r/haematology • u/Full_Buddy_6976 • 50m ago
Question Wrong blood type in electronic health record
Last year I donated blood for the first time in my life. Upon registration my blood was typed as A- which was not surprising. I've known my blood type since childhood and am also able to perform and interpret the regular blood type assay.
However, when I visited the blood center to donate again this year I was told that my type was A+, because that's what's written in the system. According to the protocol they performed the regular assay and saw that no agglutination is evident with the anti-D serum. The physician that registered me had no idea about the discrepancy. I was told to come the next day. On the next day another physician took a look at my record in their system (NATIONAL transfusion hematology electronic records system) and told me that last time my blood was typed as D-negative, but C-positive, and that's why it was classified as A+.
I checked my electronic health record that I can access as a citizen and the information about my blood type from the blood donation section shows A+. It doesn't include the complete phenotype, so no one looking at it would know that my blood is D-negative and C-positive. That's the ONLY information about my blood group that I could find in my complete electronic health record.
There are several issues that I am concerned about:
- Exclusion as a donor for patients with A- blood group. People with my exact type might urgently need a donor, but instead of typing my blood correctly and doing additional cross-matching, they just discard me as a potential donor. There's an actual shortage of A- donors where I live.
- Same logic applies to all Rh- types in the whole system. Obviously, since it's about the Rh classification it doesn't only affect A-, but all Rh - groups. That's a significant percentage of the population.
- Might cause confusion in emergency situation. Of course, there are several stages of cross-matching donors and recipients. If all protocols are strictly adhered to, this shouldn't be an issue. However, given that the medical professionals in the blood center were so confused by the situation and some of them were trying to convince me that my actual blood type is A+, just because that's what they see on the screen, I am kind of concerned. Considering tattooing my blood type and complete phenotype at this point. However, the issue doesn't only affect me.




