RhD Variant, Weak D Types 1,2,3 (Sendout)

General Information

Lab Name
RhD Variant, Weak D types 1,2,3
Lab Code
RRDVWD
Epic Name
RhD Variant, Weak D Types 1,2,3 (Sendout)
External Test Id
3117-09
Description

Test Information: This test is useful for RhD typing issues that are probable weak D. For example, a pregnant woman who was serologically typed as RhD positive during first pregnancy and is currently typing as RhD negative.

Test Coverage: Weak D types 1, 2, & 3 only (no RHCE or other RHD variants).

Ordering Requirements:

References
Synonyms
3117-09, RBC Genotype, RBC Genotyping, Red Blood Cell Genotyping, Rh Genotyping
Components

Interpretation

Method

Polymerase Chain Reaction (PCR) Based

Reference Range
See individual components
Ref. Range Notes

See report.

Interferences and Limitations

Molecular testing to predict the red blood cell phenotype does not always reflect the phenotypic expression of the blood group antigen. This may occur in cases where the individual has genetic variation that silences or alters the blood group antigen expression that is not included in the target region of the test, and also may occur with RhD zygosity testing. Test results must be interpreted with knowledge of how known polymorphisms affect blood group antigen expression.

Ordering & Collection

Specimen Type
Whole Blood
Collection

Whole Blood: 10 mL whole blood in LAVENDER TOP (EDTA) tube

  • Note: For very difficult draws, contact the Genomics Testing Lab at Bloodworks NW at (206) 689-6269 for approval of microtainers.

Labeling Requirements:

  • The sample label and requisition must contain two matching identifiers, one being the full name, and the second a numeric identifier like hospital ID/MRN.
  • A matching draw date must be included on the specimen label and the requisition form.

Samples sent on Fridays must be received at Bloodworks Northwest Genomics Lab by 1 p.m.

Forms & Requisitions
Handling Instructions

Outside Laboratories:

  • Store and transport whole blood or cultured amniocytes at ambient temperature.
  • Expedite transport; samples must be received by Bloodworks NW within 48 hours of collection and before 1 p.m. on Fridays. Allow for one day of transport from UW-MT to Bloodworks Northwest.
  • Submit a completed Bloodworks Northwest Genomics Testing Laboratory Requisition along with the DLMP Requisition.* Leave the billing section blank to be completed by Sendouts staff.
    • *Use client-specific requisition when available. To obtain a client-specific requisition, contact Client Support Services via email at: commserv@uw.edu.

Stability: Ambient: 48 hours.

Quantity
Requested: 10 mL EDTA whole blood
Minimum: 5 mL EDTA whole blood

Processing

Receiving Instructions

Store and transport whole blood at ambient temperature.

  • If the sample is collected on a Friday, notify Sendouts immediately upon sample receipt to ensure delivery to Bloodworks NW by the 1 p.m. cutoff.

Sendouts:

  • Order Bloodworks NW Test: 3117-09.
  • A completed Bloodworks Northwest Genomics Testing Laboratory Requisition must accompany all orders.
    • The sample label and requisition must contain two matching identifiers, one being the full name, and the second a numeric identifier like hospital ID/MRN.
    • A matching draw date must be included on the specimen label and the requisition form.
  • Affix CAST "Billing" and "Results To" labels to the outgoing requisition.
  • Package sample(s) with the associated requisition in a biohazard bag (one patient per bag). Orders received with multiple patient samples/requisitions in the same biozard bag will be rejected by Bloodworks NW.
  • Send orders as received with the UW DLMP or Delivery Express courier.
  • Samples may be sent Monday through Friday only. If sent on a Friday, samples must be in lab by 1 p.m.
  • Ambient whole blood samples must arrive at Bloodworks within 48 hours of collection.*

Stability: Ambient: 48 hours.

*Contact the Bloodworks NW Genomics Lab at (206) 689-6269 for sample acceptability questions prior to cancelling orders outside of the stated stability window.

Misc Sendout

Performance

Lab Department
Transfusion Support(TS)
Frequency
Analytic time: 3 days
Available STAT?
No
Performing Location(s)
Sendout Bloodworks Northwest Platelet Immunology/Genomics Laboratory (Central HPG)

921 Terry Ave
6th Floor - SDL
Seattle, WA 98104

Genomics Testing Laboratory (for RBC genotyping): (206) 689-6269

Platelet Immunology Laboratory: (206) 689-6543

Laboratory staffed for questions Monday through Friday, 08:00 am to 04:30 pm.

Billing & Coding

CPT Codes
81403
LOINC
18717-9