Preface by Chairman

With the enactment of the Human Organ Transplant Act in 1987, Taiwan became the first country in Asia to have a specific law on organ donation and transplantation, and has reached a new milestone. By referring to the organ donation soliciting system and organ allocation practices in Europe and the United States as well as Taiwan's national conditions, the Department of Health, Executive Yuan (reorganized and upgraded to the Ministry of Health and Welfare in 2013, hereinafter the MOHW) established the Taiwan Organ Registry and Sharing Center (TORSC) in 2002. Established a fair and equitable organ donation and transplant allocation system would raise the public awareness and recognition of organ donation, and provide support and care to donors' families and recipients.

This year, the Center is celebrated 20th anniversary. In the past two decades with the leadership of previous chairmen and chief executive officers, and with the concerted efforts of all staff, we have accomplished many important tasks, including the establishing of an organ donation and transplantation registry system, building national standard operating procedures for organ donation, the building of a solicitation network by integrating organ soliciting and transplant hospitals national wide, the establishment of a national tissue bank, the cultivation of organ donation soliciting professionals, the care of donors' families and recipients, and the continued promote organ donation to the public. The number of organ donations per year has gradually grown from less than 100 per year to more than 400 in 2020. Since the law was amended in 2011 to specify that organ donation registry must be indicated on the NHI Card, more than 520,000 people have taken action to express their support for organ donation. The Center continues to launch campaigns. In addition to collaborating with various organizations to conduct promotional activities, the center also runs social media platforms and works with social media influencers to expose organ donation-related graphics, 96% of public awareness of organ donation, and nearly 70% of the public are willing to donate organs.

As Taiwan is becoming an aged society, demand for hospice palliative care has been on the rise. The enforcement of the Hospice Palliative Care Act and the Patient Right to Autonomy Act has initially established a comprehensive framework in end of life care and good death. It ensures the people would be dignified death in the future and to build a reinforce physician-patient-relationship. In order to promote the hospice palliative care, patient autonomy and organ donations effectively and nurture a friendly terminal care environment, the Center has been reform to Taiwan Organ Sharing Registry and Patient Autonomy Promotion Center (hereinafter the Center) on October 25, 2021 by MOHW. To achieving the ultimate goal of a dignified death, promote future health care planning to the public encouraging people to think of and have conversations about end-of-life choices with families, in order to reach death with dignity and to donate organs.

 From 2021 to 2022, as the pandemic swept across the globe, we were still dedicated to maintaining the operation of the Organ Procurement Organization (OPO), optimizing the solicitation and donation process; organizing the National Organ Donation Awareness Week, and the theme is " Conquer Silence !talk about your donation decision "; establishing incentive programs and organizing  call for paper for promoting organ donation, hospice palliative care and patient autonomy; assisting the National Eye Bank of Taiwan to continue cooperation with SightLife to improve quality; assisting the National Skin Bank of Taiwan to apply AATB accreditation and establish a quality control protocol; education and training healthcare professionals through multiple channels; using new media and social platforms to derive the concept and value of a good death to the public; and caring for donors' families and recipients, and continuing promote public awareness campaigns. Despite the ongoing evolution of the virus, we will continue to make progress towards our goal.

In the future, the Center will continue to establish quality improvement strategy and quality control standards; to raise public and healthcare providers’ awareness of good death and death literacy; and strengthened the network environment to support organ donation and transplantation, so as to implement the norm of organ donation solicitation in healthcare facilities and improve the quality of life, with the continued goal of safeguarding people's rights to a good death. By reverting back to the essence of the three policies of organ donation, hospice palliative care and patient autonomy, we are demonstrating the value of life and hope that in the future, the old will not only be cared for until death, but a good death!

1.   Organization

1)         History

In 2002, the Ministry of Health and Welfare (formerly the Department of Health) established the Taiwan Organ Registry and Sharing Center (TORSC) in accordance with the Human Organ Transplant Act, which is dedicated to advocating organ donation and the spread of love. The center works with the domestic medical profession to serve as a communication platform between donors, recipients, organ solicitation hospitals, and organ transplant hospitals, and assists the government in the registration of organ donation and transplantation, the establishment of databases and the promotion of the awareness of organ donation, and strive to improve the organ donation rate and the survival rate of organ transplantation in Taiwan.

As our country is progressing to an aging society, the care of the elderly is becoming more and more important, and the demand for hospice and palliative care continues to increase, and the issue of good death has gradually attracted the attention of the public. In 2021, the center has been reorganized and renamed "Taiwan Organ Sharing Registry and Patient Autonomy Promotion Center" (hereinafter referred to as "the Center"). The resources related to the three laws of the Law of Rights (referred to as the three laws of the end of life), re-plan the future end of life, death with dignity and organ recruitment policies, encourage the public to think about the various options of the end of life in advance, and share thoughts on the end of life with family members, in order to achieve a good death ultimate goal.

2)         Structure of Organization

Board of Directors	15 directors and 3 supervisors for a term of 3 years, without pay
Expert Committees	Expert Committees
Chairman of the Board	1 person appointed by the MOHW among the directors, who is the Chairman of the Board internally and represents the Center externally
Chief Executive Officer	1 person to oversee the Center's business
Deputy Chief Executive Officer	2 persons to oversee the Center's business
Department	Organ Donation and Transplant Registry Section Patient Autonomy Promotion Section Planning and R&D Section Administration Section

 The Center is divided into four sections, each of which is responsible for the following activities:

l   Organ Donation and Transplant Registry Section

Ø Establishing national standard operating procedures for organ donation, allocation, transplantation, and post-operative follow-up

Ø Maintaining the operation of the Organ Procurement Organization (OPO)

Ø Conducting organ donation and transplant hospital visits and accreditation

Ø Providing care services for organ donors' families and recipients

Ø Setting up national organ or tissue banks

l   Patient Autonomy Promotion Section

Ø Streamlining the process of dignified death and establishing related standard operating procedures

Ø Mapping out and promoting hospital incentive schemes to facilitate resource sharing among facilities

Ø Planning and conducting patient autonomy and hospice and palliative care related visits and accreditation

Ø Offering advice and counseling on patient autonomy and hospice and palliative care

Ø Designing and consolidating resources for community hospice and palliative care systems

l   Planning and R&D Section

Ø Developing and carrying out awareness campaigns and projects regarding the issue of dignified death

Ø Producing promotional materials and publications

Ø Organizing education and training for professionals

Ø Conducting resource development and public relations activities

Ø Hosting domestic and international academic exchanges and promoting academic research

Ø Volunteer management and training

l   Administration Section

Ø building and maintaining a national organ donation and transplant database and managing the registration process

Ø Maintaining the organ allocation system and compiling and reporting organ donation and transplant statistics

Ø Managing databases of advance decisions, hospice and palliative care and organ donation willingness and registries

Ø Developing, reviewing, and maintaining human resources, general affairs, accounting and information related practices and tracking their effectiveness

3)         Purpose, Vision, goals

l   Purpose

To promote organ donation and transplantation, to facilitate the effective use of donated organs, to improve the health of our people, and to enhance the health care environment for people at the end of their lives.

l   Vision

To cater for the needs of people in their twilight years to achieve the goals of ageing gracefully until the end of life.

l   Goals

1.    To reorganize the Center and increase its competitiveness in line with international standards (new)

2.    To advocate and promote the awareness of death with dignity

3.    To integrate the resources related Three Acts for Dignified Death and to refine policies

4.    To Provide a medical care environment which is friendly to dignified death for the elderly.

5.    To Establish mechanisms for improving the quality of organ donation, hospice and palliative care, and patient autonomy.

4)         Ambassador - Bear Mai

Wheat means ears of wheat, and when the ears of wheat fall to the ground, new malt will grow, which has the meaning of life inheritance. Organ donation and transplantation help patients with organ failure regain a new life due to the great love of others, and encourage everyone to "relay with love and let life continue".  In the future, we hope that through Bear Mai's role as our goodwill ambassador, we can spread the message of death with dignity and promote organ donation so that love can live on.

2.   Key Indicators and Public Information

Over the last three years, the COVID-19 pandemic has made it more difficult to push for organ donation, advance decisions and hospice and palliative care due to the strictly control for people outside the hospital. As of the end of October 2022, a total of 526,000 people in Taiwan have signed for organ donation wishes, a total of 844,000 people (3.37% of the population) indicated their willingness to receive hospice and palliative care, and 39,000 people make advance medical decisions. In addition, from the perspective of the number of organ donations over the years, except for the impact of the pandemic from 2019 to 2022, the number of organ donations is gradually increasing. Fig. 1 , In the Cross-Country Comparison of Expert Assessments of the Quality of Death and Dying 2021, published in an international journal in 2022, Taiwan was ranked third among the 81 countries and first in Asia, demonstrating that the achievements of hospice and palliative care in our country are gradually being recognized worldwide.

 

3.   Overview of the Center's Operations

1)  Organ Donation and Transplantation

(1)  Organ Procurement Organization (OPO)

In order to increase the rate of organ donations in Taiwan and to comprehensively improve the professional level and overall capacity of the hospital in recruiting organs, the Center has been running the Organ Procurement Organization (OPO) program since 2004, in which the medical centers, by integrating the resources of other regional hospitals and district hospitals, provide consulting and assistance to form OPO networks to jointly promote donation solicitation. In 2013, the Center incorporated 11 OPO organizations across the nation into a network of four regions - North, Central, South and East - based on their geographical location, and streamlined the organ recruitment and allocation procedures to cultivate organ donor recruitment expertise and identify potential donors in order to increase the source of donations. Since the implementation of the program, the number of organ donors has gradually grown from less than 100 to 400 per year.

To provide equitable access to organ transplantation nationwide, the Center launched the online organ allocation function of the donation and transplant registry system on April 1, 2005. As of June 2022, over 4,000 donor organ allocation cases had been carried out in hospitals and more than 13,000 transplant candidates had been given the opportunity to receive an organ transplant.

(2)  Major Policy Planning for Organ Donation  

Taiwan leads the way in organ transplantation in Asia. After the first successful kidney transplant in Asia in 1968 by Professor Chun-jean Lee of National Taiwan University Hospital (NTUH), liver and pancreas transplants, heart, unilateral and bilateral lung transplants have been performed by Prof. Chao-long Chen of Linkou Chang Gung Memorial Hospital (CGMH), Prof. Shu-hsun Chu of NTUH, Prof. Liang-shun Wang of Taipei Veterans General Hospital (TVGH) and Prof. Yung-chie Lee of NTUH.

Thanks to the progress of medical technology, Taiwan has the capability and quality of transplantation surgery that is on par with advanced countries. To safeguard the legality of organ donation and transplantation, the Human Organ Transplant Act was promulgated in 1987, with the relevant major policies set out below:

Time	Event
1987/06/19	The Human Organ Transplant Act was promulgated, making it the first nation in Asia to have a law on organ transplantation.
2002/02/07	The MOHW established the Taiwan Organ Registry and Sharing Center (TORSC) in 2002 under the Human Organ Transplant Act.
2004/04/01	The Organ Procurement Organization (OPO) network was set up with the aim of increasing the organ donation rate and improving the health of the people through the development of a network in each region.
2004/08/09	The Criteria for Determining Brain Death was promulgated, specifying the hospitals and doctors who can determine brain death, the prerequisites, the process and the content of training courses.
2005/04/01	The online matching and allocation function of the organ donation and transplantation registry system was activated, and the priority of transplantation was automatically listed by the information system according to the allocation principle, eliminating human intervention.
2011/12/21	The Human Organ Transplant Act was amended to provide that organ donation willingness be indicated on the NHI Card
2013/01/01	The National Eye Bank of Taiwan (NEBT) was established to keep an eye on the quality of corneas donated to Taiwanese people, so that the quality of the donor's corneas can be better maintained after they are removed.
2013/07/01	The OPO network was divided into four regions, north, central, south and east, with ''responsible hospitals'' elected to co-ordinate and integrate the administrative and related activities during the program.
2014/09/10	The Regulations Governing the Allocation and Management of Human Organ Transplants were promulgated to ensure the accuracy and validity of the organ donation and transplant registry system and database and to achieve openness, fairness and transparency in the organ donation and allocation process.
2014/10/01	The "Third Degree of Consanguinity Policy" was implemented so that the spouse or a relative within the third degree of kinship of a donor would have priority in receiving organ donations.
2015/10/19	The Human Organ Transplant Act was promulgated on June 19, 1987, and the MOHW designated June 19 each year as "Organ Donation Day" in Taiwan.
2016/03/01	Access was granted for HIV-positive patients to wait for organ transplant. HIV patients who have regular follow-up treatment, are in good control (low viral load) and are in need of organ transplant can register as organ transplant candidates.
2017/01/01	The National Skin Bank of Taiwan (NSBT) was established to collect, examine, process and preserve skin donations and to maintain quality against international standards.
2017/12/26	The "Reference Guidelines for Organ Donation after Cardiac Death" were promulgated to redress the imbalance between organ supply and demand in Taiwan and to shorten the waiting period for organ transplant.
2018/12/28	To cater for the needs of HIV-infected patients to receive organ transplants and to take into account the principles of fairness, ethics and human rights, HIV-positive patients were allowed to donate organs to HIV-positive transplant candidates.
2019/02/14	The "Regulations for the Administration of Living-Donor Kidney Exchange, Donation and Transplants" were promulgated to boost access to transplantation for patients awaiting kidney transplantation, with a view to improving the survival and quality of life of patients with end-stage renal disease.
2019/09/02	The launch of the Taiwan Cord Blood Information System would increase the search rate by bringing data together in a single database, enhancing the use of cord blood matches in Taiwan and driving medical progress.

(3)  Incentives for Promotion in Institutions

To recognize those who have been involved in organ donation solicitation in hospitals and who have demonstrated outstanding performance and set an example for other staff, the Center has been organizing the "Outstanding Organ Donation Recruiter Selection Campaign" since 2008, in which hospitals recommend the candidates and the winners are decided by the Center's experts. To reward medical institutions and related organizations for their hard work in organ donation promotion and the registration of organ donation willingness on NHI cards, from 2017 onwards, outstanding institutions are selected for public recognition based on the number of organ donors recruited by medical institutions and the number of people who have indicated their willingness to donate on their NHI cards each year, while non-government organizations and meritorious entities are also invited to receive awards.

(4)  National Organ Donation Day and Organ Donation Awareness Week

To address the extreme shortage of human organ sources, countries have been running public awareness campaigns in the form of organ donation days, weeks or months, with multiple advocacy activities to convey the idea of organ and tissue donation. Taiwan became the first country in Asia to have a law on organ transplantation following the promulgation of the donor organ Transplant Act on June 19, 1987, and in 2015, the Ministry of Health and Welfare chose June 19 as the nation's Organ Donation Day. Every year, the Center organizes a large-scale organ donation campaign to raise awareness of organ donation nationwide. National Organ Donation Awareness Week 2022 was held from June 13 to June 19, with the theme of " Conquer Silence! talk about your donation decision," and a total of 62 healthcare facilities participated.

2)  National Tissue Banks

(1)  National Eye Bank of Taiwan (NEBT)

Of all human organ transplants, corneal transplantation is currently the lowest risk and highest success rate. Good quality and sufficient number of corneal endothelial cells are critical to the success of the procedure and long-term survival of the transplanted cornea, and are the most vital indicators of corneal quality.

To enhance corneal processing, preservation techniques and transplant quality control in Taiwan, since 2013, in accordance with Article 10-1 of the Human Organ Transplant Act, two national eye banks have been set up in phases, one in the north and one in the south, by drawing on overseas experience and models for the establishment of national eye banks.

For the sake of going international, the name was changed to National Eye Bank of Taiwan (NEBT) in 2016, and one hospital was entrusted to co-ordinate its operations. By setting up a head office and a southern office, the NEBT has been able to make use of its existing complete facilities and professional medical team to train up dedicated technical staff to handle corneal examinations and to revise the Standard Operating Procedures of the National Eye Bank of Taiwan on a yearly basis. In addition, a Memorandum of Understanding (MOU) was signed on July 1, 2016 between the MOHW, NEBT and US health organization SightLife for a 5-year collaboration. In 2022, the Phase 2 MOU will be renewed to continue the international collaboration and to move the quality of our eye bank towards international standards and the goal of becoming an Asian center of excellence in eye banking.

The NEBT is currently working with some 38 cornea harvesting and transplantation hospitals across the country in an inter-hospital partnership to harvest corneas, and to enhance the overall quality of corneal transplants through the internationally accredited quality management and specialized procedures for corneal examination and preservation.

(2)  National Skin Bank of Taiwan (NSBT)

In June 2015, a dust explosion occurred at the Formosa Fun Coast water park in New Taipei City. Of the 499 burn victims, 248 suffered burns that covered more than 40% of their bodies, including 24 people with burns to more than 80% of their bodies. To reduce infection and fluid loss in patients, the MOHW, in view of the shortage of skin in the nation at that time, urgently imported large quantities of cadaveric skin from overseas for use by patients, which was extremely time-consuming for clinical and rescue purposes.

To forestall similar incidents in the future, the health ministry tasked the Center in 2018 with founding the National Skin Bank of Taiwan (NSBT) to handle the recruitment, donation, harvesting, examination and processing, and preservation of cadaveric skin, and to commission professional medical facilities to conduct skin examination and processing, as well as to revise the Standard Operating Procedures of the National Skin Bank of Taiwan. From 2020 onwards, the skin bank has created a collaborative mechanism with hospitals by signing "Letters of Intent" with 11 medical institutions across the nation to expedite inter-hospital collaboration and, where necessary, to allow the competent authorities to deploy the services to those in need in a timely manner.

To ensure that the quality of the skin bank is in line with international standards, the NSBT received notification from the American Association of Tissue Banks (AATB) in 2022 to conduct an on-site assessment in Taiwan to assist the skin bank in revising its inspection, processing and preservation practices and adjusting its standard operating procedures, with a view to establishing international standards in skin inspection, processing and preservation.

3)  Patient Autonomy and Hospice Palliative Care

(1)  Institutional Promotion

To raise awareness and knowledge of organ donation, hospice palliative care and patient autonomy among healthcare professionals and the public, and to nurture an atmosphere and environment of dignified death to foster a better trust and reinforce physician-patient-relationship. The Center has launched a nationwide call for paper in 2022 to reinforce facilities and the public awareness and gain the knowledge of organ donation and patient autonomy through this event. Moreover, it has organized the "Hospice Palliative Care Promotion Award" and "Advance Decision Promotion Award " to reward healthcare facilities who have demonstrated remarkable promoting for hospice palliative and advance decision, and have encouraged public to sign up willingness and AD registrations on NHI card, in order to enhance the facilities continuously promote the concept of death with dignity and improve the quality of care in patient with life-limiting illness and to ensure their rights to death with dignity.

There were 86 facilities applied for the Hospice Palliative Care and Advance Decision Promotion Award in 2022. A total of 26 facilities were awarded. (Fig. 5)

(2)  Interdisciplinary Clinical Practice Benchmarking Learning courses

In order to enhance the healthcare professionals’ knowledge, skills and quality of care in organ donation, hospice palliative care and patient autonomy. The center has been organizing clinical practice benchmarking learning courses monthly since June in 2022. The course content includes conform to the international standard and new knowledge of clinical practice and invited outstanding facilities to share their experience. The courses were conducted via virtual conference, each course had over 200 participants attended and an overall satisfaction rate of 99%.

4)  Healthcare Professional Education and Training

(1)  Organ Donation

Based on the education grading concept of the World Health Organization (WHO), we divide education into basic training and professional training. In professional training, according to the "Regulations for the Certification of Organ Donation and Transplantation Coordinators”, we have been conducting organ donation and transplantation education and training since 2012 and hold coordinator certification exams every year. Through this training mechanism, the manpower of organ donation and transplantation can be effectively integrated, and the communication and coordination between organ donation and transplantation, medical care recipients and donor families can also be strengthened. The course trains approximately 100 healthcare and social workers each year to obtain the credentials, and credits for 24 hours of continuing education are required within 3 years of receiving the certificate in order to maintain the validity of the document and the qualifications of the coordinators. Currently there are about 615 qualified organ donation and transplant coordinators in Taiwan. In basic training, we hold organ donation and transplantation seminars with major hospitals every year, so that medical personnel can have more understanding of organ donation and transplantation, and strengthen the communication between medical personnel and patients at the end of life.

In recent years, due to the impact of the COVID-19 epidemic, the demand for distance learning has increased. Starting from 2021, we will replace the new education and training system, which can provide online courses regularly, and the training will not be affected by time and place.

(2)  Hospice Palliative Care

To develop the capacity of primary care to provide hospice palliative services in home care, the Center had approved as a unit for the issuance of continuing education training hours to conduct hospice home care (Type B) by National Health Insurance Administration (NHI) in 2022. The training courses are to enhance the primary care teams’ knowledge and skills to provide patients and their families hospice palliative care at home, and help them die with dignity at home.

5)     Increase Public Awareness of Death with Dignity

To raise public awareness of organ donation and dying with dignity, the Center organize several of annual big events, such as the concert of gratitude (Fig. 6) and the relay race (Fig. 7). We promote through different channels and cooperate with various institutions, organizations and schools to continue to promote people's positive awareness of dying with dignity. Through print media, online promotions and live broadcasts, our events reach more than 1.5 million people and generate more than 50 news reports each year.

It is very important to teach life education from an early age. We use many publications in the education of our students. For example, we produced the video "Knowledge of Organ Donation", which has been authorized by Hanlin Publishing as an educational and guidance material for Junior high school students; in 2012, we published the book "Delivering Hope with Life", teaching people the importance of empathy and identity for organ donation, and encouraging them to try their best to communicate their thinking about the end of life. Through grief counseling for the families of organ donors, we also educate people on how to find new perspectives in the face of the sudden death of a loved one.

In 2015, we produced " Bear Mai 's Wish" to extend life education to the family, allowing parents and children to read together. Through reading picture books, you can think about the relationship between organ donation and life.

In 2013, the center began publishing the semi-annual magazine "Offer the Gift of Life” and produced e-books. As of June 2022, 19 issues with a total of 230 articles have been published. Through touching life stories, people will be brought into thinking about the meaning of life, and people will learn how to die with dignity and love when they are approaching the end of life.

6)  Care for Donors' Families

(1)  Caring Activities

It often takes time for their families to recover from the bereavement and return to a normal life after the death of the donor. Therefore, based on the concept of "love, care, and companionship", we hold activities to care for the families of organ donors in the northern, central, southern, and eastern regions of the country every year (Figure 8). It is hoped that through such activities, the family members of the donors will get out of their grief and encourage each other with the organ recipients; at the same time, the family members will be more aware of the value of organ donation in life.

We hold a concert around Organ Donation Day (June 19th) every year. Every time, government officials, hospital representatives, community leaders, medical teams, recipient representatives and family members of organ donors will be invited to participate, and the donors and their decisions will be remembered through the event. The concert is also in contact with the public through online live broadcast.

(2)  Grants and Assistance for Donors' Families

a.        Funeral Subsidies:
The MOHW provides funeral subsidies to the donor's family, including NT$50,000 for corneal donations and NT$100,000 for multiple organ donations in addition to the cornea.

b.        Farewell Care Service:
In order to express our gratitude to the organ donors and their families, we provided flower baskets and certificates of appreciation at the farewell ceremony of the donors. In addition to affirming the selfless dedication of the organ donors, we also thanked the family members for their decision.

4.   Future Prospects

The Center continues transforming and look forward to achievements in the future by:

1)  Establish a quality improvement mechanism for the Three Acts for Dignified Death: Develop quality indicators and qualitative feedback system to collect data and monitor performance of care in organ donation, transplantation, hospice palliative care, and advance decisions. Those data would be a reference of policy advice to MOHW. The Center organized healthcare professional training courses to strengthen their knowledge and skills on the Three Acts for Dignified Death. To build incentive programs to encourage the healthcare facilities continue to promote Three Acts for Dignified Death. To establish inspection standard and survey to enhance the quality of care in organ transplant, patient autonomy and hospice palliative care.

2)  Publicize the concept of death with dignity and death literacy: Promote life education so that the public and healthcare providers have the knowledge, train the trainer, dispel the myth confined to the disease itself or terminal illness, and close the gap of perceive between patients and their families; design educational programs for young children and adolescents that incorporate ethical and discursive training on life autonomy, so that education on dignified death can take root; and promote and provide information on end life care to help the public prepare preference for the end of life.

3)  Reinforce the networking to support organ donation and transplantation: It continues to operate the professional organ donation solicitation team by region and actively streamline the organ donation recruitment process, assist with organ donation sign up registration and funeral subsidy applications for organ donation; incorporate a variety of grief counseling methods into the implementation process, and conduct family care activities to realize the norm of organ donation solicitation in medical institutions, in the hope of gaining more public support.

5.            Chronology

Time	Event
2008/10/17	Organized the 1st outstanding organ donation solicitor recognition ceremony
2010/08/28	Organized the 1st organ donor family care event
2011/09/13	Organized the "National Forum on Organ Donation and Transplantation System Reform”
2012/01/16	Presented farewell flower baskets and certificates of appreciation to organ donors
2012/11/02	Conducted organ donation and transplant coordinator certification
2013/07/15	The first issue of Offering the Gift of Life
2013/10/19	Hosted the 1st organ donation relay marathon
2016/06/19	Held the 1st Organ Donation Day concert
2018/09/15	Hosted the 2018 International Forum on Organ Donation after Cardiac Death
2020/08	Set a new record of 54 organ donors in a single month
2020/10/17	Held the "2020 Taiwan Organ Donation and Transplantation System Review and Outlook Seminar”
2021/01/25	Relocated to 6F, No. 78, Sec. 2, Nangang Rd., Nangang Dist., Taipei
2021/09/28	Announced "Necessary Measures for Organ Donation and Transplantation Operations during the Nationwide COVID-19 Alert"
2021/10/25	Renamed to Taiwan Organ Sharing Registry and Patient Autonomy Promotion Center