ICT solution for The Czech Transplantations Coordinating Center

1. ICT solution for The Czech Transplantations Coordinating Center Jiří Kyliš, ICZ a. s. 9. 6. 2011

2. Agenda • Profile of ICZ Group • ICT solution for organ transplantations • ICT solution for tissue implantations

3. Profile of ICZ Group General Information • Leading ICT services company specializing in complex, customized ICT solutions • Established in 1997 • Turnover 60mil EUR (2010) • 550 + employees • TOP 10 System Integrators • Company headquarter in Prague • Representative offices in Slovakia and UAE DŮVĚRNOST |

4. Profile of ICZ Group Product Portfolio • Security • Infrastructure • Application and Industry Solutions • Public and Government Solutions • Healthcare Solutions • Defence Solutions • Transportation Solutions • Enterprise Solutions • Business Consultancy • Systems Integration

5. Profile of ICZ Group Healthcare Solutions • Hospital Information Systems • Computer Assisted Radiology • Business Intelligence • National Health Information Systems • Projects • Clinical information system mpa in hospital Jičín • National PACS communication project www.epacs.cz • Regional PACS system in South bohemia region • Management Information System in FN Brno • National health and hygienic registers • National Cancer Registry • National organ and tissue transplantations registers

6. ICT solution for organ transplantations • History 7. 7. 2003: establishment of The Czech Transplantations Coordinating Center - KST TRINIS (ICZ), [Java] analyses TRANICON (SA&S -ICZ member), [4GL] IKEM [FoxPro] 1996 1998 2000 2002 2006 2008 2010 1994 2004 DŮVĚRNOST |

7. TRINIS ICT comprehensive solution of the transplants field in Czech Republic Transplantations of: kidney, heart, liver, lung, pancreas, small intestine, tissues, … An integrated system of: National Register of Patients Waiting for an Organ Transplantation National Register of Donors National Register of Transplantations ICT solution for organ transplantations

8. TRINIS – environment Provider KSRZIS - Coordination center for departmental medical information systems Dedicated HW, high availability 7 x 24 services Users The Czech Transplantations Coordinating Center – KST Transplantations Centers Central HLA laboratory IKEM Regional HLA labs Hemodialysis centers ICT solution for organ transplantations

9. TRINIS - concept National register of organ donation Refusers • National Register of Transplantations • Done Transplantations ICT solution for organ transplantations National oncology register • National Register of Patients Waiting for an Organ Transplantation • Patients waiting for a Transplantation • Waiting lists • HLA Register of TBC • National Register of Donors • Donors • Selections • Allocations National Epidemiological register National STD register National cardiovascular register National register of cardiovascular interventions

10. TRINIS - National Register of Patients Waiting for an Organ Transplantation Register of the persons on the WL Personal Card Basic information Bookmarks WL - Waiting Lists Demographic data Basic information treated in, blood group Personal information PIN, date of birth insurance company notes ICT solution for organ transplantations Functions Health state HLA, serology, antidotes, operations, diseases Functions Waiting lists inclusions in the WLs Functions Address Functions Contacts Functions

11. TRINIS - National Register of Patients Waiting for an Organ Transplantation Register of the persons on the WL Waiting list History of inclusions in the WLs status from - to Urgency incompatible antigens Inclusion to WL State Diagram of inclusion of patient to WL Personal information, PIN, date of birth, sex Inclusion history Inclusion status history, inclusion date validity dates from-to ICT solution for organ transplantations Inclusion status detail WL, inclusion status Inclusion date, inclusion status Urgent reason Special order reason Reason of change Physician, no of Tx Incompatible antigens Functions

12. TRINIS - National Register of Patients Waiting for an Organ Transplantation Waiting lists List of WLs Current waiting-lists WLs search ICT solution for organ transplantations WL detail Detail information Personal information Sex Blood group inclusion status Transplantation center Details Person search

13. TRINIS - National Register of Patients Waiting for an Organ Transplantation HLA laboratory IKEM Quarterly updates of HLA results Central HLA in IKEM Antibody testing for the whole country Distribution of boards Trinis data update via XML interface Personal info PID Transplant Centrum Report: Boards with Rcvrs serums ICT solution for organ transplantations

14. TRINIS - National Register of Donors Register of Donors Personal Card Basic information Eyelet  - quick search in another health registers Objective findings Examinations Donor -basic information treated in, blood group Personal information PIN, date of birth, sex insurance company Organ status, organ donation Refuser? Relationship to the recipient Time of TC and KST calls, Notes ICT solution for organ transplantations Functions Health state HLA, serology, health state, operations, diseases Functions Findings & exams Objective findings and examinations Functions

15. TRINIS - National Register of Donors Register of Donors List of removed organs Donor – removed organs Personal information Time of clip Removed at Indicated at Reports Organ details Donor health status ICT solution for organ transplantations List of organs for allocation Organ, allocation indication Artery, no of grafts Liver, no of grafts Langerhans islets Kidney Pancreas Lung Heart Small intestine Functions

16. TRINIS - National Register of Donors Organ allocation Process of determining of organ Recipients Creation of Selection = waiting list created in according with established criteria Crossmatches Parameters and rates for determining the order Offer of organ to specific Recipient Kidneys The order can not be set manually Allocation algorithms A-G Allocation of Kidneys Selection code / status Donor – personal information, blood group, … Type of algorithm Details of Selections ICT solution for organ transplantations Recipient of Kidney no 1 Personal info, Tx status, transplanted at Recipient of Kidney no 1 Personal info, Tx status, transplanted at Kidney WL List of WL persons Order Personal info PIN Blood group Status WL status Height Weight Transplantation Center Details of Selections

17. TRINIS – National Register of Transplantations Done Transplantations Organ Transplantation Donor – personal info Recipient – personal info Organ Transplantation code Transplantation name Date of Transplantation ICT solution for organ transplantations Transplanted at Functions Transplantation Team Team, organ Functions Transplantation Passport Circulation restored at, Manipulation time, Cold ischemia time Functions

18. TRINIS - concept National register of organ donation Refusers ICT solution for organ transplantations National oncology register Register of TBC National Epidemiological register National STD register National cardiovascular register National register of cardiovascular interventions

19. ICT solution for organ and tissue trans(im)plantations • History 7. 7. 2003: establishment of The Czech Transplantations Coordinating Center - KST TISSIS (ICZ), [Java] TRINIS (ICZ), [Java] analyses TRANICON (SA&S -ICZ member), [4GL] IKEM [FoxPro] 1996 1998 2000 2002 2006 2008 2010 1994 2004 DŮVĚRNOST |

20. TISSIS ICT comprehensive solution of the tissue implants field in Czech Republic TISSIS covers: Basic processes Tissue removing Tissue processing (in the tissue bank) Tissue expedition (to the health institution) Tissue implantation (to the recipient) Support processes Export abroad (including license, request, export permit, customs communication) Complications and events ICT solution for tissue transplantations

21. TISSIS – environment Provider KSRZIS - Coordination center for departmental medical information systems Users Tissue banks Transplantations Centers Health institutions The Czech Transplantations Coordinating Center – KST State Institute for Drug Control General Directorate of Customs Ministry of Health Health insurance companies ICT solution for tissue transplantations

22. TISSIS - concept TRINIS ICT solution for tissue transplantations Tissue bank Tissue bank Tissue bank Hospital Hospital

23. TISSIS – Complication management ICT solution for tissue transplantations The Czech Transplantations Coordinating Center (KST) • State Institute for Drug Control • (SUKL) Tissue bank Hospital

24. TISSIS – Traceability of Tissue Tissue ICT solution for tissue transplantations Tissue Tissue Tissue Tissue bank Hospital

25. TISSIS – Tissue removing Register of Donors New Donor Trinis integration Note Events are imported from tissue banks or Tissue banks can use TISSIS as primary SW PID is not valid Donor is found in TRINIS Donor PID Title Name Surname Middle Name Title Date of birth Sex Hospital Alive Donor type Note Valid from Valid To ICT solution for tissue transplantations

26. TISSIS – Tissue removing Removing of tissue from the Donor Event – Tissue Removing Donor Removed at Tissue bank Donor Tissue Tissue ID Implantation type Tissue Type Volume Predefined measure Actual measure Expiration ICT solution for tissue transplantations Event Event date Event Note Event status Functions – next tissue

27. TISSIS – Tissue processing Processing - Tissue production Event – Production Tissue bank Material Tissue Tissue ID Volume Measure Expiration ICT solution for tissue transplantations Event Event date Event Note Event status Functions – add product Products Date Tissue type Tissue ID Volume Measure Functions – edit, delete

28. TISSIS – Tissue expedition Expedition of tissue from Tissue bank to health institution Event – Expedition Warehouses Issued by Received by Material Tissue Tissue ID Volume Measure Expiration ICT solution for tissue transplantations Event Event date Event Note Event status Functions Back, Save, Cancel

29. TISSIS – Tissue expedition Expedition of tissue to health institution Export permit Request Export permit Request Functions – PDF License Receiver Request date Agreement date Permit no Request status Note ID Created Created by Changed Changed by List of tissues ICT solution for tissue transplantations Tissue type, Local ID, Volume, measure, Expiration

30. TISSIS – Tissue Implantation Implantation of tissue to Receiver Event - Implantation Receiver Issued by Implented by Receiver Functions – New rcvr ICT solution for tissue transplantations Tissue Tissue Tissue ID Volume Measure Expiration Event Event date Event Note Event status Functions Back, Save, Cancel

31. TISSIS – Tissue traceability Tissue event records Each tissue has complete list of event records Tissue Local ID Tissue type Volume Measure Tissue bank Expiration Tissue status Valid from Valid to Tissue ID Created Created by Changed Changed by ICT solution for tissue transplantations Functions - Back Tissue events Event type Event date Issued Received Event status

32. TISSIS - concept CQI Traceability Complication Management ICT solution for tissue transplantations TRINIS Tissue bank Tissue bank Tissue bank Hospital Hospital

33. ICT solution for The Czech Transplantations Coordinating CenterThank you for your attention Jiri Kylis jiri.kylis@icz.cz +420 737 280 015 ICZ a.s. Applications www.i.cz CQI Traceability Complication Management