Reference Guide
Patient Follow-Ups
UNOS_Employees
Tier 1 Tier 1
Expected Follow-up Expanded Follow-up
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X YR Annual Follow Up - PATIENT NAME TX ID# XXXXX
TX DATE - X/XX/XXXX
FOLLOW-UP INFORMATION:
TIER 1 ONLY
 
Indicates required field.



cm
kg


 %

Viral Detection:




Immunosuppressive Medications at Followup 
 
Steroids (prednisone, methylprednisolone, Solumedrol, Medrol)
Atgam
Campath (alemtuzumab)
Cytoxan (cyclophosphamide)
Methotrexate (Folex PFS, Mexate-AQ, Rheumatrex)
Rituxan (rituximab)
Simulect (basiliximab)
Thymoglobulin
- Gengraf
- Neoral
- Sandimmune
- Generic cyclosporine
Imuran (azathioprine, AZA)
Leflunomide (LFL)
- CellCept (MMF)
- Generic MMF (generic CellCept)
- Myfortic (mycophenolic acid)
- Generic Myfortic (generic mycophenolic acid)
- Rapamune (sirolimus)
- Generic sirolimus
- Zortress (everolimus)
Nulojix (belatacept)
- Astagraf XL (extended release tacrolimus)
- Envarsus XR (tacrolimus XR)
- Prograf (tacrolimus)
- Generic tacrolimus (generic Prograf)
Other immunosuppressive medication, specify:
Other immunosuppressive medication, specify:
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