Organ Donor: Difference between revisions

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~~==Organ Donor==~~

In ICD10 see

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

* [[Guideline for coding living donor organ donation]]

{{PreICD10 dx | NewDxArticle = Organ donor (organ/tissue donation by the donor)}}

{{DX tag | Other Medical | | Organ Donor | |87400 | | |'''Critical Care and Medicine''' |Currently Collected | |}}

''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)==

*Go to: [[Renal Transplant]]

== Data Use ==

This data is reported in the [[Quarterly report]].

== 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.'''

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.

~~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.

~~'''Collection process for Organ Donor who has died''':~~

*'''Diagnosis''': brain death or death has been declared

*'''Patient status''': Expired

*'''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.

*'''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~~.

~~'''Collection process for living Organ Donor (donor and recipient)~~:~~'''~~

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 ==

~~[[User:TOstryzniuk~~|~~TOstryzniuk]] 08~~:~~05, 24 September 2008 (CDT)~~

{{LegacyContent

|explanation=legacy portion of page

|successor=

|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. [[User:TOstryzniuk|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.

~~[[stub]]~~

}}

[[Category: ~~Diagnosis Coding]]~~

[[Category:End-of-life related data]]

~~[[Category: Questions~~]]

@@ Line 1: / Line 1: @@
-==Organ Donor==
+In ICD10 see
+* [[Guideline for coding organ donation after death]]
+* [[Guideline for coding living donor organ donation]]
+{{PreICD10 dx | NewDxArticle = Organ donor (organ/tissue donation by the donor)}}
+{{DX tag | Other Medical | | Organ Donor | |87400 | | |'''Critical Care and Medicine''' |Currently Collected | |}}
+''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)==
+*Go to: [[Renal Transplant]]
+== Data Use ==
+This data is reported in the [[Quarterly report]].
+{{Data Integrity Check List|}}
+== 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.'''
+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.
-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.
-'''Collection process for Organ Donor who has died''':
-*'''Diagnosis''': brain death or death has been declared
-*'''Patient status''': Expired
-*'''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.
-*'''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.
-'''Collection process for living Organ Donor (donor and recipient):'''
+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}}
-[[User:TOstryzniuk|TOstryzniuk]] 08:05, 24 September 2008 (CDT)
+{{LegacyContent
+|explanation=legacy portion of page
+|successor=
+|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. [[User:TOstryzniuk|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.
-[[stub]]
+}}
-[[Category: Diagnosis Coding]]
+[[Category:End-of-life related data]]
-[[Category: Questions]]