| 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 |