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National Web Based Transplant System for Organs, Cells and Tissues

National Web Based Transplant System for Organs, Cells and Tissues. Roman Benedek Buenos Aires November 2011. e Transplant ™. Technology used:  database - Oracle 11g DBMS  application – web browsers Explorer, Mozilla and Chrome  prog. language used – APEX, PLSQL

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National Web Based Transplant System for Organs, Cells and Tissues

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  1. National Web Based Transplant System for Organs, Cells and Tissues Roman Benedek Buenos Aires November 2011

  2. eTransplant™ Technology used:  database - Oracle 11g DBMS  application – web browsers Explorer, Mozilla and Chrome  prog. language used – APEX, PLSQL  security – communication via SSL (https) and grid cards Referencies:  used by Blood & Transplant UK, www.nhsbt.nhs.uk  used by EuroDonor EU, www.eurocet.org  used by Slovakia Transplant SK, www.ncot.sk  used by Slovenia Transplant SI, www.slovenija-transplant.si  used by Eurocet EU, www.eurocet.org  also by Donor Action, Oxford Medical College UK, etc.

  3. eTransplant™ - the main software modules External Applications for: Internal Applications used in OPO Organ & Tissue Donation Donor Hospital Data Collection Recipient Hospital HLA Labs Transplant Units Organs, Tissues, Cells Procurement FollowUp Centers Biostatistics Ext Mobile Users Dialysis Centers Ext. User Interface Ext Online Users Tissue,Cells & EyeBanks

  4. eTransplant™ - Generates National Donor IDs & collects details into Donor Forms, CDDF, MDF - Runs an Allocation Procedure for Organs, Tissues and Cells - Links Donor, Tissues & Organs to Tissue/Eye Banks/Dialysis and Transplant Centers - Transplant patients from the Organ Waiting Lists and Tissue Request Lists (El. Diary) and generates NationalTransplant ID. - Generates Recipient IDs on National WL & collects details into Organ and Tissue Recipient Forms Internal Applications Organ & Tissue Donation Data Collection HLA Labs Biostatistics Eye & Tissue Banks Ext User App

  5. eTransplant™ - Tissue & Organ Offer & Results Application

  6. eTransplant™ Organ Allocation

  7. eTransplant™ Tissue Allocation eTransplant™ Tissue Requests List & History

  8. eTransplant™ Organ Waiting Lists& History

  9. eTransplant™ • More than 37 organ and tissue electronic forms online • Registersand maintains patients on a Organ Waiting Lists and Tissue Request List (El. Diary) • Collects Tissue Registrations and Transplant & Follow up forms • Auto-notification of FUP centers (reminds doctors to bring their patients to FUP automatically) • Audits and validates all the data being committed into the National Transplant Database • Generates routine daily reports from Hold and Live database area Organ & Tissue Donation Data Collection HLA Labs Biostatistics Eye & Tissue Banks Ext User App

  10. Donor Forms · Multi Organ/Tissue/Cell Donor Form Transplant Forms ·Kidney Transplant Record Form · Tissue Transplant Protocol · Ocular Sclera, Cornea Transplant Form 3 Month Follow-up · Kidney 3 Month Follow-up Form · Heart/Lung 3 Month Follow-up Form · Liver 3 Month Follow-up Form · Cornea 3 month Follow-up Form · Pancreas 3 Month Follow-Up Form Annual Follow-up · Kidney Annual Follow-up Form · Heart/Lung Annual Follow-up Form · Liver Annual Follow-up Form · Cornea Annual Follow-up Form · Pancreas Annual Follow-Up Form Audit Forms · Liver Audit First Week Form · Ocular Tissue Transplant Audit · Ocular audit transplant record Form · Ocular Audit 6 Month Follow-up Form · Ocular Audit Annual Follow-up Form Transplant Forms Used: · Kidney Donor form · Cardiothoracic Donor Form · Liver Donor Form · Ocular Sclera, Cornea Donor Form · Living Kidney Donor Assessment · Living Kidney Donor Assessment Annual Follow-up Form Recipient Registration Forms · Kidney, Pancreas, Liver, Ocular, Heart, Lung Reg. Form · Non Donor Registration Form · Tissues & Cornea, Sclera Request & Registration Form Tissue Transplant Forms · Valve Transplant Form(Atrioventricular, Mitral, Tricuspid, Aortic, Pulmonic Valves) · Amnion Transplant Form · Skin Transplant Form · Bones Transplant Form (Sternum, Knees, Hips, Condyle of Tibia/Femur, Tibia, Femur, Ribs..) · Veins Transplant Form (Aorta, Artery, Vena) · Ligaments Transplant Form (Ligamentum Peatelae, Fascia Lata, Ligamentum Achilei) · Cell Transplant Form (Keratinocytes, Chondrocytes, Osteoblasts, Limbal cells) · Tissue Follow Up Form & Rejection Form Other Transplant Forms · Donor/Patient Organ & Tissue Outcome Form

  11. eTransplant™ Solid Organ Forms

  12. eTransplant™ Organ Registration Forms

  13. eTransplant™ Organ Audit Forms

  14. eTransplant™ Organ Transplant and Follow up Forms

  15. eTransplant™ - Tissue Processing Forms

  16. eTransplant™ - Tissue Processing Forms and Tissue Splitting

  17. eTransplant™ - Tissue Coding

  18. eTransplant™ • HLA type entry for donors & recipients • HLA type validation • Pre-types, retypes and definitive HLA types registry • HLA reports & statistics • HLA discrepancy recognition • Online communication between tissue typing laboratories, donor centers, dialysis, transplant centers Organ & Tissue Donation Data Collection HLA Labs Biostatistics Eye & Tissue Banks Ext User App

  19. eTransplant™ - HLA Laboratory Application

  20. eTransplant™ • Maintains tissues currently stored in banks, its expiry dates, its expedition, etc • Allocates an ophthalmic organs and tissues (see Tissue Transplant Forms) • Process and Collects tissues/cells specific forms • Shares Electronic Diary & Tissue requests between OPO, Tissue banks & external users online • Traceability of unused, destroyed and excluded tissues Organ & Tissue Donation Data Collection Tissue Labs Biostatistics Eye&Tissue Banks Ext User App

  21. eTransplant™ - Eye&Tissue Bank Application

  22. eTransplant™ - Tissue Donors & Tissues Processing eTransplant™ - Tissues storage in banks and its expedition, expiration & traceability status..

  23. Provides a center specific Tissue Request Lists and Organ Waiting Lists for authorized external users • Checks tissue recipient & organ patient status remotely (active, rejected, suspended, removed, transplanted, died) • Provides online statistics (BOE, tissue summary, donor summary, transplant summary, etc) • Registers a new recipients on WL remotely • Provides HLA types and Labs details remotely • Amends the follow ups and transplant forms remotely eTransplant™ Organ & Tissue Donation Data Collection Tissue Labs Biostatistics Eye&Tissue Banks Ext User Interface

  24. eTransplant™ - External User Application

  25. eTransplant™ First Entry

  26. eTransplant™ - Second Entry & Compare

  27. eTransplant™ - Data Audit & Validation

  28. eTransplant™ • Main national stats reports: • National Transplant Waiting Lists • Cadaveric Solid Organ Donors • Tissue Donors • Transplants Performed Nationally • Active National Transplant Waiting Lists • Transplants From Cadaveric/Live Donors • etc. Organ & Tissue Donation Data Collection HLA Labs Biostatistics Eye & Tissue Banks Ext User App

  29. eTransplant™ - Biostatistics ApplicationNational Reports &

  30. eTransplant™ & Internal Reports

  31. Blood & Transplant NHS UK • solid organs, valves, eyes procurement • connects 1582 hospitals, • 724 transplant units, • 44 HLA labs Slovakia Transplant Organs, Tissues and Cells Procurement Slovenia Transplant Tissues and Cells Procurement

  32. THANK YOU roman.benedek@artman.sk

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