Guideline for coding organ donation after death: Difference between revisions
Ttenbergen (talk | contribs) m →Cross checks that are affected: moved special case handling into instructions for the cross checks instead. Added automatic list of cross checks. |
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=== Donation after Cardiac Death (DCD) === | === 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''' "Died - 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''' "Died - to OR". | ||
**In the few instances of DCD that I have seen, withdrawal of care and death do occur in the ICU. The patient is then transported to the OR if they die within the acceptable window of time. In these cases, I code the transfer ready time as the time of withdrawal of care, and also add [[Palliative care]] as an acquired.[[User:Mlagadi|Mlagadi]] 12:05, 2022 July 22 (CDT) | |||
*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 '''Died - 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 '''Died - to OR''' | ||