TTI 1 RESULT ENTRY – Specimen Analyte Cut-off (CO) SAMPLE OD Sample Result # OD/CO Positive/Negative S1 HIV S2 HIV S3 HIV S4 HIV S1 HBsAg S2 S3 HBsAg S4 HBsAg S1 HCV-Ab S2 HCV-Ab S3 HCV-Ab S4 HCV-Ab Comment: _______________________________________________________________________________ Signature of Reporting Person: ____________________: Name: ____________________________________ Date of Receipt of D D M M Y Y Date of Processing D D M M Y Y Sample For all communications please use your laboratory identification number, EQAS survey number and specimen number
TTI – 1 RESULT ENTRY Specimen # Analyte Cut-off (CO) SAMPLE OD Sample OD/CO Result Positive/Negative S1 HIV S2 HIV S3 HIV S4 HIV S1 HBsAg S2 S3 HBsAg S4 HBsAg S1 HCV-Ab S2 HCV-Ab S3 HCV-Ab S4 HCV-Ab Comment: _______________________________________________________________________________ Signature of Reporting Person: ____________________: Name: ____________________________________ Date of Receipt of Sample D D M M Y Y Date of Processing D D M M Y Y For all communications please use your laboratory identification number, EQAS survey number and specimen number
CMCEQAS_Trans_Result%20Entry%20Form_TTI_2018.docx