Organ Donor

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Organ donor (organ/tissue donation by the donor)

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edit dx infobox
Category/Organ System:	Category: Other Medical (old)
Type:	Medical Problem
Main Diagnosis:	Organ Donor
Sub Diagnosis:
Diagnosis Code:	874-00
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program:	Critical Care and Medicine
Status:	Currently Collected

see also Dispo field, which allows "Died - Organ_Donor" as an option

Diagnosis for patients who are major organ donors (not eyes, skin or bones). NOTE: January 23.09-as per Dr. Roberts-Only code MAJOR ORGAN donors.

Collection process for Organ Donor who has been declared braindead

• Diagnosis: brain death or death has been declared
• Patient status: Expired
• Diagnosis codes: braindead (524) & organ donor (874).
• Dispo DtTm: date and time patient is sent from ICU to the operating room or to another ICU (see #Background)
• Dispo: code "died - organ donor"

Not all Organ Donors have a bronchscopy done, so don't automatically assume and code it. The only time it is done is if there are considering the lungs. This is according to a Respirologist from STB ICU.

• this may also include coding Transfer-for Organ Transplantation if applicable

Collection process for living Organ Donor (donor and recipient)

• Go to: Renal Transplant

Data Use

This data is reported in the Quarterly report.

Template:CCMDB Data Integrity Checks

• see Check organ donors must be dead
• see Check brain dead across encounters (used to be part of Cleaner.mdb)
  • Template:Discussion do we need this in CFE? Ttenbergen 10:56, 2015 June 25 (CDT)

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. (database only coding MAJOR ORGAN DONORS)

Organs that can be donated from living donors include part of the liver or pancreas and the kidney.

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.

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

http://www.organtransplants.org/understanding/

Legacy info only below here

Legacy Info

• 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. 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.