| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | blood component request | 0;1 | POINTER | 66 | This is the component requested. | |
| .02 | pre-op request | 0;2 | BOOLEAN | 1:YES 0:NO | YES indicates this is a pre-operative request. | |
| .03 | request date/time(+) | 0;3 | DATE-TIME | This is the date/time of the request. | ||
| .04 | number of units(+) | 0;4 | NUMERIC | This is the number of units requested. | ||
| .05 | date/time units wanted | 0;5 | DATE-TIME | This is the date/time the units are wanted. | ||
| .06 | previous transfusions | 0;6 | BOOLEAN | 1:YES 0:NO | YES indicates the patient has had previous transfusions. | |
| .07 | previous transfusion reaction | 0;7 | BOOLEAN | 1:YES 0:NO | YES indicates the patient has had a previous transfusion reaction. | |
| .08 | entering person | 0;8 | POINTER | 200 | This is the person entering the request. | |
| .09 | requesting person | 0;9 | FREE TEXT | This is the person making the request. | ||
| 1 | units selected for xmatch | 1;0 | MULTIPLE | 63.0841 | These are units selected for crossmatch. | |
| 2.1 | component request reason | 2;1 | FREE TEXT | If request does not meet acceptable criteria enter the reason why the request should still be completed. | ||
| 2.2 | approved by | 2;2 | FREE TEXT | This is the person approving the crossmatch request. | ||
| 2.3 | treating speciality | 2;3 | POINTER | 45.7 | This is the treating specialty of the crossmatch request. |
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