" * " indikerer obligatoriske felt Produkt *Acceava® H. pyloriAcceava® Mono-kassettAcceava® Mono II-testAcceava® Strep A peilepinneActim® 1ngeniAESKULISA® ASCA-AAESKULISA® ASCA-GAESKULISA® GLIA-AAESKULISA® GLIA-GAESKULISA® ß2 Glyco-AAESKULISA® ß2-GLYKO-SJEKKAESKULISA® ß2-GLYCO-GMAESKULISA® tTg-AAESKULISA® tTg-GAgility® ELISA automatiseringssystemAlere Actim® PartusAlere Actim® PROMAlere Afinion™ ACRAlere Afinion™ AS100 analysatorAlere Afinion™ CRPAlere Afinion™ HbA1cAlere Afinion™ Lipid PanelAlere Afinion™-testerAlere BinaxNOW® Influensa A&B-kortAlere BinaxNOW® Legionella Urinary Antigen CardAlere BinaxNOW® RSV-kortAlere BinaxNOW® Staphylococcus aureus-testAlere BinaxNOW® Streptococcus pneumoniae antigenkortAlere Cholestech LDX® AnalyzerAlere Cholestech LDX® Lipid Profile CassettesAlere Cholestech LDX® Lipid Profile•GLU-kassettAlere Cholestech LDX® TC-kassetterAlere Cholestech LDX® TC•GLU-kassetterAlere Cholestech LDX® TC•HDL-kassetterAlere Cholestech LDX® TC•HDL•GLU-kassetterAlere kolesteroltesterAlere DDS®2 mobilt rettsmedisinsk testsystemAlere DDS®2 mobilt testsystemAlere Determine™ HBsAgAlere Determine™ HIV-1/2Alere Determine™ HIV-1/2 Ag/Ab ComboAlere Determine™ SyfilisAlere Determine™ TB LAM AgAlere HemoPoint® H2-målerAlere HemoPoint® H2 mikrokyvetterAlere iCassette® Drug ScreenAlere iCup® Drug ScreenAlere INRatio® 2 PT/INR overvåkingssystem teststrimlerAlere INRatio® 2 PT/INR overvåkingssystemerAlere iScreen Dx®Alere iScreen® Dip-kortAlere iScreen® OFD-testAlere Microlife®Alere NMP22® BladderChek®Alere NMP22®-testAlere NMP22® urinsamlingssettAlere Pima™ analysatorAlere Pima™ analysatorveskeAlere Pima™ CD4-kassettAlere Pima™-skriverAlere SD BIOLINE Onchocerciasis IgG4 hurtigtestAlere Triage® BNP-testAlere Triage® BNP-test for Beckman Coulter® immunoassaysystemerAlere Triage® hjertepanelAlere Triage® Cardio2-panelAlere Triage® Cardio3-panelAlere Triage® D-Dimer-testAlere Triage® MeterProAlere Triage® Micro Parasite PanelAlere Triage® NT-proBNPAlere Triage® PLGF-testAlere Triage® ProfilER SOB™-panelAlere Triage®-systemtesterAlere Triage® TOX Drug ScreenAlere Triage® Troponin IAlere™ Easy hCG graviditetAlere™ DDS®2 mobilt testsystemAlere™ hCG-kassett (20 mIU/ml)Alere™ hCG-kassett (25 mIU/ml)Alere™ hCG Combo Cassette (20/10 mIU/ml)Alere™ hCG Combo Cassette (25 mIU/ml)Alere™ hCG peilepinneAlere™ hCG urinpeilepinneAlere™ HIV ComboAlere™ iAlere™ i influensa A & BAlere™ i Strep AAlere™ Influensa A & B-testAlere™ instrumentert testsystem med DxLINK™-teknologiAlere™ MobileLinkAlere™ PBP2a kulturkolonitestAlere™ PBP2a SAAlere™ q AnalyzerAlere™ q HIV-1/2 DetectAlere™ SD BIOLINE HIV/Syphilis DuoAlere™ TestPack + Pluss hCG ComboAlere™ TestPack +Pluss hCG UrinAlere™ TestPack +Plus Strep AASCA-CHEK™AtheNA Multi-Lyte® ANA-II Plus testsystemAtheNA Multi-Lyte® Autoimmun Vasculitis Plus testsystemAtheNA Multi-Lyte® Borrelia VIsE-1/pepC10 Plus testsystemAtheNA Multi-Lyte® EBV VCA IgM Plus testsystemAtheNA Multi-Lyte® MMRV IgG Plus testsystemAtheNA Multi-Lyte® MMV IgG testsystemAtheNA Multi-Lyte® RF IgM Plus testsystemAtheNA Multi-Lyte® ToRCH IgG Plus testsystemAtheNA Multi-Lyte® Treponema pallidum IgG Plus testsystemAutoantibody Screen (AAS) IFA-testsystemAxis-Shield Active-B12Axis-Shield Anti-CCP EIAAxis-Shield Clinical Chemistry HbA1cAxis-Shield Clinical Chemistry HomocysteinAxis-Shield DETECT IF Pneumocystis cariniiAxis-Shield Heparin Binding ProteinAxis-Shield Homocystein EIAAxis-Shield MICROSYPH TPHAAxis-Shield RPRBinaxNOW® G6PDBinaxNOW® Strep ABinaxNOW® FilariasisBinaxNOW® MalariaBinax™ Legionella Urinantigen EIAC. DIFF CHEK™-60C. DIFF QUIK CHEK COMPLETE®C. DIFF QUIK CHEK®C. DIFCILE TOX A/B II™C. DIFFICILE TOX-B TESTClearview® klamydiaClearview® Chlamydia MF-testClearview® KOMPLETT HIV 1/2Clearview® Exact Influenza A&BClearview® Exact Strep AClearview® Exact Strep A DipstickClearview® H. pyloriClearview® HIV 1/2 kontrollpakkeClearview® HIV 1/2 STAT-PAK®Clearview® iFOBClearview® IM IIClearview® Malaria ComboClearview® Malaria DualClearview® Malaria Pf-testClearview® MonoClearview® RSVClearview® Strep A Exact II-kassettClearview® Strep A Exact II peilepinneCRYPTOSPORIDIUM II™DoubleCheckGold™ HIV 1&2DoubleCheckGold™ HIV 1&2 fullblodDoubleCheckGold™ Ultra HIVDS2® ELISA automatiseringssystemDSX® ELISA automatiseringssystemE. HISTOLYTICA II™E. HISTOLYTICA QUIK CHEK™ELISA for rettsmedisinske matriserepoc® BGEM testkortepoc® blodanalysesystemepoc® Reader og Host2EZ Split Key® CupFECAL-QUIK-PREP™GIARDIA II™GIARDIA/CRYPTOSPORIDIUM CHEK®GIARDIA/CRYPTOSPORIDIUM QUIK CHEK™IBD EZ VUE®IBD-CHEK®IBD-SCAN®iCassette Dx®iCup2®-testIMMUNEX CRP®ImmunoComb® Anti-HBsImmunoComb® Chagas ABImmunoComb® Chlamydia BivalentImmunoComb® Chlamydia Tracho MonovalentImmunoComb® Chlamydia Trachomatis IgGImmunoComb® CMV IgMImmunoComb® Dengue IgM IgG BiSpotImmunoComb® H pyloriImmunoComb® HAV ABImmunoComb® HAV IgMImmunoComb® HBC IgGImmunoComb® HBS AgImmunoComb® HBS Ag 90ImmunoComb® HCVImmunoComb® HIV 1&2 BiSpotImmunoComb® HIV 1&2 CombFirmImmunoComb® HIV 1&2 TriSpot AgAbImmunoComb® HTLVImmunoComb® II CMV IgGImmunoComb® Rubella IgMImmunoComb® TOXO IgGImmunoComb® TOXO IgMImmuTest™ Multi-Drug Screen CardiScreen OFD-testISOLATOR™ 1,5 ml mikrobielle rørISOLATOR™ 10 ML mikrobielle rørISOSTAT® forbruksvarerISOSTAT® inneslutningsadapterISOSTAT®-stativISOSTAT®-systempresse og stativLEUKO EZ VUE®Hurtigtest for malaria (Anti-Malaria Pf/pv)Mitokondrielt antistoff (MA) testsystemMycoplasma Pneumoniae Antibody(MP) IFA-testsystemNycoCard™ CRPNycoCard™ D-DimerNycoCard™ HbA1cNycoCard™ Reader IINycoCard™-testerNycoCard™ U-albumOsteomark® NTx Serum ELISAOsteomark® NTx Urin ELISAPanbio® Barmah Forest virus IgG ELISAPanbio® Barmah Forest virus IgM ELISAPanbio® Bordetella pertussis IgAPanbio® Bordetella pertussis IgGPanbio® Coxiella burnetii (Q Fever) IgG ELISAPanbio® Dengue Duo-kassettPanbio® Dengue Duo IgM og IgG Capture ELISAPanbio® Dengue tidlig ELISAPanbio® Dengue tidlig raskPanbio® Dengue IgG Capture ELISAPanbio® Dengue IgG Indirekte ELISAPanbio® Dengue IgM Capture ELISAPanbio® Leptospira IgM ELISAPanbio® Ross River Virus IgG ELISAPanbio® Ross River Virus IgM ELISAQuantisal™ Oral Fluid Collection DeviceRHEUMATEX®SD Bioline Malaria Ag Pf/Pv (HRP-2/pLDH)SD BIOLINE AMPSD BIOLINE Kolera Ag 01/0139SD BIOLINE COCSD BIOLINE Dengue Duo NS1 Ag + Ab ComboSD BIOLINE Dengue IgG/IgMSD BIOLINE Dengue NS1 AgSD BIOLINE DOA Multi-5SD BIOLINE FOBSD BIOLINE H. pylori AgSD BIOLINE H. pylori Ag TestSD BIOLINE HAV IgG/IgM hurtigtestSD BIOLINE HBeAgSD BIOLINE HBsAgSD BIOLINE hCGSD BIOLINE HCVSD BIOLINE HIV-1/2 3.0SD BIOLINE Influensa AgSD BIOLINE Influensa Ag A(H1N1) pandemiSD BIOLINE Influensa Ag A/ B/ A(H1N1) PandemiSD BIOLINE Leptospira IgM-testSD BIOLINE Malaria Ag (pLDH)SD Bioline Malaria Ag Pf (HRP-2)SD BIOLINE Malaria Ag Pf (HRP2/pLDH)SD BIOLINE Malaria Ag Pf/Pf/Pv (HRP2/pLDH)SD BIOLINE Malaria Ag Pf/PanSD BIOLINE METSD BIOLINE MOPPESD BIOLINE NOROVIRUS Ag TestSD BIOLINE Andre produkterSD BIOLINE ROTA/ADENO Ag Rapid KitSD BIOLINE RotavirusSD BIOLINE RSVSD BIOLINE Salmonella typhi IgG/IgM TestSD BIOLINE Strep A StripSD BIOLINE SyfilistestSD BIOLINE TB Ag MPT64 RapidSD BIOLINE TB IgG/IgM-testSD BIOLINE TetanusSD BIOLINE THCSD BIOLINE Troponin ISHIGA TOXIN QUIK CHEK™Signify® ERSurestep® Cup TestSurestep® OFD-testSureStep™ Drug Screen CassetteSureStep™ Drug Screen CupSureStep™ hCG UrinSureStep™ enkeltmedisinkassetterSyntetisk Cannabinoid Dip-kortTOX A/B QUIK CHEK®Triage® 8 Drugs of Abuse PanelTriage® Drugs of Abuse Panel Plus TCATrinity Biotech Captia™ HistoneTrinity Biotech Captia™ Ribosomal PUrin HEIA™Wampole ColorCard® ASOWampole ColorCard® Streptozyme®WAMPOLE IMPACT RPR®Wampole® ANA SCREEN IgG ELISA IIWampole® Borrelia burgdorferi IgG ELISA IIWampole® Borrelia burgdorferi IgM ELISA IIWampole® CARDIOLIPIN IgG ELISA IIWampole® CARDIOLIPIN IgM ELISA IIWampole® Cytomegalovirus IgM ELISA IIWampole® DS DNA ELISA IIWampole® ELISA II ANCA-skjermWampole® GLIADIN IgG ELISA IIWampole® Helicobactor pylori IgG ELISA IIWampole® Herpes Simplex Virus(HSV) 1 IgG ELISA IIWampole® HSV gG-1 IgG ELISA IIWampole® HSV gG-2 IgG ELISA IIWampole® HSV-2 IgG ELISA IIWampole® JO-1 ELISA IIWampole® LEGIONELLA (IgG/IgM/IgA) ELISA IIWampole® PUMPS IgG ELISA IIWampole® MYCOPLASMA IgG ELISA IIWampole® MYCOPLASMA IgM ELISA IIWampole® PR-3 IgG ELISA IIWampole® RHEUMATOID FACTOR ELISA IIWampole® Rubella IgG ELISA IIWampole® Rubella IgM ELISA IIWampole® SCL-70 ELISA IIWampole® Sm ELISA IIWampole® Sm/RNP ELISA IIWampole® SS-A (RO) ELISA IIWampole® SS-B (LA) ELISA IIWampole® Thyrogolbuilin IgG ELISA IIWampole® Thyroid Microsomal (TPO) IgG ELISA IIZEUS ELISA™ Borrelia VIsE1/pepC10 IgG/IgM testsystemAnnenFornavn *Etternavn *E-post adresse * Yrke *DistributørHelsepersonellHjemmehelseSykehusAnnenPOL som en privat praksisPOL med SykehustilknytningFolkehelseReferanselabOrganisasjon *Postnummer *Land *DanmarkTelefonnummerBesked *Dette feltet er skjult når skjemaet visesGBUE-postDette feltet er for valideringsformål og bør forbli uendret.