Organ Donor

• see Quarterly report

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)

Click Expand to show legacy content.

edit dx infobox
Category/Organ System:	Category: Organ Donor (old)
Type:	Medical Problem
Main Diagnosis:	874-00
Sub Diagnosis:	Critical Care and Medicine
Diagnosis Code:	Currently Collected
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program:
Status:

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
• 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)

What discharge date/time to use for brain death for Major Organ Donor

• Date and time patients leaves the ICU to go to the operating room.
  • The reason we is recording the date and time when a patient leaves the ICU to go to the OR for donation instead of date and time they are declared brain dead was to allow the unit to capture nursing workload TISS & ICU occupancy. Some patients are in the unit for 1-2 days before all is in order to proceed with organ donation.TOstryzniuk 19:31, 6 October 2008 (CDT)

Ttenbergen 15:26, 16 October 2008 (CDT)

• • • Critical Care Review Group & Steering Commitee reviewed an accepted this definition on January 23, 2009. --TOstryzniuk 18:23, 2 February 2009 (CST)

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, the 524 braindead must also be coded and outcome must be 'E'(Expired) TOstryzniuk 18:54, 28 October 2008 (CDT)
• Also, all 524 braindeadmust be marked with an outcome of EXPIRED.

File:Updated3.gif

• We should generalize that to "Brain dead (524) must be Expired" since the query as stated would ignore brain dead patients who are not organ donors, though all of them should still be expired. Agreed? Ttenbergen 17:33, 24 October 2008 (CDT)

• Yes, all 524's must have an outcome as EXPIRED.
• If 874 an (organ donor) coded, then 524 must also be coded and outcome must also be marked as EXPIRED.--TOstryzniuk 09:30, 20 March 2009 (CDT)
• this integrity check was moved here from the ! Automated Data Integrity Checks article, where still more discussions are going on.--TOstryzniuk 10:05, 20 March 2009 (CDT)

Template:Discussion

Discussion

• Just to add: remember to capture VDRL"s in lab--FLindell 05:17, 25 September 2008 (CDT)
  • 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. Does anyone want to comment further on this?TOstryzniuk

Discussion

• From previous communication with Trish I am gathering that to have a pt declared brain dead a formal assessment by a neurologist should be done. Is this true in all cases? --MWaschuk 18:09, 19 October 2008 (CDT)