Medical Assistance In Dying

From CCMDB Wiki
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

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 our 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)
      • I have added "Other Procedure Location" as an option for Dispo. How would this 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? Ttenbergen 13:26, 2022 April 20 (CDT)
    • What I was referring to is the fact that if you use MAID as an acquired ICD 10 code, your dispo must be death or an error pops up. So we either change the cross check to accept another dispo or consider the boarding location to which they go to, an extension of their medicine admission and then we can use died to morgueLisa Kaita 09:27, 2022 April 28 (CDT)
    • At STB site patients are transferred to other facilities for sole purpose of maid; so do not have the option to extend the medicine admission to capture acquired maid/died to morgue dispo. Pamela Piche 10:04, 2022 April 28 (CDT)
      • There are two queries (see below) that deal with this, one in CCMDB and one at Pagasa's end. Do we want to change how this code is used, or how those queries cross-check? Signing question over to Julie. Ttenbergen 15:49, 2022 April 28 (CDT)
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Program Details

Alternate ICD10s to consider coding instead or in addition

Candidate Combined ICD10 codes

Data Integrity Checks (automatic list)

Query check ICD10 dx implying death must have appropriate dispoCCMDB.accdbimplemented
Query NCD dx implying death across encountersCentralized data front end.accdbimplemented

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