The organ, tissue and eye banking communities function independently yet communication between them is critical for effective vigilance. Any ineffective communication between these communities can result in an inability to track organs and tissues from a common donor and recognize adverse reactions in a timely fashion. Events, as previously described, in which lack of integration between transplant organizations sharing a common donor results in avoidable disease transmission to patients, can only be corrected by the introduction of a comprehensive and unified traceability system covering all biologics derived from a single donor. A reporting system that is integrated with all transplant establishments can assist in avoiding such serious outcomes. Integration with haemovigilance systems is also important in closing gaps in communication.