Transzplant Information Portal ( TPWeb) OM IKTA 68/2001
TPWeb VARIMED Variable Medicine PLC Budapest Hungarian Transplant Society, Budapest Fresenius Medical Care Dialízis Center PLC., Budapest MEDANINFO PLC, Miskolc Praxis Medical System PLC., Miskolc Kancellária PLC., Budapest
Transplant procedure organisation in Hungary Donor report Donor procedure Tissue typing Recipient selection Transzplantation Follow up
Organogram in Hungary TX TTL TX TTL Donor hospitals Dialysis centres Hungarotransplant
Kidney Tx organogram Transplant centre Donor hospital Hungarotransplant Tissue typing lab Dialysis centre
Data 1.Donor 2.Tissue typing 3.Recipient data 4.Transplant data 5.Hospitalisation 6.Follow up details
Recipient selection 1.Tissue typing details (HLA, PRA) 2.Selection list ranking- minimal data 3.Selected for transplant- all relevant data
Minimal data Original kidney disease Waiting time Type of kidney replacement therapy Viral test results complications Present physical exam BMI Infection during last 6 weeks Tumor ? cardiopulmonary state cooperation
Relevant data Selected for transplant: –All medical details –All hospitalisation data –Previous examinations( CT, US, pathology) All data on-line necessary
IT SOLUTION TRASPLANT WEB HLA LABS, Dialysis centres Donor Hospitals, Transplant Centres IT solution for: WEB based patient file(TPWeb XML) SELECT 4 & 5 a Tissue Typing Labs Professionals Smart Card for WEB access (MOK) High security patient card- patient smart card (PSC)
Software background Windows NT Server 4.0 Internet Information Server Operating system Exchange server Mail server Microsoft SQL Server 7.0 Database Allaire’s ColdFusion Server 4.5 Application server
Dialysis ST:NO Hematol.ST:yes Transplantation Phys.ex.ST:yes Dialysis ST:yes Dialysis ST:yes Phys.exam Phys. exam STATE : available : YES/NO change
Electronic patient file Main Addresses, chronic diseases risk factors,allergy… Epicrisis Dialysis, lab tests, transplantion…
Main menu or electronic patient dossie The most important datas of the currently selected patient List of selected page from patient dossie, Main screen for selected patient
Important „Own” Deleted Data details
TPWeb
TPWeb
TPWeb
TPWEB Advantages of TPWEB well defined structure of data developed by users, based on international standards easy to use user friend WEB based application quick access to data changeable user interface easy to translate to any language using standard libraries ICD 10 codes, ATC codes, WHO codes
RECIPIENT Conclusion DONOR Biopsy Tissue typing Recipient selection Donor procedure Transportation Transplantation The transplantation is a challenge for IT Diagnosis Lab tests