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3.4 Update registration of recipient ............... 84

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).

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3.4 Update registration of recipient ............... 84

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  1. 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’.

  2. 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

  3. 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.

  4. 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.

  5. 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 <16 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:

  6. 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.

  7. 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.

  8. 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

  9. NT státus oka lehet

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