Deceased patients: Difference between revisions

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This page ties together the different types of information we collect about deceased patients. Additional info might be in [[Category:End-of-life related data]] but not integrated here yet.

~~== Palliative question ==~~

~~{{discussTask | Julie asks: how to add a code for palliative care/ comfort care at discharge and/or change dx palliative service.}}~~

== General instructions for deceased patients ==

* ~~there~~ might or might not be one of the [[:Category:Diagnosis implying death]]

*We always know that a patient died by virtue of the [[Dispo field]]. And data collectors record all diagnoses relevant to the admission. Thus beyond those 2 items, we have no specific need to record death as a diagnosis EXCEPT for brain death in which the patient becomes an organ donor.

*There might or might not be one of the [[:Category:Diagnosis implying death]]

* the patient might become a [[Organ donor (organ/tissue donation by the donor)]]

*'''[[Dispo ~~DtTm~~]]''': ~~date and time patient is '''sent from ICU~~ to ~~the operating room or to another ICU~~''' ~~(see~~ [[~~#Background~~]])

=== NOT organ donor ===

*'''[[~~Dispo~~]]'''~~: code "died - organ donor"~~

*'''[[Dispo]]''': "Died - to morgue"

*'''[[Dispo DtTm]]''': ''' date and time of death''' - info is found in '''[[Patient Viewer Tab Cognos ADT2]] '''

* this may also include coding [[~~Transfer-~~for ~~Organ Transplantation~~]] ~~if applicable~~

=== organ donor ===

See [[Guideline for coding organ donation after death]]

* If the patient had been sent to a temporary location and was expected to return to the unit after the procedure, then the '''dispo is death'''. If the person was NOT expected to return to the unit after the procedure, then the dispo is transfer to the procedure area, resp the next ward. [[~~Category:End-of-life related data~~]]

=== Death at temporary location ===

See [[Visits to temporary locations]]

~~Use time of death as~~ [[~~Dispo DtTm~~]]~~. However,~~ for ~~'''~~[[~~Organ Donor~~]]s~~''' patients see that article.~~

=== Entries in [[CSS]]/[[Using Cognos2 to keep track of patients]] ===

* deceased

~~MAID?~~

* "ED Death after Arrival" for [[EMIP]]s

== Data prior to death (even if pt did not die on our ward) ==

=== Decisions about end of life care ===

* [[ACP C]]

* [[ACP-C]]

* (legacy) [[ACP Status collection in ICU]]

=== End of life care ===

* [[Comfort Care]]

* [[DC Treatment]]

* [[Hospice]]

* [[Palliative care]]

* [[Palliative Service]]

=== MAID ===

* [[Medical Assistance In Dying]] ([[MAID]])

* [[Medical Assistance In Dying (old)]]

== Data about patients who did die ==

* [[APACHE physiological variable collection#Patient DIED shortly after arriving in unit]]

=== Not organ donors ===

* [[Dispo DtTm field]]

* [[Dispo field]]

=== Organ ~~Donation~~ ===

=== Organ donors ===

* [[~~Organ Donor]]~~

* see [[Guideline for coding organ donation after death]]

* [[Organ donor (organ~~/tissue~~ donation ~~by the donor)~~]]

=== [[:Category:Diagnosis implying death]] ===

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== Legacy info ==

{{Collapsable|

always = click expand to see legacy info

| full =

* [[ACP Status Collection in ICU]]

* [[Palliative Service]]

* [[Medical Assistance In Dying (old)]]

* [[Organ Donor]]

}}

== Related articles ==

@@ Line 1: / Line 1: @@
 This page ties together the different types of information we collect about deceased patients. Additional info might be in [[Category:End-of-life related data]] but not integrated here yet.
-== Palliative question ==
-{{discussTask | Julie asks: how to add a code for palliative care/ comfort care at discharge and/or change dx palliative service.}}
 == General instructions for deceased patients ==
-* there might or might not be one of the [[:Category:Diagnosis implying death]]
+*We always know that a patient died by virtue of the [[Dispo field]].  And data collectors record all diagnoses relevant to the admission.  Thus beyond those 2 items, we have no specific need to record death as a diagnosis EXCEPT for brain death in which the patient becomes an organ donor.
+*There might or might not be one of the [[:Category:Diagnosis implying death]]
 {{ListICD10Category | categoryName = Diagnosis implying death}}
-* the patient might become a [[Organ donor (organ/tissue donation by the donor)]]
-*'''[[Dispo DtTm]]''': date and time patient is '''sent from ICU to the operating room or to another ICU''' (see [[#Background]])
+=== NOT organ donor ===
-*'''[[Dispo]]''':  code "died - organ donor"
+*'''[[Dispo]]''':  "Died - to morgue"
+*'''[[Dispo DtTm]]''': ''' date and time of death''' - info is found in '''[[Patient Viewer Tab Cognos ADT2]] '''
-* this may also include coding [[Transfer-for Organ Transplantation]] if applicable
+=== organ donor ===
+See [[Guideline for coding organ donation after death]]
-* If the patient had been sent to a temporary location and was expected to return to the unit after the procedure, then the '''dispo is death'''.  If the person was NOT expected to return to the unit after the procedure, then the dispo is transfer to the procedure area, resp the next ward. [[Category:End-of-life related data]]
+=== Death at temporary location ===
+See [[Visits to temporary locations]]
-Use time of death as [[Dispo DtTm]]. However, for '''[[Organ Donor]]s''' patients see that article.
+=== Entries in [[CSS]]/[[Using Cognos2 to keep track of patients]] ===
+* deceased
-MAID?
+* "ED Death after Arrival" for [[EMIP]]s
 == Data prior to death (even if pt did not die on our ward) ==
 === Decisions about end of life care ===
-* [[ACP C]]
+* [[ACP-C]]
-* (legacy) [[ACP Status collection in ICU]]
 === End of life care ===
-* [[Comfort Care]]
 * [[DC Treatment]]
 * [[Hospice]]
-* [[Palliative care]]
+{{palliative patient}}
-* [[Palliative Service]]
 === MAID ===
 * [[Medical Assistance In Dying]] ([[MAID]])
-* [[Medical Assistance In Dying (old)]]
 == Data about patients who did die ==
 * [[APACHE physiological variable collection#Patient DIED shortly after arriving in unit]]
+=== Not organ donors ===
 * [[Dispo DtTm field]]
 * [[Dispo field]]
-=== Organ Donation ===
+=== Organ donors ===
-* [[Organ Donor]]
+* see [[Guideline for coding organ donation after death]]
-* [[Organ donor (organ/tissue donation by the donor)]]
 === [[:Category:Diagnosis implying death]] ===
@@ Line 49: / Line 45: @@
 {{Data Integrity Check List|}}
+== Legacy info ==
+{{Collapsable|
+always = click expand to see legacy info
+| full =
+* [[ACP Status Collection in ICU]]
+* [[Palliative Service]]
+* [[Medical Assistance In Dying (old)]]
+* [[Organ Donor]]
+}}
 == Related articles ==