The Biological Labyrinth
In organ transplantation, the delta between a successful graft and a hyperacute rejection is buried in the immunological metadata. If you are managing a pre-transplant registry but aren't tracking the granular HLA loci (A, B, DR) or the specific PRA class 1 & 2 percentages, you aren't conducting a clinical audit; you're just waiting for a complication. The complexity of renal matching—balancing Original kidney disease (from FSGS to Lupus) with Dialysis duration—means that if you don't have a high-fidelity, real-time digital log of every OTC number, you are losing the context that determines patient outcomes. A lost CXM (Crossmatch) result or a vague memory of a Desensitization protocol can render a potential donor match non-viable.
This template is a digital технічний record for the transplant coordinator and nephrologist. It replaces the siloed clinical notes with a research-grade database that captures the full biological and logistical profile of every candidate on the waitlist.
The Daily Reality: The Immunological Audit
A pre-transplant workup is an exhaustive forensic investigation into the patient's immune system. This logbook forces a structured breakdown of the Infectious Diseases serology (HCV, HBSAg, CMV, EBV) and the specific Autoimmune markers (ANA, AntidsDNA, c3/c4). By recording the Mismatch counts and the DSA (Donor Specific Antibody) assignments, you create a real-time risk profile for every potential pairing. You stop looking at "patients" and start looking at "profiles" where every BMI and every type of dialysis is a documented variable in the success equation.
The Protocol desensitization section is the operational heart of the system for high-risk candidates. It tracks the exact doses of IVIg and the number of PEx (Plasma Exchange) or ImmAds sessions. This isn't just clinical record-keeping; it's a lifecycle management tool for the most complex medical procedures in modern science. The inclusion of Induction and Maintenance IS (Immunosuppression) protocols ensure that the transition from the waitlist to the operating theatre is supported by a complete pharmacological history.
The Data Payoff: Clinical Sovereignty
After a year of rigorous data entry, the OTC number becomes a gateway to deep operational intelligence. You can run a report on every Non-Kuwaiti candidate with a high PRA or analyze the average Dialysis duration across your entire cohort. This isn't just a "list"; it's a clinical management engine. You move from reacting to the next available organ to proactively managing a high-stakes surgical pipeline, providing a level of technical integrity that builds your center's reputation and improves patient survival rates. You move from "waiting for a kidney" to mastering the data-driven science of transplantation.