You can order the Kidney Paired Donation brochures by sending an email to the Canadian Transplant Registry Customer Support team at transplantregistry@blood.ca. Please ensure you include your name and the name of your facility as well as your mailing address, telephone number and email address. Your request should also identify the number and language of each brochures you would like to order.

The brochures can also be  viewed on the Professional Education website @ https://profedu.blood.ca/en/organs-and-tissues/programs-and-services/kidney-paired-donation-kpd-program, as well as in CTR in the Document List under the ‘Reference Documents’ section of the main menu.

From the Peri/Post Transplant tab, you can update the Organ Type to make the correction.

Select the Cancel Transplant button. The system will display a message indicating the impact when cancelling Transplant. View the message and continue.

Select the OK button. All the previously added details to the Transplant will no longer be displayed.  Select the Add button on the Peri/Post Transplant tab to re- add transplant data with the correct Organ Type.

For a Kidney Recipient to be HSP Eligible:

• Recipient’s Organ Request State for the kidney must be ‘Active’,
• Cumulative Kidney cPRA value must be greater than or equal to 94.50%,
• The Recipient antibodies must be confirmed,
• The HLA Typing must be complete for the Recipient,
• The Recipient must be on Dialysis.

For further details please refer to CTR.50.001 HSP- Recipient Eligibility Criteria v1.3.pdf under the Reference Documents section of CTR.

You can update or correct the Serology Results for the Living Donor or Recipient record as follows:

• Select the Patient Serology section on the Health Tab and double click on one of the results in the  Result column.
• In the Patient Serology Window, select the Result or Type column to be updated and select the appropriate data. Update and save.

2. What if, instead of updating the record, I make a second entry for Serology Results on the Health tab? There are now 2 different Serology Results entered minutes apart.

Serology Results once entered and saved cannot be deleted but can be updated or corrected.

In case of an error, if an additional set of Serology Results is entered, add a comment in the health tab indicating which of the two sets of Results is the valid entry.

The recommended browser to be used when accessing the Canadian Transplant Registry is Google Chrome, but it is designed to work with any other modern browser (e.g. Safari, Internet Explorer, Edge).

Select the tab where the attachment needs to be added. Under the Attachment section select the Add button. The following fields are required:

• Filename
• Description
• Include on Side by Side = defaulted to Yes’,

Select the Browse button to add the file to be attached. Once the file is selected and the description fields are entered, the Update button can be selected.

After selecting the Update button, the system navigates back to patient record and displays the attachment as a hyperlink (underlined in blue) in the Attachment section.

Select the Save icon to apply the changes.

 How do I replace an Attachment?

Under the Attachment section of the related Patient Tab, double click on the row that needs to be replaced. Once the attachment window is displayed, select the Replace button.

Select the Browse button to replace the attachment file. Once the file is selected, the Update button can be selected.

After selecting the Update button, the system navigates back to patient record and displays the replaced attachment as a hyperlink (underlined in blue) in the Attachment section.

Select the Save icon to apply the changes

How do I delete an Attachment?

Under the Attachment section of the related Patient Tab, select the Delete icon to the right of the attachment. The Attachment Delete window is displayed to enter the reason for deletion. This is a mandatory field.

Once the Reason has been entered, the Delete button can be selected. After the Delete button is selected, the patient record is displayed and deleted attachment is no longer appears under the Attachment section.

Select the Save icon to apply the changes.

On the main page (Dashboard), you will see your First Name near the top of the page.  Clicking on your name, which is a hyperlink, will open your user profile window.  Scroll down to the Notifications section and double-click on the Notification Type that you are looking to receive.

In the Notification pop up, select a method to receive a notification: Email, Text Message and /or Pager.

Once selected, the system will populate the email or number as saved in the contact section. Accept the default or pick another value (if available) and select the Update button.

The system navigates back to the Notification section and displays the contact information against the Notification Type. Select the Save Icon to apply changes.

How to delete a Notification that you signed up for?

On the main page (Dashboard), you will see your First Name near the top of the page.  Clicking on your name, which is a hyperlink, will open your user profile window.  Scroll down to the Notifications section and double-click on the Notification Type that you wish to remove.

In the Notification pop up, under the method to receive a notification (Email, Text Message and/or Pager) select your contact information with the mouse and delete.  The system will display the notification as blank.  Select the Update button.

The system navigates back to the Notification section and no longer displays the contact information against the Notification Type. Select the Save icon to apply changes.

How do I change my contact information for receiving a Notification?

On the main page (Dashboard), you will see your First Name near the top of the page.  Clicking on your name, which is a hyperlink, will open your user profile window.  Scroll down to the Contact section and double-click on the Contact type to be modified (Email, Phone or Text). The system will display the Contact pop up. Edit the contact information and select the Update button.

The system navigates back to the Contact section with the updated Contact information. Select the Save icon to apply the changes.

Minimum Required Tests

eGFR: Serum creatinine on 2 separate occasions; each reported serum creatinine should also report an eGFR using CKD-EPI with the result expressed as mL/min per 1.73 m2.

1. If one or both eGFRs are within the specified range for the potential donor’s age, then either an in-range 24-hour creatinine clearance or measured GFR (nGFR), is required.
2. If both of the eGFRs are out-of-range, then a 24-hour urine to assess creatinine clearance (CrCl) on 2 separate occasions AND measured GFR (nGFR) (such as DTPA, EDTA, iohexol, iothalamate) on at least 1 occasion is required.

The Acceptable eGFR ranges are as follows:

• Living Donor age ≤ 30 then acceptable adjusted is ‘eGFR ≥ 90 mL/min/1.73m2’
• Living Donor age ≥ 31 and ≤ 40 then acceptable adjusted is ‘eGFR ≥ 85 mL/min/1.73m2’
• Living Donor age ≥ 41 and ≤ 65 then acceptable adjusted is ‘eGFR ≥ 80 mL/min/1.73m2’
• Living Donor age > 65 then acceptable adjusted is ‘eGFR ≥ 75 mL/min/1.73m2’

Once the eGFR results are entered, the system will indicate if the specified range is ‘Acceptable’ or ‘Unacceptable’ in the wizard.

Please note that CTR will not restrict any donors from being entered into the KPD program but if a donor is deemed unacceptable by these new criteria, the system will issue a warning message indicating that the user has to submit the Living Donor Query form to KPD.

The Living Donor Query Form can be located under the Reference Documents section in the main menu of the application.

What Happens When You Try to Update an Old Record?

CTR will issue a warning – “eGFR is not in acceptable range. You must enter at least one 24-HR Urine Creatinine Clearance test result AND at least one nGFR test result.”, if you try to update any data on the health Tab of the donor record that contains GFR results that do not meet the new requirements as outlined above.

Old Donor records must have:

• A minimum of 2 results
• For every eGFR entry in each result, there must be a corresponding entry in either 24 HR Urine Creatinine Clearance or nGFR – based on the eGFR Acceptable Ranges. (as noted above)
• Each result can have the same Test date and value for a specific test type

Please see screenshot below where an eGFR value is entered using the same date on each historic GFR entry.

To update the GFR result of an Old record, double click on any cell under the Result column that needs to be updated-

• The system displays Step#1 of the GFR & Creatinine Wizard
• Select the ‘Next’ button to navigate to Step#2
• Enter the 24HR Urine Creatinine Clearance and select the ‘Next’ button
• Depending on the range of the eGFR, the user may need to add the nGFR or can update results with the 24-HR Urine Creatinine Clearance ONLY
• Please do not create new entries if donor already has a minimum of 2 existing results
• Once each of the Old records are updated and saved, you can then add your new data

The General Ledger Report provides for each region, the net balance, exports and imports. The net balance is calculated by subtracting the exports from the imports (net balance=imports-exports). Note that the verification that determines if the donor’s region is at their export limit is done during the allocation process and is based on the donor’s ODO province. The General Ledger Report simply reports on the current net balance for a region by calculating the difference between imports and exports.

In order for the ledger to represent accurate information, it is critical that transplant centres record transplants and that ODOs record the “Sent for Transplant” in the donor record.

Recording that kidneys were sent for transplant can easily be done in the Canadian Transplant Registry.  Follow these steps to record the export:

Note: In order to record a kidney as sent for transplant, you must first have run the allocation and have an accepted offer.

1. Locate and open the donor record

2. Click on the Recovery tab

3. In the Recovery section, enter the cross clamp date and time

4. Select “Yes” in the Recovered column for the kidney that was sent for transplant

5. In the Reason column select “Transplant”

6. Identify is a perfusion pump was used for recovery in the last column

7. Click on the Save icon. You must save before proceeding to the Sent for Transplant section

8. Scroll down to the next section – Sent for Transplant

9. For the kidney that was offered to the HSP program, select “Yes” in the column Sent for Transplant.
Note that if you select “No” you will need to specify a reason in the Reason column

10. When you select “Yes” in the Sent for Transplant column, the offer details (ODO receiving, transplant
centre and recipient ID) are displayed in the Sent for Transplant Offer column. If no offer exists, you
will need to select the offer.

11. Click on the Save button

You may view the video outlining the steps to recording an exported kidney (sent for transplant) in the
Donor Recovery and Disposition video available here. A video on recording transplant and post-transplant
details is also available here.

Locked out?

If you are unable to login and you are receiving an error that your account is locked out, then this may be due to too many (5) invalid login attempts.

Please note: The invalid login counter starts at the first invalid attempt and keeps track until a valid login is entered or you reach the maximum number of attempts.  Invalid logins, therefore, can be attempted at different time/day and are accumulated until a valid entry is made or you are locked-out.

Follow the tip below for unlocking your account.

Tip:

Click on the Forgot Password button on the login screen.  You will then be required to enter your username and the email address associated with your account.  Once this information is entered, click on the Reset Password button.  In a few moments, you should see an email with a temporary password… this information will be sent to the email address that is associated to your account – the same email that you used when completing the Forgot Password screen.

The Forgot Password process will unlock your account, but it will also assign a new temporary password.  Once you login with the temporary password, you will be required to select a new password.  Please see the section below, titled Password Rules, for more information.

Need more help?  Click here for information on contacting the Customer Solutions Team.

Forgot your password?

If you’re unable to login due to an incorrect username or password, please ensure the username is correct and please remember that all passwords are case-sensitive.  The username is not case-sensitive.

Follow the tip below to have your password reset.

Tip:

Click on the Forgot Password button on the login screen.  You will then be required to enter your username and the email address associated with your account.  Once this information is entered, click on the Reset Password button.  In a few moments, you should see an email with a temporary password… this information will be sent to the email address that is associated to your account – the same email that you used when completing the Forgot Password screen.

Once you login with the temporary password, you will be required to select a new password.  Please see the section below, titled Password Rules, for more information.

Need more help?  Click here for information on contacting the CTR Customer Solutions Team.

Changing your password

There are different reasons for changing your password; one may be that the application is forcing you to change your password, and the other may be your choice to change the password.

Below are some details for each reason, as well as, tips and instructions for changing your password.

The application is forcing me to change my password…

If the system is forcing you to change your password, then it is because you have had the same password for an extended period.

You will see this happen immediately after logging in.  You will be presented with a change password screen.

In this screen, you must provide your current username and password and then provide your new password.  You will also be required to enter your new password again, to confirm that it matches with the first entry.

Please remember, you must meet the minimum criteria for passwords and you are not permitted to use a password that is the same as any of your previous 5 passwords.

See the Password Rules section for details on the minimum criteria for a password.

I want to change my password…

Changing your password at any time is possible.  First, you must login to the application.  Once logged in, be sure you’re on the main page – the Dashboard.

Near the top of the page you will see a Welcome [your name] label, where the [your name] part is your first name and it will be clickable (a hyperlink).

Clicking on your name, which is a hyperlink, will bring you to your user profile and preferences.  Within this screen you will see fields for Current Password, New Password and Confirm Password.  You will need to enter your current password, along with the new password and the new password again in the Confirm Password field.

Enter your current password. As you enter your New Password, the system displays hints in choosing the password.  Once the chosen password meets the prerequisites, the hints are no longer displayed.

Please remember, you must meet the minimum criteria for passwords and you are not permitted to use a password that is the same as any of your previous 5 passwords.

See the Password Rules section for details on the minimum criteria for a password.  Need more help?  Click here for information on contacting the Customer Solutions Team.

Password Rules

When entering, a new password remember that it must contain:

• At least one upper case letter
• At least one lower case letter
• At least one number
• At least one special character (~! @#$%^&\*()-_=+[{]}\|;:,<.>/\?)
• The password must be at least 8 characters long
• Cannot be the same password previously used (5 instances)

Need more help?

If you’re still unable to login, or perhaps do not have access to your email, please contact our Customer Support team at 1-855-274-2889.