COVID-19 Rapid Antigen Test Kits

For use by the Pharmacist

Patients GP/Surgery

Consultation condition: COVID-19 Testing service
Consultation date:

Patient information

Patient name:
Patient address:
Patient D.O.B:
NHS Number:

Pharmacy information

Pharmacy name:
Pharmacy address:
Pharmacist name:
Pharmacist GPhC:
Comments:

Product:

Sugentech SGTi-flex COVID-19 Ag is a rapid, lateral flow antigen test

Directions:

Item to be given by the pharmacist who confirmed the consultation on the same day the patient has confirmed consent.
For further instructions please visit: https://youtu.be/ix46NpySpPQ

Please CIRCLE the appropriate answer

  1. Are you looking for:

    • A. COVID-19 lateral flow rapid antigen test - results in 20 minutes which will indicate if you are positive or negative for COVID-19.
    • B. COVID-19 Antibody test - results in 15 minutes will tell you if you have had covid-19 in the past.
    • C. COVID-19 PCR test, this involves the sample being analysed by a laboratory - results typical in 48-72 hours.

  2. Can you confirm the reason you require an antigen test?

    • To obtain a Fit to Fly certificate for travelling
    • Rule out infection to see family/friends

  3. Have you experienced any COVID-19 symptoms?

    • Yes
    • No

  4. Have you had contact with anyone who has experienced any COVID-19 symptoms?

    • Yes
    • No

  5. Have you had contact with anyone who has had a confirmed positive result for Coronavirus using a throat/nose swab antigen test?

    • Yes
    • No

  6. Have you had contact with anyone who has had a confirmed positive result for Coronavirus using an antibody test?

    • Yes
    • No
  1. I understand that this screening service is free but I will have to pay for the testing service at my chosen pharmacy if I choose to proceed.

Tick to confirm

  1. I understand that if my antigen test is positive that I must isolate and I consent to my result being reported and my details being passed on to the official UK track and trace service.

Tick to confirm

  1. If I complete a PCR test with lab analysis for the purposes of travelling I understand and accept the risk that the result may not be produced in time for my departure.

Tick to confirm

  1. If I complete a PCR test with lab analysis, I consent to all data I provide to be stored on the chosen pharmacy’s system and to be shared with the company that analyses the test sample.

  2. I consent for my anonymised test data to be shared with official public health bodies for the purposes of disease surveillance.

  3. Do you want to be contacted by your pharmacy for a Coronavirus vaccination if a vaccine becomes available?

  • Yes
  • No

2021

Q1

  • ATMPS Digital workflow system
  • Auto-fill screening criteria - API based
  • Sample/treatment issues notifications
  • Go Live of Scheduling System
  • Automate patient onboarding
  • UX design - Doctors and Nurses App

Q2

  • Digitise Consent Form and Signature
  • Cloud and Blockchain Strategy Review
  • Hataali platform onboarding to AWS, Azure and GCP
  • ATMPS Data Dictionary and Standards
  • MES - PAS-X integration
  • Labeling Module - Utilise ISBT standards

Q3

  • Develop blockchain interoperability
  • Stress, Performance Test of Interoperability Interfaces
  • Biometrics-based login & SSO
  • Add LIMS System Module
  • Bulk Data Extract API for EHR data
  • Automated payment module
  • Develop AI Services & Data Analytics Strategy
  • Automated Regulatory Reports
  • Add Second Blockchain Platform
  • Strategy for Regulators Dashboard and Data Access

Q1 - 2022

  • Satellite office remote infrastructure
  • ML model based alerts to patients scheduling
  • Add Arabic language

Q2 - 2022

  • Flexible integration with API instructions
  • Automated Payment integrations
  • Add Integration partners (Siemens, Emerson)
  • Offer AR Navigation
  • AI Testing
  • Add Chinese language
  • WCAG standards (color blindness)
  • Digital Dashboards (MHRA, FDA)
  • Add Japanese language

2023

2020

  • Production Infrastructure Readiness
  • Launch Pilot Client Implementations
  • Multi-Cloud strategy discussion
  • Annual Operations Plan

Q1

  • AMTPS Digital workflow system
  • Initiate "what-three-words" to identify location
  • Auto-filling of screening criteria - API based
  • Alerts to indicate sample/treatment issues
  • Bug fixes, finalisation of Scheduling System
  • Add second Blockchain Platform
  • Bulk Data Extract API for EHR data
  • Automate patient onboarding
  • UX for doctors and nurses design Apps

Q2

  • Cloud and Blockchain Strategy Review
  • Hataali platform onboarding to AWS, Azure and GCP
  • ATMPS Data Standards
  • Design blockchain interoperability
  • Design and Develop AI Services & Data Analytics
  • Labeling Component - ISBT standards
  • Interoperability Development kickoff

Q3

  • Digitise consent form and signature
  • Develop blockchain interoperability
  • Stress, Performance Test of Interoperability Interfaces
  • Biometrics-based login & SSO
  • PAS-X integration
  • Bulk Data Extract API for EHR data
  • Achieve cloud exit strategy
  • ATMPS Blockchain Canvas
  • ATMPS Node via Drag and Drop

ATMPS Roadmap

Q1

  • Omni-channel Strategy (Doctor-Nurse centric)
  • ATMPS synthetic ecosystems (simulation)
  • ML model based alerts to patients scheduling
  • Flexible integration with API instructions
  • Automated Payment integrations

Q2

  • Publish native app for doctors, nurses, logistics, developers

Q3

  • Augmented Reality based walkthru to treatment center
  • Virtual Assistant for Patient
  • Annual Operations Plan

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