4 Donor Histocompatibility _Form.xlsx

Data System for Organ Procurement and Transplantation Network

Donor Histocompatibility _Form.xlsx

Donor Histocompatibility Form

OMB: 0915-0157

Document [xlsx]
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Donor Histocompatibility (DHS)



Fields to be completed by members







Form Section Field Label Notes



1-Provider Information Lab Center Code Display Only - Cascades from Database



1-Provider Information Lab Center Type Display Only - Cascades from Database



1-Provider Information OPO Center Code Display Only - Cascades from Database



1-Provider Information OPO Center Type Display Only - Cascades from Database



2-Donor Information UNOS Donor ID//UNOS Donor ID # Display Only - Cascades from feedback



2-Donor Information Donor Type Display Only - Cascades from feedback



3-Donor Typing Donor HLA Typed



3-Donor Typing Date Typing Complete Class I



3-Donor Typing Target Source for Class I



4-Typing Method Class I Typing Method Class I



4-Typing Method Class I A



4-Typing Method Class I A



4-Typing Method Class I B



4-Typing Method Class I B



4-Typing Method Class I Bw4



4-Typing Method Class I Bw6



4-Typing Method Class I Cw



4-Typing Method Class I Cw



3-Donor Typing Date Typing Complete Class II



3-Donor Typing Target Source for Class II



4-Typing Method Class II Typing Method Class II



5-Typing Method Class II DR



5-Typing Method Class II DR



5-Typing Method Class II DR51



5-Typing Method Class II DR52



5-Typing Method Class II DR53



5-Typing Method Class II DQB



5-Typing Method Class II DQB



5-Typing Method Class II DQA



5-Typing Method Class II DQA



5-Typing Method Class II DPB



5-Typing Method Class II DPB



5-Typing Method Class II DPA



5-Typing Method Class II DPA



4-Living Donor Information Living Recipient Last Name Display Only - Cascades from Database



4-Living Donor Information Living Recipient First Name Display Only - Cascades from Database



6-Living Donor Information/File Layout SSN Display Only - Cascades from Database



6-Living Donor Information Organ Display Only - Cascades from Database



6-Living Donor Information Transplant Date Display Only - Cascades from Database



6-Living Donor Information Transplant Center Display Only - Cascades from Database










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