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1. dia

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The urgency code has to be registered in this screen. The available urgencies are T, I, HI and NT. When you point with your cursor in the field Urgency , urgency ... – PowerPoint PPT presentation

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Title: 1. dia


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  • The urgency code has to be registered in this
    screen. The available urgencies are T, I, HI and
    NT. When you point with your cursor in the field
    Urgency, urgency code will be adjusted to the
    level of the most recent PRA screening (T, I or
    HI).
  • If there are no entries, the urgency code is set
    as T_KI (Transplantable). When later on the
    Antibodies screen is completed, the urgency code
    will then change accordingly to the antibodies
    percentage.
  • HI Highly Immunized Allo-PRA 85 100
  • I Immunized Allo-PRA 6 84
  • T Transplantable Allo-PRA 0 5
  • The urgency NT (Not Transplantable) or R
    (Removed) can be entered. In these cases the
  • field Reason becomes mandatory. A reason for the
    urgency Not transplantable or Removed
  • must be entered.
  • It is possible to enter a Comment on the urgency
    code.
  • When a recipient needs a living transplantation
    it can be entered here. For non-German
  • recipients the urgency will change automatically
    to NT, with Reason On waiting list for living
  • donor.

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  • 3.4 Update registration of recipient
    ............... 84
  • 3.4.1 Re-registration of a recipient..............
    ... 84
  • 3.4.2 Change of urgency of recipient..............
    .... 85
  • 3.4.3 Register deceased.................... 86

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3.4.1 Re-registration of a recipient When a
recipient is removed from a waiting list, due to
transplantation or another reason, it is always
possible to re-register a recipient. If the
recipient is re-registered for the same organ,
enter information concerning the failure of the
transplant in the screen TXP update. Go to TXP
Update and select the correct transplant.
Enter the date of failure in the field Date of
Failure and select a Cause of failure from
the LOV by F9. Save the information by using F10
or via the disk. Then go to Recipient Organ and
select the correct organ. Choose the correct
urgency code and save the information. The Date
put on waiting list will be the date of
reregistration.
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  • If a kidney recipient is re-registered, the
    recipient may receive return of waiting time.
    This is done automatically if applicable.
  • The date entered in the field Date of (Re)
    Institution of Dialysis must be the first date
    of dialysis after the transplantation. For more
    information, see ET manual chapter 4 ET Kidney
    Allocation System (ETKAS) on the ET membersite.

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  • 3.4.2 Change of urgency of recipient
  • In case of an urgency change you will have the
    possibility to enter a comment e.g. infection
  • or holiday of recipient. On certain urgency
    changes, like NT and R, it is mandatory to fill
    in
  • the reason for this urgency change.
  • The urgency of a heart recipient or heart/lung
    recipient will be automatically changed to HU if
  • the recipient is lt16 years of age at time of
    registration or re-registration (after TXP) and
    after
  • change of urgency from NT to T status. An event
    line will be added in the Status and Event
  • screen after automatic upgrade of th urgency.
  • Note It is not possible to change the urgency
    for recipients for whom an organ has been
  • accepted for transplantation, pending the
    registration of the transplant. The following
  • message appears

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  • Please register the transplantation or inform
    Eurotransplant if the transplantation was not
  • done.
  • The organ screens are accessible via the menu. Go
    to Recipient Organ and select the
  • correct organ. The organ screen will open and
    information can be changed. After the
  • information is updated, save the changes by F10
    or via the disk.

9
  • 3.4.3 Register deceased
  • When a recipient is deceased a registration in
    ENIS is needed.
  • Select Recipient Recipient Deceased.
  • The following screen appears
  • This screen contains the following fields Date
    of Death, Code and Comments.
  • Enter the date of death and a cause of death
    (Code). The cause of death can be selected from a
    list of values. Whenever from the list of values
    Cause of Death the option Other/Specify is
    chosen, it is mandatory to register a comment.
    Otherwise a comment is optional.
  • After filling in the Recipient Deceased screen,
    all the waiting lists will be updated
    automatically and the recipient will not occur in
    the matching process anymore.
  • Please do not change the status of the recipient
    to NT or Removed when a recipient is deceased.
  • It is not possible to register the death of a
    recipient with a date prior to the last
    Eurotransplant ENIS system user manual Urgency
    change.

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Code Table 6 - Urgency codes
  • Code Description
  • HU High Urgent - Heart, Lungs, Liver and Kidney
  • 1A-HU Unstable on inotropics - Dutch Heart
    recipients only
  • 1B-HU Stabilized on inotropics - Dutch Heart
    recipients only
  • SU Special Urgency Pancreas (Vascularized
    only)
  • T Transplantable - Heart, Lungs, Liver and
    Pancreas
  • T Transplantable (allo-PRA 0-5) - Kidney
  • I Immunized (allo-PRA 6-84) - Kidney
  • HI Highly Immunized (allo-PRA 58-100) - Kidney
  • NT Not Transplantable - All organs
  • FU Transplanted - All organs
  • R Removed from Waiting List - All organs
  • D Deceased - All organs

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NT státus oka lehet
Medical (eg. Infection) Gyorsan megoldódó orvosi ok
On request of recipient A beteg kérésére
Temporarily NT. Too good for TX Állapotjavulás miatt nem indokolt a listántartás
Temporarily NT. Too bad for TX Az eddigi bizottsági döntés alapján
Incomplete registration HLA, egyéb laboreredmény hiányzik
Other (Comment compulsory) Pl. nem jelent meg dialízisen, külföldre távozott
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