Organisation: Východoslovenský ústav srdcových a cievnych chorôb

Created at: 17.09.2025 08:59:03

Question

MS S17-22 Indication of a deceased organ donor, based on the special rules in the Annex to Decree No. 16—which take precedence—the Grouper HP algorithm classifies this under secondary diagnosis G93.6 Cerebral edema and R40.2 Coma, unspecified, are referred to the specified medical service; however, we do not have a contract for this program because we do not perform transplants, we do not have a transplant team, and we do not meet the requirements. If the primary diagnosis is, for example, I26.0 Pulmonary embolism with manifestations of acute cor pulmonale, and an acute patient is transferred to VÚSCH from another hospital for the procedure of aspiration and extraction of embolized thrombi from the pulmonary circulation at the UPV, then based on the primary diagnosis and the primary procedure, the patient should be classified under the Interventional Cardiology Program. However, if a special rule takes precedence, such a case would be classified under MS 17–22 and the Organ Transplantation Program. Therefore, we propose that this medical service also be shared with Program 1—the Anesthesiology and Intensive Care Medicine Program. There are certainly more such cases in various hospitals, and few hospitals also have an Organ Transplant Program.

Answer

Thank you for your suggestion, the medical service S17-22 Dead Organ Donor Indication will be shared to the anaesthesiology and intensive care medicine programme from 1.1.2026 onwards based on your suggestion.