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PLM Laboratory Test Catalogue
Department of Pathology & Laboratory Medicine
Laboratory Test Catalogue
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
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PLM Laboratory Test Catalogue
TABLE OF CONTENTS
General Information…………………………………………………………………….
3
Catalogue Information………………….…………………………………………………………. 3
Tests Not in Catalogue…………………….………………………………………………………. 3
Reference Ranges…………………….……………………………………………………………. 3
Specimen Receiving Location………………..……………………………………………………. 3
Blood Collection……………………………………………………………………….....
Out-Patient Blood Collection Location and Hours of Operation…………………………….…….
In-Patient and Clinic Blood Collection……………….……………………………………………
Specimen Collection Information……………………………………………………….
Venipuncture Policy………………………………………….…………………………………….
Collection and Handling Instructions………………………………..……………………………..
Blood Collection Under Special Circumstances…………………………………………………...
Blood Transfusion Services - Specimen Collection Policy………………………………………..
Requisition Information………………………………………….………………………………...
Requisitions and Supplies………………………………………………………………………….
Specimen Labeling…………………………………………………………...…………………….
Frozen Specimens………………………………………………………….………………………
Transport…………………………………………………………………….……………………..
Safety……………………………………………………………………….………………………
3
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4
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5
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7
Alphabetical Test Listing………………………………………………………………... 7
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PLM Laboratory Test Catalogue
General Information
Catalogue Information
This catalogue is developed by the Department of Pathology and Laboratory Medicine for all our
customers.
A pdf version of this catalogue can be viewed at:
http://www.cdha.nshealth.ca/system/files/sites/116/documents/laboratory-test-catalogue.pdf.
(While every effort is made to keep this version up to date, the electronic copy that resides on the
document control system is the valid document. Any paper document labeled Uncontrolled must be
verified against the electronic version prior to use.)
Tests Not in Catalogue
Please contact Bayers Road Blood Collection Service at 454-1661 for information on tests not found
in this catalogue. For inquiries outside of regular hours please call Laboratory Reporting and Inquiry
at 473-2266.
Reference Ranges
Reference values and interpretive information are reported with test results. Inquires should be
directed to 473-2266.
Specimen Receiving Locations
For a list of locations where specimens for Pathology and Laboratory Medicine are received
please visit: http://www.cdha.nshealth.ca/pathology-laboratory-medicine/blood-collectionservices/specimen-receiving-locations
Blood Collection
Out-Patient Blood Collection Locations and Hours of Operation
For a list of Capital Health outpatient blood collection locations and hours of operation please consult
the reverse side of any Pathology and Laboratory Medicine requisition or visit:
http://www.cdha.nshealth.ca/pathology-laboratory-medicine/blood-collection-services/locationhours-outpatient-blood-collection
In-Patient and Clinic Blood Collection
For information related to Capital Health in-patient and clinic blood collection services please visit:
http://www.cdha.nshealth.ca/pathology-laboratory-medicine/blood-collection-services/qeiiinpatient-blood-collection-service
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Specimen Collection Information
Venipuncture Policy
The Capital Health Department of Pathology and Laboratory Medicine Venipuncture Policy can be viewed at:
http://policy.nshealth.ca/Site_Published/DHA9/document_render.aspx?documentRender.IdType=6&documentRen
der.GenericField=&documentRender.Id=47261. Section 15 includes specific instructions for collecting specimens
for the Blood Transfusion Services division of the Department of Pathology and Laboratory Medicine.
Collection, Handling and Transport Instructions
The specimens need to be properly collected, processed, packaged and transported in accordance with laboratory
policies and procedures, in a timely manner and under conditions that will not compromise either the integrity of the
specimen or patient confidentiality. Transportation must be compliant with the Transportation of Dangerous Goods
(TDG) Act. Please ensure no patient information is visible when packaging specimens to be transported to the
laboratory. Detailed information is included with each test listing.
It is essential that an adequate volume/ quantity of specimen be submitted for analysis. Minimum volume/
quantity information is provided in each catalogue listing whenever applicable.
Hemolyzed or lipemic specimens may alter certain test results and may be rejected. For additional information
please visit:
http://www.cdha.nshealth.ca/pathology-laboratory-medicine/clinical-chemistry/hemolysis and
http://www.cdha.nshealth.ca/pathology-laboratory-medicine/clinical-chemistry/lipemia
Blood Collection Under Special Circumstances
Physicians must complete the following consent form authorizing phlebotomy under special circumstances such as
mastectomy, fistula, and blood draws from the foot:
http://www.cdha.nshealth.ca/system/files/sites/116/documents/physicians-authority-draw-blood-under-specialcircumstances.pdf
Blood Transfusion Service - Specimen Collection Policy
Section 15 of the following general policy includes specific instructions for collecting specimens for the Blood
Transfusion Services division of the Department of Pathology and Laboratory Medicine.
http://policy.nshealth.ca/Site_Published/DHA9/document_render.aspx?documentRender.IdType=6&documentRend
er.GenericField=&documentRender.Id=47261.
Requisition Information
A Capital Health requisition must be submitted with all specimens.
Requisition - minimum information to be supplied:

Patient identification – a minimum of the patient‟s full name, (whenever possible the legal
name), and at least one additional unique and legible patient identifier. Information on the
requisition must match information on the sample label. Please see the Specimen Labeling
section below.

Test(s) requested

Authorized requester‟s information
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



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PLM Laboratory Test Catalogue
Additional physician‟s information to receive a copy of report (when required)
Clinical patient information when the laboratory test requires it, as determined by appropriate Division
Type of specimen and the anatomic site of origin when appropriate
Date of collection for all specimens
Time of collection for breast tissue, blood and bodily fluid specimens e.g., blood, urine, synovial fluid, CSF
etc.
Patient‟s gender and date of birth
Requisition - optimal information to be supplied:

Collector identification – identification of the person that collected the specimen with full name or assigned
Laboratory Information System username.

Time of collection for specimens other than blood and bodily fluids e.g., tissues, swabs fine needle
aspirations etc.

Billing information if not being billed to Provincial Health Care System, e.g., citizen of another country

Patient‟s contact information

CDHA patient‟s current financial number

Destination of the report for CDHA Inpatients & Clinic patients
Requisitions and Supplies
A number of different Department of Pathology and Laboratory Medicine requisitions and supplies are available
from Capital Health Customer Service by calling (902) 466-8070. Requisition reference numbers and fax request
options can be viewed at:
http://www.cdha.nshealth.ca/pathology-laboratory-medicine/blood-collection-services/how-obtain-laboratoryrequisitions.
Specimen Labeling
Specimens must be clearly identified with a legible patient‟s full name, whenever possible the legal name, and a
minimum of one other identifier as listed below:
 Capital Health inpatient and ambulatory patients – the medical record number assigned by Capital Health.
 Referred-in specimens – the provincial health card number or unique identifier generated by the ordering
location.
 For international travelers: Any other unique identifier associated with the individual will be accepted.
 Other unique identifiers associated with a patient include:
Registered health card equivalent
Passport number
CDHA invoice number
Private insurance policy number
Immigration number
Physician‟s office‟s patient chart number
 Exception: Unique codes in the case of anonymous testing may be used in place of legal name.
No second unique identifier required.
All Blood Transfusion Service specimens and retrievable specimens for other laboratory divisions that
are unlabelled will be rejected.
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If submitting multiple specimens on one patient, the collection date and/or time must be written
on the specimen.
When submitting serum or plasma specimen types, indicate the specimen type on the label.
Frozen Specimens
Specimens need to be frozen if specifically indicated in the Instructions/Shipping requirements. When freezing is
indicated, specimens should be frozen as soon as possible. Always freeze specimens in plastic (polypropylene)
containers unless instructed otherwise. A frozen specimen may be rejected if received in a thawed state. Ensure
frozen specimens are packed in order to maintain the frozen state during transport.
If more than one test is requested on a frozen specimen, split the sample prior to freezing and submit separately.
Transport
Please see instructions and shipping procedures under test name for specific requirements. Specimens collected at
the HI Site should be delivered to HI Specimen Receiving Room 6509A. Specimens collected at VG Site should be
delivered to VG Specimen Receiving, Mackenzie Building Room 126. Specimens collected off-site and referred to
QEII HSC should be addressed to:
QEII HSC Specimen Receiving, McKenzie Building, Room 128, 5788 University Avenue
Halifax, Nova Scotia B3H 1V8
Safety
All patients at Capital Health are cared for using Standard Precautions. All blood specimens and body fluids are
considered potentially infectious and therefore standard precautions should be used for all specimens at all times.
All specimens referred to Capital Health from outside sources should be packaged and transported to the laboratory
under conditions that comply with Workplace Hazardous Materials Information System (WHMIS) and
Transportation of Dangerous Goods (TDG) Regulations. The TDG in its Regulations has listed organisms/diseases
for which special packaging and labeling must be applied (ex: infectious substances).
All specimens should be properly sealed prior to being transported. Leaking containers pose a health hazard. Do
not submit needles attached to syringes.
Capital Health adheres to the following guidelines:
WHMIS
TDG Act and Regulations
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For information on laboratory tests not listed in this catalogue please phone Laboratory Reporting and Inquiry
at 473-2266.
Capital District Health - Laboratory Test Catalogue
IMPORTANT CHANGE NOTICE: Effective June 2/13 the vacutainer tube used for the collection of
numerous blood tests performed in the clinical chemistry lab has changed to Becton Dickinson (BD) #
367962 (4.5 ml). The stopper color and entire tube are pictured below and a reference to this pictorial
appears in the appropriate entries throughout this catalogue.
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
17 Beta EstradioL
see Estradiol
Division:
Endocrinology
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50 % Correction
see PT 50% Mix or PTT 50% Mix
Division:
Hematology
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aALVA
see Porphyrin, Urine
Division:
Special Chemistry
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AAT
see Alpha-1-Anti-Trypsin
Division:
Hematology
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ABO Antibody Titre
Tube/Specimen:
Lavender Stoppered 6.0 ml EDTA x 2 tubes (BD# 367863)
Requisition:
CD0001_08_11
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Alternate Names:
Blood Transfusion
Anti A/Anti B Titre
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Isohemagglutinin Titre
Instructions:
Comments:
Indicate on requisition if patient is undergoing pheresis and whether pre or post.
PLM BT Specimen Collection Policy #729 and CC 85-079 Venipuncture for Blood Collection
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ABO Group and Rh Type
Tube/Specimen:
Lavender Stoppered 6.0 ml EDTA (BD# 367863)
Requisition:
CD0001_08_11
Alternate Names:
Division:
Blood Transfusion
Blood Group And Rh Type
Group and Type
Instructions:
Comments:
Note:
For medical purposes only.
PLM BT Specimen Collection Policy #729 and CC 85-079 Venipuncture for Blood Collection
Specimens for pre and post-natal investigation are sent to IWK Health Centre.
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Absolute Neutrophil Count
Alternate Names:
Division:
Hematology
ANC
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AC Blood Sugar
see Glucose AC, Plasma
Division:
Clinical Chemistry
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ACA
see Anti-Cardiac Muscle Antibody
Division:
Immunopathology
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ACE
see Angiotensin Converting Enzyme, Plasma
Division:
Clinical Chemistry
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Acetaminophen
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Requisition:
CD 0002
Alternate Names:
Division:
Clinical Chemistry
Tylenol
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Acetylcholinesterase, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Alternate Names:
Cholinesterase
Pseudo Cholinesterase
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Acetylsalicylic Acid
see Salicylates
Division:
Clinical Chemistry
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ACMA
see Anti-Cardiac Muscle Antibody
Division:
Immunopathology
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ACTH
Tube/Specimen:
Plastic Lavender Stoppered (EDTA) 4ml on ice
Alternate Names:
Requisition:
CD 0002
Instructions:
Shipping:
Collect in plastic pre-chilled tubes and keep on ice.
Separate at 4°C. Transfer 1.0-ml plasma to pre-chilled plastic tube using a plastic pipette.
Freeze immediately and send frozen. Thawed specimens are unacceptable.
Division:
Endocrinology
Adrenocorticotropic
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Activated Protein C Resistance
see Protein C Resisitance
Division:
Hematology
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Adrenocorticotropic Hormone
see ACTH
Division:
Endocrinology
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AEMA
see Endomysial Antibody
Division:
Immunopathology
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AF4-MLL gene fusion
Tube/Specimen:
4.0 ml EDTA Lavender stoppered x 2 Tubes
Requisition:
CD0046_02_07
Alternate Names:
Division:
Hematology-Molecular
Biology
Translocation (4; 11)
t(4;11)
Instructions:
Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send
tissue in saline at 4 degrees Celcius, or frozen on dry ice.
Should be received within 24 hours and by Friday noon.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
AFP
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
CD 0002
Shipping:
Separate serum within 5 hours of collection. Specimens can be stored at 2-8°C for 48
hours. Freeze and send 1.0 ml frozen serum.
Division:
Endocrinology
Alpha Fetoprotein
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Aids Test
see HIV-1/HIV-2
Division:
Virology-Immunology
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ALA, Urine
see Porphyrin, Urine
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Division:
Special Chemistry
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Alanine Aminotransferase, Plasma
see ALT, Plasma
Division:
Clinical Chemistry
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Albumin, Fluid
Tube/Specimen:
10.0 ml Body Fluid collected in sterile plastic screw top tubes
Requisition:
CD 0003
Shipping:
If sending specimen from outside QEII HSC, transport at room temperature.
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Albumin, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Alternate Names:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Albumin, Urine
see; microalbumin
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Alcohol, Serum
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Requisition:
CD 0002
Alternate Names:
Division:
Clinical Chemistry
Ethanol
Ethyl Alcohol
ETOH
Instructions:
Use non-alcoholic solutions such as peroxidase, saline or warm water to clean
venipuncture site. Do not use alcohol preparations.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ALK
see Alkaline Phosphatase, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ALK FISH
Tube/Specimen:
Tissue in paraffin block
Requisition:
CD2573_10_12
Alternate Names:
Instructions:
To be ordered only by a CDHA pathologist.
Division:
Hematology-Molecular Diagnostics
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ALK PHOS
see Alkaline Phosphatase, Plasma
Division:
Clinical Chemistry
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Alkaline Phosphatase, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Alternate Names:
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Requisition:
CD 0002
Division:
Clinical Chemistry
ALP
ALK
ALK PHOS
Phosphatase, Alkaline
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ALKMA
see Anti-Liver-Kidney Microsomal Antibody
Division:
Immunopathology
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ALK-NPM gene fusion
Tube/Specimen:
4.0 ml EDTA Lavender stoppered x 2 Tubes
Alternate Names:
Requisition:
CD0046_02_07
Instructions:
Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send
tissue in saline at 4 degrees Celcius, or frozen on dry ice.
Should be received within 24 hours and by Friday noon.
Division:
Hematology-Molecular
Biology
t(2;5)
Translocation (2;5)
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ALP
see Alkaline Phosphatase, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Alpha Fetoprotein
see AFP
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Alpha-1-AntiTrypsin
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Division:
Hematology
Shipping:
If sending specimen from outside QEII HSC, transfer 0.5 ml serum to transport container,
freeze and transport on dry ice.
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ALT, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Alternate Names:
Alanine Aminotransferase
SGPT
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
AMA
see Anti-Mitochondrial Antibodies
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Amikacin Level
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Requisition:
CD0432/ CD0433
Alternate Names:
Division:
Microbiology
Do not take blood from catheter or from site of injection of the antibiotic. Take Pre blood
specimen immediately before dose is administered. Take Post blood specimen 30
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Aminoglycoside Level
Instructions:
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minutes after completion of intravenous dose or 60 minutes after an intramuscular dose is
administered. The time specimen was collected (pre/post) should be indicated on the
requisition and tubes.
Note:
A Microbiologist must be consulted (473-6624). This test will be referred out by the microbiology lab.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Aminoglycoside Levels
see Gentamicin, or Tobramycin, or Vancomycin
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Aminophylline
Instructions:
see; Theophyline
Division:
Clinical Chemistry
These determinations can be done on micro samples. Send at least 0.1 ml of serum for each.
Blood should be collected just prior to the next dose (trough collection). Specimens should
not be collected until the blood concentration is a steady state (3-4 half lives).
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
AML1-ETO gene fusion
Tube/Specimen:
4.0 ml EDTA Lavender stoppered x 2 Tubes
Requisition:
CD0046_02_07
Alternate Names:
Instructions:
Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send
tissue in saline at 4 degrees Celcius, or frozen on dry ice.
Should be received within 24 hours and by Friday noon.
Division:
Hematology-Molecular
Diagnostics
Translocation (8;21)
t (8;21), RUNX1-RUNX1T1
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Ammonia, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
Instructions:
CD 0002
Division:
Clinical Chemistry
Immerse in a slurry of ice and water and deliver to Processing area immediately.
Spin in a cold centrifuge and remove plasma from clot within 30 minutes of collection.
Shipping:
Not recommended outside Capital Health. If sending specimen from outside QEII HSC,
transport on ice to laboratory for analysis within 2 hours of collection. Frozen samples or samples
greater than 2 hours old will not be accepted.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Amoebiasis - IHA
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
CD0432/ CD0433
Instructions:
Clinical data should be indicated on the requisition.
Division:
Virology-Immunology
Amoebic Serum
Hemagglutination
Note:
This test will be referred out by the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Amoebic Serum
see Amoebiasis - IHA
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Amylase, Plasma
Tube/Specimen:
Requisition:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Alternate Names: Diastase
CD 0002
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
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Clinical Chemistry
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Amylase, Urine
Tube/Specimen:
Timed urine collection (ex: 2 hour, 24 hour). No preservative.
Requisition:
CD 0003
Comments:
Testing on 24 hour specimens includes Creatinine, Urine. Random collections are only
available on pancreatic transplant patients.
If sending specimen from outside QEII HSC, transport at room temperature. Record Total
Volume and length of time for urine collection in hours, on both the specimen aliquot and
the requisition.
Shipping:
Division:
Clinical Chemistry
Note:
Amount required: 10-ml urine aliquot from well-mixed collection
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ANA
see Anti-Nuclear Ab
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ANC
see Absolute Neutrophil Count
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ANCA
see Anti-Neutrophil Cytoplasmic Ab
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Androstenedione
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Shipping:
Separate serum within 5 hours of collection. Freeze and send 1.0 ml frozen serum. Fresh specimens can be stored at 2-8°C for 24 hours.
Division:
Endocrinology
Delta 4 Androstenedione
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ANF
see Anti-Nuclear Antibody
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Angiotensin Converting Enzyme, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Alternate Names:
Requisition:
CD 0002
Division:
Clinical Chemistry
Instructions:
Shipping:
Contact the Clinical Chemistry Laboratory at 473-7751 with questions.
If sending specimen from outside QEII HSC, transport frozen on dry ice.
ACE
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti A / Anti B Titre
see ABO Antibody Titre
Division:
Blood Transfusion
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti HCV
see Hepatitis C
Division:
Virology-Immunology
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Anti - TTG
see Anti-Tissue Transglutaminase
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Basement Membrane
see Anti-Pemphigoid Antibody
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Antibody Screen
see Indirect Antiglobulin Test
Division:
Blood Transfusion
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Borrellia Antibodies
see Lyme Antibodies
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Cardiac Muscle Antibody
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Immunopathology
ACMA
ACA
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Cardiolipin Ab
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Immunopathology
Cardio Ab
Cardiolipin Antibodies
Comments:
This is not the same as an antiphospholipid antibody. Anti-Cardiolipin belongs to Anti
Phospholipid Family.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ANTI-CCP
SEE; ANTI CYCLIC CITRONATED PROTEIN
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Centromere Antibody
see Anti-Nuclear AB, (ANA)
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Centromere B
see Anti-Nuclear AB, (ANA)
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Chromatin
see Anti-Nuclear AB, (ANA)
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Cyclic Citrulinated Peptide
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Alternate Names:
Version: 48.0 Current
Effective Date: 2/24/2016
Page 14 of 106
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Uncontrolled When Printed
PLM Laboratory Test Catalogue
Central Zone
Requisition: CD0002
Division:
Immunopathology
Anti-CCp
CCP
Cyclic Citrulinated Peptide
Antibody
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-DNA Ab
see Anti-Nuclear AB, (ANA)
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Double Stranded DNA
see Anti-ds DNA
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-ds DNA
see Anti-Nuclear AB, (ANA)
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ANTI-ds DNA
see Anti-Nuclear Ab
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Endomysial A A
see Anti-Tissue Transglutaminase
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-GBM Ab
see Anti-Glomerular Basement Membrane
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Gliadin
see; Anti-Tissue Transglutaminase
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Glomerular Basement
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Immunopathology
Anti-GBM Ab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Jo-1
see Anti-Nuclear AB, (ANA)
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Liver-Kidney Microsomal Antibody
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Immunopathology
ALKMA
LKM
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Effective Date: 2/24/2016
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Doc#: 19453
PLM Laboratory Test Catalogue
Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Microsomal Antibodies
see Anti-thyroid Peroxidase Antibodies
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Mitochondrial Ab
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Immunopathology
AMA
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-MPO
see;Anti-Neutrophil Cytoplasmic AB
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-NDNA
see Anti-ds DNA
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Neutrophil Cytoplasmic
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Immunopathology
ANCA
Anti-MPO
Anti-PR3
Anti-Proteinase 3
Comments:
MPO and PR3 are performed for this procedure.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Nuclear Ab
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Immunopathology
ANA
ANF
Anti-Nuclear Factor
Nuclear Factor
Note:
If anti-nuclear ab screen is negative no further test will be reported. If anti-nuclear ab
screen is positive the following tests will be reported. Anti-ds DNA: Anti-Chromatin; AntiRibosomal P; Anti-SS-A/RO;Anti-SS-B/LA; Anti-Centromere B; Anti-Sm; Anti-Sn/RNP; AntiRNP; Anti-Scl-70; Anti-JO-1
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Nuclear Factor
see Anti-Nuclear Ab
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Pancreatic Islet Cell Antibody
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Alternate Names:
Version: 48.0 Current
Effective Date: 2/24/2016
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Uncontrolled When Printed
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Central Zone
Requisition:
CD 0002
Division:
Immunopathology
APICA
Islet Cell AB
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Parietal Cell Antibodies
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Immunopathology
APA
Gastric Antibodies
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Pemphigoid Antibody
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Immunopathology
Anti-Basement Membrane
Antibody
Skin Basement Membrane Ab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Pemphigus Antibodies
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Immunopathology
Intercellular Skin Ab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-PR3
see;Anti-Neutrophil Cytoplasmic AB
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Proteinase 3
see;Anti-Neutrophil Cytoplasmic AB
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Ribosomal P
see Anti-Nuclear AB, (ANA)
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-RNP
see Anti-Nuclear AB, (ANA)
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Scl-70
see Anti-Nuclear AB, (ANA)
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Skeletal Muscle Antibody
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Immunopathology
ASKMA
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Version: 48.0 Current
Doc#: 19453
Effective Date: 2/24/2016
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PLM Laboratory Test Catalogue
Central Zone
Anti-Sm
see Anti-Nuclear AB, (ANA)
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Sm/RNP
see Anti-Nuclear AB, (ANA)
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Smooth Muscle Antibody
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Immunopathology
ASMA
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-SS-A/Ro
see Anti-Nuclear AB, (ANA)
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-SS-B/La
see Anti-Nuclear Ab
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Streptolysin "O" Titer
Tube/Specimen:
Requisition:
Gold Stoppered 5.0 ml SST
CD 0002
Shipping:
If sending specimen from outside QEII HSC, transfer serum to transport container, freeze
and transport on dry ice.
Division:
Hematology
Alternate Names:
ASOT
ASO Titer
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Thrombin
see AT
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Thrombin III
see AT
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Thyroglobulin Antibodies
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Endocrinology
TAB-TA
Thyroglobulin Antibodies
Thyroid AntibodiesThyroglobulin
Shipping:
Separate serum within 5 hours of collection. Freeze and send 0.5 ml frozen serum. Fresh specimens can be stored at 2-8°C for 7 days.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Thyroid Antibodies
see Anti-Thyroid Peroxidase Antibodies
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Endocrinology
Version: 48.0 Current
Effective Date: 2/24/2016
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Uncontrolled When Printed
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Thyroid Peroxidase
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Endocrinology
Anti-Microsomal Antibodies
Anti-Thyroid Antibodies
Anti-TPO
Thyroid Antibodies
Shipping:
Separate serum within 5 hours of collection. Freeze and send 0.5 ml frozen serum. Fresh specimens can be stored at 2-8°C for 2 days.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Tissue Transglutaminase
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Division:
Immunopathology
Anti-Endomysial A A
Anti-TTG
TTG
Tissue Transglutaminase
Celiac Screen/Disease
Shipping:
Separate serum and send frozen. Specimens can only be stored at 2-80C for 24 hours.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-TPO
see Anti-Thyroid Peroxidase Antibodies
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Anti-Xa
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered Na citrate
Alternate Names:
Requisition:
CD 0002
Instructions:
Indicate on requisition, the type of LMWH the patient is receiving.
Note:
Send 2 frozen aliquots of 1.0 ml platelet-poor plasma (see Coagulation Testing under
Specimen Handling Instructions) in plastic vials (12x75). Send on dry ice.
Division:
Hematology
Heparin XA
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
APA
see Anti-Parietal Cell Antibodies
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
APICA
see Anti-Pancreatic Islet Cell Antibody
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ARBO Virus
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Alternate Names:
Division:
Virology-Immunology
California Encephalitis
Eastern Equine Encephalitis
Western Equine Encephalitis
West Nile Virus
Instructions:
Clinical data should be indicated on the requisition.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
ASA
see Salicylates
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ASKMA
see Anti-Skeletal Muscle Antibody
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ASMA
see Anti-Smooth Muscle Antibody
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ASOT
see Anti-Streptolysin "O" Titer
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Aspartate Amino Transferase
see AST, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Aspergillosis
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Note:
Division:
Virology-Immunology
Farmer‟s Lung, Pidgeon Serum Test, and Bird Antigen Testing not available.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Aspirin
see Salicylates
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
AST, Plasma
Tube/Specimen:
Requisition:
Alternate Names: Aspartate Amino Transferase
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
SGOT
CD 0002
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
AT
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered Na citrate, must be a full draw
Requisition:
CD 0002
Division:
Alternate Names:
Hematology
Anti-Thrombin
Anti-Thrombin Activity
Anti-Thrombin III
Anti- Thrombin III Assay
Note:
Send 2 frozen aliquots of 1.0 ml platelet-poor plasma (see Coagulation Testing under
Specimen Handling Instructions) in plastic vials (12x75). Send on dry ice.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
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Effective Date: 2/24/2016
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Uncontrolled When Printed
PLM Laboratory Test Catalogue
Central Zone
AUC
see Cyclosporin
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Australian Antibody
see Hepatitis B Testing
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Australian Antigen
see Hepatitis B Testing
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Aventyl
see Nortiptyline
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
B-cell lymphoid clonality
Tube/Specimen:
4.0 ml EDTA Lavender stoppered x 2 Tubes
Requisition:
CD0046_02_07
Alternate Names:
Division:
Hematology-Molecular
Biology
Ig gene rearrangement
Ig heavy chain
Lymphoma protocol
Instructions:
Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send
tissue in saline at 4 degrees Celcius, or frozen on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
B-Cell Transformation with
Tube/Specimen:
Dark green stoppered 4 ml Heparin x 2
Alternate Names:
Requisition:
CD0046_02_07
Instructions:
Sample must be kept at room temperature, accompanied by requisition. Should be
received within 24 hours of collection and by noon on Friday or the day before a Holiday.
Division:
Hematology-Molecular
Biology
EBV transformation of B-
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
BCL-1
see BCL1-IGH gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
BCL1-IGH gene fusion
Tube/Specimen:
4.0 ml EDTA Lavender stoppered x 2 Tubes
Requisition:
CD0046_02_07
Alternate Names:
Division:
Hematology-Molecular Diagnostics
Biology
BCL-1
t(11;14)
Translocation (11;14)
Cyclin-D1
PRAD1
Instructions:
Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send
tissue in saline at 4 degrees Celcius, or frozen on dry ice.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
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Effective Date: 2/24/2016
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Uncontrolled When Printed
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Central Zone
BCL-2
see BCL2-IGH gene fusion
Division:
Instructions:
Hematology-Molecular
Biology
Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send
tissue in saline at 4 degrees Celcius, or frozen on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
BCL2-IGH gene fusion
Tube/Specimen:
4.0 ml EDTA Lavender stoppered x 2 Tubes
Requisition:
CD0046_02_07
Alternate Names:
Division:
Hematology-Molecular
Biology
BCL-2
t(14;18)
Translocation (14;18)
Instructions:
Blood/bone marrow must be kept at room temperature, accompanied by requisition. Send
tissue in room temperature saline, or frozen on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
BCR-ABL gene fusion
Tube/Specimen:
4.0 ml EDTA Lavender stoppered x 2 Tubes
Requisition:
CD0046_02_07
Alternate Names:
Division:
Hematology-Molecular
Biology
Quantitative BCR/abl
Philadelphia chromosome
Translocation (9;22)
Instructions:
Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send
tissue in saline at 4 degrees Celcius, or frozen on dry ice.
Should be received within 24 hours and by Friday noon.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Bence Jones Protein, Urine
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Benzene
see Solvents
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Beta-2-Microglobulin, Serum
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Shipping:
Separate serum within 5 hours of collection. Freeze and send 1.0 ml frozen serum. Fresh specimens can be stored at 2-8°C for 7 days.
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Bethesda (Factor VIII C Inhibitor)
see Factor VIII C Inhibitor
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Bethesda (Factor IX Inhibitor)
see Factor IX Inhibitor
Division:
Hematology
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
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Effective Date: 2/24/2016
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Uncontrolled When Printed
PLM Laboratory Test Catalogue
Central Zone
Bicarbonate, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Comments:
Shipping:
Specimens must be delivered to the laboratory within 2 hours of collection.
Separate plasma within 2 hours of collection
Division:
Clinical Chemistry
Alternate Names:
HCO3
TCO2
Total CO2
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Bilirubin Direct, Plasma
Tube/Specimen:
Requisition:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
CD 0002
Division:
Clinical Chemistry
Alternate Names:
Direct Bilirubin
VDB
Instructions:
Total Bilirubin will also be assayed.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Bilirubin Indirect, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Instructions:
Total and Direct Bilirubin will be assayed, the Indirect Bilirubin will be calculated from the
Total and Direct.
Alternate Names:
Indirect Bilirubin
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Bilirubin Total, Fluids
Tube/Specimen:
10.0 ml Body Fluid collected in sterile plastic screw top tubes
Requisition:
CD 0003
Shipping:
If sending specimen from outside QEII HSC, transport at room temperature. Transport at
room temperature wrapped in tin foil (to protect from light).
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Bilirubin Total, Plasma
Tube/Specimen:
Requisition:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
CD 0002
Division:
Clinical Chemistry
Alternate Names:
Total Bilirubin
Total VDB
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Bioavailable Testosterone, Plasma/serum
Tube/Specimen:
a) NSHA Central Zone collection: Gold Stoppered 5.0 ml SST & Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation.
OR
b) Outside of NSHA Central Zone collection: Gold Stoppered 5.0 ml SST only.
Requisition:
CD 0002
Comments:
Testing includes bioavailable testoterone, testosterone, albumin & sex hormone binding globulin.
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Endocrinology
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
Shipping:
Outside of NSHA Central Zone collection: Separate serum within 5 hours of collection. Specimens can be stored at 2-8 (degrees) C
for 48 hours. Freeze and send 2 X 1.0 mL frozen serum aliquots. DO NOT SEND FROZEN PLASMA
------------------------------------------------------------------------------------------------------------------------Blastomycosis
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
CD0432/ CD0433
Clinical data should be indicated on the requisition.
Division:
Microbiology-Immunology
Note:
This test will be referred out by the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Blood C&S
see Blood Cultures
Division:
Microbiology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Blood Cultures
Tube/Specimen:
Refer to "Microbiology User‟s Manual" for collection procedures
Requisition:
QE 7125
Division:
Alternate Names:
Microbiology
Blood C&S
Culture & Sensitivity
Comments:
Used to detect aerobic and anaerobic bacteria, fungi and mycobacteria.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Blood Film, Differential, Manual
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
Instructions:
CD 0002
Any Differential ordered will have a slide reviewed.
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Blood Gases
Tube/Specimen:
Lithium heparinized whole blood collected in a pre-heparinized Blood Gas syringe on ice.
(Gas-lyte sampling syringes by Marquest are available from QEII HSC Stores #6058-044
for kit1 and #6058-045 for kit2. Minimum volume 1.7 cc.
Oxygen Content
Requisition:
CD 0021 REV 06-03
Oxygen Saturation
Division:
Clinical Chemistry
Alternate Names:
Co-Oximetry
Comments:
Body fluids are not processed. Ensure sample is mixed for at least 20 seconds to ensure
proper mixing with heparin. If using syringe, remove needle; do not transport with needle
attached; label barrel with patient information in waterproof ink, immerse in a slurry of ice
and water and deliver to Processing Area immediately. The patient‟s temperature and
whether patient is receiving supplementary oxygen or room air must be indicated on the
requisition. The Blood Gas should be analyzed within 30 minutes of collection.
Shipping:
If sending specimen from outside QEII HSC, notify Laboratory at 473-6545 when specimen
is in transport and when it is expected. Specimen must be kept cold but not frozen.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Blood Group and Rh Type
see ABO Group and Rh Type
Division:
Blood Transfusion
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Blood Sugar
see Glucose AC, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
BMT
see Chimerism analysis for BMT
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Version: 48.0 Current
Effective Date: 2/24/2016
Page 24 of 106
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Uncontrolled When Printed
PLM Laboratory Test Catalogue
Central Zone
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Body Fluids
see specific test for instructions.
Division:
Special Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Bone Marrow Aspiration
Tube/Specimen:
see Instructions
Requisition:
Instructions:
CD0046_02_07
Division:
Hematology
For QEII patients: Phone Hematology 473-6667 to book a technologist to spread the films
and collect requested samples (Flow Cytometry or Cytogenetics). Technologist is
available Mon-Fri 0900-1600 hours. Not available weekends or Holidays unless approved
by Laboratory Hematologist. Laboratory staff will accept marrows spread by medical
staff at any time.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Bone Marrow Biopsy
Requisition:
Instructions:
CD0046_02_07
Division:
Hematology
Procedure is done when bone marrow aspiration is booked at 473-6667 (Hematology).
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Bone Marrow for Cytogenetics
Tube/Specimen:
Dark green stoppered containing Sodium Heparin 4 ml
Requisition:
CD0046_02_07 & IWK
Cytogenetics Requisition
obtained from 428-8336.
Instructions:
QEII patients for this procedure must be booked with Hematology at 473-6667. Notify
IWK Lab at 428-8336 in advance when requesting this test.
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Bordetella Pertussis Serology
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Division:
Microbiology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Borrellia Antibodies
see Lyme Antibodies
Division:
Virology-Immunology
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Borrellia-Lyme
see Lyme Antibodies
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
BR
see CA 15-3
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Endocrinology
Version: 48.0 Current
Effective Date: 2/24/2016
Page 25 of 106
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Uncontrolled When Printed
PLM Laboratory Test Catalogue
Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
BRAF
Tube/Specimen:
Tissue in paraffin block
Requisition:
CD2573_10_12
Alternate Names:
Division:
Hematology-Molecular Diagnostics
Instructions:
To be ordered only by a CDHA pathologist.
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Breast Cancer Marker
see CA 15-3
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Brucella Abortus Antibodies
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
CD0432/ CD0433
Division:
Virology-Immunology
Convalescent specimen should be sent 10-14 days after acute specimen with a new
requisition.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
BUN
see UREA, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
C1 Esterase Inhibitor
see C1 Inactivator
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
C1 Inactivator
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered na citrate
Alternate Names:
Requisition:
CD 0002
Shipping:
If sending specimen from outside QEII HSC, transfer plasma to transport container, freeze
and transport on dry ice.
Division:
Hematology
C1 Esterase Inhibitor
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
C2
see; Cyclosporin 1pt
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
C282Y
see; Hemochromotosis
Division:
Hematology- Molecular Diagnostics
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
C3 C4
see Complement Serum (C3 C4)
Division:
Hematology
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Version: 48.0 Current
Effective Date: 2/24/2016
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Uncontrolled When Printed
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Central Zone
CA
see Calcium, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CA125
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
CD 0002
Shipping:
Separate serum within 5 hours of collection. Freeze and send 1.0 ml frozen serum on. Fresh specimens can be stored at 2-8°C for 24 hours.
Division:
Endocrinology
Ovarian Cancer Antigen
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CA15-3
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Endocrinology
Breast Cancer Marker
BR
Shipping:
Separate serum within 5 hours of collection. Freeze and send 1.0 ml frozen serum in
polypropylene tube. Specimens can be stored at 2 – 8°C for 48 hours.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CA 19-9 Level
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Division: Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Calcitonin
Tube/Specimen:
Gold Stoppered 5.0 ml SST on ice
Requisition:
CD 0002
Alternate Names:
Instructions:
Specimens for this determination should be collected in chilled tubes, kept on ice and
delivered immediately to Central Accessioning & Processing.
Shipping:
Separate at 4°C. Freeze immediately and send 1.0 ml frozen serum. Thawed
specimens are unacceptable.
Division:
Endocrinology
Thyrocalcitonin
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Calcium, Ionized
see Ionized Ca
Division:
Blood Gas
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Calcium, Plasma
Tube/Specimen:
Alternate Names:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
CA
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Calcium, Urine
Requisition:
Instructions:
Comments:
Shipping:
CD 0003
Division:
Clinical Chemistry
24-hour urine collection. No preservative.
10-ml urine aliquot from well-mixed collection
If sending specimen from outside QEII HSC, transport at room temperature. Record Total
Volume on both the specimen aliquot and the requisition.
Note:
Testing includes Creatinine, Urine.
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
California Encephalitis
see ARBO Virus
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CALR (Calreticulin) Mutation
Tube/Specimen: 4.0 ml EDTA Lavender stoppered x 2 tubes
Requisition: CD0046_02_07 or CD2573_01_15
Division:
Hematology- Molecular Diagnostics
Instructions: Blood/bone marrow must be kept at 4 degrees Celsius, accompanied by requisition and CBC report (blood only). Send tissue in saline at 4 degrees
Celsius, or frozen on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Carbamazepine
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Alternate Names:
Requisition:
CD 0002
Division:
Chemistry Lab
Comments:
Blood should be collected just prior to the next dose (trough collection). Specimens should
not be collected until the blood concentration is at steady state (3-4 half-lives).
Tegretol
Note:
These determinations can be done on micro samples. Send at least 0.2 ml of serum.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Carbon Dioxide, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Carbon Monoxide
Tube/Specimen:
Dark green stoppered, lithium heparinized whole blood on ice (tube must be filled), or collected in a preheparinized Blood Gas syringe on ice. (Gas-lyte sampling syringes by Marquest are
available from QEII HSC Stores #6058-044 for kit1 and #6058-045 for kit2).
Carboxyhemoglobin
Requisition:
CD 0021
COHb
Comments:
If using syringe, remove needle; do not transport with needle attached. Label barrel or tube
with patient information in water proof ink, immerse in a slurry of ice and water and
deliver to Blood Gas Laboratory immediately. If using Lithium Heparin Tube-it is very
stable up to 2 days, on ice or not on ice.
Division:
Clinical Chemistry
Alternate Names:
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Carboxyhemoglobin
see Carbon Monoxide
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Carcinoembryonic Antigen
see CEA
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cardiac Enzymes
see CK, Plasma or Lactic Dehydrogenase, Serum
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cardio Ab
see Anti-Cardiolipin Ab
Division:
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Doc#: 19453
Immunopathology
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Effective Date: 2/24/2016
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cardiolipin Antibodies
see Anti-Cardiolipin Ab
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Catecholamine, Urine
Tube/Specimen:
24-hour urine collection, preserved with 6N HCL added to the bottle at the start of collection
Requisition:
CD 0003
Instructions:
Comments:
Amount Required: Full collection.
Abstain from medications that affect catecholamine levels for 72 hours prior to collection. Testing includes
Creatinine, Urine.
Division:
Toxicology Lab
Alternate Names:
Urinary Catecholamines
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CBC
see Profile with Differential
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CBF beta-MYH11 gene fusion
see Inversion 16
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CCP
see Anti-Cyclic Citrulinated Peptide
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CD4 Cells, CD4 Cell Marker,
see T Cell Subsets
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CD55/59 TESTING
see paroxysmal nocturnal hemoglobinuria
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CEA
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
CD 0002
Shipping:
Separate serum within 5 hours of collection. Freeze and send 1.0 ml frozen serum on. Fresh specimens can be stored at 2-8°C for 7 days.
Division:
Endocrinology
Carcinoembryonic Antigen
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Celiac Screen/Disease
see; Anti-Tissue Transglutaminase
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cell Surface Markers - Bone
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Central Zone
Tube/Specimen:
Dark green stoppered 7.0 ml Lithium Heparin
Requisition:
CD0046_02_07
Shipping:
Sample to be collected at the same time as Bone Marrow Aspiration. Samples must arrive
in Hematology Laboratory within 24 hours of collection and no later than 1200 Fridays.
Maintain specimen at room temperature. Referral hospitals must submit an unstained bone
marrow slide and peripheral blood slide with the specimen, a copy of the bone marrow
analysis report and patient diagnosis, and a copy of the CBC results with differential.
Referral hospitals should notify Flow Cytometry Laboratory at 473-5549 in advance when
requesting this test. Provide patient name and referral hospital and contact information.
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cell Surface Markers Tube/Specimen:
Dark green stoppered 7.0 ml Lithium Heparin (and Lavender Stoppered 4.0 ml EDTA for
profile and differential)
Requisition:
Instructions:
CD 0002
Division:
Hematology
Samples must arrive in Hematology Laboratory within 24 hours of collection and no later
than 1200 Fridays.
Shipping:
Maintain specimen at room temperature. Referral hospitals must submit an unstained
peripheral blood slide with the specimen, a copy of the CBC results with differential and
patient diagnosis. Indicate on requisition whether peripheral blood or bone marrow.
Note:
Referral hospitals should notify Flow Cytometry Laboratory at 473-5549 in advance when
requesting this test. Provide patient name and referral hospital and contact
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CellCept
see Mycophenylate
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Celontin
see Methotrexate
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cerebrospinal Fluid
Tube/Specimen:
Sterile plastic screw-top tubes
Requisition:
Instructions:
QE 7850_12_05
Division:
Hematology
Testing of CSF is conducted in various laboratory disciplines making it desirable for each
laboratory to have a separate sample. Therefore, at least three (3) tubes should be
collected. The tubes must be clearly numbered in order of collection. All samples are sent
to the Hematology lab. Specimens from Patients who are suspect or clinically diagnosed
with CJD must follow CDHA Policy and Procedure # IC 09-003.
Shipping:
If quantities are not met, it may not be possible to provide the requested test results.
Amount Required: Lumbar Puncture or Drain Lumbar Puncture- Microbiology: 1.5 ml Chemistry: 1.0 ml - Hematology: 1.0 ml - Cytology: 1.0 ml
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Ceruloplasmin
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Shipping:
If sending specimen from outside QEII HSC, transfer serum to transport container, freeze
and transport on dry ice.
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Chicken Pox Titre
see Varicella Zoster Immune Status
Division:
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Doc#: 19453
Virology-Immunology
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Chimerism analysis for BMT
Tube/Specimen:
4.0 ml EDTA Lavender stoppered x 2 Tubes
Requisition:
CD0046_02_07
Alternate Names:
Division:
Hematology-Molecular
Biology
Pre-BMT
BMT
Post-BMT
STR
VNTR
Instructions:
Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send
tissue in saline at 4 degrees Celcius, or frozen on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Chlamydia PCR, Urine
Requisition:
Instructions:
CD0432/ CD0433
Division:
Virology-Immunology
10-50 ml first catch urine (first part of the stream) collected in polypropylene container
with no preservative
Comments:
Patient must not have urinated during the previous 2 hours. This test is recommended for male patients. The preferred sample for females is a
vaginal swab due to the decreased sensitivity of female urine.
If sending specimen from outside QEII HSC,
transport at room temperature within 24 hours of collection. Refrigerate specimen until time of transport.
Shipping:
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Chloride, Plasma
Tube/Specimen: Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Comments:
Shipping:
Specimens must be delivered to the laboratory within 2 hours of collection.
Separate plasma within 2 hours of collection.
Alternate Names:
Cl-
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Chloride, Urine
Tube/Specimen:
10-ml urine aliquot from well-mixed collection
Requisition:
Instructions:
Comments:
Shipping:
CD 0003
Division:
Clinical Chemistry
24-hour urine collection or random collection. No preservative.
Testing on 24 hour specimens includes Creatinine, Urine.
If sending specimen from outside QEII HSC, transport at room temperature. Record Total
Volume on both the specimen aliquot and the requisition.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Chlorinated Hydrocarbons
see Solvents
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cholesterol, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Alternate Names:
Cholesterol Screen
Lipid Profile
Lipid Screen
Lipid Testing
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
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Effective Date: 2/24/2016
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Central Zone
Cholesterol Crystals
Tube/Specimen:
10.0 ml Body Fluid collected in sterile plastic screw top tubes
Requisition:
CD 0003
Shipping:
If sending specimen from outside QEII HSC, transport at room temperature.
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cholesterol Screen
see Cholesterol, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cholesterol, HDL
see HDL-Cholesterol, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cholesterol, LDL
see LDL-Cholesterol, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cholinesterase
see Acetylcholinesterase, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Chorionic Gonadotropin Beta- Subunit
see HCG (Quant), Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Chrithidia Lucillae
see Anti-Nuclear AB (ANA)
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Chromosomal Analysis
Tube/Specimen:
Dark green stoppered containing Sodium Heparin 4 ml
Requisition:
IWK Cytogenetics Requisition
obtained from 428-8336.
Instructions:
Notify IWK Lab at 428-8336 in advance when requesting this test.
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Chromosome Translocation t (11;14)
see bcl-1 Gene fusion
Division:
Hematology-Molecular Diagnostics
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Chromosome Translocation t (14;18)
see bcl-2 Gene fusion
Division:
Hematology-Molecular Diagnostics
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Citrate, Urine
Tube/Specimen:
24-hour urine collection. No preservative.
Requisition:
CD 0003
Alternate Names:
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Clinical Chemistry
Citric Acid
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Central Zone
Comments:
Testing on 24 hour specimens includes Creatinine, Urine. Record Total Volume on both
the specimen aliquot and the requisition. Patient must follow special diet provided by
Stone Clinic.
Note:
Amount required: 50-ml urine aliquot from well-mixed collection
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Citric Acid
see Citrate, Urine
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CK, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Alternate Names:
Creatine Kinase
CPK
CKMB
Cardiac Enzymes
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CL
See Chloride, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CLL MLPA
Tube/Specimen:
4.0 ml EDTA Lavender stoppered x 2 Tubes (and Dark Green stoppered 7.0 mL Lithium Heparin X 1 tube)
Requisition:
CD0046_02_07 or CD2573_10_12
Instructions:
Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send
tissue in saline at 4 degrees Celcius, or frozen on dry ice.
Division:
Hematology-Molecular Diagnostics
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Clobazam
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Alternate Names:
Requisition:
CD 0002
Instructions:
This determination can be done on micro samples. Send at least 0.2 ml of serum for each
test. Blood should be collected just prior to the next dose (trough collection).
Note:
Routine monitoring includes quantitation of the active metabolite
N-Desmethylclobazam.
Division:
Toxicology Lab
Frisium
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Clozapine
Tube/Specimen:
Royal Blue Stoppered (BD 368380, Trace Element Serrum/Plasma) 2x6 ml
Requisition:
CD 0002
Comments:
Blood should be collected just prior to next dose (trough). Blood should not be collected
until 7 days after the last dose change.
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Toxicology Lab
Alternate Names:
Clozaril
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Central Zone
Shipping:
If sending specimen from outside QEII HSC, send frozen serum.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Clozaril
see Clozapine
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CMV Antibody Screen
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Alternate Names:
Division:
Virology-Immunology
Cytomegalovirus Antibody
Screen
Instructions: Indicate on requisition whether immune status (IgG) or recent infection (IgM) is required. For IgM: convalescent specimen should be taken 10-14
days after acute specimen with a new requisition. Indicate if specimen is acute or convalescent.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CMV Antigen
see CMV PCR
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CMV Blood Culture
see CMV PCR
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CMV PCR
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA x 2 tubes
Requisition:
CD0432/CD0433
Alternate Names:
Division:
Virology-Immunology
Cytomegalovirus Viral Load
CMV Antigen
Instructions: Store whole blood at 2 – 250C for no longer than 24 hours. Separate plasma by centrifuging at 1500 – 1600g X 20 minutes. Separated plasma should
be shipped at 2 – 80C.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CMV Titre
see CMV Antibody Screen
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CO2, Plasma
see Bicarbonate, plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CO2, Dialysate Fluid
Tube/Specimen:
10.0 ml Dialysate Fluid collected in sterile plastic screw top tubes.
Requisition:
CD 0003
Shipping:
If sending specimen from outside QEII HSC, transport at room temperature.
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Coagulation Factor Assays
Tube/Specimen:
2 Light Blue Stoppered 2.7 ml buffered NA citrate, must be a full draw
Requisition:
CD 0002
Comments:
Note:
The Factors required must be indicated on the requisition.
Send 2 frozen aliquots of 1.0 ml platelet-poor plasma (see Coagulation Testing under
Specimen Handling Instructions) in plastic vials (12x75). Send on dry ice.
Division:
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Doc#: 19453
Hematology
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Effective Date: 2/24/2016
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Coccididiomycoses Serology
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
CD0432/ CD0433
Clinical data should be indicated on the requisition.
Note:
For Coccididiomycoses cultures, see the “Microbiology User‟s Manual”. This test will be
referred out by the laboratory.
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
COHb
see Carbon Monoxide
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cold Agglutinin Test
see Cold Agglutinin Titre
Division:
Blood Transfusion
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cold Agglutinin Titre
Tube/Specimen:
Plain Red Tube 6 or 10 ml collected at 37°C
Requisition:
Instructions:
QE7477
Division:
Blood Transfusion
Tubes must remain at 37°C throughout the procedure until they arrive in Blood Transfusion
Service.
Note:
Thermal amplitudes are automatically done when Cold Agglutinin Titre results are greater
than 640.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Complement Serum (C3 and C4)
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
CD 0002
Comments:
Shipping:
Indicate on requisition, which Complement is requested.
Separate and freeze serum aliquot. Transport frozen serum on dry ice.
Division:
Hematology
C3 C4
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Coombs Test
see Direct Antiglobulin Test or Indirect
Division:
Blood Transfusion
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Co-Oximetry
see Blood Gases
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Coproporhyrins
see Porphyrins, Urine
Division:
Special Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cortisol (Urinary Free)
Tube/Specimen:
24-hour urine collection. No preservative.
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Central Zone
Requisition:
Instructions:
Shipping:
CD 0003
Division:
Endocrinology
Amount required: 10-ml urine aliquot from well-mixed collection.
If sending specimen from outside CDHA add 10 grams per liter of Boric Acid or 25 ml per liter of 50% Acetic Acid to achieve a
pH of 2 to 4. Transfer specimen to transport container, freeze and transport. Record Total Volume on both the specimen and the
requisition.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cortisol, Serum
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
Shipping:
CD 0002
Division:
Endocrinology
Specimens for cortisol should be collected at 0800.
Separate serum within 5 hours of collection. Specimens can be stored at 2-8°C for 48
hours. Freeze and send 1.0 ml frozen serum in polypropylene tube.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Coxiella Burnetii
see Q-Fever
Division:
Microbiology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
C-Peptide
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
Shipping:
CD 0002
Division:
Endocrinology
Patients should fast 8 hours prior to collection.
Freeze immediately and send 1.0 ml frozen serum in polypropylene tube.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CPK
see CK, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
C-Reactive Protein-HS (High Sensitivity), Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Alternate Names:
High Sensitive CRP
CRP
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Creatine Kinase
see CK, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Creatinine Clearance
Tube/Specimen:
Submit both plasma and urine specimens as follows: Plasma: Collect blood in Light Green/ 4.5 ml/ Lithium heparin and gel for plasma
separation (see page 7 for details) Urine: 10-ml urine aliquot from well-mixed 24 hour or timed
(Ex: 2 hour) collection; No preservative.
Requisition:
Instructions:
CD 0003
Division:
Clinical Chemistry
Record the duration of collection in hours (ex: 24 or 2 hour) on both the urine aliquot and
the requisition. Record Total Volume on both the urine aliquot and the requisition. Indicate
on requisition patient height (inches) and weight (pounds).
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Creatinine, Fluids
Tube/Specimen:
Submit only one of the following specimens: Dialysate Fluid: 10.0 ml Dialysate Fluid collected in
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Central Zone
sterile plastic screw top tubes.
Requisition:
CD 0003
Division:
Clinical Chemistry
Shipping:
If sending specimen from outside QEII HSC, transport at room temperature.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Creatinine, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Creatinine, Urine
Tube/Specimen:
24-hour urine collection (preferred) or random collection. No preservative.
Requisition:
Instructions:
Comments:
Shipping:
CD 0003
Division:
Clinical Chemistry
Amount required: 10-ml urine aliquot from well-mixed collection
Record Total Volume on both the specimen aliquot and the requisition.
If sending specimen from outside QEII HSC, transport at room temperature.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Crithidia Lucillae
see Anti-ds DNA
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Crossmatch
see Type and Crossmatch
Division:
Blood Transfusion
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CRP
see C-Reactive Protein-HS (High Sensitivity) , Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cryoglobulins
Tube/Specimen:
Plain Red Tube 4 X 6 or 10 ml
Requisition:
CD 0002
Shipping:
Separate and send serum at room temperature. Minimum serum should be 6ml.
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cryoglobulins at 37°C
Tube/Specimen:
Plain Red Tube 4 X 6 or 10 ml collected at 37°C
Requisition:
Instructions:
CD 0002
Division:
Hematology
Collect in pre-warmed tubes kept at 37°C. Keep the tubes at 37 degrees throughout the
procedure and transport at 37 degrees until they arrive at the Hematology Laboratory.
Shipping:
DO NOT FREEZE.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cryptococcal Antigen
Tube/Specimen:
Cerebrospinal Fluid (CSF) is the preferred specimen.
Serum separated from blood collected in a Gold Stoppered 5.0 ml SST tube is an acceptable alternate specimen.
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Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
Requisition:
QE 7125
Comments:
This test is only performed on approval by a Microbiologist at 473-6624. Refer to
"Microbiology User‟s Manual" for collection procedures.
Division:
Microbiology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Culture & Sensitivity
see Blood Cultures
Division:
Comments:
Microbiology
Refer to "Microbiology User‟s Manual" for collection procedures
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
CYA
see Cyclosporin
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cyclic-Citrulinated Peptide
see Anti-Cyclic Citrulinated Peptide
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cyclin-D1
see BCL1-IGH gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cyclosporin
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Alternate Names:
Division:
Toxicology Lab
Neoral
Sandimmure IV
CYA
Cyclosporine A
Cyclosporine AUC
Instructions:
The time sample collected should be indicated on the requisition and tubes. Time of last
medication should be indicated on the requisition. Cyclosporin can be ordered as
random,1 point, 2 point, or 5 point. CYA 1PT is one sample collected 2 hours post
medication. CYA 2PT is two samples collected 1 hour and 3 hour post medication. CYA
5PT is five samples collected before (pre) medication, and 1 hour, 2 hours, 3 hours and 4
Shipping:
Mix whole blood, transfer whole blood to a plastic tube. Freeze and send on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cyclosporin 1pt
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Alternate Names:
Division:
Toxicology Lab
C2
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cyclosprine A
see Cyclosporin
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cyclosprine AUC
see Cyclosporin
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electronic version prior to use.
Uncontrolled When Printed
PLM Laboratory Test Catalogue
Central Zone
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cysticercosis - IFA and IHA
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
QE 7125
Clinical data should be indicated on the requisition.
Division:
Virology-Immunology
Note:
This test will be referred out by the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cytochemistry Staining
Tube/Specimen:
Bone Marrow Slide preferred
Requisition:
Instructions:
CD0046_02_07
Division:
Hematology
Done at discretion of the Hematopathologist. Lavender stoppered 4.0 ml EDTA tube is
acceptable if a bone marrow slide is not available.
Note:
Includes: PAS, Peroxidase, Specific and Non-Specific Esterase
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cytomegalovirus Antibody
see CMV Antibody Screen
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cytomegalovirus IgM
see CMV Antibody Screen
Alternate Names:
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cytomegalovirus Viral Load
see CMV PCR
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Cytotoxic Antibodies
see HLA Antibody Testing
Division: Histocompatibility (HLA)
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DADE
see PTT Dade
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DAT
see Direct Antiglobulin Test
Division:
Blood Transfusion
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
D-Dimer
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered NA citrate, must be a full draw
Requisition:
CD 0002
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Hematology
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Effective Date: 2/24/2016
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Uncontrolled When Printed
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Central Zone
Instructions:
Part of DIC screen
Note:
Send 2 frozen aliquots of 1.0 ml platelet-poor plasma (see Coagulation Testing under
Specimen Handling Instructions) in plastic vials (12x75). Send on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Dehydroepiandrosterone
see DHEA-S
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Delta 4 Androstenedione
see Androstenedione
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Delta-Aminolevulinic Acid,
see Porphyrin, Urine
Division:
Special Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Depakene
see Valproate
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DHEA-S
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
CD 0002
Instructions:
Shipping:
DHEA-S is a replacement test for urinary 17-Ketosteroids.
Separate serum within 5 hours of collection. Freeze and send 1.0 ml frozen serum. Fresh specimens can be stored at 2-8°C for 2 days.
Division:
Endocrinology
Dehydroepiandrosterone
Sulphate
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Dialysate Fluid
see specific test for instructions.
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Diastase
see Amylase
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DIC Screen
Includes D-Dimer, Fibrinogen and Thrombin Time
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Differential WBC Count
see Profile
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Differential, Manual
see Blood Film, Differential, Manual
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Digoxin
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Uncontrolled When Printed
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Central Zone
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Requisition:
Instructions:
CD 0002
Division:
Clinical Chemistry
For informative results specimen should be taken just prior to medication, or 8 hours after
the drug has been administered.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Dilantin
see Phenytoin
Division: Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Diphtheria Antitoxin
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
CD0432/ CD0433
Clinical data should be indicated on the requisition.
Division:
Microbiology-Immunology
Note:
This test will be referred out by the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Direct Antiglobulin Test
Tube/Specimen:
Lavender Stoppered 6.0 ml EDTA (BD# 367863)
Requisition:
CD0001_08_11
Alternate Names:
Instructions:
Comments:
Indicate on requisition date and time required.
PLM BT Specimen Collection Policy #729 and CC 85-079 Venipuncture for Blood Collection
Division:
Blood Transfusion
DAT
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Direct Bilirubin
see Bilirubin Direct, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
DL Test
see Donath Landsteiner Test
Division:
Blood Transfusion
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Don Lan Test
see, Donath Landsteiner Test
Division:
Blood Transfusion
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Donath Landsteiner Test
Tube/Specimen:
Plain Red Stoppered 2 x 10 ml collected at 37°C
Requisition:
QE7477
Alternate Names:
Division:
Blood Transfusion
DL Test
Don Lan Test
Instructions:
Tubes must remain at 37°C throughout the procedure until they arrive in Blood Transfusion
Service.
Note:
THIS TEST REQUIRES 2 FULL 10 ML RED TOP TUBES, CANNOT BE COMPLETED IF 6
ML TUBES ARE DRAWN AND SENT.
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Effective Date: 2/24/2016
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Uncontrolled When Printed
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Dopamine, Urine
see Catecholamines, Urine
Division: Toxicology Lab
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Drug Screen, Urine
Tube/Specimen:
30-ml urine aliquot from a random collection
Requisition:
CD 0003
Comments:
Testing includes cocaine metabolites, opiates, benzodiazepines, phencyclidines,
amphetamines and cannabinoids. This test is done for medical purposes
only; it will not be done for pre-employment, work related or legality issues.
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
E+
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
E2
see Estradiol
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Eastern Equine Encephalitis
see ARBO Virus
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
EB Virus
see Epstein-Barr Virus Antibodies
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
EBV tranformation of B - cells
see B-Cell Transformation with EBV
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Echinococcosis
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
QE 7125
Clinical data should be indicated on the requisition.
Note:
This test will be referred out by the laboratory.
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
eGFR, Plasma
Tube/Specimen:
Names:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
Instructions:
CD0002
Division:
Clinical Chemistry
Estimated Glomerular Filtration Rate
Age and gender must be included. Multiply the result by 1.21, if patient of African descent. eGFR
should not be used when creatinine is changing rapidly, in pregnancy, age less than 18, or for drug
dosing; and should be interpreted with caution in extremes of body habitus (both high and low BMI),
amputation, or in the elderly.
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Alternate
Version: 48.0 Current
Effective Date: 2/24/2016
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Uncontrolled When Printed
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Electrolytes (Na, K), Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Alternate Names:
E+
Lytes
Comments:
Shipping:
Specimens must be delivered to the laboratory within 2 hours of collection. Testing for
Electrolytes include Sodium (Na), Potassium (K).
Separate plasma within 2 hours of collection.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Electrolytes, Urine
Tube/Specimen:
24-hour urine collection (preferred) or random collection. No preservative.
Requisition:
Instructions:
Comments:
Shipping:
CD 0003
Division:
Clinical Chemistry
Amount required: 10-ml urine aliquot from well-mixed collection
This test includes NA, K and Cl. Testing on 24 hour specimens includes Creatinine, Urine.
If sending specimen from outside QEII HSC, transport at room temperature. Record Total
Volume on both the specimen aliquot and the requisition
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Electrophoresis of Protein
see Protein Electrophoresis, Serum
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ENA Screen
see; Anti-nuclear Antibody
Division:
Comments:
Immunopathology
Testing includes antibodies to ENA, LA (or SSB), RO (or SSB), RNP, SM, SCL-70 and JO-
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Endomysial Antibody
see; Tissue Transglutaminase
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Eosinophil Count
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Alternate Names:
Division:
Hematology
Total Eosinophil Count
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Eosinophil, Nasal Smear
Tube/Specimen:
Nasal smear
Requisition:
Instructions:
CD 0003
Division:
Hematology
Specimen is sent to Microbiology and prepared on slide; then sent to Hematology to be
stained and viewed.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Eosinophil, Sputum
Tube/Specimen:
Collect in polypropylene container with no preservative.
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Central Zone
Requisition:
Instructions:
CD 0003
Division:
Hematology
Specimen is sent to Microbiology and prepared on slide; then sent to Hematology to be
stained and viewed.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Eosinophil, Urine
Tube/Specimen:
24-hour urine collection or random collection. No preservative. Amount required 10 ml
Requisition:
CD 0003
Shipping:
If sending from outside QEII HSC, transport at room temperature.
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Epinephrine, Urine
see Catecholamines, Urine
Division: Toxicology Lab
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Epival
see Valproate
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
EPO
see Erythropoietin
Division:
Endocrinology
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Epoxide
Alternate Names:
Division:
Toxicology Lab
10, 11 Epoxide
Comments: Blood should be collected just prior to the next dose 9trough collection). Specimens should not be collected until the blood concentration is at steady
state (3 – 4 half lives).
Note:
These determinations can be done on micro samples. Send at least 0.2 mL of serum.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Epstein-Barr Virus
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Comments:
Note:
Clinical data should be indicated on the requisition.
Tests available are EBV IgM, EBNA Antibody, Mono Screen
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Erythropoietin
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
CD 0002
Instructions:
Since diurnal variation of erythropoietin exists, it is important to collect the samples at a
consistent time of day. Morning samples taken between 7:30 am and 12:00 noon have
been recommended.
Comments:
Shipping:
EDTA tubes are unacceptable.
Separate serum and send 1.0 ml frozen. Fresh specimens can be stored
at 2-8°C for 7 days
Division:
Endocrinology
EPO
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
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Effective Date: 2/24/2016
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Central Zone
ESR
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Alternate Names:
Requisition:
CD 0002
Instructions:
Test must be performed within 10 hours of collection. Unacceptable if specimen more than
10 hours old.
Division:
Hematology
Sedimentation Rate
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Estradiol
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Endocrinology
E2
17 Beta Estradiol
Shipping:
Separate serum within 5 hours of collection. Freeze and send 1.0 ml frozen serum. Fresh specimens can be stored at 2-8°C for 2 days.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Ethanol
see Alcohol, Serum
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Ethyl Alcohol
see Alcohol, Serum
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Ethylene Glycol
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Alternate Names:
Requisition:
CD 0002
Comments:
Analysis includes quantitation of Glycolic Acid, the primary metabolite of Ethylene
Division:
Toxicology Lab
Glycolic Acid
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ETOH
see Alcohol, Serum
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Euglobulin Lysis Time
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered NA citrate, must be a full draw
Requisition:
Instructions:
CD 0002
Division:
Hematology
Specimens are placed on ice and immediately transported to laboratory within 20 minutes.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Extractable-Nuclear Antibodies
see Anti-nuclear Antibody
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Factor Assays II, V, VII, VIIIC,
Tube/Specimen:
single assay - 1 Light Blue Stoppered Tube 2.7 ml, must be a full draw. Multiple assays
- 3 Light Blue Stoppered Tubes 2.7 ml, must be a full draw.
Requisition:
CD 0002
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Hematology
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
Comments:
Note:
Indicate Factors required on the requisition.
Send 2 frozen aliquots of 1.0 ml platelet-poor plasma (see Coagulation Testing under
Specimen Handling Instructions) in plastic vials (12x75). Send on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Factor V Leiden Mutation
Tube/Specimen:
4.0 ml EDTA Lavender stoppered - One tube sufficient for both FV and PT mutation
Requisition:
CD0046_02_07
Instructions:
Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send
tissue in saline at 4 degrees Celcius, or frozen on dry ice.
Division:
Hematology-Molecular
Biology
Alternate Names:
FV gene mutation
FV G1691 A mutaion
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Factor VIII C Inhibitor
Tube/Specimen:
2 Light Blue Stoppered 2.7 ml buffered NA citrate, must be a full draw
Requisition:
CD 0002
Division:
Alternate Names:
Hematology
Bethesda Assay
Bethesda Inhibitor
Bethesda (Factor VIII C)
Note:
Send 4 frozen aliquots of 1.0 ml platelet-poor plasma (see Coagulation Testing under
Specimen Handling Instructions) in plastic vials (12x75). Send on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Factor IX Inhibitor
Tube/Specimen:
2 Light Blue Stoppered 2.7 ml buffered NA citrate, must be a full draw
Requisition:
CD 0002
Division:
Alternate Names:
Hematology
Bethesda (Factor IX) Assay
Bethesda (Factor IX) Inhibitor
Note:
Send 4 frozen aliquots of 1.0 ml platelet-poor plasma (see Coagulation Testing under
Specimen Handling Instructions) in plastic vials (12x75). Send on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Factor VIII Mutation
see Hemophilia Carrier Testing
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Farmer's Lung
see Aspergillosis/Farmer's Lung
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Fascioliasis - IFA
Tube/Specimen:
Gold Stoppered 5.0 ml SST
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Effective Date: 2/24/2016
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Central Zone
Requisition:
Instructions:
CD0432/ CD0433
Clinical data should be indicated on the requisition.
Note:
This test will be referred out by the laboratory.
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Fe
see Iron, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Ferritin
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Shipping:
Separate within 5 hours of collection. Specimens can be stored at 2-8°C for 48 hours.
Freeze and send 1.0 ml frozen serum.
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Fetal Hemoglobin
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Alternate Names:
Division:
Hematology
Hemoglobin F
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Fibrinogen
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered na citrate, must be a full draw
Requisition:
Instructions:
CD 0002
Part of DIC Screen
Note:
Send 2 frozen aliquots of 1.0 ml platelet-poor plasma (see Coagulation Testing under
Specimen Handling Instructions) in plastic vials (12x75). Send on dry ice.
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Filariasis - IFA
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
CD0432/ CD0433
Clinical data should be indicated on the requisition.
Division:
Virology-Immunology
Note:
This test will be referred out by the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
FK 506
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Alternate Names:
Division:
Toxicology Lab
Tacrolimus
Tacro
Instructions:
Trough whole blood should be collected before medication. Specimen should be in Lab by
1200 PM to be done the same day. The time sample collected should be indicated on the
requisition and tubes. Time of last medication should be indicated on the requisition.
Comments:
FK 506 (Tacrolimus) can be ordered as random or 5 point. FK 506, 1PT is one sample
collected 2 hours post medication. FK 506, 5PT is five samples collected; before (pre)
medication, and 1 hour, 2 hours, 3 hours and 4 hours post medication.
Shipping:
Mix whole blood, transfer whole blood to a plastic tube. Freeze and send on dry ice.
Note:
This determination can be done on micro samples when necessary.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Flow Cytometry
see cell surface markers
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Uncontrolled When Printed
PLM Laboratory Test Catalogue
Central Zone
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
FLT3/NPM1
Tube/Specimen:
4.0 ml EDTA Lavender stoppered x 2 Tubes
Requisition:
CD0046_02_07 or CD2573_10_12
Division:
Hematology-Molecular Diagnostics
Instructions:
Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send
tissue in saline at 4 degrees Celcius, or frozen on dry ice.
Should be received within 24 hours and by Friday noon.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Folate, Red Cell
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Alternate Names:
Division:
Endocrinology
RBC Folate
Red Blood Cell Folate
Shipping:
on
Mix whole blood for 2 minutes (no longer than 5 minutes), aliquot 1.0 ml whole blood, freeze and send. Hematocrit value must be indicated
requisition.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Folate, Serum
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Endocrinology
Serum Folate
Folic Acid
Instructions:
Shipping:
Can be done on the same tube as Vitamin B12 and Ferritin.
Separate serum within 5 hours of collection. Specimens can be stored at 2-8°C for 48
hours. Freeze and send 1.0 ml frozen serum.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Folic Acid
see Folate, Serum
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Follicle Stimulating Hormone
see FSH
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Formic Acid
see; Methanol
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Free Prostate Specific Antigen
see PSA, Free
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Free T3
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Endocrinology
Free Triiodothyronine
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
Shipping:
Separate serum within 5 hours of collection. Specimens can be stored at 2-8°C for 48
hours. Freeze and send 1.0 ml frozen serum.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Free T4
see Thyroxine, Free
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Free Triiodothyronine
see Free T3
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Frisium
see Clobazam
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
FSH
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Shipping:
Separate serum within 5 hours of collection. Specimens can be stored at 2-8°C for 48
hours. Freeze and send 1.0 ml frozen serum in polypropylene tube.
Division:
Endocrinology
Follicle Stimulating Hormone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
FV G1691 A Mutation
see Factor V Leiden Mutation
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
FV Gene Mutation
see Factor V Leiden Mutation
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Gamma Globulins
see Immunoglobulins (GAM)
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Gamma Glutamyl
see Gamma GT, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Gamma GT, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Alternate Names:
Gamma Glutamyl
Transpeptidase
GGT
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Gastric Antibodies
see Anti-Parietal Cell Antibodies
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Gastrin
Tube/Specimen:
Gold Stoppered 5.0 ml SST on ice
Requisition:
Instructions:
CD 0002
Division:
Endocrinology
Patient must be fasting (12 hrs or longer). Specimens collected at QEII HSC must be
placed on ice and sent to the processing area immediately. Separate the serum from the
cells in a refrigerated centrifuge if possible. Aliquot and freeze without delay.
Shipping:
Send 1.0 ml frozen serum. Thawed specimens are unacceptable.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Gene Rearrangements
see specific test (bcl-1, bcl-2, BCR/abl
Division:
Hematology-Molecular Diagnostics
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Genetic Testing for C282Y
see Hemochromatosis
Division:
Hematology-Molecular Diagnostics
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Gentamicin Level
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Alternate Names:
Requisition:
CD0002
Comments:
Gentamicin may be administered using 2 dosing strategies:
Division:
Clinical Chemistry
Aminoglycoside Level
If Gentamicin is administered once daily (much larger than traditional doses) for patients who have good
renal function and have no other exclusions, eg. Endocarditis, dialysis, surgical
prophylaxis, burns (>20%), only pre specimens are required. Take blood specimen 6 hours
before next dose is administered.
If Gentamicin is administered more often (q8 – 12 hours), both pre and post specimens are required. Take Post (peak) blood specimen
30 minutes after completion of intravenous dose or 60 minutes after an intramuscular dose is administered. Take Pre (trough) blood specimen
30 minutes before next dose is administered. The time specimen was collected (pre/post) should be indicated on the requisition and tubes. For
information call the lab at 473-6886.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
GGT
see Gamma GT, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
GH
see HGH
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Globulin
see; Protein Total and Albumin Plasma
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Central Zone
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Glucose AC, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Alternate Names:
AC Blood Sugar
Blood Sugar
Instructions:
Specimens must be delivered to the laboratory within 2 hours of collection. Check off AC
Glucose on the requisition. Patient should be fasting for at least 8 hours.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Glucose Challenge Test , Plasma
Alternate Names:
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
1 – hour GCT
Requisition:
Instructions:
CD 0002
Division:
Clinical Chemistry
Give the patient 50 grams glucose drink. Specimen is collected one (1) hour after the drink
is finished.
Note:
This test is for pregnant patients. The patient must not be fasting.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Glucose PC, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Alternate Names:
Sugar PC
Instructions:
Specimens must be delivered to the laboratory within 2 hours of collection. In order to
ensure that timed determinations are taken properly, please give Blood Collection Service
at least 30 minutes prior notice. Blood Collection does not take appointments after 1530
hours. Check off PC Glucose on the requisition.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Glucose Profile, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
Instructions:
CD 0002
Division:
Clinical Chemistry
Drawn four times over a 24 hour period 1 hr AC & 2 hr PC breakfast 1 hr AC & 2 hr PC
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Glucose Tolerance Test (GDM), Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Alternate Names:
GTT
GTT2
Instructions:
For glucose tolerance testing for gestational diabetes mellitus (GDM) three specimens will be drawn: fasting, 60 minutes and 120 minutes
after the patient has finished the glucose drink. Specimens must be labeled with collection times.
Comments:
Preparation Patient:
Fasting and post dosage specimens are required. Patients must be fasting 8 hours. Collect fasting
specimen. Patient is given the 75 g glucose drink immediately after taking the fasting glucose blood sample.
Note:
This test is for pregnant females.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Glucose Tolerance Test (Non-GDM), Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Clinical Chemistry
Alternate Names:
GTT
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
GTT2
Instructions:
For oral glucose tolerance on everyone except pregnant females, only 2 specimens will be
drawn, the fasting specimen and a specimen 120 minutes after the patient has finished
glucose drink. Specimens must be labeled with collection times.
Comments:
Patient Preparation Tri-Facilities (TOMH, ESMH, MVMH) ONLY:
A fasting glucose result within 3 months prior to attending for GTT must be provided. If this information is not provided, or if the previous
fasting glucose is > 7.0 mmol/L, a fasting glucose sample will be drawn.
Patient Preparation all facilities except Tri-Facilities
Fasting and post dosage specimens are required. If glucose result
on fasting specimen is >7.0 mmol/L the glucose will not be given and the test will not be
continued. The patient will be requested to return on another date for repeat testing. If on
the second visit the fasting specimen is >7.0 mmol/L, the procedure will be discontinued
and the physician will be notified.Patients must be fasting 8 hours. Collect fasting
specimen. After confirmation of a fasting glucose result of < 7.0 mmol/L, give patient
75 g glucose drink.
Note:
This test is for males and non-pregnant females. For pregnant females see Glucose Tolerance Test (GDM), Plasma.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Glucose, Fluids
Tube/Specimen:
Submit only one of the following specimens: Spinal Fluid: 1.0 ml Spinal Fluid collected in
sterile plastic screw top tubes; Dialysate Fluid: 10-ml Dialysate Fluid collected in sterile
plastic screw top tubes.
Requisition:
CD 0003
Shipping:
If sending specimen from outside QEII HSC, transport at room temperature.
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Glucose, Urine
Tube/Specimen:
Random urine collection
Requisition:
Instructions:
Shipping:
CD 0003
Division:
Clinical Chemistry
Amount required: 10-ml urine aliquot from well-mixed collection
If sending specimen from outside QEII HSC, transport at room temperature.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Glycolic Acid
see Ethylene Glycol
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Glycosylated Hemoglobin
see Hemoglobin A1C
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Group and Crossmatch
see Type and Crossmatch
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Group and Type
see ABO Group and Rh Type
Division:
Blood Transfusion
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Growth Hormone
see HGH
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Endocrinology
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
GTT
see Glucose Tolerance Test, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
GTT2
see Glucose Tolerance Test, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
H Prep
see Hemoglobin H
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
H Pylori
see Helicobacter Pylori Antibody
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
H63D
see; Hemochromatosis
Division:
Hematology- Molecular Diagnostics
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Ham's Test
Tube/Specimen:
Yellow Stoppered 6.0 ml ACD (Solution B) tube
Requisition:
Instructions:
Shipping:
CD 0002
Division:
Sucrose-lysis is performed on all HAM's Test requests.
Send whole blood specimen at room temperature.
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Haptoglobin
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Shipping:
Separate serum and freeze. Send frozen serum on dry ice.
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HAV
see Hepatitis A Testing
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hb
see Profile
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HB s Ab
see Hepatitis B Testing
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HB s Ag
see Hepatitis B Testing
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HB Surface Ab
see Hepatitis B Testing
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HB Surface Ag
see Hepatitis B Testing
Division:
Microbiology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HBeAb
see Hepatitis B Testing
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HBV DNA
see Hepatitis B Testing
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HCG (Quant), Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Alternate Names:
Requisition:
CD 0002
Division:
Clinical Chemistry
Chorionic Gonadotropin
Beta-Subunit
HCG-Beta Subunit
Human Chorionic
Gonadotropin
Shipping:
Separate plasma within 5 hours of collection. Specimens can be stored at 2-8°C for 48
hours. Freeze and send 1.0 ml frozen plasma in polypropylene tube on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HCG Beta Subunit
see HCG (Quant), Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HCO3, Plasma
see Bicarbonate, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HCT
see Profile
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HCV Antibody
see Hepatitis C
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HCV PCR
see Hepatitis C
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HCV RIBA
see Hepatitis C
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HCV RNA
see Hepatitis C
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HCV Viral Load
see Hepatitis C
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HDL-Cholesterol, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Instructions:
Patient must be fasting for 8 hours prior to testing.
Division:
Clinical Chemistry
Alternate Names:
High Density Lipoprotein
Cholesterol
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Heinz Bodies
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Helicobacter Pylori Antibody
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
CD0432/ CD0433
Division:
Virology-Immunology
H. Pylori
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hematocrit
see Profile
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hemochromatosis
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Alternate Names:
Division:
Hematology- Molecular Diagnostics
HLA-H
HFE
Human Leukocyte Antigen-H
DNA Probe For
Hemochromatosis
Genetic Testing For C282Y
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Doc#: 19453
PLM Laboratory Test Catalogue
Central Zone
C282Y
H63D
Instructions: Blood/bone marrow must be kept at 4 degrees Celsius, accompanied by requisition. Send tissue in saline at 4 degrees Celsius, or frozen on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hemoglobin
see Profile
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hemoglobin A1C
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002 M
Alternate Names:
Division:
Hematology
Glycosylated Hemoglobin
Hgb AIC
Shipping:
Send whole blood at room temperature within 7 days of collection.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hemoglobin and Hematocrit,
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0003
Jackson Pratt Drain or JP Drain
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hemoglobin Electrophoresis
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Alternate Names:
Instructions:
Specimens must be analyzed within 7 days and stored between 2 - 8 degrees. Do not
store at room temperature.
Division:
Hematology
Thalessemia
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hemoglobin F
see Fetal Hemoglobin
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hemoglobin H
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Alternate Names:
Instructions:
Specimens must be received in laboratory within 4 hours of collection and no later than
1500 hours.
Division:
Hematology
H Prep
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hemogram (i.e. Hb HCT WBC)
see Profile
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hemophilia A Inversion
see Hemophilia Carrier Testing
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hemophilia Carrier Testing
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
Tube/Specimen:
4.0 ml EDTA Lavender stoppered x 2 Tubes
Alternate Names:
Requisition:
CD0046_02_07
Instructions:
Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send
tissue in saline at 4 degrees Celcius, or frozen on dry ice.
Division:
Hematology-Molecular
Biology
Hemophilia A inversion
Factor VIII mutation
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hemosiderin, Urine
Tube/Specimen:
24-hour urine collection (preferred) or random collection. No preservative.
Requisition:
CD 0003
Shipping:
If sending specimen from outside QEII HSC, transport at room temperature.
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Heparin Induced Thrombocytopenia
Tube/Specimen:
Two Plain Red Tubes 2 X 6 or 10 ml (serum) and two Light Blue Stoppered 2.7 ml buffered NA citrate, must be a full draw (plasma)
Alternate Names:
Requisition:
CD 0002
Instructions:
If sending frozen aliquots please double spin and clearly indicate which aliquots are plasma and which aliquots are serum. Please
send 4, 1 ml aliquots of serum and 3, 1 ml aliquots of plasma. Send frozen on dry ice.
Division:
Hematology
HIT
A QE Heparin Induced Thrombocytopenia Questionnaire Form #5970 must be entirely completed and must be accompany the samples. Both
serum and plasma samples must be platelet poor.
Comments:
Samples anticoagulated with heparin are not suitable for testing with this assay and must not be used.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Heparin XA
see; Anti-XA
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hepatitis A Antibody IgG
see Hepatitis A Testing
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hepatitis A Antibody IgM
see Hepatitis A Testing
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hepatitis A Immune Status
see Hepatitis A Testing
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hepatitis A Testing
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Comments:
Clinical data should be indicated on requisition. Indicate whether immunity (IgG) or recent infection (IgM) is required.
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hepatitis B Core Antibody
see Hepatitis B Testing
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Virology-Immunology
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hepatitis B Surface Antibody
see Hepatitis B Testing
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hepatitis B Surface Antigen
see Hepatitis B Testing
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hepatitis B Testing
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
CD0432/ CD0433
Division:
Virology-Immunology
Specify test requested on the Microbiology requisition.Tests available are: Hepatitis B
Surface Antibody and Antigen (Australian Antibody and Antigen), Hepatitis B Core
Antibody, HBe Antibody and Antigen, Hepatitis B Viral Load, Hepatitis B DNA. For Occupational Health testing,
request both HBsAb and HBsAg. For needle stick injury or prenatal screening, request
HBsAg. For patients with no history, or are post vaccine or immunization or were
exposed, request HBsAb. Clinical data must be indicated on the requisition.
Comments:
Some tests will be referred out by the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hepatitis C
Tube/Specimen:
Gold Stoppered 5.0 ml SST X 2
Requisition:
CD0432/ CD0433
Alternate Names:
Division:
Virology-Immunology
Non A Non B
HCV Antibody
Anti-HCV
Note: Other Hepatitis C tests available: HCV RNA, HCV PCR, HCV RIBA, HCV Viral Load. If any of these tests are required it must be clearly indicated on the
requisition. Also indicate if qualitative or quantitative testing is required.
Specimens for Hepatitis C testing must be centrifuged and separated within 6 hours.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Her-2 neu FISH
Tube/Specimen:
Tissue in paraffin block
Requisition:
CD2573_10_12
Instructions:
To be ordered only by a CDHA pathologist.
Alternate Names:
Division:
Hematology-Molecular Diagnostics
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Herpes Typing by Real Time
Tube/Specimen:
CSF (0.5 ml sterile sample)
Requisition:
CD0432/ CD0433
Division:
Microbiology Epidemiology
Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Heterophile Antibodies
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Alternate Names:
Division:
Microbiology-Immunology
Infectious Mononucleosis
Paul Bunnell
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
Mono
Monospot
Instructions:
Indicate patient age on requisition.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HFE
see Hemochromatosis
Division:
Hematology- Molecular Diagnostics
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hgb A1C
see Hemoglobin AIC
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HGH
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Endocrinology
Human Growth Hormone
GH
Growth Hormone
Instructions:
Patient must fast 8 hours and be at complete rest 30 minutes prior to collection. Indicate
collection time on specimen.
Shipping:
Freeze immediately and send 1.0 ml frozen serum.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
High Density Lipoprotein
see HDL-Cholesterol, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
High Sensitive CRP
see C-Reactive Protein – HS (High Sensitivity), Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Histoplasma Capsulation
see Histoplasmosis
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Histoplasmen
see Histoplasmosis
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Histoplasmosis, Serology
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Alternate Names:
Division:
Virology-Immunology
Histoplasma Capsulation
Histoplasmen
Instructions:
Clinical data should be indicated on the requisition.
Note:
For Histoplasmosis cultures, see the “Microbiology User‟s Manual”. This test will be referred
out by the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HIT
see Heparin Induced Thrombocytopenia
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HIV Viral Load
see HIV-1 Viral Load
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HIV-1 Viral Load
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA X2
Requisition:
CD 0432/CD 0433
Alternate Names:
Division:
Virology-Immunology
HIV Viral Load
Whole blood may be transported at 2 – 25 C if it will be received within 24 hours. If not, separate plasma by centrifugation at 1500 – 1600g
for 20 minutes and ship 2 X 2ml aliquots at 2 – 80C.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------0
Shipping:
HIV-1/HIV-2
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432 / CD 0433
Alternate Names:
Division:
Virology-Immunology
AIDS Test
HTLV3
Human Immunodeficiency
Virus
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HLA-A see HLA Typing Autoimmune
Division:
Histocompatibility (HLA)
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HLA Antibody Testing
Alternate Names:
Cytotoxic Antibodies
PRA
Tube/Specimen: 1 x 6 ml Serum Tube (Plain Red Top or aliquoted)
Requisition:
CD0004
Instructions:
Complete recipient clinical history in the section provided on the requisition (Multi-Organ Transplant-Recipient Clinical History)
Shipping:
Notes:
Division:
Histocompatibility (HLA)
Transport blood specimens at room temperature and protect from freezing. Specimens should arrive in the HLA laboratory within
96 hours of collection. Frozen serum specimens should be packed with sufficient dry ice/ice packs to arrive frozen. Specimens must
arrive no later than 3 pm on Friday afternoon.
Specimens and requisitions must be clearly labeled with 2 unique identifiers that can be matched (Full name and HCN or Medical
Record Number)
Phlebotomist must positively identify the patient, sign the requisition in the box provided, and include the date and time of collection.
Specimens may not be accepted if the patient information, phlebotomist information and date and time of collection are incomplete.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HLA-B see HLA Typing Autoimmune
Division:
Histocompatibility (HLA)
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
HLA-B27 see HLA Typing Autoimmune
Division:
Histocompatibility (HLA)
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HLA-B5701 see HLA Typing Autoimmune
Division:
Histocompatibility (HLA)
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HLA-C see HLA Typing Autoimmune
Division:
Histocompatibility (HLA)
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HLA Crossmatch- Living Donor
Tube/Specimen: 4 x 6 ml ACD (Solution B) tubes (Yellow Top)
Requisition:
CD0004
Division:
Histocompatibility (HLA)
Instructions:
By appointment only. Samples must be received in the HLA laboratory by 0900 on the scheduled crossmatch date. Samples
received after 0900 may not be processed.
Complete recipient information in the section provided on the requisition (Multi-Organ Transplant-Living Donor)
LDPE-Please indicate if donor is part of the Living Donor Paired Exchange by checking the box provided
Shipping:
Transport blood specimens at room temperature and protect from freezing. Specimens should arrive in the HLA laboratory
within 48 hours of collection.
Notes:
Specimens and requisitions must be clearly labeled with 2 unique identifiers that can be matched (Full name and HCN or Medical
Record Number)
Phlebotomist must positively identify the patient, sign the requisition in the box provided, and include the date and time of
collection. Specimens may not be accepted if the patient information, phlebotomist information and date and time of collection are
incomplete.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HLA Deceased Donor Typing and Crossmatch
Tube/Specimen:
12 x 6 ml ACD (Solution B) tubes (Yellow Top)
3 x 4 ml EDTA tubes (Lavender Top)
Requisition:
CD0004
Shipping:
Transport blood specimens at room temperature and protect from freezing. Typing specimens should arrive in the HLA laboratory within
7 days of collection. Crossmatch samples should arrive in the HLA laboratory within 48 hours of collection.
Notes:
Division:
Histocompatibility (HLA)
Specimens and requisitions must be clearly labeled with 2 unique identifiers that can be matched (Full name and HCN or Medical
Record Number)
Phlebotomist must positively identify the patient, sign the requisition in the box provided, and include the date and time of
collection. Specimens may not be accepted if the patient information, phlebotomist information and date and time of collection are
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Version: 48.0 Current
Doc#: 19453
Effective Date: 2/24/2016
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Central Zone
incomplete.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HLA DQ see HLA Typing Autoimmune
Division:
Histocompatibility (HLA)
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HLA DR see HLA Typing Autoimmune
Division:
Histocompatibility (HLA)
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HLA Typing-Autoimmune
Tube/Specimen: 2 x 4 ml EDTA tubes (Lavender Top)
Requisition:
CD0004; CD0002
Division:
Histocompatibility (HLA)
Instructions:
HLA B27 testing is limited to requests from rheumatologists, ophthalmologists and orthopedics only.
HLA B5701 testing is limited to requests from the ID clinic only.
Shipping:
Transport blood specimens at room temperature and protect from freezing. Specimens should arrive in the HLA laboratory within
7 days of collection. Specimens must arrive no later than 3 pm on Friday afternoon
Notes:
Specimens and requisitions must be clearly labeled with 2 unique identifiers that can be matched (Full name and HCN or
Medical Record Number)
Phlebotomist must positively identify the patient and include the date and time of
collection.
Specimens may not be accepted if the patient information and date and time of collection are incomplete.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HLA Typing- Bone Marrow Recipient and Donor (HLA-A, B, C, DR, DQ, DP)
Tube/Specimen:
3 x 4 ml EDTA tubes (Lavender Top)
3 x 500 l EDTA Microtainer tubes for pediatric patients under 1 year of age
Requisition:
CD0004
Instructions:
BMT Donor Typing-Complete recipient information in the section provided on the requisition (Bone Marrow Transplant-Donor)
Division:
Histocompatibility (HLA)
Indicate diagnosis if checking off „Other” on the requisition.
Shipping:
Transport blood specimens at room temperature and protect from freezing. Specimens should arrive in the HLA laboratory within 7 days
of collection. Samples must arrive no later than 3 pm on Friday afternoon.
Notes:
Specimens and requisitions must be clearly labeled with 2 unique identifiers that can be matched (full name and HCN or Medical Record
Number). For pediatric collections less than 4 mL, additional specimens may be requested by the laboratory if required. For difficult
collections, or when clinically warranted, the laboratory may accept lower minimum specimen requirements. Contact the laboratory for
further information.
Phlebotomist must positively identify the patient, sign the requisition in the box provided, and include the date and time of collection.
Specimens may not be accepted if the patient information, phlebotomist information and date and time of collection are incomplete.
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Version: 48.0 Current
Effective Date: 2/24/2016
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HLA Typing-Multi Organ Transplant Recipient and Donor (HLA-A, B, C, DR, DQ, DP)
Tube/Specimen:
3 x 4 ml EDTA tubes (Lavender Top)
3 x 500 l EDTA Microtainer tubes for pediatric patients under 1 year of age
Requisition:
CD0004
Instructions:
Recipient Typing-Complete recipient clinical history in the section provided on the requisition (Multi-Organ Transplant-Recipient
Division:
Histocompatibility (HLA)
Clinical History)
Donor Typing-Complete recipient information in the section provided on the requisition (Multi-Organ Transplant-Living Donor)
LDPE-Please indicate if recipient and donor belong to the Living Donor Paired Exchange by checking the box provided.
Shipping:
Transport blood specimens at room temperature and protect from freezing. Specimens should arrive in the HLA laboratory within 7 days
of collection. Samples must arrive no later than 3 pm on Friday afternoon.
Notes:
Specimens and requisitions must be clearly labeled with 2 unique identifiers that can be matched (full name and HCN or Medical Record
Number). For pediatric collections less than 4 mL, additional specimens may be requested by the laboratory if required. For difficult
collections, or when clinically warranted, the laboratory may accept lower minimum specimen requirements. Contact the laboratory for
further information.
Phlebotomist must positively identify the patient, sign the requisition in the box provided, and include the date and time of collection.
Specimens may not be accepted if the patient information, phlebotomist information and date and time of collection are incomplete.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HLA Typing Tissue Bank Donor see HLA Typing-Multi Organ Transplant
Division:
Histocompatibility (HLA)
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HLA-H
see Hemochromatosis
Division:
Hematology- Molecular Diagnostics
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HTLV 3
see HIV-1/HIV-2
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
HTLV-1/HTLV-II Antibody
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Human Chorionic
see HCG (Quant), Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Human Growth Hormone
see HGH
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Human Immunodeficiency
see HIV-1/HIV-2
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Virology-Immunology
Version: 48.0 Current
Effective Date: 2/24/2016
Page 63 of 106
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Uncontrolled When Printed
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Human Leucocyte Antigen
see HLA Tissue Typing
Division:
Tissue Typing
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Human Leucocyte Antigen-H
see Hemochromatosis
Division:
Hematology- Molecular Diagnostics
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hydatid Disease – IHA (see
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
QE 7125
Division:
Microbiology-Immunology
Note:
This test will be referred out by the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
IDAT
see Indirect Antiglobulin Test
Division:
Blood Transfusion
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
IG gene rearrangement
see B-cell lymphoid clonality
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
IG Heavy Chain
see B-cell lymphoid clonality
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
IgA
see Immunoglobulins, (GAM)
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
IgE
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Shipping:
Separate serum within 5 hours of collection. Specimens can be stored at 2-8°C for 48
hours. Freeze and send 1.0 ml frozen serum.
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
IGF-1
see Insulin Like Growth Factor
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
IgG
see Immunoglobulins, (GAM)
Division:
Hematology
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
IgG/TCR Gene Rearrangement
Alternate Names:
Division:
Molecular Biology
TCR GENE
REARRANGEMENT
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
IgM
see Immunoglobulins, (GAM)
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Immunoglobulins (GAM), Serum
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
CD 0002
Instructions:
Separate serum and freeze. Send frozen on dry ice.
Division:
Hematology
Gamma Globulins
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Immunoglobulins, Heavy
see Immunoglobulins (GAM)
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Immunoglobulins, Light Chain
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Division:
Hematology
Shipping:
Separate serum and freeze. Send frozen serum on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Immunoglobulins, Free Light Chain
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Division:
Hematology
Shipping:
Separate serum and freeze. Send frozen serum on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Indirect Antiglobulin Test
Tube/Specimen:
Lavender Stoppered 6.0 ml EDTA (BD# 367863)
Requisition:
CD0001_08_11
Alternate Names:
Division:
Blood Transfusion
Antibody Screen
IDAT
Instructions:
Indicate on requisition date and time required. Indicate pregnancy and transfusion history.
Send copy of patient‟s antibody card if patient has known antibodies.
Comments:
PLM BT Specimen Collection Policy #729 and CC 85-079 Venipuncture for Blood Collection
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Indirect Bilirubin
see Bilirubin Indirect, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Infectious Mononucleosis
see Heterophile Antibodies
Division:
Microbiology-Immunology
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
Inhibitor (Non Specific)
see Lupus Anticoagulant Screen
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Inhibitor (Specific)
see Factor VIII C Inhibitor
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Inorganic Phosphorous
see Phosphorous, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
INR (PT)
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered NA citrate, must be a full draw
Requisition:
CD 0002
Division:
Alternate Names:
Hematology
Prothrombin Time
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Insulin
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Division:
Endocrinology
Instructions:
Patient should be fasting 8 hours prior to collection.
Shipping:
Separate serum within 5 hours of collection. Freeze and send 1.0 ml frozen serum. Fresh specimens can be stored at 2-8°C for 7 days.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Insulin Like Growth Factor-1
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Endocrinology
IGF-1
Somatomedin-C
Instructions:
Shipping:
Serum must be frozen immediately.
Freeze immediately and send 1.0 ml frozen serum.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Intact PTH
see Parathyroid Hormone Intact
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Intercellular Skin Ab
see Anti-Pemphigus Antibodies
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
INV 16
see Inversion 16
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Inversion 16
Tube/Specimen:
4.0 ml EDTA Lavender stoppered x 2 Tubes
Requisition:
CD0046_02_07
Alternate Names:
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Hematology-Molecular
Biology
INV 16
CBF beta-MYH11 gene
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Effective Date: 2/24/2016
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Central Zone
fusion
Instructions:
Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send
tissue in saline at 4 degrees Celcius, or frozen on dry ice.
Should be received within 24 hours and by Friday noon.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Ionized Ca
Ionized Calcium
Tube/Specimen:
Dark green stoppered, lithium heparinized whole blood on ice, stable for 4 hours (tube must be filled), or
collected in a pre-heparinized Blood Gas syringe on ice. Do not use dry ice. (Gas-lyte
sampling syringes by Marquest are available from QEII HSC Stores #6058-044 for kit1
and #6058-045 for kit2).
Requisition:
Instructions:
CD 0021
Division:
Blood Gas
Ensure sample is well mixed. If using syringe, remove needle; do not transport with
needle attached. Label barrel or tube with patient information in water proof ink, immerse
in a slurry of ice and water and deliver to Processing area within 30 minutes. Maintain
anaerobic conditions (closed tube) at 4 degrees celcius.
Shipping:
Full Gold SST- centrifuged at 4 degrees celsius bot not opened. Transport on slurry or cold
pack. Do not use dry ice. Do not freeze. Stable for 70 hours on ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Iron, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Alternate Names:
Fe
Iron Binding
Total Iron Binding Capacity
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Iron Binding Capacity, Plasma
see Iron, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Islet Cell Antibody
see Anti-Pancreatic Islet Cell Antibody
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Isohemagglutinin Titre
see ABO Antibody Titre
Division:
Blood Transfusion
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Isopropanol
see Isopropyl Alcohol, Qualitative
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Isopropyl Alcohol, Qualitative
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Requisition:
CD 0002
Alternate Names:
Instructions:
Use non-alcoholic solutions such as peroxidase, saline or warm water to clean
venipuncture site. Do not use alcohol preparations.
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Toxicology Lab
Isopropanol
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
JAK2 (v6 7f)
see Jak2 gene mutation
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Jak2 gene mutation
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD0046_02_07
Alternate Names:
Division:
Hematology-Molecular
Biology
Polycytemia vera
Thrombocytemia
JAK2 (v6 7f)
Instructions: Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send tissue in saline at 4 degrees Celcius, or frozen on dry ice.
Any specimen referred from outside of Capital Health must also be accompanied by a printout of the CBC results, as it is important to know the white blood cell
count prior to extracting the DNA.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Jo-1
see; Anti-nuclear antibody
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Joint Fluid
see Synovial Analysis
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
K+
see Electrolytes (Na, K), Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Kerosene
see Solvents
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Ketones, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Kidney Function Tests
see Creatinine, Plasma Urea, , Plasma Albumin, Plasma or Uric Acid, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Kininogen
see Fitzgerald Factor
Division:
Molecular Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
KRAS
Tube/Specimen:
Tissue in paraffin block
Requisition:
CD2573_10_12
Alternate Names:
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Hematology-Molecular Diagnostics
Version: 48.0 Current
Effective Date: 2/24/2016
Page 68 of 106
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Central Zone
Instructions:
To be ordered only by a CDHA pathologist.
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
LA
see Extractable-Nuclear Antibodies
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lactate Dehydrogenase
see LD, Fluids
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lactate, Plasma
Tube/Specimen:
Dark green stoppered, lithium heparinized whole blood on ice (tube must be filled), or collected in a preheparinized Blood Gas syringe on ice. (Gas-lyte sampling syringes by Marquest are
available from QEII HSC Stores #6058-044 for kit1 and #6058-045 for kit2). Alsoreferred in- Plain Red or Gold SST (tube must be full).
Requisition:
CD 0021
Comments:
Ensure sample is well mixed. If using syringe, remove needle; do not transport with
needle attached. Label barrel or tube with patient information in water proof ink, immerse
in a slurry of ice and water and deliver to Processing area within 30 minutes.
Separate plasma within 30 minutes of collection in 4 degrees Celsius centrifuge.
Freeze and send frozen plasma on dry ice. Thawed specimens are unacceptable.
Shipping:
Division:
Alternate Names:
Lactic Acid
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lactic Acid
see Lactate, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lactic Dehydrogenase
see LD, Serum
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lactose Tolerance, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Instructions:
Collect bloods at 30, 60, 90, 120 and 180 minutes after patient has finished lactose drink.
Specimens must be labeled with collection times.
Comments:
Patient Preparation: All OutPatient requests must be booked in advance at 473-2452.
Fasting and post dosage specimens are required. If glucose result on fasting specimen is
>11.0 mmol/L the test will not be continued. Patients must be fasting 8 hours.
Division:
Clinical Chemistry
Alternate Names:
LTT
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lamictal
see Lamotrigine
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lamotrigine
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Requisition:
CD 0002
Alternate Names:
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Toxicology Lab
Lamictal
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
Instructions:
These determinations can be done on micro samples. Send at least 0.2 ml of serum.
Blood should be collected just prior to the next dose (trough collection). Specimens should
not be collected until the blood concentration is at steady state (3-4 half-lives).
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Latex Fixation
see Rheumatoid Factor
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
LAV
see HIV-1/HIV-2
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
LD, Fluids
Tube/Specimen:
Requisition:
Miscellaneous Body Fluid: 10.0 ml Body Fluid in sterile plastic screw top tubes
CD 0003
Division:
Clinical Chemistry
Shipping:
If sending specimen from outside QEII HSC, transport at room temperature.
Alternate Names:
Lactate Dehydrogenase
LDH
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
LD, Serum
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Instructions:
Alternate Names:
Division:
Clinical Chemistry
Lactic Dehydrogenase
LDH
Requests for testing will only be processed if clinical details are provided in brackets next to the LD request. The term ‘Do not
cancel’ will not be accepted.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
LDH
see LD, Serum
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
LDL-Cholesterol, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Alternate Names:
Cholesterol, LDL
Low Density Lipoprotein
Cholesterol
Instructions:
Patient must be fasting 8 hours prior to testing.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Leishmaniasis - IFA
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
QE 7125
Clinical data should be indicated on the requisition.
Division:
Virology-Immunology
Note:
This test will be referred out by the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Leptospirosis
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
CD0432/ CD0433
Clinical data should be indicated on the requisition.
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Virology-Immunology
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
Note:
Smear for diagnosis: contact a Microbiologist at 473-6624. This test will be referred out by
the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lewis Antigen Typing
see Red Cell Antigen Typing
Division:
Blood Transfusion
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
LH
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Endocrinology
Luteinizing Hormone
Pituitary Gonadotropins
Shipping:
Separate serum within 5 hours of collection. Specimens can be stored at 2-8°C for 48
hours. Freeze and send 1.0 ml frozen serum.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lipase, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Shipping:
If sending specimen from outside QEII HSC, transport frozen plasma on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lipid Profile
see Cholesterol, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lipid Screen
see Cholesterol, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lipid Testing
see Cholesterol, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lithium
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Requisition:
CD 0002
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Liver Function Tests
see ALT, Plasma
Division:
Clinical Chemistry
Note:
Alanine aminotransferase (ALT) is the only procedure performed when the order is written as Liver Function Tests. Please request
specific procedures if others are required.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Liver Kidney Microsomal Antibody
see Anti-Liver-Kidney-Microsomal Antibody
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Immunopathology
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
LKM
see Anti-Liver/Kidney Microsomal Antibody
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Low Density Lipoprotein
see LDL-Cholesterol, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
LTT
see Lactose Tolerance, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lung Molecular Panel
Tube/Specimen:
Tissue in paraffin block
Alternate Names: lung
cancer panel, SNaPshot
Requisition:
CD2573_10_12
Instructions:
To be ordered only by a CDHA pathologist.
Division:
Hematology-Molecular Diagnostics
Testing includes: BRAF, KRAS, EGFR, PIK3CA, HER2, CKIT
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lupus Anticoagulant Screen
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered na citrate x 2 tubes. Tubes must be a full draw.
Requisition:
CD 0002
Comments:
Includes screening and confirmatory evaluations to detect Lupus Anticoagulants. This is
not the same as an anticardiolipin antibody test, which is often referred to as
antiphospholipid antibody as well.
Note:
Send 3 frozen aliquots of 1.0 ml platelet-poor plasma (see Coagulation Testing under
Specimen Handling Instructions) in plastic vials (12x75). Send on dry ice.
Division:
Hematology
Alternate Names:
Inhibitor (Non Specific)
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Luteinizing Hormone
see LH
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lyme Antibodies
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Alternate Names:
Division:
Virology-Immunology
Anti Borrellia Antibodies
Borrellia Antibodies
Borrellia - Lyme
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lymphoma Protocol
see B-cell lymphoid clonality
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lymphoma Protocol
see T-cell lymphoid clonality
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Lytes
see Electrolytes (Na, K), Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Magnesium, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Magnesium, Urine
Tube/Specimen:
24-hour urine collection. No preservative.
Requisition:
Instructions:
Comments:
Shipping:
CD 0003
Division:
Clinical Chemistry
Amount required: 10-ml urine aliquot from well-mixed collection
Testing on 24 hour specimens includes Creatinine, Urine.
If sending specimen from outside QEII HSC, transport at room temperature. Record Total
Volume on both the specimen aliquot and the requisition.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Malaria Antibody - IFA
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
CD0432/ CD0433
Clinical data should be indicated on the requisition.
Division:
Virology-Immunology
Note:
This test will be referred out by the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Malarial Parasites
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Measles Antibody
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
CD0432/ CD0433
Instructions:
Indicate on requisition whether immune status (IgG) or recent infection (IgM) is required.
Division:
Virology-Immunology
Rubeola
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Met HB
see Methemoglobin
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Methanol
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Requisition:
CD 0002
Alternate Names:
Division:
Toxicology Lab
Methyl Alcohol
Formic Acid
Instructions:
Use non-alcoholic solutions such as peroxidase, saline or warm water to clean
venipuncture site. Do not use alcohol preparations.
Comments:
Analysis includes quantitation of Formic Acid, the primary toxic metabolite of Methanol.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Methemoglobin
Tube/Specimen:
Dark green stoppered, lithium heparinized whole blood on ice (tube must be full) .
Requisition:
CD 0021
Comments:
If using syringe, remove needle; do not transport with needle attached. Label barrel or tube
with patient information in water proof ink, immerse in a slurry of ice and water and
deliver to Processing Area within 30 minutes.
If sending specimen from outside QEII HSC, notify Laboratory at 473-6545 when specimen
is in transport and when it is expected. Specimen must be kept cold but not frozen.
Shipping:
Division:
Clinical Chemistry
Alternate Names:
Met Hb
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Methosuximide
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Methotrexate
Tube/Specimen:
Plain Red Stoppered 10 ml
Alternate Names:
Requisition:
CD 0002
Instructions:
These determinations can be done on micro samples. Send at least 0.1 ml of serum for
each. Blood should be collected at various time intervals, according to the protocol being
used. Sample should be protected from the light (wrap the tube in tin foil).
Division:
Clinical Chemistry
Celontin
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Methyl Alcohol
see Methanol
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
MHA-TP
see Syphilis Serology
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Microalbumin, Urine
Tube/Specimen:
24 hour urine (preferred) or random urine collection. No preservative.
Requisition:
CD 0003
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Alternate Names:
Clinical Chemistry
ALBUMIN URINE
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
Instructions:
Comments:
Shipping:
Amount required: 10-ml urine aliquot from well-mixed collection
Testing on 24 hour specimens includes Creatinine, Urine.
If sending specimen from outside QEII HSC, transport at room temperature. Record Total
Volume and length of time for urine collection in hours, on both the specimen aliquot and
the requisition.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Microsatellite Instability Testing
see MSI
Division:
Hematology-Molecular Diagnostics
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Microsomal Antibodies
see Anti-Thyroid Peroxidase Antibodies
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Mix (50-50)
see PT 50% Mix or PTT 50% Mix
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Mixing Studies
see PTPTT 50% Mix
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
MMF
see Mycophenylate
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Mofetil
see Mycophenylate
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Mono
see Heterophile Antibodies
Division:
Microbiology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Monospot
see Heterophile Antibodies
Division:
Microbiology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
MPA
see Mycophenylate
Division:
Toxicology Lab
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Central Zone
MSI
Tube/Specimen:
Tissue in paraffin block
microsatellite instability testing
Requisition:
Alternate Names:
CD2573_10_12
Division:
Hematology-Molecular Diagnostics
Instructions:
To be ordered only by a CDHA pathologist.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Mycophenylate
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Alternate Names:
Division:
Toxicology Lab
MPA
MMF
CellCept
Mofetil
Instructions:
Comments:
This determination can be done on micro samples when necessary.
Mycophenylate can be ordered as random or 5 point. Mycophenylate 5PT is five
samples collected before (pre) medication, and 1 hour, 2 hours, 3 hours and 4 hours post
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Mycoplasma Pneumoniae IgM
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Note:
This test will be referred out by the laboratory.
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Myeloma Screen, Serum & Plasma
Tube/Specimen:
Gold Stoppered 5.0 ml SST & Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD0002
Division:
Hematology
Note:
This is a care set, used for ordering convenience, composed of the following 3 assays: Immunoglobulins (GAM), Total Protein,
Protein Electrophoresis. Please see separate listings for each of these in this catalogue for details.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Myeloperoxidase Stain
see Cytochemistry Staining
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Na+
see Electrolytes (Na, K), Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Neoral
see Cyclosporin
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Non A Non B
see Hepatitis C
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Central Zone
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Norepinephrine, Urine
see Catecholamines, Urine
Division: Toxicology Lab
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Nuclear Factor
see Anti-Nuclear Antibody
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Occult Blood, Stool
Tube/Specimen:
Random stool collection
Requisition:
Instructions:
Comments:
CD 0003
Division:
Clinical Chemistry
Amount Required: Smear of stool on hemoccult card
Specimen is smeared on hemoccult card by patient or nursing staff. Specimens in other
containers will not be accepted. Patients should follow a high fiber diet for 3 days prior to
and during collection. All meats, turnip, horseradish, gravy, meat drippings, iron pills and
vitamin C preparations should be restricted.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Osmolality, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Osmolality, Urine
Tube/Specimen:
24-hour urine collection (preferred) or random collection. No preservative.
Requisition:
Instructions:
Comments:
Shipping:
CD 0003
Division:
Clinical Chemistry
Amount required: 10-ml urine aliquot from well-mixed collection
Testing on 24 hour specimens includes Creatinine, Urine.
If sending specimen from outside QEII HSC, transport at room temperature. Record Total
Volume on both the specimen aliquot and the requisition.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Ovarian Cancer Antigen
see CA125
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Oxalate, Urine
Tube/Specimen:
24-hour urine collection. No preservative.
Requisition:
Instructions:
Comments:
CD 0003
Division:
Clinical Chemistry
Amount required: 5-ml urine aliquot from well-mixed collection
Testing on 24 hour specimens includes Creatinine, Urine. Patient must follow special diet
provided by Stone Clinic.
Record Total Volume on both the specimen aliquot and the requisition.
Shipping:
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Oxygen Content
see Blood Gases
Division:
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Oxygen Saturation
see Blood Gases
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Parathyroid Hormone Intact
Tube/Specimen:
4.0 ml EDTA Lavender
Requisition:
CD 0002
Alternate Names:
Division:
Endocrinology
Intact PTH
PTH Intact
Instructions:
Shipping:
1.0-ml plasma sent frozen.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Paroxysmal Nocturnal Hemoglobinuria
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Alternate Names:
Division:
Hematology
PNH
CD55/59 Testing
Instructions:
Sample must arrive in Hematology Lab within 4 hours of collection and no later than 1200
on Fridays (or day before Holiday).
Note:
Please notify Flow Cytometry Lab at 473-5549 when requesting this test.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Partial Thromboplastin Time
see PTT
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Parvovirus B19 Antibody
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Comments:
In investigating a viral exanthem, rubella and measles serology should also be requested.
Instructions:
Indicate on the requisition if immunity (IgG) or recent infection (IgM) is required.
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PAS
see Cytochemistry Staining
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Paul Bunnell
see Heterophile Antibodies
Division:
Microbiology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Pemphigoid Antibody
see Anti-Pemphigoid Antibody
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Pentobarbitol
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Requisition:
CD 0002
Division:
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Toxicology Lab
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Central Zone
Note:
These determinations can be done on micro samples. Send at least 0.2 ml of serum for
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Pentothal
see Thiopental
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Periodic Acid Stain
see Cytochemistry Staining
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Peripheral Smear
Division:
Comments:
Hematology
Can be done with Profile
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Peroxidase Stain
see Cytochemistry Staining
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PFA
see; Platelet Function Assay
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
pH, Urine
Tube/Specimen:
24-hour urine collection. No preservative.
Requisition:
Instructions:
Comments:
Shipping:
CD 0003
Division:
Amount required: 50-ml urine aliquot from well-mixed collection
Clinical Chemistry
Record Total Volume on both the specimen aliquot and the requisition.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Phenobarbitol
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Requisition:
Instructions:
CD 0002
Division:
Clinical Chemistry
These determinations can be done on micro samples. Send at least 0.5 ml of serum for each.
Blood should be collected just prior to the next dose (trough collection). Specimens should
not be collected until the blood concentration is a steady state (3-4 half lives).
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Phenytoin
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Alternate Names:
Requisition:
CD 0002
Instructions:
Blood should be collected just prior to next dose (trough collection). Specimens should not
be collected until the blood concentration is at a steady state
(3-4 half-lives).
Division:
Clinical Chemistry
Dilantin
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Philadelphia Chromosome
see BCR/abl Translocation (RT PCR)
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Central Zone
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Phosphatase, Alkaline
see Alkaline Phosphatase, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Phosphate
see Phosphorous, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Phosphorous Inorganic
see Phosphorous, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Phosphorous, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Alternate Names:
Inorganic Phosphorous
Phosphate
Phosphorous, Inorganic
PO4
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Phosphorous, Urine
Tube/Specimen:
24-hour urine collection. No preservative.
Requisition:
Instructions:
Comments:
Shipping:
CD 0003
Division:
Clinical Chemistry
Amount required: 10-ml urine aliquot from well-mixed collection
Testing includes Creatinine, Urine.
If sending specimen from outside QEII HSC, transport at room temperature. Record Total
Volume on both the specimen aliquot and the requisition.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Pituitary Gonadotropins
see LH
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Plasma Hemoglobin
Tube/Specimen:
Dark green stoppered lithium heparin tube
Alternate Names:
Requisition:
CD 0002
Shipping:
Send whole blood to the laboratory within three hours of collection. If shipping is delayed, double-spin and freeze the plasma. Send the frozen
sample on dry ice.
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Platelet Aggregation
Requisition:
Instructions:
CD 0002
Division:
Hematology
Prior arrangements for analysis must be made with Hematology Lab Phone 473-4059.
Blood is taken by Hematology. Lab must know all patients‟ medication for past week.
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Central Zone
Platelet Count
see Profile
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Platelet function Assay
Tube/Specimen:
Two (2) light-blue stoppered 4 ml glass, must be a full draw. Collection must follow a
non-additive tube. A CBC must also be ordered. Keep specimens at room temperature.
Alternate Names:
PFA
Instructions:
Comments:
Division:
Hematology
Samples must be received within three (3) hours of collection. Traumatic draws should be
avoided. Test is available Monday to Friday until 1600 hours.
Patient medications and bleeding/bruising history should be listed on separate lab
questionnaire. Call Coagulation Lab at 473-4059 for copy of questionnaire.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Platelet Function Studies
see Platelet Aggregation
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PML-RAR gene fusion
Tube/Specimen:
4.0 ml EDTA Lavender stoppered x 2 Tubes
Requisition:
CD0046_02_07
Alternate Names:
Division:
Hematology-Molecular
Biology
RAR alpha
Retinoic acid receptor
Translocation (15; 17
t(15;17)
Instructions:
Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send
tissue in saline at 4 degrees Celcius, or frozen on dry ice.
Should be received within 24 hours and by Friday noon.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Pneumonia Protocol
see Mycoplasma Pneumoniae C.F. Titre
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PNH
see Paroxysmal Nocturnal Hemoglobinuria
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PO4
see Phosphorus, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Polycytemia Vera
see Jak2 gene mutation
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Porphobilinogen, Urine
see Porphyrine, Urine
Division:
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Special Chemistry
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Porphyrins, Urine
Tube/Specimen:
24-hour urine collection (preferred) or random collection. No preservative.
Requisition:
CD 0003
Division:
Special Chemistry
Alternate Names:
ALA, Urine
Coproporphyrins
Urinary PorphyrinsAME:
Uroporphyrins
Instructions:
Amount required: 80-ml urine aliquot from well-mixed collection .Protect specimen from
light with tinfoil.
Comments:
This test includes ALA, PBG, Uroporphyrin and Coproporphyrin, Creatinine, Urine. Protect
specimen from light.
If sending specimen from outside QEII HSC, protect from light with tinfoil, transport at 28°C on freezer packs. Record Total Volume on both the specimen aliquot and the
Shipping:
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Post-BMT
see Chimerism analysis for BMT
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Potassium, Fluids
Tube/Specimen:
Miscellaneous Body Fluid: 10.0 ml Body Fluid collected in sterile plastic screw top tubes
Requisition:
CD 0003
Shipping:
If sending specimen from outside QEII HSC, transport at room temperature.
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Potassium, Plasma
see Electrolytes (Na, K), Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Potassium, Urine
Tube/Specimen:
24-hour urine collection (preferred) or random collection. No preservative.
Requisition:
Instructions:
Comments:
Shipping:
CD 0003
Division:
Clinical Chemistry
Amount required: 10-ml urine aliquot from well-mixed collection
Testing on 24 hour specimens includes Creatinine, Urine.
If sending specimen from outside QEII HSC, transport at room temperature. Record Total
Volume on both the specimen aliquot and the requisition.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PRA
see HLA Antibody Screening
Division:
Tissue Typing
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PRAD1
see BCL1-IGH gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Prealbumin, Serum
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Division:
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Clinical Chemistry
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Pre-BMT
see Chimerism analysis for BMT
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Pregnancy, Urine
Tube/Specimen:
Random urine collection
Alternate Names:
Requisition:
CD 0003
Instructions:
Comments:
Shipping:
Amount required: 10-ml urine aliquot from well-mixed collection
Early morning specimen is most suitable for testing.
If sending specimen from outside QEII HSC, transport at room temperature.
Division:
Clinical Chemistry
Urine HCG, Qualitative
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Profile
Profile with Differential
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Comments:
Testing includes automated Differential WBC Count, Hematocrit (HCT), Hemoglobin (HB),
Platelet Count, Red Cell Count, WBC
Note:
Differentials are automatically performed on every profile. If there are concerns then a
manual differential will be performed.
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Profile Manual Differential
PM
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Comments:
Testing includes Hematocrit (HCT), Hemoglobin (HB), Platelet Count, Red Cell Count,
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Progesterone
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Comments:
Shipping:
This test must not be confused with 17-Hydroxyprogesterone.
Separate serum within 5 hours of collection. Freeze and send 1.0 ml frozen serum. Fresh specimens can be stored at 2-8°C for 7 days.
Progesterone sample must be poured off from gel barrier primary SST tubes into an aliquot tube. Serum remaining in gel barrier SST tubes
have shown decreases in progesterone levels.
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Prolactin
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Shipping:
Separate serum within 5 hours of collection. Specimens can be stored at 2-8°C for 48
hours. Freeze and send 1.0 ml frozen serum.
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Prostatic Specific Antigen
see PSA
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Protein C Activity
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered NA citrate, must be a full draw
Requisition:
CD 0002
Division:
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Hematology
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Central Zone
Note:
Send 2 frozen aliquots of 1.0 ml platelet-poor plasma (see Coagulation Testing under
Specimen Handling Instructions) in plastic vials (12x75). Send on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Protein C Resistance
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered NA citrate, must be a full draw
Requisition:
CD 0002
Note:
Send 2 frozen aliquots of 1.0 ml platelet-poor plasma (see Coagulation Testing under
Specimen Handling Instructions) in plastic vials (12x75). Send on dry ice.
Division:
Alternate Names:
Hematology
Activated Protein C
Resistance
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Protein Electrophoresis
Tube/Specimen:
a) NSHA Central Zone collection: Gold Stoppered 5.0 ml SST & Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation.
OR
b) Outside of NSHA Central Zone collection: Gold Stoppered 5.0 ml SST only.
Alternate Names:
Requisition:
CD 0002
Comments:
Testing includes Total Protein and Protein Electrophoresis.
Shipping:
Division:
Hematology
Electrophoresis of Protein
Outside of NSHA Central Zone collection: Separate and send 2 aliquots of serum from Gold Stoppered 5.0 ml SST.
DO NOT SEND FROZEN PLASMA
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Protein S (Free)
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered na citrate, must be a full draw
Requisition:
CD 0002
Note:
Send 2 frozen aliquots of 1.0 ml platelet-poor plasma (see Coagulation Testing under
Specimen Handling Instructions) in plastic vials (12x75). Send on dry ice.
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Protein Total, Fluids
Tube/Specimen:
Submit only one of the following specimens:Spinal Fluid: 1.0 ml Spinal Fluid collected in
sterile plastic screw top tubes; Miscellaneous Body Fluid: 10.0 ml Body Fluid collected
in sterile plastic screw top tubes.
Requisition:
CD 0003
Division:
Shipping:
If sending specimen from outside QEII HSC, transport at room temperature.
Alternate Names:
TP
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Protein Total, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Alternate Names:
TP
Total Protein
Instructions:
Blood must be collected with minimum stasis.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Protein Total, Urine
Tube/Specimen:
24-hour urine collection (preferred) or random collection. No preservative.
Requisition:
Instructions:
Comments:
Shipping:
CD 0003
Division:
Clinical Chemistry
Amount required: 10-ml urine aliquot from well-mixed collection
Testing on 24 hour specimens includes Creatinine, Urine.
If sending specimen from outside QEII HSC, transport at room temperature. Record Total
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Central Zone
Volume on both the specimen aliquot and the requisition.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Prothrombin Gene Mutation
Tube/Specimen:
4.0 ml EDTA Lavender stoppered - One tube sufficient for both FV and PT mutation
Requisition:
CD0046_02_07
Division:
Hematology-Molecular
Biology
Alternate Names:
PT 20210 mutation
Instructions: Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send tissue in saline at 4 degrees Celcius, or frozen on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Prothrombin Time
see INR (PT)
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PSA
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Shipping:
Separate serum within 5 hours of collection. Freeze and send 1.0 ml frozen serum. Fresh specimens can be stored at 2-8°C for 48 hours.
Division:
Endocrinology
Prostate Specific Antigen
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PSA, Free
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
CD 0002
Shipping:
Separate serum within 5 hours of collection. Freeze and send 1.0 ml frozen serum. Fresh specimens can be stores at 2-8°C for 48 hours.
Include age of patient.
Division:
Endocrinology
Free Prostate Specific
Antigen
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Pseudocholinesterase
see Acetylcholinesterase, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PT
see INR (PT)
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PT 20210 mutation
see Prothrombin Gene Mutation
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PT 50% Mix
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered Na citrate, must be a full draw
Requisition:
Instructions:
CD 0002
Division:
This test is done only when the INR (PT) is abnormal.
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PTH Intact
see Parathyroid Hormone Intact
Division:
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Endocrinology
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Effective Date: 2/24/2016
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PTPTT 50% Mix
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered Na citrate, must be a full draw
Requisition:
CD 0002
Instructions:
This test is done only when the INR (PT) and PTT are abnormal.
Division:
Alternate Names:
Hematology
Mixing Studies
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PTT
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered Na citrate, must be a full draw
Requisition:
CD 0002
Instructions:
Division:
Alternate Names:
Hematology
Partial Thromboplastin Time
Indicate on requisition if patient is on any anticoagulants.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PTT 50% Mix
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered na citrate, must be a full draw
Requisition:
Instructions:
CD 0002
This test is done only when the PTT is abnormal.
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
PTT Dade
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered Na citrate, must be a full draw
Requisition:
CD 0002
Note:
Send 2 frozen aliquots of 1.0 ml platelet-poor plasma (see Coagulation Testing under
Specimen Handling Instructions) in plastic vials (12x75). Send on dry ice.
Division:
Alternate Names:
Hematology
DADE
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Q-Fever
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
CD0432/ CD0433
Comments:
Coxiella burnetii. This test will be referred out be the laboratory.
Division:
Microbiology-Immunology
Coxiella Burnetii
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Quantitative BCR/abl
see BCR-ABL gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
RA Titre
see; Rheumatoid Factor
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Rapamycin
see Sirolimus
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Central Zone
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
RAR alpha
see PML-RAR gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
RARa
see bcl-1 Gene Rearrangment
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
RBC Folate
see Folate, Red Cell
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Reagin Screen Test
see Syphilis Serology
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Red Blood Cell Folate
see Folate, Red Cell
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Red Cell Antigen Typing
Tube/Specimen:
Lavender Stoppered 6.0 ml EDTA (BD# 367863)
Alternate Names:
Requisition:
CD0001_08_11
Instructions:
Indicate on requisition diagnosis, pregnancy and transfusion history in last 3 months.
Send copy of patient‟s antibody card if patient has known antibodies.
Comments:
PLM BT Specimen Collection Policy #729 and CC 85-079 Venipuncture for Blood Collection (see Nursing Clinical Policy &
Procedure Blood Bank Specimen/Group & Crossmatch Type & Screen)
Division:
Blood Transfusion
Lewis Antigen Typing
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Red Cell Count
see Profile
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Red Cell Folate
see Folate Red Cell
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Red Cell Survival
Division:
Comments:
Molecular Biology
This determination is done by Nuclear Medicine. Phone 473-7510 to make arrangements.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
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Central Zone
Reticulocyte Count
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Comments:
Profile must be ordered with test.
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Retinoic Acid Receptor
see PML-RAR gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Retinoic Acid Receptor Alpha
see bcl-1 Gene Rearrangment
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
RF Quantitative
see Rheumatoid Factor, quantitative
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Rheumatoid Factor,
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
CD 0002
Instructions:
Separate serum and refrigerate. Transport between 2 - 8 degrees.
Division:
Hematology
RF Quantitative
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
RNP
see Extractable-Nuclear Antibodies
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
RO
see Extractable-Nuclear Antibodies
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
RPR
see Syphilis Serology
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
RST
see Syphilis Serology
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Rubella
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Division:
Virology-Immunology
Note:
Indicate on requisition whether immune status (IgG) or recent infection (IgM) is required.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Rubeola
see Measles Antibody
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Central Zone
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Salicylates
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Requisition:
CD 0002
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sandimmure IV
Cyclosporin
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Schillings Test
Division:
Comments:
Molecular Biology
Patient is sent to Nuclear Medicine 3rd Floor, ACC Building.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Schistosomiasis - IFA
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
QE 7125
Division:
Virology-Immunology
Clinical data should be indicated on the requisition. Refer to "Microbiology User‟s Manual"
for collection procedures.
Note:
This test will be referred out by the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
SCL-70
see Anti-Nuclear Antibody (ANA)
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sedimentation Rate
see ESR
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Serum Folate
see Folate Serum
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sex Hormone Binding Globulin
Tube/Specimen:
Gold Stoppered 5.0 mL SST
Requisition:
CD 0002
Shipping:
Separate serum within 5 hours of collection. Specimens can be stored at 2-8
(degrees) C for 7 days. Freeze and send 1.0 mL frozen serum.
Division: Endocrinology
---------------------------------------------------------------------------------------------------------------------------Sezary Cells
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Division:
Hematology
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Central Zone
SGOT, Plasma
see AST, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
SGPT, Plasma
see Alanine Amino Transferase, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sickle Cell Screen
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sirolimus
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Instructions:
Results are available same day for specimens received by 1200. This determination can
be done on micro samples when necessary.
Comments:
Sirolimus can be ordered as random or 5 point. Sirolimus 5PT is five samples collected;
before (pre) medication, and 1 hour, 2 hours, 3 hours and 4 hours post medication.
Specimens can be stored at 2-8°C for 24 hours; if over 24 hours, mix whole blood,
transfer to a plastic tube, freeze and send frozen whole blood on dry ice.
Shipping:
Alternate Names:
Division:
Toxicology Lab
Rapamycin
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Skin Basement Membrane Ab
see Anti-Pemphigoid Antibody
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
SM
see ENA Screen
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sodium, Fluids
Tube/Specimen:
Submit only one of the following specimens:10.0 ml Dialysate Fluid collected in
sterile plastic screw top tubes. Miscellaneous Body Fluid: 10.0 ml Body Fluid collected
in sterile plastic screw top tubes
Requisition:
CD 0003
Shipping:
If sending specimen from outside QEII HSC, transport at room temperature.
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sodium, Plasma
see Electrolytes (Na, K), Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sodium, Urine
Tube/Specimen:
24-hour urine collection (preferred) or random collection. No preservative.
Requisition:
Instructions:
Comments:
Shipping:
CD 0003
Division:
Clinical Chemistry
Amount required: 10-ml urine aliquot from well-mixed collection
Testing on 24 hour specimens includes Creatinine, Urine.
If sending specimen from outside QEII HSC, transport at room temperature. Record Total
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Central Zone
Volume on both the specimen aliquot and the requisition.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Solvents
Alternate Names:
Requisition:
CD 0002
Division:
Toxicology Lab
Benzene
Chlorinated Hydrocarbons
Kerosene
Toluene
Instructions:
*By special request only. Please phone Toxicology Lab at 473-8467 for collection
instructions. Sample should be placed in a Teflon-Lined screw cap vial available from
Toxicology Section and filled to the top. Rubber stoppers may absorb solvents. The
intent of this test is to identify acute exposure to a solvent, rather than long term
"occupational" exposure.
Note:
initial screen can be done at the QEII HSC, further testing is referred out
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PLM Laboratory Test Catalogue
Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Somatomedin-C
see; Insulin Like Growth Factor-1
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Specific Gravity, Fluid
Tube/Specimen:
10.0 ml Body Fluid collected in sterile plastic screw top tubes
Requisition:
CD 0003
Shipping:
If sending specimen from outside QEII HSC, transport at room temperature.
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Specific Gravity, Urine
Tube/Specimen:
24-hour urine collection (preferred) or random collection. No preservative.
Requisition:
Instructions:
Comments:
Shipping:
CD 0003
Division:
Clinical Chemistry
Amount required: 10-ml urine aliquot from well-mixed collection
Testing on 24 hour specimens includes Creatinine, Urine.
If sending specimen from outside QEII HSC, transport at room temperature. Record Total
Volume on both the specimen aliquot and the requisition.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Spinal Fluid
see specific test for instructions.
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
SSA
see ENA Screen
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
SSB/LA
see Anti-Nuclear AB (ANA)
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
ST OB
see Occult Blood, Stool
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
STR
see Chimerism analysis for BMT
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sucrose-Lysis Test
Tube/Specimen:
Yellow Stoppered 6.0 ml ACD (Solution B) tube
Requisition:
CD 0002
Instructions:
Shipping:
HAM's Test is performed on all sucrose-lysis requests.
Transport whole blood specimen at room temperature.
Alternate Names:
Division:
Hematology
Sugar-Water Test
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sugar PC
see Glucose PC, Plasma
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Central Zone
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Sugar-Water Test
see Sucrose-Lysis Test
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Synovial Analysis
Tube/Specimen:
Synovial Fluid
Alternate Names:
Requisition:
CD 0003
Instructions:
Amount required: 5-ml aliquot of synovial fluid collected in lavender stoppered 4.0 ml
EDTA tube.
Comments:
Indicate on requisition the site of aspiration and which test is requested. Options for
testing include Gram Stain, Cell Count, and Crystals. Tests that are not individually
requested will not be performed. Send immediately to Accessioning Lab. Should be
processed within 4 hours of collection.
Division:
Clinical Chemistry
Joint Fluid
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Syphilis Serology
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Alternate Names:
Division:
Virology-Immunology
MHA - TP
RST
RPR
Reagin Screen Test
VDRL
TPPA
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
T Cell Subsets
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0002
Alternate Names:
Instructions:
This test is offered Monday to Friday except Holidays. Blood must arrive in the
Hematology Lab within 24 hours of collection and by 1200 hours on Friday (or the day
Shipping:
Maintain specimen at room temperature. Referral hospitals must submit a copy of the
CBC report with WBC and lymphocyte percent/absolute count and patient diagnosis with
the specimen.
Division:
Hematology
CD4 Cells, CD4 Cell
Marker, CD8 counts
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
t(11:14)
see BCL1-IGH gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
t(14:18)
see BCL2-IGH gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
T(15:17)
see PML-RAR gene fusion
Division:
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Doc#: 19453
Hematology-Molecular
Version: 48.0 Current
Effective Date: 2/24/2016
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Central Zone
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
t(2:5)
see ALK-NPM gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
t(4:11)
see AF4-MLL gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
t(8:14)
see cMYC-IGH gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
t(8:21)
see AML1-ETO gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
T3, Free
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
CD 0002
Shipping:
Separate serum within 5 hours of collection. Specimens can be stored at 2-8°C for 48
hours. Freeze and send 1.0 ml frozen serum.
Division:
Endocrinology
Triiodothyronine, Free
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
T4, Free
see Thyroxine, Free
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
TAB (MA)
see Anti-Thyroid Peroxidase Antibodies
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
TAB (TA)
see Anti-Thyroglobulin Antibodies
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Tacro
see FK 506
Division:
Toxicology Lab
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Central Zone
Tacrolimus
see FK 506
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Taeniasis
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
QE 7125
Clinical data should be indicated on the requisition.
Division:
Virology-Immunology
Note:
This test will be referred out by the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
T-cell Gene Rearrangement
see T-cell lymphoid clonality
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
T-cell lymphoid clonality
Tube/Specimen:
4.0 ml EDTA Lavender stoppered x 2 Tubes
Requisition:
CD0046_02_07
Alternate Names:
Division:
Hematology-Molecular
Biology
T-cell gene rearrangement
TCR beta chain
Lymphoma protocol
Instructions: Blood/bone marrow must be kept at 4 degrees Celcius, accompanied by requisition. Send tissue in saline at 4 degrees Celcius, or frozen on dry ice.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
TCR beta chain
see T-cell lymphoid clonality
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
TCR Gene Rearrangement
see IgG/TCR Gene Rearrangement Study
Division:
Molecular Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Tegretol
see Carbamazepine
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Testosterone
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
CD 0002
Shipping:
Separate serum within 5 hours of collection. Specimens can be stored at 2-8°C for 48
hours. Freeze and send 1.0 ml frozen serum.
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Thalessemia
see; Hemoglobin Electrophoresis
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Theophylline
Tube/Specimen:
Plain Red Tube 6 or 10 ml
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Doc#: 19453
Alternate Names:
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Central Zone
Requisition:
CD 0002
Division:
Clinical Chemistry
Instructions:
These determinations can be done on micro samples, send at least 0.5 ml of serum for
each. Blood should be collected just prior to next dose and after a steady state
concentration has been achieved (4-5 half lives).
Aminophylline
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Thermal Amplitude
see Cold Agglutinin Titre
Division:
Blood Transfusion
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Thiopental
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Requisition:
CD 0002
Alternate Names:
Division:
Toxicology Lab
Pentothal
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Thrombin Time
Tube/Specimen:
Light Blue Stoppered 2.7 ml buffered Na citrate, must be a full draw
Requisition:
Instructions:
CD 0002
Division:
Hematology
If tube is a single draw, a discard tube must be drawn first. If several tubes are being
done, the blue stoppered tube should NOT be drawn first. Indicate on requisition if patient
is on heparin therapy. Heparin affects Thrombin Time results.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Thrombocytemia
see Jak2 gene mutation
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Thyrocalcitonin
see Calcitonin
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Thyroglobulin
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Comments:
Shipping:
All Thyroglobulin requests are automatically assayed for TAB-TA.
Separate serum within 5 hours of collection. Freeze and send 1.0 ml frozen serum. Fresh specimens can be stored at 2-8°C for 72 hours.
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Thyroglobulin Antibodies
see Anti-Thyroglobulin Antibodies
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Thyroid Antibodies
see Anti-Thyroid Peroxidase Antibodies
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Thyroid Antibodies-
see Anti-Thyroid Peroxidase Antibodies
Division:
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Doc#: 19453
Endocrinology
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Thyroid Antibodies-
see Anti-Thyroglobulin Antibodies
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Thyroid Function Tests
see TSH
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Thyroid Stimulating Hormone
see TSH
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Thyroxine, Free
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
Endocrinology
T4 Free
Free T4
Shipping:
Separate serum within 5 hours of collection. Specimens can be stored at 2-8°C for 48
hours. Freeze and send 1.0 ml frozen serum.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Tissue Transglutaminase
see Anti-Tissue Transglutaminase
Division:
Immunopathology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Tobramycin Level
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Alternate Names:
Requisition:
CD 0002
Comments:
Tobramycin may be administered using 2 dosing strategies: If tobramycin is administered
once daily (much larger than traditional doses) for patients who have good renal function
and have no other exclusions, eg. Endocarditis, dialysis, surgical prophylaxis, burns
(>20%), only pre specimens are required. Take Pre (trough) blood specimen 6 hours
before next dose is administered. If tobramycin is administered more often (q8 – 12
hours), both pre and post specimens are required. Take Post (peak) blood specimen 30
minutes after completion of intravenous dose or 60 minutes after an intramuscular dose is
administered. Take Pre (trough) blood specimen 30 minutes before next dose is
administered.The time specimen was collected (pre/post) should be indicated on the
requisition and tubes.For information call the lab at 473-6886.
Division:
Clinical Chemistry
Aminoglycoside Level
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Toluene
see Solvents
Division:
Toxicology Lab
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Torch Screen
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
QE 7125
Division:
Testing includes Rubella, CMV, Syphilis and Toxoplasmosis
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Total Bilirubin
see Bilirubin Total, Plasma
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Central Zone
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Total CO2, Plasma
see Bicarbonate, plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Total Eosinophil Count
see Eosinophil Count
Division:
Hematology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Total Iron Binding Capacity
see Iron, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Total Protein, Plasma
see Protein Total, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Total VDB
see Bilirubin Total, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Toxocariasis IFA & IHA
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
CD0432/ CD0433
Clinical data should be indicated on the requisition.
Division:
Virology-Immunology
Note:
This test will be referred out by the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Toxoplasmosis
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Division:
Virology-Immunology
Note:
Indicate on requisition whether immune status (IgG) or recent infection (IgM) is required.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
TP
see Protein Total, Plasma
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
TPPA
see Syphillis
Division:
Virology-Immunology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Transferrin
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Shipping:
Separate serum and freeze aliquot. Send frozen serum on dry ice.
Division:
Hematology
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
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Effective Date: 2/24/2016
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Central Zone
Translocation (11:14)
PLM Laboratory Test Catalogue
see BCL1-IGH gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Translocation (14:18)
see BCL2-IGH gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Translocation (14:18)
see BCL2-IGH gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Translocation (15:17)
see PML-RAR gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Translocation (15:17)
see PML-RAR gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Translocation (2:5)
see ALK-NPM gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Translocation (4:11)
see AF4-MLL gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Translocation (8:14)
see cMYC-IGH gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Translocation (8:14)
see cMYC-IGH gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Translocation (8:21)
see AML1-ETO gene fusion
Division:
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Doc#: 19453
Hematology-Molecular
Biology
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Effective Date: 2/24/2016
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Translocation (9:22)
see BCR-ABL gene fusion
Division:
Hematology-Molecular
Biology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Trichinellosis
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
CD0432/ CD0433
Clinical data should be indicated on the requisition.
Division:
Microbiology-Immunology
Note:
This test will be referred out by the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Triglycerides, Fluids
Tube/Specimen:
Miscellaneous Body Fluid: 10.0 ml Body Fluid collected in sterile plastic screw top tubes.
Requisition:
CD 0003
Shipping:
If sending specimen from outside QEII HSC, transport at room temperature.
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Triglycerides, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
Instructions:
CD 0002
Patient must be fasting for 8 hours.
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Triiodothyronine, Free
see T3, Free
Division:
Endocrinology
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Troponin T-HS (High Sensitivity), Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Shipping:
If sending from outside QEII HSC, send frozen plasma.
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Trypanosomiasis
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
CD0432/ CD0433
Clinical data should be indicated on the requisition.
Division:
Microbiology-Immunology
Note:
This test will be referred out by the laboratory.
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
TSH
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Alternate Names:
Requisition:
Hormone
CD 0002
Shipping:
Separate serum within 5 hours of collection. Specimens can be stored at 2-8°C for 48
hours. Freeze and send 1.0 ml frozen serum.
Division:
Endocrinology
Thyroid Stimulating
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
TTG
see Anti-Tissue Transglutaminase
Division:
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Doc#: 19453
Immunopathology
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Central Zone
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Tylenol
see Acetaminophen
Division:
Clinical Chemistry
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Type and Crossmatch
Tube/Specimen:
Lavender Stoppered 6.0 ml EDTA (BD# 367863)
Requisition:
CD0001_08_11
Transfusion
Instructions:
Indicate on requisition number of units required, date and time required, ordering physician,
planned procedure, pregnancy and transfusion history. Send copy of patient‟s antibody
card if patient has known antibodies.
Comments:
PLM BT Specimen Collection Policy #729 and CC 85-079 Venipuncture for Blood Collection
Note:
Do not send specimens from patients who have not consented to transfusion (i.e. Jehovah
Witness).
Blood
Alternate Names:
Division:
Blood Transfusion
Group and Crossmatch
Crossmatch
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Type and Screen (ABO Group)
Tube/Specimen:
Lavender Stoppered 6.0 ml EDTA (BD# 367863)
Requisition:
Instructions:
CD0001_08_11
Division:
Blood Transfusion
Indicate on requisition date and time required, the planned procedure, transfusion and
pregnancy history. Send copy of patient‟s antibody card if patient has known antibodies.
Comments:
PLM BT Specimen Collection Policy #729 and CC 85-079 Venipuncture for Blood Collection
Note:
Pre-Admission Testing for surgery procedures must be indicated on the requisition in order
to hold serum for the planned surgery date. The serum will be held for 2 days post surgery
date up to a maximum of 30 days from date of collection if the patient has a negative
antibody screen and no previous history of clinically significant antibodies and no
transfusion or pregnancy within the last 3 months. Patients with a POSITIVE antibody
screen, previous clinically significant antibody history of transfusion or pregnancy within
the last 3 months will require re-collection within 72 hours of surgery for the purpose of
crossmatching donor units.
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Unbound Calcium
see Ionized Ca
Division:
Blood Gas
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Urate, Urine
Tube/Specimen:
24-hour urine collection. No preservative.
Alternate Names:
Requisition:
CD 0003
Instructions:
Comments:
Shipping:
Amount required: 10-ml urine aliquot from well-mixed collection
Testing includes Creatinine, Urine.
If sending specimen from outside QEII HSC, transport at room temperature. Record Total
Volume on both the specimen aliquot and the requisition.
Division:
Clinical Chemistry
Uric Acid, Urine
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Urea Nitrogen, Plasma
see Urea, Plasma
Division:
Clinical Chemistry
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Urea Nitrogen, Urine
see Urea, Urine
Division:
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Clinical Chemistry
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Urea, Fluids
Tube/Specimen:
Submit only one of the following specimens: Dialysate Fluid: 10.0 ml Dialysate Fluid collected in
sterile plastic screw top tubes. Miscellaneous Body Fluid: 10.0 ml Body Fluid collected
in sterile plastic screw top tubes
Requisition:
CD 0003
Division:
Clinical Chemistry
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Urea, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Alternate Names:
BUN
Urea Nitrogen
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Urea, Urine
Tube/Specimen:
24-hour urine collection (preferred) or random collection. No preservative.
Requisition:
CD 0003
Instructions:
Comments:
Shipping:
Amount Required: 10-ml urine aliquot from well-mixed collection
Testing includes Creatinine, Urine.
If sending specimen from outside QEII HSC, transport at room temperature. Record Total
Volume on both the specimen aliquot and the requisition.
Division:
Clinical Chemistry
Alternate Names:
Urea Nitrogen, Urine
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Uric Acid, Plasma
Tube/Specimen:
Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
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Uric Acid, Plasma on Ice
Tube/Specimen:
pre-chilled Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details)
Requisition:
CD 0002
Division:
Clinical Chemistry
Comments: A pre-chilled Light Green/ 4.5 ml/ Lithium heparin and gel for plasma separation (see page 7 for details) will be collected and promptly placed on ice.
The iced specimen and it‟s accompanying requisition will be sent to CSA to be entered into LIS using the orderable:
Uric Acid on Ice. The specimen will be spun in a refrigerated centrifuge. Once centrifuged, the labeled tube will
be placed back on ice and sent to either VG Chemistry or HI Chemistry as appropriate.
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Uric Acid, Urine
see Urate, Urine
Division:
Clinical Chemistry
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Urinalysis without Microscopic
Tube/Specimen:
10-50 ml random urine collected in sterile plastic screw top container
Requisition:
CD 0003
Division:
Clinical Chemistry
Comments:
Urine will be examined only for color, appearance, and chemical analysis (by dipstick). If
urine is hazy, cloudy or if chemical analysis demonstrates an abnormality in blood,
protein, leukocyte esterase or nitrite, a microscopic will be performed. Deliver to
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Effective Date: 2/24/2016
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Laboratory within 2 hours of collection. Keep at room temperature.
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Urinary Catecholamines
see Cathecholamine, Urine
Division:
Toxicology Lab
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Urinary Porphyrins AME
see Porphryns, Urine
Division:
Special Chemistry
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Urine HCG, Qualitative
see Pregnancy, Urine
Division:
Clinical Chemistry
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Uroporphyrins
see Porphyrins, Urine
Division:
Special Chemistry
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VWF
see VonWillebrand Workup
Division:
Hematology
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V W F Activity
see VonWillebrand Workup
Division:
Hematology
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V W F Antigen
see VonWillebrand Workup
Division:
Hematology
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Valproate
Alternate Names:
Epival
Depakene
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Requisition:
Instructions:
Comments:
CD 0002
Division:
Clinical Chemistry
These determinations can be done on micro samples; end at least 0.1 ml of serum for
There is a poor correlation between serum concentration of Valproate and efficacy as an
anticonvulsant drug.
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Valproic Acid
see Valproate
Division:
Clinical Chemistry
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Vancomycin Level
Tube/Specimen:
Plain Red Tube 6 or 10 ml
Requisition:
CD 0002
Division:
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Doc#: 19453
Clinical Chemistry
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Effective Date: 2/24/2016
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Central Zone
Instructions:
Take Pre blood specimen immediately before dose is administered. Take Post blood
specimen 2 hours after dose is administered. The time specimen was collected (pre/post)
should be indicated on the requisition and tubes.
Comments:
Post Vancomycin levels are only required in certain circumstances (e.g. changing renal
function, poor response to therapy, resistant organism, and pharmacokinetic analysis).
For information call the lab at 473-6886.
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Varicella-Zoster Immune Status
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
QE 7125
Instructions:
Requisition must indicate immune status.
Alternate Names:
Division:
Virology-Immunology
Chicken Pox Titre
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VDB
see Bilirubin Direct, Plasma
Division:
Clinical Chemistry
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VDRL
see Syphilis Serology
Division:
Virology-Immunology
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Vitamin B12
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Shipping:
Separate serum within 5 hours of collection. Specimens can be stored at 2-8°C for 48
hours. Freeze and send 1.0 ml frozen serum.
Division:
Endocrinology
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Vitamin D Level, Serum
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD 0002
Alternate Names:
Division:
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Doc#: 19453
Clinical Chemistry
V itamin D (25 Hydroxy)
25 OH Vitamin D
Calcidiol
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Vit D Level
Vit D 25 Level
Comments:
Note:
Shipping:
Assay measures both D2 and D3
Vitamin D (1,25 Dihydroxy) Level is a separate procedure that is referred out to Hospitals in Common.
Serum is stable for 8 hours at 18-250 C, and 4 weeks at -200 C.
Collection outside of NSHA Central Zone: Separate and send an aliquot of serum from Gold Stoppered 5.0 ml SST
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VNTR
see Chimerism analysis for BMT
Division:
Hematology-Molecular
Biology
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VonWillebrand Workup
Tube/Specimen:
2 Light Blue Stoppered 2.7 ml buffered Na citrate, must be a full draw
Requisition:
CD 0002
Division:
Alternate Names:
Hematology
VWF
VWF Antigen
VWF Activity
Comments:
Note:
Testing includes VWF Activity (RCo), VWF Antigen and Factor VIII.
Send 3 frozen aliquots of 1.0 ml platelet-poor plasma (see Coagulation Testing under
Specimen Handling Instructions) in plastic vials (12x75). Send on dry ice.
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WBC
see Profile
Division:
Hematology
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WBC Count and Differential,
Tube/Specimen:
Lavender Stoppered 4.0 ml EDTA
Requisition:
CD 0003
Shipping:
If sending specimen from outside QEII HSC, transport at room temperature. For peritoneal
dialysate fluids, WBC differential only done if WBC count ³ 500 or specifically requested
on requisition.
Division:
Hematology
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West Nile Virus IgM Antibody
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
CD0432/ CD0433
Note:
This test will be referred out by the laboratory.
Alternate Names:
Division:
Virology-Immunology
WNV
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West Nile Virus PCR
Tube/Specimen:
Lavender stoppered 4.0 ml EDTA
Requisition:
CD0432/ CD0433
Note:
PCR testing done primarily for the purpose of Donor Screening. For diagnosis, please
consult a Microbiologist. This test will be referred out by the laboratory.
Division:
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Doc#: 19453
Virology-Immunology
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Effective Date: 2/24/2016
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Central Zone
Instructions:
Separate plasma by centrifugation at 1500 – 1600g X 20 minutes. Ship plasma frozen.
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Western Equine Encephalitis
see ARBO Virus
Division:
Virology-Immunology
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WNV
see West Nile Virus Igm Antibody
Division:
Virology-Immunology
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Yersinia Agglutination
Tube/Specimen:
Gold Stoppered 5.0 ml SST
Requisition:
Instructions:
CD0432/ CD0433
Clinical data should be indicated on the requisition.
Note:
This test will be referred out by the laboratory.
Division:
Section: Management System\PLM\General\PLM Website\General\Test Catalogue\
Doc#: 19453
Virology-Immunology
Version: 48.0 Current
Effective Date: 2/24/2016
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