| Age: |
| <40 |
|
| 40-49 |
|
| 50-59 |
|
| 60-69 |
|
| >69 |
|
| Cause of Death |
| Trauma |
|
| Anoxia |
|
| Cerebrovascular Accident (CVA) |
|
| Other |
|
| Race |
| African American |
|
| White |
|
| Other |
|
| Donation after Cardiac Death (DCD) |
| Yes |
|
| No |
|
| Partial/Split Liver Graft |
| Yes |
|
| No |
|
| Height |
| Enter height in centimeters |
|
| Organ Location |
| Local |
|
| Regional |
|
| National |
|
| Cold time |
| Enter cold time in hours |
|