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Guideline for coding organ donation after death: Difference between revisions

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** ie don't code the time of death
** ie don't code the time of death


=== Harvesting at same hospital (discharge to OR) ===
=== Discharge to OR (same or other site) ===
* [[Acquired Diagnosis]]: [[Brain death]]
* [[Acquired Diagnosis]]: [[Brain death]]
** [[Dx Date]]: Date brain death declared
** [[Dx Date]]: Date brain death declared
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* [[Dispo DtTm]]: DtTm pt leaves to OR
* [[Dispo DtTm]]: DtTm pt leaves to OR


=== Discharge to another site for harvesting ===
=== Discharge to another site ICU for harvesting ===
'''Sending site'''
'''Sending site'''
* [[Acquired Diagnosis]]:  
* [[Acquired Diagnosis]]: [[Brain death]]
** [[Dx Date]]:  
** [[Dx Date]]: Date brain death declared
* [[Dispo]]:  
* [[Dispo]]: '''Death - to other ICU'''
* [[Dispo DtTm]]:  
* [[Dispo DtTm]]: DtTm pt leaves to other ICU


'''Receiving site'''
'''Receiving site'''
* [[Admit Diagnosis]]:  
* [[Admit Diagnosis]]: [[Brain death]]
* [[Previous Location]]:
* [[Previous Location]]: the previous ICU
* [[Dispo]]: Hopefully the OR, or "Death - to morgue" if transplant doesn't work out
* [[Dispo]]: Hopefully "Death - to morgue", or "Death - to morgue" if transplant doesn't work out
* [[Dispo DtTm]]:  
* [[Dispo DtTm]]:  
*For a patient who develops [[Brain death]] in location A, and then transfers to location B for further evaluation for organ donation
**In location A the patient will have an acquired diagnosis of [[Brain death]], and their dispo will be '''Death with transfer to another ICU'''.  The [[LOS]] in location A will be time from admit to [[Brain death]].  Any time spent in location A after [[Brain death]] will be counted towards occupancy but not [[LOS]].
**In location B the patient will have admit diagnosis of [[Brain death]], and their dispo will be '''Death with transfer to OR for organ donation''' IF they go for donation and '''Death with transfer to morgue''' if not.  While all of this time will be included in occupancy, none of it will be included in [[LOS]] (since the person was not alive). 
**In the unusual situation where the patient goes directly from location A (an ICU) to the OR of another/different hospital for organ harvesting, the dispo for location A will be '''Death with transfer to OR for organ donation'''
**Regarding death rates in these records
***It’s necessary to avoid double counting the death in location A and location B.


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