The Rhesus Immunization Surveillance (RIR)
Rhesus Immunisierungsregister
DRK-Blutspendedienst Baden-Württemberg 
Institut Ulm 
Rhesus-Labor 
Helmholtzstrasse 10 

D-89081 Ulm 

Germany
Report and Mailing Form
Please inquire, if in doubt about the inclusion and exclusion criteria:
Willy A. Flegel, PD Dr. med.: +49-731-150-600 or -601, waf@ucsd.edu
Lab: +49-731-150-610, FAX +49-731-150-602
RIR Online-Information:
http://www.uni-ulm.de/~wflegel/RH/RIR/
Required blood volumes: 10 ml whole blood (serum) and 10 ml EDTA-blood
in case of stored/frozen blood samples: please inquire about blood volume
 
Proband:
(Family and First name, or Initials, and Birthdate)
Residence:
(City, County or State)
Sex: O female O male
Time of immunization: O known O unknown
before 1 Jan 1997:
 O proven O possible O impossible
after 1 Jan 1997:
 O proven O possible O impossible
 
Exact history of transfusions and pregnancies: 
 
 
 
Criteria for inclusion (all items must apply):
 O yes   O no  Proband is Rhesus D-positive or it was not possible to exclude an antigen D or RHD-specific nucleotide sequences.
 O yes   O no  Proband carries an anti-D or it was not possible to exclude an anti-D.
 O yes   O no  Proband is properly identified by initials, birthday and residence (country). The exact and complete history for transfusions and pregnancies is provided.
Criteria for exclusion (no item may apply):
 O yes   O no  Proband is Rhesus-negativ (RhD neg.).
 O yes   O no  Proband with proven negative transfusion and pregnancy history.
 O yes   O no  Proband with known auto-anti-D-antibodies.
The sender accepts the conditions of The Rhesus Immunization Surveillance (RIR) of the German Society for Transfusion Medicine and Immunohematology (DGTI).
 
Date, Sender (Stamp, please provide name and telephone number of the person in charge)         26 Feb 1999