The different communities working with MPHO donation and supply function independently yet communication between them is often critical for effective vigilance. Any ineffective communication can result in an inability to track organs and tissues from a common donor and recognize adverse occurrences 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 relevant establishments can assist in avoiding such serious outcomes. Integration with haemovigilance systems is also important in closing gaps in communication.