Health Canada Approved Home Rapid Test FAQs
Are rapid tests Health Canada approved?
Yes! Health Canada requires prior registration, regulatory review, and approval for medical devices marketed in Canada. Rapid tests are a kind of medical device (Class II, III, or IV), and approved tests are registered in the Medical Devices Active Licence List (MDALL). As a Canadian company serving the Canadian market, we are required to sell authentic licenced tests from approved manufacturers who have gone through Health Canada’s rigorous registration process.
What makes rapid tests "rapid"?
Rapid tests earn their moniker by providing human-legible results within minutes. With paper-based lateral flow technology that doesn't require complex laboratory equipment or processing, rapid tests deliver results in 1-20 minutes. Colloidal gold nanoparticle chemistry makes their test lines a visible purple-red to the human eye.
How do rapid tests work?
Most rapid tests use paper, water, and a targeted mixture of reagents. Think of a pregnancy test: the sample flows along the strip, and if the target substance is present, it creates a visible line or other indicator as a result. A wide range of chemistries and reactions can have this outcome. A lateral flow immunoassay is the technical name for a device that detects the presence of a target substance in a liquid sample by flowing through a membrane like paper.
Are rapid tests just for Covid?
No, rapid tests exist for many different health conditions. While Covid-19 made rapid tests widely known, they're available for various conditions including vitamin D levels, HIV, influenza, strep throat, and many other biomarkers. There are also many rapid tests for other purposes: veterinary health, foodborne contaminants, environmental toxins, and drugs (for harm reduction, substance analysis, and compliance assessment purposes).
How accurate are rapid tests compared to lab tests?
Compared directly against lab tests for regulatory quality certification, rapid tests are highly accurate, often 95% or higher. Accuracy in this case is usually calculated from a combination of sensitivity (false positives), specificity (false negatives), and concordance (overall consistency with reference system).
What are the technical terms used to describe rapid tests?
Rapid lateral flow immunoassay tests are typically categorized as in-vitro diagnostics (IVD) devices. Rapid tests are also known as lateral flow tests (LFTs), point-of-care tests (POCTs), rapid diagnostic tests (RDTs), chemiluminescence assays, or immunochromatographic tests. Many use colloidal gold nanoparticles to produce the familiar reddish colour of the control and test lines. Other tests which may be described as rapid include colorimetric tests, such as enzymatic urinalysis tests, which produce specific colours in response to the presence of specific compounds in a urine sample.
What do sensitivity, specificity, and concordance mean?
These three terms are used to describe the accuracy of in-vitro diagnostics (IVD) like rapid tests.
• Sensitivity: Of all the times the test results were positive, how many were positive when tested by the reference system. A higher number means fewer false positives, where the reference system result was negative but the test was positive.
• Specificity: Like sensitivity, but for negatives. Of all the times the test results were positive, how many were negative when tested by the reference system. Higher specificity means fewer false negatives, where the reference system result was positive but the test was negative.
• Accuracy: Depending on the manufacturer or marketer, this number is calculated differently; sometimes, it is the only number on the packaging. Generally, it represents a combination of sensitivity and specificity, but an accuracy number alone is not enough for a professional to trust a test.
• Concordance: The degree of agreement between rapid test results and reference system test results. Sensitivity and specificity are both measures of concordance, focused on positive and negative result concordance, respectively.
Can I get a rapid test without a provider requisition?
Yes! No requisitions are required for any of the rapid tests we sell, since they are approved by Health Canada specifically for usage by individuals.
Are rapid tests covered by public healthcare in Canada?
It depends, like most things in our system! Generally, rapid tests for personal use are not covered by the government or insurers, but they are significantly more affordable than other options and so make sense for people who are seeking agency in their own care. However, certain healthcare facilities and organizations use or provide rapid tests of various kinds for specific populations. In Toronto, UHN Emergency and Unity Health use HIV rapid tests, Community Health Centres use Strep A rapid tests, and province-covered Covid tests remain available for certain immunocompromised people (if they want to or can go to a pharmacy while they’re sick).
Are rapid tests the same as tests performed at labs?
Yes, rapid tests and laboratory tests often look for the same biomarkers, and yes, rapid tests and labs are both approved to do what they do by stringent regulations. However, they use different methodologies to analyze different samples. Rapid tests are made for indicative purposes, providing quick qualitative or semi-quantitative results. Lab tests typically use high-volume equipment and can provide more detailed quantitative results; in general, lab tests are considered the “gold standard” for confirmatory testing. Specialized rapid tests for professionals, combined with reader devices, can provide quantitative results by detecting result intensity. Indicative results, such as those from rapid tests, may or may not warrant further investigation via lab tests.
Will my provider recognize the results of a rapid test?
This is a great question, and something we want to learn more about as well. We ask our test-takers to share the result with their providers, and to share what happened next in an after-test survey. Generally, because these are Health Canada-approved medical devices, most providers are open to them as indicators for further clinical evaluation, potentially leading to confirmatory lab testing.
Why do rapid tests say you can’t interpret them after a maximum time?
Technically, rapid tests are not supposed to be interpreted after a certain read window, because they dry out, and that can create changes in their appearance. Each test has a different read window, depending on the complexity of the chemistry and physics at play in the analysis. Anecdotal experience suggests rapid tests look about the same to the naked eye after the read window.
How do I best record a rapid test result so a provider can trust it?
We suggest taking two pictures on your phone: 1, when you apply the sample, and 2, once enough time has passed and the test reaches its read window. This is the minimum amount of information to show that you documented the result while it was still most accurate, during its read window, since the difference between timestamps would indicate how many minutes passed.
Vitamin D Self-Test FAQs
What are my options to get Vitamin D blood levels tested in Canada?
In Canada, the easiest, fastest, and most affordable way to get your Vitamin D tested on your own is with an accurate Health Canada-approved Vitamin D rapid test, like the one we sell.
If your provider requisitions a Vitamin D blood level (25-hydroxyvitamin D) test, you might still have to pay out of pocket to have your blood drawn at a community lab like LifeLabs, DynaCare, or Alpha Labs. Most provinces only cover the cost of Vitamin D testing for a narrow set of conditions, and community labs often charge $60 or more for a single Vitamin D test. Similarly, mail-in blood sample tests analyzed by labs, where you drip your blood on absorbent paper for subsequent analysis, are priced at $65 or more.
What biomarker is used to evaluate someone's Vitamin D levels?
The primary biomarker used to measure Vitamin D status is 25-hydroxyvitamin D (25-OHD), which is the main circulating form of Vitamin D in the blood. Rapid tests and lab tests both look for 25-hydroxyvitamin D in blood.
What does 25-OHD stand for? Who might be 25-OHD•ficient?
25-OHD stands for 25-hydroxyvitamin D, because “hydroxy” means an -OH group on the 25th carbon in its structure.
Many people are at risk of being 25-OHD•ficient. Given the northerly latitudes of North America, seasonal sun angle changes mean it’s harder than you’d think to get adequate vitamin D from sunlight and diet alone, and not just in winter.
25-OHD•ficiency is most common in people with more melanin in their skin, older adults, obese people, but there are a range of genetic variants which can reduce the body’s production and usage of Vitamin D.
What distinguishes a Vitamin D rapid test from lab testing?
Vitamin D rapid tests provide human-legible results in minutes using a finger-prick blood sample, while lab tests provide precise numerical values using venous blood samples and take several days to process.
Why does LifeLabs charge $65-$90 for a Vitamin D lab or mail-in test?
Your guess is as good as ours! Part of the price covers LifeLabs’ staff and physical footprint, but they conduct all their testing at just 4 analytical labs in the provinces they serve, for almost 20,000,000 Canadians. A more likely answer is that LifeLabs, which was sold in 2024 to US-based Quest Diagnostics, is a private corporation trying to make a profit off of the scarcity of health information in Canada.
How can rapidte.st sell Vitamin D rapid tests at affordable prices?
At rapidte.st, we’re happy to charge less than the competition! Surprisingly, even with prices 5-10x lower than lab testing, we generate a gross profit on each test we sell. We’re not a charity, or an experiment, or a flash in the pan. We have found a way to reduce costs in healthcare and still generate profits. Cool, huh?
Rapid tests are more affordable because they don't require equipment, eliminate to-and-from shipping and handling costs, use simpler technology that is still proven to provide reliable results. By doing a rapid test yourself, you cut out several steps of waste (booking and going to appointments, staff time swabbing or venipuncturing you, result waits).
Why would I choose a rapid test to check my Vitamin D levels?
Rapid tests for Vitamin D provide accurate results in minutes, with the convenience of testing wherever you are. A lower cost per test means that you get more tests for less money.
Since blood levels of 25-OHD take 3 months to respond to changing supplementation levels, it’s a good idea to at least confirm that you’re getting enough. With lab tests 5-10x the price of rapid tests, it makes more sense to buy two (or three, or ten) rapid tests, so you can test yourself again after you adjust your supplements. With the leftover savings, you can pay for Vitamin D pills and still spend under $65.
Can I get a quantified, accurate Vitamin D result from a rapid test?
While rapid tests may not provide the exact numerical values of lab tests, they can accurately indicate whether your Vitamin D levels fall within deficient, insufficient, sufficient, or optimal ranges. With the addition of a camera-based reader, certain rapid tests can provide quantitative results.
What are the clinical ranges for 25-hydroxyvitamin D in a blood sample?
Different jurisdictions and systems set different thresholds. Generally accepted Vitamin D level ranges are:
Deficient: <30 nmol/L (<12 ng/mL)
Insufficient: 30-50 nmol/L (12-20 ng/mL)
Sufficient: 50-75 nmol/L (20-30 ng/mL)
Optimal: 75-125 nmol/L (30-50 ng/mL)
Potentially toxic: >250 nmol/L (>100 ng/mL)
What could 25-OHD deficiency or insufficiency mean for my health?
Low Vitamin D levels may be associated with:
Bone weakness and increased fracture risk
Muscle weakness
Increased risk of falls in elderly
Impaired immune function
Mood changes
What could 25-OHD sufficiency or optimality mean for my health?
Adequate Vitamin D levels support:
Healthy bone metabolism
Proper immune function
Muscle strength
Overall well-being
What could 25-OHD toxicity mean for my health?
Vitamin D toxicity, while rare, can lead to:
High blood calcium levels
Kidney problems
Nausea and vomiting
Weakness
Confusion
Rapid Tests vs. Lab Testing in Ontario, Canada
Vitamin D Rapid Test | LifeLabs "At-Home" Test | Doctor-Requisitioned Test | |
---|---|---|---|
Turnaround Time | 10 minutes | 3-5 days | 2-7 days |
Sample Type | Drop of blood from finger | Drop of blood from finger | Venous blood draw from arm |
Testing Method | Lateral flow test | Mail-to-lab blood card | Blood couriered to lab |
Cost | $6.99-$9.99 | $65-$90 | $65+, or OHIP |
Result | Indicates range | Quantified level | Quantified level |
Convenience | Immediate answer, anywhere | Test at home, mail to lab | Go to lab, done for you |