TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
TEST SPECIFICATION GUIDE
The Test Specification Guide will be available to CML HealthCare CCC’s / POCC’s, and to all CML
clients upon request (electronically and/or hard copy).
This guide outlines the information needed to access the services provided by CML Healthcare for
the procurement of laboratory specimens.
Each individual test listing is arranged in a consistent format, providing specific information.
This guide provides the following information:
Test name, synonyms or other common names for the test and the computer testing
code.
Patient preparation, including patient care instruction prior to, or during specimen
collection, or performance of the test.
Patient clinical information that is required because of its relevance to the determination
of the diagnosis, and to the testing protocol. The clinical information includes, but is not
limited to, patient history, date of birth, sex, ethnic background, height and weight.
Specimen collection instructions, including specimen type, container or vacutainer tube,
specific days and times for sample procurement.
Post specimen collection instructions including storage and transportation instructions,
testing facility, estimated time for test results availability, and billing information.
Unless specified otherwise, specimen storage and transport is at room temperature.
TSG GENERAL INFORMATION
Page 1 of 6
CML HealthCare Inc Test Specification Guide 16954 Version: 14.0 17-Aug-2015
DOI: Sept/2005
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
SPECIMEN PROCESSING INFORMATION
Tests are listed in the manual under the following headings:
TEST:
The test is listed first by its most common standard nomenclature and underneath any
alternate names.
Each test request is specifically cross-referenced.
CODE:
The test code(s) must always be “Data Entered” unless otherwise specified.
SPECIMEN REQUIREMENT:
Blood test requests are indicated as Serum, Plasma, or Blood.
Instructions will specify either minimum volume required or centrifuge only.
When a minimum volume amount is indicated, the vacutainer tube must be centrifuged, and
an aliquot separated into a plastic transport tube.
BILLING:
All tests are considered OHIP or non-OHIP payable.
Tests indicated with “OHIP” are covered by OHIP and are patient payment exempt upon
presentation of a valid Ontario Health Card.
Tests indicated with a dollar amount after the test, require patient payment before specimen
collection.
TSG GENERAL INFORMATION
Page 2 of 6
CML HealthCare Inc Test Specification Guide 16954 Version: 14.0 17-Aug-2015
DOI: Sept/2005
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC:
The laboratory, which performs the test, is designated by a unique abbreviation.
Abbreviation
BAGL
CENTO
Testing Facility
Bay Area Genetic Laboratory
Centogene AG
CML
CML HealthCare
CVH
Credit Valley Hospital
DYN
Dynacare
HLRC
Hamilton Lab Reference Center
HOSP
Designated Hospital
HRL
Hemostasis Reference Laboratory
KGH
Kingston General Hospital
LHSC
London Health Services Center
LL
Testing Facility Phone #
905-385-1045
1-844-363-4357
905-565-0043
905-813-4335/4214
1-800-265-5946
905-577-1477
905-521-2100 x 42667
519-685-8500 ext.77736
Life Labs
1-877-404-0637
LLG
LifeLabs Genetics
1-844-363-4357
MSH
Mount Sinai Hospital
MUMC
NAT
NYGH
McMaster University Medical Centre
Natera Inc
North York General Hospital
416-586-4800
905-521-2100 x 75022
1-844-363-4357
416-756-6055
OGH
Oshawa General Hospital
PHL
Public Health Labs
416-235-5952
PLSI
Phenomenome Lab Services Inc.
306-202-8378
Quest Diagnostics Inc.
201-393-5300
SBH
Sunnybrook Health Science Centre
416-480-4652
SKH
Hospital for Sick Kids
416-813-1500
SMH
St. Michael’s Hospital
416-360-4000
SJH
St. Joseph’s Hospital
905-521-6036
TGH
Toronto General Hospital
416-586-8510
VTF
Various Testing Facilities
QUEST
1-877-677-5463
TSG GENERAL INFORMATION
Page 3 of 6
CML HealthCare Inc Test Specification Guide 16954 Version: 14.0 17-Aug-2015
DOI: Sept/2005
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
LOC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
LOCATION INDEX ON REPORTS
LOCATION NAME
FACILITY
CODE
ADDRESS
CML HEALTHCARE – MAIN LABORATORY
6560 KENNEDY ROAD, MISSISSAUGA
L5T 2X4
70
MOUNT SINAI HOSPITAL
600 UNIVERSITY AVENUE, TORONTO
M5G 1X5
82
UNIVERSITY HEALTH NETWORK
(TORONTO GENERAL SITE)
190 ELIZABETH AVENUE, TORONTO
M5G 2C4
83
NATERA INC.
400 -201 INDUSTRIAL ROAD, SAN
CARLOS, CA
94070
97
NORTH YORK GENERAL HOSPITAL
4001 LESLIE STREET, TORONTO
M2K 1E1
84
LAKERIDGE HEALTH CORPORATION
1 HOSPITAL COURT, OSHAWA
L1G 2B9
85
CREDIT VALLEY HOSPITAL
2200 EGLINTON AVE. W., MISSISSAUGA
L5M 2N1
86
SUNNYBROOK HEALTH SCIENCE CENTRE
2075 BAYVIEW AVENUE, TORONTO
M4N 3M5
87
PUBLIC HEALTH LAB – TORONTO BRANCH
81 RESOURCE ROAD, TORONTO
M9P 3T1
90
DYNACARE
245 PALL MALL STREET, LONDON
N6A 1P4
92
ST MICHEAL’S HOSPITAL
30 BOND ST, TORONTO, ONT
M5B 1W8
93
LIFE LABS
100 INTERNATIONAL BLVD, TORONTO
M9W 6J6
94
HAMILTON LAB REFERENCE CENTRE
50 CHARLTON AVE. E., HAMILTON
L8N 4A6
95
HEMOSTASIS REFERENCE LABORATORY
711 CONCESSION ST, 15(H) WING, 2ND FL
L8V 1C3
70
PHENOMENOME LABORATORY SERVICE INC.
103-407 DOWNEY ROAD, SASKATOON,
SASKATCHEWAN
S7N 4L8
BAY AREA GENETIC LABORATORY
205B-565 SANATORIUM ROAD, SIR
WILLIAM OSLER BLDG, HAMILTON
L9C 7N4
CENTOGENE AG
QUEST DIAGNOSTICS INC. – LENEXA
SCHILLINGALLEE 68, 18057 ROSTOCK,
GERMANY
10101 RENNER BLVD., LENEXA, KS, USA
96
98
66219
TSG GENERAL INFORMATION
Page 4 of 6
CML HealthCare Inc Test Specification Guide 16954 Version: 14.0 17-Aug-2015
DOI: Sept/2005
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
99
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LIST OF TESTS MIDWIVES ARE PERMITTED TO ORDER (TESTS FOR MOTHERS):
CHEMISTRY/RIA
-
Glucose
Glucose Challenge,
Gestational Screen
Urinalysis – Routine
Chemical
Urinalysis –
Microscopic
examination
Estriol
HCG
Hepatitis associated
antigen or antibody
immunoassay
Alphafetoprotein
Screen
Albumin
Quantitative
Serum Ferritin
Serum Folate
HEMATOLOGY
-
-
W.B.C differential count
(includes R.B.C Morphology
and platelet estimate)
W.B.C (lkc count, excluding
whole blood manual method)
Hematocrit
Hemoglobin
Sickle cell solubility test
(screen)
Kleihauer
-
Blood Group per antigen
-
Cervicovaginal
specimens
-
CYTOLOGY
-
BACTERIOLOGY
Antibiotic Sensitivity
Chlamydia
Culture – Cervical,
Vaginal (includes G.C)
Culture – Other swabs
or pus
IMMUNOLOGY
-
-
Pregnancy test
Virus antibodies –
hemagglutination inhibition or
ELISA technique
Non-cultural, indirect
antibody or antigen assays
by fluorescence,
agglutination or ELISA
technique (toxoplasmosis)
HTLVIII/LAV antibody screen
by ELISA technique (HIV
Antibody)
Culture – Urine
Virus Isolation
Wet preparation (for
fungus, tricomonas,
parasites)
Strep B rapid screen
IMMUNOHEMATOLOGY
-
Antibody Identification
– Incomplete antibody
Antibody screen
Blood group – ABO
and Rho (D)
Direct Anti-human
globulin test
Direct Anti-human
globulin test
TSG GENERAL INFORMATION
Page 5 of 6
CML HealthCare Inc Test Specification Guide 16954 Version: 14.0 17-Aug-2015
DOI: Sept/2005
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
LOC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
LIST OF TESTS MIDWIVES ARE PERMITTED TO ORDER (TESTS FOR NEWBORNS):
CHEMISTRY/RIA
-
Bilirubin – Total
Bilirubin – Conjugated
Glucose
TSH/PKU Newborn
screening
HEMATOLOGY
-
-
W.B.C differential count
(includes R.B.C
Morphology and platelet
estimate)
Platelet count
W.B.C (lkc count,
excluding whole blood
manual method)
Hematocrit
Hemoglobin
IMMUNOHEMATOLOGY
-
Blood group – ABO and
Rho (D)
LIST OF TESTS MIDWIVES ARE PERMITTED TO ORDER (TESTS FOR FATHERS/DONORS):
CHEMISTRY/RIA
-
-
Urinalysis – microscopic
examination
Hepatitis associated
antigen or antibody
immunoassay
HEMATOLOGY
-
-
BACTERIOLOGY
-
Antibiotic Sensitivity
Chlamydia
Culture – other swabs or
pus
Virus isolation
Wet preparation (for
fungus, trichomonas,
parasites)
Sickle cell solubility test
(screen)
Blood group per antigen
IMMUNOHEMATOLOGY
- Blood group – ABO and
Rho (D)
IMMUNOLOGY
-
HTLVIII/LAV antibody
screen by ELISA
technique (HIV Antibody)
TSG GENERAL INFORMATION
Page 6 of 6
CML HealthCare Inc Test Specification Guide 16954 Version: 14.0 17-Aug-2015
DOI: Sept/2005
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SPECIMEN REQUIREMENT
3A/G RATIO
Refer to ALBUMIN/GLOBULIN RATIO
A1C
Refer to HEMOGLOBIN A1C
ABO, RhD
Refer to BLOOD GROUP
ABO, Rh(D), GENOTYPE
Refer to BLOOD GROUP PHENOTYPE
(ALBUMIN/ GLOBULIN RATIO)
(GLYCOSYLATED HEMOGLOBIN)
(HbA1C)
(HEMOGLOBIN A1C)
(ABO & TYPE)
(BLOOD GROUP & RhD)
(BLOOD GROUP) (Rh TYPING)
(BLOOD GROUP, Rh(D) & GENOTYPE)
VACUTAINER
BILL
LOC
(GENOTYPE)
E.G. ANTIGENS C, E, c, e
ABO & ANTIBODY SCREEN
Refer to BLOOD GROUP
and
Refer to ANTIBODY SCREEN
ACE
Refer to ANGIOTENSIN CONVERTING ENZYME
(ABO & SCREEN)
(PRENATAL SCREEN)
(TYPE & SCREEN)
(BLOOD GROUP PRENATAL ANTIBODY)
(ANGIOTENSIN CONVERTING ENZYME)
ACETAMINOPHEN
(TYLENOL)
079A
Serum
PLAIN RED
Minimum Volume required: 2 mL
Record time in hours that have elapsed between
last dose and specimen collection.
OHIP
HLRC
OHIP
DYN
OHIP
CML
TAT – 5 days
ACETONE
(KETONES)
002
Serum
Centrifuge only. Do not open tube
Refrigerate during storage and transport.
GOLD SST
TAT – 8 days
ACETONE, QUALITATIVE
(KETONES QUALITATIVE)
254–5
Urine
10 mL random urine
Submit in a YELLOW cap conical tube.
TAT – 1 day
ACETYLCHOLINE
RECEPTOR ANTIBODY
9144
Serum
Centrifuge only
GOLD SST
TAT – 30 days
TEST SPECIFICATION GUIDE - SECTION A
Page 1 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED
HLRC
TEST NAME
CODE
ACETYL CHOLINESTERASE
057R
(RBC CHOLINESTERASE)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
Red cells
2 LAVENDER
Centrifuge tubes within 1-hour of collection
Aliquot and discard plasma from lavender tubes
Send red cells only
Keep tubes together with an elastic
Store and transport refrigerated
OHIP
LOC
DYN
TAT – 7 days
Refer to SALICYLATE
ACETYLSALICYLIC ACID
(ASA)
(ASPIRIN)
(SALICYLATE)
ACYLCARNITINE
(FRACTIONATION)
9341
Centrifuge, separate into transfer tube
GREEN
and freeze immediately. Store and send frozen
UNINSURED HLRC
TAT – 15 days
ACID FAST BACILLUS
Refer to MYCOBACTERIA TUBERCULOSIS DETECTION
ACID PHOSPHATASE,
PROSTATIC
TEST NO LONGER AVAILABLE
ACID PHOSPHATASE
TOTAL
TEST NO LONGER AVAILABLE
ACTH
Refer to CORTICOTROPIN
(AFB)
(MYCOBACTERIA TUBERCULOSIS DETECTION)
(T.B. CULTURE)
(TUBERCULOSIS CULTURE)
(ADRENOCORTICOTROPIC HORMONE)
(CORTICOTROPIN)
ACTIVATED PROTEIN C
RESISTANCE
9901
(APCR)
Plasma
Minimum Volume required: 2 mL
Patient should not be on anticoagulant
therapy
LIGHT BLUE
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT – 25 days
ACUTE LEUKEMIA PHENOTYPING
Refer to LYMPHOCYTE MARKERS, T & B CELLS
ACUTE RUBELLA
Refer to RUBELLA VIRUS ANTIBODY, IgM
(LYMPHOCYTE MARKERS, T & B CELLS)
(LYMPHOPROLIFERATIVE DISEASE
PHENOTYPING)
(RUBELLA VIRUS ANTIBODY, IGM)
TEST SPECIFICATION GUIDE - SECTION A
Page 2 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED HLRC
TEST NAME
CODE
ADAMTS - 13
9535
(THROMBOTIC THROMBOCYTOPENIC
PURPURA)
SPECIMEN REQUIREMENT
VACUTAINER
Both Red and Blue vacutainers are required. PLAIN RED
Centrifuge, separate serum and plasma
AND LIGHT BLUE
into separate transfer tubes and freeze both
ASAP. Store and send frozen.
BILL
N/C
LOC
MUMC
FORM AVAILABLE ON CML WEBSITE
ADENOVIRUS ANTIBODY
ADENOVIRUS PCR
SEROLOGY NO LONGER AVAILABLE
9068
Specimen must be sent on dry ice.
LAVENDER
A completed molecular microbiology requisition
must be sent with specimen.
(See also Ministry of Health guidelines)
UNINSURED SKH
FORM AVAILABLE ON CML WEBSITE
ADIPONECTIN
99999
Serum
Patient must be fasting for min of 8 hours
Allow 30 mins for sample clot.
Spin and separate, aliquot into transfer tube.
Store and ship refrigerated.
GOLD SST
UNINSURED
LL
TAT – 14 days.
FORM AVAILABLE ON CML WEBSITE
ADH
Refer to VASOPRESSIN
(ANTI–DIURETIC HORMONE)
(ADH VASOPRESSIN)
(VASOPRESSIN)
ADRENAL ANTIBODIES
9904
Serum
Centrifuge only
GOLD SST
TAT – 15 days
ADRENOCORTICOTROPIC
HORMONE
Refer to CORTICOTROPIN
AFB
Refer to MYCOBACTERIA TUBERCULOSIS DETECTION
AGGLUTINATION REACTION
SCREEN
Refer to COLD AGGLUTININS SCREEN
AIDS
Refer to HIV 1 & 2 ANTIBODY SCREEN
AGA
Refer to GLIADIN ANTIBODIES
(ACTH)
(CORTICOTROPIN)
(ACID FAST BACILLUS)
(MYCOBACTERIA TUBERCULOSIS DETECTION)
(T.B. CULTURE)
(TUBERCULOSIS CULTURE)
(COLD AGGLUTININS SCREEN)
(HIV)
(HIV 1 & 2 ANTIBODY SCREEN)
(HIV SEROLOGY)
(ANTI–GLIADIN ANTIBODY)
(GLIADIN ANTIBODIES)
TEST SPECIFICATION GUIDE - SECTION A
Page 3 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
HLRC
TEST NAME
CODE
ALA
223
(ALT)
(SGPT)
ALBUMIN
VACUTAINER
BILL
LOC
Refer to PROPHYRIN PRECURSORS
(AMINOLEVULINATE)
(AMINO LEVULINIC ACID)
ALANINE AMINO
TRANSAMINASE
SPECIMEN REQUIREMENT
Serum
Centrifuge only
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
TAT – 1 day
005
Serum
Centrifuge only
TAT – 1 day
ALBUMIN, QUALITATIVE
254– 3
(PROTEIN, TOTAL QUALITATIVE)
Urine
10 mL random urine
Submit in a YELLOW cap conical tube.
TAT – 2 days
ALBUMIN, URINE
 24-HOUR
005U
(ALBUMIN, QUANTITATIVE URINE)
(MICROALBUMIN, 24-HOUR)
24-Hour Urine
CLEAR
1 x 6 mL aliquot
Submit in a clear cap vacutainer
Label tube – MICROALBUMIN
No preservative
Submit a separate sample for other urine tests.
State total 24-hour volume on the OHIP requisition,
on the specimen container and in “Notes and Instructions”.
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT – 2 days
ALBUMIN, URINE
 RANDOM
005RU
(ALBUMIN, QUANTITATIVE URINE)
(MICROALBUMIN, RANDOM)
Urine
CLEAR
6 mL random urine
Submit in a clear cap vacutainer
Label tube– MICROALBUMIN
Submit a separate sample for other urine tests.
TAT – 2 days
ALBUMIN/GLOBULIN RATIO
TEST NO LONGER AVAILABLE
(A/G RATIO)
ALCOHOLS (GC)
9242
Whole Blood
GRAY
Includes Methanol, Ethanol, Acetone,
Isopropanol
Do not open tube. Do not separate.
Use iodine swab to cleanse venepuncture site.
This test is not available for CCC use.
This test is only for use at Kennedy Road
for hospital patients
TAT – 4 days
TEST SPECIFICATION GUIDE - SECTION A
Page 4 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
HRLC
TEST NAME
CODE
SPECIMEN REQUIREMENT
ALCOHOL- ETHYL
Refer to ETHANOL
ALCOHOL- ISOPROPYL
Refer to ISOPROPANOL
ALCOHOL- METHYL
Refer to METHANOL
ALDOLASE
TEST NO LONGER AVAILABLE
(ETHANOL)
(ISOPROPANOL)
(METHANOL
ALDOSTERONE –
HOSPITAL ONLY
300
VACUTAINER
BILL
LOC
**This test is for hospital clients only. CCC staff should not use this code.**
Serum
Centrifuge only and aliquot
to transfer tube.
Ship frozen
GOLD SST
OHIP
LAVENDER
OHIP
HLRC
TAT – 24 days
ALDOSTERONE – UPRIGHT
2616
Plasma
Minimum Volume Required: 1.0 mL
LL
Collect in the morning before 10:00am
Record on requisition Time Upright –
number of hours since the patient arose
(to the nearest 0.5hrs)
Minimum time before collection in UPRIGHT position
(standing, walking or sitting) is 2 hours.
If patient has been standing or walking,
have them sit for 5-10 minutes before collection.
Collect blood in Lavender (EDTA) tube.
Mix thoroughly by gentle inversion.
Centrifuge immediately and transfer an aliquot of
o
plasma to a labeled tube, cap tightly and FREEZE at -20 C.
o
Store and ship frozen at -20 C
TAT – 1 week
ALDOSTERONE – URINE
300U
24-Hour Urine
OHIP
50 mL aliquot – submit in a 90 mL white cap container
No preservative
Patient must be on normal sodium intake and not receiving diuretics
for one week before urine sample is collected.
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions”.
Retain a duplicate 50 mL sample in the freezer until test is reported.
FREEZE URINE AND SEND FROZEN
Refer to the General Information Pages for
Specimen Processing & Transport Guidelines
TAT – 14 days
TEST SPECIFICATION GUIDE - SECTION A
Page 5 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
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This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
DYN
TEST NAME
ALKALINE PHOSPHATASE
CODE
SPECIMEN REQUIREMENT
191
Serum
Centrifuge only
(PHOSPHATASE ALKALINE)
(ALP)
ALKALINE PHOSPHATASE
FRACTIONATION
BILL
LOC
GOLD SST
OHIP
CML
2 GOLD SST
OHIP
CML
OHIP
HLRC
TAT – 1 day
191
192
Serum
Label 1 SST autoChem
Label 1 SST Alk. Phos. Fract.
Centrifuge only
(ALKALINE PHOSPHATASE
ISOENZYME)
(PHOSPHATASE ALKALINE ISOENZYMES)
ALLERGIC ALVEOLITIS
VACUTAINER
Testing Includes Total Alkaline Phosphase
TAT – 4 days
9036
Serum
Centrifuge only
Store and send frozen.
(ALLERGIC LUNG)
(FARMERS LUNG)
GOLD SST
Do not confuse with Avian Precipitins
Includes M. Faeni and T Vulgaris. To order Allergic Lung
Serology please order both Farmer’s Lung Precipitins (SFAR) AND
Aspergillus Precipitins (SASPP)
TAT – 30 days
ALLERGY TESTING
(ASIA)
(SERUM ALLERGEN TEST)
(ALLERGEN SPECIFIC IGE
ANTIBODY TEST)
(RAST)
(ALLERGEN SPECIFIC
IMMUNOASSAY)
See chart
Serum
GOLD SST
Min Volume Required: 1ml
Centrifuge and aliquot.
Store and ship refrigerated.
Be specific when free texting allergen name.
Can enter up to nine allergens on one accession.
UNINSURED
HRL
TAT – 5 days
NOTE: TAT for unlisted allergens is 4-6 weeks.
Uncommon/unlisted allergens should be followed up by contacting the Pre-Analytical Department to ensure that testing can be
done prior to accessioning. Ensure the requested allergen is for diagnostic use. Research allergens are not available.
Test Name
Test
Code
Allergy Testing-First Allergen
350-1
Allergy Testing-Second Allergen
350-2
Allergy Testing-Third Allergen
350-3
Allergy Testing-Fourth Allergen
350-4
Allergy Testing-Fifth Allergen
350-5
Allergy Testing-Sixth Allergen
350-6
Allergy Testing-Seventh Allergen
350-7
Allergy Testing-Eighth Allergen
350-8
Allergy Testing-Nineth Allergen
350-9
TEST SPECIFICATION GUIDE - SECTION A
Page 6 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
ALLERGY TESTING MIX
CODE
SPECIMEN REQUIREMENT
See Chart
VACUTAINER
Serum
GOLD SST
Centrifuge and aliquot
Store and ship refrigerated
Can enter up to four allergen mixes on one accession.
Eg: Tree mix, Food mix, Grass mix
BILL
LOC
UNINSURED HRL
TAT – 5 days
Test Name
ALPHA 1-ANTITRYPSIN
Test
Code
Allergy Testing- Mix 1
353-1
Allergy Testing- Mix 2
353-2
Allergy Testing- Mix 3
353-3
Allergy Testing- Mix 4
353-4
555
Serum
Centrifuge only
GOLD SST
OHIP
CML
GOLD SST
UNINSURED HLRC
TAT – 2 days
ALPHA–1 ANTITRYPSIN
PHENOTYPE
9905
Serum
Minimum volume required: 1 mL
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
Note: Alpha-1 Antitryspin Phenotyping Analysis
is only available if previously measured alpha-1
antitrypsin was <1.5 g/L or patient is first-degree
relative or spouse of known individual.
Request must specify previous alpha-1 antitrypsin result
and relationship for testing to proceed
TAT – 60 days
ALPHA–1 ACID
GLYCOPROTIEN
9923
Serum
Centrifuge and aliquot to transfer tube.
GOLD SST
TAT – 15 days
TEST SPECIFICATION GUIDE - SECTION A
Page 7 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
HLRC
TEST NAME
ALPHA 2-MACROGLOBULIN
CODE
556
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Centrifuge Only.
BILL
LOC
GOLD SST
OHIP
LIGHT BLUE
UNINSURED HLRC
GOLD SST
OHIP
CML
GOLD SST
OHIP
VTF
HLRC
TAT – 20 days
ALPHA 2 PLASMIN INHIBITOR 9258
(ALPHA 2 ANTIPLASMIN)
Plasma
Centrifuge and aliquot Platelet Poor Plasma
To transfer tube. Freeze immediately.
Store and ship frozen
TAT – 25 days
ALPHA FETOPROTEIN,
ONCOLOGY
691–C
(AFP-ONCOLOGY)
Serum
Centrifuge only
Specify if testing is tumor related
Diagnosis must be indicated
TAT – 1 day
ALPHA FETOPROTEIN,
PREGNANCY
691–P
(AFP-PREGNANCY)
Serum
Centrifuge only
For risk assessment of open neural tube defects
Testing is recommended at 16 weeks gestation
Completed "Maternal Serum Screen Form” must
be provided by ordering Physician.
Indicate on the form "AFP ONLY"
Results will be reported directly to the requesting
Physician by the testing location.
TAT – 5 days
ALT
Refer to ALANINE AMINO TRANSAMINASE
(ALANINE AMINO TRANSAMINASE)
(SGPT)
ALUMINUM
9355
Plasma
Centrifuge and aliquot plasma into
Aliquot tube. Separate and refrigerate
As soon as possible.
ROYAL BLUE
K2 EDTA
TAT – 15 days
TEST SPECIFICATION GUIDE - SECTION A
Page 8 of 20
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This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
ALUMINUM – 24HR URINE
99999
24hr urine
ACID WASHED CONTAINER UNINSURED
Patient must avoid chocolate, fruits, juice,
beer, coffee, teas and antactids for
containing aluminium 24 hours PRIOR to and
during collection of 24 hour urine.
24 hour urine MUST be collected in ACID WASHED container
Record total volume and transfer 20 ml of measured 24hr urine into
A labelled sterile urine container and cap tightly
Store and ship refrigerated.
TAT – 5 days
LL
ALUMINUM RANDOM URINE
99999
Random Urine
ACID WASHED CONTAINER UNINSURED
Minimum voume: 10mL
Patient must avoid gadolinium-based
Contrast media 48 hours prior to collection
Collect urine in a labelled sterile 90ml container and
Transfer WITHOUT DELAY into a labelled ACID WASHED container.
Store and ship refrigerated
LL
TAT – 1-2 weeks
ALZ-ID
4105
(ALZHEIMER’S DISEASE)
(ALZID)
Serum
Minimum volume: 1.0mL
PLAIN RED
UNINSURED PLSI
Allow blood to clot at room temperature for
30 minutes and separate by centrifugation.
Transfer an aliquot of serum to a labelled tube, cap tightly
o
Store and ship refrigerated at 2-8 C
TAT – 1-2 weeks
AMINOLEVULINATE
Refer to PORPHYRIN PRECURSORS
AMETHOPTERIN
Refer to METHOTREXATE
AMIKACIN
Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect 'peak' specimen 30 minutes after IV infusion or
1-2 hours after IM injection by physician
(METHOTREXATE)

PEAK
304AP

TROUGH
304AT
OHIP
HLRC
OHIP
HLRC
Trough before IV / IM injection by physician
Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport.
TAT – 15 days
AMIKACIN - RANDOM
304AR
Serum
Minimum Volume required: 1 mL
Specimens submitted as peak or trough
are preferred; random orders should be
avoided whenever possible.
PLAIN RED
Store and ship refrigerated
TAT – 15 days
TEST SPECIFICATION GUIDE - SECTION A
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CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
AMINO ACIDS
Refer to METABOLIC SCREEN
AMINO ACIDS-QUANTITATIVE 013
Plasma
GREEN
Minimum Volume required: 1 mL
- with Heparin
Fasting specimen preferred
State age of patient, (date of birth), and clinical diagnosis
State if patient is on a special diet
(METABOLIC SCREEN)
(AMINO ACID FRACTIONATION)
(PHENYLALANINE)
BILL
OHIP
LOC
HLRC
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
AMINO ACIDS-QUANTITATIVE 013U
REFER TO METABOLIC SCREEN
AMINOGLYCOSIDES
Amikacin, Gentamycin or Tobramycin.
See individual listings.
AMINOPHYLLINE
Refer to THEOPHYLLINE
(THEOPHYLLINE)
(UNIPHYL)
AMIODARONE
9417
Plasma
Minimum Volume required: 3 mL
Draw 1-hour prior to next dose
GREEN
– with Heparin
UNINSURED HLRC
TAT –20 days
AMITRIPTYLINE
079AM
(ELAVIL)
Serum
ROYAL BLUE
Minimum Volume required: 2 mL
- No Additive
Centrifuge and aliquot into serum tube
Collect specimen 10–12 hours after last dose
Record time in hours that has elapsed
between last dose and specimen collection.
Refrigerate during storage and transport.
OHIP
DYN
OHIP
HLRC
Testing Includes Nortriptyline
TAT – 14 days
AMMONIA
TESTING NO LONGER AVAILABLE
(NH3)
AMOBARBITAL
(AMYTAL)
9411
Serum
Minimum Volume required: 3 mL
PLAIN RED
TAT – 15 days
TEST SPECIFICATION GUIDE - SECTION A
Page 10 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
AMOBARBITAL
CODE
9412
(AMYTAL)
SPECIMEN REQUIREMENT
VACUTAINER
Urine
Minimum Volume required: 10 mL random urine
Submit in a 90 mL orange cap container
BILL
LOC
OHIP
HLRC
N/C
PHL
N/C
PHL
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
TAT – 15 days
AMOEBIC ANTIBODY
9078
(E. HISTOLYTICA SEROLOGY ANTIBODY)
(ENTAMOEBA HISTOLYTICA ANTIBODY)
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
AMOEBIC DETECTION
99999
(E. HISTOLYTICA)
Stool
Collect two stool samples
st
1 in ova and parasite container
nd
2 in 90 mL container with orange lid
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
AMOXAPINE
AMPHETAMINE
Serum - NO LONGER AVAILABLE
078AM
Urine
10 mL random urine
Submit in a blue cap conical tube
TAT – 3 days
AMYLASE
018
(DIASTASE)
Serum
Centrifuge only
GOLD SST
TAT – 1 day
AMYLASE
(DIASTASE)
018U
24-Hour Urine
10 mL aliquot – submit in a white cap conical tube
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions”.
Retain a duplicate 90 mL sample in the fridge until test is reported.
Testing includes urine creatinine and total volume.
TAT – 2 day
AMYLASE
(DIASTASE)
018RU
Urine
10 mL random urine
Submit in a white cap conical tube.
TAT – 2 days
TEST SPECIFICATION GUIDE - SECTION A
Page 11 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
AMYLASE FLUID
CODE
018FL
SPECIMEN REQUIREMENT
VACUTAINER
Fluid
PLAIN RED
Minimum volume required: 1 ml
This test is NOT available for CCC use.
This test is only available at Kennedy Lab for hospital patients.
BILL
LOC
CONTRACT HLRC
TAT – 10 days
AMYLASE FRACTIONATION
(AMYLASE ISOENZYME)
018I
Serum
Centrifuge only
Indicate clinical problem requiring analysis.
GOLD SST
UNINSURED HLRC
TAT – 45 to 60 days
AMYTAL
Refer to AMOBARBITAL
ANA
Refer to NUCLEAR ANTIBODIES
ANAFRANIL
Refer to CLOMIPRAMINE
ANCA–C (CYTOPLASMIC)
Refer to NEUTROPHIL CYTOPLASMIC ANTIBODIES - C
ANCA–p (PERINUCLEAR)
Refer to NEUTROPHIL CYTOPLASMIC ANTIBODIES - P
ANDROGEN TESTICULAR
Refer to TESTOSTERONE
(AMOBARBITAL)
(ANF)
(ANTI–NUCLEAR ANTIBODY)
(CENTROMERE ANTIBODY)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODIES)
(CLOMIPRAMINE)
(ANTI–NEUTROPHIL
CYTOPLASMIC ANTIBODY–C)
(NEUTROPHIL CYTOPLASMIC ANTIBODIES)
(ANTI–NEUTROPHIL
CYTOPLASMIC ANTIBODIES–P)
(TESTOSTERONE)
ANDROSTENEDIONE
305
Serum
PLAIN RED
OHIP
SKH
UNINSURED
HLRC
Spin, separate and freeze
Store and ship FROZEN
TAT – 21 days
ANDROSTERONE
NO LONGER AVAILABLE
ANF
Refer to NUCLEAR ANTIBODIES
(ANA)
(ANTI-NUCLEAR ANTIBODY)
(CENTROMERE ANTIBODY)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODIES)
ANGIOTENSIN CONVERTING
ENZYME
(ACE)
9245
Serum
GOLD SST
Centrifuge only
Assay cannot be performed on a lipemic specimen
Refrigerate during storage and transport.
TAT – 15 days
TEST SPECIFICATION GUIDE - SECTION A
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CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
ANION GAP
SPECIMEN REQUIREMENT
053
061
204
226
Serum
Centrifuge only
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
3 LAVENDERS
OHIP
CML
LAVENDER
OHIP
CML
Hemolyzed specimens are unacceptable
TAT – 1 day
ANTABUSE
ANTIBODY IDENTIFICATION
(ANTIBODY ID)
NO LONGER AVAILABLE
HP15
(BLOOD GROUP ANTIBODY IDENTIFICATION)
Blood
DO NOT SEPARATE
Testing Includes titre if positive
TAT – 2 days
ANTIBODY SCREEN
(INDIRECT COOMBS)
482
(REPEAT PRENATAL ANTIBODY SCREEN)
Blood
DO NOT SEPARATE
TAT – 2 days
ANTI–CARDIOLIPIN AB
Refer to CARDIOLIPIN ANTOBIDES
ANTI-CCP
Refer to CYCLIC CITRULLINATED PEPTIDE ANTIBODIES
ANTI–dsDNA ANTIBODY
Refer to DNA ds ANTIBODIES
ANTI–DIURETIC HORMONE
Refer to VASOPRESSIN
ANTI–ENA
Refer to EXTRACTABLE NUCLEAR ANTIBODIES SCREEN
ANTI–ENDOMYSIAL ANTIBODY
(ENDOMYSIUM ANTIBODIES)
Refer to ENDOMYSIUM ANTIBODIES
ANTI–EPIDERMAL ANTIBODY
Refer to PEMPHIGUS/PEMPHIGOID ANTIBODIES
ANTI–GLIADIN ANTIBODY
Refer to GLIADIN ANTIBODIES
ANTI–GLOMERULAR
BASEMENT MEMBRANE
Refer to GLOMERULAR BASEMENT MEMBRANE ANTIBODY
(ANTI PHOSPHOLIPID)
(CARDIOLIPIN ANTOBIDES)
(ANTI-DNA)
(ANTI DSDNA DOUBLE STRANDED AB)
(DNA ds ANTIBODIES)
(ADH)
(VASOPRESSIN)
(ENA ANTIBODY)
(EXTRACTABLE NUCLEAR ANTIBODIES SCREEN)
(ANTI-SKIN ANTIBODIES)
(PEMPHIGUS/PEMPHIGOID ANTIBODIES)
(AGA)
(GLIADIN ANTIBODIES)
(GLOMERULAR BASEMENT MEMBRANE ANTIBODY)
TEST SPECIFICATION GUIDE - SECTION A
Page 13 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SPECIMEN REQUIREMENT
9233
(ANTI-GAD)
Serum
Minimum Volume Required: 1ml
Centrifuge and aliquot
Store and ship frozen
TAT - 34 days
ANTI–HISTONE
Refer to HISTONE ANTIBODIES
ANTI–HBs
Refer to HEPATITIS B VIRUS SURFACE ANTIBODY
ANTI–INSULIN
Refer to INSULIN ANTIBODIES
ANTI–INTRINSIC FACTOR
Refer to INTRINSIC FACTOR ANTIBODIES
ANTI–JO 1
Refer to EXTRACTABLE NUCLEAR ANTIBODIES
ANTI–LA
Refer to EXTRACTABLE NUCLEAR ANTIBODIES
ANTI-GLUTAMIC ACID
DEHYDECARBOXYLASE
(HISTONE ANTIBODIES)
(HEPATITIS B–IMMUNE STATUS)
(HEAPTITIS B VIRUS SURFACE ANTIBODY)
(INSULIN ANTIBODIES)
(INTRINSIC FACTOR ANTIBODIES)
(JO-1 EXTRACTABLE NUCLEAR ANTIBODIES)
(SS-B)
(SS-B EXTRACTABLE NUCLEAR ANTIBODIES)
ANTI-LKM ANTIBODY
9237
VACUTAINER
GOLD SST
LOC
OHIP
HLRC
OHIP
HLRC
(LKM ANTIBODY)
(ANTI-LIVER KIDNEY MICROSOMAL
ANTIBODIES)
Serum
Centrifuge only
Store and ship refrigerated
TAT – 14 days
ANTI-MICROSOMAL ANTIBODIES
Refer to ANTI-THYROID PEROXIDASE
ANTI–MITOCHONDRIAL ANTIBODY
Refer to MITOCHONDRIAL ANTIBODIES
ANTIMONY RANDOM URINE
99999
Urine
Min volume: 20ml
Ensure hands are washed and free of contamination.
For industrial exposure collect at end of work shift.
Store and ship refrigerated.
TAT – 10 days
UNINSURED
LL
ANTI-MULLERIAN HORMONE
9590
Serum
Minium volume required: 1 mL
Centrifuge and aliquot
Store and ship frozen.
UNINSURED
LL
(MICROSOMAL ANTIBODIES)
(ASMA)
(ANTI-SMOOTH MUSCLE ANTIBODIES)
(MITOCHONDRIAL ANTIBODIES)
(SMA)
(SMOOTH MUSCLE ANTIBODY)
(AMH)
(ANTI OVARIAN HORMONE)
(MIS)
GOLD SST
BILL
PLAIN RED
TAT – 10 days
TEST SPECIFICATION GUIDE - SECTION A
Page 14 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
ANTIMYOCARDIAL ANTIBODY 99999
SPECIMEN REQUIREMENT
Serum
Allow blood to clot for 30mins at room temp.
Centrifuge.
Store and ship refrigerated.
VACUTAINER
GOLD SST
TAT – 6 days
ANTI–NEUTROPHIL CYTOPLASMIC
ANTIBODIES - C
Refer to NEUTROPHIL CYTOPLASMIC ANTIBODIES - C
ANTI–NEUTROPHIL CYTOPLASMIC
ANTIBODIES - P
Refer to NEUTROPHIL CYTOPLASMIC ANTOBIDIES - P
ANTI–NUCLEAR ANTIBODY
Refer to NUCLEAR ANTIBODIES
ANTI–PANCREATIC
ISLET CELLS ANTIBODY
Refer to PANCREATIC ISLET CELL ANTIBODIES
(c-ANCA - CYTOPLASMIC)
(p-ANCA – PERINUCLEAR)
(ANA)
(ANF)
(CENTROMERE ANTIBODIES)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODIES)
(PANCREATIC ISLET CELL ANTIBODIES)
ANTI–PARIETAL CELL
ANTIBODIES
Refer to PARIETAL CELL ANTIBODIES
ANTI–PHOSPHOLIPID
Refer to CARDIOLIPIN ANTIBODIES
ANTI-PLATELET ANTIBODIES
Refer to PLATELET ANTIBODY SCREEN
ANTI–RETICULIN ANTIBODY
Refer to RETICULIN ANTIBODIES
ANTI–RNP
Refer to EXTRACTABLE NUCLEAR ANTIBODIES
ANTI–RO
Refer to EXTRACTABLE NUCLEAR ANTIBODIES
ANTI–SCL–70
Refer to EXTRACTABLE NUCLEAR ANTIBODIES
(PARIETAL CELL ANTIBODIES)
(ANTI-CARDIOLIPIN)
(CARDIOLIPIN ANTIBODIES)
(PLATELET ASSOCIATED ANTIBODIES)
(PLATELET ANTIBODY SCREEN)
(ANTI-RETICULIN AB)
(RETICULIN ANTIBODIES)
(SS–A)
(Scl-70 ANTIBODIES)
(SCLERODERMAL ANTIBODY)
TEST SPECIFICATION GUIDE - SECTION A
Page 15 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
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This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
BILL
LOC
UNINSURED
LL
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
ANTI–SM
Refer to EXTRACTABLE NUCLEAR ANTIBODIES SCREEN
ANTI–SMOOTH MUSCLE ANTIBODIES
Refer to MITOCHONDRIAL ANTIBODIES
ANTI–SPERM ANTIBODIES
Refer to SPERM ANTIBODIES
ANTI–STREPTOCCAL
HYALURONIDASE ANTIBODY
TEST NO LONGER AVAILABLE
ANTI–STREPTOLYSIN O TITRE
Refer to STREPTOLYSIN O ANTIBODY
(ANTI–SMITH)
(ANTI-MITOCHONDRIAL ANTIBODIES)
(ASMA) (MITOCHONDRIAL ANTIBODIES)
(SMA) (SMOOTH MUSCLE ANTIBODY)
(SPERM ANTIBODIES)
BILL
LOC
(ASH)
(ASOT)
(STREPTOLYSIN O ANTIBODY)
ANTI–THROMBIN III
373
(ANTI-THROMBIN ASSAY)
Plasma
LIGHT BLUE
Minimum Volume required: 1 mL
Patient should not be on anticoagulant therapy
OHIP
HLRC
Includes both Functional and Immunological testing
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT – 20 days
ANTI-THYROID ANTIBODY
HP16A
(ATA)
(ANTI-THYROID ANTIBODIES)
(THYROID ANTIBODY)
(THYROID ANTIBODIES)
(THYROID AUTOANTIBODIES)
(THYROID AUTOANTIBODY)
Serum
GOLD SST
Minimum Volume Required: 2ml
Collect blood in SST. Allow blood to
clot at room temperature for 30 mins
and separate by centrifugation.
Store and ship refrigerated at 2-8 degrees celcius for
up to 5 days.
OHIP
LL
This testing includes Anti-Thyroid Peroxidase and Anti-Thyroglobulin
This test is NOT the same as Thyroglobulin (9494)
TAT – 4 days
ANTI–THYROGLOBULIN
(ATG)
(THYROGLOBULIN ANTIBODIES)
327
Serum
Minimum Volume required: 1.0 mL
GOLD SST
Collect blood in SST tube. Allow blood to
clot at room temperature for 30 minutes
and separate by centrifugation.
o
Store and ship refrigerated at 2-8 C for up to 7 days.
TAT – 4 days
TEST SPECIFICATION GUIDE - SECTION A
Page 16 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
LL
TEST NAME
CODE
ANTI-THYROID PEROXIDASE
326
(ANTI TPO)
(TPO)
(ANTI-PEROXIDASE)
(ANTI-MICROSOMAL)
(MICROSOMAL ANTIBODY)
(MICROSOMAL ANTIBODIES)
(THYROID PEROXIDASE ANTIBODY)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Min Volumne Required: 1.0mL
GOLD SST
BILL
OHIP
LOC
LL
Collect blood in SST tube. Allow blood
clot at room temperature for 30 mins
and separate by centrifugation.
o
Store and ship refrigerated at 2-8 C for
up to 5 days.
NOTE:
If physician orders Anti-Thyroid Peroxidase AND
Anti-Thyroglobulin together, please key HP16A.
TAT – 4 days
APCR
Refer to ACTIVATED PROTEIN C RESISTANCE
(ACTIVATED PROTEIN C RESISTANCE)
APOLIPOPROTEIN A1
(APO A1)
1976
Serum
Minimum Volume required: 1.0 mL
GOLD SST
UNINSURED LL
GOLD SST
UNINSURED LL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation
AS SOON AS POSSIBLE.
o
Store and ship refrigerated at 2-8 C.
TAT – 3 days
APOLIPOPROTEIN B
(APO B)
1977
Serum
Minimum Volume required: 1.0 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation
AS SOON AS POSSIBLE.
o
Store and ship refrigerated at 2-8 C.
TAT – 3 days
APOLIPOPROTEIN-E
(LIPO QUANT)
30374
Plasma
LAVENDER
Minimum volume required: 7 mL
Assay is performed on consultation basis only
PHYSICIAN MUST CONTACT DR. CONNELLY
At the Lipid Research Lab at St. Michael’s Hospital,
Toronto. (416)-864-6023
It is preferred that the patient fast a minimum of 12 hours.
Test is not performed if Triglycerides is normal.
Collect 4 lavender tubes and mix thoroughly.
Centrifuge and separate within 4 hrs of collection
Transfer all the plasma to a labelled tube
Store and ship ALL tubes refrigerated.
TAT – 20 days
TEST SPECIFICATION GUIDE - SECTION A
Page 17 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED
SMH
TEST NAME
CODE
APO PROTEIN a
VACUTAINER
BILL
LOC
Refer to LIPOPROTEIN a
(LIPOPROTEIN a)
ARBOVIRUS ANTIBODIES
SPECIMEN REQUIREMENT
9080
Do not centrifuge tube
PLAIN RED
N/C
PHL
PHL recommends both acute and convalescent
samples be taken 2 weeks apart.
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
ARSENIC- BLOOD
9279
Whole Blood
Do not centrifuge.
Send entire tube.
ROYAL BLUE (K2EDTA)
UNINSURED HLRC
TAT – 20 days
ARSENIC- HAIR
9908
Hair
Clip hair close to the nape of the neck from 6-8
different locations – 0.2 gm hair required
(approximately 2 teaspoons full)
Bleaches and dyes may interfere
Submit in a 90 mL container
UNINSURED
HLRC
TAT – 45 days
ARSENIC- NAIL
9909
Nails
Clip nails from all fingers
Patient must remove nail polish prior to collection
Submit in a 90 mL container
UNINSURED
HLRC
TAT – 20 days
ARSENIC- 24 HOUR URINE
9187
24-Hour Urine
50 mL aliquot – submit in a 90 mL white cap container
Avoid seafood consumption 5 days prior to collection.
Inorganic arsenic will be performed if total is elevated.
UNINSURED
HLRC
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions”
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 10 to 60 days
ARSENIC- RANDOM URINE
9186
Urine
15 mL random urine
Submit in a 90 mL orange cap container
Avoid seafood consumption 5 days prior to collection.
Inorganic arsenic will be performed if total is elevated.
UNINSURED
TAT – 30 days
TEST SPECIFICATION GUIDE - SECTION A
Page 18 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
HLRC
TEST NAME
ARSENIC- INORGANIC
TOTAL 24 HOUR URINE
CODE
99999
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
24 hour Urine
ACID WASHED CONTAINER UNINSURED
24 hour urine must be collected in an ACID WASHED container
Avoid seafood consumption 72 hours prior to collection.
Record total volume and transfer 20ml into 90ml container
LL
Store and ship refrigerated.
For industrial exposure a random urine is recommended.
Creatinine level is determined on all 24 hours urines to assess the
Completeness of the 24 hour urine collection.
TAT – 10 days
ARSENIC TOTALRANDOM URINE
99999
Urine
ACID WASHED CONTAINER
UNINSURED LL
10 mL random urine
Submit in a 90 mL orange cap container
Patient must avoid gadolinium based contrast media
Used for MRI’s 48 hours prior to collection.
90ml ACID WASHED container is required.
Store and ship refrigerated.
TAT – 1-2 weeks
ARTHROPOD IDENTIFICATION 9028
(BUGS)
(LICE)
Send entire specimen in container
N/C
PHL
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
ARYLSULFATASE A – WBC
(HOSP ONLY)
9383
Whole Blood
GREEN
Min volume required: 7ml
- Heparinized
Test not available for CCC use
This test is only for use at the Kennedy lab for hospital patients
Client must call Client Services Urgent Desk between 8:00am
and 9:00am to arrange a pickup no later than 10:00am.
CONTRACT HICL
Do not separate. Maintain at room temp. Immediately
ship directly to HICL before 12:00 pm (noon) on the day
of collection. Sample must be analysed within 12 hours
of collection.
ASA
Refer to SALICYLATE
(ACETYSALICYLIC ACID)
(ASPIRIN)
(SALICYLATE)
ASCORBATE
(ASCORBIC ACID)
(VITAMIN C)
019
Serum
GOLD SST
Minimum Volume required: 2 mL
Protect from light by aliquoting into amber tube.
FREEZE SERUM AND SEND FROZEN
Freeze within 30 minutes of collection
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT – 14 days
TEST SPECIFICATION GUIDE - SECTION A
Page 19 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
DYN
TEST NAME
CODE
SPECIMEN REQUIREMENT
ASH
TEST NO LONGER AVAILABLE
ASMA
Refer to MITOCHONDRIAL ANTIBODIES
ASOT
Refer to STREPTOLYSIN O ANTIBODY
(ANTI–STREPTOCCAL HYALURONIDASE AB)
(ANTI–SMOOTH MUSCLE ANTIBODY)
(ANTI-MITOCHONDRIAL ANTIBODY)
(MITOCHONDRIAL ANTIBODIES)
(SMA) (SMOOTH MUSCLE ANTIBODY)
(ANTI–STREPTOLYSIN O TITRE)
(STREPTOLYSIN O ANTIBODY)
ASPARTATE AMINO
TRANSAMINASE
222
BILL
LOC
GOLD SST
OHIP
CML
PLAIN RED
N/C
PHL
Centrifuge only
(AST)
(SGOT)
ASPERGILLUS ANTIBODY
Serum
VACUTAINER
TAT – 1 day
9033
Do not centrifuge
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 30 days
ASPIRIN
Refer to SALICYLATE
AST
Refer to ASPARTATE AMINO TRANSAMINASE
ATA
Refer to ANTI-THYROID ANTIBODY
ATIVAN
Refer to LORAZEPAM
AVENTYL
Refer to NORTRIPTYLINE
(ACETYSALICYLIC ACID)
(ASA)
(SALICYLATE)
(ASPARTATE AMINO TRANSAMINASE)
(SGOT)
(ANTI-THYROID ANTIBODY)
(THYROID ANTIBODIES)
(LORAZEPAM)
(NORTRIPTYLINE)
AVIAN PRECIPITINS
(BIRD FANCIER’S DISEASE)
9034
Serum
Centrifuge, separate into transfer
tube and refrigerate.
PLAIN RED
UNINSURED
Billed per each allergen.
Budgie & Pidgeon done routinely: goose, chicken, duck, canary,
cockatiel, parrot, turkey must be requested if clinically indicated.
TAT – 18 days
TEST SPECIFICATION GUIDE - SECTION A
Page 20 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
HLRC
TEST NAME
CODE
B–CAROTENE
VACUTAINER
BILL
LOC
Refer to CAROTENE
(CAROTENE)
B-TYPE NATRIURETIC
PEPTIDE
SPECIMEN REQUIREMENT
1562
(BNP)
Plasma
Minimum volume required: 1.0mL
LAVENDER
UNINSURED LL
Collect blood in Lavender top tube (EDTA).
Mix thouroughtly by gentle inversion and
separate by centrifugation WITHIN 2-4 hours of
collection. Transfer an aliquot of plasma
to a labelled tube, cap tightly and
o
FREEZE at -20 C.
o
Store and ship FROZEN at -20 C.
TAT - 5 days
B12
Refer to COBALAMINS
B2 MICROGLOBULIN
Refer to BETA 2-MICROGLOBULIN
(VITAMIN B12)
(COBALAMINS)
(BETA 2-MICROGLOBULIN)
(MICROGLOBULIN)
BARBITURATES SCREEN
026U
Urine
10 mL random urine
Submit in a blue cap conical tube
OHIP
CML
N/C
PHL
TAT – 2 days
BARTONELLA ANTIBODY
(CAT SCRATCH DISEASE)
9011
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 3 weeks
BCR-ABL
(QUANTITATIVE PCR)
(BCR/ABL)
9382
Whole Blood
LAVENDER
CONTRACT HLRC
Min volume required: 10ml
Test is NOT available for CCC use.
Test is only for use at Kennedy Lab for
Hospital patients.
Download requisition at http://lrc.hrlmp.ca/uploaded/R_MolecularOncology.pdf
Form must be completed and submitted along with specimen and req.
Ship within 24 hours. If required store overnight at 4°C
TAT – 33 days
BENADRYL
Refer to DIPHENHYDRAMINE
BENCE–JONES PROTEIN
Refer to PROTEIN ANALYSIS – BENCE JONES PROTEIN
BENZENE (PHENOL)
TEST NO LONGER AVAILABLE
(DIPHENHYDRAMINE)
(IEP – RANDOM URINE)
(IMMUNOELECTROPHORESIS)
(HEAVY AND LIGHT CHAINS)
TEST SPECIFICATION GUIDE - SECTION B
Page 1 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 10.0 11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
BENZODIAZEPINE SCREEN
CODE
078BE
SPECIMEN REQUIREMENT
VACUTAINER
Urine
10 mL random urine
Submit in a blue cap conical tube
BILL
LOC
CML
OHIP
TAT – 2 days
BENZTROPINE MESYLATE
99999
Urine
10 mL random urine
Store and ship refrigerated
UNINSURED
LL
TAT – 3 days
BERYLLIUM LYMPHOCYTE
PROLIFERATION
99999
.
Whole Blood – 4 tubes
GREEN TOP
FOR CONTRACT USE ONLY
- Hepartinized
Collect Mon-Wed only.
DO NOT SHIP ON FRIDAY
Do not refrigerate or freeze.
Specimen must arrive within 24 hours of collection.
Store and ship room temp.
UNINSURED
LL
Specimens sent by FEDEX to the Celevland Clinic
TAT – 2-3 weeks
BERYLLIUM – RANDOM URINE 99999
Urine
Min volume required: 20ml
UNINSURED LL
Ensure that hands are washed and clothes are
free of contamination.
Store and ship refrigerated.
For Industrial exposure collect specimen at the end of the
work shift.
A random urine test includes creatinine to be performed the the referred
testing site.
TAT – 5-10 days
BETA 2 GLYCOPROTIEN I IgG 9268
(BETA-2-GP-I IgG
Serum
PLAIN RED
OHIP
HLRC
GOLD SST
UNINSURED
HLRC
Centrifuge and aliquot to transfer tube.
Store and ship frozen.
TAT – 33 days
BETA 2 MICROGLOBULIN
9101
(B2 MICROGLOBULIN)
(MICROGLOBULIN)
Serum
Centrifuge only
Refrigerate during storage and transport.
TAT – 25 days
BETA 2 MICROGLOBULIN
(B2 MICROGLOBULIN)
(MICROGLOBULIN)
9101RU
Urine
10 mL random urine – Submit in a 90 mL orange cap container
Ask patient to void (discard), then drink a glass of water collect urine for submission one hour later
FREEZE URINE AND SEND FROZEN
TAT – 25 days
TEST SPECIFICATION GUIDE - SECTION B
Page 2 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 10.0 11-May-2015
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The electronic copy must be used as the current version.
UINNSURED HLRC
TEST NAME
CODE
BETA–hCG
(BHCG)
(HUMAN CHORIONIC GONADOTROPIN)
(CHORIOGONADOTROPIN)
BETA HYDROXYBUTYRATE
9248
(BHBA)
(3HBA)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to CHORIOGONADOTROPIN
Serum
Centrifuge, separate into transfer tube.
Freeze immediately. Store and send frozen.
GOLD SST
UNINSURED HLRC
TAT – 6 days
BETA TRANSFERRIN
9352
Fluid
STERILE CONTAINER
Accept any container/tube received.
Indicate source.
Store and send frozen.
Analysis includes Beta 1 Transferrin and Beta 2 Transferrin
UNINSURED
HLRC
TAT – 14 days
BICARBONATE
Refer to CARBON DIOXIDE
(CO 2)
(CARBON DIOXIDE)
BILE ACID
9307
Serum
Minimum Volume required: 1 mL
GOLD SST
UNINSURED HLRC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
12 hour fast required
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
BIO AVAILABLE
TESTOSTERONE
Refer to TESTOSTERONE BIO AVAILABLE
BILIRUBIN
Refer to UROBILINOGEN
(TESTOSTERONE BIO AVAILABLE)
BILIRUBIN, DIRECT
031
(CONJUGATED BILIRUBIN)
(BILIRUBIN GLUCURONIDATED)
TAT – 1 day
BILIRUBIN, INDIRECT
TEST NO LONGER AVAILABLE
(UNCONJUGATED BILIRUBIN)
(BILIRUBIN NON-GLUCURONIDATED)
BILIRUBIN, TOTAL
Serum
Centrifuge only
030
Serum
Centrifuge only
TAT – 1 day
TEST SPECIFICATION GUIDE - SECTION B
Page 3 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 10.0 11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SPECIMEN REQUIREMENT
BIQUIN
Refer to QUINIDINE
BIRD FANCIERS’ DISEASE
Refer to AVIAN PRECIPITINS
(Q-10 METABOLITE)
(QUINIDINE)
BISMUTH RANDOM URINE
99999
VACUTAINER
BILL
LOC
Urine
UNINSURED LL
Min volume: 20ml
Store and ship refrigerated
Ensure hands are washed and clothes
are free of contamination.
For industrial exposure collect specimen at the end of the work shift.
A random urine test includes creatinine to be performed by the
referred out testing site
TAT – 5-10 days
BLASTOMYCES ANTIBODY
(BLASTOMYCOSIS ANTIBODY
DERMATITIDIS)
9037
Do not centrifuge tube
PLAIN RED
N/C
PHL
N/C
PHL
LAVENDER
OHIP
CML
LAVENDER
OHIP
CML
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 30 days
BLASTOMYCOSIS
CULTURE DERMATITIDIS
9038
Culture
Skin scraping
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 30 days
BLEEDING TIME,
DUKE METHOD
TEST NO LONGER AVAILABLE
BLEEDING TIME,
IVY METHOD
NO LONGER AVAILABLE
BLOOD CULTURE
Refer to CULTURE & SENSITIVITY - BLOOD
BLOOD FILM EXAMINATION
Refer to COMPLETE BLOOD COUNT
BLOOD GROUP
490
(ABO, Rh(D) (ABO & TYPE)
(BLOOD GROUP)
(Rh TYPE)
TAT – 2 days
BLOOD GROUP ANTIBODY
IDENTIFICATION
BLOOD GROUP PHENOTYPE
(ABO, Rh(D), (GENOTYPE)
(GENOTYPE)
- Eg ANTIGEN C, E, c, e
Blood
DO NOT SEPARATE
Refer to ANTIBODY IDENTIFICATION
493
Blood
DO NOT SEPARATE
TAT – 2 days
TEST SPECIFICATION GUIDE - SECTION B
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CML HealthCare Inc Test Specification Guide 17525 Version 10.0 11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
BLOOD GROUP
PRENATAL Ab
- Eg Kell, Duffy, KIDD
VACUTAINER
BILL
LOC
Refer to BLOOD GROUP
and
Refer to ANTIBODY SCREEN
(ABO & Ab SCREEN
PRENATAL SCREEN
TYPE & SCREEN)
BLOOD GROUP ANTIGENS
SPECIMEN REQUIREMENT
494
Blood
DO NOT SEPARATE
LAVENDER
OHIP
CML
OHIP
CML
TAT – 2 days
BLOOD, QUALITATIVE
254–7
Urine
10 mL random urine
Submit in a yellow cap conical tube
TAT – 1 day
BLOOD PRESSURE
MONITORING
995
Performed at limited sites
UNINSURED CML
TAT – 4 days
BLOOD TYPE
Refer to BLOOD GROUP
BNP
Refer to B-TYPE NATRIURETIC PEPTIDE
BORDETELLA PERTUSSIS
ANTIBODY
SERUM TESTING NO LONGER AVAILABLE
(ABO, Rh(D), (ABO & TYPE)
(BLOOD GROUP & Rh(D)
(Rh TYPE)
(NT-PRO)
(WHOOPING COUGH)
BORDETELLA PERTUSSIS
9047
(WHOOPING COUGH)
Swab – State source
Use the PHL Kit
N/C
PHL
N/C
PHL
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 4 days
BORRELIA BURGDORFERI
ANTIBODY
9045
(LYME DISEASE)
Do not centrifuge tube
PLAIN RED
Patient’s history and symptoms are mandatory
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT –15 days
BROAD SPECTRUM DRUG SCREEN
Refer to DRUG SCREEN BROAD SPECTRUM
BROMIDE
NO LONGER AVAILABLE
TEST SPECIFICATION GUIDE - SECTION B
Page 5 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 10.0 11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
BRUCELLA ANTIBODY
CODE
9007
SPECIMEN REQUIREMENT
Do not centrifuge tube
VACUTAINER
BILL
PLAIN RED
LOC
N/C
PHL
OHIP
HLRC
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
 Testing Includes Brucella Abortus and Brucella Melitensis 
TAT– 5 days
BUGS
Refer to ARTHROPOD IDENTIFICATION
BUN
Refer to UREA
(ARTHROPODS)
(LICE)
(UREA)
BUTABARBITAL
9471
Urine
25 mL random urine
Submit in a 90 mL orange cap container
TAT – 15 days
BUTAZOLIDINE
(PHENYLBUTAZONE)
NO LONGER AVAILABLE
TEST SPECIFICATION GUIDE - SECTION B
Page 6 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 10.0 11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
C1 ESTERASE INHIBITOR
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to COMPLEMENT C1 ESTERASE INHIBITOR
(COMPLEMENT C1)
C1 ESTERASE INHIBITOR,
FUNCTIONAL
C1Q IMMUNE COMPLEXES
Refer to COMPLEMENT C1 ESTERASE INHIBITIOR, FUNCTIONAL
688
(C1Q COMPLEMENT BINDING ACTIVITY)
(C1Q IMMUNE COMPLEXES)
(COMPLEMENT C1Q)
Serum
Minimum Volume required: 1 mL
Only performed if CH50 is low
GOLD SST
OHIP
HLRC
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
UNINSURED HLRC
Separate and freeze within 1-hour of clotting
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 25 days
C2
Refer to COMPLEMENT C2
(COMPLEMENT C2)
C3
Refer to COMPLEMENT C3
(COMPLEMENT C3)
C4
Refer to COMPLEMENT C4
(COMPLEMENT C4)
C5
Refer to COMPLEMENT C5
(COMPLEMENT C5)
C6
Refer to COMPLEMENT C6
(COMPLEMENT C6)
CD3, CD4, CD8
Refer to LYMPHOCYTE MARKER T CELLS ONLY
(LYMPHOCYTE MARKER-T CELL ONLY)
(T CELL LYMPHOCYTE MARKER ONLY)
C–PEPTIDE
346
Plasma
Minimum Volume required: 2 mL
Fasting specimen required
GREEN
–with Heparin
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 5 days
C–REACTIVE PROTEIN
SEE C-REACTIVE PROTEIN HIGH SENSITIVITY
(CRP)
(C–REACTIVE PROTEIN)
C–REACTIVE PROTEIN
HIGH SENSIVITY
665HS
Serum
Centrifuge only
(CRP HIGH SENSIVITY)
TAT – 1 day
C–TELOPEPTIDE
9164
Serum
Minimum volume required: 1 ml
Fasting specimen preferred
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 20 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 1 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.
TEST NAME
CA 125
CODE
9389
(OV 125)
(CANCER ANTIGEN 125)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Centrifuge only
BILL
LOC
GOLD SST
UNINSURED CML
GOLD SST
UNINSURED LL
GOLD SST
UNINSURED LL
LAVENDER
UNINSURED HLRC
Should not to be used as a diagnostic
screening test.
TAT – 5 days
CA 15 – 3, Breast
3011
(CANCER ANTIGEN 15-3)
(CARBOHYDRATE ANTIGEN 15-3)
Serum
Minimum Volume required: 1.0 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation.
Transfer an aliquot of serum to a labelled tube,
o
cap tightly and FREEZE at -20 C.
o
Store and ship frozen at -20 C
TAT – 1 week
CA 19– 9, Pancreas
3012
(CANCER ANTIGEN 19-9)
(CARBOHYDRATE ANTIGEN 19-9)
Serum
Minimum Volume required: 1.0 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation.
o
Store and ship refrigerated at 2-8 C
TAT – 1 week
CADMIUM
9680
Blood
Do not open tube
TAT – 21 days
CADMIUM SCREEN
9680U
24 Hour Urine
50 mL aliquot – submit in a white cap 90 mL container
UNINSURED HLRC
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions” .
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 15 days
CADMIUM SCREEN
9680R
Urine
50 mL aliquot random urine
Submit in a white cap 90 mL container
UNINSURED HLRC
TAT – 21 days
CAFFEINE
(CAFFEINE- QUANTITATIVE)
9129
Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 15 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 2 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.
UNINSURED HLRC
TEST NAME
CALCIDIOL (UNINSURED)
CODE
9802
(25 HYDROXY VITAMIN D)
(VITAMIN D)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Minimum volume required: 2 mL
BILL
LOC
GOLD SST
UNINSURED CML
GOLD SST
OHIP
Centrifuge SST
Store and ship refrigerated
No pour-off required
TAT – 2 days
CALCIDIOL (INSURED)
606
(25 HYDROXY VITAMIN D)
(VITAMIN D)
Serum
Minimum volume required: 2 mL
CML
Centrifuge SST
Store and ship refrigerated
No pour-off required
Patient must meet eligibility criteria for insurable Calcidiol testing
TAT – 2 days
CALCITONIN
301
Serum
Minimum Volume required: 3 mL
Fasting sample required.
Centrifuge, separate, freeze within
30-minutes of clotting.
GOLD SST
OHIP
DYN
GOLD SST
OHIP
LL
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
OHIP
CML
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 14 days
CALCITRIOL
528
(VITAMIN D 1-25)
(1, 25 DIHYDROXY VITAMIN D)
Serum
Minimum volume required: 2.0 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation.
Serum must NOT be aliquoted,
the testing bench must receive the
specimen in the primary SST tube.
o
Store and ship refrigerated at 2-8 C.
TAT – 1 week
CALCIUM
045
Serum
Centrifuge only
TAT – 1 day
CALCIUM, CORRECTED
045C
Serum
Centrifuge only
Testing includes serum calcium and albumin.
State test in “Notes & Instructions” and on the OHIP requisition.
TAT – 1 day
CALCIUM, IONIZED
046–1
Serum
GOLD SST
Allow specimen to clot for 30 minutes
Centrifuge only
Do not remove tube stopper
Test result is invalid if specimen is exposed to air
TAT – 2 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 3 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.
TEST NAME
CALCIUM, URINE
CODE
045U
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
CML
OHIP
CML
OHIP
HLRC
UNINSURED
HLRC
24 Hour Urine
10 mL aliquot – submit in a white cap conical tube
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions”.
Testing includes urine creatinine
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT – 2 days
CALCIUM, URINE
045RU
Urine
10 mL random urine
Submit in a white cap conical tube
TAT – 2 days
CALCULUS ANALYSIS
047
(STONE ANALYSIS)
Submit entire specimen
Indicate source
Transportation: follow irretrievable sample procedure.
Submit unpreserved stone in clean labelled container.
TAT – 30 days
CALPROTECTIN, STOOL
9293
(FECAL CALPROTECTIN)
Sterile Container
Collect undiluted feces in a clean, dry, sterile, leakproof
container. Do not add fixative or preservative.
Store and ship FROZEN.
Refrigerated specimens are stable for 5 days after collection,
and should not be rejected if received within 5 days of collection
TAT- 17 days
CAMPYLOBACTER
Refer to CULTURE & SENSITIVITY - STOOL
(STOOL CULTURE)
CANCER ANTIGEN 15-3
Refer to CA 15-3
(CA 15-3, Breast)
(CARBOHYDRATE ANTIGEN 15-3)
CANCER ANTIGEN 19-9
(CA 19– 9, Pancreas)
(CARBOHYDRATE ANTIGEN 19-9)
Refer to CA 19-9
CANDIDA TITRE
TEST NO LONGER AVAILABLE
CANNABINOIDS SCREEN
078M
(CANNABIS)
(MARIJUANA)
(TETRAHYDROCANNABINOIDS)
(THC)
CARBAMAZEPINE
(TEGRETOL)
Urine
10 mL random urine
Submit in a blue cap conical tube
OHIP
CML
OHIP
CML
TAT – 2 days
040
Serum
PLAIN RED
Minimum Volume required: 2 mL
Collect specimen 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 1 day
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 4 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.
TEST NAME
CODE
CARBOHYDRATE
ANTIGEN 15-3
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
GREEN
-with Heparin
OHIP
LL
GOLD SST
OHIP
Refer to CA 15-3
(CA 15-3, Breast)
(CANCER ANTIGEN 15-3)
CARBOHYDRATE
ANTIGEN 19-9
CARBON DIOXIDE
Refer to CA 19-9
061
(BICARBONATE)
(CO2)
Serum
Centrifuge only
Do not remove tube stopper.
TAT – 1 day
CARBOXYHEMOGLOBIN
060
Blood
(CARBON MONOXIDE)
DO NOT OPEN TUBE
Refrigerate during storage and transport.
TAT – 14 day
CARCINOEMBRYONIC
ANTIGEN
690
Serum – Min volume: 1ml
CML
A CEA Requisition Form completed and signed
by the physician must accompany sample.
(CEA)
KEEP TOGETHER IN A PRIORITY BAG
Four weeks (28 days) must elapse between test requests.
Testing is covered by OHIP for a patient who is:
(a) being treated for metastatic breast cancer
(b) receiving adjuvant therapy for resected colorectal cancer
(c) being treated for metastatic disease
FORM AVAILABLE ON CML WEBSITE
TAT – 4 days
CARCINOEMBRYONIC
ANTIGEN
9328
Serum – Min Volume 1ml
GOLD SST
UNINSURED CML
Store and ship refrigerated.
(CEA)
A CEA Requisition Form completed and signed
by the physician must accompany sample.
KEEP TOGETHER IN A PRIORITY BAG
NOTE: to be used when four weeks have NOT elapsed
between CEA test requests OR when the patient does
not meet the above criteria.
FORM AVAILABLE ON CML WEBSITE
TAT – 4 days
CARDIOLIPIN ANTIBODIES
IgG AND IgM
(ANTI–CARDIOLIPIN AB)
(ANTI PHOSPHOLIPIN)
9109
Serum
Minimum volume required: 2 mL
PLAIN RED
FREEZE SERUM AND SEND FROZEN
Includes ACL IgG and ACL IgM
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 15 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
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Page 5 of 31
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UNINSURED HLRC
TEST NAME
CODE
CARDIOVASCULAR
INFLAMATION PANEL
CVIP
SPECIMEN REQUIREMENT
VACUTAINER
Plasma
2 LAVENDER
BILL
LOC
UNINSURED
(CVIP)
Myeloperoxidase
(MPO)
Panel Handling
Plasma (LAVENDER)
Testing Location
LL
Minimum Volume Required: 1mL
After mixing, IMMEDIATELY centrifuge for 10
minutes. IMMEDIATELY aliquot plasma into transfer
tube.
Store and ship refrigerated.
Plasma (LAVENDER)
Lp-PLA2
(PLAC®)
LL
Collect lavender and mix by inversion.
Centrifuge and aliquot plasma.
Store and ship refrigerated.
TAT – 17 days
CARNITINE, FREE / TOTAL
9710
Serum
Minimum Volume required: 1 mL
Provide date of birth, gender, clinical history.
GOLD SST
UNINSURED HLRC
GOLD SST
OHIP
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 20 days
CAROTENE
049
(B–CAROTENE)
Serum
Minimum Volume required: 4 mL
HLRC
FREEZE SERUM AND SEND FROZEN
Protect from light by transferring serum into an amber transport tube.
TAT – 20 days
CAT SCRATCH FEVER ANTIBODY
Refer to BARTONELLA ANTIBODY
(BARTONELLA ANTIBODY)
CATECHOLAMINES
(EPINEPHRINES)
(NOREPINEPHRINES)
9527
Plasma
LAVENDER
Patient must be supine for at least 15
minutes prior to & during specimen collection.
Collect after overnight fast (water and noncaffeinated
drinks permissable).
Provide list of medications.
Specimen should be kept cold and spun in refrigerated
centrifuge ASAP, within 60 minutes of
collection. Freeze immediately. Store and send frozen.
If the specimen thaws, it is unsuitable for analysis.
TAT – 14 Days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
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Version: 46.0 14-Sep-2015
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OHIP
HLRC
TEST NAME
CATECHOLAMINES,
FRACTIONATED
CODE
051
SPECIMEN REQUIREMENT
VACUTAINER
24-Hour Urine
50 mL aliquot – submit in a white cap 90 mL container
Do not add acid; ph will be adjusted in Biochemistry Dept.
Do not use this sample for any other test.
BILL
LOC
OHIP
DYN
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions” .
Refrigerate during storage and transport.
Retain a duplicate 50 mL aliquot with preservative, in the
fridge until test is reported.
Testing Includes Epinephrine & Norepinephrine, Dopamine
To be avoided for 48 hours before collection: ASA, Chloralhydrate, coffee, cola drinks,
dopamine, erythromycin, methyldopa, niacin, phenothiazines, quinidine,
quinine,
riboflavin, smoking, tea, tetracycline, vitamin B.
To be avoided for 72 hours before collection: avacados, bananas, chocolate, eggplant,
fruit and juices, hypertensive drugs (esp. Aldomet), pineapple, plums, Tylenol
(acetaminophen), walnuts.
TAT – 14 days
CATECHOLAMINES,
TOTAL
TOTAL NO LONGER AVAILABLE
- refer to CATECHOLAMINES, FRACTIONATED
CBC
Refer to COMPLETE BLOOD COUNT
CCP ANTIBODY
Refer to CYCLIC CITRULLINATED PEPTIDE ANTIBODIES
CEA
Refer to CARCINOEMBRYONIC ANTIGEN
(CARCINOEMBRYONIC ANTIGEN)
CELIAC DISEASE PANEL
- HOSPITALS ONLY
9951
Serum
Centrifuge only
GOLD SST
UNINSURED HLRC
Testing Includes Deamidated Gliadin Peptide IgG
And Tissue Transglutaminase IgA Antibodies
TAT – 15 days
CELIAC DISEASE PANEL
(GLUTEN ANTIBODIES)
1728
Serum
Minimum volume required: 1.0mL
GOLD SST
Collect blood in SST tube. Allow blood to clot
at room temperature for 30 minutes and separate
by centrifugation.
o
Store and ship at 2-8 C
NOTE: this test includes Deamidated Gliadin IgG (1726)
and Tissue Transglutaminase IgA (1727).
They can be requested and billed separately.
TAT – 15 days
CELONTIN
Refer to METHSUXIMIDE
(METHSUXIMIDE)
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
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Page 7 of 31
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UNINSURED LL
TEST NAME
CODE
CENTOGENE GENETIC
TEST - ADULT
4005
SPECIMEN REQUIREMENT
Whole Blood
VACUTAINER
2 LAVENDER
BILL
LOC
UNINSURED
CENTO
Minimum Volume required: 4 mL
Patient must present with completed
Genetic Testing Requisition, and has signed the
Patient Consent Section of the Requisition.
Collect blood in two Lavender (EDTA) tubes.
Ensure full draw. Mix thoroughly by gentle inversion.
Label tubes with collection labels.
Store and ship at room temperature.
TAT – 7 to 28 days
CENTOGENE GENETIC
TEST - REDRAW
4011
Whole Blood
1-2 LAVENDER
UNINSURED CENTO
Minimum Volume required: 2 or 4 mL
Patient must present with completed
Genetic Testing Requisition, and has signed the
Patient Consent Section of the Requisition.
Collect blood in one or two Lavender (EDTA) tubes according
to original collection. Ensure a full draw. Mix thoroughly by gentle inversion.
Label tubes with collection labels.
Store and ship at room temperature.
TAT – 7 to 28 days
CENTOGENE GENETIC
TEST - OTHER
4014
All other non-blood specimens
(Filter card, fluid, swab, other)
UNINSURED
CENTO
Specimen must be received with a completed
Genetic Testing Requisition.
The patient/guardian must have signed the
Patient Consent Section on the Requisition.
Ensure that specimen is labeled with:
Patient's full name, DOB or Health Card Number,
Date and Time of collection.
Store and ship at room temperature
TAT – 7 to 28 days
CENTOGENE GENETIC
TEST - PED
4008
Whole Blood
LAVENDER
Minimum Volume required: 2 mL
Patient must present with completed
Genetic Testing Requisition, and guardian
has signed the Patient Consent Section of the Requisition.
Collect blood in one Pediatric Lavender (EDTA) tube.
Ensure a full draw. Mix thoroughly by gentle inversion.
Label tube with collection label.
Store and ship at room temperature.
TAT – 7 to 28 days
CENTROMERE ANTIBODIES
Refer to NUCLEAR ANTIBODIES
(ANA)
(ANF)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODY)
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
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UNINSURED
CENTO
TEST NAME
CODE
CERULOPLASMIN
SPECIMEN REQUIREMENT
052
Serum
Centrifuge only
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
1 GOLD SST
1 LAVENDER
UNINSURED
TAT – 1 day
CH50
Refer to COMPLEMENT TOTAL CH50
(COMPLEMENT HEMOLYTIC)
(HEMOLYTIC COMPLEMENT FIXATION)
(COMPLEMENT TOTAL CH50)
CHF PANEL
CHFP
Serum (SST) and Whole Blood (Lavender)
(CHRONIC HEART FAILURE)
BNP
Galectin - 3
Panel Handling
Collect blood in Lavender top tube (EDTA)
Mix thoroughly by gentle
inversion and separate by
centrifugation WITHIN 2-4 hours of
collection. Transfer an aliquot of plasma
to a labelled tube, cap tightly
Store and ship FROZEN.
Serum (SST)
Minimum Volume required: 1 mL
Centrifuge and aliquot serum into transfer tube.
Testing Location
LL
LL
Store and send refrigerated.
TAT – 14 days
CHLAMYDIA – URINE
APTIMA URINE - PHL 9166
VIPER TUBE:
6932
TAT - 15 Days
N/C
CML
Note: Send sample to PHL ONLY IF specifically requested by the physician.
REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM.
TAT - 3 Days
OHIP
CML
Patient should not have urinated in the last hour. Collect the first part of the
urine stream to ensure a high organism count. Void 20-30 mL (larger urine
volume dilutions may result in false negative results) into one container for
Chlamydia and then collect urine for any other tests ordered in a second
container. Staff transfer 2mL with provided pipette to VIPER Urine Specimen
Collection Kit (BD PROBETEC QX UPT).
Note: Submission will also be tested and reported for Neisseria Gonorrhoeae.
CHLAMYDIA - SWAB
APTIMA SWAB - PHL 9083
VIPER SWAB:
6930
TAT - 15 Days
N/C
CML
Note: Send sample to PHL ONLY IF specifically requested by the physician.
REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM.
TAT - 3 Days
OHIP
CML
Swab – state source: cervical/vaginal (for female); urethral (for male)
Note: Submission will also be tested and reported for Neisseria Gonorrhoeae
Swab must be submitted in BD PROBETEC QX COLLECTION KIT transport tube
with black cap. Store and transport at room temperature.
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
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Page 9 of 31
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TEST NAME
CODE
CHLAMYDIA PSITTACI
ANTIBODY
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
CML
OHIP
CML
24 Hour Urine
OHIP
10 mL aliquot – submit in a white cap conical tube
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions” .
Retain a duplicate 50 mL sample in the fridge until test is reported.
Includes urine creatinine and total volume
CML
SEROLOGY TESTING NO LONGER AVAILABLE.
(PSITTACOSIS ANTIBODY)
CHLORDIAZEPOXIDE
TEST NO LONGER AVAILABLE
(LIBRIUM)
CHLORIDE
053
Serum
Centrifuge only
GOLD SST
TAT – 1 day
CHLORIDE, URINE
053RU
Urine
10 mL random urine
Submit in a white cap conical tube
TAT – 2 days
CHLORIDE, 24 HOUR URINE
053U
TAT – 2 days
CHLORPROMAZINE
TEST NO LONGER AVAILABLE
(LARGACTIL)
CHOLESTEROL, FASTING
055F
Serum
Centrifuge only
Patient has fasted for 10 hours or more.
GOLD SST
OHIP
CML
Ask patient:
“When did you last have something
to eat or drink other than water?”
Document number of hours on the requisition.
Drop-offs/hubbing – document “Drop-Off” instead of number of hours.
TAT – 1 day
CHOLESTEROL, RANDOM
055R
Serum
Centrifuge only
Patient has fasted less than 10 hours.
GOLD SST
OHIP
Ask patient:
“When did you last have something
to eat or drink other than water?”
Document number of hours on the requisition.
Drop-offs/hubbing – document “Drop-Off” instead of number of hours.
TAT – 1 day
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
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CML
TEST NAME
CHOLESTEROL, HDL
(HDL CHOLESTEROL)
CODE
117H
SPECIMEN REQUIREMENT
Serum
Centrifuge only
Either fasting or random samples are
acceptable for testing
VACUTAINER
BILL
GOLD SST
OHIP
GOLD SST
OHIP
LOC
CML
TAT – 1 day
CHOLESTEROL, NON-HDL
FASTING
3921
Serum
Centrifuge only
Patient has fasted for 10 hours or more.
CML
Ask patient:
“When did you last have something
to eat or drink other than water?”
Document number of hours on the requisition.
Drop-offs/hubbing – document “Drop-Off” instead of number of hours.
TAT – 1 day
CHOLESTEROL, NON-HDL
RANDOM
3922
Serum
Centrifuge only
Patient has fasted less than 10 hours.
GOLD SST
OHIP
CML
Ask patient:
“When did you last have something
to eat or drink other than water?”
Document number of hours on the requisition.
Drop-offs/hubbing – document “Drop-Off” instead of number of hours.
TAT – 1 day
CHOLINESTERASE, TOTAL
057
Serum
Minimum volume required: 2 mL
Centrifuge and aliquot into transfer tube
Store and ship frozen.
GOLD SST
OHIP
HLRC
GOLD SST
OHIP
HLRC
GOLD SST
OHIP
CML
If patient has had recent surgery, please
wait 24 hours post-surgery before
blood collection.
TAT – 10 days
CHOLINESTERASE,
PHENOTYPE
058
(DIBUCAINE INHIBITION TEST)
(PSEUDO-CHOLINESTERASE)
Serum
Minimum volume required: 2 mL
Centrifuge and aliquot into transfer tube
Store and ship frozen.
If patient has had recent surgery, please
wait 24 hours post-surgery before
blood collection.
TAT – 11 days
CHOLINESTERASE, RBC
(ACETYL CHOLINESTERASE)
CHORIO GONADOTROPIN,
ONCOLOGY
(BETA HCG- for ONCOLOGY)
Refer to ACETYL CHOLINESTERASE
318–C
Serum
Centrifuge only
Label tube “hCG for Oncology”.
TAT – 1 day
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
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Version: 46.0 14-Sep-2015
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TEST NAME
CHORIO GONADOTROPIN,
PREGNANCY
CODE
318
SPECIMEN REQUIREMENT
Serum
Centrifuge only
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
(BETA HCG- for PREGNANCY)
TAT – 1 day
CHORIO GONADOTROPIN SCREEN
Refer to PREGNANCY TEST
(PREGNANCY TEST)
CHROMIUM
9232
Urine
50 mL random urine
Submit in a 90 mL orange cap container.
UNINSURED HLRC
TAT – 15 days
CHROMIUM
99999
24 Hour Urine
ACID WASHED CONTAINER
24 hour urine MUST be collected in an
ACID WASHED Container.
Store and ship refrigerated.
For industrial exposure a random urine is recommended.
Creatinine level is determined on all 24 hour urine
specimens to assess the completeness of the 24 hr collection.
UNINSURED LL
TAT – 10 days
CHROMIUM
9249
Plasma
ROYAL BLUE (K2EDTA)
Min volume: 3ml
Separate plasma within 30 min
into metal-free polypropylene tube.
Do not use gel-separator collection tubes.
UNINSURED HLRC
TAT – 20 days
CHROMOGRANIN A
9244
Plasma (EDTA)
Minimum Volume required:
Two 1 mL aliquots
LAVENDER
UNINSURED HLRC
Patient should abstain from proton pump inhibitor medication
(e.g. lansoprazole, omeprazole) for two weeks prior to collection.
Store and send frozen.
If the specimen thaws, it is unsuitable for analysis.
Samples with cloudiness, hemolysis, hyperlipidemia or containing fibrin may give
inaccurate results.
TAT – 15 days
CHROMOSOME ANALYSIS
Refer to KARYOTYPING
(KARYOTYPING)
CIRCULATING ANTICOAGULANT
Refer to LUPUS ANTICOAGULANT
(LUPUS ANTICOAGULANT)
(NON–SPECIFIC COAGULATION INHIBITORS)
CITRATE
9323
24-Hour Urine
OHIP
2 X 10 mL – submit in white cap conical tubes
Do NOT add acid; pH will be adjusted in Biochemistry Dept.
State 24-hour volume
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 15 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
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HLRC
TEST NAME
CODE
CITRATED PLATELET COUNT 394
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
LIGHT BLUE
OHIP
CML
OHIP
HLRC
OHIP
DYN
WHOLE BLOOD
(CITRATED PLATELETS)
Pre-Test Preparation:
Complete Blood Count (CBC Test Code 393)
must be collected and ordered with the Citrated
Platelet Count.
Collect blood in 1 LIGHT BLUE top tube (Citrated)
And 1 LAVENDAR top tube (EDTA). Mix
thoroughly by gentle invertion.
Elacticize together both LIGHT BLUE and LAVENDAR
top tubes and send in a ziplock bag.
TAT – 1 Day
CK
Refer to CREATINE KINASE
(CPK)
(CREATINE PHOSPHOKINASE)
(CREATINE KINASE)
CK–MB
Refer to CREATINE KINASE- MB
(CK-2 MB)
(CREATINE PHOSPHOKINASE-MB)
(CREATINE KINASE-MB)
CK ELECTROPHORESIS
Refer to CREATINE KINASE FRACTIONATION
(CK ISOENZYMES)
(CK FRACTIONATION)
(CREATINE KINASE FRACTIONATION)
CLOBAZAM
9116
(FRISIUM)
(DESMETHYL CLOBAZAM)
Serum or heparinized plasma
PLAIN RED
Minimum Volume required: 2 mL
Morning sample taken prior to the drug dose.
Do not use gel separator tubes.
Promptly centrifuge and separate
serum/plasma into a plastic transfer tube
separate serum and transfer to plastic tube.
Also includes Desmethyl Clobazam
Sodium or Lithium heparinized plasma is acceptable.
o
Store and ship at 4 - 8 C
TAT – 10 days
CLOMIPRAMINE
(ANAFRANIL)
079E
Serum
ROYAL BLUE
Minimum Volume required: 2 mL
- no additive
Centrifuge and aliquot into serum tube
Collect specimen 10–12 hours after last dose
Do not use SST
Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport.
● Includes Desmethyclomipramine ●
TAT – 14 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
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Page 13 of 31
Version: 46.0 14-Sep-2015
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TEST NAME
CLONAZEPAM 9536
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
N/C
PHL
OHIP
HLRC
PLAIN RED
Minimum Volume required: 3 mL
Centrifuge and aliquot into serum tube
Collect trough specimen immediately
prior to next dose.
FREEZE SERUM AND SEND FROZEN
Serum
(RIVOTRIL)
TAT – 10 days
CLOSTRIDIUM DIFFICILE
CULTURE AND TOXIN
STUDIES
9074
Stool
Submit approximately 15 mL of stool in
sterile 90 mL orange cap container.
If sample will not be sent to PHL
within 48 hours, it must be frozen.
Specify culture and / or toxin studies
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
Specimen storage and transportation at 2-8 °C,
or frozen if time in transit greater than 48 hours.
TAT – 5 to 10 days
CLOT RETRACTION
TEST NO LONGER AVAILABLE
CLOTTING TIME
TEST NO LONGER AVAILABLE
CLOZAPINE
9916
(CLOZARIL)
(DESMETHYLCLOZAPINE)
(NORCLOZAPINE)
Plasma
Minimum Volume required: 2 mL
Collect trough specimen immediately
prior to next dose.
LAVENDER
OHIP
HLRC
GOLD SST
OHIP
ROYAL BLUE
K2 EDTA
UNINSURED HLRC
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 20 days
CMV
Refer to CYTOMEGALOVIRUS ANTIBODY
(CYTOMEGALOVIRUS ANTIBODY)
CMV ISOLATION
Refer to CYTOMEGALOVIRUS ISOLATION
(CYTOMEGALOVIRUS ISOLATION)
CO2
Refer to CARBON DIOXIDE
(BICARBONATE)
(CARBON DIOXIDE)
COBALAMINS
345
(VITAMIN B12)
Serum
Centrifuge only.
CML
TAT – 1 day
COBALT
9917
Plasma
Separate
Minimum Volume required: 3 mL.
TAT – 30 days
COBALT
9918
Urine
50 mL random urine
Submit in a 90 mL orange cap container.
TAT – 30 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
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Version: 46.0 14-Sep-2015
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UNINSURED HLRC
TEST NAME
CODE
COBALT
99999
SPECIMEN REQUIREMENT
VACUTAINER
24 Hour Urine
ACID WASH CONTAINER
24 hour urine MUST be collected in
an ACID WASHED CONTAINER
Store and ship refrigerated.
For industrial exposure a random
urine is recommended.
BILL
LOC
UNINSURED LL
TAT – 10 days
COCAINE SCREEN
078C
Urine
10 mL random urine
Submit in a blue cap conical tube.
OHIP
CML
N/C
PHL
OHIP
CML
TAT – 2 days
COCCIDIOIDES ANTIBODY
9012
Do not centrifuge tube
PLAIN RED
(VALLEY FEVER)
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
CODEINE
Refer to DRUG SCREEN BROAD SPECTRUM
COLD AGGLUTININS SCREEN 660
Serum and Clot
PLAIN RED
(AGGLUTINATION REACTION SCREEN)
Blood drawn in a SST is not acceptable
o
Clot at room temperature (preferable 37 C)
Centrifuge immediately upon complete clot formation.
Remove serum and transfer into a separation tube
and send both serum and clot tube elastized together.
DO NOT REFRIGERATE
TAT – 1 day
COLOGIC
9280
Serum
GOLD SST
UNINSURED PLSI
GOLD SST
OHIP
LIGHT BLUE
OHIP
(GTA-446)
Centrifuge and aliquot into serum tube
Refrigerate during storage and transport
TAT – 10 days
COMPLEMENT C1
561
(ESTERASE INHIBITOR)
Serum
Centrifuge only
Refrigerate during storage and transport.
DYN
TAT – 7 days
COMPLEMENT C1
ESTERASE INHIBITOR,
FUNCTIONAL
9707
Plasma
Minimum volume required: 2 mL
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 34 days
COMPLEMENT C1Q
Refer to C1Q IMMUNE COMPLEXES
(C1Q IMMUNE COMPLEXES)
(C1Q COMPLEMENT BINDING ACTIVITY)
(IMMUNE COMPLEXES, C1Q)
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
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HLRC
TEST NAME
CODE
COMPLEMENT C2
9919
(C2)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Minimum Volume required: 2 mL
Collect in pre-chilled tube
GOLD SST
BILL
LOC
UNINSURED HLRC
Separate within one hour of collection and freeze serum
as soon as possibleSubmission of duplicate
aliquots is recommended in case of repeat analysis.
Avoid multiple freeze/thaw. If thawed, specimen is unsuitable.
FREEZE SERUM AND SEND FROZEN
TAT – 30 days
COMPLEMENT C3
551
(C3)
Serum
Centrifuge only
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
LAVENDER
OHIP
HLRC
LAVENDER
OHIP
HLRC
GOLD SST
OHIP
HLRC
LAVENDER
OHIP
CML
ROYAL BLUE
- No Additive
OHIP
DYN
TAT – 1 day
COMPLEMENT C4
552
(C4)
Serum
Centrifuge only
TAT – 1 day
COMPLEMENT C5
9708
(C5)
Plasma
Minimum Volume required: 2 mL
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
COMPLEMENT C6
9709
(C6)
Plasma
2 aliquots of 1 mL – keep aliquots
together with elastic
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
COMPLEMENT,TOTAL CH50
530
(CH50)
Serum
Minimum Volume required: 2 mL
(HEMOLYTIC COMPLEMENT FIXATION)
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 15 days
COMPLETE BLOOD COUNT
393
Blood
TAT – 1 day
COOMBS TEST
Refer to DIRECT ANTI-GLOBULIN TEST
(DIRECT ANTI– GLOBULIN)
(DIRECT COOMBS)
(DIRECT ANTI–HUMAN GLOBULIN)
COPPER
063
Serum
Minimum Volume required: 3 mL
Centrifuge and aliquot into serum tube
Refrigerate during storage and transport.
TAT – 20 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
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TEST NAME
CODE
COPPER
063U
SPECIMEN REQUIREMENT
VACUTAINER
24-Hour Urine
50 mL aliquot –submit in a white cap container
Refrigerate during storage and transport
BILL
LOC
UNINSURED DYN
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions”.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 14 days
COPPER - RBC
99999
Red Cells
ROYAL BLUE
K2EDTA
UNINSURED LL
Mix thoroughly by inversion.
Centrifuge tube for 15 minutes.
Specimen must be processed within 2 hours of collection
Using a polypropylene transfer pipette remove the plasma,
buffy coat and a little of the red cells and place into an empty tube,
cap and discard.
Keep the RED CELLS in the original ROYAL BLUE top tube.
Ensure tube is capped tightly to avoid leakage.
TAT – 20 days
COPPER
9520
Tissue
Please entere specimen source
required, e.g. Liver
CONTAINER - STERILE
N/C
LHSC
FORM AVAILABLE ON CML WEBSITE
TAT – 13 days
COPROPORPHYRINS
Refer to PORPHYRINS, QUANTITATIVE
(PORPHYRINS)
(UROPORPHYRINS)
CORTICOTROPIN
2618
(ADRENOCORTICOTROPIC HORMONE)
(ACTH)
Plasma
LAVENDER
Minimum Volume required: 2.0 mL
Collect blood in CHILLED LAVENDER top tube.
Mix thoroughly by gentle inversion and place
tube in refrigerator until centrifugation.
Centrifuge WITHIN 60 minutes of collection.
Transfer an aliquot of plasma to a labeled tube,
o
cap tightly and FREEZE at -20 C.
OHIP
LL
OHIP
CML
SHIP FROZEN
Plasma is stable for:
o
8 hours at 2-8 C
o
4 weeks at -20 C
Samples are not stable at room temperature.
Multiple freeze/thaw cycles must be avoided.
Freeze only once.
TAT – 11 days
CORTISOL
Plasma
GREEN
Indicate time of collection (AM, PM, Random) – with Heparin
 A.M.
 P.M.
 RANDOM
303AP
303PP
303RP
Note: AM Collection Range: 6am – 10am
Note: PM Collection Range: 3pm – 11pm
Note: For specimens collected outside of AM and PM ranges
TAT – 3 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 17 of 31
Version: 46.0 14-Sep-2015
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TEST NAME
CODE
CORTISOL
SPECIMEN REQUIREMENT
VACUTAINER
Serum
GOLD SST
Centrifuge only
Indicate time of collection (AM, PM, Random)
 A.M.
 P.M.
 RANDOM
303AM
303PM
303R
BILL
LOC
OHIP
CML
OHIP
CML
Note: AM Collection Range: 6am – 10am
Note: PM Collection Range: 3pm – 11pm
Note: For specimens collected outside of AM and PM ranges
TAT – 3 days
CORTISOL
 FREE
303UF
24-Hour Urine
10 mL aliquot – submit in a white cap conical tube
labelled CREATININE and a
50 mL aliquot – submit in a 90 mL white cap container
labelled CORTISOL FREE
Testing includes urine creatinine and total volume.
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions” .
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 12 days
CORTISOL
 FREE
RANDOM
URINE
303RU
Random urine
Two 10ml random urines submitted in
two white cap conical tubes. Testing includes
Creatinine Random Urine
Min urine required: 10ml
OHIP
CML
TAT 12 days
CORTISOL
 TOTAL
TEST NO LONGER AVAILABLE
COUMADIN
Refer to WARFARIN
(WARFARIN)
COUNSYL FAMILY
PREP SCREEN 1.0
4100
Blood
LAVENDER
Optimal volume 4 mL
Mix thoroughly by gentle inversion.
o
Store specimen refrigerated at 2-8 C until ready to ship
Ship at room temperature
Specimen is stable 7 days at room temperature.
This test requires a LifeLabs / Counsyl requisition
to be completed by the ordering physician.
Please use the same test code if Saliva specimen is required.
TAT 10 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 18 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.
UNINSURED LLG
TEST NAME
COUNSYL FAMILY
PREP SCREEN 2.0
CODE
4101
SPECIMEN REQUIREMENT
VACUTAINER
Blood
LAVENDER
Optimal volume 4 mL
Mix thoroughly by gentle inversion.
o
Store specimen refrigerated at 2-8 C until ready to ship
BILL
LOC
UNINSURED LLG
Ship at room temperature
Specimen is stable 7 days at room temperature.
This test requires a LifeLabs / Counsyl requisition
to be completed by the ordering physician.
Please use the same test code if Saliva specimen is required.
TAT 14 days
COUNSYL FAMILY
PREP REDRAW
4102
Blood
LAVENDER
Optimal volume 4 mL
Mix thoroughly by gentle inversion.
o
Store specimen refrigerated at 2-8 C until ready to ship
UNINSURED LLG
Ship at room temperature
Specimen is stable 7 days at room temperature.
This test requires a LifeLabs / Counsyl requisition
to be completed by the ordering physician.
Please use the same test code if Saliva specimen is required.
TAT 14 days
COXSACKIE VIRUS,
ISOLATION
9008
(HAND, FOOT, MOUTH DISEASE)
(ENTEROVIRUS)
Stool / Rectal Swab / Throat Swab
Viral history sheet must be completed.
N/C
PHL
Stool is the preferred specimen
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
▀ MINISTRY OF HEALTH GUIDELINES
Refer to the General Information Page for the MOH
Procedure regarding specimen processing & transport.
Use appropriate MOH container: Stool– Virus–TM
Rectal or Throat Swab– Virus–SW
TAT – 15 to 30 days
CREATINE
CREATINE KINASE
(CK)
(CPK)
TEST NO LONGER AVAILABLE
066
Serum
Centrifuge only
GOLD SST
TAT – 1 day
CREATINE KINASE-MB
TEST NO LONGER AVAILABLE
(CK-2 MB)
CREATINE KINASE,
FRACTIONATION
(CK ELECTROPHORESIS)
(CK ISOENZYMES)
(CK FRACTIONATION)
TEST NO LONGER AVAILABLE
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 19 of 31
Version: 46.0 14-Sep-2015
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OHIP
CML
TEST NAME
CREATININE
CODE
067
(eGFR)
(ESTIMATED GFR)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
OHIP
CML
Serum and 24-Hour Urine
GOLD SST
OHIP
centrifuge only and
10 mL urine aliquot – submit in a white cap conical tube
No preservative
Collect blood specimen at the end of the 24-hour urine collection.
CML
Serum
Centrifuge only
TAT – 1 day
CREATININE
067U
24-Hour Urine
10 mL aliquot – submit in a white cap conical tube
labelled CREATININE
No Preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions”.
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT – 1 day
CREATININE CLEARANCE
068
State total 24-hour volume, height and weight on the OHIP Requisition,
on the specimen container and in “Notes & Instructions” .
Retain a duplicate 50 mL sample in the fridge until test is reported.
Testing Includes serum creatinine, urine creatinine, total volume
TAT – 2 days
CRP
Refer to C-REACTIVE PROTEIN HIGH SENSITIVITY
(C–REACTIVE PROTEIN)
CRP-HIGH SENSIVITY
Refer to C-REACTIVE PROTEIN HIGH SENSITIVITY
(C–REACTIVE PROTEIN HIGH SENSITIVITY)
CRYOFIBRINOGEN
599
Blood
Do not open
LIGHT BLUE
OHIP
CML
GOLD SST
OHIP
CML
PLAIN RED
N/C
PHL
KEEP AT ROOM TEMPERATURE
TAT – 1 day
CRYOGLOBULINS,
QUALITATIVE
600
Serum
Centrifuge only
Fasting specimen preferred.
KEEP AT ROOM TEMPERATURE
TAT – 1 day
CRYPTOCOCCOSIS
ANTIGEN
9009
Do not centrifuge tube
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
▀ MINISTRY OF HEALTH GUIDELINES
Refer to the General Information Page for the MOH
Procedure regarding specimen processing & transport.
TAT – 15 days
CULTURE FUNGAL
Refer to FUNGAL CULTURE
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 20 of 31
Version: 46.0 14-Sep-2015
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TEST NAME
CULTURE & SENSITIVITY
 BLOOD
CODE
SPECIMEN REQUIREMENT
VACUTAINER
624
Blood
624-2
nd
2 set
Disinfect the venipuncture site first with
70% isopropyl alcohol, then with
10% Povidone Iodine Prep Pad
624-3
rd
3 set
BLOOD
CULTURE
BOTTLES
BILL
OHIP
LOC
CML
Cleanse the top of the tubes with 70% isopropyl alcohol
Adult – collect 2 sets of blood culture bottles
(a total of 4 bottles);
• 1st set (1 aerobic and 1 anaerobic)
• 2nd set (1 aerobic and 1 anaerobic)
from a different venipuncture site.
If the requisition requests Endocarditis then collect
3 sets of blood culture bottles (a total of 6 bottles),
each set should be collected 30 minutes after the previous pair:
• 1st set (1 aerobic and 1 anaerobic)
• 2nd set (1 aerobic and 1 anaerobic) from a different venipuncture site
• 3rd set (1 aerobic and 1 anaerobic) from a different venipuncture site
Child – refer to table below for collections for children and infants
Weight
Approximate Age
Total Volume of
Blood
< 2 kg
(< 5 lb)
Neonate
(< 1 month)
1 to 2 mL
1 BacT Alert Peds
3 to 5 mL
1 BacT Alert Peds
2.1 - 12.7 kg
Infant
(5 to 28 lb) (1 month to 2 years)
12.8 - 36.3 kg
(28 to 80 lb)
Children
(2 to 12 years)
> 36.3 kg
(> 80 lb)
Adolescent
(> 12 years)
5 to 10 mL
(5 mL per bottle)
BacT Alert Bottles
2 BacT Alert Peds
collected from same
venipuncture site
1 aerobic BacT Alert
20 mL
1 anaerobic BacT Alert
(10 mL per bottle) collected from same
venipuncture site
Collect the blood culture tubes first, then draw any other specimens required
Collect at intervals specified by the physician. If none is given, a series of three
collections over a period of 24 hours to 48 hours is recommended
(12-24 hours between collections depending on patient’s accessibility
to a collection centre).
STATE THE DATE AND TIME OF COLLECTION ON THE BOTTLES
State on the OHIP requisition: the patient’s home telephone number
and the full information about the ordering physician.
Bottles should not be refrigerated
Specimen storage and transportation at room temperature
TAT – 5-7 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 21 of 31
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TEST NAME
CODE
CULTURE & SENSITIVITY
628–4
 EAR
 EYE / CONJUNCTIVA
 NOSE / NARES
SPECIMEN REQUIREMENT
VACUTAINER
Swab – state source
Place swab in clear transport media
BILL
LOC
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
Use code 628-44 for a second swab on same patient
Specimen storage and transportation at room temperature.
TAT – 2 to 3 days

CORD BLOOD
TEST NO LONGER AVAILABLE
CULTURE & SENSITIVITY
628–4
 EAR
 EYE / CONJUNCTIVA
 NOSE / NARES
Swab – state source
Place swab in clear transport media
Use code 628-44 for a second swab on same patient
Specimen storage and transportation at room temperature.
TAT – 2 to 3 days
CULTURE & SENSITIVITY
FEMALE G.C. ONLY
 CERVICAL
 ENDOCERVICAL
 GONORRHOEAE
627
Swab – state source
Place swab in charcoal transport media
Test is for N. gonorrhoeae only
Vaginal swabs should not be coded for GC as per Micro.
Specimen storage and transportation at room temperature.
TAT – 3 days
CULTURE & SENSITIVITY
625
GENITAL
 CERVICAL/VAGINAL
 LABIA
 PENIS/PENILE
 VAGINAL
 VAGINAL/ANAL
 VAGINAL/RECTAL
 VULVA
Swab – state source
Place swab in charcoal transport media
Test is for N. gonorrhoeae, Yeast, Trichomonas and Bacterial Vaginosis
Use code 625-2 for a second swab on same patient
Specimen storage and transportation at room temperature.
TAT – 3 days
CULTURE & SENSITIVITY
625S
GROUP B STREP SCREEN ONLY
 VAGINAL
 VAGINAL/RECTAL
Swab
Place swab in clear or charcoal transport media
OHIP
CML
OHIP
CML
OHIP
CML
Specimen storage and transportation at room temperature.
TAT – 5 to 7 days
CULTURE & SENSITIVITY
 ANY FLUID,
EXCEPT SEMEN
639F
Body Fluid – state source
10 mL
Place fluid in a sterile container
TAT – 3 days
CULTURE & SENSITIVITY
628–5
 MISCELLANEOUS
 Includes wound, skin,
all abscesses, axilla,
groin, discharge, eye lid,
mouth, perianal, pharynx
rectal abscess, tonsil
Swab – state source
Place swab in clear or charcoal transport media
Use code 628-6 for a second routine swab on same patient
Specimen storage and transportation at room temperature.
TAT – 2 to 3 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 22 of 31
Version: 46.0 14-Sep-2015
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TEST NAME
CODE
CULTURE & SENSITIVITY
 RECTAL / ANAL
628–9
SPECIMEN REQUIREMENT
VACUTAINER
Swab – Rectal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
BILL
LOC
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
TAT – 4 days
CULTURE & SENSITIVITY
667-1
 RECTAL/ANAL ESBL
Swab – Rectal/Anal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT – 4 days
CULTURE & SENSITIVITY
667-2
 RECTAL/ANAL VRE
Swab – Rectal/Anal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT – 4 days
CULTURE & SENSITIVITY
667-3
 RECTAL/ANAL CRE
Swab – Rectal/Anal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT – 4 days
CULTURE & SENSITIVITY
667-4
 RECTAL/ANAL GC
Swab – Rectal/Anal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT – 4 days
CULTURE & SENSITIVITY
667-5
 RECTAL/ANAL
GROUP A STREP
Swab – Rectal/Anal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT – 4 days
CULTURE & SENSITIVITY
 SEMEN
639S
Semen
Minimum Volume required: 2 mL
Place in sterile container
TAT – 3 days
CULTURE & SENSITIVITY
 SPUTUM
629
Sputum
Deep cough specimen in sterile container
Use only 1 sample per requisition
Specimen storage and transportation at 2-8 °C.
TAT – 2 to 3 days
CULTURE & SENSITIVITY
 STOOL
630–1
Stool
Place stool in Cary–Blair transport container to the “FILL LINE”
Shake to emulsify sample
Only one request per requisition will be accepted unless
authorized by Dr. P. Stuart – then code additional samples 630-2, 630-3.
Specimen storage and ship refrigerated.
Patient may present with a room temperature sample. This is acceptable.
TAT – 3- to 4 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 23 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.
TEST NAME
CULTURE

CODE
628
THROAT
SPECIMEN REQUIREMENT
VACUTAINER
Swab – Throat
Place swab in clear transport media
BILL
LOC
OHIP
CML
OHIP
CML
OHIP
CML
State if patient is allergic to penicillin in “Notes and Instructions”.
State if Sensitivity Test is required in “Notes and Instructions”.
Sensitivity is NOT automatically included in this test.
Test is for Beta Streptococcus Group A
Use code 628-2 for a second swab on same patient
Specimen storage and transportation at room temperature.
TAT – 2 to 3 days
CULTURE & SENSITIVITY
 THROAT FOR STREP
Refer to Culture, Throat
CULTURE & SENSITIVITY
 URETHRAL
Swab – Urethral – Male or Female
Submit swab in charcoal transport media.
628–7
Specimen storage and transportation at room temperature.
TAT – 3 days
CULTURE & SENSITIVITY
 URINE
634
Urine – Grey Top Urine Vacutainer
Collect a minimum of 10 mL of mid–stream urine
in a sterile orange cap container.
Transfer IMMEDIATELY into grey top urine C&S tube.
ALWAYS aliquot urine C&S first if aliquotting multiple tubes.
If unable to aliquot immediately refrigerate orange cap sample until
Aliquot is possible.
Store and ship at room temperature once aliquotted.
TAT – 1 to 3 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 24 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.
TEST NAME
CODE
CULTURE & SENSITIVITY
SPECIMEN REQUIREMENT
VACUTAINER
QUICK REFERENCE CODING LIST
For specimen requirements refer to the Individual test specifications
SWAB SOURCE
CODE
SWAB SOURCE
BILL
LOC
OHIP
CML
CODE
ALL ABSESSES
628-5
NASAL, MRSA Screen Test
610-1
ANAL
628-9
NARES
628-4
AXILLA
628-5
NOSE
628-4
AXILLA, MRSA Screen Test
610-1
PENIS / PENILE
625
BLOOD
624
PERIANAL
628-5
CERVICAL
627
PHARYNX
628-5
CERVIX FOR G.C.
627
RECTAL
628-9
CERVIX/VAGINAL
625
RECTAL ABSCESS
628-5
CONJUNCTIVA
628-4
RECTAL/ANAL *NEW*
628-9
EAR
628-4
RECTAL/ANAL – CRE *NEW*
667-3
EAR LOBE
628-5
RECTAL/ANAL – ESBL *NEW*
667-1
ENDOCERVICAL
627
RECTAL/ANAL – GC *NEW*
667-4
EYE
628-4
RECTAL/ANAL – GROUP A STREP *NEW*
667-5
EYE LID
628-5
RECTAL/ANAL – VRE *NEW*
667-2
FLUID, (All fluids except Semen)
639F
RECTAL, MRSA Screen Test
610-1
FORESKIN
628-5
SEMEN
639S
GC ( includes THROAT, EYE, CERVIX
when ONLY GC is ordered)
GONORRHOEAE (provide source)
627
SKIN (includes FORESKIN)
628-5
627
SLIDE FOR GRAM STAIN
643
GROIN
628-5
SMEAR FOR GRAM STAIN
643
GROIN, MRSA SCREEN TEST
610-1
SPUTUM
629
GROUP B STREP SCREEN, VAG
625S
STOOL
630-1
IUD
628-5
THROAT - Allergic to penicillin
628
LABIA
628-5
THROAT FOR STREP - Allergic to penicillin
628
LESION (from any site)
628-5
TONSIL
628-5
MISCELLANEOUS (provide source)
628-5
ULCER (from any site)
628-5
MRSA Screen Test, AXILLA
610-1
URETHRAL- MALE or FEMALE
628-7
MRSA Screen Test, GROIN
610-1
URINE
634
MRSA Screen Test, NASAL
610-1
VAGINAL
625
MRSA Screen Test, RECTAL
610-1
VAGINAL, GROUP B STREP SCREEN
625S
MOUTH – Includes yeast/ thrush
628-5
VAGINAL/ ANAL
625
VAGINAL/ CERVICAL
625
VAGINAL/ RECTAL, Group B Strep Screen
625S
VULVA
625
WOUND
VRE (source – STOOL)
628-5
Contact
Micro
MUTIPLE SWABS - on same patient
Source
Eye, Ear, Nose
Throat
Miscellaneous
Vaginal, Vag/Cx, Vag/Anal
MRSA
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
First Swab
Subsequent Swab(s)
628-4
628
628-5
625
610-1
628-44
628-2
628-6
625-2
610-2, 610-3, 610-4, 610-5
Page 25 of 31
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TEST NAME
CODE
CYANIDE
9920
SPECIMEN REQUIREMENT
Whole blood
Minimum volume required: 7 mL
VACUTAINER
ROYAL BLUE
-with K2 EDTA
BILL
LOC
UNINSURED HLRC
DO NOT CENTRIFUGE – SEND ENTIRE TUBE
TAT – 29 days
CYCLIC CITRULLINATED
PEPTIDE ANTIBODIES
- HOSPITALS ONLY
9165
(ANTI-CCP)
(CCP ANTIBODY)
Serum
Minimum volume required: 1 mL
Centrifuge only
Store and transport refrigerated
GOLD
UNINSURED HLRC
GOLD SST
UNINSURED LL
LAVENDER
OHIP
Collect sample Monday – Wednesday only
TAT – 15 days
CYCLIC CITRULLINATED
PEPTIDE ANTIBODIES
3029
Serum
Minimum volume required: 0.5 mL
(ANTI CYCLIC CITRULLINATED PEPTIDE)
(ANTI-CCP)
(CCP ANTIBODY)
(CPP IGG)
Collect blood in SST tube. Allow bloof to clot
at room temperature for 30 minutes and
separate by centrifugation.
o
Store and ship at 2-8 C
TAT – 4 days
CYCLOSPORINE,
TRANSPLANT
9153
Blood
HLRC
Place specimen, Hospital Form or copy of the OHIP requisition
in a ziplock bag with a priority label.
On priority label print `CYCLOSPORINE – TRANSPLANT’
Indicate name of transplant hospital and transplant physician on requisition.
Keep cold during transport.
TAT – variable
CYCLOSPORINE,
NON TRANSPLANT
9385
Blood
LAVENDER
State on the tube and requisition “non–transplant”
UNINSURED HLRC
Ensure that ALL of the patient information is
Complete and clearly indicated – especially date of birth
Keep cold during transport.
TAT – variable
CYSTINE
(QUANTITATIVE)
(CYSTINURIA MONITORING)
069U
Random Urine
10 mL aliquot – submit in a 90 mL orange cap container.
No preservative.
FREEZE URINE AND SEND FROZEN.
TAT – 18 days
CYSTINE SCREEN
Refer to METABOLIC SCREEN
(CYSTINE QUALITATIVE)
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 26 of 31
Version: 46.0 14-Sep-2015
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UNINSURED HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
CYTOLOGY
705
 ASPIRATION BIOPSY
Slide and / or Aspiration Fluid
Optimal volume 1 mL or more
Includes all aspirations and or slides from:
 ANY TUMOR
 LYMPH NODE
 MASS
 NECK
 NODULE
Complete a Cytology & HPV Testing Requisition for samples.
Fix with an equal volume of Cytolyt to sample.
BILL
LOC
OHIP
CML
For complete specimen collection instructions, click on the link below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp
Do not code the Documentation Fee for this test.
Or CYST from:
 THYROID
 LYMPH NODE
 SALIVARY GLAND
For transportation, follow irretrievable procedure
TAT– 5 days
CYTOLOGY
706
 BRONCHIAL WASHING
OR BRUSHING
Washings
Optimal volume 5 mL or more
OHIP
CML
Complete a Cytology & HPV Testing Requisition for samples..
Fix with an equal volume of Cytolyt to sample.
Complete a Cytology Form for sample.
The physician must provide the patient’s history and clinical diagnosis.
For complete specimen collection instructions, click on the link below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp
Assign the same accession number if a slide or fluid is submitted from
the same site.
Assign a separate accession number if a slide or fluid is submitted from
different sites.
Do not code the Documentation Fee for this test.
TAT – 5 days
CYTOLOGY

BUCCAL SMEAR
NO LONGER AVAILABLE
CYTOLOGY
710
 DIRECT SMEAR
 LARYNX
 NIPPLE DISCHARGE
 OPEN LESION
 ORAL
 VULVAR
Slide and/or Aspiration Fluid
OHIP
CML
Complete a Cytology & HPV Testing Requisition for samples.
Fix with an equal volume of Cytolyt to sample.
For complete specimen collection instructions, click on the link below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp
 ANAL
Assign a separate accession number for each body site.
Do not code the Documentation Fee for this test.
TAT – 5 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 27 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.
TEST NAME
CODE
CYTOLOGY
714
 DIRECT SMEAR FOR HERPES
SPECIMEN REQUIREMENT
VACUTAINER
Slide
BILL
LOC
OHIP
CML
The physician must scrape the lesion at the base of the blister
and prepare a moderately thick smear of cellular material that
displays no evidence of air drying.
(VIRAL INCLUSION)
The physician must print the patient's name and another unique identifier
(Health Card Number or Date of Birth)on slide with a pencil.
Apply directly from source or by means of applicator to slide.
Fix slide immediately with cytospray.
Complete a Cytology Form & HPV Testing Requisition for samples.
Clinical data requested on requisition must be provided.
Place a barcode on the mailer for easier identification.
NOTE: Barcode label is in addition to the patient information
written on the slide.
Do not code the Documentation Fee for this test.
TAT – 5 days
CYTOLOGY
708
 WASHINGS/BRUSHINGS
 ESOPHAGEAL
 GASTRIC OR
 ENDOMETRIAL
Washings
Optimal volume 5 mL or more
OHIP
CML
Complete a Cytology & HPV Testing Requisition for samples.
Fix with an equal volume of Cytolyt to sample.
For complete specimen collection instructions, click on the link below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp
Do not code the Documentation Fee for this test.
EXCLUDING: BRONCHIAL
TAT – 5 days
CYTOLOGY
711-2
 MISCELLANEOUS FLUID
OR CYST
Includes:




peritoneal fluid
pleural fluid
synovial fluid
cysts from sources other
than those listed below
Fluid
Optimal volume 5 mL or more
OHIP
CML
Complete a Cytology & HPV Testing Requisition for samples.
Fix with an equal volume of cytolyt to sample.
For complete specimen collection instructions, click on the link below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp
Assign the same accession number if a slide or fluid is submitted from the same site.
Assign a separate accession number if s slide or fluid is submitted from different sites.
Excludes, (Code as 705):
 lymph nodes cyst
 thyroid cyst
 salivary gland cyst
CYTOLOGY, PAP SMEAR
Do not code a documentation fee for this test.
TAT – 5 days
CP70
TEST NO LONGER AVAILABLE
(PAPANICOLAOU SMEAR
CONVENTIONAL)
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 28 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.
TEST NAME
CYTOLOGY, PAP SMEAR
MONOLAYER/THINLAYER
CODE
ML70
(PAPANICOLAOU SMEAR LIQUID BASED)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
30 mL Monolayer Container (SUREPATH)
Complete a Cytology & HPV Testing Requisition for samples.
OHIP
CML
Fix the SurePath Preservative Fluid
NOTE: Ensure the head of the collection instrument (broom) is in the vial.
For complete specimen collection instructions, click on the like below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp
Do not code the Documentation Fee for this test.
TAT – 20 days
CYTOLOGY
 SPUTUM
716
Sputum
Optimal volume 5 mL
OHIP
CML
Complete a Cytology & HPV Testing Requisition for samples.
Fix with equal volume of Cytolyt to sample.
(Do NOT over saturate with alcohol)
Collect specimens on 3 consecutive mornings
(early morning deep cough samples)
For complete specimen collection instructions, click on the link below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp
Do not code the Documentation Fee for this test.
Store and ship at room temperature.
TAT – 5 days
CYTOLOGY
 URINE
711U
Urine
Optimal volume 15-50mL
OHIP
CML
Complete a Cytology & HPV Testing Requistion for samples.
Fix with an equal volume of Cytolyt to sample.
Collect specimens on 3 consecutive mornings.
For complete collection instructions, click on the link below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp
Note: Specify if voided or cathererized collection
Do not code the Documentation Fee for this test
Store and ship at room temperature.
TAT – 5 days
CYTOMEGALOVIRUS
ANTIBODY
(CMV)
9020
Do not centrifuge tube
PLAIN RED
Public Health Laboratories recommend the
Collection of both acute and convalescent
specimens taken two weeks apart.
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
▀ MINISTRY OF HEALTH GUIDELINES
Refer to the General Information Page for the MOH
Procedure regarding specimen processing & transport
TAT – 25 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 29 of 31
Version: 46.0 14-Sep-2015
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N/C
PHL
TEST NAME
CYTOMEGALOVIRUS
ISOLATION
CODE
9065
SPECIMEN REQUIREMENT
VACUTAINER
Urine/BronchialWashing
BILL
LOC
N/C
PHL
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
▀ MINISTRY OF HEALTH GUIDELINES
Refer to the General Information Page for the MOH
Procedure regarding specimen processing & transport
Refrigerate during storage and transport
TAT – 20 days
CYTOMEGALOVIRUS
QUANTITATIVE PCR
9549
Plasma
LAVENDER
Collect Mon through Thurs only.
For transplant patients only.
Centrifuge, separate into transfer tube and
freeze immediately. Store and send frozen.
TAT – 4 days
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
Page 30 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.
N/C
HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
CYTOLOGY WORKSHEETS
WORSHEET NAME & NUMBER
703
SPUTUM
D/E CODES
716
DESCRIPTION (S)
Sputum for Cytology.
(Make sure sputum not saturated in Cytolyt, equal
amount only).
706
ASPIRATION BIOPSY
705
All aspirations and/or slides from any tumor, mass,
nodule.
Cysts from breast, thyroid, lymph node, salivary gland
(parotid, sub-mandibular) or ovary.
If slide(s) and fluid(s) received from same site, same
accession number is given.
707
BRONCHIAL WASHINGS/BRUSHINGS
706
Bronchial washings or brushings for cytology.
If more than one bottle is received from the same site,
same accession number is given.
708
BUCCAL SMEAR FOR BARR BODIES
709
WASHINGS/BRUSHINGS
(other than Bronchial)
No longer available
708
Washings or brushings from Gastric, Esophagus or
Endometrium.
(Excludes Bronchial Wash/Brush which is worksheet 707
D/E 706).
710
DIRECT SMEARS
711
MISCELLANEOUS FLUIDS
710
711-2
Direct smears from open lesions.
Oral, vulvar, larynx smears.
Nipple discharges/secretions.
Anal smears.
NOTE: Code as direct smear, even if any of the above
are collected in a liquid-based media bottle.
Synovial, pleural and peritoneal fluids.
Cysts from sources other than those mentioned under
aspiration biopsy above.
712
VIRAL INCLUSION
714
URINE
TEST SPECIFICATION GUIDE - SECTION C
CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.
714
Direct smears for viral inclusions or herpes.
711U
Voided or catheterized urines for Cytology.
Page 31 of 31
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TEST NAME
CODE
7–DEHYDROCHOLESTEROL
9975
(7DHC)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
GOLD SST
Minimum Volume required: 1 mL
Fasting specimen preferred.
Protect vacutainer tube from light after collection
By aliquoting into amber tube.
BILL
LOC
UNINSURED HLRC
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 35 days
11–DEOXYCORTISOL
9141
Serum
Minimum Volume required: 1 mL
GOLD SST
UNINSURED HLRC
GOLD SST
UNINSURED LL
GOLD SST
UNINSURED LL
GOLD SST
OHIP
FREEZE SERUM AND SEND FROZEN
TAT – 30 days
D. DIMER
Refer to FIBRIN D-DIMER
(FIBRIN D-DIMER)
DALMANE
Refer to FLURAZEPAM
(FLURAZEPAM)
DARVON
Refer to PROPOXYPHENE
(PROPOXYPHENE)
DEAMIDATED GLIADIN
PEPTIDE IGG ANTIBODY
- HOSPITALS ONLY
9742
(DGP IgG)
(DEAMIDATED GLIADIN PEPTIDE IGG AB)
(GLIADIN IGG)
(GLIADIN ANTIBODIES)
Serum
Minimum Volume required: 1.0mL
Collect blood I SST tube. Allow blood to clot
at room temperature for 30 minutes and
separate by centrifugation.
o
Store and ship at 2-8 C
TAT – 4 days
DEAMIDATED GLIADIN
PEPTIDE IGG ANTIBODY
1726
(DGP IgG)
(DEAMIDATED GLIADIN PEPTIDE IGG AB)
(GLIADIN IGG)
(GLIADIN ANTIBODIES)
Serum
Minimum Volume required: 1.0mL
Collect blood I SST tube. Allow blood to clot
at room temperature for 30 minutes and
separate by centrifugation.
o
Store and ship at 2-8 C
TAT – 4 days
DEHYDROEPIANDROSTERONE 347
– SULPHATE
Serum
Centrifuge only
(DHEA – S)
(DHEA SULPHATE)
TAT – 2 days
TEST SPECIFICATION GUIDE – SECTION D
Page 1 of 5
CML HealthCare Inc Test Specification Guide 18354 Version: 12.0 28-Jul-2015
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The electronic copy must be used as the current version.
CML
TEST NAME
CODE
DENGUE ANTIBODY
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
N/C
PHL
OHIP
DYN
OHIP
CML
Refer to ARBOVIRUS SEROLOGY
(ARBOVIRUS SEROLOGY)
DEOXYPYRIDINOLINE
TEST NO LONGER AVAILABLE
(PYRIDINIUM)
DEPAKENE
Refer to VALPROATE
(EPIVAL)
(VALPROATE)
DERMATOPHYTOSIS
9075
(RINGWORM OF SCALP)
Hair Roots
Submit only root ends of at least 12 hairs
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 25 days
DESIPRAMINE
079D
(NORPRAMINE)
Serum
ROYAL BLUE
Minimum Volume required: 2 mL
- No Additive
Centrifuge and aliquot into serum tube
Collect specimen 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport.
TAT – 14 days
DESYREL
Refer to TRAZODONE
(TRAZ0DONE)
DGP IGG
Refer to DEAMIDATED GLIADIN PEPTIDE IgG Ab
(DEAMIDATED GLIADIN PEPTIDE IGG AB)
DHEA–S
Refer to DEHYDROEPIANDROSTERONE SULPHATE
(DHEA SULPHATE)
(DEHYDROEPIANDROSTERONE – SULPHATE)
DIASTASE
Refer to AMYLASE
(AMYLASE)
DIAZEPAM
TEST NO LONGER AVAILABLE
(VALIUM)
DIBUCAINE INHIBITION TEST
DIGOXIN
(DIGITALIS)
(LANOXIN)
Refer to CHOLINESTERASE, PHENOTYPE
306
Serum
Minimum Volume required: 2 mL
Collect specimen 5 - 6 hours after last dose
PLAIN RED
Record time in hours that have elapsed between
last dose and specimen collection.
Hemolysed specimen not acceptable
TAT – 1 day
TEST SPECIFICATION GUIDE – SECTION D
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CML HealthCare Inc Test Specification Guide 18354 Version: 12.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
DIGOXIN–FREE
CODE
9712
SPECIMEN REQUIREMENT
VACUTAINER
BILL
PLAIN RED
OHIP
Serum
Minimum Volume required: 2 mL
LOC
HLRC
Record time in hours that have elapsed between
last dose and specimen collection.
 Testing Includes Total Digoxin 
TAT – 15 days
DIHYDROTESTOSTERONE
9131
Serum
Minimum Volume required: 3 mL
RED
UNINSURED HLRC
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
1,25–DIHYDROXY
Refer to CALCITRIOL
(VITAMIN D)
(CALCITRIOL)
DIPHTHERIA ANTITOXIN
SEROLOGY TESTING NO LONGER AVAILABLE
(CORYNE BACTERIUM
DIPHTHERIA TOXIN ANTIBODY)
DILANTIN
Refer to PHENYTOIN
(PHENYTOIN)
DILANTIN, FREE
Refer to PHENYTOIN, FREE
(PHENYTOIN, FREE)
DIPHENHYDRAMINE
TEST NO LONGER AVAILABLE
(BENADRYL)
DIRECT ANTI–GLOBULIN
TEST
495
Blood
LAVENDER
DO NOT SEPARATE
(COOMBS TEST)
(DIRECT ANTI-HUMAN GLOBULIN)
(DIRECT COOMBS)
TAT – 2 days
DIRECT BILIRUBIN
Refer to BILIRUBIN, DIRECT
(CONJUGATED BILIRUBIN)
(BILIRUBIN, DIRECT)
DIRECT COOMBS
Refer to DIRECT ANTI-GLOBULIN TEST
(COOMBS TEST)
(DIRECT ANTIHUMAN GLOBULIN)
(DIRECT ANTI-GLOBULIN)
DISOPYRAMIDE
TEST NO LONGER AVAILABLE
DIVALPROEX
Refer to VALPROATE
(DEPAKENE)
(EPIVAL)
(VALPROATE)
(VALPROIC ACID)
TEST SPECIFICATION GUIDE – SECTION D
Page 3 of 5
CML HealthCare Inc Test Specification Guide 18354 Version: 12.0 28-Jul-2015
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The electronic copy must be used as the current version.
OHIP
CML
TEST NAME
CODE
DNA dsANTIBODIES
322
(DOUBLE STRANDED DNA Ab)
SPECIMEN REQUIREMENT
Serum
Centrifuge only
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
OHIP
HLRC
OHIP
CML
OHIP
CML
TAT – 5 days
DNA SEQUENCING FOR
HEMOGLOBINOPATHY
INVESTIGATION
Refer to HEMOGLOBINOPATHY INVESTIGATION
DOPAMINE
Refer to CATECHOLAMINES FRACTIONATED
(CATECHOLAMINES FRACTIONATED)
DORIDEN
Refer to GLUTETHIMIDE
(GLUTETHIMIDE)
DOWN'S SYNDROME SCREEN
Refer to MATERNAL SCREEN
(MSS) (FETAL MARKERS)
(TRIPLE MARKER TEST)
(MATERNAL SERUM SCREEN)
(IPS)
DOXEPIN
079X
(SINEQUAN)
Serum
PLAIN RED
Minimum Volume required: 2 mL
Centrifuge and aliquot into serum tube
Collect trough specimen 10– 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport
 Testing Includes Desmethyl Doxepin 
TAT – 20 days
DRUG SCREEN
 BROAD SPECTRUM
079
Urine
10 mL random urine
(DRUG SCREEN CHROMATOGRAPHIC METHOD) Submit in a blue cap conical tube
Test Confirmation / Broad Spectrum – code the test and
Indicate the drug of interest in “Notes & Instructions” and
on the OHIP Requisition.
Includes:
Methadone, Cocaine, Morphine, Heroin, Oxycodone,
Diphenhydramine, Ranitidine, Nortriptyline,
Amphetamine, Ephedrine/Pseudoephedrin,
Phenylpropanolamine, and Other Drugs as detected
TAT – 10 days
DRUG SCREEN
 WITH CREATININE, pH
078CR
Urine
10 mL random urine
Submit in a blue cap conical tube
NOTE: Testing includes Drug Screen, pH, Creatinine
TAT – 10 days
TEST SPECIFICATION GUIDE – SECTION D
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CML HealthCare Inc Test Specification Guide 18354 Version: 12.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
DRUG SCREEN
 WITH CREATININE, pH
SODIUM,
CHLORIDE
078RU
SPECIMEN REQUIREMENT
VACUTAINER
Urine
10 mL random urine
Submit in a blue cap conical tube
NOTE: Testing includes Drug Screen, pH, Creatinine, Sodium,
Chloride
BILL
LOC
OHIP
CML
OHIP
CML
OHIP
CML
TAT – 10 days
DRUG SCREEN
 WITH ALCOHOL
078A
Urine
10 mL random urine
Submit in a blue cap conical tube
NOTE: Testing includes Drug Screen, and Ethanol
TAT – 10 days
DRUG SCREEN - HAIR
TEST NO LONGER AVAILABLE
DRUG SCREEN - MECONIUM
TEST NO LONGER AVAILABLE
DRUG SCREEN - NEONATE
TEST NO LONGER AVAILABLE
DRUGS OF ABUSE SCREEN
(NARCOTIC SCREEN)
(STREET DRUGS)
(URINE TOXICOLOGY)
078U
Urine
10 mL random urine
Submit in a blue cap conical tube
● Testing Includes: Amphetamines, Benzodiazepine, Cocaine metabolite
Cannabinoids (THC), Methadone Metabolite, Opiates, Oxycodone●
NOTE: Any additional drugs of interest, drug analysis, indicate in “Notes
& Instructions” and on the OHIP Requisition.
TAT – 10 days
TEST SPECIFICATION GUIDE – SECTION D
Page 5 of 5
CML HealthCare Inc Test Specification Guide 18354 Version: 12.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
E1
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to ESTRONE
(ESTRONE)
E2
Refer to ESTRADIOL
(ESTROGEN)
(ESTRADIOL)
(ESTROGEN- NON PREGNANT)
E 3, PREGNANT
TEST NO LONGER AVAILABLE
(ESTRIOL TOTAL)
EBV
Refer to EPSTEIN-BARR VIRUS, SEROLOGY
(EPSTEIN–BARR VIRUS, SEROLOGY)
ECG
Refer to ELECTROCARDIOGRAM
(ELECTROCARDIOGRAM)
ECHINOCOCCOSUS
ANTIBODY
9088
Do not centrifuge tube
PLAIN RED
N/C
PHL
N/C
PHL
(ECHINOCOCCUS GRANULOSUS ANTIBODY)
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
(HYDATID)
TAT – 15 days
ECHOVIRUS ISOLATION
9059
Stool/ Throat swab/ Rectal Swab
Complete a PHL Form
Stool is the preferred specimen
Stool
Throat Swab
Rectal Swab
–VIRUS–TM
–VIRUS–SW
–VIRUS–SW
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 to 30 days
eGFR
Refer to CREATININE
(CREATININE)
E. HISTOLYTICA SEROLOGY
ANTIBODY
Refer to AMOEBIC ANTIBODY
(AMOEBIC DYSENTERY SEROLOGY AB)
(ENTAMOEBA HISTOLYTICA AB)
ELASTASE
4103
Random Stool
STOOL
(FECAL ELASTASE)
Minimum Volume Required: 5.0 mL
Collect in a labeled 90 mL orange cap sterile container.
o
Store and ship refrigerated at 2-8 C.
TAT – 21 Days
ELAVIL
Refer to AMITRIPTYLINE
(AMITRIPTYLINE)
TEST SPECIFICATION GUIDE - SECTION E
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CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
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The electronic copy must be used as the current version.
UNINSURED SKH
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
G310 – Technical Component
G313 – Professional Component
G700 – Documentation Fee
G888 – Technical and professional Component
for ECGs sent to Head Office
ELECTROCARDIOGRAM
(ECG)
BILL
LOC
OHIP
CML
OHIP
SBH
Refer to location protocol for billing codes.
ELECTRON MICROSCOPY
9756
Tissue
(EM)
Send specimen in an EM Fixative Kit
Kit available from CML Purchasing Department
Complete a Histology Form; follow irretrievable procedure
Send the sample and the form in a Histology (pink) envelope with
priority label in corner.
State the name of the test and Sunnybrook Hospital on the priority label.
TAT – 30 days
ELECTROPHORESIS
Specify test: protein, immuno, Isoenzyme (alk phos, CK, LD),
lipoprotein, or hemoglobin.
See separate listings.
ENA ANTIBODY
Refer to EXTRACTABLE NUCLEAR ANTIBODIES SCREEN
(ANTI-ENA)
(EXTRACTABLE NUCLEAR ANTIBODIES SCREEN)
ENDOMYSIUM ANTIBODIES
9147
(ANTI-ENDOMYSIAL ANTIBODY)
Serum
Centrifuge only
GOLD SST
UNINSURED HLRC
TAT – 21 days
ENTEROVIRUS PCR
9284
Cerebral Spinal Fluid
STERILE CONTAINER
Accept any container/tube received
Store and ship frozen
UNINSURED HLRC
TAT – 4 day
EOSINOPHIL COUNT
395
Blood
LAVENDER
TAT – 1 day
EOSINOPHIL SMEAR, EYE
TEST NO LONGER AVAILABLE
EOSINOPHIL SMEAR, NASAL
TEST NO LONGER AVAILABLE
EOSINOPHIL SMEAR, SPUTUM
TEST NO LONGER AVAILABLE
TEST SPECIFICATION GUIDE - SECTION E
Page 2 of 6
CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
CML
TEST NAME
CODE
EPIDERMAL ANTIBODIES
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to PEMPHIGUS/PEMPHIGOID ANTIBODIES
(ANTI-SKIN ANTIBODIES)
(PEMPHIGUS/PEMPHIGOID ANTIBODIES)
EPIVAL
Refer to VALPROATE
(DEPAKENE)
(VALPROATE)
EPSTEIN–BARR VIRUS
SEROLOGY
9040
Do not centrifuge tube
PLAIN RED
N/C
PHL
N/C
HLRC
Public Health Laboratories
recommends both acute and convalescent
specimens taken 2 weeks apart.
(EBV)
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
EPSTEIN–BARR VIRUS
QUANTITATIVE PCR
9573
(EBV VIRAL LOAD)
(QUANTITATIVE EBV PCR)
Do not centrifuge tube
LAVENDER
Collect Mon through Thurs only.
For transplant patients only.
Centrifuge, separate into transfer tube and freeze immediately.
Store and send frozen.
TAT – 10 days
EQUANIL
Refer to MEPROBAMATE
(MEPROBAMATE)
(MILTOWN)
EQUINE ENCEPHALITIS
ANTIBODIES
Refer to ARBOVIRUS SEROLOGY
(ARBOVIRUS SEROLOGY)
ERYTHEMA INFECTIOSUM
Refer to PARVO VIRUS
(FIFTH’S DISEASE)
(PARVO VIRUS )
(PARVO VIRUS B19)
ERYTHROCYTE COUNT
Refer to COMPLETE BLOOD COUNT
(COMPLETE BLOOD COUNT)
ERYTHROCYTE SEDIMENTATION 451
RATE
(SED RATE)
(SEDIMENTATION RATE)
Blood
LAVENDER
Test must be performed within 10 hours
of collection.
TAT – 1 day
TEST SPECIFICATION GUIDE - SECTION E
Page 3 of 6
CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
CML
TEST NAME
CODE
ERYTHROPOIETIN
9132
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Minimum Volume required: 2 x 1 mL
Keep aliquots together with elastic band.
Avoid hemolysis
Separate ASAP
BILL
LOC
GOLD SST
UNINSURED HLRC
GOLD SST
OHIP
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
ESTRADIOL
310
(E 2)
(ESTROGEN)
(ESTROGEN-NON PREGNANT)
CML
TAT – 1 day
ESTRIOL TOTAL, PREGNANT (E 3)
ESTRIOL
Serum
Centrifuge only
9265
(E 3)
ESTROGEN, NON PREGNANT
TEST NO LONGER AVAILABLE
Serum
Centrifuge and aliquot into transfer tube.
Store and ship refrigerated.
TAT – 11 days
GOLD SST
OHIP
HLRC
Refer to ESTRADIOL
(E 2)
(ESTRADIOL)
(ESTROGEN)
ESTRONE
313
(E 1)
Serum
Minimum volume required: 1 mL
GOLD SST
OHIP
DYN
OHIP
CML
OHIP
CML
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 12 days
ETHANOL
006
(ALCOHOL- ETHYL)
Blood
GRAY
Keep vacutainer tube sealed with minimum air space
Use an iodine swab to cleanse venipuncture site
TAT – 2 days
ETHANOL
(ALCOHOL- ETHYL)
006U
Urine
10 mL random urine
Submit in a blue cap conical tube
Keep container closed with minimum air space.
TAT – 2 days
TEST SPECIFICATION GUIDE - SECTION E
Page 4 of 6
CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
ETHCHLORVYNOL
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
NO LONGER AVAILABLE
(PLACIDYL)
ETHOSUXIMIDE
092
(ZARONTIN)
Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect trough specimen 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
OHIP
DYN
TAT – 6 days
ETHYLBENZENE
EXPOSURE
99999
(MANDELIC ACID)
Urine
For industrial exposure collect specimen
at the end of the work week.
Collect urine in a labelled sterine 90ml
urine container and cap tightly.
Store and ship refrigerated.
UNINSURED
LL
TAT – 1-2 weeks
ETHYLENE GLYCOL
9133
(ANTIFREEZE)
Whole blood
Do not sperarate. Send entire tube.
Will require consultation with biochemist
On-call (905-521-2100 x76443) BEFORE
Sending specimen to HLRC.
GRAY
UNINSURED
HLRC
URINE
UNINSURED
HLRC
This test is not available for CCC use.
This test is only for use at Kennedy Road
for hospital patients
TAT – 4 days
ETHYL GLUCURONIDE URINE 9667
Random Urine
(ETHYLGLUCONARIDE)
Minimum Volume Required: 5.0 mL
Collect in a labeled 90 mL orange cap sterile container.
Urine to be stored and shipped frozen.
TAT – 12 Days
TEST SPECIFICATION GUIDE - SECTION E
Page 5 of 6
CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
EXTRACTABLE NUCLEAR
ANTIBODIES SCREEN
- HOSPITALS ONLY
CODE
9593
(ANTI-ENA)
(ENA ANTIBODY)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
GOLD SST
Centrifuge only
Positive results may be delayed for confirmation
Note: Specific antigens reported only when screen is positive
BILL
OHIP
LOC
HLRC
 Includes antibody screen for: dsDNA; Chromatin; Ribosomal Protein; SS-A52
SS-A60; SS-B; Sm; SmRNP; RNP A, RNP 68; Scl-70; Jo-1; Centromere B 
TAT – 30 days
EXTRACTABLE NUCLEAR
ANTIBODIES SCREEN
(ANTI-ENA)
(ANTI-SM)
(ANTI-SSARO)
(ANTI-SSBLA)
(ANTI-SCL70)
(ANTI-RNP)
(ANTI-JO1)
(EXTRACTIBLE NUCLEAR ANTIGENS)
(ENA ANTIBODY)
1641
Serum
GOLD SST
Minimum volume required: 3.0mL
Collect blood in SST tube. Allow blood to clot
at room temperature for 30 minutes and separate by
centrifugation.
o
Store and ship at 2-8 C
This test screens for Anti-SM, Anti-RNP, Anti-SSA/RO,
Anti-SSB/La, Anti-Scl-70, and Anti-Jo-1
TAT – 10 days
TEST SPECIFICATION GUIDE - SECTION E
Page 6 of 6
CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
LL
TEST NAME
CODE
FACTOR ASSAY
VACUTAINER
BILL
LOC
LIGHT BLUE
OHIP
HLRC
OHIP
HLRC
NO LONGER AVAILABLE
(COAGULATION FACTOR)
FACTOR II ASSAY
SPECIMEN REQUIREMENT
9758
Plasma
1 mL sodium citrate platelet poor plasma.
Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days
FACTOR V ASSAY
9759
Plasma
LIGHT BLUE
1 mL sodium citrate platelet poor plasma.
Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days
FACTOR V
LEIDEN MUTATION
9149
Blood
1 LAVENDER
1 LIGHT BLUE
UNINSURED HLRC
▀ Lavender
▀ Light Blue
→ Unspun
→ separate 2 mL plasma, FREEZE
→ Label tube – Factor V Leiden → label tube – APC Resistance / Factor V Leiden
(FVL) (INCLUDES APCR)
Heparin is to be restricted one week prior to test collection
Patient must contact their physician for restriction guidelines
FREEZE PLASMA FROM LIGHT BLUE AND SEND FROZEN
Keep lavender at room temperature, send together.
Refer to the General Information page for the
Specimen Processing & Transport Guidelines.
NOTE: NOT THE SAME AS FACTOR V
TAT – 40 days
FACTOR VII ASSAY
9760
Plasma
LIGHT BLUE
OHIP
HLRC
Please used specifically defined test codes
Each individual factor assay.
Spin and separate platelet poor plasma immediately.
Store and ship frozen.
TAT – 10 days
FACTOR VIII INHIBITOR
(FACTOR VIII INHIBITO – HUMAN
BETHESDA)
9761
Plasma
LIGHT BLUE
UNINSURED
1 mL sodium citrate platelet poor plasma.
Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
Von Willebrand Factor VIII-C result is included as part of the test.
TAT 13 days
FACTOR VIII: C
VON WILLEBRAND
Refer to VON WILLIBRAND FACTOR SCREEN
(BIOLOGICAL)
TEST SPECIFICATION GUIDE – SECTION F Page 1 of 6
CML HealthCare Inc Test Specification Guide 18207 Version: 7.0 23-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
HLRC
TEST NAME
FACTOR IX ASSAY
(FACTOR 9)
CODE
9762
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LIGHT BLUE
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
Plasma
LOC
1 mL sodium citrate platelet poor plasma.
Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days
FACTOR X ASSAY
9763
Plasma
LIGHT BLUE
1 mL sodium citrate platelet poor plasma.
Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days
FACTOR XI ASSAY
9764
Plasma
LIGHT BLUE
1 mL sodium citrate platelet poor plasma.
Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days
FACTOR XII ASSAY
9765
Plasma
LIGHT BLUE
1 mL sodium citrate platelet poor plasma.
Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days
FACTOR XIII Panel
9256
Plasma
LIGHT BLUE
Draw 2 light blue vacutainers to
ensure enough plasma.
Send platelet poor plasma in three 1ml aliquots.
Separate and freeze immediately. Ship frozen.
Put an elastic around all aliquots to keep them together.
Patient should not be on anticoagulant therapy.
TAT – 13 days.
FACTOR XIII SCREEN
9766
(UREA CLOT SOLUBILITY)
Plasma
LIGHT BLUE
1 mL sodium citrate platelet poor plasma.
Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days
FARMERS LUNG
Refer to ALLERGIC ALVEOLITIS
FAT AND MEAT FIBRES
NO LONGER AVAILABLE
(ALLERGIC ALVEOLITIS)
(ALLERGIC LUNG)
MICROSCOPIC EXAMINATION
FAT GLOBULES
(FAT SCREEN)
(FECAL FAT SCREEN)
9229
1g sample
STERILE CONTAINER
1 gram of stool to be submitted
in an orange cap urine container.
TAT – 7 days
TEST SPECIFICATION GUIDE – SECTION F Page 2 of 6
CML HealthCare Inc Test Specification Guide 18207 Version: 7.0 23-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
HLRC
TEST NAME
CODE
FATTY ACID, FREE
9418
(FATTY ACIDS, NONESTERIFIED)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
GOLD SST
OHIP
GOLD SST
UNINSURED HLRC
Serum
Minimum Volume required: 1 mL
LOC
HLRC
Must fast a minimum of 12 hours
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
FATTY ACID,
VERY LONG CHAIN
9134
Serum
Minimum Volume required: 2 mL
Note: not the same as Fatty acid, free
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
FEBRILE AGGLUTININS
NO LONGER AVAILABLE
FECAL ELASTASE
Refer to ELASTASE STOOL
FECAL FAT, TOTAL
095
Stool
72 HOUR CAN
This test is available only for use
At Kennedy Road for hospital patients
And is not available for CCC use. Please note
Whether 48 hour or 72 hour collection
OHIP
HLRC
TAT – 14 days
FERRITIN
329
Serum
Centrifuge only
3 MICROTAINERS ARE REQUIRED WHEN
COLLECTING FROM AN INFANT
GOLD SST
OHIP
CML
LIGHT BLUE
OHIP
CML
LIGHT BLUE
OHIP
CML
TAT – 1 day
FETAL HEMOGLOBIN
Refer to HEMOGLOBIN FRACTIONATION
(HEMOGLOBIN A2)
(HEMOGLOBIN FRACTIONATION)
(HEMOGLOBIN FETAL)
FIBRIN D-DIMER
405
(FIBRIN DEGRADATION PRODUCTS)
(D. DIMER)
Plasma
Minimum Volume required: 1 mL
Centrifuge within 30 minutes.
FREEZE PLASMA AND SEND FROZEN
TAT – 2 days
FIBRINOGEN, QUANTITATIVE 402
Plasma
Fill tube completely
Do not centrifuge
TAT – 1 day
TEST SPECIFICATION GUIDE – SECTION F Page 3 of 6
CML HealthCare Inc Test Specification Guide 18207 Version: 7.0 23-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
FIFTH’S DISEASE
Refer to PARVO VIRUS
FK – 506
Refer to TACROLIMUS
FLUID, TOTAL EXAM
State source – synovial, knee fluid, aspirate, etc.
(ERYTHEMA INFECTIOSUM)
(PARVO VIRUS )
(PARVO VIRUS B19)
(PROGRAF)
(TACROLIMUS)
(SYNOVIAL FLUID)
BILL
LOC
OHIP
CML
HP10
a) Uric Acid Crystals & Cells – transfer to a Lavender tube
639F
b) Culture
- transfer to a 90 mL white cap container
- print FLUID on lid
Serum
Codes
c) Chemistry
- transfer to a plain red tube
- code test(s) according to serum codes
- tests are usually protein (208FL) and glucose (111RS)
State tests requested in “Notes & Instructions”
Submit all fluids in a priority labelled zip-lock bag.
Results may be delayed due to confirmation by Pathologist
 Testing Includes LKcs, crystals, chemistry, differential 
TAT – 4 days
FLUORESCENT ABSORPTION TEST
Refer to SYPHILIS
FLUORIDE
Serum
Minimum Volume required: 2 mL
Transfer serum to plastic serum tube
(FTA- TREPONEMAL ANTIBODIES)
(TREPONEMAL ANTIBODIES)
(SYPHILIS)
9224
PLAIN RED
UNINSURED HLRC
TAT – 25 days
FLUORIDE
99999
Urine
ACID WASH CONTAINER UNINSURED
Min Volume: 10ml
Patient must avoid gadolinium based contrast media
Used for MRI’s for 48 hours prior to collection.
ACID WASH Container MUST be used.
Store and ship refrigerated.
LL
TAT – 1-2 weeks
FLUOXETINE
(PROZAC)
9107
Plasma
Minimum Volume required: 2 mL
GREEN
– with Heparin
Collect trough sample 10 –12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 20 days
FLURAZEPAM
(DALMANE)
TEST NO LONGER AVAILABLE
TEST SPECIFICATION GUIDE – SECTION F Page 4 of 6
CML HealthCare Inc Test Specification Guide 18207 Version: 7.0 23-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
HLRC
TEST NAME
CODE
FLUVOXAMINE
VACUTAINER
BILL
LOC
2 LAVENDER
OHIP
CML
GOLD SST
OHIP
CML
TEST NO LONGER AVAILABLE
(LUVOX)
FOLATE, RBC
SPECIMEN REQUIREMENT
309
Blood
Note: If routine hematology tests are NOT
ordered, an additional lavender tube
is required for hematocrit
 Testing Includes Hematocrit 
TAT– 2 days
FOLLITROPIN
315
(FOLLICLE STIMULATING HORMONE)
(FSH)
FORMIC ACID
Serum
Centrifuge only
TAT – 1 day
315
(FORMATE)
(FORMALDEHYDE METABOLITE)
Plasma
GREEN TOP
Mix through gentle inversion
- Heparin
Store and ship refrigerated
Formic Acid is a metabolite of: Formaldehyde,
Formate Esters, Formate Salts, Heteromethanes,
Methylalkyl, Methylesters,Methanol
UNINSURED LL
TAT – 2-3 weeks
FRAGILE X CHROMOSOME
9714
Whole Blood
LAVENDER
OHIP
VTF
DO NOT SPIN
Collect sample Monday – Wednesday only
A form for Molecular Genetic DNA Testing must be
completed by the doctor and accompany the specimen
Form available from CML Problem Solving Department.
Store and transport specimen at room temperature
Place specimen and form in a test labelled priority labelled zip-lock bag
State “FRAGILE X” on the priority label
TAT – 30 days
FREE HEMOGLOBIN
Refer to HEMOGLOBIN PLASMA
(PLASMA HEMOGLOBIN)
(HEMOGLOBIN PLASMA)
FREE KAPPA/LAMBDA
RATIO
(SERUM FREE LIGHT CHAINS)
9247
Serum
Centrifuge and aliquot to transfer tube.
Store and ship refrigerated.
GOLD SST
TAT – 8 days
FREE T3
Refer to TRIIODOTHYRONINE FREE
FREE T4
Refer to THYROXINE FREE
FREE TESTOSTERONE
Refer to TESTOSTERONE FREE
(TRIIODOTHYRONINE FREE)
(FREE THYROXINE)
(THYROXINE FREE)
(TESTOSTERONE FREE)
TEST SPECIFICATION GUIDE – SECTION F Page 5 of 6
CML HealthCare Inc Test Specification Guide 18207 Version: 7.0 23-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED
HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
FREE THYROXINE INDEX (FTI)
TEST NO LONGER AVAILABLE
FREE / TOTAL PSA
Refer to PROSTATE SPECIFIC ANTIGEN FREE/TOTAL
FRISIUM
Refer to CLOBAZAM
(PSA FREE AND TOTAL RATIO)
(PSA PERCENT %)
(PSA FRACTIONATION)
(CLOBAZAM)
FRUCTOSAMINE
9114
Serum
Centrifuge only
GOLD SST
BILL
LOC
UNINSURED HLRC
TAT – 20 days
FRUCTOSE
9211
Semen
Minimum Volume required: 1 mL
OHIP
DYN
OHIP
CML
Freeze within 30 minutes after collection
FREEZE SEMEN AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 14 days
FSH
Refer to FOLLITROPIN
(FOLLICLE STIMULATING HORMONE)
(FOLLITROPIN)
FTA
Refer to SYPHILIS
FTI (FREE THYROXINE INDEX)
TEST NO LONGER AVAILABLE
(FLUORESCENT ABSORPTION TEST)
(FTA- TREPONEMAL ANTIBODIES)
(SYPHILIS)
FUNGAL CULTURE
626
Skin Scrapings, Nails, Hairs
State Source
Submit specimen in heavy black paper placed
in a plastic transport container.
STORE AND SHIP AT ROOM TEMPERATURE
Use code 626-2 for second specimen on same patient, 626-3 for third specimen
TAT – 10 to 30 days
FUNGAL CULTURE
641-1
Sputum
Early morning deep cough specimen
Submit specimen in a 90 mL transport container
STORE AND SHIP AT ROOM TEMPERATURE
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM – CODE M04 ON
PHL REQUISITION
TAT – 10 to 30 days
FVL
(FACTOR V LEIDEN MUTATION)
(INCLUDES APCR)
Refer to FACTOR V LEIDEN MUTATION
TEST SPECIFICATION GUIDE – SECTION F Page 6 of 6
CML HealthCare Inc Test Specification Guide 18207 Version: 7.0 23-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
N/C
PHL
TEST NAME
CODE
G6PD
VACUTAINER
BILL
LOC
Refer to GLUCOSE-6-PHOSPHATE DEHYDROGENASE
(GLUCOSE–6–PHOSPHATE
DEHYDROGENASE ASSAY)
GABAPENTIN
SPECIMEN REQUIREMENT
9922
(NEURONTIN)
Serum
PLAIN RED
Minimum Volume required: 2 mL
Collect trough specimen 10 to 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
OHIP
HLRC
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 20 days
GALACTOSE–1–PHOSPHATE
URIDYL TRANSFERASE
TEST NO LONGER AVAILABLE
GALECTIN-3
Serum
GOLD SST
Minimum Volume required: 1 mL
Centrifuge and aliquot serum into transfer tube.
Store and send refrigerated.
(GALACTOSE-1 PUT)
9288
UNINSURED
LL
TAT – 14 Days
GAM
Refer to IMMUNOGLOBULIN GAM
(IMMUNO GAM)
(IMMUNOGLOBULIN, QUANTITATIVE)
GAMMA–GLUTAMYL
TRANSFERASE
107
(GGT)
(GGTP)
GOLD SST
OHIP
CML
TAT – 1 day
(GAMMA GLUTAMYL TRANSPEPTIDASE)
GANGLIOSIDE ANTIBODY
Serum
Centrifuge only
9715
(GM1 GANGLIOSIDE ANTIBODY)
Serum
PLAIN RED
Minimum Volume required: 2 x 1mL
Submit two aliquots kept together with elastic band.
UNINSURED HLRC
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
GASTRIN
316
Serum
PLAIN RED
Minimum Volume required: 2 mL
Patient must fast minimum of 10 hours prior to collection
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 10 days
GCFT
(GONOCOCCAL COMPLEMENT FIXATION TEST)
TEST NO LONGER AVAILABLE
(GONOCCAL INFECTION)
TEST SPECIFICATION GUIDE – SECTION G Page 1 of 4
CML HealthCare Inc Test Specification Guide 18340 Version: 9.0 15-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
CML
TEST NAME
CODE
GENOTYPE
(ABO, Rh(D), GENOTYPE)
(BLOOD GROUP, Rh(D) AND GENOTYPE)
GENTAMICIN, PEAK
304GP
(POST)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to BLOOD GROUP PHENOTYPE
Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect ½ hour after IV infusion, or 1-2 hours after IM injection.
Record time in minutes that has elapsed
between last dose and specimen collection.
OHIP
HLRC
OHIP
HLRC
OHIP
CML
OHIP
CML
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 5 to 10 days
GENTAMICIN, TROUGH
304GT
(PRE)
Serum
Minimum Volume required: 1 mL
Collect prior to IV infusion or IM injection.
Record time in minutes that has elapsed
between last dose and specimen collection.
PLAIN RED
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 5 to 10 days
GESTATIONAL DIABETES 50g 103S
(GESTATIONAL DIABETES SCREEN)
Plasma
GRAY
Do not centrifuge
Give patient 50 g glucose drink
Collect a gray top tube 1-hour after drink given
Record glucose load given
TAT – 1 day
GESTATIONAL DIABETES 75g 3008
(GESTATIONAL DIABETES 75g SCREEN)
(GESTATIONAL DIABETES 75g
CONFIRMATION)
(GESTATIONAL DIABETES CONFIRMATION)
Plasma
Collect a fasting gray top tube
DO NOT collect a fasting urine sample
GRAY
Do not centrifuge
DO NOT COLLECT A 3 HR SPECIMEN
Give patient 75 g glucose drink
Collect a gray top tube 1 hr and 2 hrs after drink given
Record glucose load given
TAT – 1 day
GGT
Refer to GAMMA GLUTAMYL TRANSFERASE
(GGPT)
(GAMMA–GLUTAMYL TRANSPEPTIDASE)
(GAMMA GLUTAMYL TRANSFERASE)
GLIADIN ANTIBODIES
(AGA)
(ANTI–GLIADIN)
9117
Serum
Centrifuge only
GOLD SST
 Testing Includes Gliadin antibody IgG, IgA 
TAT – 25 days
GLOBULIN
TEST NO LONGER AVAILABLE
TEST SPECIFICATION GUIDE – SECTION G Page 2 of 4
CML HealthCare Inc Test Specification Guide 18340 Version: 9.0 15-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED HLRC
TEST NAME
GLUCAGON
CODE
9295
SPECIMEN REQUIREMENT
VACUTAINER
Plasma (ETDA)
Min volume required: 3ml
Collect an overnight fasting sample.
Separate and freeze as soon as possible.
Store and send frozen.
BILL
LOC
LAVENDER
UNINSURED HRLC
GOLD SST
UNINSURED HLRC
GRAY
OHIP
CML
GOLD SST
OHIP
CML
GRAY
OHIP
CML
OHIP
HLRC
TAT – 15 days
GLOMERULAR
BASEMENT MEMBRANE
ANTIBODY
GLUCOSE



FASTING
RANDOM
PC
9435
Serum
Centrifuge only
TAT – 20 days
111F
111R
111PC
Plasma
Minimum Volume required: 2 mL
NOTE: PC is available for 2 hour specimens only
TAT – 1 day
GLUCOSE


FASTING
RANDOM
111FS
111RS
GLUCOSE CHALLENGE
75 gm glucose load
Serum
Centrifuge only
TAT – 1 day
Plasma
Do not centrifuge
3106
3108
FASTING PLASMA
2-HOUR PLASMA AFTER 75gm GLUCOSE LOAD
Collect a fasting grey top tube
Give patient 75 gm glucose drink
Collect a gray top tube 2 hours after drink given
Record glucose load given
Note: No urine required
Testing for non-pregnant females and males.
TAT – 1 day
GLUCOSE CHALLENGE,
O’ SULLIVAN SCREEN
- 50g glucose load
TEST NO LONGER AVAILABLE
GLUCOSE CHALLENGE
GESTATIONAL SCREEN
- 100g glucose load
TEST NO LONGER AVAILABLE
GLUCOSE-6-PHOSPHATE
DEHYDROGENASE ASSAY
(G6PD ASSAY)
GLUCOSE–6–PHOSPHATE
DEHYDROGENASE SCREEN
9973
Blood
Do not open tube
LAVENDER
TAT – 15 days
TEST NO LONGER AVAILABLE
(G6PD SCREEN)
TEST SPECIFICATION GUIDE – SECTION G Page 3 of 4
CML HealthCare Inc Test Specification Guide 18340 Version: 9.0 15-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
GLUCOSE,
QUALITATIVE
254–4
SPECIMEN REQUIREMENT
VACUTAINER
Urine
10 mL random urine
Submit in a YELLOW cap conical tube
BILL
LOC
OHIP
CML
N/C
PHL
OHIP
CML
TAT – 1 day
GLUCOSE TOLERANCE,
– 75g glucose load
Refer to GLUCOSE CHALLENGE
GLUTETHIMIDE
SERUM TESTING NO LONGER AVAILABLE
GLUTETHIMIDE
URINE TESTING NO LONGER AVAILABLE
GLYCOPROTEIN
ALPHA SUBUNIT
TEST NO LONGER AVAILABLE
(DORIDEN)
(DORIDEN)
GLYCOSYLATED
HEMOGLOBIN
Refer to HEMOGLOBIN A1C
GM 1 GANGLIOSIDE ANTIBODY
Refer to GANGLIOSIDE ANTIBODY
GOLD
TEST NO LONGER AVAILABLE
GONORRHOEAE SWAB
Refer to CULTURE AND SENSITIVITY
(A1C) (HbA1C) (HEMOGLOBIN A1C)
GONORRHOEAE URINE
9166
(GC)
Urine
20 - 40 mL
Collect the first part of the urine stream to ensure a
high organism count.
Higher volumes of urine will invalidate the test.
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM - CODE B11
TAT–15 days
GRAM STAIN
643
Smear – state source
Label frosted end of prepared slide
TAT – 1 day
GROWTH HORMONE
Refer to SOMATOTROPIN
GTA-446
Refer to COLOGIC
(HGH)
(HUMAN GROWTH HORMONE)
(SOMATOTROPIN)
TEST SPECIFICATION GUIDE – SECTION G Page 4 of 4
CML HealthCare Inc Test Specification Guide 18340 Version: 9.0 15-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
HALCION
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
TEST NO LONGER AVAILABLE
(TRIAZOLAM)
HALOPERIDOL
9118
(HALDOL)
Plasma
GREEN
Minimum Volume required: 3 mL
– with Heparin
Separate immediately
Collect trough specimen prior to next dose
Record time in hours that have elapsed between
last dose and specimen collection.
UNINSURED HLRC
FREEZE PLASMA AND SEND FROZEN
TAT – 15 to 25 days
HAND, FOOT, MOUTH DISEASE
Refer to COXSACKIE VIRUS ISOLATION
(COXSACKIE VIRUS ISOLATION)
HAPTOGLOBIN
120
Serum
Centrifuge only
Avoid hemolysis
GOLD SST
OHIP
TAT – 1 day
HbA1C
Refer to HEMOGLOBIN A1C
(A1C)
(GLYCOSYLATED HEMOGLOBIN)
(HEMOGLOBIN A1C)
HCG
Refer to CHORIOGONADOTROPIN
(BHCG)
(HUMAN CHORIONIC GONADOTROPIN)
HDL CHOLESTEROL
Refer to LIPID ASSESSMENT, FASTING/LIPID ASSESSMENT, NON FASTING
(CHOLESTEROL IN HDL)
HDL/LDL CHOLESTEROL
Refer to LIPID ASSESSMENT, FASTING/LIPID ASSESSMENT, NON FASTING
(LDL CHOLESTEROL)
(CHOLESTEROL IN LDL)
HEAVY & LIGHT CHAINS
Refer to IMMUNOELECTROPHORESIS
(IMMUNOELECTROPHORESIS)
(IMMUNOFIXATION)
(GAMMOPATHY TYPING)
HEAVY & LIGHT CHAINS
Refer to PROTEIN ANALYSIS – BENCE JONES PROTEIN
(BENCE JONES PROTEIN)
(IEP)
(IMMUNOELECTROPHORESIS)
TEST SPECIFICATION GUIDE – SECTION H Page 1 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
CML
TEST NAME
CODE
HEINZ BODIES
9718
SPECIMEN REQUIREMENT
VACUTAINER
Blood
LAVENDER
Do not open tube
Part of hemolytic investigation – form available
from Problem Solving Department at Head Office.
BILL
LOC
OHIP
HLRC
OHIP
CML
TAT –30 days
HELICOBACTER PYLORI
683
(H. PYLORI)
(H. PYLORI ANTIBODY)
Serum
Centrifuge only
GOLD SST
TAT – 3 days
HEMATOCRIT
HEMOCHROMATOSIS
Refer to COMPLETE BLOOD COUNT
9977
(HFE C282Y, H63D)
Blood
2 LAVENDERS OHIP
Specimen must be analysed within 24-hours
Submit Monday – Wednesday only
A doctor must complete a Molecular Diagnostic DNA Testing form
Form available from CML Problem Solving Department.
HLRC
Transport specimens and Form in a Priority labelled ziplock bag.
DO NOT REFRIGERATE
TAT – 25 DAYS
HEMOGLOBIN
HEMOGLOBIN A1C
Refer to COMPLETE BLOOD COUNT
093
(A1C) (HbA1C)
(GLYCOSYLATED HEMOGLOBIN)
HEMOGLOBIN A2
Blood
LAVENDER
OHIP
CML
LAVENDER
OHIP
HLRC
LAVENDER
OHIP
CML
TAT – 2 days
9959
QUANTITATION COLUMN
Blood
Do not open the tube
TAT – 15 days
HEMOGLOBIN
FRACTIONATION
(FETAL HEMOGLOBIN)
(HEMOGLOBINOPATHY SCREENING)
(HEMOGLOBIN ELECTROPHORESIS)
419
Blood
Do not open the tube
Abnormal results may be delayed due to
interpretation by consultant.
TAT – 1 day
HEMOGLOBIN
PLASMA
Refer to METHEMALBUMIN SCREEN
(FREE HEMOGLOBIN)
(PLASMA HEMOGLOBIN)
TEST SPECIFICATION GUIDE – SECTION H Page 2 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
HEMOGLOBINOPATHY
INVESTIGATION – STAGE 1
CODE
9251
SPECIMEN REQUIREMENT
Whole Blood
VACUTAINER
LAVENDER
BILL
LOC
UNINSURED HLRC
Please provide current CBC results. A
hemoglobinopathy investigation form should
be completed along with specimen and requisition.
If investigating Alpha Thalassemia or a rare HB
variant send extra lavender tube.
(DNA SEQUENCING FOR
HEMOGLOBINOPATHY
INVESTIGATION)
FORM AVAILABLE ON CML WEBSITE
TAT – 13 days
HEMOLYTIC COMPLEMENT
FIXATION
Refer to COMPLEMENT TOTAL CH50
(CH50)
(COMPLEMENT HEMOLYTIC)
HEMOLYTIC INVESTIGATIONS 9253
STAGE 1
Whole Blood
Please provide current CBC results
Hemolytic investigation form should be
Completed and sent with req.
LAVENDER
UNINSURED
HLRC
FORM AVAILABLE ON CML WEBSITE
TAT – 8 days
HEMOPEXIN
9925
Serum
Minimum Volume required: 2 mL
Collect Monday – Wednesday only.
PLAIN RED
UNINSURED HLRC
TAT – 20 days
HEMOSIDERIN
424
Urine
10 mL random urine
Submit in a 90 mL orange cap container
First morning sample
OHIP
HLRC
TAT –20 days
HEPARIN ASSAY
(XA INHIBITOR) –
FONDAPARINUX
(ARIXTRA)
9543
Plasma
LIGHT BLUE
Separate and freeze
Minimum Volume required: 1 mL
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
State type of drug patient is on.
TAT– 4 days
TEST SPECIFICATION GUIDE – SECTION H Page 3 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED HRLC
TEST NAME
HEPARIN ASSAY
(XA INHIBITOR) –
UNFRACTIONATED
CODE
9537
SPECIMEN REQUIREMENT
VACUTAINER
Plasma
BILL
LOC
LIGHT BLUE
UNINSURED HRLC
LIGHT BLUE
OHIP
LIGHT BLUE
UNINSURED HRLC
PLAIN RED
UNINSURED MUMC
Separate and freeze
Minimum Volume required: 1 mL
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
State type of drug patient is on.
TAT– 4 days
HEPARIN ASSAYORGARAN
9243
Plasma
HRLC
Separate and freeze
Minimum Volume required: 1 mL
FREEZE PLASMA AND SEND FROZEN
TAT– 4 days
HEPARIN CO FACTOR II
9178
Plasma
Separate and freeze
Minimum Volume required: 1 mL
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT– 20 days
HEPARIN
INDUCED
THROMBOCYTOPENIA
9353
(HIT)
Serum
Minimum Volume required: 4 mL
Centrifuge, separate into transfer tube.
Freeze immediately. Store and send frozen.
Send Platelet Immunology Lab requisition.
FORM AVAILABLE ON CML WEBSITE
HEPARIN
LOW MOLECULAR WEIGHT
9252
Plasma
LIGHT BLUE
Minimum Volume required: 2 mL
Separate platelet poor plasma into 2 x 1 mL aliquots
Freeze immediately
State on requisition the type of heparin
(drug) patient is receiving.
TAT– 5 days
TEST SPECIFICATION GUIDE – SECTION H Page 4 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
HEPATITIS TESTING DETAILS
Information pertaining to Hepatitis testing and coding is now displayed with the following set up:

A Quick Reference Coding Sheet which is set up to show:
Coding when the Hepatitis request is checked off in the pre-printed section of the OHIP Requisition.
Coding when the Hepatitis request is hand written on the OHIP Requisition.
AS PRINTED ON THE OHIP REQUISITION
Viral Hepatitis (check one only)
Acute Hepatitis
Chronic Hepatitis (Carrier)
Immune status/prev. exposure
Specify:
Hepatitis A _______
Hepatitis B _______
Hepatitis C ________
HEPATITIS, ACUTE
560
Serum
Centrifuge tubes only
2 GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
Label 1 tube autoChem
Label 1 tube Hepatitis - Acute
TAT – 2 days
HEPATITIS, CHRONIC
570
Serum
Centrifuge only
TAT – 2 days
HEPATITIS A
580
IMMUNE STATUS/PREV.EXPOSURE
Serum
Centrifuge only
TAT – 2 days
HEPATITIS B
590
IMMUNE STATUS/PREV.EXPOSURE
Serum
Centrifuge only
TAT – 2 days
HEPATITIS C
IMMUNE STATUS/PREV.EXPOSURE
4037
Serum
Centrifuge only
TAT – 2 days
TEST SPECIFICATION GUIDE – SECTION H Page 5 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
HEPATITIS A ANTIBODY IgG
4612
(Anti-HAA IgG)
(Anti-HAV IgG)
(Anti-HAV)
(Havab (HAVAB))
(Hep A Ab (IgG))
SPECIMEN REQUIREMENT
Serum
Centrifuge only
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
All markers only 1 FULL tube needed.
TAT – 2 days
HEPATITIS A ANTIBODY IgM
4613
(Anti-HAV IgM)
(HAVAB-M)
(Hep A (current infection))
(Hep A (M))
(Hep A AB (IgM))
(Hep A Antibody IgM)
(Hep A IgM)
HEPATITIS B core ANTIBODY
Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT – 2 days
4609
(AHBC)
(Anti-HBc)
(B Core)
(HbcAb)
(Hep B Core Ab)
(Hep Bc)
(Hep BcAb)
Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT – 2 days
HEPATITIS B core IgM ANTIBODY 4614
(AHBC-IgM)
(Anti-HBc IgM)
(Core IgM)
(Hep B Core IgM)
Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT – 2 days
HEPATITIS B SURFACE
ANTIBODY
4608
(AHBS)
(Antibody to Hepatitis B S Ag)
(Antibody to Hepatitis B S Antigen)
(Anti-HBS)
(Anti-HbsAg)
(HbsAb)
(Hep B Antibodies)
(Hep B Surface Ab)
(Hep B Surface Ab Titre)
(Hep B Surface Antibody)
(Hep B Titre)
(Post Hepatitis Vaccination)
HEPATITIS B SURFACE
ANTIGEN
(Australian Antigen)
(B Surface Antigen)
(B. Antigen)
(HbsAg)
(Hep B S Ag)
Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT – 2 days
4607
Serum
Centrifuge only
All markers only 1 FULL tube needed
TAT – 2 days
TEST SPECIFICATION GUIDE – SECTION H Page 6 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
HEPATITIS Be ANTIBODY
CODE
4611
(AHBe)
(Anti-Hbe)
(Be Antibody)
(E Antibody)
(HbeAb)
(Hep Be Ab)
(Hep Be Antibody)
HEPATITIS Be ANTIGEN
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
PLAIN RED
N/C
PHL
N/C
PHL
GOLD SST
OHIP
CML
PLAIN RED
N/C
PHL
Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT – 2 days
4610
(Be Antigen)
(Hbe Ag)
(Hep Be Ag)
Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT – 2 days
HEPATITIS B PRENATAL
319–P
Do not centrifuge tube
(HBsAg Prenatal)
(Hepatitis B Prenatal (HBSAG) only)
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
(Maternal Hepatitis B Screening)
TAT – 15 days
HEPATITIS B VIRUS DNA
9053
(HEPATITIS B VIRAL LOAD)
Serum
Minimum Volume required: 3 mL
2 red top tubes required
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 10 days
HEPATITIS C ANTIBODY
4037
(Anti-HCV)
(HCV)
(Hep C)
(Hepatitis C Exposure)
(Hepatitis C Screen)
(Non A and Non B Anti–HCV)
HEPATITIS C GENOTYPING
(HEPATITIS C PCR)
(HEPATITIS C VIRAL LOAD)
Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT – 2 days
9067
Serum
Minimum Volume required: 2 mL
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 10 days
TEST SPECIFICATION GUIDE – SECTION H Page 7 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
HEPATITIS C RNA
CODE
9016
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Minimum Volume required: 3 mL
Centrifuge and separate within 4 hours
MOH Form must include: risk factors,
liver functions, current treatment
PLAIN RED
BILL
LOC
N/C
PHL
N/C
PHL
N/C
PHL
OHIP
CML
N/C
PHL
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 10 days
HEPATITIS D VIRUS
ANTIBODY
9041
Do not centrifuge tube
PLAIN RED
(DELTA AGENT)
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 10 days
HEPATITIS E VIRUS
ANTIBODY
9081
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 10 days
HEROIN
079
Urine
10 mL random urine
Submit in a blue top conical tube
State under notes and instructions
“CHECK FOR HEROIN”
TAT – 3 days
HERPES SIMPLEX,
SEROLOGY IgG
9030
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
HERPES SIMPLEX,
TYPE 1&2
(IMMUNOBLOT)
(HSV)
99999
Serum
GOLD SST
UNINSURED LL
All blood to clot at room temp for 30 mins.
Centrifuge tube and aliqyot into transfer tube.
Freeze sample and ship FROZEN
It is highly recommended that patients go to a CCC for this service.
TAT – 1-2 weeks
TEST SPECIFICATION GUIDE – SECTION H Page 8 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
HERPES SIMPLEX,
VIRAL CULTURE
CODE
9030C
SPECIMEN REQUIREMENT
VACUTAINER
Swab
Use Public Health Virus–SW canister
Swab and transport media provided
State source
BILL
LOC
N/C
PHL
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
HERPES SIMPLEX,
VIRUS PCR
9331
Spinal Fluid
STERILE CONTAINER
UNINSURED HLRC
Accept and container/tube received.
Freeze and ship frozen on dry ice.
TAT – 4 days
HETEROPHILE ANTIBODY
668
(MONO)
(MONONUCLEOSIS SCREEN)
Serum
Centrifuge only
GOLD SST
OHIP
CML
TAT – 1 day
HGH
Refer to SOMATOTROPIN
(GROWTH HORMONE)
(HUMAN GROWTH HORMONE)
(SOMATOTROPIN)
5–HIAA
Refer to 5-HYDROXY-INDOLACETATE
(5–HYDROXY–INDOL ACETATE)
(HYDROXYINDOLE)
(SEROTONIN METABOLITE)
HIPPURIC ACID
(NBENZOYGLYCINE)
(TOLUENE EXPOSURE)
(BENZYALCOHOL METABOLITE)
99999
Urine
Collect in 90ml sterile urine container
Store and ship refrigerated
UNINSURED
LL
TAT – 1-2 weeks
HISTAMINE
TEST NO LONGER AVAILABLE
For investigation of anaphylaxis or mastocytosis, total tryptase measurement is recommended as alternative to histamine.
For investigation of neuroendocrine tumours, measurement of chromogranin A, serotonin, 5-hydroxyindole acetic acid (5-HIAA)
and/or other markers is recommended instead of histamine.
TEST SPECIFICATION GUIDE – SECTION H Page 9 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
HISTOPATHOLOGY
720-1
(PATHOLOGY)
(HISTOLOGY)
SPECIMEN REQUIREMENT
VACUTAINER
Tissue
BILL
LOC
OHIP
CML
The tissue must be placed into a container of sufficient size
containing 10 % Neutral Buffered Formalin, which must
equal 10-20 times the volume of the specimen
10 % buffered formalin bottles available from the Purchasing Dept.
For complete specimen collection instructions, click on the link below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp
All Histology specimens must be accompanied by a completed Surgical
Pathology Requisition.
Place the requisition and the histology specimen(s) in the Histotology envelope.
Complete the Histology Specimen Log Form.
Note: Do not place the patient’s other related specimens (ie. Microbiology, cytology)
Within the Histology envelope (Histology samples ONLY).
Transport specimen with regular pick-up (tote)
Do not code the Documentation Fee for this test
Use Test Code 720-2 for second specimen, etc.
TAT – 10 days
HISTONE ANTIBODIES
9703
(ANTI-HISTONE)
Serum
Minimum Volume required: 2 mL
GOLD SST
UNINSURED HLRC
PLAIN RED
N/C
PHL
N/C
PHL
Testing includes IgG and IgM antibodies.
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 60 days
HISTOPLASMA ANTIBODY
9017
Do not centrifuge tube
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
HISTOPLASMA CULTURE
(HISTOPLASMA CAPSULATUM)
9018
Sputum
Deep cough specimen in sterile container
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
TEST SPECIFICATION GUIDE – SECTION H Page 10 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
HISTOPLASMA
HIV
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
N/C
PHL
N/C
PHL
N/C
PHL
N/C
PHL
URINE TESTING NO LONGER AVAILABLE
9096
(AIDS)
(HIV ROUTINE)
(HIV SEROLOGY)
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
HIV GENOTYPING
HIV Genotyping can be ordered as a follow up to a positive
Viral load result.
The physician must directly notify MOH and send the
appropriate form to have this test performed.
The test will be performed from the viral load samples
held by Public Health.
TAT – 1 month
HIV
IMMIGRATION
AND INSURANCE
HIV PCR
TEST NO LONGER AVAILABLE
9099
Blood
LAVENDER &
Arrangements must be made with HIV lab
PLAIN RED
at PHL by telephone BEFORE sending
specimens to PHL – Telephone # 416-235-6022
Collect specimen Monday – Wednesday only
Complete and label package HIV–PCR STAT
DO NOT REFRIGERATE
Label lavender tube – HIV–PCR
Label plain red tube – HIV
▀ REQUESTING PHYSICIAN MUST PROVIDE A
COMPLETED PHL HIV FORM, INDICATING PCR.
TAT – 1 month
HIV, PRENATAL
9096P
Do not centrifuge tube
Use this code when blue PHL prenatal form
Has HIV box checked
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
TEST SPECIFICATION GUIDE – SECTION H Page 11 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
HIV VIRAL LOAD
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
N/C
PHL
This test is available only to known positive HIV patients
The Viral Load form MUST be completed by the physician
Collect test Monday to Wednesday only
(VIRAL LOAD)
9097
Blood:
2 x 7 mL PPT Tubes
PPT TUBES
PHL will not test the specimen without a completed Viral Load Requisition
Do not collect the specimen until the requisition is available
PHL will not process the specimen without the following information:
Health Card number
CD4 results
Patient name
Current therapy
Collection Information – complete collection information is required
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
Transport specimen in a test labelled Biohazard Transport Container.
Staff collecting sample must fill out collection time and centrifuge time
on PHL Form. Centrifuge sample within 4-hours of collection.
TAT – 15 days
HLA–B27
583
Blood
LAVENDER
Collect samples Monday, Tuesday, Wednesday ONLY
OHIP
HLRC
DO NOT REFRIGERATE
TAT – 25 days
HLA–B27 (PCR)
9196
Blood
3 LAVENDER
Minimum volume required: 10mL
Collect samples Monday, Tuesday, Wednesday ONLY
Form available on CML website.
UNINSURED HLRC
*Only performed when HLA B27 Result is inconclusive
DO NOT REFRIGERATE
TAT – 30 days
HLA– TISSUE TYPING
583T
(HLA- TYPING)
HISTOCOMPATIBLITY TESTING

For organ/tissue
Transplant purposes only
Blood
4 LAVENDER
OHIP
Collect samples Monday – Wednesday ONLY
Doctor's name and telephone number must be on the requisition
A questionnaire, which is available from the Head Office Problem Solving
Department must be completed. Requires clinical information
Type of organ transplant, donor’s residency (Ontario Y or N)
Place samples, a copy of the OHIP requisition and the
questionnaire in a Priority labelled ziplock bag for transport.
DO NOT REFRIGERATE
CCC’s: do not contact the Histocompatability Head of Service for approval.
This step will have already been taken before it gets to the CCC.
TAT – 63 days
TEST SPECIFICATION GUIDE – SECTION H Page 12 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
HLRC
TEST NAME
CODE
HLA–B29
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
TEST NO LONGER AVAILABLE
HOLTER MONITOR
Description
Technical (Hook Up)
Professional (Reading)
24 Hour Holter
G651
G650
48 Hour Holter
G682
G658
72 Hour Holter
G684
G659
Each code can only be keyed once
A combination of each set of codes will be used for each holter dependent upon the
requesting physician and the location protocol
Refer to the location protocol for the Group Billing Code and Reading Physician code
HOMOCYSTEINE
9142
Plasma
Minimum Volume required: 2 mL
Centrifuge and separate immediately
Fasting sample preferred
LAVENDER
UNINSURED CML
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT –5 days
HOMOGENTISATE
123
(HOMOGENSTISIC ACID)
Urine
25 mL random urine, freeze within 30 minutes of collection
Submit in a 90 mL orange cap container
OHIP
DYN
OHIP
HLRC
FREEZE URINE AND SEND FROZEN
TAT – 38 days
HOMOVANILLATE
(HOMOVANILLIC ACID)
(HVA)
101U
24-Hour Urine
50 mL aliquot – submit in a 90 mL white cap container
Do NOT add acid; pH will be adjusted in Biochemistry Dept.
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions”.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 25 days
H. PYLORI
Refer to HELICOBACTER PYLORI
(H. PYLORI ANTIBODY)
(HELICOBACTER PYLORI)
HUMAN CHORIONIC
GONADOTROPIN
Refer to CHORIOGONADOTROPIN
(BHCG)
(HCG, PREGNANCY)
HUMAN GROWTH HORMONE
Refer to SOMATOTROPIN
(GROWTH HORMONE)
(HGH)
TEST SPECIFICATION GUIDE – SECTION H Page 13 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
HUMAN PAPILLOMA VIRUS
HPV
(HPV)
SPECIMEN REQUIREMENT
VACUTAINER
Digene Kit
Surepath kits will be rejected.
Patient will be invoiced at a later date
BILL
UNINSURED
LOC
LL
**Physicians are to call Client Services at 1-800-263-0801 x 2
to obtain a Digene HPV kit and LifeLabs requisition.**
TAT – 14 days
HYDATID
Refer to ECHINOCOCCOSUS ANTIBODY
(ECHINOCOCCOSUS ANTIBODY)
(ECHINOCOCCUS GRANULOSUS ANTIBODY)
25–HYDROXY VITAMIN D
Refer to CALCIDIOL
(25-HYDROXYVITAMIN D)
(VITAMIN D)
(CALCIDIOL)
TEST NO LONGER AVAILABLE
17–HYDROXYCORTICOSTEROIDS
(17–OH STEROIDS)
5–HYDROXY–INDOLE ACETATE
122
(5-HIAA)
(HYDROXYINDOLE)
(SEROTONIN METABOLITE)
24-Hour Urine
50 mL aliquot – submit in a 90 mL white cap container
Do NOT add acid. pH will be adjusted in Biochemistry Dept.
OHIP
DYN
OHIP
DYN
OHIP
DYN
State total 24-hour volume on the OHIP requisition,
on the specimen container and in “Notes and Instructions”.
Retain a duplicate 50 mL sample in the fridge until test is reported.
Refrigerate during storage and transport
TAT – 14 days
17–HYDROXY– PROGESTERONE
333
Serum
1 mL aliquot
Submit in plastic transfer tube
TAT – 12 days
079H
Broad Spectrum Tox Urine
Submit in a blue cap conical tube
(17 OH PROGESTERONE)
(PREGNANETRIOL)
HYDROMORPHONE
(BROAD SPECTRUM TOXICOLOGY)
(CHROMOTOGRAPHY)
GOLD SST
Note: Only code if broad spectrum mentions “Hydromorphone”
Refer to TU-2014-16 “Hydromorphone Drug Screening to Gamma”
TAT – 10 days
TEST SPECIFICATION GUIDE – SECTION H Page 14 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
HYDROXYPROLINE, FREE
CODE
131U
SPECIMEN REQUIREMENT
VACUTAINER
24-Hour Urine
50 mL aliquot – submit in a 90 mL white cap container
No preservative
BILL
LOC
OHIP
DYN
OHIP
DYN
A controlled diet free of gelatin and low in collagen is required.
Avoid meat, fish, jam, ice cream for 1 day prior to, and day of
collection.
Refrigerate during storage and transport.
State total 24-hour volume on the OHIP requisition,
on the specimen container and in “Notes and Instructions”
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 35 days
HYDROXYPROLINE, TOTAL
130U
24-Hour Urine
50 mL aliquot – submit in a 90 mL white cap container
No preservative
A controlled diet free of gelatin and low in collagen is required.
Avoid meat, fish, jam, ice cream for 1 day prior to, and day of
collection.
Refrigerate during storage and transport.
State total 24-hour volume on the OHIP requisition,
on the specimen container and in “Notes and Instructions”
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 35 days
5–HYDROXYTRYTAMINE
Refer to SEROTONIN
(SEROTONIN)
25–HYDROXY VITAMIN D
Refer to CALCIDIOL
(VITAMIN D)
(CALCIDIOL)
TEST SPECIFICATION GUIDE – SECTION H Page 15 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
IBD AND CELIAC DISEASE
PANEL
SPECIMEN REQUIREMENT
IBDCP
VACUTAINER
Serum and Sterile Container
Panel Handling
Celiac Disease
IBUPROFEN
Testing Location
HLRC
HLRC
TEST NO LONGER AVAILABLE
(MOTRIN)
IGF BP3
LOC
GOLD SST
UNINSURED
STERILE CONTAINER
Sterile Container
Collect undiluted feces in a clean, dry, sterile,
leakproof
container. Do not add fixative or preservative.
Store and ship FROZEN.
Serum
Centrifuge only
Testing Includes Deamidated Gliadin Peptide IgG
And Tissue Transglutaminase IgA Antibodies
Calprotectin,
Stool
BILL
99999
(IGF BINDING PROTEIN 3)
Serum
Allow blood to clot for 30 mins.
Spin and Separate IMMEDIATELY after
Aliquot sample and FREEZE.
Store and ship frozen.
PLAIN RED
UNINSURED
LL
TAT 10-15 days
IGG SUBCLASSES
Refer to IMMUNOGLOBULIN G SUB CLASSES
IL28B PANEL
TEST NO LONGER AVAILABLE
IL28BRS12979860
TEST NO LONGER AVAILABLE
(IMMUNOGLOBULIN G SUB CLASSES)
(INTERLEUKIN 28B GENOTYPE
TOTAL)
(HCV RESISTANCE)
(HEPATITIS C RESISTANCE)
(HEPATITIS C GENOTYPING IL28B)
IMIPRAMINE
079I
(TOFRANIL)
Serum
ROYAL BLUE
Minimum Volume required: 2 mL
- No Additive
Centrifuge and aliquot into serum tube
Collect specimen 10 – 12 after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
OHIP
DYN
OHIP
CML
Refrigerate during storage and transport.
● Testing Includes Desipramine ●
TAT – 14 days
IMMUNE COMPLEXES, C1Q
Refer to C1Q IMMUNE COMPLEXES
(C1Q COMPLEMENT BINDING ACTIVITY)
(C1Q IMMUNE COMPLEXEXES)
(COMPLEMENT C1Q)
IMMUNOELECTROPHORESIS
(HEAVY & LIGHT CHAINS IMMUNO)
(IMMUNOFIXATION)
(GAMMOPATHY TYPING)
575
Serum
Centrifuge only
GOLD SST
TAT – 5 days
TEST SPECIFICATION GUIDE – SECTION I
Page 1 of 5
CML HealthCare Inc Test Specification Guide
17530 Version: 14.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
IMMUNOELECTROPHORESIS
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Urine Refer to PROTEIN ANALYSIS – BENCE JONES PROTEIN
(BENCE JONES PROTEIN)
(HEAVY & LIGHT CHAINS IMMUNO)
(IEP)
IMMUNOFIXATION
Refer to IMMUNOELECTROPHORESIS
(HEAVY & LIGHT CHAINS IMMUNO)
(IMMUNOELECTROPHORESIS)
IMMUNOFLUORESCENCE
9757
(I.F.)
Tissue
OHIP
Send specimen in an IF Transport Kit
Kit available from CML Purchasing department
This test is sent to and reported by LifeLabs, 100 International Blvd
LL
Complete a Histology Form
Send the sample and the form in a Pink Envelope following
Irreplaceable Specimen Procedure
Place the barcode label in the upper right hand corner of the envelope
TAT – 20 days
IMMUNOGLOBULIN G
SUBCLASSES
9722
(IGG SUBCLASSES)
Serum
Fasting preferred
GOLD SST
UNINSURED HLRC
FREEZE AND SEND FROZEN
● Testing Includes IgG1, IgG2, IgG3, and IgG4●
TAT – 9 days
IMMUNOGLOBULIN G4,
SUBCLASS
9588
(IgG4 SUBCLASS)
Serum
Fasting preferred
GOLD SST
UNINSURED
HLRC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
HLRC
GOLD SST
OHIP
CML
FREEZE AND SEND FROZEN
TAT – 9 days
IMMUNOGLOBULIN,
GAM
550
(IMMUNO GAM)
(IMMUNOGLOBULIN, QUANTITATIVE)
Serum
Centrifuge only
● Testing Includes IgA, IgG, & IgM ●
TAT – 2 days
IMMUNOGLOBULIN, IgA
550A
Serum
Centrifuge only
TAT – 2 days
IMMUNOGLOBULIN, IgD
550D
Serum
Minimum volume required: 1ml
Centrifuge and aliquot into serum tube
TAT – 7 days
IMMUNOGLOBULIN, IgE
334
Serum
Centrifuge only
TAT – 5 days
TEST SPECIFICATION GUIDE – SECTION I
Page 2 of 5
CML HealthCare Inc Test Specification Guide
17530 Version: 14.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
IMMUNOGLOBULIN, IgG
550G
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
Serum
Centrifuge only
TAT – 2 days
IMMUNOGLOBULIN, IgM
550M
Serum
Centrifuge only
TAT – 2 days
IMMUNO PHENOTYPING
Refer to LYMPHOCYTE MARKERS
INDERAL
Refer to PROPRANOLOL
INDICANS
TEST NO LONGER AVAILABLE
INDICES, RBC
Refer to COMPLETE BLOOD COUNT
INDIRECT BILIRUBIN
Refer to BILIRUBIN, INDIRECT
INDIRECT COOMBS
Refer to ANTIBODY SCREEN
(LYMPHOCYTE MARKERS)
(T & B CELLS)
(LYMPHOTYPING)
(PROPRANOLOL)
(MCV, MCH, MCHC)
(UNCONJUGATED BILIRUBIN)
(ANTIBODY SCREEN)
(REPEAT PRENATAL ANTIBODY SCREEN)
INFECTIOUS MONONUCLEOSIS
Refer to HETEROPHILE ANTIBODY
INFLUENZA VIRUS
A & B ANTIBODY
SEROLOGY TESTING NO LONGER AVAILABLE
INORGANIC PHOSPHATE
Refer to PHOSPHATE
(MONO)
(HETEROPHILE ANTIBODY)
(PHOSPHORUS)
INR
445
(INTERNATIONAL NORMALIZED RATIO)
(PRO TIME)
(PROTHROMBIN TIME)
(PT)
INSULIN
Fasting
Random
325F
325R
Blood
LIGHT BLUE
OHIP
CML
Fill tube completely
Do not centrifuge
Ensure to collect blood at minimum to the vacutainer fill line (1:9 additive to blood)
TAT – 1 day
Serum
GOLD SST
Minimum Volume required: 2 mL
Patient must fast a minimum of 14 hours for fasting test
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 4 days
TEST SPECIFICATION GUIDE – SECTION I
Page 3 of 5
CML HealthCare Inc Test Specification Guide
17530 Version: 14.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
CML
TEST NAME
INSULIN ANTIBODIES
CODE
9182
(ANTI-INSULIN)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
GOLD SST
OHIP
GOLD SST
UNINSURED HLRC
GOLD SST
OHIP
CML
OHIP
HLRC
Serum
Centrifuge only
LOC
HLRC
TAT – 30 days
INSULIN-LIKE GROWTH
FACTOR 1
9139
(IGF-1)
(SOMATOMEDIN-C)
Serum
Minimum Volume required: 2 mL
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 25 days
INSULIN RESPONSE STUDY
325–120 Serum
Minimum Volume required: 2 mL
Patient must FAST a minimum of 14 hours for test.
Collect a fasting SST
Give patient 75g glucose drink
Collect SST 2 hours after drink given
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 4 days
INTEGRATED PRENATAL
SCREENING
Refer to MATERNAL SCREEN
(FIRST or SECOND TRIMESTER SCREENING)
(PAPP-A)
INTERSTITIAL CELL
STIMULATING HORMONE
Refer to LUTEINIZING HORMONE
(LH)
(LUTEINIZING HORMONE)
(LUTROPIN)
INTRINSIC FACTOR
ANTIBODIES
9183
(ANTI-INTRINSIC FACTOR)
Serum
Centrifuge only
GOLD SST
Collect Monday – Wednesday only
Refrigerate during storage and transport
Patient must not have received any vitamin B12
injections within 24 hours of collection
TAT – 30 days
IODIDE PLASMA NMS LABS
99999
Plasma
ROYAL BLUE
Mix by gentle inversion..
- with K2EDTA
Centrifuge for 15 mins.
Specimens MUST be sun and separated WITHIN 30 mins
of collection.
Transfer plasma into new labelled ROYAL BLUE top tube
(With or without K2EDTA)
Store and ship refrigerated.
TAT – 1-2 weeks
TEST SPECIFICATION GUIDE – SECTION I
Page 4 of 5
CML HealthCare Inc Test Specification Guide
17530 Version: 14.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED
LL
TEST NAME
IODINE
CODE
99999
SPECIMEN REQUIREMENT
VACUTAINER
24 Hour Urine
No preservative required.
Store and ship refrigerated.
BILL
LOC
UNINSURED
LL
TAT – 1-2 weeks
IRON
139
(IRON BINDING CAPACITY)
(IRON SATURATION)
(TIBC) (UIBC)
(TOTAL IRON BINDING CAPACITY)
(TRANSFERRIN SATURATION)
Serum
Centrifuge only
GOLD SST
OHIP
CML
Morning sample preferred
● Testing Includes Iron, TIBC, % Saturation and unsaturated iron (UIBC) ●
TAT – 1 day
IRON, URINE
139U
24-Hour Urine
50 mL aliquot – submit in a 90 mL white cap container
OHIP
HLRC
N/C
LHSC
OHIP
HLRC
State total 24-hour volume on the OHIP requisition,
on the specimen container and in “Notes and Instructions”.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 20 days
IRON, TISSUE
9380
Tissue
Enter specimen source required
Ie: Liver
STERILE CONTAINER
FORM AVAILABLE ON CML WEBSITE
TAT – 23 days
ISLET CELL ANTIBODY
SCREEN & TITRE
9907
(PANCREATIC ISLET CELL ANTIBODIES)
(ANTI-ISLET CELL)
Serum
GOLD SST
Minimum volume required: 2ml
FREEZE SERUM AND TRANSPORT FROZEN
TAT – 12 days
ISONIAZID
99999
(ISONICOTINIC ACID)
Plasma
GREEN TOP
Mix by gentle inversion
- Heparinized
Spin, separate, and transfer plasma into aliquot tube.
Stope and ship frozen.
TAT – 5 days
ISOPROPANOL
(ALCOHOL-ISOPROPYL)
006I
TEST NO LONGER AVAILABLE
TEST SPECIFICATION GUIDE – SECTION I
Page 5 of 5
CML HealthCare Inc Test Specification Guide
17530 Version: 14.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED LL
TEST NAME
JAK 2 PCR
CODE
9308
(JAK 2 GENE MUTATION)
SPECIMEN REQUIREMENT
Whole Blood
A Molecular Hematology
form should be completed and submitted
along with specimen and requisition.
Ship at room temperature.
VACUTAINER
BILL
LAVENDER
OHIP
LOC
HLRC
Collect samples Monday, Tuesday, Wednesday ONLY
FORM AVAILABLE ON CML WEBSITE
If patient does not have a health card, there is a $75.00 charge
TAT – 13 days
JO-1
Refer to EXTRACTABLE NUCLEAR ANTIBODIES
(EXTRACTABLE NUCLEAR
ANTIBODIES)
JOINTSTAT
(14-3-3n)
(14-3-3 eta)
3971
Serum
Minimum Volume required: 0.5 mL
GOLD SST
Collect blood in SST tube.
Allow blood to clot at room temperature for 30 minutes and
separate by centrifugation ASAP.
Aliquot serum to a labelled transfer tube.
Store and ship FROZEN.
TAT – 10 days
TEST SPECIFICATION GUIDE – SECTION J
Page 1 of 1
CML HealthCare Inc Test Specification Guide
18395 Version: 5.0 15-Dec-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED
CML
TEST NAME
KARYOTYPING
CODE
701A
SPECIMEN REQUIREMENT
VACUTAINER
Blood / Tissue
Specimen must be analysed within 24-hours
Submit Monday – Wednesday ONLY
BILL
LOC
OHIP
VTF
OHIP
HLRC
Requesting physician must provide completed hospital
Cytogenetics Form.
Follow collection instructions on form.
Pre package sample with completed Cytogenetics Form
in a zip lock bag with priority label.
DO NOT REFRIGERATE
TAT - Variable
KETONES
Refer to ACETONE
(ACETONE)
17 KETOGENIC STEROIDS
TEST NO LONGER AVAILABLE
(17–KGS)
17 KETOSTEROIDS
TEST NO LONGER AVAILABLE
(17–KS)
KLEIHAUER STAIN
(NIERHAUS)
431
Blood
Minimum Volume required: 3 mL
LAVENDER
TAT – 30 days
TEST SPECIFICATION GUIDE – SECTION K Page 1 of 1
CML HealthCare Inc Test Specification Guide 17755 Version: 1.3 8/19/2011
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SPECIMEN REQUIREMENT
145
Plasma
Minimum Volume required: 2 mL
Collect in a pre-chilled tube
Fasting specimen preferred.
L-LACTATE
(LACTATIC ACID)
(LACTATE)
VACUTAINER
BILL
LOC
GRAY
OHIP
HLRC
GOLD SST
OHIP
CML
OHIP
CML
OHIP
HLRC
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 15 days
LACTATE DEHYDROGENASE
146
(LD)
(LDH)
Serum
Centrifuge only
Hemolyzed specimens are not acceptable.
TAT – 1 day
TEST NO LONGER AVAILABLE
LACTATE DEHYDROGENASE,
FRACTIONATION
(LD ISOENZYMES)
(LDH ISOENZYMES)
LACTOSE TOLERANCE
LAC–3
(LACTOSE ABSORPTION TEST)
Blood
GRAY
Do not separate.
Adult dose: 50g lactose dissolved in 300 mL water
Child dose: 2 grams lactose per kilogram of body
weight to a maximum of 50 g
Collect fasting, 1/2, 1, 2, 3 hour samples.
TAT – 1 day
LAMOTRIGINE
9956
(LAMICTAL)
Serum
Minimum Volume required: 2 mL
PLAIN RED
Collect specimen 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 20 days
LANOXIN
Refer to DIGOXIN
(DIGITALIS)
(DIGOXIN)
LAP (LEUCINE AMINOPEPTIDASE)
Serum and 24-Hour Urine
TEST NO LONGER AVAILABLE
LAP
Refer to LEUKOCYTE ALKALINE PHOSPHATASE
(LEUKOCYTE ALKALINE PHOSPHATASE)
(NEUTROPHIL ALKALINE PHOSPHATASE)
LARGACTIL
Refer to CHLORPROMAZINE
(CHLORPROMAZINE)
TEST SPECIFICATION GUIDE – SECTION L
Page 1 of 8
CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GREEN
– with Heparin
OHIP
CML
GOLD SST
OHIP
CML
ROYAL BLUE
K2 EDTA
OHIP
GD
OHIP
DYN
Refer to RHEUMATOID FACTOR
LATEX FIXATION
(RA) (RA FACTOR)
(RA FIXATION)
(RHEUMATOID FACTOR)
Refer to THYROID RECEPTOR ANTIBODIES
LATS
(LONG ACTING THYROID STIMULATOR)
(TB11)
(THROTROPIN BINDING INHIBITING
IMMUNOGLOBULIN)
(THYROID STIMULATING ANTIBODY)
(TRAB) TSH RECEPTOR ANTIBODY
Refer to LYMPHOCYTIC CHORIOMENINGITIS ANTIBODY
LCM ANTIBODY
(LYMPHOCYTIC CHORIOMENINGITIS ANTIBODY)
Refer to LACTATE DEHYDROGENASE
LDH
(LACTATE DEHYDROGENASE)
Refer to LACTATE DEHYDROGENASE FRACTIONATION
LDH ISOENZYMES
(LD ISOENZYMES)
(LACTATE DEHYDROGENASE FRACTIONATION)
Refer to LIPID FASTING/LIPID NON FASTING
LDL CHOLESTEROL
(HDL/LDL CHOLESTEROL)
L.E. CELL PREPARATION
430
Blood
Do not remove plasma from cells
TAT – 1 day
L.E. SCREEN
500LE
(LE LATEX)
(LUPUS ERYTHEMATOSUS SCREEN)
Serum
Centrifuge only
TAT – 1 day
LEAD
148
Whole Blood
Do not centrifuge
TAT – 8 days
LEAD
148U
24-Hour Urine
50 mL aliquot submitted in a white cap container
State total 24-hour volume on the OHIP requisition,
on the specimen container and in “Notes and Instructions”.
Retain a duplicate 50 mL sample in the fridge until test is reported.
Refrigerate during storage and transport.
TAT – 14 days
TEST SPECIFICATION GUIDE – SECTION L
Page 2 of 8
CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
LEAD
CODE
9994
SPECIMEN REQUIREMENT
VACUTAINER
Random Urine
Min volume req’d: 10ml
BILL
LOC
OHIP
HLRC
Submit in 90ml orange container.
Indicate “Random”.
Provide collection date
TAT – 14 days
LEGIONELLA DETECTION
9085
Do not centrifuge tube
PLAIN RED
N/C
PHL
N/C
PHL
(LEGIONAIRES DISEASE)
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
LEPTOSPIRA ANTIBODY
9056
(LEPTOSPIROSIS ANTIBODIES)
(WEIL’S DISEASE)
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
LEPTOSPIROSIS, URINE
NO LONGER AVAILABLE
LEUCINE AMINOPEPTIDASE
Serum and 24-hour urine
NO LONGER AVAILABLE
(LAP)
LEUKOCYTE ALKALINE
PHOSPHATASE
NO LONGER AVAILABLE
(LAP)
(NEUTROPHIL ALKALINE PHOSPHATASE)
LEUKOCYTE COUNT
Refer to COMPLETE BLOOD COUNT
(WBC)
LH
Refer to LUTEINIZING HORMONE
(LUTEINIZING HORMONE)
(INTERSTITIAL CELL STIMULATION
HORMONE)
LIBRIUM
Refer to CHLORDIAZEPOXIDE
(CHLORDIAZEPOXIDE)
LICE
Refer to ARTHROPOD IDENTIFICATION
(ARTHROPODS)
(BUGS)
LIGHT CHAINS IMMUNOELECTROPHORESIS
Refer to PROTEIN ANALYSIS – BENCE JONES PROTEIN
(BENCE JONES PROTEIN)
(HEAVY & LIGHT CHAINS
IMMUNOELECTROPHORESIS)
TEST SPECIFICATION GUIDE – SECTION L
Page 3 of 8
CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
(IEP)
LIGHT CHAINS IMMUNOELECTROPHORESIS
Refer to IMMUNOELECTROPHORESIS
(HEAVY & LIGHT CHAINS
IMMUNOELECTROPHORESIS)
TEST SPECIFICATION GUIDE – SECTION L
Page 4 of 8
CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
BILL
LOC
TEST NAME
CODE
150
LIPASE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
Serum
Centrifuge only
TAT – 4 days
117F
LIPID ASSESSMENT,
FASTING
Serum
GOLD SST
OHIP
CML
Centrifuge only
Patient has fasted 10 hours or more.
Ask Patient “When did you last have something to eat or drink other than water?”
Document number of hours on the requisition.
Drop offs/hubbing– Document “Drop off” instead of number
of hours.
Test includes:
Cholesterol Fasting
Triglycerides
HDL-C
LDL-C
Cholesterol/HDL-C Ratio
Non HDL-C
TAT – 1 Day
117NF
LIPID ASSESSMENT,
NON FASTING
Serum
GOLD SST
OHIP
CML
Centrifuge only.
Patient has fasted less than 10 hours.
Ask Patient “When did you last have something to eat or drink other than water?”
Document number of hours on the requisition.
Drop offs/hubbing – Document “Drop off” instead of number
of hours.
Test includes:
Cholesterol Non Fasting
Triglycerides
HDL-C
LDL-C
Cholesterol/HDL-C Ratio
Non HDL-C
TAT – 1 Day
NO LONGER AVAILABLE
LIPIDS, TOTAL
LIPOPROTEIN a
9137
Serum
FASTING REQUIRED (12 HOURS)
PLAIN RED
Minimum Volume required: 1 mL
Separate within 4 hours
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT –30 days
TEST SPECIFICATION GUIDE – SECTION L
Page 5 of 8
CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED
HLRC
TEST NAME
CODE
LIPOPROTEIN FRACTIONATION
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
CML
OHIP
HLRC
TEST NO LONGER AVAILABLE
(LIPOPROTEIN PHENOTYPING WITH
ELECTROPHORESIS)
LIQUID BASED PAP SMEAR
Refer to CYTOLOGY, PAP SMEAR
LISTERIA ANTIBODY
TEST NO LONGER AVAILABLE
LITHIUM
157
Serum
GOLD SST
Centrifuge only
Collect specimen 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 1 day
L.M.W. HEPARIN
Refer to HEPARIN LOW MOLECULAR WEIGHT
LONG ACTING THYROID
STIMULATOR
Refer to THYROID RECEPTOR ANTIBODIES
(LATS) (TB11)
(THYROTROPIN BINDING INHIBITING
IMMUNOBLOBULIN)
(THYROID STIMULATING ANTIBODY)
LORAZEPAM
9706
(ATIVAN)
Serum
PLAIN RED
Do not use gel separator tubes.
Separate and aliquot serum ASAP
Indicate time and date of specimen collection
On both the transport tube and the requisition.
Store and ship to room temp.
TAT – 13 days
TEST NO LONGER AVAILABLE
LORAZEPAM, urine
(ATIVAN)
LP-PLA2
9292
(PLAC)
(LIPOPROPROTEIN ASSOCIATED
PHOSPHOROUS A2)
(LP-PLAC2)
(LP-PLAC)
Plasma
LAVENDER
UNINSURED
Collect lavender and mix by inversion.
Centrifuge and aliquot plasma.
Store and ship refrigerated
TAT-17 days
LSD
(LYSERGIC ACID DIETHYLAMIDE)
99999
Urine
Min volume: 10ml
Protect from light.
Store and ship refrigerated.
TAT – 1-2 weeks
TEST SPECIFICATION GUIDE – SECTION L
Page 6 of 8
CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED LL
LL
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
LIGHT BLUE
OHIP
HLRC
GOLD SST
OHIP
CML
OHIP
CML
Refer to MAPROTILINE
LUDIOMIL
(MAPROTILINE)
(CIRCULATING ANTICOAGULANT)
Plasma
Minimum Volume required: 2 mL
(NON SPECIFIC COAGULATION
INHIBITORS)
Separate immediately
LUPUS ANTICOAGULANT
9104
Patient should not be on anticoagulant therapy.
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 25 days
LUTEINIZING HORMONE
328
(LH)
(INTERSTITIAL CELL STIMULATING
HORMONE)
(LUTROPIN)
Serum
Centrifuge only
TAT – 1 day
Refer to FLUVOXAMINE
LUVOX
(FLUVOXAMINE)
Refer to BORRELIA BURGDORFERI ANTIBODY
LYME DISEASE
(BORRELIA BURGDORFERI)
LYMPHOCYTE MARKERS,
T CELLS ONLY
2810
Blood
LAVENDER
Submit the specimen Monday – Wednesday,
Thursday if Friday is not a statuory holiday.
Store and Transport at room temperature
Complete a CML “Lymphocyte Marker T Cells only Form”
(CD3, CD4, CD8)
(T CELL LYMPHOCYTE MARKER ONLY)
Specimen must be tested within 24-hours.
FOR ALL OTHER MARKERS SEE –LYMPOHCYTE MARKERS, T & B CELLS
TAT – 3 days
LYMPHOCYTE MARKERS
 T & B CELLS
(ACUTE LEUKEMIA PHENOTYPING)
(LYMPHOPROLIFERATIVE DISEASE
PHENOTYPING)
9326
Blood *ONLY BLOOD IS ACCEPTABLE*
2 LAVENDERS
OHIP
Store and ship room temp
Collect specimen Monday – Wednesday only prior to last courier pick up
The specimens must be accompanied by:
Mount Sinai Hosptial Flow Cytometry Requisition
available from Problem Solving Department and a photocopy of a physician signed OHIP requisition requesting
Lymphocyte Marker analysis with diagnosis indicated.
Specimens MUST be tested within 24-hours.
Specimens other than blood cannot be accepted.
TAT – 20 days
TEST SPECIFICATION GUIDE – SECTION L
Page 7 of 8
CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
MSH
TEST NAME
LYMPHOCYTIC
CHORIOMENINGITIS
ANTIBODY
CODE
9066
SPECIMEN REQUIREMENT
VACUTAINER
BILL
PLAIN RED
N/C
PHL
N/C
PHL
Do not centrifuge tube
LOC
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
(LCM ANTIBODY)
TAT – 15 days
LYMPHOGRANULOMA
VENEREUM GROUP
ANTIBODIES
9014
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
(LGV)
TAT – 15 days
Refer to LYMPHOCYTE MARKERS, T & B CELLS
LYMPHOPROLIFERATIVE
DISEASE PHENOTYPING
(ACUTE LEUKEMIA PHENOTYPING)
(LYMPHOCYTE MARKERS, T & B CELLS)
LYSOZYME
99999
(MURAMIDASE)
Serum
Allow blood to clot at room temp for 30 mins.
Spin and separate serum into aliquot tube.
Store and ship FROZEN.
PLAIN RED
UNINSURED LL
TAT – 1-2 weeks
LYSOZYME
(MURAMIDASE)
99999
Urine
Min volume: 25ml
Cap 90ml urine container tightly and FREEZE
Store and ship FROZEN
TAT 1-2 weeks
TEST SPECIFICATION GUIDE – SECTION L
Page 8 of 8
CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED LL
TEST NAME
MACROAMYLASE
CODE
9135
SPECIMEN REQUIREMENT
Serum
Centrifuge only
VACUTAINER
GOLD SST
BILL
LOC
UNINSURED HLRC
TAT – 20 days
MACROGLOBULIN,
ALPHA 2
MACROPROLACTIN
Refer to ALPHA-2 MACROGLOBULIN
9236
Serum
GOLD SST
Minimum volume required: 2ml
Store and send refrigerated
Must be collected in separate SST tube from prolactin test.
OHIP
HLRC
GOLD SST
OHIP
CML
GREEN
– with Heparin
UNINSURED HLRC
TAT – 25 days
MAGNESIUM
165
Serum
Centrifuge only
TAT – 1 day
MAGNESIUM, RBC
165R
Blood
TAT – 20 days
MAGNESIUM
24 HOUR URINE
165U
24-Hour Urine
50 mL aliquot – submit in a 90 mL white cap container
No preservative
OHIP
DYN
OHIP
HLRC
OHIP
CML
Refrigerate during storage and transport.
State total 24-hour volume on the OHIP requisition,
on the specimen container and in “Notes and Instructions”.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 6 days
MAGNESIUM
RANDOM URINE
165RU
Random Urine
10 mL aliquot – submit in a 90 mL orange cap container
TAT – 8 days
MALARIA
(PLASMODIUM SCREEN)
(MALARIA SMEAR)
432
Blood
LAVENDER
If test is ordered on a child, may substitute
finger prick blood. – 3 thin smears are required for finger pricks on children
Note: Effective March 2, 2015 Malaria Testing must be collected in a dedicated
Lavender Top Vacutainer
PRIORITY SPECIMEN – Must be processed within
1 hour of receipt at laboratory.
TAT – 1 day
TEST SPECIFICATION GUIDE – SECTION M
Page 1 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
MANGANESE
9930
SPECIMEN REQUIREMENT
VACUTAINER
Plasma
Min volume req’d: 3 mL
Collect blood in a contaminant-free
Royal Blue top K2EDTA.
Separate plasma within 30min into
Metal-free polypropylene tube. Do not
Use gel-seperator collection tubes.
ROYAL BLUE
K2 EDTA
BILL
LOC
UNINSURED HLRC
TAT – 14 days
MANGANESE
9931
Urine
25 mL random urine
Submit in a 90 mL orange cap container
UNINSURED HLRC
TAT – 20 days
MAPROTILINE
079M
(LUDIOMIL)
Plasma
Minimum Volume required: 3 mL
GREEN
- with Heparin
OHIP
DYN
Centrifuge and aliquot into serum tube
Collect specimen 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport.
TAT – 13 days
MARIJUANA
Refer to CANNABINOIDS SCREEN
(CANNABINOIDS SCREEN)
(CANNABIS)
(TETRAHYDROCANNOBINOIDS)
(THC)
MATERNAL SCREEN
(DOWN’S SYNDROME SCREEN)
(MSS)
(TRIPLE MARKER SCREEN)
(PAPP A)
(INTEGRATED PRENATAL SCREENING)
Serum
Centrifuge tube only
GOLD SST
OHIP
Requesting physician must provide completed form
The form must accompany the specimen and include responses
To specific questions relating to clinical information
Place specimen and Form in Priority labelled ziplock bag.
Store the name of the test and the testing hospital on the outside
Of the ziplock bag.
Results will be reported directly to the physician.
Testing includes hCG, AFP, uE3
Each hospital must be assigned its specific test code:
944NY
North York General Hospital
944MS
Mount Sinai Hospital
944CV
Credit Valley Hospital
944LH
London Health Sciences Centre
944CHEO Children’s Hospital of Easrn Ontario - Ottawa
TAT – 15 days
MCV, MCH, MCHC
Refer to COMPLETE BLOOD COUNT
(INDICES, RBC)
TEST SPECIFICATION GUIDE – SECTION M
Page 2 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
NYGH
MSH
CVH
LHSC
CHEO
TEST NAME
CODE
MEASLES VIRUS ANTIBODY
9010
(MEASLES – RED)
(RUBEOLA)
SPECIMEN REQUIREMENT
Do not centrifuge tube
VACUTAINER
BILL
PLAIN RED
N/C
LOC
PHL
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 25 days
MEDICAL LEGAL DOA U 5 PANEL
(DOA-5),
(DRUGS OF ABUSE UR 5 PANEL)
785
Urine
Minimum Volume Required: 45.0 mL
UNINSURED QUEST
Inquiries for pricing are to be directed to Specialty & Contract Services.
(416-213-4725 or 1-877-990-1575).
Refer to SOP for Medical Legal Urine Collection for Drug Analysis.
TAT – 4-8 Days
MEDICAL LEGAL DOA U 10 PANEL 790
(DOA-10),
(DRUGS OF ABUSE UR 10 PANEL)
Urine
Minimum Volume Required: 45.0 mL
UNINSURED QUEST
Inquiries for pricing are to be directed to Specialty & Contract Services.
(416-213-4725 or 1-877-990-1575).
Refer to SOP for Medical Legal Urine Collection for Drug Analysis.
TAT – 4-8 Days
MEDICAL LEGAL ALCOHOL URINE 787
(DOA UR ETHANOL)
Urine
Minimum Volume Required: 25.0 mL
UNINSURED QUEST
Inquiries for pricing are to be directed to Specialty & Contract Services.
(416-213-4725 or 1-877-990-1575).
Refer to SOP for Medical Legal Urine Collection for Drug Analysis.
TAT – 4-8 Days
MEDICAL LEGAL DOA HAIR
(DOA HAIR)
1558
Hair
UNINSURED QUEST
Inquiries for pricing are to be directed to Specialty & Contract Services.
(416-213-4725 or 1-877-990-1575).
Refer to SOP for Medical Legal Urine Collection for Drug Analysis.
TAT – 4-8 Days
MEDICAL LEGAL OXYCODONE
(DOA UR OXYCODONE)
1602
Urine
Minimum Volume Required: 30.0 mL
UNINSURED QUEST
Inquiries for pricing are to be directed to Specialty & Contract Services.
(416-213-4725 or 1-877-990-1575).
Refer to SOP for Medical Legal Urine Collection for Drug Analysis.
TAT – 4-8 Days
MEDICAL LEGAL REPORT
REVIEW FEE
30497
None
UNINSURED
N/A
UNINSURED
N/A
Inquiries for pricing are to be directed to Specialty & Contract Services.
(416-213-4725 or 1-877-990-1575).
TAT – 4-8 Days
MEDICAL LEGAL DOA
NO SHOW FEE
1097
None
Inquiries for pricing are to be directed to Specialty & Contract Services.
(416-213-4725 or 1-877-990-1575).
TAT – 4-8 Days
TEST SPECIFICATION GUIDE – SECTION M
Page 3 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
MEDICAL LEGAL DOA
786
COLLECTION FEE WITH TESTING
SPECIMEN REQUIREMENT
VACUTAINER
None
BILL
LOC
UNINSURED
N/A
UNINSURED
N/A
Inquiries for pricing are to be directed to Specialty & Contract Services.
(416-213-4725 or 1-877-990-1575).
TAT – 4-8 Days
MEDICAL LEGAL DOA
COLLECTION FEE W/O TESTING
1096
None
Inquiries for pricing are to be directed to Specialty & Contract Services.
(416-213-4725 or 1-877-990-1575).
TAT – 4-8 Days
MELISA – PANEL 1
4383
(MERCURY AND AMALGAM PANEL)
Whole Blood – 4 Tubes
YELLOW ACD
Min Volume: 34ml
Collect on Tues, Wed, and Thurs ONLY
Do NOT collect on Thurs before a Good Friday.
UNINSURED CML
Must be transported to Kennedy within 24-48 hours
Store and ship room temp.
If a tube only fills half way, take an extra tube to compensate for volume.
If patient comes in with other blood work, ACD tubes are last in order of draw.
MELISA – PANEL 2
4384
(IMPLANTS PANEL)
Whole Blood – 4 Tubes
YELLOW ACD
Min Volume: 34ml
Collect on Tues, Wed, and Thurs ONLY
Do NOT collect on Thurs before a Good Friday.
UNINSURED CML
Must be transported to Kennedy within 24-48 hours
Store and ship room temp.
If a tube only fills half way, take an extra tube to compensate for volume.
If patient comes in with other blood work, ACD tubes are last in order of draw.
MELISA – PANEL 3
4385
(AUTOIMMUNE/DENTAL/FERTILITY PANEL)
Whole Blood – 6 Tubes
YELLOW ACD
Min Volume: 51ml
Collect on Tues, Wed, and Thurs ONLY
Do NOT collect on Thurs before a Good Friday.
UNINSURED CML
Must be transported to Kennedy within 24-48 hours
Store and ship room temp.
If a tube only fills half way, take an extra tube to compensate for volume.
If patient comes in with other blood work, ACD tubes are last in order of draw.
MELLARIL
Refer to THIORIDAZINE
(THIORIDAZINE)
MEPROBAMATE
9498
(EQUANIL)
(MILTOWN)
Serum
Minimum Volume required: 3 mL
PLAIN RED
OHIP
HLRC
OHIP
HLRC
TAT – 20 days
MEPROBAMATE
9498U
Urine
50 mL random urine
Submit in a 90 mL orange cap container
TAT – 20 days
TEST SPECIFICATION GUIDE – SECTION M
Page 4 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
MERCURY – WHOLE BLOOD
CODE
168
SPECIMEN REQUIREMENT
VACUTAINER
BILL
ROYAL BLUE
K2 EDTA
OHIP
DYN
OHIP
DYN
OHIP
HLRC
Whole Blood
Do not centrifuge
LOC
Note: urine is the specimen of choice.
Refrigerate during storage and transport.
TAT – 12 days
MERCURY – 24 HOUR URINE
168U
24-Hour Urine
50 mL aliquot – submit in a 90 mL white cap container
No preservative
State total 24-hour volume on the OHIP requisition,
on the specimen container, and in “Notes and Instructions”.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 14 days
MERCURY – RANDOM URINE
9358
Random Urine
Min Volume: 13ml
Collect and transfer into metal-free container
Indicate “Random”
Provide collection date. Avoid seafood
Consumption for 3 days prior to collection.
TAT – 14 days
METABOLIC SCREEN
9932
Urine
10 mL random urine
Submit in a 90 mL white cap container
UNINSURED HLRC
State Date of Birth and clinical diagnosis.
Includes: Amino Acid Screen, reducing substances,
other chemical tests, Fractionation and Cystine Quantitation
will be performed if indicated.
FREEZE URINE AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT –15 days
METANEPHRINES,
PLASMA
9269
Plasma
LAVENDER
Min volume: 3ml
Collect fasting sample.
Patient must abstain from smoking
for at least 4 hours prior to collection.
Store and ship frozen.
If specimen thaws, it is unsuitable for analysis.
TAT – 14 days
TEST SPECIFICATION GUIDE – SECTION M
Page 5 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
HLRC
TEST NAME
METANEPHRINES,
FRACTIONATED
CODE
170U
SPECIMEN REQUIREMENT
VACUTAINER
24-Hour Urine
50 mL aliquot – submit in a 90 mL white cap container
BILL
LOC
OHIP
DYN
(NORMETANEPHRINE)
Do NOT add acid; pH will be adjusted in Biochemistry Dept.
State total 24-hour volume on the OHIP requisition,
on the specimen container and in “Notes and Instructions”.
Retain a duplicate 50 mL sample in the fridge until test is reported.
Refrigerate during storage and transport.
To be avoided for 48 hours before collection: ASA, Chloralhydrate, coffee, cola
drinks, dopamine, erythromycin, methyldopa, niacin, phenothiazines, quinidine,
quinine, riboflavin, smoking, tea, tetracycline, vitamin B.
To be avoided for 72 hours before collection: avacados, bananas, chocolate,
eggplant, fruit and juices, hypertensive drugs (esp. Aldomet), pineapple, plums,
Tylenol (acetaminophen), walnuts.
TAT – 14 days
METANEPHRINES,
TOTAL
METHADONE
TEST NO LONGER AVAILABLE
078ME
Urine
10 mL random urine
Submit in a blue cap conical tube
OHIP
CML
TAT – 3 days
METHANOL
TEST NO LONGER AVAILABLE
(ALCOHOL-METHYL)
METHAQUALONE
METHEMALBUMIN SCREEN
TEST NO LONGER AVAILABLE
9267
Serum or Plasma
GOLD SST
OHIP
HLRC
Specimen must be received by
testing lab within 48 hours
of collection.
(HAPTOGLOBIN SCREEN)
(HEMPEXIN SCREEN)
(FREE Hb)
(PLASMA HEMOGLOBIN)
Testing consists of free hb, haptoglobin,
hemopexin-heme complex and methemalbumin.
TAT – 8 days
METHEMOGLOBIN
METHOTREXATE
(AMETHOPTERIN)
By appointment only at local hospital
9729
Serum
PLAIN RED
Minimum Volume required: 2 mL
Protect from light. Aliquot into amber tube
Collect specimen 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection. Indicate high
dose or low dose therapy.
TAT – 15 days
METHOTRIMEPRAZINE
TEST NO LONGER AVAILABLE
(NOZINAN)
TEST SPECIFICATION GUIDE – SECTION M
Page 6 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
HLRC
TEST NAME
CODE
METHYLENE CHLOROANLINE 99999
(MOCA)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
Urine
Min volume: 30ml
Add three drops of Concentrated Hydrochloric Acid
cap tightly and FREEZE
LOC
UNINSURED LL
FREEZE URINE AND SEND FROZEN
TAT – 2 weeks
METHYLMALONATE
9730
(METHYLMALONIC ACID)
Urine
10 mL random urine
Submit in a 90 mL orange cap container
UNINSURED HLRC
Early morning specimen preferred.
FREEZE URINE AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 35 days
METHYLPHENIDATE
9817
(RITALIN)
Urine
Random urine
Submit in a 90 mL orange cap container
OHIP
DYN
TAT – 12 days
METHYPRYLON
9815
(NOLUDAR)
Serum
Minimum Volume required: 3 mL
PLAIN RED
OHIP
HLRC
TAT – 15 days
METHSUXIMIDE
TEST NO LONGER AVAILABLE
(CELONTIN)
MEXILETINE
MICROALBUMIN
 24-HOUR URINE
TEST NO LONGER AVAILABLE
005U
Refer to ALBUMIN, URINE – 24-HOUR URINE
005RU
Refer to ALBUMIN, URINE – RANDOM URINE
3650
24-Hour Urine
CLEAR
1 x 6 mL aliquot – submit in clear cap vacutainer
Label tube – MICROALBUMIN RATIO
No preservative
(ALBUMIN, QUANTITATIVE URINE)
(ALBUMIN, URINE, 24-HR)
MICROALBUMIN
 RANDOM URINE
(ALBUMIN, QUANTITATIVE URINE)
(ALBUMIN, RANDOM URINE)
MICROALBUMIN/
CREATININE RATIO
 24-HOUR URINE
State total 24-hour volume on the OHIP requisition,
on the specimen container and in “Notes and Instructions”.
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT – 2 days
TEST SPECIFICATION GUIDE – SECTION M
Page 7 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
CML
TEST NAME
MICROALBUMIN/
CREATININE RATIO
 RANDOM URINE
CODE
3670
SPECIMEN REQUIREMENT
VACUTAINER
Urine
1 x 6 mL random urine
Submit in clear cap vacutainer
Label tube – MICROALBUMIN RATIO
Testing includes albumin and creatinine
BILL
LOC
CLEAR
OHIP
CML
GOLD SST
OHIP
CML
N/C
PHL
Submit a separate sample for other urine tests.
TAT – 2 days
MICROGLOBULIN
Refer to BETA-2 MICROGLOBULIN
(B2 MICROGLOBULIN)
(BETA 2 MICROGLOBULIN)
MICROSOMAL THYROID
ANTIBODIES
Refer to ANTI-THYROID PEROXIDASE
(MICROSOMAL ANTIBODIES)
MILTOWN
Refer to MEPROBAMATE
(EQUANIL)
(MEPROBAMATE)
MITOCHONDRIAL
ANTIBODIES
HP18
(ANTI-MITOCHONDRIAL ANTIBODIES)
(ANTI-SMOOTH MUSCLE ANTIBODY)
Positive results may be delayed due to interpretation
by Consultant.
(ASMA)
(SMA)
(SMOOTH MUSCLE ANTIBODY)
MMR
Serum
Centrifuge only
TAT – 2 days
9167
Do not centrifuge tube.
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
● Testing includes Mumps, Measles and Rubella
Do not code 679 for Rubella.
TAT – 15 days
MOGADON
Refer to NITRAZEPAM
(NITRAZEPAM)
MONONUCLEOSIS SCREEN
Refer to HETEROPHILE ANTIBODY
(MONO)
(HETEROPHILE ANTIBODY)
MORPHINE
Refer to DRUG SCREEN – BROAD SPECTRUM
(DRUG SCREEN)
MOTRIN
Refer to IBUPROFEN
(IBUPROFEN)
TEST SPECIFICATION GUIDE – SECTION M
Page 8 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
MRSA SCREEN TEST
610-1
(METHICILLIN RESISTANT
STAPHYLOCOCCUS AUREUS)




SPECIMEN REQUIREMENT
VACUTAINER
Swab- state source
BILL
OHIP
LOC
CML
Place swab in charcoal transport media
AXILLA
GROIN
NASAL
RECTAL
Use 610-2 for second specimen #2, etc.(up to 5)
Storage and transportation at room temperature
TAT – 4 days
***IF MRSA ORDERED WITH ANY OTHER SOURCE THAN ABOVE > CODE 628-5 WITH SOURCE AND INDICATE MRSA IN
NOTES AND INSTRUCTIONS***
MSS
Refer to MATERNAL SCREEN
(MATERNAL SERUM SCREEN)
(DOWN’S SYNDROME SCREEN)
(TRIPLE MARKER SCREEN)
MUCONIC ACID
MUCOPOLYSACCHARIDES
TEST NO LONGER AVAILABLE
9732
Urine
OHIP
HLRC
N/C
PHL
N/C
PHL
Minimum volume required: 10 mL random urine
Submit in a 90 mL orange cap container
Avoid first morning collection
Provide clinical history
FREEZE URINE AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 40 days
MULTIMER - VWF
Refer to VON WILLEBRAND FACTOR
(VON WILLEBRAND FACTOR)
MUMPS VIRUS ANTIBODY
9035
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 5 days
MURAMIDASE
Refer to LYSOZYME
(LYSOZYME)
MYCOBACTERIUM
TUBERCULOSIS DETECTION
(ACID FAST BACILLUS)
(AFB)
(T.B. CULTURE)
(TUBERCULOSIS CULTURE)
631
Sputum
First morning specimen – submit in a tightly sealed
sterile container.
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
Use code 631-2 for a second specimen
Use code 631-3 for a third specimen
DO NOT RINSE MOUTH PRIOR TO COLLECTION
TAT – 60 days
MYCOPLASMA PNEUMONIAE
ANTIBODY
SEROLOGY TESTING NO LONGER AVAILABLE
TEST SPECIFICATION GUIDE – SECTION M
Page 9 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
MYCOPLASMA PNEUMONIAE
CULTURE
9015C
(RESPIRATORY CULTURE)
SPECIMEN REQUIREMENT
VACUTAINER
State source.
Nasopharyngeal swab, tracheal aspirate,
bronchial washing, auger suction, respiratory
tract specimens.
Special Mycoplasma transport media available from PHL.
BILL
LOC
N/C
PHL
UNINSURED
DYN
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
MYCOPLASMA ISOLATION
9122
(UREAPLASMA UREALYTICUM)
State source.
Swab/Urine/Fluid/Tissue/Semen.
Place swab from vagina, cervix or urethra,
sediment from centrifuged other fluid,
or tissue in special Mycoplasma Transport Media.
Break off applicator and replace transport tube cap tightly.
Store and ship refrigerated.
Do not use swabs with wooden shaft
Send Monday, Tuesday, Wednesday only.
Urine is to be sent in a sterile container and shipped refrigerated.
NO KIT IS NECESSARY FOR URINE.
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 12 days
MYELOPEROXIDASE PLASMA 9592
(MPO)
Plasma
LAVENDER
Min volume required: 1 mL
After mixing IMMEDIATELY centrifuge for
10 minutes. IMMEDIATELY aliquot plasma into
transfer tube
Store and ship refrigerated.
UNINSURED
LL
TAT – 6 days
MYOGLOBIN
RANDOM URINE
174
Random urine
Min volume required: 10ml
Adjust PH of urine to 8-9 and freeze immediately.
Specimen is unsuitable for testing if it thaws.
OHIP
HLRC
UNINSURED
HLRC
TAT – 6 days
MYOGLOBIN
SERUM
9552
Serum
Min volume required: 1ml
Centrifuge and aliquot to transfer tube.
Store and ship refrigerated.
GOLD SST
TAT – 13 days
MYSOLINE
Refer to PRIMIDONE
(PRIMIDONE)
TEST SPECIFICATION GUIDE – SECTION M
Page 10 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SPECIMEN REQUIREMENT
5’ NUCLEOTIDASE
NO LONGER AVAILABLE
NAPROXEN
NO LONGER AVAILABLE
NARCOTIC SCREEN
Refer to DRUGS OF ABUSE
VACUTAINER
BILL
LOC
(DRUG OF ABUSE)
(DRUG SCREEN)
(STREET DRUGS)
(URINE TOXICOLOGY)
NEIRHAUS
Refer to KLEIHAUER STAIN
(KLEIHAUER STAIN)
NEUROMYELITIS
OPTIC ANTIBODY (IgG)
9553
Serum
GOLD SST
UNINSURED HLRC
Min Volume: 1ml
Centrifuge and aliquot into transfer tube.
Store and ship frozen.
Hemolysed and lipemic specimens are not suitable for testing.
TAT – 24 days
NEURONTIN
(GABAPENTIN)
Refer to GABAPENTIN
NEUTROPHIL ALKALINE
PHOSPHATASE
Refer to LEUKOCYTE ALKALINE PHOSPHATASE
(LAP)
(LEUKOCYTE ALKALINE PHOSPHATASE)
NEUTROPHIL CYTOPLASMIC
ANTIBODIES - C
9112
Serum
Centrifuge only
GOLD SST
UNINSURED HLRC
GOLD SST
UNINSURED HLRC
(c-ANCA)
TAT – 15 days
NEUTROPHIL CYTOPLASMIC 9148
ANTIBODIES - PERINUCLEAR
Serum
Centrifuge only
(p-ANCA)
TAT – 15 days
NH 3
Refer to AMMONIA
(AMMONIA)
TEST SPECIFICATION GUIDE – SECTION N
Page 1 of 3
CML HealthCare Inc Test Specification Guide 17533 Version: 5.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
NICKEL
CODE
9934
SPECIMEN REQUIREMENT
VACUTAINER
Plasma
Centrifuge and pour off into aliquot tube
ROYAL BLUE
K2 EDTA
BILL
LOC
UNINSURED HLRC
TAT – 30 days
NICKEL
9217
Urine
10 mL random urine
Submit in a 90 mL orange cap container
UNINSURED HLRC
Indicate “Random”.
Provide collection date.
TAT – 14 days
NICKEL
99999
24 hour Urine
Store and ship refrigerated
ACID WASHED CONTAINER
UNINSURED LL
TAT –10 days
NICOTINE
9238
Urine
10 mL random urine
Submit in a 90 mL orange cap container
UNINSURED HLRC
TAT – 15 days
NICOTINE
99999
Serum
PLAIN RED
UNINSURED LL
(COTININE)
Allow blood to clot at room temp for 30 mins.
Centrifuge.
Store and ship refrigerated.
Test includes Nicotine and Nicotine Metabolite (Cotinine)
TAT – 1-2 weeks
NITRAZEPAM
(MOGADON)
9126
Serum
PLAIN RED
Minimum Volume required: 3 mL
not SST
Centrifuge and aliquot into serum tube
Collect trough specimen 10 – 12 hours after last dose
FREEZE SERUM AND SEND FROZEN
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 15 days
NITROGEN
NO LONGER AVAILABLE
NOLUDAR
Refer to METHYPRYLON
NON–SPECIFIC
COAGULATION INHIBITORS
Refer to LUPUS ANTICOAGULANT
(CIRCULATING ANTICOAGULANT)
(LUPUS ANTICOAGULANT)
TEST SPECIFICATION GUIDE – SECTION N
Page 2 of 3
CML HealthCare Inc Test Specification Guide 17533 Version: 5.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
HLRC
TEST NAME
CODE
NOREPINEPHRINE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
DYN
OHIP
CML
Refer to CATECHOLAMINES, FRACTIONATED
(CATECHOLAMINES –
FRACTIONATED or FREE)
NORMETANEPHRINE
Refer to METANEPHRINES, FRACTIONATED
(METANEPHRINES –
FRACTIONATED)
NORPACE
Refer to DISOPYRAMIDE
(DISOPYRAMIDE)
NORPRAMINE
Refer to DESIPRAMINE
(DESIPRAMINE)
NORTRYPTYLINE
079N
(AVENTYL)
Serum
ROYAL BLUE
Minimum Volume required: 2 mL
- no additive
Centrifuge and aliquot into serum tube
Collect specimen 10–12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport.
TAT – 14 days
NOZINAN
Refer to METHOTRIMEPRAZINE
(METHOTRIMEPRAZINE)
NT-PRO-BNP
NUCLEAR ANTIBODIES
Refer to N-TERMINAL PRO BRAIN NATRIURETIC PEPTIDE
HP17
(ANA)
(ANF)
(CENTROMERE ANTIBODY)
(SLE ANTIBODIES)
Serum
Centrifuge only
GOLD SST
Positive results may be delayed due to
interpretation by Consultant
TAT – 2 days
NUCLEAR MATRIX PROTEIN-22 99999
Urine
NMP CONTAINER UNINSURED LL
(NMP-22)
NMP Stabilizer containers are required and supplied
by LifeLabs. Please call LifeLabs Data Sort (CDS)
100 International Blvd. 416-675-4530 x 2614
Collect random urine specimen between midnight and noon into a
Sterile 90ml urine container and IMMEDIATELY transfer 10ml
Into a labelled NMP-22 stabilizer container. Refrigerate immediately.
Store and ship refrigerated.
TAT – 2-3 weeks
TEST SPECIFICATION GUIDE – SECTION N
Page 3 of 3
CML HealthCare Inc Test Specification Guide 17533 Version: 5.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
17-OH STEROIDS
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to 17-HYDROXY CORTICOSTEROIDS
(17-HYDROXY CORTICOSTEROIDS)
17-OH PROGESTERONE
Refer to 17-HYDROXY PROGESTERONE
(PREGNANETRIOL)
(17-HYDROXY PROGESTERONE)
OCCULT BLOOD
181–1
Stool
Random specimen
Instructions for the patient are in the red kit.
OHIP
CML
OHIP
CML
OHIP
HLRC
Use code 181-2 for second specimen
Use code 181-3 for third specimen
TAT – 3 days
OCCULT BLOOD
CANCER CHECK
PROGRAMME
179-1
Stool
Random specimen
Instructions for the patient are in the green kit
Use code 179-2 for second specimen
Use code 179-3 for third specimen
TAT – 3 days
OLANZAPINE, SERUM
9957
(ZYPREXA)
Serum
1 mL Collect trough sample
PLAIN RED
FREEZE SERUM AND SEND FROZEN
TAT – 14 days
OLIGOCLONAL BANDING
OLIGOSACCHARIDES
Refer to PROTEIN FRACTIONATION, CSF
9936
Urine
Submit in a 90 mL orange cap container
Avoid first morning collection
Provide date of birth, gender and clinical history.
UNINSURED HLRC
FREEZE URINE AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 40 days
OMEGA-3 FATTY ACID
(AA EPA RATIO)
99999
Whole blood
LAVENDER
UNINSURED LL
Fasting is not required.
Mix thoroughly by gentle inversion.
Store and ship refrigerated.
Specimens stable for 7 days if refrigerated 24 hours after collection
TAT – 10 days
TEST SPECIFICATION GUIDE – SECTION O
CML HealthCare Inc Test Specification Guide 17759
This document hardcopy must be used for reference only.
Page 1 of 3
Version: 8.0 1-Sep-2015
The electronic copy must be used as the current version.
TEST NAME
OPIATES SCREEN
CODE
078OP
SPECIMEN REQUIREMENT
VACUTAINER
Urine
10 mL random urine
Submit in a blue cap conical tube
BILL
LOC
OHIP
CML
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
TAT – 10 days
ORGANIC ACIDS
9937
Urine
10 mL random urine – early morning sample preferred
Submit in a 90 mL orange cap container
State age of patient and clinical diagnosis
FREEZE URINE AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
OSMOLALITY
183
Serum
Centrifuge only
GOLD SST
TAT – 15 days
OSMOLALITY
183U
Urine
This code can be used for either a random or a 24-hour urine
Submit in a 90 mL orange cap container
Retain a duplicate sample in the fridge until the test is reported
if the specimen is a 24-hour sample.
TAT – 15 days
OSMOTIC FRAGILITY
450
Blood
LAVENDER
Collect specimen before last courier, Monday to Wednesday
Keep refrigerated
Must be tested within 24-hours
TAT – 20 days
OSTEOCALCIN
9938
Serum
Avoid hemolysis
Minimum Volume required: 2 x 1mL
Keep aliquots together with elastic band.
GOLD SST
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 25 days
O’SULLIVAN SCREEN
GLUCOSE CHALLENGE
TEST NO LONGER AVAILABLE
(GLUCOSE CHALLENGE
O’ SULLIVAN)

50g glucose load
TEST SPECIFICATION GUIDE – SECTION O
CML HealthCare Inc Test Specification Guide 17759
This document hardcopy must be used for reference only.
Page 2 of 3
Version: 8.0 1-Sep-2015
The electronic copy must be used as the current version.
UNINSURED HLRC
TEST NAME
CODE
OV 125
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to CA125
(CA 125)
OVA AND PARASITES
IDENTIFICATION
MP66
Stool
Place approximately 1 tablespoon of stool in preservative
OHIP
CML
OHIP
HLRC
(O&P)
(GIARDIA, CRYPTOSPORIDIUM, CYCLOSPORA)
TAT – 5 days
OVARY ANTIBODIES
TESTING CURRENTLY NOT AVAILABLE
(OVARIAN ANTIBODIES)
OXALATE
184U
24-Hour Urine
2 X 10 mL – submit in white cap conical tubes
Do NOT add acid; pH will be adjusted in Biochemistry Dept.
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions” .
Retain a duplicate 50 mL sample in the fridge until test is reported.
Refrigerate during storage and transport.
TAT – 15 days
OXAZEPAM
TEST NO LONGER AVAILABLE
(SERAX)
OXYGEN AFFINITY OF
HEMOGLOBIN
(P50)
9266
Whole Blood
LAVENDER
Completed form must be submitted with the sample
Store and ship at room temperature.
FORM AVAILABLE ON CML WEBSITE
TAT – 8 days
TEST SPECIFICATION GUIDE – SECTION O
CML HealthCare Inc Test Specification Guide 17759
This document hardcopy must be used for reference only.
Page 3 of 3
Version: 8.0 1-Sep-2015
The electronic copy must be used as the current version.
UNINSURED HLRC
TEST NAME
CODE
P– 24, HIV
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to HIV
(AIDS)
(HIV SEROLOGY)
PANORAMA 22q11.2
DELETION
3037
Blood
Patient MUST have a completed Panorama
Test requisition with physician signature
And patient signature in “Patient Consent”
Section.
Collect Monday-Saturday ONLY. Store and
Ship at room temperature.
Panorama Kit UNINSURED NAT
TAT – 15 days
PANORAMA (NIPT)
2093
Blood
Patient MUST have a completed Panorama
Test requisition with physician signature
And patient signature in “Patient Consent”
Section.
Collect Monday-Saturday ONLY. Store and
Ship at room temperature.
Panorama Kit UNINSURED NAT
TAT – 15 days
PANORAMA (NIPT)
REDRAW
3000
Blood
Patient MUST have a completed Panorama
Test requisition with physician signature
And patient signature in “Patient Consent”
Section.
Collect Monday-Saturday ONLY. Store and
Ship at room temperature.
Panorama Kit UNINSURED NAT
TAT – 15 days
PANORAMA MICRODELETION 3071
PANEL
Blood
Panorama Kit UNINSURED NAT
Patient MUST have a completed Panorama
Test requisition with physician signature
And patient signature in “Patient Consent”
Section.
Collect Monday-Saturday ONLY. Store and
Ship at room temperature.
TAT – 15 days
PANORAMA - MOH COVERED 4010
Blood
Panorama Kit UNINSURED NAT
**Only use this code for pre-approved MOH funding with
Approval** Patient MUST have a completed
Panorama Test Requisition with physician signature and
Patient signature in Patient Consent Section.
Collect on Monday-Saturday ONLY. Store and ship at room temp.
TAT – 15 days
PANCREATIC ISLET CELL
ANTIBODIES
Refer to ISLET CELL ANTIBODY
TEST SPECIFICATION GUIDE – SECTION P
Page 1 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
PAPP-A
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to MATERNAL SCREEN
(FIRST or SECOND TRIMESTER
SCREENING)
(INTEGRATED PRENATAL SCREENING)
PAP SMEAR
Refer to CYTOLOGY, PAP SMEAR
PARAINFLUENZA VIRUS
ANTIBODIES
TEST NO LONGER AVAILABLE
PARANEOPLASTIC
AUTOANTIBODY PANEL,
SERUM
9277
Serum
GOLD SST
UNINSURED HLRC
Minimum Volume required: 1 mL
Store and ship at 4-8C
TAT – 17 days
PARANEOPLASTIC
AUTOANTIBODY PANEL,
SPINAL FLUID
9285
Spinal Fluid
Accept any container received.
Minimum Volume required: 1 mL
Store and ship at 4-8C.
UNINSURED HLRC
TAT – 17 days
PARASITE SEROLOGY TEST
PARATHYROID
HORMONE
Information regarding requests for specific tests available through CML Consultants
330
(PTH)
(PARATHYRIN)
Serum
PLAIN RED
Minimum Volume required: 3 mL
Separate within 30 minutes
Specimen collected in a SST tube is not acceptable.
OHIP
CML
OHIP
DYN
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 5 days
PARIETAL CELL ANTIBODIES 9205
Serum
Centrifuge only
Refrigerate during storage and transport.
GOLD SST
TAT – 8 days
PAROXETINE
TEST NO LONGER AVAILABLE
(PAXIL)
PAROXYSMAL NOCTURNAL
HEMOGLOBINURIA
9278
Whole Blood
LAVENDER
2 x 5ml lavender top tubes required
Requires a lavender tube, unstained slide
and latest CBC/diff results.
completed immunophenotyping form is required.
Specimen must be less than 48 hours old upon receipt.
FORM AVAILABLE ON CML WEBSITE
TAT – 3 days
TEST SPECIFICATION GUIDE – SECTION P
Page 2 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED HLRC
TEST NAME
CODE
PARTIAL THROMBOPLASTIN
TIME
462
(PTT)
(COAGULATION SURFACE INDUCED)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Plasma
Fill tube completely - Centrifuge
LIGHT BLUE
OHIP
CML
PLAIN RED
N/C
PHL
N/C
PHL
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 2 days
PARVO VIRUS
9001
(ERYTHEMA INFECTIOSUM)
(FIFTH’S DISEASE)
(PARVO VIRUS B19)
Do not centrifuge tube
State Acute (IgM) or Immune (IgG)
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
PASTEURELLA
TULARENSIS ANTIBODY
9024
(TULAREMIA)
(FRANCISELLA TULARENSIS
ANTIBODY)
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 25 days
PATERNITY TESTING
TEST NO LONGER AVAILABLE
PATHOLOGY
Refer to HISTOPATHOLOGY
(HISTOLOGY)
PAXIL
Refer to PAROXETINE
(PAROXETINE)
PBG
Refer to PORPHYRIN PRECURSORS
(PORPHOBILINOGEN SCREEN)
PCB PANEL
99999
(POLYCHLORINATED BIPENYLS
PANEL)
Serum
Allow blood to clot for 30mns at room temp
Spin and separate. Transfer to aliquot tube
within 2 hours of collection.
SST tubes are UNACCEPTABLE
Store and ship refrigerated.
PLAIN RED
UNINSURED LL
GOLD SST
UNINSURED HRL
TAT 1-2 weeks
PCP
Refer to PHENCYCLIDINE SCREEN
(PHENCYCLIDINE, SCREEN)
(ANGEL DUST)
PEANUT COMPONENT
PANEL
352
Serum
1 SST Required for entire panel.
Includes all peanut components.
Centrifuge and aliquot
Store and ship refrigerated
TAT – 5 days
TEST SPECIFICATION GUIDE – SECTION P
Page 3 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
PEANUT COMPONENT
TESTING
CODE
See chart
SPECIMEN REQUIREMENT
VACUTAINER
Serum
GOLD SST
Centrifuge and aliquot
Store and ship refrigerated
Please free text requested componemt
Eg: Peanut rAra h1, Peanut rAra h3
Can have up to 4 components on one accession.
BILL
LOC
UNINSURED HRL
If 5 components ordered use test code 352 (Peanut Compontent Panel)
TAT – 5 days
Test Name
Peanut Component
First Component
Peanut Component
Second Component
Peanut Component
Third Component
Peanut Component
Fourth Component
PEMPHIGUS/PEMPHIGOID
ANTIBODIES
9391
Serum
Centrifuge only
Test Code
351-1
351-2
351-3
351-4
GOLD SST
OHIP
HLRC
(ANTI-SKIN ANTIBODIES)
(EPIDERMAL ANTIBODIES)
(SKIN ANTIBODIES)
TAT – 25 days
PERCHLOROETHYLENE
99999
(TETRACHLOROTHELENE)
Serum
PLAIN RED
For Industrial exposure collect specimen
In an area that is removed from the use of this solvent.
Collect prior to the last workshift of work week.
UNINSURED LL
All blood to clot for 30mins at room temp and spin sample.
DO NOT USE SST TUBES.
Store and ship refrigerated.
TAT – 1-2 weeks
PENTOBARBITAL
TEST NO LONGER AVAILABLE
PH, STOOL
TEST NO LONGER AVAILABLE
PHENCYCLIDINE SCREEN
078PH
(PCP)
(ANGEL DUST)
Urine
10 mL random urine
Submit in a blue top conical tube
OHIP
CML
Indicate in “Notes and Instructions” - “CHECK FOR PHENCYCLIDINE”
TAT – 5 days
PHENOBARBITAL
081
Serum
PLAIN RED
Centrifuge only
Collect trough specimen 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 1 day
PHENOL
TEST NO LONGER AVAILABLE
(BENZENE)
TEST SPECIFICATION GUIDE – SECTION P
Page 4 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
CML
TEST NAME
CODE
PHENOTHIAZINES SCREEN
9259
SPECIMEN REQUIREMENT
VACUTAINER
Urine
Min volume required: 10ml random sample
BILL
OHIP
LOC
HLRC
TAT – 5 days
PHENYLALANINE
PHENYTOIN
REFER TO AMINO ACIDS - QUANTITAVIVE
324
(DILANTIN)
Serum
PLAIN RED
Minimum Volume required: 2 mL
Collect trough specimen 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
OHIP
CML
OHIP
HLRC
N/C
PHL
OHIP
CML
OHIP
CML
TAT – 1 day
PHENYTOIN, FREE
9169
(DILANTIN, FREE)
Serum
PLAIN RED
Minimum Volume required: 2 mL
Collect trough specimen 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 15 days
PHL TEST NOT ON FILE
9580
SPECIMEN TYPE WILL VARY
VARIES
TEST MUST BE SPECIFIED
Use this test for PHL tests that are not on file
DO NOT use 99999 for not-on-file PHL tests
PHOSPHATASE ACID, PROSTATIC
TEST NO LONGER AVAILABLE
PHOSPHATASE ACID, TOTAL
TEST NO LONGER AVAILABLE
PHOSPHATASE ALKALINE
Refer to ALKALINE PHOSPHATASE
(ALKALINE PHOSPHATASE)
(ALP)
PHOSPHATASE ALKALINE
ISOENZYME
Refer to ALKALINE PHOSPHATASE FRACTIONATION
(ALKALINE PHOSPHATASE
ISOENZYME)
(ALKALINE PHOSPHATASE
FRACTIONATION)
PHOSPHATE
194
(PHOSPHORUS)
(INORGANIC PHOSPHATE)
Serum
Centrifuge only
GOLD SST
TAT – 1 day
PHOSPHATE
(PHOSPHORUS)
194U
24-Hour Urine
10 mL aliquot – submit in a white cap conical tube
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions”
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT – 2 days
TEST SPECIFICATION GUIDE – SECTION P
Page 5 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
PHOSPHOLIPIDS
PHOSPHORUS, URINE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
TEST NO LONGER AVAILABLE
194RU
(PHOSPHATE RANDOM URINE)
Urine
10 mL random urine
Submit in a white cap conical tube
OHIP
CML
TAT – 2 days
PHYTANATE
9734
(PHYTANIC ACID)
Plasma
Minimum Volume required: 2 mL
Fasting sample preferred
GREEN
– with Heparin
UNINSURED HLRC
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 25 days
PINWORM PREPARATION
MP80
Paddle – State Source
Obtain specimen from perianal area
Recommend specimen be obtained early morning
prior to washing due to nighttime migration of pinworm.
OHIP
CML
OHIP
HLRC
Use code MP81 for a second specimen
Use code MP82 for a third specimen
TAT – 2 days
PK SCREEN
Refer to PYRUVATE KINASE
(PYRUVATE KINASE)
PKU
(PHENYLKETONURIA)
TEST NO LONGER AVAILABLE
send patient to hospital
PLACIDYL
TEST NO LONGER AVAILABLE
(ETHCHLORVYNOL)
PLASMA HEMOGLOBIN
Refer to HEMOGLOBIN PLASMA
(FREE HEMOGLOBIN)
PLASMINOGEN
9735
Plasma
Minimum Volume required: 1 mL
LIGHT BLUE
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 15 days
PLASMODIUM SCREEN
Refer to MALARIA
PLATELET COUNT
Refer to COMPLETE BLOOD CONT
(THROMBOCYTE)
PLATELET COUNT,
CITRATE SAMPLE
Refer to CITRATED PLATELET COUNT
TEST SPECIFICATION GUIDE – SECTION P
Page 6 of 15
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This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
PLATELET ANTIBODY
SCREEN
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
TEST NO LONGER AVAILABLE
(ANTI-PLATELET ANTIBODY)
(PLATELET ASSOCIATED IGG)
PLATELET FUNCTION TEST
POLIO ANTIBODY
NEUTRALIZATION,
OCCUPATIONAL IMMUNE
STATUS (CONTRACT)
By appointment only at hospital
99999
Serum
Store and ship frozen.
Test is for CONTRACT use only
GOLD SST
UNINSURED LL
TAT 1-2 weeks
POLIO VIRUS
Stool/ Throat Swab/ Rectal Swab
Viral history sheet must be completed
Stool is the preferred sample
9026
9031
9031
N/C
PHL
Use the correct transport media
Stool
– VIRUS – TM
Throat Swab – VIRUS – SW
Rectal Swab
– VIRUS – SW
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 to 30 days
PORPHOBILINOGEN
DEAMINASE
9525
Whole Blood
GREEN
Min Volume: 7ml
- Heparinized
SST tube not acceptable.
Do not freeze. Store and send refrigerated.
Provide haematocrit result for calculation of results.
UNINSURED HLRC
TAT – 14 days
PORPHYRIN PRECURSORS,
RANDOM URINE
197
Urine
OHIP
HLRC
25 mL random urine
Protect from light by wrapping with aluminium foil.
Label container with one barcode; wrap container with foil.
Place another label with barcode on top of foil overwrap.
FREEZE URINE AND SEND FROZEN
Testing Includes: Porphobilinogen Screen (PBG), Aminolevulinic Acid (ALA)
TAT – 15 days
PORPHYRIN PRECURSORS,
24 HOUR URINE
9702
24-Hour Urine
OHIP
50 mL aliquot – submit in a 90 mL white cap container
Protect from light by wrapping with aluminium foil.
Label container with one barcode; wrap container with foil.
Place another label with barcode on top of foil overwrap.
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions” .
Retain a duplicate 50 mL sample in the fridge until test is reported.
Testing Includes: Porphobilinogen Screen (PBG), Aminolevulinic Acid (ALA)
TAT – 15 days
TEST SPECIFICATION GUIDE – SECTION P
Page 7 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
HLRC
TEST NAME
CODE
PORPHYRINS, BLOOD
PORPHYRINS, QUALITATIVE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to PROTOPORPHYRIN
200S
Stool
50 g (app. ½ tablespoon) random stool specimen
Protect from light by wrapping with aluminium foil.
OHIP
DYN
OHIP
DYN
FREEZE STOOL AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 18 days
PORPHYRINS, QUANTITATIVE 203
Stool
50 g (approximately ½ tablespoon) random stool.
Protect from light by wrapping in aluminium foil
Note: Quantitation performed only if qualitative screen is positive.
FREEZE STOOL AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 18 days
PORPHYRINS, QUANTITATIVE
201U
(COPROPORPHYRINS)
(UROPORPHYRINS)
24-Hour Urine
50 mL aliquot – submit in a 90 mL white cap container
Keep refrigerated during collection
Protect from light by wrapping with aluminium foil.
UNINSURED DYN
Preservative: sodium carbonate to be added by Biochemistry Dept.
State total 24-hour volume on the OHIP Requisition,
on the specimen container, and in “Notes & Instructions” .
Sample Sorting Department to freeze urine and send frozen.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 18 days
POST VAS
Refer to SEMEN ANALYSIS, POST VASECTOMY
(SEMEN ANALYSIS, POST VASECTOMY)
(SEMEN POST VAS)
POTASSIUM, SERUM
204
Serum
Centrifuge only
Hemolyzed specimens are not acceptable
GOLD SST
OHIP
CML
OHIP
CML
OHIP
CML
TAT – 1 day
POTASSIUM, 24 HOUR URINE 204U
24-Hour Urine
10 mL aliquot – submit in a white cap conical tube
No preservative
Testing includes urine creatinine and total volume
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions” .
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 2 days
POTASSIUM, RANDOM URINE 204RU
Urine
10 ml random urine
Submit in a white cap conical tube
TAT – 2 days
TEST SPECIFICATION GUIDE – SECTION P
Page 8 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
POTASSIUM
PREALBUMIN
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
TEST NO LONGER AVAILABLE
9291
Serum
Minimum volume required: 1ml
Centrifuge and aliquot
Store and ship refrigerated
GOLD SST
UNINSURED HRLC
TAT – 10 days
PREGNANCY TEST
655
(CHORIOGONADOTROPIN
SCREEN)
Urine
10 mL random urine
Submit in a 90 mL white cap container
First morning specimen preferred
OHIP
CML
N/C
PHL
N/C
PHL
OHIP
DYN
TAT – 1 day
PREGNANEDIOL
Refer to PROGESTERONE
(PROGESTERONE)
PREGNANETRIOL
Refer to 17-HYDROXYPROGESTERONE
(17– HYDROXYPROGESTERONE)
(17 OH PROGESTERONE)
PRE NATAL SCREEN
Refer to BLOOD GROUP
and
Refer to ANTIBODY SCREEN
(ABO & Ab SCREEN)
(ABO & SCREEN)
(TYPE & SCREEN)
PRE NATAL SCREEN
WITH HIV FOR PHL
9001P
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
Complete Prenatal form must be attached
Group test includes: Hepatitis B Prenatal
Rubella Antibody Prenatal
HIV Prenatal
PHL Prenatal VDRL
TAT – 15 days
PRE NATAL SCREEN
WITHOUT HIV FOR PHL
9002P
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
Complete Prenatal form must be attached
Group test includes: Hepatitis B Prenatal
Rubella Antibody Prenatal
PHL Prenatal VDRL
TAT – 15 days
PRIMIDONE
(MYSOLINE)
211
Serum
PLAIN RED
Minimum volume required: 1ml
Collect trough specimen 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 6 days
TEST SPECIFICATION GUIDE – SECTION P
Page 9 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
PROCAINAMIDE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
TEST NO LONGER AVAILABLE
(PRONESTYL)
PROGESTERONE
331
(PREGNANEDIOL)
Serum
Centrifuge only
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
PLAIN RED
OHIP
TAT – 1 day
PROGRAF
Refer to TACROLIMUS
(FK–506)
(TACROLIMUS)
PROLACTIN
332
Serum
Centrifuge only
TAT – 1 day
PRONESTYL
Refer to PROCAINAMIDE
(PROCAINAMIDE)
PROINSULIN
9304
Serum
Minimum Volume required: 1 mL
HLRC
Collect overnight fasting specimen in pre-chilled tube.
Allow blood to fully clot. Centrifuge in a refrigerated
Centrifuge. separate and freeze serum immediately.
Store and ship frozen.
TAT – 15 days
PROLIFERATING CELL
NUCLEAR ANTIBODIES
9335
(ANTI – PCNA)
Serum
GOLD SST
UNINSURED HLRC
Minimum Volume required: 1 mL
Centrifuge, separate into transfer tube and freeze immediately.
Store and send frozen.
TAT – 24 days
PROPAFENONE
TEST NO LONGER AVAILABLE
(RYTHMOL)
PROPOXYPHENE
(DARVON)
078PR
Urine
10 mL random urine
Submit in a blue top conical tube
TAT – 7 days
PROPRANOLOL
TEST NO LONGER AVAILABLE
(INDERAL)
TEST SPECIFICATION GUIDE – SECTION P
Page 10 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
CML
TEST NAME
CODE
PROSTATE SPECIFIC ANTIGEN, 354
FREE / TOTAL RATIO
- MONITORING
(PSA, FREE / TOTAL RATIO)
(PSA PERCENT )
SPECIMEN REQUIREMENT
VACUTAINER
Serum
GOLD SST
BILL
OHIP
LOC
CML
Centrifuge within 2-hours of collection
Must be tested within 24-hours after
collection, or freeze for storage and transport.
● Testing Includes Total PSA ●
Patient must meet eligibility criteria for insurable PSA testing
TAT – 3 days
PROSTATE SPECIFIC ANTIGEN, 9146
FREE / TOTAL RATIO
- SCREENING
(PSA, FREE / TOTAL RATIO)
(PSA PERCENT )
Serum
GOLD SST
UNINSURED
CML
Centrifuge within 2-hours of collection
Must be tested within 24-hours after
collection, or freeze for storage and transport.
● Testing Includes Total PSA ●
TAT – 3 days
PROSTATE SPECIFIC ANTIGEN, 358
TOTAL– MONITORING
Serum
Centrifuge only
GOLD SST
OHIP
CML
OHIP
CML
(PSA, TOTAL DISEASE STATE)
Patient must meet eligibility criteria for insurable PSA testing
TAT – 3 days
PROSTATE SPECIFIC ANTIGEN, 358
WITH HETEROPHILE BLOCK
Serum
Centrifuge only
GOLD SST
(PSA WITH HETEROPHILE BLOCK)
Physician may request PSA with heterophile block
to confirm positive post-prostatectomy PSA
only after consultation with Biochemistry manager,
Place specimen and OHIP requisition in priority labelled ziplock bag
Indicate on priority label:
“ATTN: BIOCHEMISTRY MANAGER/SUPERVISOR
PSA WITH HETEROPHILE BLOCK”
TAT – 3 days.
PROSTATE SPECIFIC ANTIGEN, 9701
TOTAL– SCREENING ONLY
Serum
Centrifuge only
(PSA SCREEN)
(PSA TOTAL)
TAT – 3 days
PROTEIN ANALYSIS
BENCE JONES PROTEIN
(IMMUNOELECTROPHORESIS
HEAVY & LIGHT CHAINS
BENCE JONES PROTEIN)
575RU
GOLD SST
Urine
50 mL random urine
Submit in 90 mL white cap container
No preservative
First morning specimen preferred
TAT – 5 days
TEST SPECIFICATION GUIDE – SECTION P
Page 11 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED CML
OHIP
CML
TEST NAME
CODE
PROTEIN ANALYSIS
BENCE JONES PROTEIN
575U
(BENCE JONES PROTEIN
HEAVY & LIGHT CHAINS
IMMUNOELECTROPHORESIS)
SPECIMEN REQUIREMENT
VACUTAINER
24-Hour Urine
10 mL aliquot submitted in white cap conical tube
labelled CREATININE and
50 mL aliquot submitted in 90 mL white cap container
labelled BENCE JONES
No preservative
BILL
OHIP
LOC
CML
State 24-hours total volume on the OHIP requisition,
On the specimen and in “Notes and Instructions”.
Retain a duplicate 50 mL sample in the fridge until
test is reported.
TAT – 5 days
PROTEIN C ACTIVITY
9971
(FUNCTIONAL/IMMUNOLOGICAL)
Plasma (Citrate)
Minimum Volume required: 3 mL
LIGHT BLUE
UNINSURED
HLRC
Coumadin should be restricted for 2 weeks prior
to the test. Consult with the patient’s physician
before proceeding with the test. Document the call
on the OHIP requisition.
Separate plasma immediately.
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 15 to 25 days
PROTEIN ELECTROPHORESIS,
CSF
PROTEIN FRACTIONATION,
CSF
Refer to PROTEIN FRACTIONATION, CSF
9257
(PROTEIN ELECTROPHORESIS - CSF)
(OLIGOCLONAL BANDING)
Serum
Minimum Volume required: 1 mL serum,
5ml CSF
RED TUBE
UNINSURED
AND STERILE CONTAINER
HLRC
Serum sample MUST accompany CSF.
Serum MUST be collected within 24 hrs of CSF collection.
Include collection date, collection time, and
Physician’s name on requisition
TAT – 11 days
PROTEIN FRACTIONATION
(PROTEIN ELECTROPHORESIS)
(SPE)
085
Serum
Centrifuge only
GOLD SST
● Testing Includes Total Protein ●
TAT – 2 days
TEST SPECIFICATION GUIDE – SECTION P
Page 12 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
CML
TEST NAME
PROTEIN FRACTIONATION
CODE
086
(PEP)
(SPE- 24 HOUR)
(PROTEIN ELECTROPHORESIS)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
24-Hour Urine
10 mL aliquot – submit in a white cap conical tube
labelled “CREATININE” and a
50 mL aliquot – submit in a 90 mL white cap container
labelled “PEP”
No preservative
OHIP
LOC
CML
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions”.
Retain a duplicate 50 mL sample in the fridge until test is reported.
● Testing Includes Total Protein, Urine Creatinine ●
TAT – 3 days
PROTEIN S, FREE/TOTAL
9479
Plasma
Minimum Volume required: 2 mL
LIGHT BLUE
UNINSURED HLRC
FREEZE PLASMA AND SEND FROZEN
Note: Total analysis will only be performed if
Protein S, Free is low (< 0.62 U/mL).
NOTE: Patient should not be on anticoagulant therapy
Reference range applies to patients 18 year of age and older
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 15 to 25 days
PROTEIN S, TOTAL
PROTEIN, TOTAL – FLUID
Refer to PROTEIN S, FREE/TOTAL
208FL
Fluid – state source
Minimum Volume required: 1 mL
Submit in plastic transfer tube
PLAIN RED
OHIP
CML
GOLD SST
OHIP
CML
OHIP
CML
OHIP
CML
TAT – 1 day
PROTEIN, TOTAL – SERUM
208
Serum
Centrifuge only
TAT – 1 day
PROTEIN, TOTAL
QUALITATIVE
254– 3
(ALBUMIN, QUALITATIVE URINE)
Urine
10 mL random urine
Submit in a yellow cap conical tube
TAT – 2 days
PROTEIN, TOTAL
QUANTITATIVE
208RU
Urine
CLEAR
6 mL random urine
Submit in a clear cap vacutainer labelled “PROTEIN”
TAT – 1 day
TEST SPECIFICATION GUIDE – SECTION P
Page 13 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
PROTEIN, TOTAL
24-HOUR URINE
CODE
208U
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
CML
OHIP
HLRC
LAVENDER
OHIP
DYN
ROYAL BLUE
- no Additives
OHIP
DYN
24-Hour Urine
2 CLEAR
10 mL aliquot – submit in a clear cap vacutainer
labelled “CREATININE” and a
6 mL aliquot – submit in a clear cap vacutainer
labelled “ PROTEIN”
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions”.
Testing includes urine creatinine and total volume.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 2 days
PROTHROMBIN GENE
MUTATION
9212
(FACTOR II PROTHROMBIN
MUTATION)
Blood
Collect sample Monday – Wednesday only
LAVENDER
A form for Molecular Genetic DNA Testing must be
completed by the doctor and accompany the specimen.
Form available from CML Problem Solving Department
Keep form and sample together in a Priority labelled zip lock bag
Refrigerate during storage and transport.
TAT– 30 days
PROTHROMBIN TIME
Refer to INR
(INR)
(PRO TIME)
(PT)
PROTOPORPHYRINS, RBC
202
Whole blood
Do not centrifuge
Protect from light
Refrigerate during storage and transport.
TAT – 17 days
PROTRIPTYLINE
(TRIPTIL)
9433
Serum
Minimum Volume required: 3 mL
Centrifuge and aliquot into serum tube
Collect trough specimen 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 18 days
PROZAC
Refer to FLUOXETINE
(FLUOXETINE)
PSA, TOTAL
Refer to PROSTATE SPECIFIC ANTIGEN
(PROSTATE SPECIFIC ANTIGEN,
TOTAL– SCREENING ONLY)
PSA, FREE / TOTAL RATIO
Refer to PROSTATE SPECIFIC ANTIGEN FREE/TOTAL
(PROSTATE SPECIFIC ANTIGEN
FREE / TOTAL RATIO)
(PSA PERCENT %)
(PSA FRACTIONATION)
TEST SPECIFICATION GUIDE – SECTION P
Page 14 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
PSEUDOCHOLINESTERASE
Refer to CHOLINESTERASE, PHENOTYPE
PSITTACOSIS ANTIBODY
(Chlamydia– Psittaci)
Refer to CHLAMYDIA PSITTACI ANTIBODY
PT
Refer to INR
BILL
LOC
(INR)
(PRO TIME)
(PROTHROMBIN TIME)
PTH
Refer to PARATHYROID HORMONE
(PARATHYROID HORMONE)
(PARATHYRIN)
PTT
Refer to PARTIAL THROMBOPLASTIN TIME
(PARTIAL THROMBOPLASTIN TIME)
PYRIDINIUM
PYRIDOXINE
Refer to DEOXYPYRIDINOLINE
9379
(PYRIDOXAL PHOASPHATE)
(VITAMIN B6)
Plasma
LAVENDER
Minimum Volume required: 2 mL
Separate within 1-hour of collection.
Transfer plasma into an amber transport tube
to protect from light.
UNINSURED HLRC
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 40 days
PYRUVATE KINASE
(PK SCREEN)
9941
Blood
LAVENDER
Store and send refrigerated
Blood transfusion within the last 3 months will
invalidate test results
TAT – 25 days
TEST SPECIFICATION GUIDE – SECTION P
Page 15 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
HLRC
TEST NAME
QUETIAPINE
CODE
9569
(SEROQUEL)
SPECIMEN REQUIREMENT
Serum
Minimum Volume required: 1 mL
VACUTAINER
PLAIN RED
BILL
LOC
UNINSURED HLRC
Centrigue and aliquot into transfer tube.
Store and ship frozen.
Trough specimen required.
Do NOT collect in gel seperater (SST) tube
TAT – 12 days
QUININE
9468U
Urine
25 mL random urine
Submit in a 90 mL orange cap container
UNINSURED HLRC
TAT – 20 days
QUINIDINE
TEST NO LONGER AVAILABLE
(BIQUIN)
Q– FEVER ANTIBODY
(COXIELLA BURNETTI ANTIBODY)
9027
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
TEST SPECIFICATION GUIDE – SECTION Q Page 1 of 1
CML HealthCare Inc Test Specification Guide 16914 Version: 4.0 15-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
N/C
PHL
TEST NAME
CODE
RA
VACUTAINER
BILL
LOC
Refer to RHEUMATOID FACTOR
(LATEX FIXATION)
(RA FACTOR) (RA FIXATION)
(RHEUMATOID FACTOR)
RABIES VIRUS ANTIBODY
SPECIMEN REQUIREMENT
9070
State if post vaccination
Do not centrifuge tube
PLAIN RED
N/C
PHL
OHIP
DYN
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
R. AKARI
Refer to RICKETTSIA ANTIBODY
RAPAMUNE
Refer to SIROLIMUS
RAST
Refer to ALLERGEN TESTING
RBC CHOLINESTERASE
Refer to ACETYL CHOLINESTERASE
RBC MAGNESIUM
Refer to MAGNESIUM, RBC
RED BLOOD CELL COUNT
Refer to COMPLETE BLOOD COUNT
RED MEASLES
Refer to MEASLES VIRUS ANTIBODY
(RICKETTSIA ANTIBODY)
(RMSF)
(ROCKY MOUNTAIN SPOTTED FEVER)
(TYPHUS MURINE ANTIBODY)
(RAPAMYCIN)
(SIROLIMUS)
(ACETYL CHOLINESTERASE)
(MAGNESIUM, RBC)
(ERYTHROCYTE COUNT, RBC)
(RUBEOLA)
REDUCING SUBSTANCES
216
Stool
5 g (approx. 1 teaspoon) random stool
Freeze stool and send FROZEN
TAT – 14 days
REDUCING SUBSTANCES
TEST NO LONGER AVAILABLE
REPEAT PRENATAL ANTIBODIES
Refer to ANTIBODY SCREEN
RENIN –
HOSPITAL ONLY
**This test is for hospital clients only. CCC staff should not use this code.**
(ABO & Ab SCREEN)
(ABO & SCREEN)
(PRENATAL SCREEN)
(TYPE & SCREEN)
(RENIN DIRECT)
9376
Serum
Centrifuge only and aliquot
to transfer tube.
Ship frozen
GOLD SST
TAT – 24 days
TEST SPECIFICATION GUIDE – SECTION R Page 1 of 4
CML HealthCare Inc Test Specification Guide 16915 Version: 10.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
HLRC
TEST NAME
RENIN – UPRIGHT
CODE
1718
SPECIMEN REQUIREMENT
Plasma
Minimum Volume Required: 1.0 mL
VACUTAINER
BILL
LOC
LAVENDER
OHIP
LL
Collect in the morning before 10:00am
Record on requisition Time Upright –
the number of hours since the patient arose
(to the nearest 0.5hrs)
Minimum time before collection in UPRIGHT position
(standing, walking or sitting) is 2 hours.
If patient has been standing or walking,
have them sit for 5-10 minutes before collection.
Collect blood in Lavender (EDTA) tube.
Mix thoroughly by gentle inversion.
Centrifuge immediately and transfer an aliquot of
o
plasma to a labeled tube, cap tightly and FREEZE at -20 C.
o
Store and ship frozen at -20 C
TAT – 1 week
RENIN – SUPINE
NOTE: This test is not available for collection or testing at a “CML” branded Customer
Care Centre. Please have patient go to a “LifeLabs” branded Patient Service Centre
for collection.
RESPIRATORY CULTURE
Refer to MYCOPLASMA PNEUMONIAE CULTURE
(MYCOPLASMA CULTURE)
RETICULIN ANTIBODIES
9942
(ANTI-RETICULIN ANTIBODY)
Serum
Centrifuge only
GOLD SST
UNINSURED HLRC
LAVENDER
OHIP
CML
GOLD SST
OHIP
HLRC
TAT – 20 days
RETICULOCYTE COUNT
398
Blood
TAT – 1 day
RETINOL
260
(VITAMIN A)
Serum
Minimum Volume required: 2 mL
Avoid hemolysis
Protect from light by transferring serum
into an amber transport tube
Fasting specimen preferred
FREEZE SERUM AND SEND FROZEN.
TAT – 15 days
REVERSE T3
(RT3)
(REVERSE TRIIODOTHYRONINE)
(TRIIODOTHYRONINE REVERSE)
9170
Serum
PLAIN RED
Min Volume Required – 1ml
Collect blood in PLAIN RED top tube.
Allow blood to clot at room temperature for
30 minutes and separate by centrifugation.
Transfer an aliquot of serum to a labelled aliquot tube.
o
Store and ship refrigerated at 2-8 C
TAT – 17 days
TEST SPECIFICATION GUIDE – SECTION R Page 2 of 4
CML HealthCare Inc Test Specification Guide 16915 Version: 10.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED
LL
TEST NAME
CODE
RHEUMATOID ARTHRITIS
DIAGNOSTIC PANEL
RADP
SPECIMEN REQUIREMENT
VACUTAINER
Serum
3 GOLD SST
BILL
LOC
UNINSURED
See table below for collection instructions
Rh PANEL
The following tests will automatically be included
ANTI-CCP (9165)
JOINT STAT (3971)
RHEUMATOID FACTOR (500RA)
Panel Handling
SERUM – GOLD SST
ANTI-CCP
(CYCLIC
CITRULLINATED
PEPTIDE ANTIBODIES)
(CCP ANTIBODY)
Testing Location
HLRC
Centrifuge only
Collect sample MONDAY – WEDNESDAY only
o
JOINT STAT
Store and ship refrigerated at 2-8 C
SERUM – GOLD SST
(14-3-3n)
(14-3-3eta)
Minimum volume 0.5mL
CML
Collect blood in SST tube
Allow to clot at room temperature for 30 minutesand
separate by centrifugation immediately.
Aliquot serum to a labeled transfer tube
RHEUMATOID
FACTOR
(LATEX FIXATION)
(RA)
(RA FACTOR)
(RA FIXATION)
Store and ship frozen
SERUM – GOLD SST
CML
Centrifuge only
TAT – 15 days
Rh FACTOR
Refer to BLOOD GROUP
(ABO & TYPE)
(ABO RhD)
(BLOOD GROUP & Rh(D))
(BLOOD TYPE)
RHEUMATOID FACTOR
500RA
(LATEX FIXATION)
(RA) (RA FACTOR)
(RA FIXATION)
RICKETTSIA ANTIBODY
Serum
Centrifuge only
GOLD SST
OHIP
CML
PLAIN RED
N/C
PHL
TAT – 1 day
9044
(R.AKARI)
(RMSF)
(ROCKY MOUNTAIN SPOTTED FEVER)
(TYPHUS MURINE ANTIBODY)
Public Health Laboratory recommends
both acute and convalescent specimens
taken two weeks apart
Do not centrifuge tube
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 45 days
RINGWORM OF SCALP
(DERMATOPHYTOSIS)
(WOOD LAMPS TEST)
Refer to DERMATOPHYTOSIS
TEST SPECIFICATION GUIDE – SECTION R Page 3 of 4
CML HealthCare Inc Test Specification Guide 16915 Version: 10.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
RISPERIDONE
9738
(RISPERDOL)
SPECIMEN REQUIREMENT
Serum 2mL
Trough specimen.
Freeze serum and send FROZEN
Collect just prior to next dose.
Serum from gel separator NOTacceptable
VACUTAINER
PLAIN RED
BILL
LOC
UNINSURED HLRC
TAT – 15 days
RISTOCETIN CO FACTOR
VON WILLEBRAND
TEST NO LONGER AVAILABLE
RITALIN
Refer to METHYLPHENIDATE
RIVOTRIL
Refer to CLONZAEPAM
ROCKY MOUNTAIN
SPOTTED FEVER ANTIBODY
Refer to RICKETTSIAL ANTIBODY
(METHYLPHENIDATE)
(CLONAZEPAM)
(R.AKARI)
(RICKETTSIAL ANTIBODY)
(RMSF)
(TYPHUS MURINE ANTIBODY)
ROHYPNOL
9739
(DATE RAPE)
(FLUNITRAZEPAM)
Urine
10 mL random urine
Submit in a 90 mL orange cap container
OHIP
HLRC
N/C
PHL
GOLD SST
OHIP
CML
PLAIN RED
N/C
PHL
TAT – 15 days
RUBELLA VIRUS ANTIBODY,
IgM
9077
(ACUTE RUBELLA)
(RUBELLA IGM)
Collect specimen 1 to 3 weeks
after onset of rash
PLAIN RED
Do not centrifuge tube
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 5 days
RUBELLA VIRUS
ANTIBODY, IgG
679
(RUBELLA ANTIBODY IGG IMMUNE)
(RUBELLA IGG)
RUBELLA VIRUS
ANTIBODY, IgG PRENATAL
Serum
Centrifuge only
TAT – 1 day
679-P
Do not centrifuge tube
To be sent in conjunction with Prenatal Hepatitis B,
VDRL and Prenatal HIV
One tube is required for all the tests
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 10 days
RUBEOLA
Refer to MEASLES VIRUS ANTIBODY
RYTHMOL
Refer to PROPAFENONE
(RED MEASLES)
(PROPAFENONE)
TEST SPECIFICATION GUIDE – SECTION R Page 4 of 4
CML HealthCare Inc Test Specification Guide 16915 Version: 10.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
SALICYLATE
CODE
221
(ACETYLSALICYLIC ACID)
(ASA)
(ASPIRIN)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
PLAIN RED
Minimum Volume required: 2 mL
Record time in hours that have elapsed between
last dose and specimen collection.
BILL
OHIP
LOC
HLRC
TAT – 15 days
SCHILLINGS TEST
Refer patient to hospital for testing
SCL-70 ANTIBODIES
Refer to EXTRACTABLE NUCLEAR ANTIBODIES
(SCLERODERMAL ANTIBODY)
(ANTI SCL-70)
SECOBARBITAL
9434
Serum
PLAIN RED
Minimum Volume required: 3 mL
Collect trough specimen 10 - 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
OHIP
HLRC
TAT – 15 days
SEDIMENTATION RATE
Refer to ERYTHROCYTE SEDIMENTATION RATE
(ESR)
(SED RATE)
SELENIUM
99999
Serum
ROYAL BLUE
WITHOUT ADDITIVE
UNINSURED LL
Allow blood to clot for 30 minutes
at room temperature and separate
by centrifugation.
Transfer an aliquot of serum to a new
labelled ROYAL BLUE top tube (without additive),
cap tightly and FREEZE.
Store and ship frozen.
TAT - 10 days
SELENIUM
9491
Plasma
Minimum Volume required: 3 mL
Collect blood in contaminant-free
Royal Blue Top K2-EDTA
Separate plasma within 30 mins
Into metal-free polypropylene tube.
DO NOT use gel separator collection tubes.
TAT – 14 days
ROYAL BLUE
- with K2 EDTA
SELENIUM
9944
Urine Random
10 mL random urine
Submit in 90 mL orange cap container. Indicate “Random”
Provide collection date.
Avoid Mineral spplements for 5 days.
TAT - 14 days
UNINSURED HLRC
SELENIUM
99999
24 hour urine
ACID WASHED CONTAINER
24 hour urine MUST be in an acid washed container
Record total volume and transfer 20ml
of measured 24 hour urine into a labelled sterile
90ml urine container.
Store and ship refrigerated.
TAT - 10 days
UNINSURED LL
TEST SPECIFICATION GUIDE – SECTION S
Page 1 of 6
CML HealthCare Inc Test Specification Guide 18396 Version: 10.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED HLRC
TEST NAME
SELENIUM
CODE
99999
(SELENIUM – ERYTHROCYTES)
SPECIMEN REQUIREMENT
VACUTAINER
Red Cells
ROYAL BLUE
Mix thoroughly through gentle inversion
- K2EDTA
Spin specimen for 15 mins.
Take off the plasma and buffy and a little of the red cells using a
Polyethylene transfer pipette and discard this.
Make sure to POUR the remaining RED CELLS into a
Labelled polypropylene tube and cap tightly.
BILL
LOC
UNINSURED LL
Be sure to allow all the blood to drain into the tube.
Store and ship refrigerated.
TAT – 10 days
SEMEN ANALYSIS,
COMPLETE
HP12
(FOR FERTILITY)
Semen
Available only at specific sites by appointment.
Patient may call 905-565-0433 to arrange an appointment.
OHIP
CML
OHIP
CML
Do not code the Documentation Fee for this test.
TAT – 4 days
Results may be delayed due to confirmation by pathologist
SEMEN ANALYSIS,
POST VASECTOMY
HP13
(POST VAS)
(SEMEN POST VAS)
Semen
Collection instructions and kits available
Do not code the Documentation Fee for this test.
TAT – 4 days
Results may be delayed due to confirmation by pathologist
SENSITIVE TSH
Refer to THYROTROPIN
(THYROTROPIN)
(TSH)
SERAX
Refer to OXAZEPAM
(OXAZEPAM)
SEROTONIN
(5– HYDROXYTRYTAMINE)
9716
Serum
GOLD SST
2 aliquots of 1 mL – keep aliquots together with elastic
UNINSURED HLRC
For 48-hours prior to collection, patient should abstain from:
Avocados, bananas, coffee, plums, pineapple, tomatoes, walnuts, hickory nuts,
Mollusks, eggplant, and meds such as aspirin, corticotrophins,
MAO inhibitors, phenacetin, catecholamines, reserpine, nicotine
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 35 days
SEROTONIN METABOLITE
Refer to 5-HYDROXYINDOL ACETATE
(5– HIAA)
(HYDROXYINDOLE)
(5-HYDROXYINDOLE ACETATE)
TEST SPECIFICATION GUIDE – SECTION S
Page 2 of 6
CML HealthCare Inc Test Specification Guide 18396 Version: 10.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SERTRALINE
9952
(ZOLOFT)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
PLAIN RED
Centrifuge
Minimum Volume required: 2 mL aliquot
Patient should be on the drug 7 days prior to testing
Collect trough specimen 10 – 12 hours after last dose
BILL
OHIP
LOC
HLRC
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 25 days
SEX HORMONE
BINDING GLOBULIN
2019
Serum
Minimum Volume required: 1.0 mL
GOLD SST
UNINSURED LL
(SHBG)
Collect blood in SST tube.
Allow blood to clot at room temperature for
30 minutes and separate by centrifugation.
o
Store and ship refrigerated at 2-8 C.
TAT – 3 days
SGOT
Refer to ASPARATE AMINO TRANSAMINASE
(AST)
(ASPARATE AMINO TRANSAMINASE)
SGPT
Refer to ALANINE AMINO TRANSAMINASE
(ALT)
(ALANINE AMINO TRANSAMINASE)
SICKLE CELL SCREEN
453
(SICKLE CELL PREP)
(SICKLE CELL SOLUBILITY SCREEN)
Blood
Do not centrifuge
LAVENDER
OHIP
CML
TAT – 1 day
SILVER, PLASMA
SILVER
TEST NO LONGER AVAILABLE
99999
24 hour urine
ACID WASHED CONTAINER
24 hour urine MUST be in an acid washed container.
Store and ship refrigerated.
UNINSURED LL
For industrial exposure, a random urine is recommended.
Creatinine level is determined on all 24 hour
urines to assess the completeness of the 24 hour collection.
TAT – 10 days
SILVER
99999
Urine
Min volume: 20ml
Store and ship refrigerated.
TAT – 10 days
SINEQUAN
Refer to DOXEPIN
(DOXEPIN)
TEST SPECIFICATION GUIDE – SECTION S
Page 3 of 6
CML HealthCare Inc Test Specification Guide 18396 Version: 10.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED LL
TEST NAME
CODE
SIROLIMUS
9161
(RAPAMUNE)
(RAPAMYCIN)
SPECIMEN REQUIREMENT
VACUTAINER
Blood – Whole
LAVENDER
BILL
LOC
OHIP
HLRC
OHIP
CML
OHIP
CML
OHIP
CML
Transplant hospital and Transplant physician MUST
be provided on the requisition.
Place the specimen and the Hospital Form
in a Priority labelled ziplock bag.
TAT – 15 days
SLE ANTIBODIES
Refer to NUCLEAR ANTIBODIES
(ANA)
(ANF)
(ANTI NUCLEAR ANTIBODY)
(CENTROMERE ANTIBODY)
SMEAR FOR GRAM STAIN
Refer to GRAM STAIN
SMOOTH MUSCLE
ANTIBODIES
Refer to MITOCHONDRIAL ANTIBODIES
(ANTI-MITOCHONDRIAL ANTIBODIES)
(ANTI-SMOOTH MUSCLE ANTIBODY)
(ASMA)
(MITOCHONDRIAL ANTIBODIES)
(SMA)
SODIUM, SERUM
226
Centrifuge only
Hemolyzed specimens are not acceptable
GOLD SST
TAT – 1 day
SODIUM, 24 HOUR URINE
226U
24-Hour Urine
10 mL aliquot – submit in a white cap conical tube
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions” .
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT – 2 days
SODIUM, URINE
226RU
Urine
10 mL random urine
Submit in a white cap conical tube
TAT – 2 days
SOMATOMEDIN C
Refer to INSULIN LIKE GROWTH FACTOR 1
(IGF)
(INSULIN LIKE GROWTH FACTOR 1)
TEST SPECIFICATION GUIDE – SECTION S
Page 4 of 6
CML HealthCare Inc Test Specification Guide 18396 Version: 10.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
SOMATOTROPIN
CODE
317
(HUMAN GROWTH HORMONE)
(HGH)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Minimum volume required: 2 mL
Separate within 30 minutes
BILL
LOC
GOLD SST
OHIP
CML
GOLD SST
OHIP
DYN
OHIP
CML
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT – 10 days
SPE
Refer to PROTEIN FRACTIONATION
(PROTEIN FRACTIONATION)
SPERM ANTIBODIES
597
(ANTI-SPERM ANTIBODIES)
Serum
Centrifuge only
Hemolysed samples are NOT acceptable
TAT – 12 days
SS– A
Included in Extractable Nuclear Antibodies Screen
(ROSE ANTIBODIES)
SS– B
Included in Extractable Nuclear Antibodies Screen
(LATIMER ANTIBODIES)
STONE ANALYSIS
Refer to CALCULUS ANALYSIS
(CALCULUS ANALYSIS)
STOOL, PH
Refer to PH
STOOL,
Refer to REDUCING SUBSTANCES
(REDUCING SUBSTANCES)
STREET DRUGS
Refer to DRUGS OF ABUSE
(DRUGS OF ABUSE)
(DRUGS SCREEN)
(NARCOTIC SCREEN)
(URINE TOXICOLOGY)
STREPTOCOCCUS
THROAT SCREEN
STREPTOLYSIN O
ANTIBODY
Refer to CULTURE & SENSITIVITY, THROAT
659
Serum
Centrifuge only
GOLD SST
(ASOT)
TAT – 1 day
STREPTOZYME TEST
Refer to STREPTOLYSIN O ANTIBODY
TEST SPECIFICATION GUIDE – SECTION S
Page 5 of 6
CML HealthCare Inc Test Specification Guide 18396 Version: 10.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SPECIMEN REQUIREMENT
SUCROSE LYSIS
NO LONGER AVAILABLE
SULFHEMOGLOBIN
NO LONGER AVAILABLE
SULPHONAMIDE
NO LONGER AVAILABLE
VACUTAINER
BILL
LOC
SURGICAL PATHOLOGY
Refer to HISTOPATHOLOGY
_________________________________________________________________________________________________________
SURMONTIL
Refer to TRIMIPRAMINE
(TRIMIPRAMINE)
SYNOVIAL FLUID
Refer to FLUID, TOTAL EXAM
(FLUID, TOTAL EXAM)
SYPHILIS
(VDRL)
(VDRL ROUTINE)
(TPI – TREPONEMAL PALLIDUM
INVESTIGATION)
(FTA – TREPONEMAL ANTIBODIES)
9000
Do not centrifuge tube
PLAIN RED
Syphilis requests can be for Screen, Confirmatory
or Diagnostic purposes
▀ Code S17 on PHL Form
▀ Reactive Syphilis screen test EIA is automatically tested
by confirmatory procedures and RPR
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
TEST SPECIFICATION GUIDE – SECTION S
Page 6 of 6
CML HealthCare Inc Test Specification Guide 18396 Version: 10.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
N/C
PHL
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to LYMPHOCYTE MARKER – T CELLS ONLY
T CELL LYMPHOCYTE
MARKER ONLY
(CD3, CD4, CD8)
(LYMPHOCYTE MARKER- T CELLS ONLY)
T3 RIA
Refer to TRIIODOTHYRONINE, TOTAL
(TOTAL T3)
(TRIIODOTHYRONINE)
T4 TOTAL, THYROXINE
TACROLIMUS
TEST NO LONGER AVAILABLE
9720
(FK–506)
(PROGRAF)
Blood
LAVENDER
OHIP
HLRC
OHIP
SKH
STORE AND TRANSPORT AT ROOM TEMPERATURE
Collect specimen Monday to Thursday only
Send the specimen and a copy of the OHIP requisition
in a Priority labelled ziplock bag.
Transplant hospital and Transplant physician MUST
be provided on the requisition or print “non-transplant”
if indicated.
TAT– variable
TAY SACHS
99999
Blood
(BETA n-ACETYLHEXOSAMINIDASE)
1 LAVENDER
1 PLAIN RED
1 GREEN
- with Heparin
Collect specimen Monday to Wednesday only
STORE AND SEND AT ROOM TEMPERATURE
Physician must complete a SKH Tay Sachs Registration Form
and a Molecular Genetics Form
The forms are available from the CML Problem solving Department
Send the specimens and the forms in a Priority labelled ziplock bag
Address Priority label:
Hospital for Sick Kids
Biochemical Genetics Laboratory
555 University Ave, Toronto
M5G 1X8
TAT - 15 days
T.B. CULTURE
Refer to MYCOBACTERIA TUBERCULOSIS DETECTION
(ACID FAST BACILLUS)
(AFB)
(TUBERCULOSIS CULTURE)
T & B CELLS
Refer to LYMPHOCYTE MARKERS, T & B CELLS
(ACUTE LEUKEMIA PHENOTYPING)
(LYMPHOPROLIFERATIVE DISEASE
PHENOTYPING)
TEST SPECIFICATION GUIDE – SECTION T
Page 1 of 8
CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
TBG
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to THYROXINE BINDING GLOBULIN
(THYROXINE BINDING GLOBULIN)
TBII
Refer to THYROID RECEPTOR ANTIBODIES
(LATS)
(LONG ACTING THYROID STIMULATOR)
(THYROTROPIN BINDING INHIBITING
IMMUNOGLOBULIN)
(THYROID RECEPTOR ANTIBODIES)
(TRAB) TSH RECEPTOR ANTIBODY
TEGRETOL
Refer to CARBAMAZEPINE
(CARBAMAZEPINE)
TEST NO LONGER AVAILABLE – Refer to C-TELOPEPTIDE
TELOPEPTIDE - N
TESTOSTERONE,
BIO AVAILABLE
2021
(BIO AVAILABLE TESTOSTERONE)
(BAT)
Serum
Minimum Volume required: 1.5 mL
GOLD SST
UNINSURED LL
GOLD SST
OHIP
LL
GOLD SST
OHIP
CML
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation
o
Store and ship refrigerated at 2-8 C
TAT– 3 days
TESTOSTERONE, FREE
763
(FREE TESTOSTERONE)
Serum
Minimum Volume required: 1.5 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation
o
Store and ship refrigerated at 2-8 C.
TAT – 3 days
TESTOSTERONE, TOTAL
340
(TESTICULAR ANDROGEN)
Serum
Centrifuge only
State age and sex of patient
TAT – 1 day
TETANUS
SEROLOGY TESTING NO LONGER AVAILABLE
(CLOSTRIDIUM TETANI
ANTIBODY)
THALASSEMIA
(ALPHA THALASSEMIA)
(BETA THALASSEMIA)
9200
Whole Blood- 5 tubes
LAVENDER
N/C
Serum – 1 tube
GOLD SST
Min sample required – 10ml
INCLUDES: CBC, Hemoglobin Electrophoresis and Ferritin
DNA Genetic Testing Form must be completed at Dr’s office
Prepackage sample with completed DNA form in PRIORITY envelope,
addressed to HLRC/MUMC
Collect Mon-Wed ONLY
TAT – 8 weeks
TEST SPECIFICATION GUIDE – SECTION T
Page 2 of 8
CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
HLRC
TEST NAME
THALLIUM
CODE
99999
SPECIMEN REQUIREMENT
VACUTAINER
Whole Blood
Mix thoroughly through gentle inversion.
SEND ENTIRE TUBE
Store and ship refrigerated.
ROYAL BLUE
- K2EDTA
BILL
LOC
UNINSURED LL
TAT – 10 days
THALLIUM
99999
Urine
Min Volume: 20ml
Ensure hands are washed and clothes are free
of contamination.
Store and ship refrigerated.
UNINSURED LL
TAT – 5-10 days
THC
Refer to CANNABINOIDS SCREEN
(CANNABIS)
(CANNABINOIDS SCREEN)
(MARIJUANA)
(TETRAHYDROCANNABINOIDS)
THEOPHYLLINE
321
(AMINOPHYLLINE)
(UNIPHYL)
Serum
PLAIN RED
Minimum specimen required: 2 mL
Collect trough specimen 10 – 12 hours after the last dose
OHIP
CML
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 1 day
THIAMINE
9231
(VITAMIN B1)
Plasma
Minimum Volume required: 2 mL
Centrifuge within 1 hour of collection
Transfer plasma to amber transport tube
LAVENDER
UNINSURED HLRC
LAVENDER
UNINSURED HLRC
GOLD SST
OHIP
FREEZE PLASMA AND SEND FROZEN
TAT – 25 days
THIOCYANATE
THIOPURINE
S – METHLTRANSFERASE
(TPMT) GENOTYPE
TEST NO LONGER AVAILABLE
9311
(TPMT)
Whole Blood
Must complete form for molecular
Hematology testing and submit with
Specimen and requisition
TAT – 13 days
THIORIDAZINE
(MELLARIL)
9731
Serum
Centrifuge only
TAT – 20 days
THROMBOCYTE COUNT
Refer to COMPLETE BLOOD COUNT
(PLATELET COUNT)
TEST SPECIFICATION GUIDE – SECTION T
Page 3 of 8
CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
9743
Plasma
Minimum Volume required: 1 mL
LIGHT BLUE
OHIP
THROMBIN TIME
(THROMBIN CLOTTING TIME)
(COAGULATION THROMBIN INDUCED)
LOC
HLRC
Must be a clean venipuncture puncture
Remove tourniquet when blood starts to flow
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
THROMBOPLASTIN TIME,
PARTIAL
99999
(FACTOR V LEIDEN)
(FACTOR V VON LEIDEN)
(PROTHROMBIN VARIANT)
(PROTHROMBIN MUTATION)
(PROTHROMBIN 20210A)
(MTHFR C677T)
Whole blood
LAVENDER
Mix thoroughly by gentle inversion.
To be received within 5 days
Store and ship and room temp.
This test includes Prothrombin Variant (mutation)
and Factor V Leiden
UNINSURED LL
TAT – 14-21 days
THROMBOSIS GENETIC
SCREEN
Refer to PARTIAL THROMBOPLASTIN TIME
(PTT)
THYROGLOBULIN
9494
Serum
Centrifuge only
GOLD SST
OHIP
CML
Note: Not the same test as Thyroglobulin Antibody (HP16A)
TAT – 10 days
THYROID RECEPTOR
ANTIBODIES
9454
(LATS)
Serum
Minimum volume required: 2 mL
Separate within 1 hour of collection
GOLD SST
UNINSURED HLRC
GOLD SST
OHIP
(LONG ACTING THYROID STIMULATOR)
FREEZE SERUM AND SEND FROZEN
(TBII)
(THYROPIN BINDING INHIBITOR
Requires clinical information: thyroid status,
Presence of exophthalmos
IMMUNOGLOBULIN)
(TRAB) TSH RECEPTOR ANTIBODY
TAT – 30 days
THYROTROPIN
341
(SENSITIVE TSH)
(TSH)
Serum
Centrifuge only
TAT – 1 day
3 MICROTAINERS ARE REQUIRED
WHEN COLLECTING FROM AN INFANT
THYROTROPIN BINDING
INHIBITOR IMMUNOGLOBULIN
Refer to THYROID RECEPTOR ANTIBODIES
(TBII) (THYROID STIMULATING ANTIBODY)
(LATS) (LONG ACTING THYROID STIMULATOR)
TRAB) TSH RECEPTOR ANTIBODY
TEST SPECIFICATION GUIDE – SECTION T
Page 4 of 8
CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
CML
TEST NAME
CODE
THYROXINE BINDING
GLOBULIN
SPECIMEN REQUIREMENT
342
VACUTAINER
Serum
Centrifuge only
Submit Monday to Wednesday only
(TBG)
BILL
LOC
GOLD SST
OHIP
HLRC
GOLD SST
OHIP
CML
GOLD SST
UNINSURED HLRC
GOLD SST
UNINSURED LL
TAT – 25 days
THYROXINE, FREE
339
Serum
Centrifuge only
(FREE T4)
TAT – 1 day
3 MICROTAINERS ARE REQUIRED
WHEN COLLECTING FROM AN INFANT
THYROXINE, TOTAL (T4)
TEST NO LONGER AVAILABLE
TIBC
Refer to IRON
(IRON)
(IRON BINDING CAPACITY)
(IRON SATURATION)
(TIBC) (UIBC)
(TOTAL IRON BINDING CAPACITY)
(TRANSFERRIN SATURATION)
TISSUE TRANSGULTAMINASE 9744
IgA ANTIBODY
- HOSPITALS ONLY
Serum
Centrifuge only
TAT – 20 days
TISSUE TRANSGULTAMINASE 1727
IgA ANTIBODY
Serum
(TISSUE TRANSGLUTAMINASE)
(TRANSGLUTAMINATE IGA)
(TTIGA)
Minimum volume required 1.0mL
Collect blood in SST tube. Allow blood to clot
at room temperature for 30 minutes and separate
by centrifugation.
o
Store and ship at 2-8 C
TAT – 4 days
TOBRAMYCIN


PEAK
304TP
TROUGH 304TT
Serum
Minimum Volume required: 1 mL
PLAIN RED
OHIP
HLRC
Collection of trough (pre) and peak (post)doses must be collected
Collect blood prior to and I-hour following I.M. injection
Record time in hours that have elapsed between doses.
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 5 to 10 days
TOCOPHEROL
(VITAMIN E)
9386
Serum
Minimum Volume required: 2 mL
Protect from light by transferring serum
into an amber transport tube.
GOLD SST
FREEZE SERUM AND SEND FROZEN.
Refer to General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
TEST SPECIFICATION GUIDE – SECTION T
Page 5 of 8
CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED HLRC
TEST NAME
CODE
TOFRANIL
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to IMIPRAMINE
(IMIPRAMINE)
TOPIRAMATE
9745
(TOPOMAX)
Serum
Minimum Volume required: 1 mL
PLAIN RED
OHIP
HLRC
PLAIN RED
N/C
PHL
N/C
PHL
OHIP
LL
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 20 days
TORCH STUDIES
9061
Do not centrifuge tube
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
● Testing Includes Toxoplasmosis, Rubella,
Cytomegalovirus &Herpes Serologies ●
TAT – 15 days
TOTAL IRON BINDING CAPACITY
Refer to IRON
(IRON)
(IRON BINDING CAPACITY)
(IRON SATURATION)
(TIBC) (UIBC)
(TRANSFERRIN SATURATION)
TOTAL T 3
Refer to TRIIODOTHYRONINE, TOTAL
(T3 RIA)
(TRIIODOTHYRONINE)
TOXOPLASMA GONDII
ANTIBODY
9025
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
TPO AB
Refer to ANTI-THYROID PEROXIDASE
(ANTI–THYROID PEROXIDASE)
TRANSCOBALAMIN
TRANSFERRIN
TEST NO LONGER AVAILABLE
461
Serum
Minimum Volume required: 0.5 mL
GOLD SST
Collect blood in SST tube.
Allow blood to clot at room temperature for
30 minutes and separate by centrifugation
AS SOON AS POSSIBLE.
Transfer an aliquot of serum to a labelled tube,
cap tightly.
o
Store and ship refrigerated at 2-8 C.
TAT – 3 days
TRANSFERRIN SATURATION
Refer to IRON
(IRON)
(IRON BINDING CAPACITY)
(IRON SATURATION)
(TIBC) (UIBC)
(TOTAL IRON BINDING CAPACITY)
TEST SPECIFICATION GUIDE – SECTION T
Page 6 of 8
CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
TRANSGLUTAMINASE
IgA TISSUE (TTG)
Refer to TISSUE TRANSGLUTAMINASE IgA ANTIBODY
TRAZODONE
TEST NO LONGER AVAILABLE
BILL
LOC
(DESYREL)
TREPONEMAL ANTIBODIES
Refer to SYPHILIS
(FLUORESCENT ABSORPTION TEST)
(FTA- TREPONEMAL ANTIBODIES)
(SYPHILIS)
TREPONEMA PALLIDUM
IMMOBILIZATION
Refer to SYPHILIS
(TPI)
(SYPHILIS)
TRIAZOLAM (HALCION)
TRICHINELLA ANTIBODY
TEST NO LONGER AVAILABLE
9055
Do not centrifuge tube
PLAIN RED
N/C
PHL
(TRICHINOSIS IMMOBILIZATION
ANTIBODY)
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
(TIA)
TAT – 5 days
TRICHOMONAS VAGINALIS
Refer to CULTURE & SENSITIVITY, GENITAL
(TRICH)
(WET PREPARATION)
TRICYCLIC & TETRACYCLIC
ANTIDEPRESSANTS
See SPECIFIC DRUG SPECIMEN REQUIREMENTS
Specify – Amitriptyline, Clomipramine, Desipramine,
Doxepin, Imipramine, Maprotiline, Nortriptyline,
Protriptyline, Trimipramine
TAT – Variable
TRIGLYCERIDES
243
Serum
Centrifuge only
Either fasting or random samples are
acceptable for testing
GOLD SST
OHIP
CML
Ask patient
“When did you last have something to eat
or drink other than water?”
Document number of hours on the requisition.
Drop-offs/hubbing – Document “Drop-Off” instead of number of hours.
TAT – 1 day
TRIIODOTHYRONINE, FREE
607
(FREE T3)
Serum
Centrifuge only
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
TAT – 1 day
TRIIODOTHYRONINE
REVERSE
TRIIODOTHYRONINE, TOTAL
(T3 RIA)
(TOTAL T3)
See REVERSE T3
336
Serum
Centrifuge only
TAT – 1 day
TEST SPECIFICATION GUIDE – SECTION T
Page 7 of 8
CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
TRIIODOTHYRONINE, UPTAKE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
TEST NO LONGER AVAILABLE
(T3 UPTAKE)
TRIMIPRAMINE
079T
(SURMONTIL)
Plasma
GREEN
Minimum Volume required: 2 mL
- with Heparin
Centrifuge and aliquot into serum tube
Collect trough specimen 10– 12 hours after last dose
Record time in hours that has elapsed between
last dose and specimen collection.
OHIP
DYN
Refrigerate during storage and transport.
TAT – 14 days
TRIPLE MARKER TEST
Refer to MATERNAL SCREEN
(DOWNS SYNDROME SCREEN)
(IPS- INTEGRATED PRENATAL SCREENING)
(MSS) (FETAL MARKERS)
(MATERNAL SCREEN)
TRIPTIL
Refer to PROTRIPTYLINE
(PROTRIPTYLINE)
TROPONIN I
Advise Doctor That We Do Not Perform This Test
Send Patient Back To The Physician’ Office
If The Physician Is Not Available, Send Patient To Hospital.
(Possible Heart Attack Patient)
TRYPSIN
TRYPTASE
TEST NO LONGER AVAILABLE
9949
Serum
GOLD SST
UNINSURED HLRC
Minimum Volume required: 2 mL
Collect 15 minutes to 3 hours post allergic reaction
Separate into 2 x 1ml aliquots and freeze as soon as possible
Elasticize aliquots together and send frozen to Pre-Analytical Dept.
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 25 days
TSH, SENSITIVE
Refer to THYROTROPIN
(SENSITIVE TSH)
(THYROTROPIN)
TSH, RECEPTOR Ab
Refer to THYROID RECEPTOR ANTIBODIES
(TRAB)
(LATS)
(TBII)
TTG
Refer to TISSUE TRANSGLUTAMINASE IgA ANTIBODY
TYLENOL
Refer to ACETAMINOPHEN
(ACETAMINOPHEN)
TYPHUS MURINE ANTIBODY
Refer to RICKETTSIA ANTIBODY
(R.AKARI)
(RICKETTSIA ANTIBODY)
(RMSP)
(ROCKY MOUNTAIN SPOTTED FEVER)
TYROSINE
Refer to PHENYLALANINE
TEST SPECIFICATION GUIDE – SECTION T
Page 8 of 8
CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
UIBC
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to IRON
(IRON)
(IRON BINDING CAPACITY)
(IRON SATURATION)
(TIBC)
(TOTAL IRON BINDING CAPACITY)
(TRANSFERRIN SATURATION)
_________________________________________________________________________________________________________
UNIPHYL
Refer to THEOPHYLLINE
(AMINOPHYLLINE)
(THEOPHYLLINE)
URATE
252
(URIC ACID)
Serum
Centrifuge only
GOLD SST
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
HLRC
OHIP
CML
TAT – 1 day
URATE
252U
(URIC ACID)
24-Hour Urine
10 mL aliquot – submit in a white cap conical tube
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions” .
Testing includes urine creatinine and total volume.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 2 days
UREA
251
(BLOOD UREA NITROGEN)
(BUN)
UREA
Serum
Centrifuge only
GOLD SST
TAT – 1 day
251U
(BUN)
24-Hour Urine
50 mL aliquot – submit in a white cap 90 mL container
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in “Notes & Instructions” .
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 15 days
UREAPLASMA
Refer to MYCOPLASMA ISOLATION
URIC ACID
Refer to URATE
(MYCOPLASMA ISOLATION)
(URATE)
URIC ACID, URINE
(URATE RANDOM URINE)
252RU
Urine
10 mL random urine
Submit in a white cap conical tube
TAT – 2 days
TEST SPECIFICATION GUIDE – SECTION U Page 1 of 2
CML HealthCare Inc Test Specification Guide 18085 Version: 5.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
URINALYSIS, CHEMICAL
CODE
281
(URINALYSIS ROUTINE)
SPECIMEN REQUIREMENT
VACUTAINER
Urine
Collect urine in a sterile 90mL urine container
Transfer 10-12mL of urine into a urinalysis conical tube
BILL
OHIP
LOC
CML
If testing is delayed more than two hours post collection,
o
Specimens should be stored and shipped refrigerated at 2-8 C
FIRST MORNING SPECIMEN IS PREFERRED
Test includes: Appearance, Colour, pH, Protein,
Glucose, Keytone, Blood, Nitrite, Leukocyte Esterase
and Specific Gravity
Store and ship refrigerated at 2-8 °C. If testing will be delayed
more than 24 hours post collection IMMEDIATELY add one 50 mg
Cargille tablet to 10 mL of urine in the conical tube.
Clearly label the tube “preservative added”.
Store and ship at room temperature for up to 72 hours.
Note: if adding preservative it must be added within 24hrs of collection. It cannot be
added after 24hrs post collection. Best practice is to add preservative as soon as
possible.
TAT – 1 day
URINALYSIS, MICROSCOPIC
299
(URINALYSIS MICRO)
Urine
Collect urine in a sterile 90mL urine container
Transfer 10-12mL of urine into a urinalysis conical tube
OHIP
CML
If testing is delayed more than two hours post collection,
o
Specimens should be stored and shipped refrigerated at 2-8 C
FIRST MORNING SPECIMEN IS PREFERRED
Note: chemical urinalysis can be performed on the same
Specimen submitted for urinalysis microscopic.
Store and ship refrigerated at 2-8 °C. If testing will be delayed
more than 24 hours post collection IMMEDIATELY add one 50 mg
Cargille tablet to 10 mL of urine in the conical tube. Clearly label
the tube “preservative added”.
Store and ship at room temperature for up to 72 hours.
Note: if adding preservative it must be added within 24hrs of collection. It cannot be
added after 24hrs post collection. Best practice is to add preservative as soon as
possible.
TAT – 1 day
URINE TOXICOLOGY
Refer to DRUGS OF ABUSE SCREEN
(DRUGS OF ABUSE)
(DRUG SCREEN)
(NARCOTIC SCREEN)
(STREET DRUGS)
UROBILINOGEN
292
Urine
10 mL random urine
Protect from light by transferring urine
into an amber transport tube.
TAT – 1 day
UROBILINOGEN
Stool - NO LONGER AVAILABLE
UROPORPHYRIN
Refer to PORPHYRINS, QUANTITATIVE
(COPROPORPHYRINS)
(PORPHYRINS)
TEST SPECIFICATION GUIDE – SECTION U Page 2 of 2
CML HealthCare Inc Test Specification Guide 18085 Version: 5.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
CML
TEST NAME
CODE
VALPROATE
257
(DEPAKENE)
(DIVALPROEX)
(EPIVAL)
(VALPROIC ACID)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect trough specimen 10 – 12 hours after last dose
BILL
LOC
OHIP
CML
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 1 day
Refer to DIAZEPAM
VALIUM
(DIAZEPAM)
VANADIUM – NMS LABS
99999
Urine
ACID WASHED CONTAINER UNINSURED LL
Min volume: 10ml
Patient must avoid gadolinium-based contrast media
used for MRI’s for 48 hours prior to collection.
Collect urine in 90ml sterile container and transfer
WITHOUT DELAY into a labelled NMS Labs 60ml ACID WASHED container
Store and ship refrigerated.
TAT – 1-2 weeks
VANCOMYCIN, PEAK
9105
Serum
PLAIN RED
Minimum Volume required: 1 mL
Indicate peak specimen (post)
Collect the peak specimen one hour following an IM injection,
or 15 minutes following a 60 minute IV infusion,
or 30 minutes following a 30 minute IV administration.
OHIP
HLRC
OHIP
HLRC
State the time the IM or IV was administered
and the time the specimen was drawn.
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 5 to 10 days
VANCOMYCIN, TROUGH
9106
Serum
Minimum Volume required: 1 mL
Indicate trough specimen (pre)
Collect the trough specimen immediately
before the IM injection or IV infusion.
PLAIN RED
State the time the specimen was drawn and
the time the IM or IV was administered.
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 5 to 10 days
TEST SPECIFICATION GUIDE – SECTION V Page 1 of 5
CML HealthCare Inc Test Specification Guide 18211 Version: 5.0 30-May-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
VANILLYMANDELATE
CODE
261
(VMA)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
24-Hour Urine
OHIP
10 mL aliquot – submit in a white cap conical tube
labelled “CREATININE” and a
50 mL aliquot –submit in a 90 mL white cap container labelled “VMA”
Do NOT add acid; pH will be adjusted in Biochemistry Dept.
CML
Abstain from coffee, tea, cola, fruits, chocolate & vanilla
48 hours before and during collection.
Note: Report may be delayed for confirmation of abnormal results.
State total 24-hour volume on the OHIP Requisition, on the specimen
container, and in “Notes & Instructions”.
Testing includes urine creatinine and total volume.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 14 days
VARICELLA ZOSTER VIRUS
ANTIBODY
9062
Do not centrifuge tube
PLAIN RED
N/C
PHL
PLAIN RED
N/C
PHL
Public Health Laboratory recommends
both acute and convalescent specimens
taken two weeks apart.
(CHICKEN POX) (HERPES ZOSTER)
(VARICELLA ANTIBODY)
(ZOSTER ANTIBODY) (SHINGLES)
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
VACCINIA VIRUS
ANTIBODY
9051
Do not centrifuge tube
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
VASOACTIVE INTESTINAL
PEPTIDE
99999
(VIP)
Plasma – 2 tubes
LAVENDER
Collect 2 Lavender top tubes.
Mix thoroughly by gentle inversion.
Spin IMMEDIATELY and transfer plasma aliquot to
labelled tube
Store and ship FROZEN
UNINSURED LL
TAT – 2-3 weeks
VASOPRESSIN
(ADH)
(ANTIDIURETIC HORMONE)
9903
Plasma
Collect in pre-chilled tube
Minimum volume required: 3 mL
LAVENDER
FREEZE PLASMA AND SEND FROZEN
TAT – 45 – 60 days
VDRL
Refer to SYPHILIS
(SYPHILIS)
(VDRL ROUTINE)
TEST SPECIFICATION GUIDE – SECTION V Page 2 of 5
CML HealthCare Inc Test Specification Guide 18211 Version: 5.0 30-May-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED HLRC
TEST NAME
VERY LOW DENSITY
LIPOPROTEIN
CODE
9747
(VLDL)
(ULTRACENTRIFUGATION HDL/LDL)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
3 GOLD SST
Minimum Volume required: 7 mL
Must be centrifuged within 6 hours of collection
Alliquote serum into an empty red top vacutainer
BILL
LOC
OHIP
SMH
N/C
PHL
N/C
PHL
N/C
PHL
(CHOLESTEROL IN VLDL)
● Testing Includes Cholesterol, Triglycerides, HDL/LDL ●
TAT – 15 days
VINCENT'S ORGANISMS
Refer to GRAM STAIN
VIRAL LOAD
Refer to HIV VIRAL LOAD
(HIV VIRAL LOAD)
VIRAL STUDIES
9005
Do not centrifuge tube
PLAIN RED
Virus History Form must be completed
If the virus is requested by name, this
must be recorded on the Form.
Public Health Laboratory recommends both acute
and convalescent specimens taken two weeks apart.
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
VIRAL STUDIES
9049
Stool
5 g. (Approx. 1 teaspoon) random stool
DO NOT USE CARY– BLAIR MEDIA
Submit in VIRUS– TM media kit
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 10 days
VIRAL STUDIES
(VIRUS ISOLATION)
637C
Swab – State source
Submit in VIRUS– SW media kit
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 25 days
TEST SPECIFICATION GUIDE – SECTION V Page 3 of 5
CML HealthCare Inc Test Specification Guide 18211 Version: 5.0 30-May-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
VISCOSITY, RELATIVE
CODE
9746
QUANTITATIVE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LAVENDER
OHIP
Whole blood
4 mL
LOC
HLRC
Do NOT centrifuge
Store and transport at room temperature
Submit Monday, Tuesday, Wednesday ONLY
TAT – 15 days
Refer to RETINOL
VITAMIN A
(RETINOL)
Refer to THIAMINE
VITAMIN B1
(THIAMINE)
VITAMIN B6
Refer to PYRIDOXINE
VITAMIN B12
Refer to COBALAMINS
VITAMIN C
Refer to ASCORBATE
(PYRIDOXAL PHOSPHATE)
(PYRIDOXINE)
(B12)
(COBALAMINS)
(ASCORBIC ACID)
(ASCORBATE)
Refer to CALCITRIOL
VITAMIN D
(1,25– DIHYDROXY VITAMIN D)
(CALCITRIOL)
Refer to CALCIDIOL (UNINSURED)
VITAMIN D (UNINSURED)
(25– HYDROXYVITAMIN D)
(CALCIDIOL)
Refer to CALCIDIOL (INSURED)
VITAMIN D (INSURED)
(25– HYDROXYVITAMIN D)
(CALCIDIOL)
Refer to TOCOPHEROL
VITAMIN E
(TOCOPHEROL)
Refer to VERY LOW DENSITY LIPOPROTEIN
VLDL
(VERY LOW DENSITY LIPOPROTEIN)
(ULTRACENTRIFUGATION HDL/LDL)
Refer to VANILLYMANDELATE
VMA
(VANILLYMANDELIC ACID)
VON WILLEBRAND FACTOR
ACTIVITY
9983
Plasma
Minimum Volume required: 2ml
1 LIGHT BLUE
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT – 10 Days
TEST SPECIFICATION GUIDE – SECTION V Page 4 of 5
CML HealthCare Inc Test Specification Guide 18211 Version: 5.0 30-May-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED HLRC
TEST NAME
VON WILLEBRAND FACTOR
ANTIGEN
CODE
9982
SPECIMEN REQUIREMENT
VACUTAINER
Plasma
Minimum Volume required: 2ml
1 LIGHT BLUE
BILL
LOC
UNINSURED HLRC
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT – 17 Days
NO LONGER AVAILBLE
VON WILLEBRAND FACTOR
COFACTOR
VON WILLEBRAND FACTOR
MULTIMERS
VON WILLEBRAND FACTOR
SCREEN
(INCLUDES MULTIMERS)
Refer to VON WILLEBRAND FACTOR SCREEN
9980
Plasma
2 LIGHT BLUE
Minimum Volume required: 4 aliquots of 1ml
Keep together with elastic band. Label all samples.
UNINSURED HLRC
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
Screening includes the following or the tests may be ordered separately:
9950
9982
9983
Von Willebrand Factor VIII-C
Von Willebrand Factor Antigen
Von Willebrand Activity
Von Willebrand Multimers – Not offered as individual test
UNINSURED
UNINSURED
UNINSURED
TAT – 20 days
VON WILLEBRAND FACTOR
VIII-C
9950
Plasma
Minimum Volume required: 2ml
1 LIGHT BLUE
UNINSURED HLRC
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT – 10 Days
VINYL CHLORIDE
99999
Urine
Collect specimen at the end of the workshift
Collect random urine in a sterile urine container and cap tightly.
Store and ship refrigerated.
TAT – 1-2 weeks
TEST SPECIFICATION GUIDE – SECTION V Page 5 of 5
CML HealthCare Inc Test Specification Guide 18211 Version: 5.0 30-May-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED LL
TEST NAME
WARFARIN
CODE
SPECIMEN REQUIREMENT
9201
Plasma
Minimum Volume required: 3 mL
(COUMADIN)
VACUTAINER
BILL
LOC
GREEN
- with Heparin
UNINSURED HLRC
PLAIN RED
N/C
PHL
N/C
PHL
TAT – 15 days
Refer to COMPLETE BLOOD COUNT
WBC
(LEUKOCYTE COUNT)
(WHITE BLOOD CELL COUNT)
WEIL'S DISEASE
Refer to LEPTOSPIRA ANTIBODY
(LEPTOSPIRA ANTIBODY)
(LEPTOSPIROSIS ANTIBODIES)
WEST NILE VIRUS
SEROLOGY
9911
Do not centrifuge tube
State the patient’s clinical history on the PHL form
and indicate acute or convalescent specimen
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 20 days
Refer to CULTURE & SENSITIVITY, GENITAL
WET PREPARATION
(TRICH)
(TRICHOMONAS VAGINALIS)
Refer to COMPLETE BLOOD COUNT
WHITE BLOOD CELL COUNT
(LEUKOCYTE COUNT)
(WBC)
WHOOPING COUGH SEROLOGY
NO LONGER AVAILABLE
(BORDETELLA PERTUSSIS
ANTIBODY)
WHOOPING COUGH
Refer to BORDETELLA PERTUSSIS
WOOD LAMPS TEST
Refer to DERMATOPHYTOSIS
(DERMATOPHYTOSIS)
(RINGWORM OF SCALP)
WORM IDENTIFICATION
9090
Stool
Submit whole specimen without contamination from other fluids
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
TEST SPECIFICATION GUIDE – SECTION W Page 1 of 2
CML HealthCare Inc. Test Specification Guide 16918 Version: 2.0 30-May-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
WORM IDENTIFICATION
CODE
9091
SPECIMEN REQUIREMENT
VACUTAINER
Worm
Submit whole worm without contamination from other fluids
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
TEST SPECIFICATION GUIDE – SECTION W Page 2 of 2
CML HealthCare Inc. Test Specification Guide 16918 Version: 2.0 30-May-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
BILL
N/C
LOC
PHL
TEST NAME
CODE
XYLOSE ABSORPTION
SPECIMEN REQUIREMENT
Blood
VACUTAINER
GRAY
BILL
LOC
OHIP
DYN
(XYLOSE TOLERANCE)
Code
265
Test
Adult Test: Greater than 18 years of age
Must fast 8-hours before test
Drink 25g Xylose dissolved in 250 mL of water
followed by another 250 mL of water
Collect blood 2-hours after consumption of drink
Enter height and weight in ‘Notes & Instructions’.
265T
Child Test: 12-18 years
Must fast 8-hours before test
Administer 25 g Xylose dissolved in 250 mL water
followed by another 250 mL water.
Collect blood 1 hour after consumption of drink
265P
Child Test: 12 years and younger
Children 9-12 years old must fast overnight (at least 8 hours)
Children younger than 9 years must fast 4-hours before test
Must Drink 5g Xylose dissolved in 50 mL of water
followed by another 250 mL of water
Collect blood 1 hour after consumption of drink.
TAT – 14 days
XYLENE EXPOSURE
99999
Urine
(METHYLHIPPURIC ACID)
For industrial exposure at the end of the workshift.
Collect random urine in labelled container and cap tightly.
Store and ship refrigerated.
TAT 1-2 days
TEST SPECIFICATION GUIDE – SECTION X Page 1 of 1
CML HealthCare Inc Test Specification Guide 14728 Version: 3.0 24-Nov-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED LL
TEST NAME
YERSINIA ANTIBODIES
CODE
9073
SPECIMEN REQUIREMENT
VACUTAINER
BILL
Do not centrifuge tube
PLAIN RED
N/C
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
TEST SPECIFICATION GUIDE – SECTION Y Page 1 of 1
CML HealthCare Inc Test Specification Guide 14729 Version: 1.1 7/24/2008
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
LOC
PHL
TEST NAME
CODE
ZARONTIN
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
ROYAL BLUE
- no additive
OHIP
HLRC
OHIP
DYN
Refer to ETHOSUXIMIDE
(ETHOSUXIMIDE)
ZINC
266
Serum
Minimum Volume required: 2 mL
Centrifuge
Aliquot into an empty plastic transfer tube
Refrigerate during storage and transport.
TAT – 15 days
ZINC
266U
24-Hour Urine
50 mL aliquot – submit in a 90 mL white cap container
Refrigerate during storage and transport.
State total 24-hour volume on the OHIP Requisition
on the specimen container and in “Notes & Instructions”.
TAT – 12 days
ZINC PROTOPORPHYRIN
9143
Whole Blood
Do not centrifuge
ROYAL BLUE
K2EDTA
Collect Monday to Thursday only
TAT – 15 days
ZOLOFT
Refer to SERTRALINE
(SERTRALINE)
ZYPREXA
Refer to OLANZAPINE
(OLANZAPINE)
TEST SPECIFICATION GUIDE – SECTION Z
Page 1 of 1
CML HealthCare Inc Test Specification Guide 17955 Version: 3.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
UNINSURED HLRC