Current Data Collection Forms

PHTS launched a Web Based Data Entry System on November 4, 2015 at the annual meeting in Orlando, Florida. Data collection forms used in the live system can be found below.

Data Collection Forms: Version 1.21.1
Release Date: July 16, 2026
*Every form is not revised in every release on the web based data entry system. The latest update date to each form can be found below.

DateFormTime
09/30/2024Patient EnrollmentAt time of enrolling patient into PHTS
08/18/2023Form 1: Initial Patient Entry at ListingAt time of listing
08/01/2022Form 1RL: Patient RelistingAt time of re-listing
07/16/2026Form 1T: Transplant InformationAt time of transplant
05/28/2021Form 2: DonorAt time of transplant
07/16/2026Form 3: Initial Immunosuppression & Antibiotics30 days post-transplant
06/22/2023Form 4: Coronary EvaluationAt time of event post-transplant
04/10/2024Form 5: RejectionAt time of event post-transplant
06/22/2023Form 6: InfectionAt time of event post-transplant
06/22/2023Form 7: Malignancy Lymphoproliferative DisorderAt time of event post-transplant
07/16/2026Form 8: Post Tx Annual Follow-upAnnually post-transplant
10/23/2017Form 9: Coronary RevascularizationAt time of event post-transplant
11/04/2019Form 10: DeathAt time of death post-listing OR post-transplant
06/22/2023Form 12: Pre-Transplant Follow-upAnnually pre-transplant
01/03/2020Form 14: Dialysis/Renal TransplantAt time of event post-listing OR post-transplant
01/04/2021Form 15: Mechanical Circulatory Support EventsAt time of event post-listing OR post-transplant
07/16/2026Form 18: Donor Derived Cell-Free DNA Collection At time of event post-transplant
07/16/2026Version 1.21.1 Final Manual