O− donor → A+ recipient
- Red blood cells (ABO/RhD)
- Compatible in this model
- Plasma (ABO only)
- Not compatible in this model
O red cells have no A or B antigens, but O plasma contains anti-A antibodies that can react with an A recipient's red cells.
Who can donate blood to whom?
Compare donors and recipients for all eight blood types. Use the interactive chart, read the quick-reference table, or check one donor-to-recipient pair.
| Recipient | ||||||||
|---|---|---|---|---|---|---|---|---|
| Donor | O− | O+ | A− | A+ | B− | B+ | AB− | AB+ |
| O negative donor to O negative recipient: compatible | O negative donor to O positive recipient: compatible | O negative donor to A negative recipient: compatible | O negative donor to A positive recipient: compatible | O negative donor to B negative recipient: compatible | O negative donor to B positive recipient: compatible | O negative donor to AB negative recipient: compatible | O negative donor to AB positive recipient: compatible | |
| O positive donor to O negative recipient: not compatible | O positive donor to O positive recipient: compatible | O positive donor to A negative recipient: not compatible | O positive donor to A positive recipient: compatible | O positive donor to B negative recipient: not compatible | O positive donor to B positive recipient: compatible | O positive donor to AB negative recipient: not compatible | O positive donor to AB positive recipient: compatible | |
| A negative donor to O negative recipient: not compatible | A negative donor to O positive recipient: not compatible | A negative donor to A negative recipient: compatible | A negative donor to A positive recipient: compatible | A negative donor to B negative recipient: not compatible | A negative donor to B positive recipient: not compatible | A negative donor to AB negative recipient: compatible | A negative donor to AB positive recipient: compatible | |
| A positive donor to O negative recipient: not compatible | A positive donor to O positive recipient: not compatible | A positive donor to A negative recipient: not compatible | A positive donor to A positive recipient: compatible | A positive donor to B negative recipient: not compatible | A positive donor to B positive recipient: not compatible | A positive donor to AB negative recipient: not compatible | A positive donor to AB positive recipient: compatible | |
| B negative donor to O negative recipient: not compatible | B negative donor to O positive recipient: not compatible | B negative donor to A negative recipient: not compatible | B negative donor to A positive recipient: not compatible | B negative donor to B negative recipient: compatible | B negative donor to B positive recipient: compatible | B negative donor to AB negative recipient: compatible | B negative donor to AB positive recipient: compatible | |
| B positive donor to O negative recipient: not compatible | B positive donor to O positive recipient: not compatible | B positive donor to A negative recipient: not compatible | B positive donor to A positive recipient: not compatible | B positive donor to B negative recipient: not compatible | B positive donor to B positive recipient: compatible | B positive donor to AB negative recipient: not compatible | B positive donor to AB positive recipient: compatible | |
| AB negative donor to O negative recipient: not compatible | AB negative donor to O positive recipient: not compatible | AB negative donor to A negative recipient: not compatible | AB negative donor to A positive recipient: not compatible | AB negative donor to B negative recipient: not compatible | AB negative donor to B positive recipient: not compatible | AB negative donor to AB negative recipient: compatible | AB negative donor to AB positive recipient: compatible | |
| AB positive donor to O negative recipient: not compatible | AB positive donor to O positive recipient: not compatible | AB positive donor to A negative recipient: not compatible | AB positive donor to A positive recipient: not compatible | AB positive donor to B negative recipient: not compatible | AB positive donor to B positive recipient: not compatible | AB positive donor to AB negative recipient: not compatible | AB positive donor to AB positive recipient: compatible | |
Transfusion decisions require compatibility testing by qualified medical professionals.
O negative is the universal red cell donor.
Find your type in the first column. Read across for compatible red cell donors and recipients under the standard ABO/RhD model. Plasma follows different rules.
| Your blood type | Can receive red cells from | Can donate red cells to |
|---|---|---|
| O− blood type | O− | O−, O+, A−, A+, B−, B+, AB−, AB+ |
| O+ blood type | O−, O+ | O+, A+, B+, AB+ |
| A− blood type | O−, A− | A−, A+, AB−, AB+ |
| A+ blood type | O−, O+, A−, A+ | A+, AB+ |
| B− blood type | O−, B− | B−, B+, AB−, AB+ |
| B+ blood type | O−, O+, B−, B+ | B+, AB+ |
| AB− blood type | O−, A−, B−, AB− | AB−, AB+ |
| AB+ blood type | O−, O+, A−, A+, B−, B+, AB−, AB+ | AB+ |
This is an educational chart. Blood-bank testing and crossmatching are still required for transfusion decisions.
Read each pair as donor → recipient. Changing the blood component or reversing the pair can change the answer. These examples use the same standard ABO/RhD rules as the calculator.
O red cells have no A or B antigens, but O plasma contains anti-A antibodies that can react with an A recipient's red cells.
Reversing the donor and recipient reverses the ABO result: A red cells carry the A antigen, while A plasma is ABO-compatible with an O recipient.
Even with the same ABO group, RhD changes the red-cell result. The plasma comparison uses ABO group only and does not use the positive or negative sign.
Compatibility in a simplified chart does not establish donation eligibility or the suitability of a blood unit. A transfusion service must assess the patient and product. Read the plasma explanation or see the UTMB blood component chart (opens in a new tab).
Personalized comparison
The compatibility calculator checks a single donor-to-recipient pair for red cells or plasma and explains the ABO and RhD reasoning.
Red blood cells display antigens: A, B, both, or neither, plus the RhD antigen if Rh-positive. Plasma contains antibodies against the ABO antigens a person does not have. If donor red cells carry an antigen the recipient has antibodies against, the recipient's immune system attacks the transfused cells.
For red cells, a donor is compatible when they introduce no new ABO antigen and, if the recipient is Rh-negative, no RhD antigen. For plasma, the logic flips: the donor's plasma must not contain antibodies against the recipient's red cells, so AB plasma (no anti-A or anti-B) is the universal plasma donor and type O is the universal plasma recipient.
Information on this page is paraphrased from the following authoritative sources.