New Jersey Request for Immunological Isolation Services-Viral Testing Unit

Form Template

For infectious disease control, pathogens must be isolated and classified through lab testing.

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Specimen samples are sent to labs to detect virus and bacteria strains. The New Jersey Request for Immunological Isolation Services-Viral Testing Unit app is a form for requesting lab testing of specimen samples in an infectious disease case. The submitter will record patient information, symptom onset date, and clinical information. The submitter will identify specimen type from a list of choices including serum, plasma, swab, stool, biopsy, and lesions. The submitter can check the test requested from a list including specific viral serology screens or viral isolation tests. The app includes thorough instructions for each test in terms of processing, labeling, and submitting specimens, particularly considering the risk of submitting potentially infectious disease agents.

Features
  • Conditional Fields
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
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Integrations
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