Procedure Type: Organ Procurement

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Description

This phenotype determines whether a case had at least 1 organ havested and the patient was delcared brain-dead via CPT codes, ASA 6 documentation, and procedure text.

Limitation

May include cancelled cases.

Relies on accurate procedure text documentation, anesthesia, and surgical CPT codes.

Data quality is limited to individual site documentation accuracy, completeness, and variable mapping, which is performed by each site, independently. MPOG, as the coordinating center, reviews data quality at each data upload and monthly via Data Diagnostics and Case Validation tools. This review, while thorough, may not contain all data elements relevant to this phenotype and thus should be carefully reviewed by the user.

Value Type

Categorical

Enumeration

Value	Value Code	Definition

Return Columns

Column Name	Data Type

Granularity

Logic

Step 1. Was case classified as valid case using the Is Case Valid phenotype? If No, mark No. If Yes, proceed to step 2.

Step 2. Was case classified as valid case using the Procedure Type: Intubation Only phenotype? If Yes, mark No. If No, proceed to step 3.

Step 3. Check if the case matches its Primary Surgical CPT with the list of CPT codes below. If yes, return 1. If no, proceed to step 4.

Anesthesia CPT: 01990 (Do not use if predicted)
Surgical CPT: 32850, 33930, 33940, 44132, 47133, 48550, 50300

Step 4. Check to see if the case is listed as an ASA 6. If Yes, return 1. If no, return proceed to step 5.

Step 5. Check to see if the case has a date of death. If no date of death, proceed to step 6.

If the date of death is prior to procedure, return 1.
If the date of death is after procedure, return 0.

Step 6. Check for value code 1 cases, if ASA is <6, set the value to no. If ASA = 6 proeed to step 7.

Step 7.Does the cases have ICD-10 code G93.82% dated either the same day or before anesthesia start? If yes, return yes. If no, proceed to step 8.

Step 8. Check for the procedure text expor, living, bone for cases that area ASA 6. However, exclude cases that contain the procedure text procur, recover, organ, donation, donar, heart, liver, lung, kidney.

Step 9. For no cases and cases without a value, check if the procedure text contains the text procur but not the text explor, living, bone, or oscopy. Set the case to Yes. Everything without a value set to No.