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.
• 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) Tina, I think it was decided at task to add more option(s) to the dispo and previous location drop down lists regarding temporary locations to include something like: STB_procedure area, NOS HSC procedure area, NOS and Grace_procedure area, NOS I see what you mean, Pam, just found that in the minutes as well. But how would those be used then? Only for MAID or also for all other cases of case 3 of Visits to temporary locations? And if for all, will that decrease the number of patients dying in our units to a point where Julie needs to be able to explain? I have a meeting booked with Allan at 11 so will flag it for that, and email Julie about it now as well. Ttenbergen 09:15, 2022 February 9 (CST) Didn't get to it at meeting with Allan and Julie, so flagged it back for task. Ttenbergen 12:13, 2022 February 9 (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 should probably delete them. I have removed the code from our s_ICD10 table already some time ago, so if anything this is now a data inconsistency. We have three records with this code: GRA_N3-15720-1728 , HSC_D5-12425-1036 and VIC_S5C-575-4922; if you think we should clear them out, pls change the name under "who" to Pagasa. Ttenbergen 21:18, 2022 February 17 (CST) yes we can delete this code U23. --JMojica 15:41, 2022 April 4 (CDT)

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