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Alcohol: Blood Urine Analysis Report

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Alcohol: Blood Urine Analysis Report

Blood Urine Analysis Report

Can be partially completed in squad, then printed and hand completed. This report is owned by the State Lab of Hygiene and is transmitted to them. To complete this report

  • Fill it out

  • Validate

  • Print and put the printed copy with the sample to be sent.

  • Transmit so The State Lab of Hygiene will not need to hand enter the data and can use the barcode at the top of the report to pull up the transmitted record.

In Fall 2024/March 2025 the report is being modified to allow section E. Specimen Collection to be entered on the form.

Section E should be entered after collection of sample, and should be all or none. This information can be entered after printing blank information so it can be sent via xml transmission to the State Lab of Hygiene

  • Collection Date

  • Collection Time

  • Specimen Collected by

  • Name of Person Collecting Specimen

  • Was specimen collected AFTER medical treatment (EMT care, surgery, etc...)?

    • Field needs to be blank unless other collection fields are entered.

    • Hit the clear button to remove values.

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Differences

Differences

All fields Empty

image-20250219-173434.png

 

 

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email badgertracs@dot.wi.gov or call 608-267-2096