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    Lab Result Reporting Template

    Uploaded by

    Abdul Malik
    This document contains patient and test result information from ABC Long Term Care Lab. It shows that a patient named John Doe tested positive for SARS-CoV-2 using the Abbott BinaxNOW Card test on April 1, 2020. The specimen was collected from an anterior nares swab. Additional details provided include the patient's demographic information, ordering facility, and that the patient was symptomatic for the disease with an illness onset date of March 30, 2020. The test was performed at a consumer staffed K-12 public school.

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    Lab Result Reporting Template

    Uploaded by

    Abdul Malik
    16 views12 pages
    This document contains patient and test result information from ABC Long Term Care Lab. It shows that a patient named John Doe tested positive for SARS-CoV-2 using the Abbott BinaxNOW Card test on April 1, 2020. The specimen was collected from an anterior nares swab. Additional details provided include the patient's demographic information, ordering facility, and that the patient was symptomatic for the disease with an illness onset date of March 30, 2020. The test was performed at a consumer staffed K-12 public school.

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    lab-result-reporting-template.xlsx

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    This document contains patient and test result information from ABC Long Term Care Lab. It shows that a patient named John Doe tested positive for SARS-CoV-2 using the Abbott BinaxNOW Card test on April 1, 2020. The specimen was collected from an anterior nares swab. Additional details provided include the patient's demographic information, ordering facility, and that the patient was symptomatic for the disease with an illness onset date of March 30, 2020. The test was performed at a consumer staffed K-12 public school.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    16 views12 pages

    Lab Result Reporting Template

    Uploaded by

    Abdul Malik
    This document contains patient and test result information from ABC Long Term Care Lab. It shows that a patient named John Doe tested positive for SARS-CoV-2 using the Abbott BinaxNOW Card test on April 1, 2020. The specimen was collected from an anterior nares swab. Additional details provided include the patient's demographic information, ordering facility, and that the patient was symptomatic for the disease with an illness onset date of March 30, 2020. The test was performed at a consumer staffed K-12 public school.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 12

    Lab Patient_Last_Name Patient_First_Name Patient_DOB

    ABC Long Term Care Doe John R 01/06/1999


    Patient_Gender Patient_Address_1 Patient_Address_2 Patient_City Patient_State
    M 123 HOME STREET APT 2 JEFFERSON CITY MO
    Patient_Zip Patient_Area_Code Patient_Phone Ordering_Facility
    65102 573 5555555 SAMPLE HOSPITAL
    Ordering_Facility_Address_1 Ordering_Facility_Address_2 Ordering_Facility_City
    123 STREET SUITE 200 JEFFERSON CITY
    Ordering_Facility_State Ordering_Facility_Zip Ordering_Facility_Area_Code
    MO 65109 573
    Ordering_Facility_Phone Ordering_Provider_LName Ordering_Provider_Fname Accession_Number
    1234567 GOODDOC BRYAN XYZ1234567
    Specimen_Collection_Date Specimen_Source Test_Date
    04/01/2020 13:06 AN 04/01/2020 15:06
    Test_Performed Result Race
    SARS-CoV-2 Ag Abbott BinaxNOW Card Positive W
    Ethnicity Symptomatic_for_disease Illness_onset_date Consumer_Staff
    N Yes 03/30/2020 Consumer
    Reporting_Facility_Type
    K-12 Public School
    Test_Performed
    SARS-CoV-2 Ag BD Veritor System
    SARS-CoV-2 Ag Abbott BinaxNOW Card
    SARS-CoV+SARS-CoV-2 Ag Quidel – Sofia SARS Rapid Machine
    SARS-CoV-2 IgG qualitative
    SARS-CoV-2 result
    SARS-CoV-2 RdRp gene result
    SARS-CoV-2 IgM qualitative
    SARS-CoV-2 Total Ab qualitative
    SARS-CoV-2 N gene result
    SARS-CoV-2 ORF1ab region result
    SARS-CoV-2 overall result
    SARS-CoV-2 Ab qualitative
    GeneXpert SARS-related coronavirus RNA
    CareStart COVID-19 Antigen test
    SARS-CoV+SARS-CoV-2 Ag
    SARS-CoV-2 ORF1ab region result
    LAMP
    Visby Medical COVID-19

    Symptomatic_for_disease
    Yes
    No
    Unknown

    Reporting_Facility_Type
    DMH Developmental Disabilities (DD) Community Residential Setting
    DMH Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID)
    DMH DD Community State Operated Community Residential Setting
    DMH Recovery Support Provider (non-housing)
    DMH Recovery Support Provider (housing)
    DMH Behavioral Health Treatment Provider (outpatient setting)
    DMH Behavioral Health Treatment Provider (residential/detox/inpatient setting)
    Skilled Nursing Facility
    Assisted Living Facility
    Residential Care Facility
    Intermediate Care Facility
    Department of Corrections Facility
    County or City Jail
    Higher Education Institution
    K-12 Public School
    K-12 Private School
    Child Care
    Adult day Care
    Residential Summer Camp
    Clinic
    Federally Qualified Health Center
    Hospital
    Laboratory
    Health Department
    State Agency
    MVC
    Physician (not affiliated with entity type above)
    Physician Assistant (not affiliated with entity type above)
    Nurse (not affiliated with entity type above)
    Other

    Consumer_Staff
    Consumer
    Staff

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