Versions Compared

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.

...

Expand
titleHow can I quickly access the details of a patient within WMDA?

Patient information can be accessed from the 'Patient List' by selecting the "Patient ID'. The patient information can also be accessed from the Patient's Match Result List by opening the 'Patient Details' box and selecting the 'Edit Patient' button. 

Expand
titleWhy can I not find a particular patient?

Patients for whom a search was performed within the last month will be in the ‘Active patient’ list, while the previous 5 months will be in the ‘Inactive patient’ list.

If you cannot find your patient within the default Active list remember to search the Inactive list also. 

Users will have access to patients registered by other users at their organisation as well, which is also split into 'Active Patients' and 'Inactive patients' 

Expand
titleDoes De-activating a patient record delete it from the system?

No. De-activating a patient will just remove it from the Hap-E Search and ATLAS server and the 'Active patients' list and place it the searches and search results from the patient and place the patient in the 'Inactive patients' list.

...

Expand
titleHow is the patient list sorted by default?

The patients in the patient list are default sorted on the date of last viewed. The records Records that have not been viewed at all are placed at the top, followed by the most recently viewed record.created are also considered to be "viewed" and there will therefore appear at the top after creation. 

Expand
titleWhen I switch between views (just my patient vs all patients from my organisation) at the Inactive patient list, I am referred back to the Active patient list. How can I switch between views in the Inactive patient list?

The easiest way is to change the view first in your "Active" patient list and then go to the Inactive patient list.

...

Expand
titleWhich match types are used for the initial donor/cord search?

By default, Search & Match performs a 10/10 search for donors if all 5 loci (A,B,C,DRB1,DQB1) are available for the patient. If only 3 or 4 loci are available, the system will scale down to a 6/6 or 8/8 search, respectively. 10/10, 8/8 and 6/6 are all considered as zero mismatch searches and will not include mismatch donors in the results. For CBUs, Search & Match performs a ≥8/10 search in all cases, irrespective of available patient typing.This is also the case for cord searches. 

Expand
titleHow do I perform a search for mismatched donors?

Open up the search results for a search you would like to perform a mismatch search. Click "Edit search"  and then select the number of mismatches that you would like to consider at most. Then click "Search" to start that search. 

Expand
titleIs it possible to perform a search for mismatched donors during the initial search?

No, you can only perform a zero mismatch donor and/ or ≥8/10 cords search. You will only be able to view/request mismatched donors/CBUs when ...the initial search results are available. 

Expand
titleWhat Haplotype Frequencies will be used for the probability matching?
WMDA has calculated and applied many specific haplotype frequency sets to the Search & Match Service. Read more on the following page.

...

Expand
titleWhat is the difference between setting filters and heading /on-screen filters within the search results report?

Setting the filters in the 'Search Settings' on the Search results page prompts a new search request with those parameters. These filters will also not influence the number of results you will retrieve and will be saved in your search results.

The heading/ on-screen filters on the match results table will filter and reduce the results list that is already available. Donors and cords will retain their row number from the original list without any on-screen filters applied. The on-screen filters will not be saved to your search results and when you leave the search results page the on-screen filters will no longer be there when you come back.There is no functional difference. The filters you see on top of the headings in the search results are the frequently used filters. All filters are applied to all search results. 

Expand
titleIt seems like the search results are automatically ordered on age for adults and TNC for cords. Is that correct?

The default sorting criteria from Hap-E Search and ATLAS for donors are: 

1. HLA

2. probability in 10% intervals

3. donor age in 5 year intervals for adultsascending


The default sorting criteria from Hap-E Search and ATLAS for cords are: 

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

2. Number of total nucleated cells (TNC) for cords within HLA match category

Expand
titleWhat are the DBP1 TC3 evaluvation conditions

DPB1 TCE3 evaluation is performed only for A-B-DR(B1) typed donors under the following conditions: typed donors under the following conditions: 

  • Patient
  • Patient DPB1 values must be present. Typing ambiguities in the form of multiple alleles codes, G-codes, etc. are allowed.
  • Donor DPB1 values must be present. Typing ambiguities in the form of multiple alleles codes, G-codes, etc. are allowed.
  • Donor DPB1 values must be present. Typing ambiguities in the form of multiple alleles codes, G-codes, etc. are allowedThe donor must be in the group of potential "9/10" and "10/10" identical donors. Therefore, it is implicitly assumed that a 5-locus search report is retrieved and can be accessed. In case of a 4- or 3-locus search reports or deactivation of the grouping by allele differences, there will be no TCE3 grading.

As part of the DPB1 TC3 grading filter, you can filter the results by the following options: Matched, Permissive, Non-permissive in HvG direction, Non-permissive in GvH direction, Ambiguous, Unknown.

Although the DPB1 TC3 filter is available for cords, the results haven't been validated so it shouldn't be used.


...

Expand
titleWhy is a male donor listed after a female donor of the same age and HLA? Why is a donor with an identical CMV status listed after one with a missing or different CMV status?

Hap-E Search and ATLAS Match does not consider binary attributes like gender or CMV for sorting at all. If you see a rich donor list and prefer, for example, male donors you should apply the filter to see male donors only.

Rationale: There is no agreed concept for weighing secondary match criteria like age, gender or CMV against each other. The approach to sort by probability in blocks and then by age plus ad hoc filtering gives the user maximum control of the appearance of the list.

Expand
titleWhy is a matching donor who is typed at higher resolution listed after donors typed at lower resolution?

This can happen only if the difference in resolution is not considered sufficiently relevant in the given context by Hap-E Search and ATLAS. Below are some possible (not mutually exclusive) reasons:

  1. The allele designations encode for the identical ARD (antigen  recognition domain) and Hap-E Search and ATLAS only matches for the ARD part of the HLA protein complex. For example B*07:ANVB stands for B*07:02/07:61 which both encode for the same ARD (here: exon 2 and 3). Hence Hap-E Search and ATLAS is regarding the codes B*07:02, B*07:61 and B*07:ANVB all as allele matches for each other but might give different matching probabilities for phenotypes containing each of those three codes since haplotypes  involving involving B*07:02 and B*07:61 are having individual frequencies.
  2. The resolution only looks higher but, in fact, is lower (e.g.  B*15:12 currently is only a single allele while B*15:12:01G covers three), identical (e.g. A*80:01, A*80:01:01 and A*80:01:01G cover exactly the same alleles) or not directly comparable since each code is containing some alleles not covered by the other (e.g. comparing  B*07:TDVB and B*07:02:01G the former also covers a lot more variants of  B*07:02 like  B*07:02:02 to B*07:02:05 while it is excluding other alleles like B*07:44 and B*07:49N).
  3. The broader code only contains additional alleles which have never  been observed in the population whose haplotype frequencies are used - at least not in a relevant haplotypical context. Their frequency could  also be so low that it is disregarded due to rounding or the 10%  probability grouping explained elsewhere. This applies, in particular,  to all null variants of expressed alleles with identical first two field  designations.

...