NVSL-201 Form SARS COVID-2 Testing Data from Testing Laboratories |
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Instructions (please refer to current reporting guidance for reporting timeline and contact specifics): |
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> Please only provide NEW testing data. Do not append previously reported results |
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> Premises information is for the COLLECTION SITE where animal was located at the time the sample was collected |
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> Use 2 letter abbreviation when entering the state |
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>Clinical signs - if more than one clincal sign is entered, separate each with a comma |
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>Specimen Other - Enter data only if the specimen type tested is not available in the dropdown in column H "Specimen" |
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>Species Other - Enter data only if the species type tested is not available in the dropdown in column D "Species" |
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Requested information in green highlighted columns. All other columns are optional. |
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Date Format |
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MM/DD/YYYY |
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Testing Lab Name |
Test Purpose/Program OID Label |
Lab Accession number |
Referred to NVSL (yes/no) must complete column C |
Species |
Species Other |
BARCODE or Specimen ID |
Animal ID |
SPECIMEN |
SPECIMEN Other |
SUBMISSION REASON |
Clinical Signs |
DATE COLLECTED |
Date Specimen Received |
DATE TESTED |
Test Type |
PCR CT Value |
TEST RESULT INTERPRETATION |
PREMISES STATE |
Submitter Last Name |
Submitter First Name |
Submitter Phone |
Owner State (optional) |
Owner Name (optional) |
Comments |
Lists of Values for selected fields on the Template Spreadsheet |
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Description - Short Name |
LOINC Code |
Long name |
Test Type |
SARS-CoV-2 N gene |
94510-5 |
SARS coronavirus 2 N gene [Cycle Threshold #] in Unspecified specimen by NAA with probe detection |
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SARS coronavirus 2 S gene |
94643-4 |
SARS coronavirus 2 S gene [Cycle Threshold #] in Unspecified specimen by NAA with probe detection |
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SARS coronavirus 2 N gene (N1) |
94311-8 |
SARS coronavirus 2 N gene [Cycle Threshold #] in Unspecified specimen by Nucleic acid amplification using CDC primer-probe set N1 |
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SARS coronavirus 2 N gene (N2) |
94312-6 |
SARS coronavirus 2 N gene [Cycle Threshold #] in Unspecified specimen by Nucleic acid amplification using CDC primer-probe set N2 |
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PCR interpretation |
Description |
Local Code |
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Detected |
DET |
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Not Detected |
NDET |
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Indeterminate |
IND |
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Specimen Type |
Description |
SNOMED Code |
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Oral swab (specimen) |
418932006 |
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Nasal Swab |
421000009108 |
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Rectal swab (specimen) |
258528007 |
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Fecal swab (specimen) |
32281000009109 |
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Oropharyngeal swab (specimen) |
661000009100 |
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Nasopharyngeal swab (specimen) |
258500001 |
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Serum specimen (specimen) |
119364003 |
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Specimen Other |
Specimen of unknown material (specimen) |
119324002 |
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If specimen type is not included in list above enter here |
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Clinical Signs |
Examples |
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Coughing, Fever, Lethargy |
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Anorexia, Depression |
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Recumbency |
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lab names list of values |
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Surveillance Stream |
COVID-19 Companion |
2.16.840.1.113883.3.5.8.18.2.1 |
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COVID-19 Zoo/Wildlife/non-human primates |
2.16.840.1.113883.3.5.8.18.2.2 |
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COVID-19 Livestock and Poultry |
2.16.840.1.113883.3.5.8.18.2.3 |
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Submission Reason |
G |
General Diagnostics |
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H |
Health Monitoring |
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P |
Public Health Investigation |
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Species |
Text label |
SNOMED Code |
Common name |
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Canis lupus subspecies familiaris (organism) |
448771007 |
Canine – Dog |
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Felis catus (organism) |
448169003 |
Feline - Cat |
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Mustela putorius subspecies furo (organism) |
449310008 |
Ferret |
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Sus scrofa |
78678003 |
Porcine – Pig |
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Bos Taurus |
34618005 |
Bovine – Cow |