| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .001 | identification number | 11 | This is a unique number assigned to the blood donor. An existing number cannot be assigned to a new donor. | |||
| .01 | name(+) | 0;1 | FREE TEXT | B | Name of blood donor | |
| .02 | sex | 0;2 | SET OF CODES | M:MALE F:FEMALE | This is the sex of the blood donor. | |
| .03 | dob(+) | 0;3 | DATE-TIME | This is the age of the donor. (Must be 17 years or older.) | ||
| .031 | age | COMPUTED | This is the computed age of the donor. | |||
| .04 | apheresis code | 0;4 | SET OF CODES | 1:YES 2:NO 1:yes 2:no | If donor is willing donate plasma, platelets, or leukocytes enter 'YES' | |
| .05 | abo group | 0;5 | SET OF CODES | A:A B:B O:O AB:AB | The ABO group of the donor is entered here | |
| .06 | rh type | 0;6 | SET OF CODES | POS:POSITIVE NEG:NEGATIVE | The RH type of the donor is entered here | |
| .07 | cumulative donations | 0;7 | NUMERIC | Total number of donation credits based on values assigned to each type of donation. | ||
| .08 | total awards | 0;8 | NUMERIC | Number of awards given based on 1 award for each gallon or equivalent (8 donation credits) donated | ||
| .085 | give new award | 3;1 | BOOLEAN | 1:YES | To acknowledge giving award delete entry by entering '@' | |
| .09 | demog ent/edit by | 0;9 | POINTER | 200 | Person entering or editing donor demographic data | |
| .1 | permanent deferral | 0;10 | BOOLEAN | 1:YES 0:NO | Donor should be permanently deferred as a homologous blood donor based on donor history or test results. | |
| .11 | date registered/edited | 0;11 | DATE-TIME | This is the date the donor was registered into this file. | ||
| .12 | deferral enter/edit by | 0;12 | POINTER | 200 | Person entering or editing permanent deferral of donor. | |
| .13 | ssn(+) | 0;13 | FREE TEXT | G | This field contains the social security number of the donor. | |
| .14 | military rank | 0;14 | FREE TEXT | If this collection is being performed by a DOD site, the rank of the donor is entered in this field. | ||
| .16 | permanent deferral date change | 0;16 | DATE-TIME | If the deferral date is adjusted, the date is entered in this field. | ||
| 1.1 | address line 1 | 1;1 | FREE TEXT | First line of donor address | ||
| 1.2 | address line 2 | 1;2 | FREE TEXT | Second line of donor address (if necessary) | ||
| 1.3 | address line 3 | 1;3 | FREE TEXT | Third line of donor address (if necessary) | ||
| 1.4 | city | 1;4 | FREE TEXT | City of donor | ||
| 1.5 | state | 1;5 | POINTER | 5 | State of donor residence.. | |
| 1.6 | zip code | 1;6 | FREE TEXT | Zip code of donor | ||
| 1.7 | home phone | 1;7 | FREE TEXT | Home phone of donor | ||
| 1.8 | work phone | 1;8 | FREE TEXT | Phone where donor works so that the donor may be reached during working hours if necessary | ||
| 2 | group affiliation | 2;0 | MULTIPLE | 65.51 | These are groups with which the donor may be associated. | |
| 4 | donor scheduling/recall | 4;0 | MULTIPLE | 65.53 | These are donors placed on a specific recall list for recruitment purposes. | |
| 5 | donation or deferral date | 5;0 | MULTIPLE | 65.54 | These are the dates of donation or referral. | |
| 6.1 | rbc antigen present | 1.1;0 | MULTIPLE | 65.56 | Antigens identified as present on the red blood cells of the donor. SNOMED codes can be entered as well as the name of the antigen. Synonyms can also be used if they are in the function field file (#61.3) | |
| 6.2 | rbc antigen absent | 1.2;0 | MULTIPLE | 65.57 | Multiple for RBC Antigen absent | |
| 6.3 | hla antigen present | 1.3;0 | MULTIPLE | 65.58 | Multiple for HLA antigen present | |
| 6.4 | hla antigen absent | 1.4;0 | MULTIPLE | 65.59 | Multiple for HLA antigen absent | |
| 6.5 | cmv antibody | 0;15 | SET OF CODES | 0:NEG 1:POS | A negative or positive result for the Cytomegalovirus antibody | |
| 9 | blood donor comments | 9;0 | WORD-PROCESSING | This field contains comments about the donor not found elsewhere. | ||
| 63 | laboratory reference | LR;1 | POINTER | 63 | This field is a pointer to the lab data stored in the lab data file (#63) | |
| 99 | permanent deferral reason | 99;0 | WORD-PROCESSING | Reason(s) why donor is permanently deferred |
Not Referenced