient status''': Expired
* [[Guideline for coding living donor organ donation]]
*'''Diagnosis codes:''' brain dead (524) & organ donor (874) "or" organ donor (874) and status "expired"
 
*'''Discharge date''':  is the date and time patient is sent from ICU to the operating room (not the time brain death is declared).  This was decided when the database program began in the late 1980's because a number of organ donors did not leave ICU for 1-2 days after being declared brain dead and ICU wants to account for bed occupancy and nursing workload for those patients. 
{{PreICD10 dx | NewDxArticle = Organ donor (organ/tissue donation by the donor)}}
*'''Discharge to''':  leave blank  (use to be discharge to OR).  
 
**(since ACCESS database doesn't allow data in the field "discharge to" when patient is deemed expired, then we will no longer put discharge to OR.  It is assumed that if a patient is declared brain dead (coded as 524) and is also coded as on organ donor (code 874) that he went to the OR for organ harvesting.
{{DX tag | Other Medical | | Organ Donor | |87400 | | |'''Critical Care and Medicine''' |Currently Collected | |}}
=== Discussion ===
 
*  From previous communication with Trish I am gathering that to have a pt declared brain dead a formal assessment by a neurologist should be done.  Is this true in all cases? --[[User:MWaschuk|MWaschuk]] 18:09, 19 October 2008 (CDT)
''see also [[Dispo field]], which allows "Died - Organ_Donor" as an option
 
<onlyinclude>Diagnosis for patients who are '''major''' organ donors (not eyes, skin or bones). </onlyinclude>
 
== Collection process for Organ Donor who has been declared [[braindead]] ==
See [[Deceased patients#General instructions for deceased patients]]


== Collection process for living Organ Donor (donor and recipient)==
== Collection process for living Organ Donor (donor and recipient)==
=== Discussion ===
*Go to: [[Renal Transplant]]
* content needed for "Collection process for living Organ Donor (donor and recipient)" section. [[User:Ttenbergen|Ttenbergen]] 15:29, 16 October 2008 (CDT)
 
== Data Use ==
This data is reported in the [[Quarterly report]].


{{Data Integrity Check List|}}


== Background ==
== Background ==
Line 19: Line 27:
Organs that can be procured include: the heart, intestines, kidneys, lungs, liver, pancreas. These are procured from a '''brain dead''' donor '''or''' a donor where the family has given consent for donation after '''cardiac death''', known as non-heart-beating donation.
Organs that can be procured include: the heart, intestines, kidneys, lungs, liver, pancreas. These are procured from a '''brain dead''' donor '''or''' a donor where the family has given consent for donation after '''cardiac death''', known as non-heart-beating donation.


The following tissues can be procured: bones, tendons, corneas, heart valves, femoral veins, great saphenous veins, small saphenous veins, pericardium, skin grafts, and the sclera (the tough, white outer coating surrounding the eye). These are only procured '''after death.'''
The following tissues can be procured: bones, tendons, corneas, heart valves, femoral veins, great saphenous veins, small saphenous veins, pericardium, skin grafts, and the sclera (the tough, white outer coating surrounding the eye). These are only procured '''after death.''' (database only coding MAJOR ORGAN DONORS)


Organs that can be donated from '''living donors''' include part of the liver or pancreas and the kidney.
Organs that can be donated from '''living donors''' include part of the liver or pancreas and the kidney.


For more detailed information about the definition of ORGAN DONATION see:  http://en.wikipedia.org/wiki/Organ_donation
We are using time patient moved to the OR as discharge time rather than the time brain death is declared in the unit.  This was decided when the database program began in the late 1980's because a number of organ donors did not leave ICU for 1-2 days after being declared brain dead and ICU wants to account for bed occupancy and nursing workload for those patients.
 
 


For more detailed information about the definition of ORGAN DONATION see: 


{{Discussion}}
http://en.wikipedia.org/wiki/Organ_donation


==Discussion==
http://en.wikipedia.org/wiki/Non-heart_beating_donation
*Just to add: remember to capture Bronchoscopy done on all donors and VDRL"s in lab--[[User:FLindell|FLindell]] 05:17, 25 September 2008 (CDT)
** Not all Organ Donors have a bronchscopy done, so don't automatically assume and code it. The only time it is done is if there are considering the lungs. This is according to a Respirologist from STB ICU. Does anyone want to comment further on this?[[User:TOstryzniuk|TOstryzniuk]]


=== What time to use for brain death ===
== Related articles ==
'''The following refers to an ongoing discussion, not to a change in collection rules.'''
{{Related Articles}}


As discussed in the [[:Category:Critical Care Review Group|Critical Care Review Group]],
{{LegacyContent
we will propose to the steering committee to record of brain death date & time instead of when patient leaves the ICU to go to the OR for organ harvesting.  [[User:TOstryzniuk|TOstryzniuk]] 12:27, 9 October 2008 (CDT)
|explanation=legacy portion of page
|successor=
|content=
NOTE: January 23.09-as per Dr. Roberts-Only code MAJOR ORGAN donors.


The reason we is recording the date and time when a patient leaves the ICU to go to the OR for donation instead of date and time they are declared brain dead was to allow the unit to capture nursing workload (tiss days) & ICU occupancy.  Some patients are in the unit for 1-2 days before all is in order to proceed with organ donation.[[User:TOstryzniuk|TOstryzniuk]] 19:31, 6 October 2008 (CDT)
*January 23.09-as per Dr. Roberts-Only code MAJOR ORGAN donors.  We will no longer code eyes, skin or bones donors in the database. [[User:TOstryzniuk|TOstryzniuk]] 19:30, 23 January 2009 (CST)
[[User:Ttenbergen|Ttenbergen]] 15:26, 16 October 2008 (CDT)
* discharge-to used to be to OR; we implemented data integrity checks to prevent discharging dead people to locations; it will be assumed that if a patient is coded as on organ donor (code 874) that he went to the OR for organ harvesting.


[[stub]]
}}


[[Category: Diagnosis Coding]]
[[Category:End-of-life related data]]
[[Category: Questions]]
[[Category:Critical Care Review Group]]

Latest revision as of 09:04, 2021 December 23

In ICD10 see



Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Organ donor (organ/tissue donation by the donor)

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Other Medical (old)

Type:

Medical Problem

Main Diagnosis: Organ Donor
Sub Diagnosis:
Diagnosis Code: 87400
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program: Critical Care and Medicine
Status: Currently Collected


see also Dispo field, which allows "Died - Organ_Donor" as an option

Diagnosis for patients who are major organ donors (not eyes, skin or bones).

Collection process for Organ Donor who has been declared braindead

See Deceased patients#General instructions for deceased patients

Collection process for living Organ Donor (donor and recipient)

Data Use

This data is reported in the Quarterly report.

Data Integrity Checks (automatic list)

none found

Background

Organ donation is the removal of the tissues of the human body from a person who has recently died, or from a living donor, for the purpose of transplanting.

Organs that can be procured include: the heart, intestines, kidneys, lungs, liver, pancreas. These are procured from a brain dead donor or a donor where the family has given consent for donation after cardiac death, known as non-heart-beating donation.

The following tissues can be procured: bones, tendons, corneas, heart valves, femoral veins, great saphenous veins, small saphenous veins, pericardium, skin grafts, and the sclera (the tough, white outer coating surrounding the eye). These are only procured after death. (database only coding MAJOR ORGAN DONORS)

Organs that can be donated from living donors include part of the liver or pancreas and the kidney.

We are using time patient moved to the OR as discharge time rather than the time brain death is declared in the unit. This was decided when the database program began in the late 1980's because a number of organ donors did not leave ICU for 1-2 days after being declared brain dead and ICU wants to account for bed occupancy and nursing workload for those patients.

For more detailed information about the definition of ORGAN DONATION see:

http://en.wikipedia.org/wiki/Organ_donation

http://en.wikipedia.org/wiki/Non-heart_beating_donation

Related articles

Related articles:

Legacy Content

This page contains Legacy Content.
  • Explanation: legacy portion of page
  • Successor:

Click Expand to show legacy content.

NOTE: January 23.09-as per Dr. Roberts-Only code MAJOR ORGAN donors.

  • January 23.09-as per Dr. Roberts-Only code MAJOR ORGAN donors. We will no longer code eyes, skin or bones donors in the database. TOstryzniuk 19:30, 23 January 2009 (CST)
  • discharge-to used to be to OR; we implemented data integrity checks to prevent discharging dead people to locations; it will be assumed that if a patient is coded as on organ donor (code 874) that he went to the OR for organ harvesting.
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