Guideline for coding organ donation after death: Difference between revisions

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 === Donation after Cardiac Death (DCD) ===
-Donation after cardiac death (DCD) is where a donor who is not brain dead is dependent on life support and the family has decided to withdraw care. When the patient's heart stops beating, the organs are then recovered in the operating room.
+*Donation after cardiac death (DCD) is where a donor who is not brain dead is dependent on life support and the family has decided to withdraw care. When the patient's heart stops beating, the organs are then recovered in the operating room.
+*These would be coded with [[Dispo]] as the OR where they are going. They are not dead when they leave, so they are '''not''' "Death - to OR".
+*In the rare case that they withdrew while still in ICU then moved directly to OR for organ harvest, code the death in the ICU with the time being the actual time of death and the dispo as '''Death - to OR'''
-These would be coded with [[Dispo]] as the OR where they are going. They are not dead when they leave, so they are '''not''' "Death - to OR".
+=== MAID with Organ Donation ===
-{{DA | 2 Organ Donation
+*Medical Assistance in Dying ([[MAID]]) is where a person who undergoes MAID has made arrangements in advance for organ harvesting after death.
+*If a MAID patient who dies in ICU or ward becomes a (planned) donor, then the dispo is '''Death - to OR''', i.e. no need to bring up brain death.  If MAID is provided in the OR, then handle this like DCD (see above) BUT also do list the ICD10 code for MAID as an acquired dx in ICU
-* I had one patient where they withdrew care in the unit then went directly to the OR to harvest the organs.  What do we do in  this case?--[[User:LKolesar|LKolesar]] 08:03, 2019 June 5 (CDT)
-*AG REPLY -- then DO code the death in the ICU with the time being the actual time of death and the dispo as '''Death - to OR'''}}
-=== MAID ===
-Medical Assistance in Dying ([[MAID]]) is where a person who undergoes MAID has made arrangements in advance for organ harvesting after death.
-{{DA | 2 Organ Donation
- What are the instructions for this? Would they go through the exercise of declaring such a patient's [[Brain death]] or would we capture them as [[Acquired Diagnosis]] [[MAID]] and [[Dispo]] "Death - to OR" or more problematically "Death - to other ICU" ?
-*AG REPLY:  if a MAID patient who dies in ICU becomes a (planned) donor, then the dispo is '''Death - to OR''', i.e. no need to bring up brain death.  If MAID is provided in the OR, then handle this like DCD (see above) BUT also do list the ICD10 code for MAID as an acquired dx in ICU }}
 == How they are treated in linking ==