Living Donor Follow-up Changes

2007 Living Donor Follow-up Changes for OMB Clearance
SECTION
Donor Status

Clinical
Information

FIELD

MODIFICATION/ADDITION

RATIONALE

Donor Status

Modify the field name to Most Recent
Donor Status Since (the most recently
reported patient status date will be
displayed).

Donor Status

Modify the current choices: Alive,
To determine member specific performance.
Dead, Lost
TO
• Living: Donor seen at transplant
center
• Living: Donor status update by
phone or email correspondence
between transplant center and
donor
• Living: Donor status update by
other health care facility
• Living: Donor status update via
other source (ex: recipient)
• Living: Donor contacted, declined
follow-up with transplant center
• Dead
• Lost: No attempt to contact
• Lost: Unable to contact donor –
Document attempts to collect.

Date Last Seen or
Death

Modify the field name to Date Last
Contact or Death.

Clarify information already presented.

Height

Delete.

No longer needed.

Weight

Modify the field name to Current
Weight.

Clarify information already presented.

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Provide a point of reference for current reporting.

2007 Living Donor Follow-up Changes for OMB Clearance
SECTION

FIELD
Were any of the
following
procedures
performed since last
form submitted?

MODIFICATION/ADDITION

RATIONALE

Modify field name to Were any of the
following procedures performed since
(the most recently reported patient
status date will be displayed).

Provide a point of reference for current reporting.

Liver
Clinical Most Recent Values Modify the field name to Most Recent
Information
Values Since (the most recently
reported patient status date will be
displayed).

Provide a point of reference for current reporting.

Kidney Clinical Most Recent Values Modify the field name to Most Recent
Information
Values Since (the most recently
reported patient status date will be
displayed).

Provide a point of reference for current reporting.

Complications

Has the donor been Modify the field name to Has the donor Provide a point of reference for current reporting.
readmitted since last been readmitted since (the most
report?
recently reported patient status date
will be displayed).
If Yes, Date of First Modify the field name to If Yes, Date
Readmission Since of First Readmission.
Last Report

Clarify information already presented.

Kidney
Modify the field name to Kidney
Provide a point of reference for current reporting.
Complications since Complications since (the most recently
last report.
reported patient status date will be
displayed).
Liver Complications Modify the field name to Liver
Provide a point of reference for current reporting.
since last report.
Complications since (the most recently
reported patient status date will be
displayed).

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2007 Living Donor Follow-up Changes for OMB Clearance
SECTION

FIELD

MODIFICATION/ADDITION

RATIONALE

Complications since Modify the field name to
Provide a point of reference for current reporting.
last report.
Complications since (the most recently
reported patient status date will be
displayed).

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