Here too the transplant hospitals are to prepare waitlists for each organ and provide them to the Convenor through online posting, and also intimate him of their prioritization criteria for the hospital list. There will, however, be two kinds of lists – Urgent and Standard.
The criteria for Urgent Liver Transplantation are:
- Hepatic Artery Thrombosis following a liver transplant
- Primary non-function of a graft
- Fulminant hepatic failure
The criteria for Urgent Heart Transplantation are:
- Patients with LVAD – Left Ventricular Assist Device
- Patients with IABP – Intraaortic Balloon Pump
The hospitals will also keep the Convenor posted of multi-organ failure recipients.
Given the above, the Urgent list of severely ill patients gets the highest priority.
On the Standard Lists, Multi organ recipients matched with multi organ donors will get priority over others.
Organs from a Local Donor automatically get allocated to the Donor Transplant Hospital List. If no match is found there, they get into the Share pool.
Shared organs would get allocated to Standard Hospital Lists by turn. A hospital getting organs out of turn through Urgent or Multi organ List will lose its next normal turn of Share organ. A hospital unable to utilize a share organ for lack of match with its recipients, will not lose its turn.
Within Hospital Lists, a Liver recipient should have registered for more than 24 hours to qualify and prioritisation norms communicated to the Convenor should be adhered to. The reasons for any exceptions made to this should be explained to him.
When an organ is allotted to the hospital list, it is to the Indian nationals on the list. If no match is found for the organ in that hospital, followed by other hospitals in the State and in the Country for Indian nationals, it will then be allotted to foreigners in the hospital list, followed by State and Country lists.