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    Testing - Lab - Name Testing - Lab - Specimen - ID Patient - ID Patient - Last - Name Patient - First - Name

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    MOHAMED
    The document contains instructions and field names for a COVID-19 test reporting spreadsheet. It includes patient identifying information, ordering provider details, test details, results, and other lab and specimen information. Required fields are marked in yellow and conditionally required fields are marked in light green.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Testing - Lab - Name Testing - Lab - Specimen - ID Patient - ID Patient - Last - Name Patient - First - Name

    Uploaded by

    MOHAMED
    13 views15 pages
    The document contains instructions and field names for a COVID-19 test reporting spreadsheet. It includes patient identifying information, ordering provider details, test details, results, and other lab and specimen information. Required fields are marked in yellow and conditionally required fields are marked in light green.

    Original Title

    labantigengen

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    © © All Rights Reserved

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    The document contains instructions and field names for a COVID-19 test reporting spreadsheet. It includes patient identifying information, ordering provider details, test details, results, and other lab and specimen information. Required fields are marked in yellow and conditionally required fields are marked in light green.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    13 views15 pages

    Testing - Lab - Name Testing - Lab - Specimen - ID Patient - ID Patient - Last - Name Patient - First - Name

    Uploaded by

    MOHAMED
    The document contains instructions and field names for a COVID-19 test reporting spreadsheet. It includes patient identifying information, ordering provider details, test details, results, and other lab and specimen information. Required fields are marked in yellow and conditionally required fields are marked in light green.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 15

    Testing_lab_name Testing_lab_specimen_ID Patient_ID Patient_last_name Patient_first_name

    Patient_middle_name Patient_race Patient_DOB Patient_gender Patient_ethnicity


    Patient_language Patient_street1 Patient_street2 Patient_city Patient_county
    Patient_state Patient_zip_code Patient_home_phone Patient_cell_phone
    Ordering_provider_name Ordering_provider_street Ordering_provider_city
    Ordering_provider_state Ordering_provider_zip_code Ordering_provider_phone
    Ordering_facility_name Order_test_date Test_performed_description Test_performed_code
    Test_result_coded Test_result_description Test_result_number Test_date
    Date_result_released Specimen_collection_date Specimen_received_date
    Specimen_type_description Specimen_type_code Comments First_test
    Employed_in_healthcare Symptomatic_for_disease Illness_onset_date Hospitalized
    ICU Resident_congregate_setting Pregnant Patient_died Patient_death_date
    Test_kit_EUA_ID Test_kit_model_name Test_kit_model_ID Instrument_model_name
    Instrument_model_ID Test_kit_instance_ID Instrument_instance_ID
    General MDH COVID-19 Test Reporting Spreadsheet
    Instructions
    R = Required. R field names are marked in yellow.
    □ Must always be populated.
    RE = Required if data exists. RE field names are marked in pale blue.
    □ If the data is available, it must be sent.
    □ If the data is unavailable or doe not apply, the field can be left blank.

    C(R/X) = Conditional. C(R/X) field names are marked in light green.


    □ Depending on the test result description (e.g., positive/detected, negative/undetected, invalid) you will enter t
    the test used.

    Any field with white letters on a black background can be left blank. (Do not delete the column.)

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