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Transzplant Information Portal ( TPWeb). OM IKTA 68/2001. TPWeb. VARIMED Variable Medicine PLC Budapest Hungarian Transplant Society , Budapest Fresenius Medical Care Dialízis Center PLC., Budapest MEDANINFO PLC, Miskolc Praxis Medical System PLC., Miskolc Kancellária PLC., Budapest.
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Transzplant Information Portal ( TPWeb) OM IKTA 68/2001
TPWeb • VARIMED Variable Medicine PLC Budapest • Hungarian Transplant Society , Budapest • Fresenius Medical Care Dialízis Center PLC., Budapest • MEDANINFO PLC, Miskolc • Praxis Medical System PLC., Miskolc • Kancellária PLC., Budapest
Transplant procedure organisation in Hungary • Donor report • Donor procedure • Tissue typing • Recipient selection • Transzplantation • Follow up
Organogram in Hungary TTL TX TX TTL Hungarotransplant Dialysis centres TX TTL TX TTL Donor hospitals
Kidney Tx organogram Hungarotransplant Transplant centre Donor hospital Tissue typing lab Dialysis centre
Data 1. Donor 2. Tissue typing 3. Recipient data 4. Transplant data 5. Hospitalisation 6. Follow up details
Recipient selection • Tissue typing details (HLA, PRA) • Selection list ranking- minimal data 3. Selected for transplant- all relevant data
Original kidney disease Waiting time Type of kidney replacement therapy Viral test results complications Present physical exam BMI Infection during last 6 weeks Tumor ? cardiopulmonary state cooperation Minimal data
Relevant data • Selected for transplant: • All medical details • All hospitalisation data • Previous examinations( CT, US, pathology) All data on-line necessary
IT SOLUTION TRASPLANT WEB HLA LABS, Dialysis centres Donor Hospitals, Transplant Centres IT solution for: WEB based patient file(TPWeb XML) SELECT 4 & 5 a Tissue Typing Labs Professionals Smart Card for WEB access (MOK) High security patient card- patient smart card (PSC)
Allaire’s ColdFusion Server 4.5 Application server Microsoft SQL Server 7.0 Database Exchange server Mail server Windows NT Server 4.0 Internet Information Server Operating system Software background
STATE : available : YES/NO change 2000.01.01 Dialysis ST:NO 2000.01.03 Dialysis ST:yes 2000.01.07 Hematol.ST:yes 2000.01.08 Phys.ex.ST:yes EVENT 2000.01.08 Dialysis ST:yes 2000.01.10 Transplantation 2000.01.11 Phys.exam 2000.01.12 Phys. exam
Main Addresses, chronic diseases risk factors,allergy… Epicrisis Dialysis, lab tests, transplantion… Electronic patient file
Main menu or electronic patient dossie The most important datas of the currently selected patient Main screen for selected patient List of selected page from patient dossie,
Important „Own” Deleted Data details
Advantages of TPWEB well defined structure of data developed by users, based on international standards easy to use user friend WEB based application quick access to data changeable user interface easy to translate to any language using standard libraries ICD 10 codes, ATC codes, WHO codes
Conclusion DONOR Biopsy Donor procedure Diagnosis Tissue typing Recipient selection Transportation Lab tests Transplantation RECIPIENT RECIPIENT RECIPIENT The transplantation is a challenge for IT