6. China's current DCD work archives establishment and management

The organ donation archive is a strong evidence of DCD's legal compliance but also important information for late summing up experience and conducting scientific research. With the increasing number of DCDs, the management of donors' archives is becoming increasingly important. Establishing a set of scientific and standardized donor archive management standards is of great significance to promote the sustainable development of DCD [34].

Since the launch of the pilot DCD program in China in 2010, great attention has been paid to the collection of archives and data. All provinces and transplant hospitals have done a great deal of work and summed up some experience. For each case of donation, corresponding archives were set up and collected the important information. In the early stage, it is mainly the collection and preservation of paper materials; the project basically includes the following [35]:


At present, a management system of coordinators with rigorous management, impartial examination and scientific training has been formed, which has delivered a large number of high-quality coordinators for the DCD work in China and, at this stage, and has made great

3. after the assessment team finds that it meets the conditions of donation, communicate with

4. after donors' family members agree to donate, witness the completion of China organ

5. witness the work of the OPO team to ensure that all work is conducted in a reasonable and

6. China's current DCD work archives establishment and management

dards is of great significance to promote the sustainable development of DCD [34].

The organ donation archive is a strong evidence of DCD's legal compliance but also important information for late summing up experience and conducting scientific research. With the increasing number of DCDs, the management of donors' archives is becoming increasingly important. Establishing a set of scientific and standardized donor archive management stan-

Since the launch of the pilot DCD program in China in 2010, great attention has been paid to the collection of archives and data. All provinces and transplant hospitals have done a great deal of work and summed up some experience. For each case of donation, corresponding archives were set up and collected the important information. In the early stage, it is mainly the collection and preservation of paper materials; the project basically

contributions to the successful development and promotion of DCD work in China.

5.3. Organ donation coordinator working procedures in current China

donation registration form and family's informed consent

6. assist in the burial, memory and other post-processing work

8. assist in completing legal instruments related to organ donation

7. assist the aftermath of the donors' family members

1. discover potential DCD donors [31]

potential DCD family members

lawful manner

includes the following [35]:

1. China organ donation completion form 2. China organ donation registration form

3. donor and their relatives' ID cards

4. donor's basic information table

2. report the information and wait for evaluation

122 Organ Donation and Transplantation - Current Status and Future Challenges


However, there are also some problems. For example, the standard norms are not uniform, and the paper materials are not conducive to long-term preservation; inspection and data statistics are inefficient. Through continuous discussion and exploration and the cooperation of various field experts, we have made use of information technology and Internet technology to develop an organ transplant file management system that is suitable for China. The

Figure 8. Flow chart of organ transplant file management system [33].

registration of this system basically covers all the information and data above. The process is as follows (Figure 8):

development level, improve a more equitable and efficient organ distribution system and to scientifically plan the regional distribution of transplanted hospitals so as to ensure the equal-

Current Situation of Organ Donation in China http://dx.doi.org/10.5772/intechopen.74711 125

For example, various provinces in China have formed an independent organ procurement organization (OPO) and delineated their corresponding service scope. Unlike other countries, most of the OPOs in China are composed of transplant medical teams in organ transplant hospitals. This form is advantageous in the initial stage of DCD work, but with the development of this work, some disadvantages are also exposed, such as the limitation of organ distribution and the irrational division of service areas, and so on, which all need to be

At present, there are two organ donation registration websites in China: organ donation administration center website by the Chinese Red Cross and "Shi and Suo" organ donation registration website administered by the National Health and Family Planning Commission. Current organ donation and transplantation network systems include the donor system, China organ transplant response system (CORTS). The use of websites is yet to be promoted, just as CORTS, a site that plays a major role in organ allocation, the number of patients who have registered on CORTS for transplantation has a large discrepancy from the actual number of 300,000 patients who are waiting for transplant. Compared with the UNOS website in the United States, the COTRS website in our country did not give full play to its functions, and lacked the legal effect and administrative system. Its authority and compulsion needed to be improved [36, 37].

After several years of hard work, China has made gratifying achievements in the work of

China has successfully resumed the transition from relying on the judicial channels to procuring organs through the voluntary donation of citizens. The reform is the result of the concerted efforts of the top leadership of the country, relevant departments, social organizations, the vast majority of transplant medical personnel and Red Cross workers, who obtained the understanding of society and the recognition of the international community. Based on the guiding principles set by the relevant international organizations and based on the actual social and economic development and cultural traditions in China, we adopted methods suited to China's national conditions and promoted the continuous progress of organ donation and transplantation in China. After several years of pilot research, the influence of organ donation after citizen death to our society has surpassed that of the transplant medical service itself. Such love charity is gradually becoming a common practice in China. With the joint efforts of the health administrative departments, the Red Cross Society and the transplant medical institutions, organ donation after citizen death has taken a solid first step. However, China has a large population, huge demand for organ transplants and some traditional concepts are still affecting us. In particular, we are still in the process of improving laws and regulations, strengthening government supervision and departmental coordination, clarifying responsibilities of all parties, refining work processes and strengthening international

ization of organ transplant services for all citizens, we also need to keep it up.

8. The achievements and prospective of China's DCD work

constantly adjusted and improved in following-up work.

DCD. Some of the figures are shown in Figures 9–19:

exchanges and cooperation. There is still a lot of work to do [38].

Real-time reporting, monitoring of implementation, data analysis and follow-up were conducted in every case of this organ donation database to ensure the regulation of DCD work and also accumulated a large amount of data and laid the foundation for the long-term development of DCD.
