Patient-Faqs

hiv test results and patient portal

by Marge Parker Published 2 years ago Updated 1 year ago
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Who can see my HIV test results?

As with all personal health information, patients' HIV test results should be available to health care providers only on a "need to know" basis. Usually this means that only providers directly involved in the patient's health care should seek information about HIV status.

How do I know if I have HIV?

Ask your health care provider or test counselor about the window period for the test you’re taking. A nucleic acid test (NAT) can usually tell you if you have HIV infection 10 to 33 days after an exposure. An antigen/antibody test performed by a laboratory on blood from a vein can usually detect HIV infection 18 to 45 days after an exposure.

What VA staff may have access to patient's HIV test results?

Q: What VA staff may have access to a patient's HIV test result or HIV status? As with all personal health information, patients' HIV test results should be available to health care providers only on a "need to know" basis.

Are HIV test results confidential in hospitals?

Confidentiality of HIV Test Results. Violations of these protections often occur inadvertently when health care professionals discuss HIV test results, HIV-related diagnoses or HIV treatment with patients in the presence of relatives or others who accompany patients to clinic visits or who visit them in the hospital.

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Will the doctor call you if your HIV test results are positive?

The results will go in your medical record and may be shared with your health care provider and health insurance company. Otherwise, your results are protected by state and federal privacy laws, and they can only be released with your permission.

How long do HIV test results take to come back?

HIV self-tests provide results within 20 minutes. With a rapid antibody test, usually done with blood from a finger stick or with oral fluid, results are ready in 30 minutes or less. The rapid antigen/antibody test, done with blood from a finger stick, takes 30 minutes or less.

How long does labcorp HIV test results take?

Results for these tests are ready in 30 minutes or less. Rapid antigen/antibody tests: Rapid antigen/antibody tests use blood from a fingerstick and take 30 minutes or less to produce results.

Why is my HIV test taking so long?

There are indeed a variety of reasons the results may be delayed (lab error, clerical error, dropped the vial of blood, staffing issues, equipment issues, etc., etc., etc.).

Why are my STD results taking so long?

There may be an overload of samples. In the case of an initial positive, they run a retest (a differential) assuring false-positives aren't sent out. A delay in chlamydia and gonorrhea tests could be due to a lack of materials to sample.

Do doctors ring you with results?

Do healthcare providers call you if test results show bad news? They may. If results are concerning, they may call you or have a receptionist call to schedule an appointment. 4 A healthcare provider may also call to assure you everything is okay or discuss any needed follow-up tests.

Why can't I see my lab results on labcorp?

Initially, lab results may take up to 3 hours to appear once you have created your account and your identity has been authenticated. This one-time delay occurs for new users as the system searches for historical lab results. If you still can't see your results after 3 hours, contact us.

What blood test takes longest to come back?

Most routine blood test will take 72hrs....The following Blood tests will take longer:Diabetes blood test (Hba1c) – 1 week.Rheumatoid Arthritis blood test – 1 week.Coeliac blood test (endomyssial antibody) – 2 weeks.Vitamin D blood test – 3 weeks.

How long does it take to test positive?

Key times to get tested: If you have symptoms, test immediately. If you were exposed to COVID-19 and do not have symptoms, wait at least 5 full days after your exposure before testing. If you test too early, you may be more likely to get an inaccurate result.

What Does A Negative HIV Test Result Mean?

A negative result doesn't necessarily mean that you don't have HIV. That's because of the window period—the time between when a person gets HIV and...

If I Have A Negative Test Result, Does That Mean That My Partner Is Hiv-Negative also?

No. Your HIV test result reveals only your HIV status.HIV is not necessarily transmitted every time you have sex. Therefore, taking an HIV test is...

What Does A Positive HIV Test Result Mean?

If you have a positive HIV test result, a follow-up test will be conducted. If the follow-up test is also positive, it means you are HIV-positive.I...

If I Test Positive For HIV, Does That Mean I Have Aids?

No. Testing positive for HIV does not mean you have AIDS. AIDS is the most advanced stage of HIV disease. HIV can lead to AIDS if not treated.See W...

Will Other People Know My Test result?

If you take an anonymous test, no one but you will know the result. If you take a confidential test, your test result will be part of your medical...

What types of tests are available, and how do they work?

There are three types of HIV tests: antibody tests, antigen/antibody tests, and nucleic acid tests (NAT). Antibodies are produced by your immune sy...

How long will it take to get my HIV test results?

It depends on the type of HIV test and where you get tested. HIV self-tests provide results within 20 minutes. With a rapid antibody test, usually...

Can an HIV test detect the virus immediately after exposure?

No HIV test can detect HIV immediately after infection. That’s because of the window period—the time between HIV exposure and when a test can detec...

Why is HIV testing important?

Importance of HIV Testing for Prevention of HIV Infection. People with HIV who are aware of their status can get HIV treatment (called antiretroviral therapy or ART) and remain healthy for many years. Studies show that the sooner people start treatment after diagnosis, the more they benefit from ART.

What to do if HIV test positive?

If the initial HIV test is a rapid test or a self-test and it is positive, the individual should go to a health care provider to get follow-up testing. If the initial HIV test is a laboratory test and it is positive, the laboratory will usually conduct follow-up testing on the same blood sample as the initial test.

What is the antigen test for HIV?

Antigens are foreign substances that cause your immune system to activate. If you have HIV, an antigen called p24 is produced even before antibodies develop.

How long does it take for a HIV test to show up?

Antibody tests look for antibodies to HIV in your blood or oral fluid. Antibody tests can take 23 to 90 days to detect HIV infection after an exposure. Most rapid tests and the only FDA-approved HIV self-test are antibody tests.

How long does it take for HIV to show up in blood?

An antigen/antibody test performed by a laboratory on blood from a vein can usually detect HIV infection 18 to 45 days after an exposure.

How long does it take for a finger prick to detect HIV?

Antigen/antibody tests done with blood from a finger prick can take longer to detect HIV (18 to 90 days after an exposure). Antibody tests look for antibodies to HIV in your blood or oral fluid.

How many people in the US have HIV?

An estimated 1.2 million people in the United States have HIV, including about 161,800 people who are unaware of their status. Nearly 40% of new HIV infections are transmitted by people who don’t know they have the virus. For people with undiagnosed HIV, testing is the first step in maintaining a healthy life and preventing HIV transmission.

Why is it important to know about HIV?

Why it’s important: For women living with HIV, abnormal cell growth in the cervix is common, and abnormal anal cells are common for both men and women living with HIV. These abnormal cells may become cancerous if they aren’t treated. Why it’s important: Some people who are living with HIV are also coinfected with hepatitis.

Why is it important to get a viral load test?

It’s important to get a viral load test to see the level of HIV in your blood before starting treatment and help guide the choice of HIV medications and then to get repeat tests to track your response to HIV treatment. Complete Blood Count (CBC): This is a measure of the concentration of red blood cells, white blood cells, ...

Why is it important to check for hepatitis?

Why it’s important: Some people who are living with HIV are also coinfected with hepatitis. Checking you for hepatitis A, B, and C infection can help your provider to determine if you need to be treated, or if you are a candidate for one of the existing hepatitis A or B vaccines. (Read more about how hepatitis affects people living with HIV.)

What is the CD4 count of an uninfected adult?

The CD4 count of an uninfected adult/adolescent who is generally in good health ranges from 500 cells/mm 3 to 1,600 cells/mm 3. In contrast, if HIV has destroyed so many CD4 cells that you have a CD4 count of fewer than 200/mm 3, you are considered to have progressed to stage 3 (AIDS), the most advanced stage of HIV infection. ...

Why is CD4 count important?

Why it’s important: A CD4 count is a good measure of your risk of opportunistic infections and an indicator of how well your immune system is working. Treatment with antiretroviral therapy (ART), medications that control the HIV, is recommended for everyone with HIV, no matter how high or low their CD4 count is.

What is a CD4 test?

The lab tests may include: CD4 count: CD4 cells are a type of white blood cell. They are specialized cells of the immune system that are destroyed by HIV. A CD4 count measures how many CD4 cells are in your blood. The higher your CD4 cell count, the healthier your immune system. The CD4 count of an uninfected adult/adolescent who is generally in ...

What does a drug resistance test reveal?

It can reveal infections, anemia (abnormality in your red blood cells), and other medical issues. Drug Resistance Tests: HIV can change form, making it resistant to some HIV medicines. A drug resistance test helps your provider identify which, if any, HIV medicines will not be effective against the strain of HIV you have. ...

What is the antigen test for HIV?

Antigens are foreign substances that cause your immune system to activate. If you have HIV, an antigen called p24 is produced even before antibodies develop.

What is the only HIV test approved?

Most rapid tests and the only currently approved HIV self-test are antibody tests. Talk to your health care provider about what type of HIV test is right for you.

How long does it take for a finger prick to detect HIV?

Antigen/ antibody tests done with blood from a finger prick can take longer to detect HIV (18 to 90 days after an exposure). Antibody tests can take 23 to 90 days to detect HIV infection after an exposure. Most rapid tests and self-tests are antibody tests.

What are the different types of HIV tests?

What kinds of tests are available, and how do they work? There are three types of tests available: nucleic acid tests (NAT), antigen/antibody tests, and antibody tests. HIV tests are typically performed on blood or oral fluid. They may also be performed on urine. A NAT looks for the actual virus in the blood and involves drawing blood from a vein.

How long does it take to get results from a rapid antibody test?

The rapid antigen/antibody test is done with a finger prick and takes 30 minutes or less. The oral fluid antibody self-test provides results within 20 minutes. How soon after an exposure to HIV can a test detect if I have the virus? No HIV test can detect HIV immediately after infection.

How does NAT test work?

A NAT looks for the actual virus in the blood and involves drawing blood from a vein. The test can either tell if a person has HIV or tell how much virus is present in the blood (known as an HIV viral load test). While a NAT can detect HIV sooner than other types of tests, this test is very expensive and not routinely used for screening individuals ...

What is the time between HIV exposure and a test?

The time between when a person may have been exposed to HIV and when a test can tell for sure whether they have the virus is called the window period. The window period varies from person to person and depends on the type of test used to detect HIV. Ask your health care provider or test counselor about the window period for the test you’re taking.

What does it mean when you are positive for HIV?

Positive: means that you have HIV infection. Your provider will discuss treatment and refer you to a specialist for HIV care. Negative: means either you do not have HIV or you got it so recently that your body has not had time to make enough antibodies to be detected by the test.

How long does it take for HIV to be detected?

After someone has been infected with the virus it can take about 2 weeks for HIV antigen to be detectable with current antigen tests, and more than 3 weeks to produce enough HIV antibodies to be detected by antibody tests. In a very small number of people, the process takes up to several months.

What does a window period mean on a HIV test?

To understand what your test results mean, you first have to understand what kind of test is being used and what a "window period" is. Most HIV screening tests look for HIV antigen (part of the HIV virus) or for HIV antibodies (produced by the person's body), or may look for both.

Why is my HIV antibody negative?

Even if you go for an HIV test 2 or 3 weeks later, an antibody test result might be negative because your body still has not produced antibodies (an antigen test may be positive at an earlier time point). If you think you have been exposed to HIV, and your test results are negative, be sure to discuss this with your medical providers--they may want to test you directly for HIV virus (an HIV viral load) or repeat a sensitive HIV antigen/antibody test.

Should HIV test results be included in medical records?

Yes. HIV test results are important medical information and should be included in the electronic medical record.

Can HIV testing be released?

Release of information related to testing or treatment for HIV can only be released with the written permission of the patient. The permission for release of information must specifically state that HIV-related information will be released, and must identify the party to whom it will be released.

Can you get HIV test results from a health care provider?

As with all personal health information, patients' HIV test results should be available to health care providers only on a "need to know" basis. Usually this means that only providers directly involved in the patient's health care should seek information about HIV status. Exceptions exist for certain regulatory, quality improvement, research, and public health activities. Questions about access to personal health information can be addressed to local Privacy Officers.

How to convey HIV test results?

The CDC provides clear direction on how test results should be delivered. 1 The best practice is to convey an HIV test result face-to-face . In some areas, however, results both positive and negative are already conveyed by phone. 3 If a one-on-one visit causes undue burden, for example, test results can be discussed by phone.

What is the best way to inform a patient of the HIV test?

The ordering clinician is the best one to inform the patient of the result. Providing the results of an HIV test, however, involves more than simply telling the patient that he or she is or is not infected. In the case of a negative test result, the CDC recommends education and counseling; in the case of a positive test, conveying the result involves providing emotional support in addition to structured guidance on the next level of care. 1

Why is HIV screening important?

The objective behind HIV screening in health care settings is to maximize the number of persons who are aware of their HIV infection and so receive appropriate care and prevention services in the timeliest way possible. The extremely sensitive and personal nature of an HIV test result, whether positive or negative, and the public health implications of a positive result are the basis on which the CDC offers guidelines and recommendations for both HIV testing and for communicating test results. Here, a top-line Q&A and links to additional resources.

What is HIV test?

A positive HIV test result is conveyed confidentially and in person by a clinician, nurse, counselor, or other skilled staff. The objective behind HIV screening in health care settings is to maximize the number of persons who are aware of their HIV infection and so receive appropriate care and prevention services in the timeliest way possible.

How long does it take for a negative HIV test to be positive?

When results of initial testing are negative, you will need to help the patient understand the concept of possible seroconversion and the need to repeat the HIV test in 3 to 6 months after the presumed exposure to HIV. 2 In most newly infected people, detectable antibodies develop within 2 to 8 weeks of exposure (the average is 25 days). 2 However, antibodies to the virus may not be detectable for up to 6 months in a small subset of the population. It is important to communicate the extreme importance of follow-up testing. Patients who are known to the screening clinician to be at high risk for infection should be aware of the need for ongoing periodic re-testing. 1

What to do if a mother's HIV test is positive?

If the mother's HIV test result is positive, maternal health care clinicians should notify the pediatric care providers of the impending birth of an HIV-exposed infant to anticipate any complications (after obtaining consent from the mother). 1.

What should a screening physician do?

The screening physician should also provide initial education on current HIV therapies. 1 Prompt referral should be made to a specialty HIV clinic; recommendations for infectious disease specialists and psychologists or other mental health professionals also are recommended. 1.

How to check my quest results?

You can check the current status of your test results in MyQuest on the Results page under Pending Results. Test tracking cards appear on the Results page under Pending Results, and indicate where the test is in the process. Testing can be in one of the following states:

How to get lab results from quest?

If your testing was ordered by your healthcare professional, your lab test results (performed by a Quest Diagnostics laboratory) will be delivered to MyQuest as soon as they are available. You can go to the Results page and look at the Pending Results section to determine the current status of your lab work. If it has been more than 5 days since you came in for testing, you can go to the Results page and click Request Test Results (or the plus

What does the item on the Activity page on a lab test mean?

After requesting your lab test results, a new item appears on your Activity and Results pages. The item on your Activity page indicates you requested a test result and the item on your Results page provides information about the status of that request.

What happens after a quest sample is collected?

Test Ordered. Quest has received an order for your testing. After your sample has been collected, it will be sent to a Quest laboratory for processing.

Can you share your test results?

Most test results can be shared by phone, while others are best shared during a follow-up doctor's visit and discussion. Work with your doctor on how best to share your test results.

What are the benefits of direct patient access?

One potential benefit of direct patient access is improving patient engagement. Patients in our qualitative interviews felt a strong sense of ownership of their results and nearly all thought that patients should have direct access. One respondent noted, “The more informed you are, the better you can handle and control your illnesses and diseases.” Patients with diabetes valued the ability to monitor their results over time. One respondent commented, “Some people get labs and tests done regularly, often the same tests … They tend to know how to interpret results.”

What is the goal of the HITECH Act?

A key goal of the HITECH Act is using the EHR to engage patients and families in their care. [ 1] To reach this goal, meaningful use criteria provide specific objectives for EHRs, such as providing patients the ability to message providers electronically and to view their health information online. One important example is direct release, whereby test results are released directly (immediately or with a delay of several days) to patients on a patient portal, without health care providers as intermediaries. While meaningful use criteria and other federal policy initiatives encourage direct release, [ 1] best practices for direct release and the impact of direct release on patients and their providers remain unclear. [ 2] In spite of this, patient portal usage is increasing nationally, [ 3, 4] and the medical and policy community is working to understand how patients use these data and the impact it has on care.

What are the different types of tests done by UPMC?

Over time UPMC has included the following types of test results: laboratory, radiology, pathology, cardiology, pulmonary, and gastroenterology procedures.

Does direct access to test results increase patient engagement?

Our findings demonstrate that patient direct access to test results was highly valued by patients and appeared to increase patient engagement. However, it may lead to patient anxiety and increase rates of patient visits. Such unintended consequences should be addressed in future iterations of the federal government’s meaningful use criteria and highlight the importance for health systems to integrate physicians into the release processto mitigate these consequences.

How many patients use portals?

Lab tests (with few exceptions) are now released directly to patients. Studies estimate that between 15 and 30 percent of patients use portals. The push for portals has been fueled by several factors: the widespread embrace of technology, incentive payments to medical practices and hospitals that were part of 2009 federal legislation ...

What is the goal of rapid release?

The goal of rapid release, Hohmuth said, is to “be patient-centered and transparent.”. “The majority [of patients] want early access to their results, and they don’t want it to be impeded” while waiting for doctors to contact them, Hohmuth said, even if the news is bad.

Can you see lab results online?

It is not uncommon for a test result to be posted before the doctor has seen it.

Does portal use increase anxiety?

These scientists found that in addition to engaging patients, portal use may increase anxiety and lead to more doctor visits. Among patients with low health literacy and numerical skills, confusion about the meaning of results is common.

Is Devitt's white blood count abnormal?

Devitt’s white blood cell count and several other tests were flagged as abnormal. Beyond the raw numbers, there was no explanation.

Is the practice of delivering medical test results online through portals the best way to engage patients?

As she herded her two young sons into bed one evening late last December, Laura Devitt flipped through her phone to check on the routine blood tests that had been performed as part of her annual physical. She logged onto the patient portal link on her electronic medical record, scanned the results and felt her stomach clench with fear.

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Lab Tests and Why They Are Important

Viral Load Test

  • One important test is your HIV viral load test. It’s a lab test that measures how many HIV copies of HIV are in a sample of your blood. This is called your viral load. You want your viral load to be low. The higher your viral load, the greater your risk of becoming ill because of HIV and the more likely you are to transmit HIV. The viral load is hi...
See more on hiv.gov

CD4 Cell Count

  • A CD4 cell countmeasures how many CD4 cells are in your blood. CD4 cells are infection-fighting cells of the immune system. As HIV disease advances, your CD4 count drops. The higher your CD4 cell count, the healthier your immune system. The CD4 count of an adult/adolescent who is generally in good health ranges from 500 to 1,200 cells/mm3. In contrast, if a person has a CD4 …
See more on hiv.gov

Other Important Lab Tests

  • There are other lab tests that will help your health care provider get important information about your health and work with you to choose the right HIV medications for you. 1. Blood Chemistry Tests: This group of tests measures several different chemicals in your blood to help monitor the health of your organs, especially your heart, liver, and kidneys. Health care providers use these te…
See more on hiv.gov

Frequency and Timing of Testing

  • After you start HIV treatment, not all lab tests will be conducted at every medical visit. Some will occur every few visits. Others will depend on whether you are stable on HIV treatment and doing well. View this chartabout the timing of various tests and talk to your provider about what is recommended for you.
See more on hiv.gov

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