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Virology/Serology Form - Department of Health and Human Services (Texas) Mobile App

Laboratory technicians, healthcare professionals and government agencies will find this mobile app very handy in conducting, collecting, and recording virology/serology tests in real time. The app is useful in recording test data such as patient information, test results, and adding detailed notes. The information from this app will help identify infections with a variety of bacterial and viral pathogens of public health significance. The reports are used by state and local health officials in the diagnosis, treatment, surveillance, and control of communicable disease.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Virology/Serology Form - Department of Health and Human Services (Texas) Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Patient Name

  • Ico textbox

    MR #

  • Ico textbox

    SS#

  • Ico date

    DOB:

  • Ico textbox

    Race:

  • Ico textbox

    Sex:

  • Ico statictext

    All of the following information is REQUIRED

  • Ico date

    Collection Date

  • Ico time

    Time:

  • Ico textbox

    Specimen Source

  • Ico textbox

    Submitting Facility

  • Ico textbox

    Physician:

  • Ico textbox

    Ph:

  • Ico textbox

    CENTRIFUGE TIME (If Applicable)

  • Ico checkbox

    6000 RPR, QUALITATIVE/QUANTITATIVE

  • Ico checkbox

    6008 TP-PA

  • Ico checkbox

    0000TP-PA IF RPR Reactive

  • Ico multiline

    Notes

  • Ico statictext

    Hepatitis C Virus EIA

  • Ico checkbox

    6415 HCV

  • Ico statictext

    Hepatitis B Virus EIA

  • Ico checkbox

    6410 HBsAg

  • Ico checkbox

    6430 Anti-HBs

  • Ico checkbox

    6440 Anti-HBc

  • Ico checkbox

    6450 Anti-HBc IgM

  • Ico checkbox

    6460 HBeAg

  • Ico checkbox

    6470 Anti-HBe

  • Ico statictext

    Hepatitis A Virus EIA

  • ...and More!

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  • Creator: Team GoCanvas
  • Language: English
  • Country: United States of America
  • Type: Data Collections
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