Intended audience: clinical services coord-csc

Organ offers can be discontinued if one or more offers have been made to transplant centres (e.g., logistically, an organ cannot be delivered to a transplant program).

There are two types of discontinuations, depending on the status of an offer:

  • Withdraw: for an offer that has not been accepted yet by the transplant program.

  • Cancel: an offer has already been accepted by the transplant program.

Discontinuing offers for selected recipients

  1. Go to the donor’s profile, then select Organ > Allocation / eOffer on the sidebar.

  2. Scroll to the Allocation Recommendation Listing section.

  3. The system presents a list of all recipients who are eligible to receive this organ. The Offer column indicates who offers have been sent to.

    Example - Allocation recommendation with offers made - top part


    Example - Allocation recommendation - bottom part


  4. Select the recipient(s) whose allocations are to be discontinued by checking the box in the Select column.

  5. Select the Discontinue Offer button at the bottom of the recommendation list.

  6. In the window that appears, select a Response Type, Reason Category and Reason.

    Example - Discontinue recipients window empty


  7. Select the Discontinue Offer(s) button.

    • Select the Cancel button to close the window without discontinuing.

  8. The system asks for confirmation that allocation should be discontinued for the selected recipients.

    Example - Discontinue recipients confirmation


  9. Select:

    • OK to continue.

    • Cancel to close the window without discontinuing.

Tip. At step 3, when selecting recipients for back up offers, filter the recommendation list (e.g., by Program, if it is known that a given program cannot currently accept an offer), click Select All, and then select Discontinue. This allows the discontinue action to be targeted to the selected group of recipients.


For each selected recipient, the system:

  • Sends cancel or withdrawal notifications to transplant program(s) that have either accepted or not responded to the selected offer(s).

    • Notification is not sent to transplant programs that have already declined an offer.

  • Places the recipient(s) with primary offers back on the waitlist.

  • Sends an offer cancellation or withdrawal update to the Canadian Transplant Registry (CTR) for all IPOS Kidney or High Status Heart (HSH) from Ontario and out of province who had received an offer.

  • Shows the recommendation listing with the selected offers having been withdrawn or cancelled.

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