DAT-B 2015 Direct Antiglobulin Test
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1 EVALUATION DAT-B 2015 Direct Antiglobulin Test INSTITUTION: ATTENTION: CAP NUMBER: Kit# 1 KIT INFORMATION: Kit ID: /12/ /16/2015 Next Mailing Date: 2/22/2016 COPIED TO: LAP CAP LEGEND: Exception Reason Codes appearing in this evaluation: <NONE> Reviewed By Date Page 1 of 2
2 DAT-B 2015 Direct Antiglobulin Test Test Method Specimen Your Result Intended Response Your Grade DAT Poly GEL TESTING DAT-04 POSITIVE POSITIVE /12/ /16/2015 DAT-05 POSITIVE POSITIVE DAT-06 DAT IgG GEL TESTING DAT-04 POSITIVE POSITIVE DAT-05 DAT-06 DAT C3d GEL TESTING DAT-04 DAT-05 POSITIVE POSITIVE DAT-06 Page 2 of 2
3 EVALUATION J-C 2015 Transfusion Medicine (Comp) INSTITUTION: ATTENTION: CAP NUMBER: Kit# 1 KIT INFORMATION: Kit ID: /31/ /1/2015 Next Mailing Date: 2/8/2016 COPIED TO: LAP CAP IMPORTANT NOTES: LEGEND: Exception Reason Codes appearing in this evaluation: [26] = Educational challenge. Reviewed By Date Page 1 of 6
4 J-C 2015 Transfusion Medicine (Comp) Test Method Specimen Your Result Intended Response Your Grade ABO Group J-15R GROUP O GROUP O /31/ /1/2015 J-16R GROUP A GROUP A J-17R GROUP AB GROUP AB J-18R GROUP A GROUP A J-19R GROUP O GROUP O Rh Type J-15R RH POSITIVE RH POSITIVE J-16R RH POSITIVE RH POSITIVE J-17R RH POSITIVE RH POSITIVE J-18R RH RH J-19R RH RH Antibody Detection J-15S ANTIBODY DETECTED ANTIBODY DETECTED J-16S ANTIBODY NOT DETECTED ANTIBODY NOT DETECTED J-17S ANTIBODY DETECTED ANTIBODY DETECTED J-18S ANTIBODY NOT DETECTED ANTIBODY NOT DETECTED J-19S ANTIBODY DETECTED ANTIBODY DETECTED Page 2 of 6
5 J-C 2015 Transfusion Medicine (Comp) Test Method Specimen Your Result Intended Response Your Grade Crossmatch Serology J-15S POSITIVE POSITIVE /31/ /1/2015 J-16S J-17S POSITIVE POSITIVE J-18S J-19S C Type J-20R [26] E Type J-20R [26] c Type J-20R POSITIVE [26] e Type J-20R POSITIVE [26] Other Antigens 1 J-20R Anti-K [26] Page 3 of 6
6 J-C 2015 Transfusion Medicine (Comp) /31/ /1/2015 CAP #: Regulated Analyte Test Event Score % Antibody Detection, Unexpected CAP Subspecialty : Unexpected Antibody Det Test Event Score % Test Event Score % J-A 5 / J-B J-C Current Event Cumulative CLIA Performance '88 Performance Interpretation Interpretation Unexpected Antibody Det Page 4 of 6
7 J-C 2015 Transfusion Medicine (Comp) /31/ /1/2015 ABO Group Rh (D) Type CAP #: Regulated Analyte Test Event Score % CAP Subspecialty : ABO Group/Rh Type Test Event Score % Test Event Score % J-A 5 / J-B J-C J-A 5 / J-B J-C Current Event Cumulative CLIA Performance '88 Performance Interpretation Interpretation ABO Group/Rh Type 10/ / / Page 5 of 6
8 J-C 2015 Transfusion Medicine (Comp) /31/ /1/2015 CAP #: Regulated Analyte Test Event Score % Compatibility Testing CAP Subspecialty : Compatibility Testing Test Event Score % Test Event Score % J-A 5 / J-B J-C Current Event Cumulative CLIA Performance '88 Performance Interpretation Interpretation Compatibility Testing Page 6 of 6
9 EVALUATION VM-C 2015 Viral Markers INSTITUTION: ATTENTION: CAP NUMBER: Kit# 1 KIT INFORMATION: Kit ID: /24/2015 9/22/2015 Next Mailing Date: 1/18/2016 COPIED TO: LAP CAP LEGEND: Exception Reason Codes appearing in this evaluation: [35] = Testing not performed on (or indicated for) this specimen type. Reviewed By Date Page 1 of 5
10 VM-C 2015 Viral Markers Test Method Specimen Your Result Intended Response Your Grade HBsAg ABT ARCHITECT i (INTL) VM /24/2015 9/22/2015 VM1-28 VM1-29 VM1-30 VM1-31 HBsAg Neut ABT ARCHITECT i (INTL) VM1-27 CONFIRMED POSITIVE CONFIRMED POSITIVE VM1-28 CONFIRMED POSITIVE CONFIRMED POSITIVE VM1-29 TESTING NOT INDICATED [35] VM1-30 CONFIRMED POSITIVE CONFIRMED POSITIVE VM1-31 TESTING NOT INDICATED [35] Page 2 of 5
11 VM-C 2015 Viral Markers Test Method Specimen Your Result Intended Response Your Grade Anti-HBs ABT ARCHITECT i (INTL) VM /24/2015 9/22/2015 VM1-28 VM1-29 VM1-30 VM1-31 Anti-HBc Total (IgM an ABT ARCHITECT i (INTL) VM1-27 VM1-28 VM1-29 VM1-30 VM1-31 Page 3 of 5
12 VM-C 2015 Viral Markers Test Method Specimen Your Result Intended Response Your Grade Anti-HIV 1/2 ABT ARCHITECT i (INTL) VM /24/2015 9/22/2015 VM1-28 VM1-29 VM1-30 VM1-31 Anti-HCV ABT ARCHITECT i (INTL) VM1-27 VM1-28 VM1-29 VM1-30 VM1-31 Page 4 of 5
13 VM-C 2015 Viral Markers /24/2015 9/22/2015 CAP #: Regulated Analyte Test Event Score % CAP Subspecialty : General Immunology Test Event Score % Test Event Score % Current Event Cumulative CLIA Performance '88 Performance Interpretation Interpretation Alpha-1-Antitrypsin S-A <4> Alpha-Fetoprotein K-A 5 / K-B <4> Antinuclear Antibody S-A <4> Antistreptolysin O S-A <4> Anti-HIV VM-A 5 / VM-B VM-C Complement C3 S-A <4> Complement C4 S-A <4> Hepatitis (HBsAg) Hepatitis (Anti-HBc) VM-A 5 / VM-B VM-C VM-A 5 / VM-B VM-C IgA S-A <4> IgG S-A <4> IgE S-A <4> IgM S-A <4> Rheumatoid Factor S-A <4> Rubella S-A <4> General Immunology 77 20/ <4> Scorecard performance pending future evaluation or may not be applicable due to discontinued testing or use of a waived method. Page 5 of 5
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