The National Donor and Donation Registry (NBDR) system integrates the different blood banks within sultanate to build a central donor and donation registry, blood product inventory, and a transfusion database so that a nation-wide safe blood donation and transfusion environment can be achieved through this integration and sharing of data. The NBDR system is centrally hosted and is integrated with the blood bank systems across sultanate through the MOH health intranet (Health Net). The Al-Shifa Blood Bank System remains as the principle transaction processing system which will be integrated to the NBDR bi-directionally, and will make use of the central registry for donor, donation, transfusion and inventory management. All the transactions related to donor registration and screening, donation and bleeding, blood product creation and screening, blood product issue and transfusion monitoring will be informed to central registry which then will aid other blood banks to retrieve crucial information and provide necessary checks and alerts during the processes to ensure donor and recipient safely.

All the donors will be uniquely identified across blood banks with the national number (civil ID) of the donor. This will also help to link all the donors individually registered at each institution at present and make a combined donation and screening registry for present and future references.

The national donor registry also allows the potential donors to do self-registration and to fill-up the mandatory checklist (mandatory checklist for donation) through the MOH ePortal. All the registered donor and donation registration is made available to the blood bank immediately so that that the eligibility can be evaluated. The national repository will also keep track of the donation and screening records and changing status of the donor whether active or deferred. This will allow deferring and reactivating donors across institutions based on the changing conditions instantaneously once this event is recorded at one participating blood bank.

The NBDR keeps all the crucial donor attributes like demographic details (names, age, sex etc.), contact details (region, Willayat, village, address, phone no, email etc.), product details (blood group, Rh factor etc.), donor status, donation details and dates so that a set of donors can be contact quickly during emergency situations either through SMS/email notifications or through telephone. The system facilitates fine grained query options so that the donors can be searched and listed based on narrowed search criteria and then selected together or individually for automatic notifications through email of SMS.

Central registry also holds a blood unit and product inventory so that blood products can be searched and listed across or within blood banks. Particular blood products and units can be also be tracked and the life cycle of each unit from donation to transfusion/expiration with its screening details can be investigated in case of necessity.

The registry also keeps track of the screening tests done on bags and units so that the products, units, and donors can be searched and listed based on the screening test results.

Donor information confidentiality is another central concern of the system and NBDR guarantees to withhold the donor demographic details from the unauthorized access and less privileged users of the system. Any statistical data produced by the system will no contain the patient demographics to ensure the confidentiality.

The donor screening referrals between the blood banks is another crucial feature of the NBDR system. NBDR integrates the national eReferral system transparently so that the referral transactions and result updates related to blood donation and screening will be captured by the system and this will enable the improved turnaround time in the referral and referral back processes. The NBDR solution enables requesting blood products across blood banks and also the issuing/moving products on approval of the concerned blood bank. This improves the turnaround times in the process cycle of requesting and acquiring blood products across blood banks.

Once a blood unit is issued to a patient, the transfusion data is transmitted to the central registry with any transfusion reaction details.

Central registry system also exposes web interfaces to help the blood banks to run donation camps anywhere, which helps to register new donors and upload donor health screening and bleeding information and blood product registration. The crucial benefit here is the retrieval of previous donation data of already registered donors and the screening results on them. System alerts users about any previous deferral of the donors due to any medical reasons, positive screening outcomes or in the event of insufficient duration between the donations during the process. This ensures the donor and recipient safety which is one of the most important aspects of a safe blood donation environment.

Features:

• A national repository of all the donors, donation records, collected blood units, screening results and transfusion records.
• Web interfaces to search, list, and communicating with the donors with an integrated messaging interface. The search option includes facility to search donors/units based on deferral/active status and view the screening and transfusion details.
• Traceability of blood products, locating blood banks and placing blood product requests online across blood banks. Provides a unified view of blood inventory, and to search, list and to place requests for blood products across institutions. A requesting institution can be any healthcare institution or one of the blood banks itself.
• Web interfaces of the system helps the offsite registration of donors, and donation during the donation camps with online access to the previous donation records and screening results of the donors.
• Integrated with the laboratory eReferral system and can query request and result status of screening sample online.
• Integrated with MOH ePortal to receive the online donor self-registration, collecting the donation checklist questionnaire, and making them available for the receiving blood banks.
• Donor will be uniquely identified with civil ID across blood banks which will avoid the need of duplicate registration of donors at the blood banks.
• A rich API of web service interface allows the local blood bank systems to update the changing status of the donation visit registration, bleeding and screening details. The donor and donation deferral status is updated online and across institutions.
• Advanced Query-by-Example (QBE) search options to list and collect statistics based on the conditions given. The administrative users at the directorate of blood bank and the local blood bank administrators can collect the key performance indicators. Basic statistical and indicator reports and alerts to analyze and compare the workload.
• Once a donor is screened and the deferral is confirmed at a blood bank his/her status is escalated across institutions preventing an ineligible donor donating blood and causing recipient safety issues.
• Interface to MOH email and SMS systems to send notification messages to relevant stake holders.

Workflow:

Benefits:

• A shared repository of all the Blood Donors, Donations and Screening Records.
• Data can be analyzed and indicators can be collected centrally .
• The proposed interfaces using open standards like web service assures integration with other local blood bank software applications like Al-Shifa.
• The system can accept the different data updates from local system with a rich API of web services.
• Improve blood recipient and donor safety with synchronized donor status updates across blood banks.
• Potential blood donors for specific products of groups can be quickly identified and contacted through the extensive search and automated messaging facility. Very helpful in emergency situations.
• Improved traceability of blood products. Very interactive blood inventory across blood banks, and shortened turnaround timing for locating preferred sites and requesting blood product requests online.
• An integrated lab referral system will help to improve the turnaround time in referral for specialized screening tests nucleic acid testing (NAT) and releasing results.
• The duplicate processing and abuse of the donation service can be eliminated due to data sharing between centers.

Related links:

Ministry of Health

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