Updates

For release in PROMIS 4.21.1 (November 13, 2024) – Training

Summary of Changes in Transplant Procedure

Navigation:

Classic > Transplant > Transplant Procedure

• There are two new drop-down fields in the Transplant Procedure screen in Classic for Heart and Lung transplant patients only.
  • Primary Graft Dysfunction
  • Primary Graft Dysfunction Grade

• The Graft Fail Reason drop-down has new items in the list and some existing items have been updated.
  • Antibody-mediated rejection
  • Cardiac allograft vasculopathy 
  • Coronary artery disease
  • Post-transplant lymphoproliferative disorder 
  • Primary graft dysfunction 
  • Rejection after stopping immunosuppression
  • Rejection secondary to noncompliance
  • Surgical complication: Bowel perforation 
  • Surgical complication: Other 
  • Surgical complication: Vascular
  • Vascular event in graft
  • Venous thrombosis

• The Donor Organ Type drop-down has an updated list of options for Lung transplant patients:
  • Left Lung Lower Lobe
  • Left Lung Upper Lobe
  • Right Lung Lower Lobe
  • Right Lung Middle Lobe
  • Right Lung Upper Lobe

• The Lobe drop-down has an updated list of options for Liver transplant patients.
  • Lateral segment
  • Mono segment

Summary of Changes in Activation

Navigation:

Classic > Transplant > Activation

• The Activation screen has a new field Insulin Dependent for Pancreas, Islet and Kidney-Pancreas recipients.
• The ECD field is now available for all transplant programs.

• For Liver transplants, a new field called Meld Exception is available on the Activation screen.

Summary of Changes in Liver Referral Date Summary

Navigation:

Classic > Transplant > Liver Referral Dates Summary

1. A field called Living Donor Discussion Occurred is available on the Liver Referral Dates screen.

Summary of Changes in Demographics

 

Navigation:

PROMIS 4 > Patient Overview > Pt. Info > Demographics

1. There are two new fields in the Demographics screen:
   • Educational Level
   • Academic Grade Level

 

Summary of Changes in Patient Program Status

 

Navigation:

Classic > Treatment > Patient Program Status

1. The Unsuitable status has new values in the End Reason list. The new values are:
   
   
   • Extrahepatic hepatocellular carcinoma
   • High-risk cardiovascular disease 
   • History of poor medical adherence 
   • Patient’s condition deteriorated — too sick for transplantation 
   • Poor life expectancy
   • Recent/metastatic malignancy 
   • Risks outweighs benefits of transplant 
   • Test outdated  
   • Ventricular assist device: Bridge to recovery 
   • UNK: Unknown 

Summary of Changes in Deactivate Transplant

 

Navigation:

Classic > Patients > Deactivate Transplant

1. The Reason drop-down list has new items/reasons on the list:
   • Contact Information Outdated
   • Patient Refusal
   • Other

To get a copy of the document please follow the link:

https://promis.testing.canadian-visa-lawyer.com/wp-content/uploads/2024/11/PROMIS-4.21.1_CIHI-Changes-3.docx