Check organ donors must be dead

Organ Donors must be status deceased

For all brain dead(524) diagnoses at HSC or STB, outcome must be "expired"

Organ Donors must have diagnosis braindead

• If 874(organ donor) Admit or Complication slots, then 524 braindead
• If the two have to happen together should they not just be combined, or one be considered to always be present if the other is? I think we have some other dxs where we don't code the implied conditions, no?Ttenbergen 16:03, 2012 April 16 (CDT)
  • well, braindead does not guarantee proceeding to organ donor (874)Trish Ostryzniuk 17:14, 2012 April 16 (CDT)
    • no, but it sounds like organ donor guarantees brain dead; so, why does it not go without saying?Ttenbergen 17:30, 2012 April 16 (CDT)
      • yes, as of 2009, we are only coding major organ donors, so yes, if organ donor, then must have been declared brain dead.Trish Ostryzniuk 17:33, 2012 April 16 (CDT)
        • So what is the benefit of actually wasting a dx slot to code brain dead in organ donors? Ttenbergen 09:36, 2012 April 17 (CDT) Ttenbergen 18:03, 2012 November 7 (EST)Template:Discussion

how about live donation?

• If 874 includes live donors this will result in false positives which should be documented. If 874 does not include live donors, then it might be more relevant to check that they are deceased rather than that their discharged-to is empty. Access already traps any deceased with a discharge-to. Ttenbergen 17:33, 24 October 2008 (CDT) Template:Discussion

for dx Braindead discharged to must be blank

In CCMDB.mdb if code 874 in Admit slot, discharge to destination should be blank.

• I am not sure why this is even a check? All 874's go the the OR for organ donation. The problem is with CCMDB where if DX is 524 and outcome = expired then discharged to is NOT allowed, so collectors are putting outcome = Survived so that they can fill in the Discharge TO. All 874 and or 524 are Expired. Many brain dead patients (524)are sent to HSC or STB for second assessment for brain death. Some proceed to organ donation, others do not.
• 874 is not used for live donors.
• why only admit slot? should not discharge be blank even if pt became braindead as acquired? Ttenbergen 18:15, 2012 November 7 (EST)

• see Check brain dead across encounters

Q6.?? - 874 and 524 should not be admitted from OR

If code 874 and 524 in Admit slots, the admitted From should never be OR.

Discussion

TRISH HERE: OCT 28.08 1900 hrs.

• After consulting Roberts, changes as follows:
• Someone (Trish?) added the following:
  1. if braindead (524) at community site (GRA, VIC, CON, OAK) and sent to teaching site (HSC, STB) then outcome for both Community& teaching site = Expired. Admit DX 1 for teaching site = braindead (524).
  • CCMDB.mdb doesn't allow a deceased person to be discharged somewhere. Julie and I discussed this because she had initially requested this check. Ttenbergen 17:33, 24 October 2008 (CDT)
  • Where or how would a patient status be set to "D" for donor? I don't think "D" is currently an option.Ttenbergen 17:33, 24 October 2008 (CDT)
  • Once the other two issues are addressed, could you maybe re-word the above rule by adding brackets around the clauses that belong together, because as it is, it is difficult to figure out if the last IF refers to the entire beginning of the sentence or just part of it. Don't have to use brackets, you might be able to clear it up otherwise. Ttenbergen 17:33, 24 October 2008 (CDT)
• Need more input- currently in discussion with ICU & Julie TOstryzniuk 18:16, 22 October 2008 (CDT) Template:Discussion