Laboratory Update
TO:
Physicians, Nursing Staff, Laboratory Staff
FROM:
Dr. Pamela Robertson, Pathologist
DATE:
July 2011
SUBJECT: Coagulation Testing
The Laboratory has added the following Coagulation Panels to their testing menu. The special coagulation
panels will be sent to MACL (Mid America Clinical Laboratory) in Indianapolis. The panels include an
interpretation by the laboratory. When indicated, reflex testing is automatically performed.
 Turn-Around-Time: 10-14 days
Special Instructions: Medical history is required for an interpretative report. The CRH
laboratory will fax a copy of the medical history form (Lab-96) to the nursing unit and/or
ordering MD to complete ASAP. Specimen stability is limited and immediate processing
of specimens is required. Specimens for any of these special panels must be collected at
the Hospital. Questions (or to complete history form in advance): call 376-5188 (Referral
Department). After 5 p.m. M-F & Holidays/Weekends: 376-5877
Venous Hypercoagulation Panel when already on anticoagulant therapy- includes Cardiolipin AB
(IgA, G, M), Factor II Mutation (Prothrombin Gene Mutation), Factor V Leiden Mutation, Homocysteine-Cardio,
Phosphatidylserine (Phosphatidylserine AB IgA,G,M), STACLOT-LA (Hexagonal Phospholipid Neutralization)
STAR Orderable Name: Ven Hypercoag w/meds MACL
Venous Hypercoagulation before being started on anticoagulant therapy-includes Antithrombin III
Activity, APC-Resistance, Cardio CRP, Cardiolipin (IgA,G,M), DRVTT Screen, Factor II Mutation, Factor V Leiden
Mutation, Homocysteine-Cardio, Lipoprotein (a) {Lp(a)}, Phosphatidylserine (IgA,G,M), Protein C, Activity, Protein S
Activity, APTT Mixing Study
STAR Orderable Name: Ven Hypercoag w/o meds MACL
Thrombotic Risk Pre-Pregnancy- includes APTT LA (Lupus Anticoagulant), Antithrombin III Activity, APC
Resistance, Cardiolipin AB (IgA,G,M), Dilute Protime, DRVTT Screen, Factor II Mutation, Factor V Leiden Mutation,
Homocysteine-Cardio, MTHFR DNA Mutation, Phosphatidylserine (IgA,G,M), Protein C Activity, Protein S Activity,
PTT mixing or PTT differential.
STAR Orderable Name: Thrombotic Rsk Pre-Pregnancy MACL
Thrombotic Risk During Pregnancy- Antithrombin III Activity, APTT LA, Cardiolipin (IgA,G,M), Dilute
Protime, DRVVT Screen, Factor II Mutation, Factor V Leiden Mutation, Homocysteine-Cardio, MTHFR DNA Mutation,
Phosphatidylserine (IgA,G,M)
STAR Orderable Name: Thrombotic Rsk During Pregnancy
Fetal Demise- ANA, Cardiolipin AB (Ig A,G,M), DRVVT Screen, Factor II Mutation, Homocysteine-Cardio,
Phosphatidylserine (IgA,G,M), PTT Mixing or PTT Differential
STAR Orderable Name: Fetal Demise MACL