Transplant Form Updates
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1 Release Notes Version: July 2017 Transplant Form Updates The purpose of this document is to identify and explain the changes you will experience with some transplant forms in PROMIS as a result of CBS (Canadian Blood Services) updates to the CTR service. 1. Transplant Activation Location: Classic View > Transplant > Activation Description: A new Deactivation Reason Cancelled has been added for all organs. Description: Acceptance Criteria. The following criteria is no longer used by CTR and will be removed from the Transplant Activation form. Accept CMV Negative Donor only All organs Min Total Lung Capacity Max Total Lung Capacity Accept VXM ABC Positive Heart only Accept VXM DRDQb Positive Heart only Copyright 2017 BC Provincial Renal Agency Page 1 of 6 Created by Hannah Ponting
2 2. CBS National Organ Waitlist Location: Classic View > Transplant > National Organ Waitlist Description: Transplanted has been added to the list of values for the Retrieve by State filter Description: Column heading changes Nat. Recip ID updated to Nat.Patient ID OPO updated to ODO 3. Donor Registration Location: Classic View > Transplant > Donor > Registration Description: To achieve National consisteny, Exceptional Distribution has been replaced with Exceptional Release. This is the same feature found in BCT Legacy > Donor Referral > Donor Info Copyright 2017 BC Provincial Renal Agency Page 2 of 6 Created by Hannah Ponting
3 4. Donor Outgoing Offers Location: Classic View > Transplant > Donor > Outgoing Offers Description: Double Kidney has been replaced with Dual Kidney when making an offer. Description: Workflow change. After an organ has been accepted, the next action is to indicate that the organ has been shipped. A new action status has been added: Organ is SHIPPED. Once the organ is shipped the status cannot be changed, cancelled or withdrawn. The Medical Status column has been replaced by a Shipped column to indicate Yes or No if the organ has been shipped. Last Activity will be updated to reflect the shipped action. Copyright 2017 BC Provincial Renal Agency Page 3 of 6 Created by Hannah Ponting
4 Description: Offer state action WITHDRAW offer (by BCT) will now be able to accept multiple options. If the only selected reason is At Threshold Limit, you are able to make an offer to another recipient on your allocation list. If more than one reason is selected AND one of the selected reasons is At Threshold Limit, you will not be able to make an offer to another recipient on your list. The following Withdraw reasons have been added to match CBS. Donor quality Offer Time Expired DCD did not die within acceptable time Consent withdrawn by donor next of kin 5. HSP Incoming Offers Location: Classic PROMIS > Transplant > HSP Incoming Offers Description: Donor OPO Threshold column has been removed Copyright 2017 BC Provincial Renal Agency Page 4 of 6 Created by Hannah Ponting
5 Description: Offer state actions Declined and Cancelled Acceptance will now be able to accept multiple reasons. Description: the following Declined Reasons will be updated to match CBS. Removed Reasons No suitable recipient Selected incorrect recipient Added Reason DCD did not die within acceptable time Description: The following Cancel Acceptance reasons will be added to match CBS. Donor Quality Retracted back up offer DCD did not die within acceptable time Copyright 2017 BC Provincial Renal Agency Page 5 of 6 Created by Hannah Ponting
6 6. Recipient and Donor Immunology Location: Classic > Transplant > Recipient Immunology/Donor > Donor Immunology Description: Override fields are available to edit Negative and Positive values for Bw4 and Bw6 results for both donor and recipient immunology forms. Prior to change After change Override values will only save when Immunology form information has been manually entered or where the Entry Mode = Data Entry. Auto loaded results will continue to be read-only and cannot be overridden. Contact PROMIS Support to have these updated. Overridden values will show on the immunology reports. The HLA dictionary formula has been updated with changes identified by the National HLA Advisory Committee. Bw4 and Bw6 reactivity are now determined by molecular typing rather than serological grouping. This update will reduce or eliminate incorrect identification of positive Bw4 and Bw6 interactions. As a result, the need to manually update these calculated values will be decreased. Copyright 2017 BC Provincial Renal Agency Page 6 of 6 Created by Hannah Ponting
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