Deceased patients

This page ties together the different types of information we collect about deceased patients. Additional info might be in but not integrated here yet.

Palliative question

Julie asks: how to add a code for palliative care/ comfort care at discharge and/or change dx palliative service.

• SMW

• Cargo

• Categories

General instructions for deceased patients

• there might or might not be one of the Category:Diagnosis implying death

Diagnosis implying death codes:

Brain death Medical Assistance In Dying

• the patient might become a Organ donor (organ/tissue donation by the donor)
• if the patient had been sent to a temporary location and was expected to return to the unit after the procedure, then the dispo is death. If the person was NOT expected to return to the unit after the procedure, then the dispo is transfer to the procedure area, resp the next ward.

NOT organ donor

• Dispo: "Died - NOT organ donor"
• Dispo DtTm: time of death

organ donor

• Dispo: "Died - organ donor"
  • ie don't code that pt was discharged to the OR or another ICU

Is that really what you want? It will give fact that patient died, but miss new location.

• SMW

• Cargo

• Categories

• Dispo DtTm: sent from ICU to the operating room or to another ICU
  • ie don't code the time of death

Is that really what you want? It will give occupancy but miss actual time of death.

• SMW

• Cargo

• Categories

Data prior to death (even if pt did not die on our ward)

Decisions about end of life care

• ACP C
• (legacy) ACP Status collection in ICU

End of life care

• Comfort Care
• DC Treatment
• Hospice
• Palliative care
• Palliative Service

MAID

• Medical Assistance In Dying (MAID)
• Medical Assistance In Dying (old)

Data about patients who did die

• APACHE physiological variable collection#Patient DIED shortly after arriving in unit
• Dispo DtTm field
• Dispo field

Organ Donation

• Organ Donor
• Organ donor (organ/tissue donation by the donor)

Category:Diagnosis implying death

Diagnosis implying death codes:

Brain death Medical Assistance In Dying

Data Integrity Checks (automatic list)

	App	Status
Query check ICD10 dx implying death must have appropriate dispo	CCMDB.accdb	implemented
Link suspect dead then alive query	Centralized data front end.accdb	implemented
Query NDC dx implying death across encounters	Centralized data front end.accdb	implemented