Brain death: Difference between revisions
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Ttenbergen (talk | contribs) m →Additional Info: I am removing this because the info is in Guideline for coding organ donation after death as linked at the top of this section. It's relevant to multiple pages and I don't want duplication that will get messed up. If we really want to list the whole thing on each page we can build a template. Tag: Manual revert |
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{{ICD10 transition status | {{ICD10 transition status | ||
| OldDxArticle =Braindead| CurrentStatus = | | OldDxArticle =Braindead | ||
| CurrentStatus = reconciled | |||
| InitialEditorAssigned = Joyce Peterson | | InitialEditorAssigned = Joyce Peterson | ||
}} | }} | ||
{{ICD10 dx | {{ICD10 dx | ||
| MinimumCombinedCodes = | |||
| ICD10 Code=G93.81 | | ICD10 Code=G93.81 | ||
| BugRequired= | | BugRequired= | ||
}} | }} | ||
{{ICD10 category|Misc}}{{ICD10 category|Neuro}}{{ICD10 category|Diagnosis implying death}} | |||
== Additional Info == | == Additional Info == | ||
*A brain-dead individual has no clinical evidence of brain function upon physical examination. This includes no response to pain | See [[Guideline for coding organ donation after death]] for additional collection info. | ||
*A brain-dead individual has no clinical evidence of brain function upon physical examination. This includes: | |||
**no response to pain | |||
**no brainstem reflexes | |||
**no respiratory efforts (via apnea test) | |||
**Brainstem reflexes tested as part of the brain death protocol are: pupillary, oculocephalic (Dolls eyes), oculovestibular (cold calorics), and corneal. | **Brainstem reflexes tested as part of the brain death protocol are: pupillary, oculocephalic (Dolls eyes), oculovestibular (cold calorics), and corneal. | ||
**Confirmatory testing (e.g. brain bloodflow) is not required, but is sometimes used. | **Confirmatory testing (e.g. brain bloodflow) is not required, but is sometimes used. | ||
*The declaration of brain death must be done by two independent physicians. | *The declaration of brain death must be done by two independent physicians. | ||
*For those patients who are declared brain dead, and do not become actual or potential organ donors, use the time of brain death as the [[Transfer Ready DtTm field]], and the time of cardiac death as the [[Dispo DtTm]].<!-- as confirmed at Task 2020-09-23 --> | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
*[[Organ donor (organ/tissue donation by the donor)]] | *[[Organ donor (organ/tissue donation by the donor)]] | ||
*[[Brain injury, diffuse (TBI), injury/trauma]] | |||
*[[Brain injury, focal (TBI), injury/trauma]] | |||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
*[[Organ donor (organ/tissue donation by the donor)]] | *[[Organ donor (organ/tissue donation by the donor)]] | ||
== Related CCI Codes == | |||
{{Data Integrity Check List|}} | |||
== Related Articles == | == Related Articles == | ||
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{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||
[[Category:End-of-life related data]] | |||