The increasing pace of development in molecular biological techniques durin
g the last 10-15 years has had a direct effect on mass testing and diagnost
ic applications, including blood screening. Nucleic acid amplification tech
niques (NAT), usually based on the polymerase chain reaction (PCR), have be
en successfully applied to blood grouping and implemented recently in scree
ning of blood donations for hepatitis C virus (HCV). The majority of microa
rray technologies involve an amplification step, yet the main benefits of t
his technology come from simultaneous analysis of thousands of analytes. Mi
croarrays were developed to utilize the huge amount of information provided
by genome projects, but they have clear potential in mass screening and di
agnostics. The application of microarray technology may revolutionize blood
testing, providing for the first time the prospect of an integrated platfo
rm for comprehensive donor and donation testing, replacing multiple individ
ual assays. Design features of a blood-testing chip and various technologie
s with potential application in this field are discussed in this review.