Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 2800 - TRANSPLANTATION PROGRAM
Subpart B - APPLICATION REQUIREMENTS
Section 2800.202 - Patient Information
Universal Citation: 77 IL Admin Code ยง 2800.202
Current through Register Vol. 48, No. 12, March 22, 2024
a) The following patient medical information is required:
1) A diagnosis of the condition requiring the
proposed transplantation with copies of all tests and applicable workups
necessary to support this conclusion (Section 4(b) of the Act.)
2) A prognosis with and without the
transplantation;
3) A description
of the proposed experimental transplantation procedure;
4) An explanation of the urgency of the
transplantation procedure;
5) The
donor organ retrieval plan (only if it is not identical to the plan submitted
as part of the institutional information under Section
2800.203(d)
);
6) The patient's past and present medical
history including prior hospitalizations;
7) Identification of the patient's medical
and surgical physician(s);
8)
Psychosociological evaluation of the patient, (i.e., an evaluation of the
patient's family support system, ability to comply with medical care and
history of drug and alcohol use);
9) A statement signed by the patient and/or
the patient's parent or guardian authorizing the release of all medical records
and information to the Experimental Organ Transplantation Procedures Board and
staff.
10) Certification by the
applicant institution that the patient is an appropriate candidate for an organ
transplant procedure at that institution and has been medically approved by
their medical specialist in this field for this procedure. (Section 4(b) of the
Act.)
11) A statement signed and
notarized by the institution certifying that the patient was legally domiciled
in Illinois when the pathophysiological state necessitating the organ
transplantation procedure was determined and the patient continues to be
legally domiciled in Illinois. (See Section 2800. Appendix A) (Section 4(b) of
the Act.)
b) The following patient financial information is required:
1) Patient identification information (i.e.,
name, legal address, social security number, date of birth, place of birth, and
name of guardian and/or closet relatives);
2) Documentation and explanation of all
accident and health insurance coverage held by the patient;
Disclaimer: These regulations may not be the most recent version. Illinois may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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