Medical Assistance In Dying

ICD10 Diagnosis
Dx:	Medical Assistance In Dying
ICD10 code:	Z51.81
Pre-ICD10 counterpart:	Medical Assistance In Dying (old)
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:	2018-07-17
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

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  • 2018-07-17
  • 2999-12-31
  • Z51.81

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Additional Info

Medical Assistance In Dying (MAID) is a program that allows terminally ill patients to access the assistance of a physician to control the time and circumstances of their death. See links under #Program Details for more info.

See Deceased patients#General instructions for deceased patients and Guideline for coding organ donation after death.

Collection Instructions for MAID

• Code this for patients who are admitted to your ward/unit and either:
  • receive this assistance on the ward/unit
  • receive this assistance during the same admission at your institution but was moved to a separate location (eg. a procedure room/area) for the purpose of receiving MAID
• Do not code this if the patient simply has a MAID consult, even if they agree to have MAID in the near future. Code it only once the assistance has been provided. If the person is being transferred to another facility (eg. from St. Boniface to HSC), then if it is a location where we collect, the collector of the receiving facility would be the one to code (the collector of the sending facility does NOT code) or if we don't collect there we don't collect it, as we don't collect other things done on other services after pts leave ours.

What if the STB patient went to a HSC_ward that is not a collection unit for sole purpose of MAID? (Pam) I updated the above. Does it make sense or should we take it back to task? Frankly I would just take that whole "it will be collected elsewhere" sentence out, I think it confuses the situation, and it is not helpful since it is the same for MAID as for everything else - if it goes to one of ours we will collect it there, and if it doesn't go to one of ours we won't collect it - why do we need to state that at all? Ttenbergen 11:31, 2022 February 8 (CST)

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• Do not code this in a record if the patient was transferred to a different institution to undergo MAID -- instead it should be coded at that other institution.

For a patient at HSC who will receive MAID and is transferred to another ward within HSC for the purposes of MAID do we put out dispo as HSC_ward or Died to Morgue? If we put HSC_ward it will trigger the same error message of needing a disposition of death? Sorry can't recall if we actually addressed this at TASK Lisa Kaita 06:37, 2022 February 4 (CST) I think that's a case 3 of Visits to temporary locations, no? Ttenbergen 11:31, 2022 February 8 (CST)

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Program Details

• http://www.gov.mb.ca/health/maid.html
• https://sharedhealthmb.ca/services/maid/

Alternate ICD10s to consider coding instead or in addition

• Palliative care
• Organ donor (organ/tissue donation by the donor)

Candidate Combined ICD10 codes

Data Integrity Checks (automatic list)

	App	Status
Query check ICD10 dx implying death must have appropriate dispo	CCMDB.accdb	implemented
Query NDC dx implying death across encounters	Centralized data front end.accdb	implemented

Legacy info

When we started out this dx used code U23, but then as of 2018-07-17 ICD10 actually added a code for this so we changed ours to that code. I don't really think we are interested in keeping that very early test data, so this comment can probably just go, and we can delete them. I am removing the code from our s_ICD10 table.

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