Discrepant HLA Typings Reporting Form

OMB No. 0915-0157; Expiration Date: XX/XX/20XX

Discrepant HLA Typings Reporting Form Instructions

According to OPTN Policy, donors and recipients with discrepant human leukocyte antigens (HLA) typing results will be flagged in UNet^SM, and laboratories must resolve discrepant HLA typing results within 30 days of notification of discrepant HLA typing result. Notification on the number of unresolved discrepancies is displayed on the TIEDI home page. Policy also requires lab directors of designated staff to contact other lab directors or designated staff to resolve discrepancies.

The Discrepant HLA Typings Report is available to labs to view kidney, kidney-pancreas, or pancreas deceased donor(s) and/or recipient(s) for which discrepant HLA typing results have been entered, where the recipient was transplanted on or after October 25, 1999. The report includes only discrepancies found for the A, B, DR and Bw4 and Bw6 antigens.

Outstanding Donor Discrepancies

Donor ID: Donor ID is displayed.

Record: Record name is displayed.

HLA Typing Result: HLA typing result is displayed.

Lab Code: Lab code is displayed.

Class 1 Test Date: Class 1 test date is displayed.

Class 2 Test Date: Class 2 test date is displayed.

Resolved Reason for Discrepancy: If resolution is reached, select the resolved reason for discrepancy from the dropdown menu. If the discrepancy cannot be resolved, check Discrepancy Not Resolvable.

Low Cell Numbers
Poor Cell Viability
Low Antigen Expression
PBL Vs LN/Spleen
Serology Vs Molecular Typing
Incorrect Assignment
Parent Vs Split(s)
Incorrect Split
Crossreactive Antigen
Blank Antigen
Unable to Type/Identify Antigens
Incorrect Specimen
Transcription Error
Correct Typing
Other

Due Date: Due date is displayed.

Outstanding Recipient Discrepancies

Recipient SSN: Recipient social security number is displayed.

Record: Record name is displayed.

HLA Typing Result: HLA typing result is displayed.

Lab Code: Lab code is displayed.

Class 1 Test Date: Class 1 test date is displayed.

Class 2 Test Date: Class 2 test date is displayed.

Resolved Reason for Discrepancy: If resolution is reached, select the resolved reason for discrepancy from the dropdown menu. If the discrepancy cannot be resolved, check Discrepancy Not Resolvable.

Low Cell Numbers
Poor Cell Viability
Low Antigen Expression
PBL Vs LN/Spleen
Serology Vs Molecular Typing
Incorrect Assignment
Parent Vs Split(s)
Incorrect Split
Crossreactive Antigen
Blank Antigen
Unable to Type/Identify Antigens
Incorrect Specimen
Transcription Error
Correct Typing
Other

Due Date: Due date is displayed.

Resolved Donor Discrepancies

Donor ID: Donor ID is displayed.

Record: Record name is displayed.

HLA Typing Result: HLA typing result is displayed.

Lab Code: Lab code is displayed.

Class 1 Test Date: Class 1 test date is displayed.

Class 2 Test Date: Class 2 test date is displayed.

Resolved Reason for Discrepancy: If resolution is reached, select the resolved reason for discrepancy from the dropdown menu. If the discrepancy cannot be resolved, check Discrepancy Not Resolvable.

Low Cell Numbers
Poor Cell Viability
Low Antigen Expression
PBL Vs LN/Spleen
Serology Vs Molecular Typing
Incorrect Assignment
Parent Vs Split(s)
Incorrect Split
Crossreactive Antigen
Blank Antigen
Unable to Type/Identify Antigens
Incorrect Specimen
Transcription Error
Correct Typing
Other

Public Burden Statement: The private, non-profit Organ Procurement and Transplantation Network (OPTN) collects this information in order to perform the following OPTN functions: to assess whether applicants meet OPTN Bylaw requirements for membership in the OPTN; and to monitor compliance of member organizations with OPTN Obligations. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this information collection is 0915-0157 and it is valid until XX/XX/202X. This information collection is required to obtain or retain a benefit per 42 CFR §121.11(b)(2). All data collected will be subject to Privacy Act protection (Privacy Act System of Records #09-15-0055). Data collected by the private non-profit OPTN also are well protected by a number of the Contractor’s security features. The Contractor’s security system meets or exceeds the requirements as prescribed by OMB Circular A-130, Appendix III, Security of Federal Automated Information Systems, and the Departments Automated Information Systems Security Program Handbook. The public reporting burden for this collection of information is estimated to average 0.27 hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Information Collection Clearance Officer, 5600 Fishers Lane, Room 14N39, Rockville, Maryland, 20857 or [email protected]. 

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