About MELD suspension

Intended audience: recipient coordinator transplant program admin

Recipients who are waitlisted for a liver or liver-cluster, are 18 years of age or older, and who have a medical status of MELD, must have current MELD test result values to accrue wait time and be included in organ allocations.

If the recipient’s MELD test results are missing or expired, the system automatically applies a MELD suspension to their waitlisted transplant journey (and all clustered journeys).

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MELD suspension triggers

The system places a waitlisted liver or liver-cluster journey on MELD suspension under the following conditions:

• The recipient’s medical status is MELD.

• The recipient is 18 or older.

• Either:

  • The journey is added to the waitlist without MELD test results, or

  • The MELD data is more than 90 days old.

    • The system first alerts the transplant program when the Date of MELD Data is 70 days old.

The system also applies a MELD suspension if

• The recipient’s medical status is MELD.

• The recipient turns 18 (i.e. becomes an adult).

• MELD data is missing or more than 90 days old.

  • The system first alerts the transplant program 20 days before the recipient’s 18th birthday.

Lifting a MELD suspension

A MELD suspension is lifted when new MELD test results are entered.

Determining whether a transplant journey has a MELD suspension

The system indicates which journeys are on MELD suspension in a variety of ways.

MELD suspension notifications

When a MELD suspension is applied, the system sends a notification to the recipient’s transplant program.

Identifying MELD suspensions in a recipient profile summary

1. Go to the recipient’s profile.

2. The summary section at the top of the profile page presents an overview of all transplant journeys along with their status.
   

   

Identifying MELD suspensions in the waitlist history table

1. Go to the recipient’s profile, then select Liver > Waitlist on the sidebar.

   • A table at the top of this section presents historical medical statuses and waitlist status changes.

2. MELD suspensions are indicated by Suspended: Liver MELD in the Type column.
   

   

   • The Wait List History Table shows the Effective Suspension days by displaying a “Start Date” and “End Date” (if available) in the Wait List History Table.

   • If the End Date is blank, the journey is still on MELD suspension.

   • The Days column indicates how long the journey has been on MELD suspension.

   • The Details column indicates whether the suspension is caused by missing or expired MELD information.

Filtering the waitlist summary for suspensions

Create a waitlist summary that filters for suspensions. This includes medical suspension, heart suspension, HCC suspension, and MELD suspension.

1. Select Waitlist from the main menu at the top of the page.

2. Specify search criteria in the fields at the top of the page.

   1. Ensure that Include Suspended Recipients is selected.

3. Select the Generate Report button.

   1. The Results Summary indicates the total number of Suspended Recipients that matched the search criteria.

4. In the Waitlist Summary list, sort or filter by the Suspended column.

   • If the Suspended column is not visible, select the Columns button to control which columns are displayed.

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See related topics

• Manage liver specific information

• Create and view a waitlist summary