ITEM 12 - Definitions of Diagnostic Case Categories 



General Diagnostic Case - A case in which the tests conducted are for the purpose of diagnosing or confirming a donnestic disease, and/or the analysis of 

 environmental products that may be contributing to an existing disease condition. 



FAD/EP Diagnostic Case - A case in which the tests conducted are for the purpose of diagnosing or confirming a foreign disease, or for the eradication of a 

 foreign disease that has gained entrance into the U.S. 



NVSL Intralab Diagnostic Case - A case in which the tests conducted are for the purpose of diagnosing or confirming a disease condition, analyzing 

 environmental products that may be contributing to a disease condition or for analyzing chemical products for another laboratory of NVSL. 



Surveillance/IVIonitor Case - a case in which the tests conducted are for the purpose of monitoring for a specific disease, for a specific insect or Insect 

 vector, or for analyzing specific products that are used in treating animals or poultry or for decontamination of animal or poultry facilities. 



Developmental/Research Case - A case In which the tests conducted are for the purpose of supporting a developmental or research project conducted by 

 another laboratory of NVSL, by staff or field personnel of VS or by other laboratories, institutions, or agencies. 



Reagent Evaluation Case - A case in which the tests conducted are the purpose of evaluating a reagent produced by another laboratory of NVSL or by other 

 laboratories, institutions, or agencies. 



Import Case - A case In which the tests conducted are for the purpose of qualifying animals or poultry, including wild animals and birds, or animal or poultry 

 products for importation into the U.S. 



Export Case - A case in which the tests conducted are for the purpose of qualifying animals or poultry, including wild animals and birds, or animal and poultry 

 products for exportation to a foreign country. 



TB - A case with a specific request for diagnosis of TB 



Item 20 - Identification 



Identify Samples with Consecutive Numbers - Record animal identification (number or name) adjacent to appropriate sample number. Laboratory results will 

 be reported by sample identification number. Indicate approximate age In years(y), months(m), weeks(w), or days(d), and Indicate sex of each animal. See sample 

 below. When more than samples, use VS Form 10-4A. 



IDENTIFICATION 



AGE 



SEX 



IDENTIFICATION 



AGE 



SEX 



Sample 



Animal 



Sample 



Animal 



1 



12ABC0000 



3y 



F 



6 



12ABC0005 



lOd 



F 



2 



12ABC0001 



2y 



M 



7 



12ABC0006 



10m 



F 



3 



ABC002 



iy 



F 



8 



12ABC0007 



8m 



M 



4 



ABC0003 



6m 



F 



9 



12ABC0008 



2-1 /2y 



F 



5 



12ABC0004 



3w 



M 



10 



12ABC0009 



15m 



M 



Send a copy of the VS 10-4 to the Veterinarian-in-Charge (in submitter's State, 

 Retain a copy for your records. 



According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMS control 

 number. The valid OMS control number for this information Is 0579-0090. The time required to complete this Information collection is estimated to average . 5 

 hours per response, including the time to review instnjctions, search existing data resources, gather the data needed, and complete and review the information 

 collection. If you have any comments concerning the accuracy of the time estimate or suggestions for Improving this form, please write to: U.S. Department of 

 Agriculture, Clearance Officer, Stop 7602,1400 Independence Ave., S.W., Washington, DC 20250-7602. 



VS 10-4 (Reverse) 



16-24 



