Organ Donor

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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: (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

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)

Collection process for Organ Donor who has been declared braindead

• Diagnosis: brain death or death has been declared
  • • The declaration of brain death must be done by two "independent" physicians either "concurrently" or "separately".
• Patient status: Expired
• Diagnosis codes: braindead (524) & organ donor (874).
• Discharge date: is the date and time patient is sent from ICU to the operating room (not 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.
• Discharge to: leave blank (use to be discharge to OR).
  • (since ACCESS database doesn't allow data in the field "discharge to" when patient is deemed expired, then we will no longer put discharge to OR. It is assumed that if a patient is declared brain dead (coded as 524) and is also coded as on organ donor (code 874) that he went to the OR for organ harvesting.

Collection process for living Organ Donor (donor and recipient)

Discussion

• content needed for "Collection process for living Organ Donor (donor and recipient)" section. Ttenbergen 15:29, 16 October 2008 (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.

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

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/

Data Integrity Rule

• If 874(organ donor) Admit or Complication slots, then 524 braindead must also be coded and outcome must be 'E'(Expired) TOstryzniuk 18:54, 28 October 2008 (CDT)

• All 524 braindead must be marked with an outcome of EXPIRED.

NOTE

• • 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.TOstryzniuk