MellowoodMedical Online Help
IDS5214 - Donor Eligibility status
- Dragan Nedeljković (Deactivated)
- Mhairi West
- Chris Pollard
Donor status can be specified for all types of patient or donor in their IDEAS record, and this specification will continue to anywhere in IDEAS where the gametes are used in treatment or storage. Eligibility should always be set in the donor file and this will impact whenever any samples are stored or used in treatment. However the donor status can be overridden for individual recipients or treatment cycles.
FDA relates to American regulations but this feature can be used in any jurisdiction which requires notation of donor eligibility status
Setting eligibility status in the donor record
IDEAS users can fill in the eligibility status for each donor in their Progress Notes folder, Donor Status tab as follows - Progress Notes - Donor Status tab
There are five possible values:
Eligible
Ineligible - DO NOT USE THIS DONOR (e.g. HIV infected)
Ineligible - unless recipient signs waiver (e.g. Hepatitis B infected)
Eligible - pending quarantine
Donor eligible, waiver required
Users should use this section to record all donor screenings through time. For example, a known semen donor might have to pass the screening tests multiple times. Other areas of IDEAS will use this information to determine the current eligibility status when used in a treatment cycle.
If a donor is marked ineligible and shouldn’t be used, you may wish to ‘lock’ the donor. For more information on locking donors for use, temporarily or permanently, please click this link ADD LINK HERE.
Treatment cycles of Donor & Recipient
When a donor is selected as a gamete source in a treatment cycle, the eligibility status will automatically copy the most recent status from the donor record.
E.g. an egg recipient cycle.
If status is not completed on the donor record, donor eligibility will specify ‘unknown’ in the Gametes tab of the Treatment Cycle.
The same applies for the semen donor:
When entering sentinel dates in the treatment plan tab, IDEAS will check whether all involved donors identified as in the Gamete Source section have a status filled in. If not, IDEAS will display a warning:
Embryology Details
When performing an egg collection (whether from a donor in an egg donor cycle or for the recipient in a straight IVF cycle), IDEAS looks at the eligibility status of the donor. If that patient's donor status is eligible on the Gamete Source tab, the collected eggs will be recorded as eligible as well.
If you have manually overwritten the eligibility status in the Gamete Source tab, the status of the collected eggs will reflect this, not the status indicated on the donor record
In this e.g. note the green checkmark icon in the donor patient's FDA column for each collected egg.
The donor eligibility status is bound to the specific egg or embryo. Donating the eggs does not change the donor eligibility.
E.g. here the eggs have been donated to Lily Test (the recipient) and are still eligible, reflecting the donor status
Semen Analysis
When a donor's semen sample is collected in IDEAS, IDEAS will use the eligibility status specified in the donor record and automatically apply it to the sample.
Note the green checkmark in the sample's FDA column.
If the semen sample's eligibility status is designated ‘ineligible’ a yellow warning icon will be appear in the sample's FDA column indicating that the donor eligibility status needs attention:
Cryogenic Storage
When freezing eggs, embryos or semen, the FDA eligibility status appears in the sample’s “FDA“ column in the Cryogenic Storage window:
Manual override of eligibility status
Users can always manually override the donor status in an individual treatment cycle, to something different to that in the donor record.
A recipient may want to use an ineligible donor and have signed a waiver.
This can be indicated by overriding the donor status and changing it to 'donor eligible - unless recipient signs waiver' in the gamete source tab of that particular treatment cycle. Any gametes and embryos from that cycle will then have that status rather than that in the donor record. However the status on the donor record will remain as ineligible.
Overwriting the donor status should be done with caution and the status on the donor record always be the original source of truth.
Overriding eligibility status in the cryomodule
Users can change the eligibility status by selecting one or multiple straws, right clicking and selecting “Eligibility status” from the pop-up menu:
The Eligibility Status window will appear.
Users can change the eligibility status of any stored semen, eggs or embryos retrospectively using the Eligibility Status window by selecting the current status from the “Egg eligibility status” or “Semen eligibility status” drop-down lists:
More than one donor used in a Treatment Cycle - resultant embryo eligibility status
E.g. When one of the gamete sources is ineligible;
When entering an IVF or ICSI procedure, IDEAS will look at both the eligibility status of the egg source and the semen source.
E.g. eligible donated eggs were inseminated with ineligible donated semen. The result is ineligible embryos, noted by the yellow warning icon.
