US · guidance
CMS SOM App. Y, Tag Z191
(Standard) §486.344(f)(5) Criteria for declaration of death and the time period that
must elapse prior to organ recovery.
Interpretive Guidelines §486.344(f)(5)
The OPO staff cannot make a death pronouncement. The person making the declaration
must be a person authorized to do so by the donor hospital and applicable State laws.
The declaration must be made in conformance with State laws and the OPO must include
a copy of the declaration in the donor record. The OPO must have written protocols that
discuss the wait time between declaration and the beginning of recovery (consistent with
current expert recommendations).
Review the sample of DCD donor records to verify that the OPO followed its protocols.
History
Rev. 115, Issued: 05-23-14, Effective: 05-23-14, Implementation: 05-23-14
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
ff4fc607d68fa366ff01fe8d9dfd659cda363909fc29a9290a50151b1c5b9709
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