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Version 2.5

Table of Contents

Introduction

The WMDA Search & Match Service of WMDA  is is a web-based software application that is accessible can be accessed through the internet. This service offers provides authorized users with a single, comprehensive application that can be used to search for and provide find matches for donors /cords. If you would like to know more about and cords. The WMDA team is constantly working on developing the Search & Match Service you can watch this video

About this document

in response to user requests. If you require any information or want to send us a request, please send an email to support@wmda.info

About this document

This document is designed to This document is designed to act as a reference guide covering the most important aspects of the Search & Match Service. 

Content

The chapters in this guide roughly follow the sequence of the business process. Note that the instructions provided in most sections of this document assume as a starting point that you have logged into the Search & Match Service as a user with appropriate access privileges.

NOTE: Although every care has been taken to ensure the accuracy of this guide, there may be a few areas where there are functional or cosmetic differences between the current version of the user guide and that of the software. Therefore, we ask that users apply their intuition and common sense. Please kindly notify the WMDA office of any information that may be missing from the user guide, and any major discrepancies. We will make every effort to promptly update the user guide as further refinements are made to the software.

This guide is organized to help you understand the different parts of the Search & Match Service, with each chapter covering a different aspect of the service. It's important to know that the instructions in this document assume that you have already logged into the service as a user with the right access permissions. To learn how to set up and log into the Search & Match Service, you can refer to the MFA User Guide. This guide explains how to log in for the first time and set up Multi-Factor Authentication verification, which is necessary to use the service.

Please be aware that while we have tried to make this guide as accurate as possible, there may be some differences between the current version of the guide and the software. If you notice any missing information or significant differences, please let the WMDA office know, and we will try to update the guide quickly as the software changes.

We are confident that this user guide will provide you with valuable information to help you use the software effectively and gain a good understanding of the basic concepts.Bearing that in mind, we are sure that you will find a wealth of valuable information in this user guide to assist your daily use of the software along with the necessary understanding of the basic concepts. 

Further Sources of Help

This guide aims to help users of the Search & Match Service to effectively perform specific aspects of the process and to manage record information. If you encounter any technical difficulties in using the system and cannot resolve them by reference to this user guide, please contact the WMDA office at support@wmda.info.

Data Handling Procedures

Users of the Search & Match Service must comply with the data security and handling requirements. Once you extract Access to the Search & Match service is only allowed when your organisation has signed the Data Use Agreement (DUA). See Understanding General Data Protection Regulation (GDPR) - a guide for WMDA members for more info. Once you extract data from the system, you are responsible for its security in accordance with the DUA signed with the WMDA, your national legislation and your local department data handling policies and procedures.

Generic Principles

This user guide provides you with instructions on how to use the Search & Match Service with the use of figures, data and examples. It is designed to assist you with searching for donors or cords and provide you the best potential match to your patient.

Important information:

  • The Search & Match Service uses the OptiMatch matching algorithm that helps Hap-E Search and ATLAS matching algorithms that help to provide probability matching using haplotype frequencies. For more information about haplotype frequencies, visit this web page.
  • The Search & Match Service uses asynchronous matching, meaning that your searches will keep running even though when you are not logged in or using other features in the system or after you have logged out.
  • The Search & Match Service is browser agnostic, therefore it has been programmed and optimised for use with the latest versions of a few browsers like Mozilla Firefox, IE 7 and aboveMicrosoft Edge, Safari and Google Chrome. The Search & Match Service is also compatible with laptops, PCs, tablets and partially with mobile devices.and mobile devices; the service loads on a phone/tablet, but the search results do not work well as the web service has not been optimised for smaller screens due to the large amount of data. 
  • As the Search & Match Service is a web-based application, it may be subject to delays depending on the speed of the internet connection and server load. If you are not able to access the login screen of the application, please check that your internet connection is in proper working order.
  • In certain instances, if you close your browser, the browser window or the tab in which the Search & Match Service is running, new entries or modified data will be lost unless you have click Save or Update clicked Search beforehand.   It is therefore essential to save data select the 'search' button after every change is made!
  • WMDA collects the data from donors and cords on behalf of the listing organisations and OptiMatch is , and Hap-E Search and ATLAS are connected to this database to perform the probability matching algorithm.
  • For technical reasons, only one instance of the application can be opened at a time. Therefore, it is not advisable to have multiple sessions open as this may also lead to inconsistencies between the different application windows.
  • After 30 minutes of inactivity the application will close automatically. You will again see the login screen, and any unsaved data will be lost. Your searches will continue to run as part of the asynchronous matching feature.
  • The Search & Match Service is secured using HTTPS. Because of this all communications between the web browser and server are encrypted, guaranteeing data privacy and security.
  • The Search & Match Service is secured using HTTPS. Because of this all communication between the web browser and server are encrypted, guaranteeing data privacy and security.
  • Please always exit the Please always exit the application by clicking on the Logout button.  You will then be logged off and the application will close.
  • The Search & Match Service is accessible at all times unless it is unavailable as part of any upgrades or maintenance work. , excluding unavailability due to planned downtime for upgrades or maintenance. Periods for planned downtime will be communicated well in advance so please keep an eye out for these notifications on your dashboard.
  • The Search & Match Service is only Service is currently only available in the English language; please indicate if you would like to have it available in another language as well.
  • Cookies and Java Script need to be enabled to be able to use the Search & Match Service properly.
  • Generally you should avoid using browser buttons such as < (”back one page”) or > (”forward one page”), as by going ”back one page” the previous action (saving, etc.) could be performed again.
  • Next to some fields or functionalities you can find an Image RemovedImage Added icon with more explanation.

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Supported operating systems and browsers

The Search & Match Service performs probability matching by using either a haplotype frequency or allele frequency algorithm. Please keep in mind that probability matching will just calculate chances and you should use it as a tool in combination with your own knowledge of HLA. Do not select donors/cords solely on the probabilities calculated by the system. You can read more about haplotype frequencies here.

Getting started

Accessing the Search & Match Service

You can access the Search & Match Service via web address (or URL) by entering the address: https://searchmatchfesa.z6.web.core.windows.net/#/auth. You can save a bookmark in your browser, e.g. for the Search & Match Service, so that you are immediately directed to the login page.

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captionFigure 1: Login screen of the Search & Match Service.

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captionFigure 2: Forgot Your Password page.

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captionFigure 3: Reset password.

Return to the login page (figure 1) and login with your e-mail address and new password. The Search & Match Service ensures that the right credentials have been entered before granting access to the system. The system defaults to your personalised Search & Match Service homepage, where you will find your dashboard with information about searches and patients from you and your organisation. Furthermore, you will find some practical information, links to addresses of registries and cord blood banks and information about how to report feedback and problems.

Tip: If you haven’t changed your password for a long time, we recommend that you do so to ensure that your profile is secure. We recommend that you change your password every 6 months.

Logging off

To close and exit the application click on your name on the left of the site page and a Logout button will appear (figure 4), once clicked, it will take you to the log out screen. After logging out of the system, you will be redirected to the login screen. 

 

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captionFigure 4: Logout

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Note: Please do not simply close your browser; otherwise your unsaved data may be lost.

System Overview

Currently no footer 

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captionFigure 5: Navigation levels

Navigational Toolbar

The Navigational Tool bar is displayed across the top of the screen. This toolbar is also referred to as ribbon in some instances. This toolbar displays links that take you to the specific section you wish to view/manage.

Listed below are the links/buttons and a short description:

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Button

...

Description

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Logo

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No functionality. 

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Create Patient

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This opens a form that allows users to register the details for a new patient.

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Patient List

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This section lists all active and inactive patients. Within this section users are allowed to manage their own or organisational patients.

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User name/profile

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This section contains now only the logout functionality.

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Logout

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This action will sign you off and return you to the login page.

Home0

Currently no home page

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captionFigure 6: Personal homepage

Add patient, update patient, view patient

This section allows you to enter and register a patient that you wish to perform a donor/cord search for. You can register a patient manually or automatically through an API.

Register your patient manually

First click the "Create Patient" button. You will then receive a pop-up asking you whether the patient has consented to being entered on the list. When you do not have the patient's consent, please indicate this. You will then not be able to enter a patient ID or comments, but you will still be able to enter HLA and additional details and perform an anonymous search. The first form shown below in figure 7 is only used for entering new patient registrations, the second form is for updating existing patients. When entering data, make sure that the fields marked with a red asterisk (*) are completed as they are mandatory in order to perform a search. In some of the fields (CMV, blood group, ethnicity, diagnosis, gender) values can be selected from a pre-defined drop-down list.

The form is divided in 5 blocks: HLA details, medical details, search type, additional information, and legal terms.

The "update patient" form is accessed by clicking on a patient in the patient list.

It additionally shows the match results if you already have performed a match run. The button "Add patient and run match" is replaced by the button "update patient and re-run match". Furthermore, 2 extra buttons are visible: "Request Search Advisory" (for requesting advice on difficult searches from the WMDA HLA expert) and "Deactivate patient" (for moving a patient from the active patient list to the inactive patient list).

When entering a Patient, only the following fields are mandatory:

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Service is browser agnostic. The Search & Match Service is compatible with laptops, PCs, tablets and mobile devices; the service loads on a phone/tablet, but the search results do not work well as the web service has not been optimised for smaller screens due to the large amount of data. 

For security and maintainability reasons WMDA can only support the following operating systems: 

  • Windows 10 and later
  • MacOS 11 and later

Other modern operating systems and versions may work, but are not supported. 

Supported browsers and versions are: 

  • Google Chrome (latest stable version)
  • Firefox (latest stable version)
  • Microsoft Edge (latest stable version)

Please note that the use of old versions of operating systems and/or browsers may lead to security issues and the loss of functionality. For security reasons the use of insecure versions of operating systems and browsers is not allowed. 

VERY IMPORTANT NOTICE about probability matching

The Search & Match Service performs probability matching by using the Hap-E Search (from now on Hap-E) and ATLAS algorithm. Both Hap-E and ATLAS differ from the legacy matching algorithm Optimas. There is a difference in the meaning of the indicated probabilities per locus between Optimas, Hap-E and ATLAS. For more information about the features in Optimas, Hap-E and ATLAS please consult our Feature comparison Matching engines page. For more detailed information about feature differences between Hap-E and ATLAS specifically please consult our 'Features Hap-E and ATLAS' page. Please keep in mind that probability matching will only calculate matching chances. Therefore, you should use it as a tool in combination with your own knowledge of HLA. Do not select donors/cords solely based on the probabilities calculated by the system. You can read more about haplotype frequencies here

Getting started

Accessing the Search & Match Service

You can access the Search & Match Service via the following web addresses (URL) or by manually entering the addresses:
Sandbox environment (for testing purposes):
https://sandbox-search.wmda.info/
Production environment: https://searchmatch.wmda.info/

You can save a bookmark in your browser, e.g. for the Search & Match Service, so that you are immediately directed to the login page.

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captionFigure 1: Login screen of the Search & Match Service.

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To log in, please select the Login option and enter your credentials. This will be followed by the MFA verification step for extra security. For additional information on MFA please refer to the MFA User Guide.

Note: Group accounts are not allowed and with MFA it is also harder to handle for end users since the extra factor should be owned by a single person. 

The system defaults to the general dashboard on the Search & Match Service homepage. Here, you can find find information about the match engine load will find your dashboard and some practical information and useful links.
From this landing page, you can navigate to the 'patient list' or 'add patient' section or your personal account settings.

Tip: If you haven’t changed your password for a long time, we recommend that you do so to ensure your profile is secure. We recommend that you change your password every 6 months.

Logging off

To close and exit the application click on your name on the top right part of the page and a Logout button will appear (figure 4), once clicked, it will take you to the log out screen. After logging out of the system, you will be redirected to the login screen. 

 

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captionFigure 2: Logout

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Note: Please do not simply close your browser; otherwise your unsaved data may be lost.

Navigational Toolbar

The Navigational Tool bar is displayed across the top of the screen. This toolbar is also referred to as ribbon in some instances. This toolbar displays links that take you to the specific section you wish to view/manage.


Listed below are the links/buttons and a short description:

Button

Description

Logo

Links to WMDA website.

DashboardLink to the main page of the service, displaying visual data, quick links for "Add Patient" and "Patient List", some practical information and useful links.

Add Patient

This opens a form that allows users to register the details for a new patient and initiate a donor search.

Patient List

This section lists all active and inactive patients. Within this section users are allowed to manage their own or organisational patients.

User name/profile

This section contains links to the personal preferences page and logout functionality. These buttons become visible once the username/profile is clicked.

Preferences

Links to a page where you can set your personal preferences.

Logout

This action will sign you off and return you to the login page.

Add patient, update patient, view patient

This section allows you to enter and register a patient that you wish to perform a donor/cord search for. You can register a patient manually or automatically through an API.


Register your patient manually

First click the "Create Patient" button. You will then receive a pop-up asking you whether the patient has consented to being entered on the list. When you do not have the patient's consent, please indicate this. You will then not be able to enter a patient ID, but you will still be able to enter HLA and additional details and perform an anonymous search. The first form shown below in figure 3 is only used for entering new patient registrations, the second form is for updating existing patients. When entering data, make sure that the fields marked with a red asterisk (*) are completed as they are mandatory in order to perform a search. In some of the fields (CMV, blood group, ethnicity, diagnosis, sex) values can be selected from a pre-defined drop-down list.

The form is divided into 5 blocks: HLA details, medical details, search type, additional information, and legal terms.

The "update patient" form is accessed by clicking on a patient in the patient list.


When entering a Patient, only the following fields are mandatory:

  • Patient ID (ID assigned by your organisation; it is NOT allowed to enter any part of the patient's name anywhere on this page.). Only enter a patient ID when you have the patient's consent for doing this. 
  • A valid HLA-A, -B, and -DRB1 phenotype


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captionFigure 3: Add patient form and view/update patient form

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On saving a record by clicking the 'search' button, your entries will be checked immediately for plausibility and completeness. If a record is not plausible, an error or warning message will be displayed below the relevant field.

As part of capturing all of the patient details we recommend that you add all relevant additional data that will help you make a better judgement for your patient. 

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captionFigure 7: Add patient form, view patient for and update patient form

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On saving a record, your entries will be checked immediately for plausibility and completeness. If a record is not plausible, an error or warning message will be displayed on the top of the page.

As part of capturing all of the patient details we recommended that you add all available additional data. You will benefit from these extra patient details when you are reviewing the additional details from donors/cords and you will be able to make a better judgement for your patient. 

NOTE: It is now also possible to perform matching on only HLA-A + HLA-B. This option is only available in the add patient / update patient form in the box Search type. Please keep in mind that this match run will take more time to retrieve results and should only be performed if you have not retrieved valuable potential donors with the n/10, n/8, or n/6 match runs.

Other things to consider when entering patient details:

  • The patient ID should be unique and the system will check for duplicates when you validate the data by clicking on the Add patient button. The patient ID cannot be changed when you update your patient (read only field). 
    Please make sure to never include any personal information about the patient in the patient ID, such as first and/or last name
  • HLA should be entered with a colon (HLA should be entered with a colon (:) as separator.
  • HLA strings can not cannot be entered into the HLA fields; you can use the DNA Type Lookup Tool at the top right corner to lookup the corresponding NMDP code MAC code.
  • Search determinants will be generated from the DNA values entered. The search determinants will be used for matching.During matching the entered HLA values will be converted to one or more g/p groups and all further matching calculations will be done at that level. 
  • Dates can be entered either by using the calendar or just by typing. When you enter the date manually, please ensure they conform to the ISO date format of YYYY-MM-DD which is also shown in light grey (mask) in the date fields. Date of birth can also be in the future.
  • Use the tab key to move from field to field. When using the tab key on the HLA fields, the cursor will move as such that you can first enter both locus values, before moving to the next locus.
  • After you are finished entering the patient's details, please click on the "Add patient and run matchSearch" button at the bottom of the page. This will trigger a validation of the entered data. 
  • If the system finds any issues they will be highlighted it will highlight the errors in RED at the top of the form stating the reasons for it not saving the data, and will also display warnings in AMBER.
  • If the system detects no problems, then the details entered are stored in the database and a the selected match run is automatically triggered for the patient.
  • For urgent recipients, the 'Urgent' checkbox can be set. This checkbox does not affect the speed of the match functionality, but may be used to manage the list of patients described in the previous section.
  • Default, the system will When a search type and Algorithm are selected, the system will attempt to start to run a 10/10 matched donor search by default. 
    However, this is dependent on the number of HLA loci completed for the patient. If only HLA-A, B and DRB1 are entered for a patient, then the search will default to a 6/6 search and if only HLA-A, B, C and DRB1 are provided it will default to an 8/8 search.
  • If you only . If you only want to register your patient, make sure that both all the check boxes for donor and /cord search are set to no in the section search typefor both search engines are unchecked. This prevents the triggering of a search.
  • If you did not enter HLA from your patient for all 5 loci; A, B, C, DRB1, DQB1, the system will not perform a 10/10 match run, but will downscale the match run to either 8/8 or 6/6 depending on the amount of HLA loci available from your patient.

Patient List

Within each category you can view a list of your own patients or a list of all patients from your organisation:

  • Active All patients
  • Inactive patients

They each show a number in brackets representing the total number of patients in the corresponding list.

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captionFigure 8: Patient list; active and inactive

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Within the patient list you can perform various other functions listed below:

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Actions

...

Description

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Sorting using column headings

  • This section displays all patients: patients in 'NEW', 'ACT', 'PRE', 'SUS' and 'STP' state
  • Automatic refresh patients
    This section displays all patients that are not inactivated for which searches will be automatically refreshed every 24 hours: patients in 'ACT' state
  • Static patients
    This section displays all patients that are not inactivated for which searches will not be refreshed automatically: patients in 'NEW', 'PRE' and 'SUS' state
  • Available patients
    This section displays all patients that are not inactivated: patients in 'NEW', 'ACT', 'PRE' and 'SUS' state
  • Inactive patients
    This sections display all inactivated patients: patients in 'STP' state

Figure 4a shows the patient list sections

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captionFigure 4a: Patient list sections

     

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Figure 4b shows the patient list as displayed in every section

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captionFigure 4b: Patient list as displayed in every section

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Within the table of listed Active patients you can manage your patients by performing the following actions listed below:

Actions

Description

Patient ID Link

If you have a large number of patients, you can sort them using the following column headings:

Active patients (second row, left side).

Inactive patients (second row, right side).

Within the table of listed Active patients you can manage your patients by performing the following actions listed below:

Actions

Description

Patient ID Link

Clicking on the Patient ID link will open the update patient form to allow users to perform the following functions:

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Edit/Update patient details: Modify any details for the given patient, except the Patient ID.

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PLEASE NOTE: Update of any of the patients details such as HLA, will automatically trigger a new match run. This might change previous search results.

Only if you remove all ticks in the search type block, no new match run is triggered, but any previous search results will be lost as well.

Search results

Once the match process is completed, the number of matched donors/cords and short summary of the search will be presented in the column "Results" from in the patient list. This link redirects you to the search results details. When a user clicks on the search results they are presented with a search results page consisting of the following parts:

  • Patient detailsMatch results for (patient ID)
  • G/P-Code information
  • NMDP Code information

By default, only the boxes with the summary of results and the match results are expanded; the other boxes are all collapsed (Figure 12).

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captionFigure 12: Search results
  • Summary of search settings used
    • Type of search
    • Matching engine used
    • Loci considered and number of mismatches allowed
    • Number of inexplicable donors
  • Frequently used filters
  • Search results


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captionFigure 5: Search results

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Include Page
What are inexplicable donors?
What are inexplicable donors?

Include Page
What to do when all results do not show any overall probability
What to do when all results do not show any overall probability

Maximum number of

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records

Actions

Description

Change maximum number of records displayed

The system by default shows you 250 search results. You can expand this to 500 records or reduce it to 1415, 50 or 100 records per page.

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After you have selected another maximum number, click on the "Get search results" button to retrieve the extra records.

PLEASE NOTE: If you do increase the number of results displayed, the search and/or applying of filters will take longer to perform in this case.

Patient details

In the patient details box, all medical details from your patient that were filled out at the "Add patient" form are shown. (Figure 15). By default, this box is collapsed at the search results page.

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captionFigure 15: Search results: Patient details

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Actions

...

Description

...

Edit patient

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If you click on the "Edit patient" button on the Search results page, you will be referred to the "update patient" form.

As soon as you have edited any details and saved this by clicking on the "Update patient and re-run match" button, a new match run will be triggered.

You can do this on the bottom of the search results page. 

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captionFigure 6: Maximum number of records displayed

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Match results table

An overview of the match results table of donor search results and cord search results are shown in figure 16 and 17. 

Donor search

By default the donor match results is as follows:

  1. HLA match grade (e.g. first 8/8 then 7/8, 6/8)
  2. Match probability in 10% intervals (descending)
  3. Donor age (ascending)

For 1 and 2 mismatch searches, the sorting method can be changed to "Sum of probabilities sorting". You can do this by clicking on the "all filters" button and selecting "Sort by sum of probabilities" under "Grouping/Sorting".

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CBU search

By default the cord match results are sorted as follows:

  1. HLA match grade (e.g. first 8/8 then 7/8, 6/8)
  2. Match probability in 10% intervals (descending)
  3. Number of total nucleated cells (TNC, descending)

For 1 and 2 mismatch searches, the sorting method can be changed to "Sum of probabilities sorting". You can do this by clicking on the "all filters" button and selecting "Sort by sum of probabilities" under "Grouping/Sorting".

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Overview of donor search match results

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captionFigure 7: Donor match results table ("standard" and "sum of probabilities" sorting)

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captionFigure 8: Cord match results table

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Explanation of colours, abbreviations, percentages and codes

Abbreviation / column

Description

HLA patient

In between two grey bars, in a white space, you can find the HLA of your patient. This sticky header will move with you when you are looking at results more below.

Probability of mismatches

0, 1, 2

Probability of a mismatch at 0 loci, 1 locus, and 2 loci. The percentages are based on the match type you have been chosen (out of 6 then 3 loci are considered; out of 10 then 5 loci are considered).

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The five squares above the probability percentages are representing, respectively, locus A, B, C, DRB1, and DQB1. They are showing in letter/colour codes if a certain locus of a donor/cord is likely to match with your patient or not.

  • A - Green: allele match or identical antigen recognition domain
  • P - Blue: potential allele match
  • L - Orange: allele mismatch, but antigen match; The HLA typing is shown in the same colour and underlined
  • M - Red: antigen mismatch. The HLA typing is shown in the same colour and bold
  • -   - not specified
DPB1 TCE3 grading model

The sixth square indicates the DPB1 match grade. 

DPB1 TCE3 evaluation is performed and displayed for potential donors under the following conditions:

  • Patient DPB1 values must be present. Ambiguities in the form of multiple alleles codes, G‐ codes, etc. are allowed.
  • Donor DPB1 values must be present. Ambiguities in the form of multiple alleles codes, G‐ codes, etc. are allowed.

The results of the DPB1 TCE3 grading is shown below the donor’s DPB1 values by using the following symbols above the DPB1 alleles of the donor:

Match results table

An overview of the match results table of donor search results and cord search results are shown in figure 16 and 17. These results are from searches using the haplotype frequency algorithm. When you are using the allele frequency algorithm, the percentages for the probability of mismatches are not shown.

By default the donor match results are sorted by:

1. HLA

2. Probability in 10% intervals (default)

3. Donor age in 5 year intervals

By default the cord match results are sorted by:

1. HLA (6/6, 5/6, 4/6)

2. Number of total nucleated cells (TNC) for cords

NOTE: By default, cord search results are sorted at matching categories depending on the selection you made in the "loci to consider" drop-down menu; The probabilities are also based on allele level matching only, so please be aware of this when using the n/6 (at HLA-A, B, DRB1), Class I matched at antigen level and Class II matched at allele level match type.

Overview of donor search match results

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captionFigure 16: Donor match results table

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captionFigure 17: Cord match results table

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Explanation colours, abbreviations, percentages and codes

Probability of a mismatch at 0 loci, 1 locus, and 2 loci. The percentages are only shown when you are using the haplotype frequency algorithm and are based on the match type you have been chosen (out of 6 then 6 loci are considered; out of 10 then 10 loci are considered).

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The five squares above the probability percentages are representing, respectively, locus A, B, C, DRB1, and DQB1. They are showing in letter/colour codes if a certain loci of a donor/cord is likely to match with your patient or not.P potential allele match
  • L - Orange: allele mismatch, but antigen match; The HLA typing is shown in the same colour and underlined
  • M - Red: antigen mismatch. The HLA typing is shown in the same colour and bold
  • -   - not specified
  • NOTE: When you are using for cords the match type ≥4/6 (at HLA-A, B, DRB1), Class I matched at antigen level and Class II matched at allele level, the probabilities are calculated based on allele level match for all loci and not only for DRB1.

    Various studies have shown a potential beneficial effect if the HLA‐DPB1 classification based on T‐Cell Epitopes (TCE) is considered in donor selection. Among the 9/10 and 10/10 donor candidates, those with a permissive DPB1 constellation are preferred over those showing a non‐permissive DPB1 constellation. The implementation in OptiMatch is called "DPB1 TCE3 grading" and is based on the following publications and uses the new score based algorithm that was realised with 3 TCE groups [3].

    1. Zino E, Frumento G, Marktel S, et al.A T‐cell epitope encoded by a subset of HLA‐DPB1 alleles determines nonpermissive mismatches for hematologic stem cell transplantation.Blood (2004) 103:1417‐24.
    2. Zino E, Vago L, Di Terlizzi S, et al. Frequency and targeted detection of HLA‐DPB1 T cell epitope disparities relevant in unrelated hematopoietic stem cell transplantation.Biol Blood Marrow Transplant (2007) 13:1031‐40.
    3. Crivello P, Zito L, Sizzano F, et al. The Impact of Amino Acid Variability on Alloreactivity Defines a Functional Distance Predictive of Permissive HLA‐DPB1 Mismatches in Hematopoietic Stem Cell Transplantation. Biol Blood Marrow Transplant (2015) 21:233‐41.

    DPB1 TCE3 evaluation is performed and displayed for A, B, DR typed donors under the following conditions:

    • Patient DPB1 values must be present. Ambiguities in the form of multiple alleles codes, G‐ codes, etc. are allowed.
    • Donor DPB1 values must be present. Ambiguities in the form of multiple alleles codes, G‐ codes, etc. are allowed.
    • The donor must be in the group of potential '9/10' and '10/10' allele matches. Therefore, it is implicitly assumed that a 10/10 search is configured and can be accessed. In case of 8/8 and 6/6 donor searches or cord blood searches, there will be no DPB1 TCE3 grading.

    The results of the DPB1 TCE3 grading is shown below the donor’s DPB1 values by using the following symbols:

    The explanation of the symbols is also provided when hovering the symbols.

    Ambiguities in patient and/or donor HLA‐DPB1 may lead to multiple possible TCE classifications. The probability values for the respectively potentially permissive,non‐permissive in GvH direction or non‐permissive in HvG direction are provided upon hover over the symbol. The probability values of the A‐symbol are divided over more than 1 TCE group.
    The probabilities are based on the consensus HLA‐DPB1 allele frequencies and are rounded to one percentage point. It should be noted that HLA‐DPB1 linkage disequilibrium with the other HLA‐loci is not considered.

    Abbreviation / column

    Description

    HLA patient

    In the grey bar, you can find the HLA of your patient. This header will move with you when you are looking at results more below.

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    Probability of mismatches

    0, 1, 2

    • A - Green: allele match or identical antigen recognition domain
    • Pe - Blue:
    DPB1 TCE3 grading model

    Age

    Age of donor/cord

    Gender

    Sex: M = male, F = female

    Blood group

    Blood group, e.g. A+ = blood group A, rhesus positive, B- = blood group B, rhesus negative

    CMV

    CMV status and date determined (YYYY-MM-DD)

    Possible values:
    N = Both IgG and IgM negative
    Q = Questionable / Unclear
    G = IgG positive, IgM negative
    M = IgG negative, IgM positive
    B = Both IgG and IgM positive
    P = IgG or IgM positive, test did not differentiate
    H = IgG positive, IgM not tested
    O = IgG negative, IgM not tested

    Probability of match per locus

    If you expand the donor/ cord details, the probability of a match per locus becomes visible:

    Image Removed

    This also correspondents with the letter/colour code from the five squares in the column probability of mismatches. These probabilities are only calculated for the 5 loci A, B, C, DRB1, and DQB1.

    GRID

    GRID, Global Registration Identifier for Donors, is a new ID for donors (not for CBUs) that is globally unique. The first 4 numbers of the GRID refer to the ION of the organisation where the donor is registered. From July 1st 2019, GRID will become the primary ID for communication purposes between organisations.

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    Ethnicity

    Ethnic group: The system uses the same ethnic groups as defined for the EMDIS system:

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    StatusStatus of a donor or CBU. For donors, the status can be available (AV), reserved for a patient (RS), temporarily unavailable (TU)

    Links to assist you in your searches

    The following list contains useful links to assist in finding a potentially matched donor:

    International professional organisations

    In the field of HLA a few professional organisations are active in order to provide information on immunogenetics and histocompatibility.

    DNA Reference tables

    WMDA has been creating DNA reference tables, named DNA_hlacore.zip and DNAinclrenamed_hlacore.zip

    These expanded tables were meant for fast lookup, and are based on the following sources :

    FAQ from Users of the Search & Match Servcie

    Educational newsletters

    No 1: The Sorting order within a donor search report

    No 2: Printing of search reports

    No 3: New feature added: DPB1 TCE3 model

    No 3b: DPB1 TCE3 model update and revised information

    No 4: New features added

     

    • permissive DPB1 mismatch
    • G - red: non-permissive DPB1 mismatch in the graft versus host direction (GvH).
    • H - red: non-permissive DPB1 mismatch in the host versus graft direction (HvG).
    • X - grey: ambiguous or undetermined DPB1 match grade 

    The explanation of the symbols is also provided when hovering the symbols.


    Ambiguities in patient and/or donor HLA‐DPB1 may lead to multiple possible TCE classifications. The probability values for the respectively potentially permissive, non‐permissive in GvH direction or non‐permissive in HvG direction are provided upon hover over the symbol. 


    The probabilities are based on the consensus HLA‐DPB1 allele frequencies and are rounded to one percentage point. It should be noted that HLA‐DPB1 linkage disequilibrium with the other HLA‐loci is not considered.

    Image Added

    Registry

    Reg Abbr

    This column shows you the ION code of the registry or cord blood bank where the donor or cord is registered followed by the abbreviated name.

    Image Added

    Image Added

    This column may also shows you an icon that indicates that the registry is either WMDA accredited or WMDA qualified. If no icon is present next to the ION code, then the registry is not WMDA qualified or accredited.

    Image Added: the icon that indicates that the registry has a "WMDA accredited" or "WMDA qualified" status

    When you hover over the icon, the icon indicates whether the registry has been WMDA qualified or whether the registry has been fully accredited. Also the validity period of the qualification/accreditation is visible.

    The orange ticks have verification  WMDA Qualified 

    Image Added: The orange ticks have the icon with a "Q" and a silver/grey V: WMDA Qualified

    Image Added:The green ticks have the icon with an "A" and a gold/yellow V: WMDA Accredited

     Image Added: registry is accredited from 2007. 

    Image Added: registry is qualified from 2021.

    Age

    Current age of donor (in case of donor search)/ Time since cryopreservation of cord blood unit (in case of cord search)

    Gender

    Sex: M = male, F = female

    Blood group

    Blood group, e.g. A+ = blood group A, rhesus positive, B- = blood group B, rhesus negative

    CMV

    CMV status

    Possible values:
    N = Both IgG and IgM negative
    Q = Questionable / Unclear
    G = IgG positive, IgM negative
    M = IgG negative, IgM positive
    B = Both IgG and IgM positive
    P = IgG or IgM positive, test did not differentiate
    H = IgG positive, IgM not tested
    O = IgG negative, IgM not tested

    A value for the CMV status may not always be available. 

    Image Added

    NOTE: A tooltip for information on the values can be used to aid in understanding their meaning. 

    Probability of match per locus

    Within the donor/ cord details, the probability of a match per locus is displayed:

    Image Added

    This also correspondents with the match grade that is indicated by the letter/colour above the column with the match probability per locus. These probabilities are only calculated for the 5 loci A, B, C, DRB1, and DQB1.

    For more information on the differences between the matching engines please see the chapters: "Features Hap-E and ATLAS" and "Feature comparison Matching engines".

    GRID

    GRID, Global Registration Identifier for Donors, is an ID for donors (not for CBUs) that is globally unique. 

    The number is split into 3 sections;

    1. The first 4 numbers represent the Issuing Organization Number (ION).
    2. The next 13 numbers are the Registration Donor Identifier, which shall be controlled in such a manner that they uniquely identify a single donor.
    3. The last 2 numbers are the Checksum, which is calculated and based on the ISO 7064 Mod 37-2 algorithm.

    Once a GRID is assigned it cannot and will not be reassigned - it is completely unique. 

    Image Added

    For more information on the GRID number please refer to Global Registration Identifier for Donors - WMDA

    Ethnicity

    Ethnic group: The system uses the same ethnic groups as defined for the EMDIS system:

    Image Added

    The ethnic groups are as follows:
    UK - Unknown
    AS - Asian
    CA - Caucasian
    HI - Hispanic
    AFNA - African: North Africa
    AFSS - African: Sub-Sahara Africa
    ASSW - Asian: Southwest Asia (Middel East, Turkey)
    ASSO - Asian: Southern Asia (India, Pakistan, Bangladesh, Sri Lanka, Bhutan, Nepal)
    ASCE - Asian: Central Asia (China, Mongolia, Myanmar, Laos, Cambodia, Thailand, Vietnam, Taiwan)
    ASNE - Asian: North and Northeast Asia (Japan, North Korea, South Korea)
    ASOC - Asian: Oceania (Pacific Islands, Excluding Japan, Australia, Taiwan, Sakhalin, Aleutian Islands)
    CAEU - Caucasian: Mainland Europe, Greenland, Iceland, Western Russia
    CAER - Caucasian: Eastern Russia
    CANA - Caucasian: North American (USA, Canada, Mexico)
    CAAU - Caucasian: Australia (Austrlia, New Zealand)
    HICA - Central America, Caribbean
    HISA - South American
    MX - Mixed/multiple
    OT - Other (e.g. Australian Aborigine)

    StatusStatus of a donor or CBU. For donors, the status can be available (AV), reserved for a patient (RS), or temporarily unavailable (TU)

    How to print search results or store as PDF

    Include Page
    How to print search results or store as PDF
    How to print search results or store as PDF

    How to refresh search results for a patient

    Automatically

    Include Page
    How to get automatic updates of search results
    How to get automatic updates of search results

    Manual full refresh

    Include Page
    How to manually refresh search results for a patient
    How to manually refresh search results for a patient

    How to assign a user to a patient

    Include Page
    How to assign a user to a patient
    How to assign a user to a patient

    How to deactivate a patient

    Include Page
    How to deactivate a patient
    How to deactivate a patient

    How to activate a patient again

    Include Page
    How to activate a patient
    How to activate a patient

    Differences between Hap-E, ATLAS and Optimas regarding locus specific match probabilities

    For more information on the differences between the matching engines please see the chapters: "Features Hap-E and ATLAS" and "Feature comparison Matching engines", or please see the following slides and video

    Links to assist you in your searches

    The following list contains useful links to assist in finding a potentially matched donor:

    International professional organisations

    In the field of HLA a few professional organisations are active in order to provide information on immunogenetics and histocompatibility.


    FAQ from Users of the Search & Match Service

    ...

    Updated due to last release of 2017-10-13

    ...