Columbus Regional Hospital LABORATORY TEST

2400 East 17th St. Columbus, IN 47201 www.crh.org

Copyright 2005 Columbus Regional Hospital

DIRECTORY

Client Services Phone 812-376-5328 Fax 812-376-5954

How To Use This Test Directory The subject material is arranged in alphabetical order and cross-referenced with synonyms. Each test listing in this test directory provides up to six types of information: Test Name Order Information Collection Instructions Collection Requirements Specimen Handling Turn Around Time Performing Facility

Test Name This section gives information pertaining to the test name, synonyms, procedure components (orderable test includes these tests/components), and order prompts (e.g., hrs pp).

Order Information When applicable, this section provides information about patient preparation, how to schedule the procedure, drug interferences, etc.

Collection Instruction This section includes specific information regarding the proper collection of specimens. For example, pre-chill EDTA blood collection tubes, deliver immediately, etc. would be listed in this section.

Collection Requirements This section includes type of specimen, i.e., blood, urine, etc., collection container, and minimum volume of specimen.

Specimen Handling This section includes preferred specimen volume and minimum specimen volume for test. Also included are alternative acceptable specimen types (e.g., ACD plasma, heparinzed plasma, etc.) and specimen stability limitations.

Specimen Temperature Storage Refrigerator temperature should be 2-8 C. Room temperature should be 17-30 C. Freezer temperature should be -34 - -22 C. Note: if appropriate temperature is not maintained for a prolonged period of time, please contact the lab to determine if the specimens are within their stability.

Turn Around Time This section gives the typical turn around time for the ordered test.

Performing Facility This section gives the name of the testing facility, e.g., CRH, Specialty Labs, Clarian, etc.

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Laboratory Overview This test directory provides a guide for hospital staff, physicians, clients, and all users of laboratory services at Columbus Regional Hospital. This test directory provides information to help in the selection and collection of laboratory tests that are available from the hospital laboratory. This test directory does not contain all laboratory tests that are available for physicians in the diagnosis and treatment of patients. If a test is not listed in this test directory, please contact the laboratory if you need specimen collection requirements. The laboratory is staffed 24 hrs/day, 365 days/year. Emergency services are available 24/7. Outpatient services (non-emergency) are available as follows: The laboratory provides routine Outpatient services at two collection sites: Columbus Regional Hospital Lab Gallery 2400 E. 17th Street Columbus, IN Phone: 812-376-5741 Fax: 812-376-5970 Hours of Service: Monday – Friday, 6:45 a.m. – 6:00 p.m. Saturday: 7:00 a.m. – 12 noon Columbus Regional Hospital—Sandcrest 3203 Middle Road Columbus, IN Phone: 812-376-5177 Fax: 812-376-5178 Hours of Service: Monday – Friday, 7:00 a.m. – 4:00 p.m. Closed for lunch from 12:00 – 1:00pm Participation in internal and external quality control programs is a routine part of the laboratory‘s operations. Results of all quality programs are available for review upon request from the laboratory.

Laboratory Accreditations Hospital or Laboratory CRH Main Laboratory CRH Sandcrest Laboratory

CAP# 1694801 1694801

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CLIA # 15D0359622 15D0359704

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Laboratory Medical and Clinical Staff Name

Phone Number

Specialty/Department

Maryann Bridge, MD Pamela Robertson, MD John Henley, MD

376-5144 376-5141 376-5790

Medical Director, Pathologist Pathologist Pathologist

Kelly Darnall, MT (ASCP) Adrienne Hatton, MSM MT (ASCP) Lisa Keefe, MT(ASCP) Lisa Romine, MSM MT(ASCP)

376-5191 375-3551

Client Services Coordinator Administrative Director

376-5171 375-3454

Support Staff Coordinator Laboratory Manager

Electronic Availability of the Laboratory Test Directory The Laboratory Test Directory is available electronically by use of the following links: https://www.webserver.crh.org/pdf/Resource/LaboratoryTestDirectory.pdf https://portal.crh.org/portal/guides/LaboratoryTestDirectory.pdf

Tests Requiring a Scheduled Appointment Test ACTH Stimulation Test Bone Marrow Biopsy FNA Biopsy Glucose Tolerance (3, 4, 5 hrs) Urease Breath/H. Pylori Xylose Tolerance (Blood or Urine)

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Scheduled By Centralized Scheduling Pathology Office Pathology Office Centralized Scheduling

Phone Number 376-5500 376-5322 376-5322 376-5500

Centralized Scheduling Centralized Scheduling

376-5500 376-5500

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Main Telephone Numbers Results:

376-5328

Phlebotomy:

376-5874

Client Services:

376-5713

Specimen Pickup:

376-5328

Supplies (Clients)

376-5954 (Fax)

o Fax Requisition form Lab-204 Administration (Mon-Fri, 8 a.m.-4:30 p.m.)

376-5322

Blood Bank Chemistry Client Services (10:30 a.m.-9 p.m.) Hematology Immunology Microbiology Nursing Home Lab Services

376-5173 376-5877 376-5713 376-5180 376-5189 376-5226 376-5478 376-5498 (fax)

Point-Of-Care

375-3739

Reference Lab (Send outs)

376-5188

Pathology Department, M-F 8 a.m. – 4:30 p.m. 376-5322 Pathology Department FAX 376-5431 (fax) Cytology Department, M-F 8 a.m. – 4:30 p.m. 376-5368 Histology Department, M-F 5 a.m.- 4:30 p.m. 376-5358 Pathologist available 24/7. Call Hospital Operator at 812-379-4441 for ―on-call‖ Pathologist.

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Client Services The Laboratory Department has trained representatives available to respond to inquiries from the Outreach clients. The main function of this department is to respond to inquiries on test information, specimen requirements, turnaround time, and patient results. These representatives can appropriately channel your call to the correct individual for further technical information or interpretative information. Through its Client Services department, Columbus Regional Hospital provides local courier service to many physician offices and nursing homes. The Lab Courier staff provides specimen pickup, supply delivery, and test report delivery. General Laboratory: 812-376-5328 (24 hrs/day) Client Services-- Monday-Friday, 11:00 a.m. – 9 p.m.: 812-376-5713 Supplies: To order supplies and test request forms, call 812-376-5328 or fax completed Lab-204 supply requisition to 812376-5954. There is no charge for supplies needed for referring specimens to Columbus Regional Hospital. Supplies include vacutainers, transfer tubes, tissue bags, special collection kits, urine collection kits, microbiology collection kits, etc. Test Reporting System: Test reports can be delivered electronically through an HL7 interface to the physician‘s EMR, printed within your office to a fax machine several times per day or reports can be printed in the CRH Laboratory for ‗next day‘ delivery to the client. The Client Services Coordinator works with the physician office to determine the best method of delivery for each physician office or nursing home. Test Result Callbacks Results will be phoned (faxed) to a client when requested by the client. All critical clinical laboratory results are called to the physician office or to the ‗on call‘ physician when the physician office is closed. Regulatory agencies require that critical results be called to the patient‘s health care provider (ordering physician or licensed caregiver, e.g. NP) in a timely manner. Readback of results by the person that receives the critical result is required by regulatory agencies. Additional information e.g. patient phone number, previous results, can be provided by staff upon request. Confidentiality of Results: Columbus Regional Hospital is committed to maintaining the confidentiality of patient information. To ensure Health Insurance and Portability Act of 1996 (HIPAA) compliance for the appropriate release of patient results, CRH has adopted the following policies: Patient name and DOB; or Identification by individual that he or she is, in fact, the ‗referring physician‘ identified on the requisition form Facsimile Policy: CRH will only fax results to clients who have verified secure fax numbers. The laboratory cannot fax HIV results to any physician that hasn‘t made arrangements for a secure fax through the laboratory Client Services Coordinator. Physicians with admitting privileges at Columbus Regional Hospital Laboratory have electronic access to all laboratory results through Physician Portal. Test Request Forms: Test request forms and the supply order form (Lab-204) may be ordered from the courier or by calling 812-3765328. Client Billing and CPT Coding: Client invoices are processed on the first day of each month. If there are questions regarding billing and/or CPT coding, contact the Client Services Coordinator at 812-376-5191. Patient Billing:

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Columbus Regional Hospital will bill patients directly. Complete the test request form including a diagnosis and provide the patient‘s (and responsible party‘s) street address, city, state, and zip code. Provide a copy of the patient‘s insurance card(s). Medicare/Medicaid Billing: Columbus Regional Hospital will bill Medicare outpatients and various state Medicaid programs. Complete the test request form and provide the following information: Patient‘s Medicare (or Medicaid) number, DOB, address, sex, diagnosis, referring physician‘s name and Medicare UPIN number. If the required information is not provided, the client will be billed.

Test Cancellations: Tests may be cancelled without charge while specimens are in transit. Once testing is ‗in process‘ or ‗completed‘, the test can no longer be cancelled. Cancellation requests are to be called to the laboratory at 812-376-5328. Test Additions: The client services department can arrange to do additional testing if specimen meets the specimen requirements (volume, stability, and specimen type) after the initial tests that were ordered are completed. To request a test addition, call the lab at 812-376-5328. Verbal orders are accepted by the laboratory from the ordering physician (outpatients and/or clients); however, a properly completed requisition or computer request must be forwarded to the laboratory as soon as possible. Test Turnaround Time This test directory lists the typical turnaround time for all lab tests. Unlisted Tests This test directory lists the most frequently ordered tests that have been built as orderable procedures through the hospital and laboratory computer systems. The laboratory routinely adds new or available tests to the hospital and laboratory computer databases throughout the year. Specimen collection requirements, patient preparation, specimen stability, etc. are unique for each orderable procedure. If you do not find a test listed in this test directory, please contact 812-376-5328 or 812-376-5188 for specific test information prior to sample collection.

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General Specimen Collection Information Introduction The quality of any laboratory test is dependent on many variables. First, the patient must be properly prepared so that the best possible specimen can be collected. Second, the actual collection of the specimen must be completed. Third, the specimen should be properly processed, packaged and transported to the laboratory in a timely manner, under environmental conditions that will not compromise specimen integrity. After all of these activities take place, a quality test analysis can be performed. Specific specimen requirements for each test are listed in the test listing section of this directory. Specimen requirements include information such as specimen volume, collection and transport containers as well as transportation temperature. If additional information is needed for the interpretation of the test results or there are specific instructions for patient preparation, this information is listed along with specimen requirements. It is critical that an adequate specimen volume be submitted for analysis. The volume requested in this directory will be enough to perform the initial analysis, as well as any confirmatory tests that must be performed. If an inadequate specimen is submitted, we may not be able to perform the initial test or the required confirmatory procedures. When serum or plasma is to be submitted for analysis, it is generally a good practice to collect a volume of blood that is 2 to 2.5 times the volume of serum or plasma needed for the test. As an example, if 4 ml of serum or plasma is needed, collect 8-10 ml of blood. When an inappropriate specimen or unclear test requisition has been submitted, the ordering physician‘s office will receive notification with instructions for resolving the problem.

Patient Identification Accuracy CRH must adhere to proper identification of patient specimens for good patient care and for both quality and safety reasons. The College of American Pathologists (CAP), the Laboratory‘s regulatory agency, specifies the need for proper identification: ―Specimens lacking proper identification or an accompanying requisition should not be accepted by the laboratory.‖ To be compliant, it is important that each specimen be properly labeled with the same demographics that appear on the paperwork. The referring ordering location (client, IP nursing unit, etc.) will be notified when a name discrepancy is identified and the test(s) may be cancelled.

Proper Labeling 1.

Test Orders a. All Laboratory specimens must be accompanied by a valid order. The order may be a manual or computer requisition and must indicate the patient‘s legal first and last name, date of birth, and social security number. It is recommended that the patient‘s name on the primary container exactly match as that on the requisition. In addition, test orders, date and time of collection, physician name and a supporting diagnosis must be included. b. In general, specimens will not be accepted in the laboratory without an order, an ordering physician, or without a patient name.

2.

Hospital Patients a. The identification label must be completed and affixed to the primary container after the specimen has been collected and before the specimen is taken from the patient‘s room. The following information must be included on the label: i. Patient‘s last, first name (no nicknames) ii. Medical Record number iii. Date and time of collection iv. Test Name v. Accession Number (Cerner Label)

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3.

vi. Source of specimen, other than blood vii. Employee ID badge number Outside Facilities or Clients a. The specimen is labeled by the individual obtaining the specimen. The following must be included on the label: i. Two Patient identifiers (i.e. patient name and DOB), written exactly as it appears on the test requisition ii. Date and time collected iii. Source of the specimen, other than blood. When submitting a specimen in an aliquot tube, the specimen type must be on the transfer tube label (serum, plasma, urine). Note: When a test requires a series of specimens to be collected (example: growth-hormone stimulation, glucose tolerance, multiple site renin specimens): Use one test requisition Label each specimen with the patient‘s first and last name, date and time of collection, site if applicable or other pertinent condition (eg., standing, supine,…) under which each specimen was collected Write the total number of specimens submitted on the test requisition. Submit all specimens within a series together in one specimen bag.

Health and Safety Precautions All specimens should be handled as if they are infectious. The greatest danger to health care workers exposed to blood and body fluids are the Human Immunodeficiency Virus and the Hepatitis viruses. The following safety guidelines must be followed when preparing specimens for transport to CRH Laboratory. 1. 2. 3. 4. 5.

Specimen container must be properly sealed. A leaking container not only compromises specimen integrity but poses a health hazard for those handling the specimen. A leaking specimen can also contaminate the requisition which is a safety hazard throughout the process. Specimens collected in syringes with the needle attached will not be accepted. Specimen should be transferred to an aliquot tube or a red top vacutainer or a transparent cup. All specimens must be transported in a plastic ziploc bag for a secondary containment. This protects anyone handling the specimen in case of leakage or breakage. All specimens from outside facilities are transported in coolers with a fixed biohazard label by the lab courier staff. Clients have the responsibility to secure the specimen for transportation in a locked box. It is the customer‘s responsibility to report to local authorities any loss of or tampering with the specimens occurring before pickup by the CRH Laboratory courier staff.

Specimen Temperature Storage 1.

Refrigerator temperature should be 2-8 C. Room temperature should be 17-30 C. Freezer temperature should be -34 - -22 C. Note: if appropriate temperature is not maintained for a prolonged period of time, please contact the lab to determine if the specimens are within their stability.

Unacceptable Specimens Specific instructions for storage and shipment of specimens for individual tests are listed under the specimen requirements in the alphabetical listing of laboratory tests. Occasionally, blood specimens are contaminated with substances that interfere with accurate sample analysis. 1.

Hemolysis – Hemolysis occurs when the membrane surrounding the red blood cells is disrupted and hemoglobin and other intracellular components escape into the serum or plasma. (This may occur with a difficult draw). Hemolyzed serum or plasma varies in color from faint pink to bright red, rather than the normal straw color. Even a slight hemolysis will alter certain tests. Moderately or grossly hemolyzed specimens may be rejected or a recollection of specimen requested.

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2. 3. 4.

Hyperbilirubinemia – Icteric serum or plasma varies in color from dark to bright yellow, rather than the normal straw color. Icterus may affect certain test results. Radioisotope interference – Diagnostic procedures or therapy involving radioactive compounds may invalidate radioisotope assays. Obtain specimens for anticipated radioisotope assays before administering isotopes to the patient. Turbidity – Turbid, cloud or milky (lipemic serum) may be produced by the presence of fatty substances (lipids) in the blood. Bacterial contamination may also cause cloudy serum. Moderately or grossly lipemic specimens may alter certain test results. The laboratory has the capability to clarify a specimen using ultracentrifugation when appropriate.

A recent meal can produce transient lipemia. For the majority of tests performed on serum, plasma or whole blood, a fasting specimen is preferred. Fasting is defined as no consumption of food or beverage other than water for at least 8-12 hours before testing. The fasting specimen provides information that reflects physiological baseline of the patient. This information easily can be compared to information from tests obtained at other times and provides a means for reliably monitoring a patient‘s condition for the duration of their care.

Blood Collection 1.

Collection Technique notes: a. Do not leave the tourniquet on for > 1 minute; can cause hemoconcentration of analytes. b. No fist pumping—it increases potassium and ionized calcium c. Allow the alcohol to dry before inserting needle—can sting the patient and can also cause hemolysis of the specimen d. Importance of drawing tubes in correct order—can cause cross-contamination of blood in the tube resulting inaccurate test results. e. Example: If you draw purple before gold, some potassium (preservative) from purple top tube may enter gold tube and cause potassium to be falsely elevated. A calcium result would be inaccurate due to EDTA contamination. 2. Blood, Plasma – Plasma contains fibrinogen and other clotting factors when separated from the red cells. Evacuated tubes used to collect plasma specimens contain an anticoagulant and frequently a preservative. The additive in the tube is specified and correlates to the color of the stopper. Consult the individual test specimen requirement or the tube collection chart to determine the correct additive/tube to use. Perform venipuncture. Invert tube gently at least 8 times, 4 times for light blue tubes. If the plasma is removed from the original vacutainer vial, the transfer tube and requisition must be labeled to indicate that the specimen is plasma. 3. Blood, Serum – We recommend the use of serum separator collection tubes for most analyses. However, please check individual specimen requirements for restrictions. Drug levels typically require a red top vacutainer. Perform venipuncture. Invert the tube gently at least 5 times. Centrifugation instructions: a. Do not remove the stopper at any time. Allow blood to clot in an upright position at least 30 minutes (but not more than 60) before spinning. Do not centrifuge immediately after drawing blood. b. Centrifuge at 3000 RPM for 15 minutes. c. Normally, the specimen is transported to the laboratory in its original vacutainer. When the specimen is collected in a plain Red top, aliquot the serum to a plastic transfer tube. Label the transferred specimen as serum. 4. Blood, Whole – Collect whole blood according to the instructions provided for the individual test. Thoroughly mix the blood with the additives by gently inverting the tube at least 10 times. (Maintain the specimen at room temperature.) Follow the specific transportation instructions for the ordered test. 5. Common Blood Collection Tubes and Additives HEMOGARD RUBBER ADDITIVE ADDITIVE CONSIDERATIONS LABORATORY CLOSURE STOPPER FUNCTION USE Plain Red Plain Red None Contains no No additive. Clot Serum anticoagulants and formation takes chemistries, no additives approximately 30 serology, body minutes. fluids, therapeutic

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Light Blue

Light Blue

Sodium Citrate (3.2%)

Removes calcium to prevent clotting

Light Green

Light Green

Lithium Heparin

Inhibits thrombin formation to prevent clotting

Dark Green

Dark Green

Sodium Heparin

Inhibits thrombin formation to prevent clotting

Lavender

Lavender

EDTA

Removes calcium to prevent clotting

Pink

Pink

EDTA

Gold

N/A

Gel separator and clot activator

Gray

Gray

Should be well mixed; invert 8 times. Tubes should be inverted 5 times to expose the blood to the activator. Centrifuged after clot formation is complete. Should not be used for other chemistries.

Royal Blue

Royal Blue

Sodium Fluoride, Potassium Oxalate K2 EDTA

Removes calcium to prevent clotting Clot activators shorten the time for clot formation. The gel forms a barrier between serum and cells. Inhibits glycolysis; removes calcium to prevent clotting Trace element testing

Yellow

Yellow ACD

ACD Solution A

Special stopper formulation provides low levels of trace elements Used for drawing whole blood for special tests.

Prevent clotting

Tube should be full and mixed well. Fill to the line on the tube. Blood to anticoagulant ratio is very important (9:1) Tube inversions ensure mixing of anticoagulant (heparin) with blood to prevent clotting Tube inversions ensure mixing of anticoagulant (heparin) with blood to prevent clotting. Should be well mixed; invert 8 times.

drug monitoring Coagulation studies, PT, PTT, factor assays

Plasma determinations in chemistry. Cardiac markers Plasma determinations in chemistry. Ammonia Whole blood hematology cell counting Blood Bank tests ONLY Most chemistry testing. Not suitable for Blood Bank testing Glucose testing

Trace element testing HLA phenotyping, DNA, and paternity testing

When collecting blood specimens, the following collection tube sequence (order of draw) should be used (all tubes should be thoroughly mixed after collection): First through Last: Blood Cultures (see see blood culture collection on page 17 for specific collection site preparation) Blue * Gold Red Dark Green Light Green Lavender and/or Pink Grey * Always draw a clear discard tube before collecting the blue top.

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Common Collection Containers [Microbiology, Urine, Body Fluid, PAP Smear, Surgical Path Tissue Specimens] Container Body Fluid (Cell count, chemistry analysis, culture) Body Fluid for Cytology Blood Culture Collection Bottles

Chromosome Analysis on Products of Conception Culture: routine (aerobic and anaerobic) culturette

Obtain From Nursing Units: Lab Referral Dept Nursing Units: Cytology Dept (M-F)

Telephone Number 376-5188 after 4:30 p.m.: 376-5877 376-5368

After hours: Chemistry Dept Clients: Lab Courier or fax supply requisition form (Lab-204)

after 4:30 p.m.: 376-5877 Fax: 376-5954

Nursing Units: Phlebotomy Nursing Units: Lab Referral Dept

376-5874 376-5188 after 4:30 p.m.: 376-5877 Fax: 376-5954

Clients: Lab Courier or fax supply requisition form (Lab-204)

Chlamydia/GC DNA Probe Kit

Nursing Units: Microbiology or storeroom Clients: Lab Courier or fax supply requisition form (Lab-204)

376-5226 Fax: 376-5954

Occult Blood Collection Kit

Nursing Units: Microbiology Clients: Lab Courier or fax supply requisition form (Lab-204)

376-5226 Fax: 376-5954

Herpes/Chlamydia Culture Kit

Nursing Units: Microbiology Clients: Lab Courier or fax supply requisition form (Lab-204)

376-5226 Fax: 376-5954

Nursing Units: Lab Referral Dept

376-5188 after 4:30 p.m.: 376-5877

PAP Smear Conventional Thin Prep

Clients: Lab Courier or fax supply requisition form (Lab-204)

Fax: 376-5954

Nursing Units: Cytology (M-F)

Pertussis Collection Kit

Clients: Lab Courier or fax supply requisition form (Lab-204)

376-5368 after 4:30 p.m.: 376-5877 Fax: 376-5954

Respiratory Virus Collection: RSV Influenza Pertussis Stool Transport Kit (for O&P and stool cultures) Tissue Specimens (Surgical Pathology) – Formaldehyde containers

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Nursing Units: Lab Referral Dept Clients: Lab Courier or fax supply requisition form (Lab-204) Nursing Units: Lab Referral Dept Clients: Lab Courier or fax supply requisition form (Lab-204)

376-5188 after 4:30 p.m.: 376-5877 Fax: 376-5954 376-5188 after 4:30 p.m.: 376-5877 Fax: 376-5954

Nursing Units: Microbiology Clients: Lab Courier or fax supply requisition form (Lab-204)

376-5226 Fax: 376-5954

Nursing Units: Histology (M-F)

376-5358 After 5:00 p.m.: 376-5877

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Tissue Specimens (fresh specimen for flow cytometry) Urine Culture Kit

Urine 24 hour Collection Container

Nursing Units: contact Pathology Note: Significant stability limitations apply Clients: Lab Courier or fax supply requisition form (Lab-204) Nursing Units: Hospital Storeroom Clients: Lab Courier or fax supply requisition form (Lab-204) Nursing Units: Lab Referral Dept

376-5322 Fax: 376-5954

Fax: 376-5954 376-5188 after 4:30 p.m.: 376-5877

Call the Laboratory Referral Dept at 812-376-5188 (Monday-Friday, 8 a.m.-4:30 p.m.; after hours call 812-376-5877) to obtain information regarding medication and dietary restrictions, if applicable, and preservative needs for a specific test.

Collection Containers—CSF Use the sterile tubes provided in the Spinal Tap kit, or alternatively use sterile plastic tubes that do not contain preservatives or anticoagulants. Each tube submitted must be properly labeled with the patient‘s name, date/time of collection, initials of collector, and sequence number of collection. Typically tubes are labeled # 1-4, with tube #1 used for chemistries (e.g., glucose, protein), tube #2 is used for microbiology, #3 are used for cells counts and tube #4 is used for other specialized tests. Physicians may specify what specific numbered tubes they want tested for any given test. This information must be identified either on the collection container or sent to the lab with the specimen.

Urine Collections 1.

Urine, Chemistry The normal composition of urine varies considerably during a 24 hour period. Most reference values are based on analysis of the first urine voided in the morning. This specimen is preferred because it has a more uniform volume and concentration, and its‘ lower pH helps preserved the formed elements. Urine for pregnancy testing should be a first morning voiding, or a random specimen with a specific gravity of at least 1.010. Note the time of collection on the requisition form and the label of the container.

2.

Urine, Hematology (Urinalysis) To reduce contamination, the specimen submitted for urinalysis should be a clean catch ―midstream‖ sample. Submit a first morning specimen whenever possible. Instructions for collecting a clean catch midstream specimen are located in the section labeled ―Patient Instructions‖.

3.

Urine, Cultures See Microbiology Specimen Collection section for specific instructions.

4.

Urine, 24 hour collection Because proper collection of 24 hour urine specimens is essential for accurate test results, patients should be carefully instructed in the correct procedure. Printed instructions for the patient are available from the laboratory or in the section labeled ―Patient Instructions‖. a. Unless the physician indicates otherwise, instruct the patient to maintain the usual amount of liquid intake. b. During the collection period, keep the 24 hour urine container in a refrigerator or cool place to prevent growth of microorganisms and possible decomposition of urine constituents. c. Have the patient empty his/her bladder in the morning into the toilet (not to be included in the 24 hour collection). Write the date and time of voiding on the container label as the ―Start Date and Time‖. d. Collect the patient‘s next voiding and add it as soon as possible to the 24 hour container.

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e. f. g. 5.

Add all subsequent voidings to the container as in Step d. The last sample collected should be the first specimen voided the following morning at the same time as the previous morning‘s first voiding. The start and stop times, along with the total volume, must be recorded on the specimen container prior to submission to the laboratory. Label the container with patient name and DOB.

Urine Drug Screens The CRH Laboratory routinely follows a Chain of Custody (forensic) collection procedure for all urine drug screens. Forensic testing requires a special collection kit containing a chain of custody form, security seals, temperature strip and specimen collection container. ED Patients: UDS Collection kit is provided by the Lab. The Chain of Custody form needs to be completed. Obtain the patient‘s signature on the form when possible. Inpatients (including Mental Health patients): UDS Collection kit is provided by Lab. Follow instructions in the kit. Outpatient (clients, outpatient walk-in): Collection of these specimens is routinely done at either laboratory location (Lab Gallery or Lab Sandcrest). The patient must bring a picture ID to confirm patient identification. A patient without proper identification will have to be identified through a phone call to the ordering physician or client. The screening test is performed by CRH laboratory with positive results confirmed through a reference laboratory. Police Department ordered: Officers are required to fill out Lab 335 and Lab 336 when bringing a person to the laboratory for testing. If officer presents a kit for collection of specimens only, Lab 336 is required or as directed by warrant. Forms required: Lab 1 Laboratory Requisition and Chain of Custody.

Coagulation Specimen Collection and Handling For coagulation testing to be valid, critical attention must be paid to the collection and processing of these blood samples. These instructions must be followed carefully. Deviation from them will significantly alter the results. 1. If a number of different tubes are to be collected from a patient, the order of the draw tubes is as follows: a. Clear top tubes b. Light Blue top tubes * c. Gold or Red/black marble d. Green e. Lavender or Pink f. Gray * Always draw a clear tube before collecting the blue top. 2. Tourniquet time must be less than one (1) minute. Instruct the patient to make a fist but DO NOT pump. Once blood flow is established, release the tourniquet and fist. 3. Venipuncture must be clean with no trauma. Hemolyzed specimens are not acceptable. 4. Mix sample by gently inverting the tube (s) 4 times immediately after filling. 5. Deliver specimens to the laboratory. Specimen stability: Pt/INR = 24 hrs at RT; PTT = 4hrs at RT. 6. Tube must be properly filled. The correct ratio of blood to citrate is critical (9:1). 7. Platelet function tests must not be drawn with a butterfly set and must be drawn at Columbus Regional Hospital main campus. Platelet function tests must be hand carried to the lab. Pneumatic tubes CANNOT be used to transport.

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Columbus Regional Hospital Order of Draw for Multiple Blood Tube Collections**

TUBE COLOR

COLLECTION TUBE

AMOUNT OF MIXING

EXAMPLES OF TESTS DONE

SILVER/RED CLEAR (discard)

Blood Cultures

5-8 times

Blood cultures

No additive; serum

Not Required

LIGHT BLUE

Sodium Citrate; plasma

5-8 times

RED GOLD

No additive; serum

Not required

Discard for PT/PTT; used with butterfly needles only PT/PTT; Ddimer; PFA Therapeutic drugs

SST gel; serum

5-8 times

Chemistry testing

DARK GREEN/LIGHT GREEN***

Heparin; plasma

5-8 times

ED POC testing; Cardiac profiles; ammonia

DARK BLUE

EDTA trace metal; plasma/whole blood EDTA; plasma/whole blood

5-8 times

EDTA; plasma/whole blood

5-8 times

Lead and other trace metals CBC; BNP; Glyco Hgb Blood Bank Collections

Fluoride; plasma

5-8 times

LAVENDAR P I N K

GRAY

5-8 times

Fasting glucose; lactic acid

Reference: BD Diagnostics;

**This order of draw applies to venipunctures, and when collecting blood using a transfer device when starting an IV. When drawing from a line and into a syringe, a discard syringe should be drawn first, and then tubes should be filled in reverse order using blood from the second syringe (sterile specimens, i.e. blood cultures, should always still be filled first, followed by light blue tops, then lavender, green, gray, and then red or gold).

***For STAT specimens, or for patients with extended clotting times, a light green top tube can be substituted for most chemistry tests. For questions if a substitution is possible please call chemistry at 5877.

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Specimen Collection Requirements for Pediatric Patients TEST ELECTROLYTES BASIC METABOLIC CALCIUM COMP MET PANEL NBil /Dbil TDM (Therapeutic Drugs) CBC AUTO PLATELET PT APTT Blood Culture ED POC Chemistry Tests (Chem 8)

SPECIMEN COLLECTION CONTAINER Heel or Finger Puncture *2 (Amber color) microtainers (full) Heel or Finger Puncture *3 (Amber color) microtainers (full) Heel or Finger Puncture *2 (Amber color) microtainers (full) Heel or Finger Puncture *4 (Amber color) microtainers (full) Heel or Finger Puncture *1 (Amber color) microtainer (full) Heel or Finger Puncture *2 (pink color) plain microtainers full (no preservative or gel). Heel or Finger Puncture 1 (Purple color) microtainer filled to 2nd fill line. ** VENIPUCTURE 1 (Light Blue Top) 2.7 ml vacutainer. ** VENIPUCTURE Pink Blood Culture Bottle 0.5 ml – 2.0 ml blood Heel or Finger Puncture 1 (Dark green) microtainer filled to 2nd fill line.

SPECIAL REQUIREMENTS No hemolysis No hemolysis

No hemolysis.

Also Make a Slide. Tube must be full Use silver-topped aerobic bottle only. No hemolysis.

*Specimen collection containers are an estimate only and do not account for patient Hemoglobin/Hematocrit. Newborn patients have high Hematocrits and low serum yields. **When performing a venipuncture, microtainers can be filled with venous blood if additional tests are ordered. In any 24-hour period, phlebotomy in infants and children should not exceed 5% of the total blood volume and ideally should be less than 3% of the total blood volume, unless medically necessary. When possible, it is preferred that microtainers be used to reduce this amount even further. In any one-month period, blood draws in infants and children should not exceed 10% of the total blood volume. Based on the child‘s weight, the total blood volume can be estimated. The individual medical situation should also always be taken into account. Adult techniques or standards should not be used on children. Note: Consult with ordering physician regarding blood needed for testing when multiple labs are ordered. Patient‘s medical history must be considered when making this decision.

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Maximum Amounts of Blood to be Drawn From Patients Younger than 14 Years Patient’s Weight in Pounds

Patient’s Weight in Kilograms (approx.)

Maximum Amount to be drawn at any one time (mL)

Maximum Amount to be drawn during a given hospital stay (1 month or less—mL) 6-8 2.7-3.6 2.5 23 8-10 3.6-4.5 3.5 30 10-15 4.5-6.8 5 40 16-20 7.3-9.1 10 60 21-25 9.5-11.4 10 70 26-30 11.8-13.6 10 80 31-35 14.1-15.9 10 100 36-40 16.4-18.2 10 130 41-45 18.6-20.5 20 140 46-50 20.9-22.7 20 160 51-55 23.2-25.0 20 180 56-60 25.5-27.3 20 200 61-65 27.7-29.5 25 220 66-70 30.0-31.8 30 240 71-75 32.3-34.1 30 250 76-80 34.5-36.4 30 270 81-85 36.8-38.6 30 290 86-90 39.1-40.9 30 310 91-95 41.4-43.2 30 330 96-100 43.6-45.5 30 350 References: www.drgreene.org; Dr. Alan Greene is Clinical Professor of Pediatrics at Stanford University School of Medicine, Attending Physician at Packard Children‘s Hospital, and Senior Fellow at the University California San Francisco Center for the Health Professions. Original Source: Blood collection log, pediatric and newborn patients (courtesy of Hermann Hospital clinical laboratories, Houston, TX, with permission). In: Becan-McBride K, Garza D. Phlebotomy Handbook. 2nd ed. Norwalk, Conn: Appleton & Lange; 1989: 241. Estimated Total Blood Volume AGE Pre-term newborn Term newborn 1-12 months 1-3 years 4-12 years Post-pubescent and Adults

ESTIMATED TOTAL BLOOD VOLUME 90 mL/kg 80 mL/kg 75 mL/kg 70 mL/kg 67.5 mL/kg 4000 mL-5000 mL

Reference: Office of Research Support Committees; Copyright 2008 by The University of Texas Health Science Center at Houston; www.uth.tmc.edu

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Maximum Amount Allowable for Blood Draws Purpose: To ensure that the amount of blood collected from any given patient is allowable based on age, weight, and medical condition. Procedure: 1. Prior to drawing a patient whose physician has ordered multiple tests and therefore multiple tubes of blood are required, the phlebotomist will inquire on the following chart for the maximum amount allowed. CMRC IRB MAXIMUM ALLOWABLE TOTAL BLOOD DRAW VOLUMES (CLINICAL + RESEARCH) Body Wt (Kg)

1 2 3 4 5 6 7 8 9 10 11-15 16-20 21-25 26-30 31-35 36-40 41-45 46-50 51-55 56-60 61-65 68-70 71-75 76-80 81-85 86-90 91-95 96-100

Body Wt (lbs)

Minimum Minimum Hgb Hgb required at time of required blood draw if at time of subject has blood respiratory/CV draw compromise 2.2 100 2.5 5 7.0 9.0 -10.0 4.4 200 5 10 7.0 9.0-10.0 6.3 240 6 12 7.0 9.0-10.0 8.8 320 8 16 7.0 9.0-10.0 11 400 10 20 7.0 9.0-10.0 13.2 480 12 24 7.0 9.0-10.0 15.4 560 14 28 7.0 9.0-10.0 17.6 640 16 32 7.0 9.0-10.0 19.8 720 18 36 7.0 9.0-10.0 22 800 20 40 7.0 9.0-10.0 24-33 880-1200 22-30 44-60 7.0 9.0-10.0 35-44 1280-1600 32-40 64-80 7.0 9.0-10.0 46-55 1680-2000 42-50 64-100 7.0 9.0-10.0 57-66 2080-2400 52-60 104-120 7.0 9.0-10.0 68-77 2480-2800 62-70 124-140 7.0 9.0-10.0 79-88 2880-3200 72-80 144-160 7.0 9.0-10.0 90-99 3280-3600 82-90 164-180 7.0 9.0-10.0 101-110 3680-4000 92-100 184-200 7.0 9.0-10.0 112-121 4080-4400 102-110 204-220 7.0 9.0-10.0 123-132 4480-4800 112-120 224-240 7.0 9.0-10.0 134-143 4880-5200 122-130 244-260 7.0 9.0-10.0 145-154 5280-5600 132-140 264-280 7.0 9.0-10.0 156-185 5680-6000 142-150 284-300 7.0 9.0-10.0 167-176 6080-6400 152-160 304-360 7.0 9.0-10.0 178-187 6480-6800 162-170 324-340 7.0 9.0-10.0 189-198 6880-7200 172-180 344-360 7.0 9.0-10.0 200-209 7280-7600 182-190 364-380 7.0 9.0-10.0 211-220 7680-8000 192-200 384-400 7.0 9.0-10.0 **When drawing an excessive amount of tubes, hemoglobin level and a compromised cardiovascular or respiratory system needs to be taken into account. If the patient‘s hemoglobin is 7.0 or below, every effort should be made to minimize the number of tubes drawn. When the patient‘s cardiovascular or respiratory system is compromised, the patient‘s hemoglobin should be at least 9.0-10.0 and every effort should be made to minimize the number of tubes

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Total blood volume (mL)

Maximum allowable volume (mL) in one blood draw ( = 2.5% of total blood volume)

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Total volume (clinical + research) maximum volume (mL) drawn in a 30day period

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drawn. This information is similar to that used by the Committee on Clinical Investigations, Children‘s Hospital in Los Angeles, CA; Baylor College of Medicine, Dallas, TX; and Cincinnati Children‘s Hospital Institutional Review Board, OH. These charts were adapted by: Rhona Jack, Ph.D. Children‘s Hospital and Regional Medical Center Laboratory, Seattle, WA in August 2001.

2. If the amount drawn falls within the range for the patient‘s weight, and there is no way to condense the number of tubes or combine tests into one tube, the phlebotomist may draw the tube amount needed. 3. To determine if there may be a way to combine the tests into a smaller amount of tubes, the phlebotomist may use the Lab Test Directory or call a med tech so that they can make that determination. 4. Phlebotomists will also use their best judgment to determine if it would be in the patient‘s best interest to have some of the tubes drawn at a later date, i.e., the next day due to the medical condition of the patient. 5. After a large quantity of tubes have been drawn based on the above chart, the phlebotomist will follow the Standard of Care with regards to making sure the patient is feeling alright and offering them crackers or juice.

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MICROBIOLOGY SPECIMEN COLLECTION AND HANDLING Introduction The ability to assess the clinical significance of a microbiology laboratory results is dependent upon proper specimen collection, preservation and transport. There is a wide variety of microorganisms found on the body naturally as ―normal flora‖. Specimen collection and preservation procedures are designed to avoid normal flora, if possible, or at least keep their numbers low.

Sensitivities Antimicrobic susceptibilities are performed as a reflex test on appropriate organisms, whether or not a susceptibility is specifically requested. Susceptibility tests are not performed on normal flora, on isolates that have predictable sensitivity patterns, such as beta hemolytic streptococci or on anaerobes. Most isolates are held for four days and special requests can usually be accommodated when susceptibilities were not performed. Please contact the Microbiology Department at 812-376-5226 if additional testing is needed.

Specimen Site When submitting a specimen for culture, please make sure that the type of specimen (such as a swab, wound, abscess, tissue, fluid etc) and the body site is indicated. For example, ―synovial fluid right knee‖, or ―abscess, left axilla‖ is appropriate labeling or requisition information for culture submission. This information is essential to the microbiologist that will be processing or reading the culture. Different body sites and different culture types have various degrees, amounts or types of normal flora and pathogens. A single organism may be normal flora in a stool culture but a pathogen in a urine culture.

Microbiology Reports Bacteriology Reports: Preliminary reports on routine cultures are generated as new information about the culture is known. These may be released each day or multiple times in a given day. They are an effort to get the provider the most current and up to date information about the culture in progress. These are subject to change as the culture changes. Final reports on routine cultures are released when the culture has been completed. Mycology and AFB Reports: Cultures are examined once per week and preliminary results are reported. Fungal cultures are held for four weeks. AFB cultures are held for eight weeks. Note: Preliminary reports contain the most current and up to date information on a pending culture.

Unacceptable Specimens Unacceptable specimens may result in test cancellations or delays. The following is a list of the most common rejection criteria: 1. Mislabeled or unlabeled specimen. 2. Inappropriate specimen for culture requested (such as an anaerobic culture request on a sputum specimen). 3. Improper specimen container or transport media. 4. Specimen too old (length of time varies with specimen source). 5. Specimens received in expired transport containers. 6. Urine contaminated with stool. 7. Stool contaminated with urine. 8. Diapers with absorbed stool (specimen soaked into diaper, irretrievable). 9. Viral cultures collected with calcium alginate or wooden shaft tubes. 10. Tissue specimens in formalin. 11. Urine transport tube not filled to minimum line. 12. Quantity Not Sufficient. 13. Leaky container. 14. Urine from indwelling catheter bags.

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15. Duplicate urine culture orders. 16. Fluid received on a swab.

Specimens for Anaerobic Culture Anaerobic flora is particularly prevalent on mucosal surfaces of the GI and genital tracts; specimens collected from these sites should not ordinarily be cultured for anaerobes. The following are among those culture types most likely to be contaminated with indigenous flora and should not be cultured for anaerobes under routine conditions. Specimens collected to exclude indigenous flora and those from normally sterile body sites can be cultured anaerobically. 1. Throat swabs (beta strep only) 2. Nasopharyngeal swabs 3. Mouth surface 4. Sputum : expectorated, suctioned 5. Bronchial washings (protected brushes are acceptable) 6. Gastric or small bowel contents 7. Large bowel contents (except for C. difficile, C. botulinum, or other specific pathogens) 8. Urine : voided or catheterized 9. Vaginal 10. Decubitus ulcers; perirectal abscesses; exposed wounds, sinuses 11. Any material next to a mucous membrane that has not been adequately decontaminated As a general rule, aspirated fluid or tissue is preferable to a swab. Deep sites are the typical sites for recovery of anaerobes.

Specimens for Viral Culture 1. 2. 3.

Always include the source of the specimen and, when appropriate, type of infection and/or virus expected. Recovery of virus is improved if the specimen is collected in the acute stages of the illness. Viral, Chlamydia, mycoplasma and ureaplasma transport media is available from the laboratory. M4 or M4RT media is useful for recovery of any of these organisms. Collection of specimens for viral culture: a. Respiratory specimen i. Viruses responsible for respiratory illness in a conscious patient may be collected for viral culture simply with a throat swab. Swab the posterior region of the pharynx with a sterile Dacron swab. Do not use a calcium alginate or wooden shafted swab – as these may be inhibitory to certain viruses. Break the swab into a viral transport tube immediately after collection. Cap the tube securely and label it. Place the tube in a plastic bag for transport to the laboratory. ii. For RSV, nasal washings are preferred. Send nasal washings in a viral transport tube. Flocked swabs (nasopharyngeal collection) can also be used for RSV and Influenza. b. Urine Specimen i. Collect a clean catch midstream (CCMS) or midstream catheterized urine into a sterile cup. Deliver the specimen to the laboratory promptly or refrigerate until delivery. c. Skin Lesion specimen i. The preferred specimen for skin lesion is an aspirate from a fresh lesion via a 26 or 27 gauge needle attached to a tuberculin syringe. Expel the aspirated fluid immediately into a viral transport tube and cap securely. Label the tube. If the lesion cannot be aspirated, apply a sterile dacron swab to the lesion and rub vigorously. Break the swab into a viral transport tube and cap securely. d. Tissue or biopsies. i. Collect fresh tissue from an appropriate site using sterile technique. Each specimen should be approximately 1-2cm in diameter. ii. Place in viral transport media. e. Feces/rectal swab i. Collect feces in clean container. Transfer sufficient feces to viral transport vial to make a 20-40% suspension.

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4.

ii. For a rectal swab, insert swab(s) at least three centimeters into anal orifice. Rotate to ensure sufficient fecal specimen on swab. Break swab tip off into a viral transport vial. f. Cerebrospinal fluid i. If less than 1 ml, send in CSF collection tube. If 1-2 ml, send in a viral transport media tube. g. Blood and serum i. Except for Cytomegalovirus and enteroviruses, blood and serum are usually not productive specimen sources for the isolation of viruses. For isolation of Cytomegalovirus from white blood cells (buffy coat), submit fresh whole blood in heparin. Send 7ml whole blood at room temperature. DO NOT REFRIGERATE. For isolation of enteroviruses from serum (newborns and young children), collect one red-top tube of blood. Separate serum and submit in a plastic screw capped vial. Refrigerate specimens at 2-8 degrees (except CMV culture from buffy coat) immediately after collection. Do NOT freeze.

Blood Culture Collection 1. 2. 3.

Labeling – label culture bottles with patient‘s name, date/time of collection, tech code, and site of draw. Make a special notation if drawn from a line. Adults: optimum volume is 10 ml per bottle = 20 ml per set or culture. Minimum volume is 3ml per bottle = 6 ml per set or culture. Pediatrics: optimum volume is 1% of body weight, minimum volume is 1ml regardless of weight. (see chart below. Patient Weight (lb) Recommended blood volume per set *(ml) 120 20 Blood cultures should be collected prior to initiation of therapy. Ideally 2-3 sets of blood cultures should be collected within a 24 hours period. The timing of the blood culture collection is not as important as the number of cultures and the volume of blood collected. Febrile episodes have not demonstrated to have increased recovery of organisms.

Note: Collect cultures as instructed by physician, the above are general guidelines. 4.

Blood Culture Bottles – Since these cultures are processed using special media and instrumentation, it is necessary to submit all of these cultures in the VersaTREK REDOX 1 (aerobic/silver cap) and REDOX 2 (anaerobic/red cap) bottles supplied by CRH laboratory. For children, use VersaTREK REDOX 1

Blood Culture collection: PROCEDURE A: Alcohol/ Iodine 1. Identify Patient—Always identify that you have the correct patient. Check the ID band on in-patients and ER. Ask the patient to state his/her full name and DOB. If it is a child, have the parent repeat the child‘s name and DOB. 2. Accession order—Check the accession order to see if other lab work is to be collected at the same time. 3. Apply tourniquet to locate vein—Inspect both arms of the patient to find a suitable vein. The venipuncture site should be free of all skin disorders. Apply the tourniquet to the patients‘ arm and select the optimal venipuncture site. 4. Release the tourniquet 5. Cleanse the vein site with 70% alcohol—Wipe site with 70% Isopropyl Alcohol prep pad starting at the center and moving in concentric circles to the periphery.

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6.

7. 8. 9. 10. 11. 12. 13. 14. 15. 16.

Apply PVP iodine solution—Peel the paper down over the base of the iodine. Avoid touching the sterile top against torn edges during removal. With tip in a downward position, pinch center to crush ampule. Apply to the area selected for cleansing with a circular motion from the center to the periphery. Do not return to the center of the site once swab has moved outward to the periphery. Let iodine dry—It takes approximately 2 minutes to dry. The timing is crucial since the skin bacteria are killed during this drying time. Prepare blood culture bottles—Remove plastic top from each culture bottle to be inoculated and disinfect the rubber stopper with a new alcohol pad. Apply to center of stopper first and then move outward in concentric circles. Allow alcohol to dry. Do not use iodine to disinfect tops of vials. Apply gloves—Gloves should be worn as a means of Universal Precautions against disease. Reapply the tourniquet Collect the Blood cultures—in the manner that is appropriate for the situation or phlebotomist style (syringe, butterfly, catheter). Do not palpitate for the vein at this point. Remove tourniquet—and needle from venipuncture site. Apply pressure with gauze over the site. Remove iodine from skin—as much as possible with 70% alcohol. Avoid stinging the patients‘ arm at the draw site. Bandage—Inspect the patients‘ arm to assure that the blood flow has ceased. Apply a folded 2 x 2 gauze pad with tape to the venipuncture. Dispose of all sharps in the appropriate container Label specimens—and transport to lab ASAP. If pre-printed labels are not available, Write in legible ink the following: name, mrn#, date and time of collection, and initials of tech collecting specimen.

PROCEDURE B: Persist Iodine 1. Identify Patient—Always identify that you have the correct patient. Check the ID band on in-patients and ER. Ask the patient to state his/her full name and DOB. If it is a child, have the parent repeat the child‘s name and DOB. 2. Accession order—Check the accession order to see if other lab work is to be collected at the same time. 3. Apply tourniquet to locate vein—Inspect both arms of the patient to find a suitable vein. The venipuncture site should be free of all skin disorders. Apply the tourniquet to the patients‘ arm and select the optimal venipuncture site. 4. Release the tourniquet 5. Prepare arm—Open the package of Persist with a twist. Be careful not to splash any excess iodine mixture. Swab in a circular motion beginning from the target area and moving outwards toward periphery. Do not return to the center of the site once swab has moved outward to the periphery. 6. Let iodine dry—This takes approximately 45 seconds. The timing is crucial since the skin bacteria are killed during this drying time. 7. Prepare blood culture bottles—Remove plastic top from each culture bottle to be inoculated and disinfect the rubber stopper with a new alcohol pad. Apply to center of stopper first and then move outward in concentric circles. Allow alcohol to dry. Do not use iodine to disinfect tops of vials. 8. Apply gloves—Gloves should be worn as a means of Universal Precautions against disease. 9. Reapply the tourniquet 10. Collect the Blood cultures—in the manner that is appropriate for the situation or phlebotomist style (syringe, butterfly, catheter). Do not palpitate for the vein at this point. 11. Remove tourniquet—and needle from venipuncture site. Apply pressure with gauze over the site. 12. Remove iodine from skin—as much as possible with 70% alcohol. Avoid stinging the patients‘ arm at the draw site. 13. Bandage—Inspect the patients‘ arm to assure that the blood flow has ceased. Apply a folded 2 x 2 gauze pad with tape to the venipuncture. 14. Dispose of all sharps in the appropriate container 15. Label specimens—and transport to lab ASAP. If pre-printed labels are not available, Write in legible ink the following: name, mrn#, date and time of collection, and initials of tech collecting specimen. PROCEDURE C: CHLORAPREP ( DO NOT USE ON PATIENTS UNDER 2 MONTHS OLD) 1. Identify Patient—Always identify that you have the correct patient. Check the ID band on in-patients and ER. Ask the patient to state his/her full name and DOB. If it is a child, have the parent repeat the child‘s name and DOB.

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2. 3. 4. 5.

6. 7. 8. 9. 10. 11. 12. 13. 14. 15.

5.

Accession order—Check the accession order to see if other lab work is to be collected at the same time. Apply tourniquet to locate vein—Inspect both arms of the patient to find a suitable vein. The venipuncture site should be free of all skin disorders. Apply the tourniquet to the patients‘ arm and select the optimal venipuncture site. Release the tourniquet Prepare arm—Open the package of Chloraprep. Do not touch the sponge. Pinch the wings of the applicator to crush the ampule containing the disinfectant. Squeeze the liquid contents into the sponge against the patient‘s arm. Use the sponge to scrub the arm for 30 seconds. Proceed in diagonal, back and forth as well as circular motions. This action removes skin cells and the underlying bacteria. Let the Chloraprep dry—This takes approximately 30 seconds. The timing is crucial since the skin bacteria are killed during this drying time. Prepare blood culture bottles—Remove plastic top from each culture bottle to be inoculated and disinfect the rubber stopper with a new alcohol pad. Apply to center of stopper first and then move outward in concentric circles. Allow alcohol to dry. Do not use iodine to disinfect tops of vials Apply gloves—Gloves should be worn as a means of Universal Precautions against disease. Reapply the tourniquet Collect the Blood cultures—in the manner that is appropriate for the situation or phlebotomist style (syringe, butterfly, catheter). Do not palpitate for the vein at this point. Remove tourniquet—and needle from venipuncture site. Apply pressure with gauze over the site. Remove chloraprep from skin—as much as possible with 70% alcohol. Avoid stinging the patients‘ arm at the draw site. Bandage—Inspect the patients‘ arm to assure that the blood flow has ceased. Apply a folded 2 x 2 gauze pad with tape to the venipuncture. Dispose of all sharps in the appropriate container Label specimens—and transport to lab ASAP. If pre-printed labels are not available, Write in legible ink the following: name, mrn#, date and time of collection, and initials of tech collecting specimen.

Blood Culture Volumes The volume of blood cultured is critical because the number of organisms per mL of blood in most cases of bacteremia is low, especially if the patient is on antimicrobial therapy. In infants and children, the number of organisms per mL of blood during bacteremia is higher than adults, so less blood is required for culture.

NOTE: Optimum recovery of isolates will be achieved by adding 8 to 10 mL of blood. The use of lower or higher volumes may adversely affect recovery and/or detection times.

Throat Specimen Collection Appropriate Culturette: 1. Bacterial Throat Culture (C Throat) – gel or no gel container 2. Strep A DNA - no gel container 3. Strep Group A Rapid Antigen, throat (R Strep A) – no gel container 1. 2. 3. 4. 5.

Identify patient—check armband to identify in-patients. Ask patient to state their name and DOB to confirm. On out-patients ask patient to state their name and DOB. Apply gloves—as a barrier to self infection. Position the patient for adequate lighting. Remove the tongue blade from wrapping and the swab from the culturette shaft. Collect the specimen as follows: Instruct patient to breathe deep, open mouth and say ―ah‖. Gently depress the tongue with a sterile wooden blade. Place swab to the back of the throat. Gently but firmly rub the swab over white or inflamed areas or over the tonsils and posterior pharynx (behind uvula and between tonsils). Do not touch the cheeks, teeth or gums as you withdraw the swab. Insert swab back into the shaft of the culturette

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6.

Label specimen before leaving the patient area. (name, test, source, date, initials of tech).

Success with culture or direct antigen tests (Strep A) depends on firmly and completely sampling the area or the inflamed throat. To obtain the best results, it is important that material for a throat culture be obtained before antimicrobial therapy is given.

Urine Culture Collection Patient Collection Guidelines: Clean Catch Midstream (CCMS) 1. Identify the Patient: Refer to Patient Identification Procedure(s) 2. Instruct the patient. Give the patient the urine specimen cup and the two towelettes. Direct the patient to the bathroom. Instruct the patient as follows: a. Wash hands. b. Unscrew cap of the urine specimen cup. Place cap on counter with ―straw‖ facing upward. To avoid contamination, do not touch inside of cup, cap or straw. c. Cleanse yourself with towelettes as follows: Male: Wipe head of penis in a single motion with first towelette. Repeat with second towelette. If not circumcised, hold foreskin back before cleansing. Urinate a small amount into toilet. Proceed to Step d. Female: Separate the labia. Wipe inner labial fold front to back in a single motion with first towelette. Wipe down through center of labial folds with second towelette. Keep the labia separated and urinate a small amount into toilet. Proceed to Step d. d. Begin stream, then without stopping, place cup under stream and continue to urinate into cup and collect specimen. e. Remove cup and finish voiding into toilet. f. Replace cap on cup. Tighten cap securely. Do not remove label from cap. g. Give filled cup to phlebotomist. Phlebotomist: 1. Apply gloves before handling filled urine specimen cup to prevent spread of disease. 2. Prepare the specimen. Peel back the label on top of cup to expose integral sampling device. Place the Vacutainer Brand 5 ml draw tube with freeze-dried maintenance formula (gray top tube) stopper side down onto the needle with slight pressure. Caution should be used in handling the integral sample device which contains a needle under the label. Allow the tube to fill, remove the tube, reseal the label on the cup and dispose of the urine filled cup into a biohazard container. Shake tube in order to mix urine with freezedried maintenance formula. 3. Label cup with patient name, date and time of collection, location of patient, and initials of tech handling specimen. Write collection time on specimen.

Urine Collection Guidelines: Indwelling Catheter Obtain the specimen with a needle and syringe. Select the puncture site 1-2 inches away from the catheter tube entry point. Cleanse the area to be punctured with 70% alcohol. Aspirate exactly 5 ml of urine with a sterile needle and syringe. Disinfect the rubber stopper and aseptically transfer the specimen to the urine transport tube provided. Specimens obtained from the collection bag are not suitable for analysis. Foley tips will not be accepted.

Urine Culture Transport Prevention of contamination by normal vaginal, perineal and anterior urethral flora is the most important consideration for collection of a clinically relevant urine specimen. (See Guidelines above for collection of a urine specimen). Unpreserved urine is an excellent growth medium for most bacteria. Unless urine is preserved during transport, bacteria will multiply, causing colony counts to be erroneously high. The maintenance medium in the

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transport kit prevents rapid multiplication of bacteria in the urine during shipment. Send urine for culture in a gray topped urine tube. Apply gloves before handling filled urine specimen cup to prevent spread of disease. 1.

2.

Prepare the specimen. Peel back the label on top of cup to expose integral sampling device. Place the Vacutainer Brand 5 ml draw tube with freeze-dried maintenance formula (gray top tube) stopper side down onto the needle with slight pressure. Caution should be used in handling the integral sample device which contains a needle under the label. Allow the tube to fill, remove the tube, reseal the label on the cup and dispose of the urine filled cup into a biohazard container. Shake tube in order to mix urine with freezedried maintenance formula. Label cup with patient name, date and time of collection, location of patient, and initials of tech handling specimen. Write collection time on specimen.

Sputum Specimen Collection Sputum is not spit or saliva. It is the mucous that is coughed up from the lungs. This mucus may contain a very different type of bacteria than the saliva in the mouth. In order to determine if bacteria capable of infection are present in the lungs the following instructions are to be followed: 1. 2. 3. 4. 5. 6. 7. 8.

The best specimen is collected in the morning immediately after getting up. Use the special sterile container provided by your nurse, doctor or laboratory personnel. Brush teeth, gums and tongue with plain water. Rinse or gargle with plain water. Cough deeply to produce a lower respiratory (not postnasal) specimen. The sputum needs to come from your lungs, not your mouth (spit) or nasal passages. Expectorate directly into the sterile container. The specimen must be transported as soon as possible to Columbus Regional Hospital Laboratory, preferably within 2 hours of collection. Do not refrigerate the specimen unless there will be more than a 4 hour delay in delivery to CRH.

If you have any questions, please call (812) 376-5226, a microbiologist will be happy to assist you.

Stool Specimens Guidelines for proper specimen collection: 1. 2. 3. 4. 5. 6. 7.

Collect specimen before administrating antimicrobial agents when possible. Utilize proper collection devices. See chart below. Clearly label the specimen container with the following: Patients‘ name, MRN, date and time of collection. Collect an adequate amount of specimen to avoid false negative results. Collect specimens in a sturdy, sterile, screw cap, leak-proof containers with lid that do not create an aerosol. Transport promptly Hold at room temperature during transport

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STOOL COLLECTION QUICK REFERENCE TEST NAME

TRANSPORT

HOURS TO DECREASED VIABILITY

IN-HOUSE or SEND-OUT?

ALPHA-1ANTITRYPSIN RANDOM CALPROTECTIN

Sterile Container

Refrigerated 7 days

SEND-OUT (MISC)

Sterile Container

Ambient 5 days

C. DIFF

Sterile Container or Transport media (Red or yellow)

Refrigerated

SEND-OUT (MISC) IN-HOUSE

CHYMOTRYPSIN

Sterile Container

CRYPTO AG.

O&P Collection (White, Black)

E. Histolytica Ag

Sterile Container

FECAL FAT QUAL.

Sterile Container

FECAL FAT QUANT.

Sterile Container

GIARDIA AG.

O&P Collection (White, Black)

H. PYLORI AG

Sterile Container

LACTOFERRIN

Sterile Container

LYTES

Sterile Container

MUSCLE FIBERS

Sterile Container

NOROVIRUS

Sterile Container

OCCULT BLOOD

4 days (if not preserved) Refrigerated 14 days Room Temp 48 hours

SEND-OUT (MISC) IN-HOUSE

Ref 48 hrs Frozen 1 week Refrigerated 14 days Refrigerated 14 days Room temp 48 hours

SEND-OUT

SEND-OUT

Vial (Green and White FOB)

Refrigerated 48 hours; Frozen 1 month Refrigerated 2 weeks Refrigerated 7 days Room Temp 24 hours; Refrigerated 7 days Refrigerated 72 hours Room temp 5 days

O&P

O&P Collection (White, Black)

Room Temp 7 days

IN-HOUSE

PH, FECES

Sterile Container

PHENOLPHTHALEI N

Sterile Container

Refrigerated 24 hours Refrigerated 7 days

SEND-OUT (MISC) SEND-OUT (MISC)

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UNACCEPTABLE SPECIMEN

Formalin or PVA (White, Black)

No fixative; if sent in Sterile Container, move to White or Black container

SEND-OUT SEND-OUT IN-HOUSE

SEND-OUT (MISC) IN-HOUSE

No fixative; if sent in Sterile Container, move to White or Black container

Should not be frozen until received in lab. Solid or formed stools; must be liquid

SEND-OUT (MISC) SEND-OUT (MISC) IN-HOUSE

Fresh stool (unless from floor-move to FOB vial ASAP); stool in fixative; accept cards if received No fixative; if sent in Sterile Container, move to White or Black vial Solid or formed stools; must be liquid

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PHOSPHATE

Sterile Container

PORPHYRINS 24, 48, 72 hours

Sterile container Wrapped in foil

REDUCING SUBSTANCES (FECAL SUGAR) ROTAVIRUS

Sterile container

STARCH, FECAL

Sterile Container, Diaper Sterile Container

STOOL CULTURE

Sterile Container

STOOL CULTURE

ETM or Carey Blair (Red, Yellow) Fresh Stool

STOOL WBC STOOL WBC

O&P Collection (White, Black)

Frozen 7 days Frozen 21 days; collect on ice/freeze Refrigerated 24 hours;

SEND-OUT (MISC) SEND-OUT

SEND-OUT

Urine will interfere with the results

Refrigerated 24 hours Room Temp 1 hour; Refrigerated 7 days Room Temp 1 hour

IN-HOUSE

Stool in a fixative (white, black, yellow, or red)

Room Temp 24 hours Room Temp 2 hours Room Temp 48 hours

IN-HOUSE

SEND-OUT (MISC) IN-HOUSE

IN-HOUSE

Formalin or PVA/Refrigerated (white or black) Formalin or PVA (white or black) > 3 hours old

IN-HOUSE

***Stool specimens on inpatients, or stool on outpatients that is not in preservative, should be given to Microbiology or Referral, whichever department applies, immediately for processing.***

Chlamydia / GC Probe Collection Dry Transport Female: Endocervical swab specimen collection using BD ProbeTec ET CT/GC Amplified DNA assay. 1. Remove excess mucus from the cervical area with the large-tipped cleaning swab included in kit and discard. 2. Insert the Endocervical swab into the cervical canal and rotate for 15-30 seconds. 3. Withdraw the swab carefully. Avoid contact with the vaginal mucosa. 4. Immediately place the cap/swab into the transport tube. Make sure the cap is tightly secured to the tube. 5. Label the tube with patient information and date/time collected. 6. Transport to the laboratory. Dry Transport Male: Male Urethral swab specimen collection using BD ProbeTec ET CT/GC Amplified DNA assay. 1. Insert the Male urethral collection swab 2-4 cm into the urethra and rotate for 3-5 seconds. 2. Withdraw the swab and place the cap/swab into the transport tube. Make sure the cap is tightly secured to the tube. 3. Label the tube with patient information and date/time collection. 4. Transport to the laboratory. Urine Collection : Male / Female 1. The patient should not have urinated for at least one hour prior to specimen collection. 2. Collect the specimen in a sterile, preservative-free specimen collection cup. 3. The patient should collect the first 15-60 ml of voided urine (the first part of the stream – not midstream) into a urine collection cup. 4. Cap and label the urine collection cup with patient information and date/time collected. 5. Store and transport urine from the collection site to the test site at 2-30 C.

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Molecular Testing: The CRH Microbiology has been adding molecular assays as they become available and are beneficial to our patients and providers. It is important to remember with any amplified test that DNA persists in the system after the infection or inflammation has been cleared. For this reason, molecular tests are not to be used to determine test of cure. The absence of clinical symptoms is usually adequate to determine the efficacy of treatment. However, if a test of cure is indicated, culture or antigen testing are the best tests to use in lieu of molecular testing. Current molecular testing performed at CRH includes: C Diff Toxin Group B Strep detection (rectal/vaginal sources only) Group A Strep detection (pharyngeal only) Bordetella pertussis detection Nneisseria gonorhoeae (urine, cervical, thin prep, or urethral only) Chlamydia trachomatis (urine, cervical, thin prep, or urethral only) If you would like to have other molecular testing made available to you, please contact the Microbiology Technical Specialist at 812-376-5225.

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Cytopathology Specimen Collection and Handling Specimen Collection and Handling The essence of a successful Cytopathology program depends on both the physician and the laboratory. Obtaining the patient‘s medical history, and a properly fixed, adequate specimen is essential. A final report using descriptive Cytopathology terminology and an accurate interpretation are required to assure appropriate follow-up.  Call 376-5368 before specimen is collected if there are any questions regarding specimen collection, correct collection container, stability, etc.

Supplies We strongly recommend the use of our collection materials (Cytology Test Requisitions, liquid-based collection vials, slides, fixatives, endocervical brushes, brooms, spatulas, 250ml body fluid bottles with heparin added, luken traps, 8ml CSF tubes, slide containers, etc). Outpatient supplies are ordered using lab form LAB-204. o Fax order to: 376-5954 o Or Send order with Lab Courier Call 376-5328 for ordering lab requisitions. Inpatient supplies: call Cytology Department 376-5368.

Ordering Information Complete a Cytology test requisition including: Patient‘s first and last name, social security number and date of birth Date of specimen collection Source of material submitted (cervical, endocervical, vaginal, other gynecologic or nongynecologic site) Submitting physician‘s name For GYN Specimens: Last menstrual period (LMP) Pertinent clinical information (pregnant, postpartum, hormone therapy, oral contraceptives, hysterectomy, postmenopausal, pelvic radiation, etc…) History of abnormal cytology, gynecologic surgery, cryosurgery, positive high risk HPV. For Non-GYN Specimens: Source and specific site (left, right, quadrant, etc…) Nature of lesion (solid/cystic, mobile/fixed, functional/non-functional, etc…) Any other pertinent history (previous surgery, presence of other masses, previous abnormal findings) Mammographic, X-ray or other imaging findings.

Specimen Identification We cannot accept specimens that are not properly labeled per Clinical Laboratory Improvement Amendments of 1998 (CLIA) regulations. Label all slides on frosted end in pencil with the patient‘s first and last name or unique identifier. Label all specimen containers (on the container wall, not on the lid) with the patient‘s full first and last name, and the site of specimen collected. Unacceptable specimens*, with rare exception will be rejected. *Unacceptable specimens are defined as: No patient identification on test requisition No patient identification on slide or specimen container Slides broken beyond repair Specimen leaked from container Mismatch between name of patient on specimen and name on test requisition. Syringe with needle attached.

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Specimen Collection Gynecologic Patient Preparation Patient abstains from sexual intercourse for 48 hours prior to examination. Patient abstains from using vaginal medication, vaginal contraceptives, lubricants, or douches for 24-48 hours prior to the examination The optimal time for a Pap test is mid-cycle. Menses may interfere with Pap test interpretation. Note: DO NOT USE lubricant on the speculum unless it is an approved lubricant for use when collecting liquid based pap tests. The speculum may also be moistened with warm water if desired. The use of unapproved lubricants may contribute to an increased incidence of unsatisfactory Pap tests. Acceptable lubricants for pap test collection are listed in the following table: KY Jelly® KY Jelly is a registered trademark of Johnson & Johnson Surgilube® Surgilube is a registered trademark of E. Fougera & Co. Astroglide® Astroglide is a registered trade mark of Biofilm, Inc. Crystelle® Crystelle is a registered trademark of Deltex Pharmaceuticals

PSS World Medical www.drugstore.com PSS World Medical Cardinal Health PSS World Medical www.drugstore.com Check with local distributors

Thin Prep Pap Test Brush/Spatula Device 1. Complete the test requisition. 2. Record the patient‘s first and last name on the vial. 3. Obtain adequate sampling from the ectocervix using a plastic spatula. 4. Immediately rinse the spatula in the PreservCyt Solution vial by swirling vigorously in the vial 10 times, forcibly removing cells by scraping the spatula against the container if necessary. Discard the spatula. Do not let the spatula sit in the vial. 5. Obtain an adequate sampling from the endocervix using an endocervical brush device. Insert the brush into the cervix until only the bottom most fibers are exposed. Slowly rotate 180 degrees clockwise. DO NOT OVER-ROTATE. 6. Rinse the brush in the PreservCyt Solution by rotating the device in the solution 10 times while pushing against the vial wall. Swirl the brush vigorously to further release material. If material is still visible on the bristles, then scrape the bristles with the spatula staying in the fluid. Swirl the brush vigorously to further release the material. Discard the brush. Do not let the brush sit in the vial. 7. Tighten the cap so that the torque line on the cap passes the torque line on the vial. 8. Place the vial and the requisition in a biohazard specimen bag for transport to the laboratory. Specimen is viable at room temperature for 42 days. Broom-like Device 1. Complete the test requisition. 2. Record the patient‘s first and last name on the vial. 3. Obtain an adequate sampling from the cervix using a broom-like device. Insert the central bristles of the broom into the endocervical canal deep enough to allow the shorter bristles to fully contact the ectocervix. Push gently, and rotate the broom in a clockwise direction five times. 4. Rinse the broom in the PreservCyt Solution vial by pushing the broom into the bottom of the vial 10 times, forcing the bristles apart. Swirl the broom vigorously to further release the material. If material is still visible on the bristles, then scrape the bristles against the vial staying within the fluid. Swirl the broom vigorously to further release matter. Discard the collection device. Do not let the broom sit in the vial. 5. Tighten the cap so that the torque line on the cap passes the torque line on the vial.

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6.

Place the vial and requisition in a biohazard specimen bag for transport to the laboratory. Specimen is viable at room temperature for 42 days.

Conventional Pap Test Brush/Spatula Device 1. Complete the test requisition. 2. Record patient‘s first and last name on the slide using pencil on the frosted end of the slide. 3. Record patient‘s first and last name on the slide holder. 4. Obtain adequate sampling from the ectocervix using a plastic or wooden spatula. A 360 degree rotation with firm contact is essential. 5. Obtain an adequate sampling from the endocervix using an endocervical brush device. Insert the brush into the cervix until only the bottom most fibers are exposed. Slowly rotate 180 degrees clockwise. DO NOT OVER-ROTATE. 6. Smear the spatula sample using a single uniform spreading motion and roll the endocervical brush specimen onto the slide. 7. Spray fix immediately. 8. Place the slide into the slide holder and place in a biohazard specimen bag along with the requisition for transport to laboratory. Specimen can be kept at room temperature.

Specimen Collection Non-Gynecologic Fixatives: Appropriate fixatives for non-gynecologic cytology specimens include: Cytolyt PreservCyt 95% ethyl alcohol Spray Fix RPMI for possible flow cytometry analysis for lymphoma 1. Media is only available from cytology department (376-5368)  (M-F, 8a.m.-4:30 p.m.)  After hours/holidays/weekends: 376-5877. 2. Unused media must be stored at 2-8 C (refrigerated) Smear 1. Complete test requisition. Form # Lab- 21 2. Write patient‘s first and last name in pencil on frosted end of slide as well as the slide container. 3. Submit 2-6 slides of material from any source that can be evaluated cytologically. 4. Spray fix slides immediately after smearing. 5. Place in slide containers 6. Place containers in a biohazard specimen bag along with the requisition for transport to laboratory. 7. Do not send through the pneumatic tube system. Fluid 1. Complete test requisition. Form # Lab- 21 2. Label containers with patient‘s name and specimen source. 3. Place fluid into appropriate container and send to lab immediately. Specimens should be refrigerated or kept on ice if transport to the laboratory is delayed. Specimens are stable for 24 hours after collection if refrigerated. 4. Always place fluid in a tightly capped, leak-proof, labeled container (label container wall, not the lid). a. Syringes are not acceptable specimen containers. b. Transportation of specimens with attached needles violates Department of Transportation Federal regulations, 49CFR173. 5. Do not send through the pneumatic tube system.

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Specimen Bile Duct Brush Breast Cyst Aspiration Breast Secretion (nipple discharge)

Bronchial Brushing Bronchial Washing CSF Effusions Endometrial Washing Esophageal Washing/Brushing Fine Needle Aspiration Biopsy, FNA solid lesion

Fine Needle Aspiration Biopsy, FNA Solid Lesion

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Submission Requirements Place brush with saline into luken trap and send to lab immediately. Eject specimen directly into tube of Cytolyt. Keep specimen at room temperature until sent to lab. If a tube of Cytolyt is not available, eject the specimen into a clean container and send to lab immediately. Drops of fluid from the nipple are smeared directly on clean glass slides and spray fixed immediately. Submit the slides in slide containers. Also, the drops of fluid can be put directly into a tube of Cytolyt. DO NOT SPRAY FIX SLIDES OR PUT THE FLUID IN CYTOLYT IF A FAT STAIN IS REQUESTED. THE SLIDES MUST BE AIR DRIED FOR FAT STAIN. Specimen can be kept at room temperature until sent to lab. Place brush with saline into luken trap and take to lab immediately. Place washing with saline into luken trap and take to lab immediately. Place specimen into 8ml tube and deliver to lab immediately. Place fluid into 250ml cytology fluid bottle with heparin and take to lab immediately. The bottles come from the lab with 0.7ml heparin already added. Place washing with saline into luken trap and deliver to lab immediately. Place washing or brushing into luken trap with saline and take to lab immediately. FNA Slide Technique – Preferred Method 1. Label at least 6 glass slides with patient‘s first and last name on the frosted end prior to starting the procedure. Include the site if there is room on the slide. 2. If local anesthetic is used, infiltrate into the region, avoiding possible contamination of the actual nodule. 3. Attach a 23 or 25 gauge needle to a syringe. 4. Insert needle into lesion. 5. While applying negative pressure, move needle back and forth traversing the entire lesion. 6. Release negative pressure, then remove needle. Specimen should not be drawn up into the barrel of the syringe. Pressure should be released as fluid appears in the needle hub. The cells and tissue fragments obtained from a solid lesion should remain in the hub. 7. After withdrawing the needle, eject one drop of specimen onto a slide. 8. Use another slide to smear the aspirated material. 9. Fix one of the pairs of slides immediately using spray fix. 10. Leave one side to air dry and submit this slide labeled ―air-dried‖. 11. This procedure should be repeated 3-6 times, using a sterile syringe and needle each time, until the lesion has been thoroughly sampled. 12. If excess blood, fluid or cellular material is obtained with a needle pass, the excess should be expressed into a container of Cytolyt or other cytology fixative. The container should be labeled with the patient‘s first initial and last name. The needle and syringe should be rinsed with this same fixative. Submit the liquid specimen with the fixed and air-dried slides using one test requisition. 13. Specimen can be kept at room temperature. 14. Deliver to lab via courier. FNA Liquid-based Fixative Technique (alternate method) 1. Label container of Cytolyt or other cytology fixative with the patient‘s first and last name prior to starting the procedure. 2. If local anesthetic is used, avoid contaminating the site of the nodule. 3. Attach a 23 or 25 gauge needle to a syringe. 4. Insert needle into lesion. 5. While applying negative pressure, move needle back and forth traversing the entire lesion.

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6.

Flow Cytometry

Gastric Brushing Gastric Washing Miscellaneous Fluid Miscellaneous Washing Paracentesis (Abdominal Fluid) Pelvic Washing

Pericardial Fluid Pneumocystis jirovecii (previously Pneumocystis carinii) Skin (Viral) Lesions

Sputum

Thoracentesis (Pleural or Chest Fluid) Urine (bladder/kidney, voided) Urine – collected at home

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Release negative pressure, then remove needle. Specimen should not be drawn up into the barrel of the syringe. Pressure should be released as fluid appears in the needle hub. The cells and tissue fragments obtained from a solid lesion should remain in the hub. 7. Eject specimen directly into container of Cytolyt. The container should be labeled with patient‘s first and last name. 8. Flush the needle and syringe with the fixative. 9. This procedure can be repeated multiple times, using a new sterile syringe and needle each time until the lesion has been thoroughly sampled adding material obtained with each aspiration to the same fixative. 10. Specimen can be kept at room temperature. 11. Deliver to lab via courier. If flow cytometry is ordered, call the Referral Department at 376-5188 immediately to alert staff. After 4:30 or on weekends or holidays call the main lab in Chemistry at 376-5877. Send specimen (in a 10 mL red top tube) to lab immediately. Place brush with saline into luken trap and deliver to lab immediately. Place washing with saline into luken trap and deliver to lab immediately. Place fluid into 250ml cytology fluid bottle with heparin. The bottles come from lab with 0.7ml heparin already added. Deliver to lab immediately. Place washing with saline into luken trap and send to lab immediately. Place specimen in 250ml cytology fluid bottle with heparin. The bottles come from the lab with 0.7ml heparin already added. Deliver to lab immediately. 1. Place washings with saline into luken trap and take to lab immediately. 2. If the washings need to be held until there is tissue confirmation of malignancy, write HOLD on luken trap(s) and also note on requisition. 3. Deliver to lab immediately. Place specimen in 250ml cytology fluid bottle with heparin. The bottles come from the lab with 0.7ml heparin already added. Deliver to lab immediately. Bronchoalveolar lavages are the preferred specimen, but sputum is acceptable. Place lavage with saline in luken trap. Fill out the LAB-190 form making sure to mark the box for the GMS Stain for Pneumocystis jirovecii. Deliver to lab immediately. Write patient‘s name on the frosted end of the slides. Remove crust or dome from lesion. Scrape ulceration with a brush or curette. Spread material on a slide. Fix slides immediately with spray fix. Submit specimen in slide containers. Make sure to record the EXACT specimen site on the requisition. Keep specimen at room temperature until sent to lab. Submit early morning deep cough specimen prior to any food ingestion. Have patient rinse mouth with plain water before sputum is collected. Collect separate specimens on 3 consecutive mornings. Do not pool specimens. Submit specimen in a luken trap and deliver to lab immediately. Place specimen into 250ml cytology fluid bottle with heparin. The bottles come from the lab with 0.7ml heparin already added. Deliver to lab immediately. Submit all specimens in a urine collection cup. Note on the test requisition ―Voided‖ or ―Catheterized‖ as applicable. Deliver immediately to lab or keep refrigerated till specimen is picked up. Specimen must be picked up within 24 hours. 1. Provide patient with an empty urine collection cup that is labeled with the patient‘s first and last name. 2. Instruct the patient to drink 3-8oz glasses (24 ounces) of water before bedtime.

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3.

Have patient collect the second morning urine specimen and take to lab immediately. If there is a delay in delivery, keep specimen refrigerated. Specimen must be received by lab within 24 hours of collection. Do not submit a 24hr urine collection for cytologic examination. For any additional questions about Non-GYN collection, requisitions, supplies or test results, please call 812-3765368.

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Anatomic Pathology Specimen Collection Instructions Tissue Specimens Hospital Patients: 1. The following information MUST be on the requisition: a. Patient‘s name b. Patient‘s date of birth c. Physician‘s name d. Collection date e. Specimen type and location (i.e. right ear, left leg, etc) f. Room number or location 2. The following information MUST be on the specimen container(s): a. Patient‘s name b. Physician‘s name c. Collection date d. Specimen type and location (i.e. right ear, left leg, etc) 3. Indicate pre-op diagnosis (impression obtained from the physician prior to making incision), post-op diagnosis (―same‖ can be used). This information is important and may affect how the tissue specimen is handled. Include specimen type and clinical information on the requisition. 4. Tissue specimens must be placed in formalin-filled containers. Use the appropriate size container to ensure that the specimen is well covered by the formalin. 1:20 mass/volume ratio 5. Place specimen container(s) inside a biohazard bag. Place the requisition in the outer flap of the biohazard bag. 6. Order an AP Tissue Request request in Cerner: a. Go to Cerner department orders and pull up your patient. b. Once you find the corresponding financial number for that patient, select ―ADD A TEST‖. c. The orderable test name is ―AP TISSUE REQUEST‖. d. Once the test is ordered in Cerner, the lab will receive the labels in the same area with the blood labels and the labels will be given to the Histology Department. Outpatient Locations: 1. The following information MUST be on the requisition: a. Patient‘s name b. Patient‘s date of birth c. Physician‘s name d. Collection date e. Specimen type and location (i.e. right ear, left leg, etc) 2. The following information MUST be on the specimen container(s): a. Patient‘s name b. Physician‘s name c. Collection date e. Specimen type and location (i.e. right ear, left leg, etc) 3. Indicate pre-op diagnosis (impression obtained from the physician prior to making incision) , post-op diagnosis (―same‖ can be used.) This information is important and may affect how the tissue specimen is handled. Include specimen type and clinical information on the requisition. 4. Tissue specimens must be placed in formalin-filled containers. Use the appropriate size container to

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5. 6.

ensure that the specimen is well covered by the formalin. Proper ratio of 20:1. This means that the specimen should be covered with a volume of 10% formalin 20 times the volume or size of the organ. Excess blood should be removed as whole blood inactivates formalin and prevents fixation to tissue. Place specimen container(s) inside a biohazard bag. Place the requisition, demographic information sheet and a copy of the insurance card(s) in the outer flap of the biohazard bag. Record specimen in courier log book for courier pick-up.

Lymph Node Collection and Transportation READ ENTIRE SECTION PRIOR TO SPECIMEN COLLECTION 1. 2. 3.

4. 5. 6.

Upon excision, lymph nodes are submitted in the fresh state for touch preparations. Do not put formalin in the lymph node container. Cover the node(s) with saline-soaked gauze. This keeps the specimen moist. It is important to keep the specimen moist in order to preserve the specimen‘s original structure. Complete the requisition slip with the patient‘s name, sex, age, pre-op and post-op diagnosis, specific site of the specimen, type, date and surgeon‘s name. Specimen container must be labeled with the patient‘s name, age, sex, specimen site, date and surgeon. The requisition must be signed by the doctor or the charge nurse in the space provided. If a frozen section is needed, write ―Frozen section is requested‖. In order to let the Pathologist and others know that the ―specimen is on the way‖, do the following Any surgical location at CRH (e.g. ER, GI Lab, Outpatient or Inpatient surgery, or other nursing units): Notify histology office (5349). If specimen is not ready until after 4:30, call 376-5328 and tell the secretary that the on-call pathologist needs to be paged for STAT processing of a fresh specimen. Off-site collection centers (e.g. Surgery Center, physician office , etc): See ―Procedure for Handling Fresh Specimens‖ (e.g. specimens such as breast tissue, mass, lymph node, or any other biopsies)

PROCEDURE FOR HANDLING FRESH SPECIMENS: Responsible Person Surgery Center

Action 1. 2. 3. 4.

Laboratory Clerical Staff

1.

2. 3.

Any specimen that is not placed in formalin must be handled as a STAT. Call 376-5329 stating that you will be bringing a STAT specimen to the lab label specimen and paperwork as STAT Call 376-5322 (pathology) and notify secretary that a STAT specimen is coming for either a frozen section or a touch prep. Once specimen/paperwork is received from Surgery Center personnel, deliver specimen to Pathology. Specimen must be given to either a histologist or the pathologist. DO NOT place on cart. Perform a STAT patient registration. Deliver requisition to histology.

7. All individuals, including nurses, must deliver lymph node(s) directly to the histology department. Direct delivery avoids the risk of misplacing the specimen or placing the specimen at an incorrect location.

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Department: Chemistry Test Bilirubin, Neonatal Calcium, Adult Calcium, Neonate & Pediatric Chloride, Adult Chloride, Pediatric Creatinine, Adult Creatinine, Neonate & Pediatric Glucose, CSF Glucose, Serum -- Adult Glucose, Serum -- Pediatric Glucose, Serum -- Neonate Magnesium Osmolality, Serum Osmolality, Urine Phosphorus, Serum Potassium, serum, Adult Potassium, serum, Neonate & Pediatric Protein, CSF, Adult Protein, CSF, Neonate Protein, CSF, Newborn to one month Protein, CSF, Pediatric Sodium, Serum, Adult Sodium, Serum, Neonate & Pediatric TCO2 (Total Carbon Dioxide) Troponin I

Critical Low N/A ≤ 6.0 mg/dl ≤ 7.0 mg/dl ≤ 75 mMol/L ≤ 77 mMol/L N/A N/A ≤ 40 mg/dl ≤ 50 mg/dl ≤ 60 mg/dl ≤ 40 mg/dl ≤ 1.4 mg/dl ≤ 265 mOsm/Kg ≤ 100 mOsm/Kg ≤ 1.0 mg/dl ≤ 2.8 mMol/L ≤ 2.5 mMol/L N/A N/A N/A N/A ≤ 120 mMol/L ≤ 125 mMol/L ≤ 10 mMol/L N/A

Critical High ≥ 14 mg/dl ≥ 12.0 mg/dl ≥ 12.0 mg/dl ≥ 126 mMol/L ≥ 121 mMol/L ≥4.0 mg/dl ≥ 1.5 mg/dl N/A ≥ 400 mg/dl ≥ 200 mg/dl ≥ 150 mg/dl ≥ 8.0 mg/dl ≥ 320 mOsm/Kg ≥ 800 mOsm/Kg ≥ 9.0 mg/dl ≥ 6.0 mMol/L ≥ 7.0 mMol/L ≥ 100 mg/dl ≥ 200 mg/dl ≥ 150 mg/dl ≥ 100 mg/dl ≥ 160 mMol/L ≥ 150 mMol/L N/A ≥ 0.78 ng/ml

Department: POC Test ABL80 pH ABL80 PCO2 ABL80 PO2 ABL80 HCO3

Critical Low 7.2 20 mm Hg 50 mm Hg 15 mMol/L

Reviewed/Approved by Medical Staff – December 2015

Critical High 7.6 60 mm Hg -40 mMol/L

Clinical Toxicology: Therapeutic Drugs Test Acetaminophen Amikacin - Peak Amikacin – Trough Amitriptyline + Nortriptyline Carbamazine (Tegretol) Desipramine Digitoxin Digoxin Disopyramide (Norpace) Doxepin + Desmethyldoxepin, Total Ethosuximide (Zarotin) Flecainide Gentamicin, Peak Gentamicin, Trough Imipramine + Desipramine, Total Lidocaine Lithium Nortriptyline Phenobarbital, Adult Phenobarbital, Pediatric Phenytoin (Dilantin), Adult Phenytoin (Dilantin), Pediatric Phenytoin, Free (Free Dilantin) Primidone (Mysoline) Phenobarb (Mysoline Metabolite) Procainamide NAPA Procainamide + NAPA Quinidine Salicylates Theophylline Tobramycin, Peak Tobramycin, Trough Valproic Acid (Depakene) Vancomycin, Peak Vancomycin, Trough

Performed by: Chemistry Dept. Referral Lab Referral Lab Referral Lab Chemistry Dept. Referral Lab Referral Lab Chemistry Dept. Referral Lab Referral Lab Referral Lab Referral Lab Chemistry Dept. Chemistry Dept. Referral Referral Lab Chemistry Dept. Referral Lab Chemistry Dept. Chemistry Dept. Chemistry Dept. Chemistry Dept. Referral Lab Referral Lab

Critical Low N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A

Referral Lab

N/A

Critical High ≥ 200 ug/mL > 35 ug/mL > 10 ug/mL > 500 ng/mL ≥ 15 ug/mL > 500 ng/mL > 31.01 ng/mL ≥ 2.6 ng/mL ≥ 7.0 mg/L > 500 ng/mL ≥ 150 mg/L ≥ 1.0 mg/L ≥12 ug/mL ≥ 3.0 ug/mL > 500 ng/mL > 6.0 ug/mL ≥ 2.0 mMol/L > 500 ng/mL ≥ 50 ug/mL ≥ 40 ug/mL ≥ 30 ug/mL ≥ 20.1 ug/mL ≥ 5.0 ug/mL > 12 mg/L ≥ 60 mg/L > 11.9 mg/L

Referral Lab Chemistry Dept. Chemistry Dept. Chemistry Dept. Chemistry Dept. Chemistry Dept. Chemistry Dept. Chemistry Dept.

N/A N/A N/A N/A N/A N/A N/A N/A

> 30 mg/L ≥ 10.0 mg/L ≥ 60 mg/dl ≥ 25 ug/mL ≥ 12 ug/mL ≥ 3 ug/mL ≥ 120 ug/mL ≥ 80 ug/mL ≥ 23 ug/mL

Reviewed/Approved by Medical Staff – December 2015

Department: Hematology Test

Critical Any malignant Cells identified Any present Any present Suspected Positives

*Body Fluids Cell ID: Sickle Cell Cell ID: Blasts Malaria Smear

Test Hematocrit, Adult (> 18 yr) Hematocrit, Pediatric ( 1 yr to 18 yr) Hematocrit, Neonate to 1 year Hemoglobin, Adult (> 18 yr) Hemoglobin, Pediatric ( 1 month to 18 yr) Hemoglobin, Neonate to 1 month Platelet count, Adult (> 18 year) Platelet count, Pediatric ( 18 year) WBC, Adult WBC, Pediatric ( 18 year)

Critical Low 21 % 24 % 24 % 7 g/dl 8 g/dl 8 g/dl 10 K/mm3 50 K/mm3 1 K/mm3 2.5 K/mm3

Critical High 55% 55% 65% 19 g/dl 19 g/dl 22 g/dl 1,000 K/mm3 1,000 K/mm3 50 K/mm3 35 K/mm3

Adult H/H & platelet critical values revised at time of updated Transfusion Guidelines (April 2016)

Department: Coagulation Test

Critical Low N/A 100 mg/dL N/A

PTT Fibrinogen INR

Critical High 90 sec N/A 4.0

Department: Urinalysis Test Bilirubin, urine , Neonatal (0-28 days) Glucose, Urine, Neonate (0-28 days) Ketones, Urine, Neonate (0-28 days)

Reviewed/Approved by Medical Staff – December 2015

Critical Any Positive Any Positive Any Positive

Department: Test AFB Culture CSF Culture Neonate culture Blood culture C. difficile Toxin

Immunology Microbiology Critical Any positive smear or AFB positive growth Any growth, positive gram stain Any pathogen Any growth Positive Any enteric pathogen - Salmonella, Shigella, E. coli 0157, Campylobacter Positive Positive Positive Positive Positive Positive rapid antigen or molecular result, organism observed in skin or soft tissue wounds Salmonella from any source Carbapenem Resistant Enterobacteriaceae (CRE) from any source for inpatients MRSA from inpatients ESBL from inpatients VRE from inpatients VRSA from sterile sources

Stool Culture Influenza Legionella Urinary Antigen Pertussis Rotavirus RSV Group A Streptococcus Other

Test C. diphtheriae Entameoba histolytica

Performed by: Reference Lab Reference Lab

Result Any Positive Any Positive

Department: Blood Bank Test Blood unavailable/incompatible Direct Coombs-Post Transfusion

Critical STAT and/or O.R. Next Day Positive (after previous negative)

Reviewed/Approved by Medical Staff – December 2015

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ALPHABETICAL TEST LIST A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V

W

X

Y

Z

----- See GTT 3 Hr. ----- See Type and Screen. ----- See Type and Crossmatch. ----- See Cord Blood Workup. ----- See GTT 2 Hr. ----- See GTT 4 Hr. ----- See GTT 5 Hr. ----- See Rhogam PN. ----- See Oncology Profile (CRH). ----- See DIC Panel (CRH). ----- See Rhogam PP - CRH. ----- See CVA Profile. ----- See Dialysis Panel. ----- See Obstetrics Panel. ----- See ACTH Stimulation. ----- See Columbus Weight Clinic Panel (CRH). ----- See Immunofixation with IgA, G and M. ----- See OB Pre-Eclamptic Panel CRH. ----- See Arthritis Profile (CRH). ----- See Hemoglobin and Hematocrit. ----- See Glucose Tolerance 3 Hr OB (100gm). ----- See Chronic Pain Hormones Panel. ----- See Acute Pain Hormone Panel. ----- See Fibromyalgia Panel. ----- See Measles, Mumps and Rubella IgG Panel. ----- See Pre-Eclamptic Panel 1. ----- See Ovarian Tumor Panel. ----- See UA and Cult+Sens if UA POS. ----- See Venous Thrombosis w/Treatment Profile and Interp. ----- See Sensorineural Hearing Loss Profile I. ----- See Venous Thrombosis w/o Treatment Profile and Interp. ----- See Antiphospholipid Ab w/o Treatment Profile and Interp. ----- See Multiple Sclerosis Profile with MBP. ----- See Myasthenia Gravis Antibody Profile. .*MiscTest 5 (old) .*MiscTest 5 (OLD) 17-Hydroxyprogesterone, HPLC-MS/MS, Serum or Plasma

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----- See .*MiscTest 5 (OLD).

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17-OH Progesterone

----- See 17-Hydroxyprogesterone, HPLC-MS/MS, Serum or Plasma.

17-OHP

----- See 17-Hydroxyprogesterone, HPLC-MS/MS, Serum or Plasma.

2 Hr GTT Notif

----- See 2 Hr GTT Notification.

2 Hr GTT Notification 24 Hour Bun

----- See Urea Nitrogen 24 Hour Urine.

24 Hour Calcium Urine

----- See Calcium Level 24 Hour Urine.

24 Hour Chloride Urine (CRH)

----- See Chloride 24 Hour Urine (CRH).

24 Hour Glucose Urine

----- See Glucose 24 Hour Urine.

24 Hour Phosphorous Urine

----- See Phosphorus 24 Hour Urine.

24 Hour Uric Acid Urine

----- See Uric Acid 24 Hour Urine.

24 Hour Urine Microalbumin

----- See Microalbumin 24Hr Urine.

24 Hr Urine Amylase

----- See Amylase 24 Hour Urine.

24 Hr Urine Calcium

----- See Calcium Level 24 Hour Urine.

24 Hr Urine Chloride

----- See Chloride 24 Hour Urine (CRH).

24 Hr Urine Creatinine

----- See Creatinine 24 hr, urine.

24 Hr Urine Creatinine Clearance

----- See Creatinine Clearance 24 Hour Urine.

24 Hr Urine Glucose

----- See Glucose 24 Hour Urine.

24 Hr Urine Magnesium

----- See Magnesium Level 24 Hour Urine.

24 Hr Urine Phosphorous

----- See Phosphorus 24 Hour Urine.

24 Hr Urine Potassium

----- See Potassium Level 24 Hour Urine.

24 Hr Urine Protein

----- See Protein 24 Hour Urine.

24 Hr Urine Protein Elect w/Rflx

----- See Protein Electrophoresis 24Hr Urine w/Reflex.

24 Hr Urine Sodium

----- See Sodium Level 24 Hour Urine.

24 Hr Urine Urea Nitrogen

----- See Urea Nitrogen 24 Hour Urine.

24 Hr Urine Uric Acid

----- See Uric Acid 24 Hour Urine.

3 Hr GTT Notif

----- See 3 Hr GTT Notification.

3 Hr GTT Notification 3rd Generation TSH (CRH)

----- See TSH 3rd Generation.

4 Hr GTT Notif

----- See 4 Hr GTT Notification.

4 Hr GTT Notification 5 Hr GTT Notif

----- See 5 Hr GTT Notification.

5 Hr GTT Notification 5-HIAA, Quant, 24 Hr Urine

----- See 5-Hydroxyindoleacetic Acid, Quantitative, Urine, 24-Hour.

5-Hydroxyindoleacetic Acid, Quantitative, Urine, 24-Hour A Fetoprotein Tumor Marker a1-AT Abdominal-Fluid Abdominal-Fluid Cell Count

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----- See Alpha Fetoprotein Tumor Marker, Serum.

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ABORh ABORh Type ABSC Acacia IgE ACE ACE, CSF Acetaminophen Acetaminophen Level Acetone (CRH) Acetone CRH Acetone Dipstick Urine Acetone Urine Dip Acetylcholine Receptor Binding Ab Acetylcholine Receptor Binding Antibody Acetylcholine Receptor Blocking Ab Acetylcholine Receptor Blocking Antibody Acetylcholine Receptor Modulating Acetylcholine Receptor Modulating Ab Acetylsalicylic Acid Acid Fast Bacilli Culture Acid Fast Bacilli Smear Acid Fast Smear Only ACTH ACTH Stim Notif ACTH Stimulation ACTH Stimulation Notification Activated Protein C Resistance Acute Pain Hormone Panel ADAMTS13 ADAMTS13 Activity Adrenocorticotropic Hormone Aerobic Culture AFB Culture AFB Smear AFP AFP TM AFP Tumor AFP Tumor Marker Al, Acacia IgE Al, Almond IgE

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Al, Alternaria Alternata IgE Al, Alternaria alternata IgE Al, Apple IgE Al, Asparagus IgE Al, Aspergillus fumigatus IgE Al, Aspergillus Fumigatus IgE Al, Avocado IgE Al, Bahia Grass IgE Al, Barley IgE Al, Beef IgE Al, Bermuda Grass IgE Al, Blue Mussel IgE Al, Box-Elder IgE Al, Box-Elder Tree IgE Al, Brazil Nut IgE Al, Budgerigar (Parakeet) Feathers IgE Al, Cacao IgE Al, Cacao IgG Al, Canary Bird Feathers IgE Al, Carrot IgE Al, Casein IgE Al, Casein IgG Al, Cashew Nut IgE Al, Cat Dander IgE Al, Chicken Meat IgE Al, Cinnamon IgE Al, Cladosporium Herbarum IgE Al, Clam IgE Al, Cockroach, German IgE Al, Codfish IgE Al, Common Foods Multiallergen Assay, Qual Al, Common Foods Multiallergen Assay, Qualitative Al, Common Pigweed IgE Al, Common Ragweed IgE Al, Common Silver Birch IgE Al, Common Silver Birch Tree IgE Al, Common Wasp (Yellow Jacket) IgE Al, Cotton Seed IgE Al, Cottonwood IgE Al, Cow's Milk IgE

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Al, Cow's Whey IgG Al, Crab IgE Al, D Farinae IgE Al, D Pteronyssinus IgE Al, Dermatophagoides Farinae IgE Al, Dermatophagoides Pteronyssinus IgE Al, Dog Dander IgE Al, Egg (Whole) IgE Al, Egg (Whole) IgG Al, Egg White IgE Al, Egg White IgG Al, Egg Yolk IgE Al, Egg Yolk IgG Al, Elm IgE Al, Epicoccum Purpurascens IgE Al, Fire Ant IgE Al, Firebush (Kochia) IgE Al, Fusarium Proliferatum/F.moniliforme IgE Al, Garlic IgE Al, Giant Ragweed IgE Al, Ginger IgE Al, Gluten IgE Al, Gluten IgG Al, Gum Arabic IgE Al, Hazelnut (Filbert) IgE Al, Hazelnut IgE Al, Helminthosporium Halodes IgE Al, Honey Bee IgE Al, Horse Dander IgE Al, Johnson Grass IgE Al, Latex IgE Al, Linseed (Flaxseed) IgE Al, Lobster IgE Al, Maize/Corn IgE Al, Maize/Corn IgG Al, Mango IgE Al, Mugwort IgE Al, Mulberry IgE Al, Mustard IgE Al, Nettle IgE

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Al, Oak IgE Al, Oak Tree IgE Al, Oat IgE Al, Orange IgE Al, Oyster IgE Al, Paper Wasp IgE Al, Paprika/Sweet Pepper IgE Al, Parakeet Feathers IgE Al, Pea IgE Al, Peanut IgE Al, Peanut IgG Al, Pecan IgE Al, Pecan Nut IgE Al, Penicillium Chrysogenum IgE Al, Penicillium Chrysogenum/P.notatum IgE Al, Penicilloyl G IgE Al, Penicilloyl V IgE Al, Plantain (English)/Ribwort IgE Al, Pork IgE Al, Potato IgE Al, Potato IgG Al, Pumpkin IgE Al, Rabbit Epithelium IgE Al, Region 5 w IgE Al, Respiratory Allergy Profile, Region V (IN, KY, OH, TN, WV) with Total IgE Al, Rhizopus Nigricans IgE Al, Rice IgE Al, Rye IgE Al, Salmon (Atlantic) IgE Al, Saltwort (Prickly)/Russian Thistle IgE Al, Scallop IgE Al, Sesame Seed IgE Al, Setomelanomma Rostrata/Helminthosporium Halodes IgE Al, Sheep Sorrel IgE Al, Shrimp IgE Al, Soybean IgE Al, Soybean IgG Al, Strawberry IgE Al, Sycamore IgE

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Al, Timothy Grass IgE Al, Timothy IgE Al, Tomato IgE Al, Tomato IgG Al, Tragacanth Gum IgE Al, Tuna/Yellow Fin IgE Al, Turkey Meat IgE Al, Walnut IgE Al, Wheat IgE Al, Wheat IgG Al, White Bean IgE Al, White-faced Hornet IgE Al, Yeast IgE Al, Yeast IgG Al, Yellow Hornet IgE Alanine Aminotransferase Alanine Aminotransferase BF Alanine Aminotransferase, body fluid Alb ALB Alb BF Alb Body Fluid ALB Urine Random Dip Albumin Albumin BF Albumin Level Albumin Level Body Fluid Alcohol Level Alcohol level, serum Alcohol Serum Alcohol Urine Alcohol, Ur Aldolase ALDOLASE Aldolase Serum ALDOSTER Aldosterone Aldosterone, Serum Alk Phos Alk Phos BF

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Alkaline Phosphatase Alkaline Phosphatase Body Fluid Alkaline Phosphatase Isoenzymes ALKP ALKPHT/ISO Allergen Interp ARUP ALLERGY-IN Almond Nut IgE Alora ALP ALP Body Fluid ALPHA 1 Alpha Fetoprotein Tumor Marker Alpha Fetoprotein Tumor Marker, Serum Alpha Gal IgE Alpha-1-Antitrypsin Alpha-1-Antitrypsin, Serum ALPHAGAL E ALT ALT BF Alternaria Alternata IgE AMA AMA M2 IGG Amikacin Level Peak Amikacin Level Trough Amikacin Level, Random Amikacin Peak Amikacin Rand Amikacin Tro Amino acid Qn Amino acid, quant Amino acid, quantitative Aminophylline Aminophylline Level Ammonia Ammonia Level Amniotic Lamellar Body Count Amnisure AMOEBA Amph Cnf Ur

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Amph Scr Ur CRH Amphetamine Confirmation Ur Amphetamine Screen Urine Amphetamine Screen Urine (CRH) AMY AMY BF Amylase Amylase 24 Hour Urine Amylase 24 Hr Ur Amylase BF Amylase Body Fluid Amylase Ur Ran Amylase Urine Random ANA ANA IFA ANA Reflex Panel ANA Screen ANA Titer and Pattern, IFA ANA Titer and Pattern, IgG, IFA ANA w/Reflex Anaerobe Culture ANAEROBIC CULTURE Anaerobic Culture ANCA ANCA G ANDROSTENEDIONE Androstenedione, LC-MS/MS Androstenedione, Serum or Plasma Angiotensin Converting Enzyme Angiotensin Converting Enzyme, CSF Angiotensin Converting Enzyme, Serum or Plasma Angiotension Converting Enz CSF Anti DNA Ab, Double Strand Anti DNA ds Ab Anti ENA Anti Sm Antibody Anti Smith Antibody Anti-Cardiolipin GAM Anti-Centromere Ab Anti-ENA

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Anti-GBM ANTI-MULLERIAN Anti-Mullerian Hormone Anti-Neutrophil Cytoplasmic IgG Antibodies Anti-ribonucleoprotein Ab Anti-RNP Anti-Streptolysin O Anti-TPO Anti-Xa LMWH Anti-Xa UNFH Antibody Screen Antiglomerular Basement Membrane Antineutrophil Cytoplasmic Antibody Antineutrophilic Myeloperoxidase Ab Antineutrophilic Proteinase 3 Ab Antinuclear Antibody Antiphosphatidylserine Ab Antiphospholipid Ab w/o Treatment Profile and Interp Antistreptolysin O Ab Antithrombin III Ag Antithrombin III, Assay Antithrombin III, Functional Antithrombin, Antigen Antithyroid Ab Panel APC-R Apple IgE APT Test APT Test For Fetal Blood APT-Downey Test Arthritis Profile (CRH) ASA Level Ascitic-Fluid Ascitic-Fluid Cell Count ASMA ASO Asparagus IgE Aspartase Aminotransferase Aspartate Aminotransferase Aspartate Aminotransferase BF Aspartate Aminotransferase, body fluid

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Aspergillus Fumigatus IgE Aspirin Level AST AST BF AST Body Fluid AT III, Functional ATIII, Funct Automated Blood Count AUTOw-Plt Avocado IgE B-Natriuretic Peptide B12 B12 Level B2 Globulin B2 GLYCO IGA B2 Glyco IgG/M B2 MICROGLOBULIN Bact PFGE CRH Bact Typing by PFGE (CRH) Bacterial Culture Bacterial Culture Anaerobic Bacterial Culture Blood Bacterial Culture Blood Central Line Bacterial Culture Bronch Wash Bacterial Culture Cerebrospinal Fluid Bacterial Culture Sputum Bacterial Culture Stool Bacterial Culture Throat Bacterial Culture Urine Bahia Grass IgE BAL Cell Count Barb Conf Ur CRH Barb Scr Ur CRH Barb Ur Qnt CRH Barbiturate confirmation Ur (CRH) Barbiturate Screen Urine (CRH) Barbiturate Ur Quant (CRH) Barbiturate, confirmation, Ur (CRH) Barbiturate, Ur, quantitative (CRH) Barley IgE

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BARTONELLA Bartonella Abs, IgG/M Bartonella henselae and B. quintana IgG and IgM Antibodies, IFA Basic Met Basic Metabolic Panel BB Consult BB Draw BB Draw Specimen BCR-ABL p210 BCR-ABL p210 RT-PCR Beef IgE Benz Scr Ur CRH Benzo Cnf Ur Benzo Qt Ur CRH Benzodiazepine Confirmation Ur Benzodiazepine quant Ur (CRH) Benzodiazepine Screen Urine (CRH) Benzodiazepine,Ur, quantitative (CRH) Bermuda Grass IgE Beta H Chorionic Gonadotropin Qual (CRH) Beta hCG Qual (CRH) Beta hCG Qual Urine Beta hCG Quant Beta Human Chorionic Gonadotropin Qualitative Urine Beta Human Chorionic Gonadotropin Quantitative Beta-2 Glyco GAM. Beta-2 Glycoprotein 1 Abs, IgG/M Beta-2 Glycoprotein 1 Antibodies, IgG and IgM Beta-2 Glycoprotein 1 IgA Antibody Beta-2 Glycoprotein 1 IgG/A/M. Beta-2 Microglobulin Beta-2-Microglobulin, Serum Beta-Hydroxybutyrate Beta-Hydroxybutyrate, Serum or Plasma BF Alb BF Alkaline Phosphatase BF ALP BF ALT BF Amylase

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BF AST BF Bun BF Calcium BF Chloride BF Cholesterol BF Cl BF CONS BF Consult BF Count Man BF Creatinine BF Crystal Exam BF Crystal Examination BF GGT BF GLUC BF Glucose BF LDH BF Osmo BF Osmolality BF pH BF Phos BF Phosphorus BF Potassium BF Protein BF Sodium BF Tbil BF Total Bilirubin BF TP BF Trig BF Triglyceride BF Urca BF Urea Nitrogen BF Uric Acid BG Art w/Co-ox Request BG Art wo/Co-ox Request BG Central Ven Request BG Cord Art w/Co-ox Request BG Cord Ven w/Co-ox Request BG O2 Sat Request BG SVO2 Request BG SVO2 Request

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BILE AC Bile Acids, Total Bile Dip Ur Bile Dipstick Ur Bile urine dipstick Bili Conjugated Bili Direct Bili Tot Bili Tot BF Bili Tot Neo Bili Total Bilirubin BF Bilirubin Body Fluid Bilirubin Dipstick U Bilirubin Direct Bilirubin Neonatal Total Bilirubin Total Bilirubin Total Neonatal Bilirubin urine dipstick BK Virus Quantitation Bld Bnk Consult Bleeding Time Blood Culture BLOOD CULTURE Blood Culture Central Line Blood Dip Ur Blood Dipstick Urine Blood Gas Arterial w/Co-ox Request Blood Gas Arterial wo/Co-ox Request Blood Gas Central Venous Request Blood Gas Cord Arterial w/Co-ox Request Blood Gas Cord Venous w/Co-ox Request Blood Gas O2 Saturation Request Blood Gas SVO2 Request Blood Gas SVO2 Request Blood Sugar Fasting Blood Type Blood Urea Nitrogen Blood Urine dipstick Blue Mussel IgE

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BMP BNP Body Fluid Alkaline Phosphatase Body Fluid ALP Body Fluid ALT Body Fluid AST Body Fluid Cell Count Manual Body Fluid GGT Body Fluid pH Body Fluid Potassium Body Fluid Sodium Bone Marrow Bone Marrow Tray Box-Elder Tree IgE Brain Natriuretic Peptide Brazil Nut IgE Bronch Culture BRONCH CULTURE Bronchial Washing Culture Bronchoalveolar Lavage Cell Count Budgerigar (Parakeet) Feathers IgE Bufferin BUN Bun BF BUN Outreach Bun Urine 24 Hour C Aerobic C AFB C ALBICANS GAM C Anaerobe C Blood C Blood Central Line C Bronch C Bronch Wash C CSF C Diff C Diff C C Diff CRH C Diff Culture C Diff Cytotoxin Ab

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----- See Bacterial Culture.

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C Diff Toxin C FUNGUS C Fungus C Fungus not Blood C GC Screen C Herpes C MRSA C Rout CRH C Routine C Sputum C Stool C Strep B C StrepB C Throat C TRACH C Urine C Vaginal B Only C+S if Pos C, Virus C-1-Esterase Inhibitor C-1-Esterase Inhibitor, Functional C-PEPTIDE C-Peptide C-Reactive Protein C-Reactive Protein Cardiovascular C-Reactive Protein Inflammation C-Reactive Protein, Cardiovascular C. Diff CRH C. diff Cytotoxin Cell Assay, Feces C1EST FNC C1EST INH C1Q/RAJI C2 C3 C3 Complement C4 C4 Complement CA 125 CA 19-9 CA 27 29

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CA BF Ca Ioniz CA Urine 24 Hour Ca Urine Random Ca++ 24 Hour Urine Ca++ Body Fluid Ca++ Ionized Ca++ Level Ca++ Urine Random Ca/Crea Ratio Ur Ca/Crea Ratio, Ur Cacao IgE Cacao IgG Caffeine Caffeine Level Calcifidiol Calcifidiol Level Calcitonin CALCITONIN Calcitonin Level Calcium Calcium 24H Ur Calcium BF Calcium Level 24 Hour Urine Calcium Level Body Fluid Calcium Level Ionized Calcium Level Total Calcium Level Urine Random Calcium Ur Ran Calcium/Creatinine Ratio, Ur Call Report to MD CALPROTECTIN Calprotectin, Feces Canary Bird Feathers IgE Cancer Antigen 125 Candida Albicans Abs, IgG/A/M Candida albicans IgA, IgG, and IgM Antibodies Cann Scr Ur CRH Canna Cfm Ur CRH Cannab Qt Ur

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Cannabinoid confirmation, Ur (CRH) Cannabinoid Screen Urine (CRH) Cannabinoid, confirmation, Ur (CRH) Cannabinoids quant urine Carbamazepine Carbamazepine Level Carbatrol Carbohydrate Antigen 19-9 Carbon Dioxide Carboxyhemoglobin Arterial Request Carboxyhemoglobin Venous Request Carboxyhgb Art Request Carboxyhgb Ven Request Carcinoembryonic Antigen CARD GAM Card Series 1 Card Series 2 Card Series 3 CARDA CARDG Cardiac Series #1 Cardiac Series #2 Cardiac Series #3 Cardio CRP Cardiolipin Ab Panel IgG,A,M Cardiolipin IgA Antibody Cardiolipin IgG Antibody Cardiolipin IgM Antibody CARDM Carn Fr&Tot Carnitine Free and Total Carnitine Free and Total (Includes Carnitine Esterified) Carrot IgE Casein IgE Casein IgG Cashew Nut IgE Cat Dander IgE Cat Scratch Disease CATECH Catecholamines, 24 Hr Urine

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Catecholamines, Fractionated Catecholamines, Fractionated, Plasma Catecholamines, Fractionated, Urine, 24 Hour CBC CBC - Complete Blood Count CBC w-Diff CCP CDIFTX CEA Celiac Disease Evaluation CELIACSERO Cell Count Body Fluid Manual Cell Count Bronchoalveolar Lavage (BAL) Cell Count Cerebrospinal Fluid Cell Count CSF Cell Count Pericardial Fluid Cell Count Peritoneal Dialysate Fluid Cell Count Peritoneal-Fluid Cell Count Pleural Fluid Cell Count Synovial Fluid Cell Count w/Crystal Exam Synovial Centromere Ab Cerebrospinal Fluid Culture w/Gram stain CERULO Ceruloplasmin Cervicovaginal Secretions CF Screen CFP CH50 Chem 8 Chest Fluid Chicken Meat IgE Chickenpox Screen Chlam Probe Chlamydia Probe Chlamydia trachomatis Culture Chlamydia trachomatis DNA Probe Chloride Chloride 24 Hour Urine (CRH) Chloride Body Fluid

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Chloride Cerebrospinal Fluid Chloride CSF Chloride Urine Random (CRH) Chloride Urine Timed (CRH) CHOL Chol BF Chol HDL Cholesterol Cholesterol Body Fluid Cholesterol HDL Cholesterol High Density Lipid Cholesterol Total Chrom BM Diag All (CRH) Chrom BM Diag Excl (CRH) Chrom BM Diag Exclude All (CRH) Chrom BM IUMC CRH Chrom BM Repeat All Chrom BM Repeat Exclude All (CRH) Chrom BM Rpt All (CRH) Chrom BM Rpt Excl All CRH Chrom BM Rpt Excl ALL CRH Chrom Fetl Chromogranin A CHROMOGRANIN A Chromosome Anal, BM, IUMC (CRH) Chromosome Anal, Fetal tissue Chromosome Analysis, Blood CHROMOSOME BLD Chronic Pain Hormones Panel Cinnamon IgE Citric Acid, 24 Hr Urine Citric Acid, Urine, 24-Hour CK CK (CPK), Total and Isoenzymes CK ISOCKMB CKMB wo/Interpretation (CRH) CKMB CRH CL Cl

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Cl 24 Hr Ur Cl 24H Ur CRH Cl BF Cl CSF Cl Ur Ran Cl Ur Ran CRH Cl Ur Timed (CRH) Cl Urine 24 Hour (CRH) Cl Urine Timed Cladosporium Herbarum IgE Clam IgE Climora CLO Test Clonazepam, Level Clonazepam, Serum or Plasma CLONOP Clostridium difficile Cytotoxin Antibody, Neutralization, Serum Clostridium difficile Cytotoxin Cell Assay, Feces Clostridium Difficile Toxin Clostridium Difficile Toxin Assay Stool CMP CMV DNA, Qual, PCR CMV IgG EIA CMV IgM EIA CMVPCR QL CO II AB CO2 Coag Consult COAGCONS Coagulation Factor VII Activity Coagulation Factor VIII Activity Coc Scr Ur CRH Coca Cnf Ur CRH Cocaine Screen Urine (CRH) Cocaine Ur Qn CRH Cocaine, confirmation, Ur (CRH) Cocaine, quantitation, urine (CRH) Cockroach, German IgE Codfish IgE

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Col Count, Ur Coll Fee Collagen Type II Antibody Collection Fee Only Colony Count Environmental Colony Count Only, Urine Colony Count Urine Colony Count, Urine Columbus Weight Clinic Panel (CRH) Common Pigweed IgE Common Ragweed IgE Common Silver Birch Tree IgE Common Wasp (Yellow Jacket) IgE COMP 1Q Comp Met Comp Met Panel COMP TOTAL Complement C1Q Complement C2 Complement Component 1Q Complement Component 2 Complement, C3 Complement, C4 Complement, Total (CH50) Comprehensive Metabolic Panel Confirm Amphetamine Ur Confirm Barbiturate Urine (CRH) Confirm Benzodiazepine Ur Confirm Cannabinoid Urine (CRH) Confirm Cocaine Urine (CRH) Confirm Methadone Urine (CRH) Confirm Opiate Urine Confirm PCP Urine (CRH) Conjugated Bilirubin Consult Blood Bank Consult Body Fluid Consult Coagulation Consult CSF Consult DIC Panel Consult Differential

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Consult Malaria Convey Basic Convey Overnt Convey STAT Conveyance of Specimen Basic Conveyance of Specimen Overnight Conveyance of Specimen STAT Conveyance of Specimen, Basic Conveyance of Specimen, Overnight Conveyance of Specimen, STAT Copper COPPER Copper, Serum Cord Blood Workup CORT SAL Corticotropin Cortisol AM Cortisol Evening Cortisol PM Cortisol Ran Cortisol Random Cortisol, Free, 24 Hr Urine Cortisol, Free, Urine, 24-Hour Cortisol, Saliva Cotton Seed IgE Cottonwood IgE Cow's Milk IgE Cow's Whey IgG CPK Cr Cl 24 H Ur Cr Cl 24 Hour Urine Crab IgE CREA Crea BF Crea/Protein Ratio, Ur Creat Creat 24H Ur CREAT CLEAR Creat Clear 24Hr Ur Creat Ur Ran

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Creat/Prot Ur Creatine Kinase Creatine Kinase Isoenzymes (Includes Total CK) Creatinine Creatinine 24 hr, urine Creatinine BF Creatinine Body Fluid Creatinine Clearance 24 Hour Urine Creatinine Clearance 24 Hr Creatinine Kinase Creatinine Phosphokinase Creatinine Urine Random Creatinine/Protein Ratio, Ur (CRH) CRP CRP (Inflammation) CRP Cardio CRP Cardiovascular Cryo Cryofibrinogen CRYOGLOBULIN Cryoglobulin Cryoprecipitate CrypsporAg Crypto and Giardia Screen Cryptococcal Ag Serum Cryptococcal Antigen, CSF Cryptococcal Antigen, Serum Cryptosporidium Ag Cryptosporidium Antigen EIA Cryptosporidium Screen Crystal Exam BF Crystal Exam Body Fluid Crystal Examination Body Fluid Crystals, Synovial Fluid CSF ACE CSF Cell Count CSF Chloride CSF CONS CSF Consult CSF CRYPTO

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CSF CULTURE CSF Culture CSF Culture w/Gram stain CSF FUNGCF CSF Glucose CSF Lactic Acid CSF LDH CSF MBP CSF Protein CSF Sodium CSF STS CSFCount Ct w/Crystal Syn Fl Culture AFB Culture Anaerobic Culture and Sensitivity if UA Positive Culture Blood Culture Blood Central Line Culture Bronch Culture CSF Culture MRSA Culture Routine CULTURE ROUTINE Culture Sputum Culture Stool Culture Strep B Vaginal Culture Throat Culture Urine Culture Vaginal Group B Strep Culture, C Difficile w Cytotoxin Cell Assay if Ind. Culture, Chlamydia trachomatis Culture, Clostridium difficile with Cytotoxin Cell Assay if Indicated Culture, Herpes Simplex Virus with HSV Typing if Indicated Culture, Viral, Non-Respiratory Culture, Virus CVA Profile CWC PANEL Cyclic Citrullinated Peptide IgG Ab Cyclosporine

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Cyclosporine Level CYS FIB PN Cystic Fibrosis (CFTR) Mutation Panel Cystic Fibrosis Screen Cytomegalovirus DNA, Qualitative PCR Cytomegalovirus IgG EIA Cytomegalovirus IgM EIA D Farinae IgE D Pteronyssinus IgE D-Dimer Qt (CRH) D-Dimer, Quantitative (CRH) DAT Date of Surgery DBIL DCP Dehydroepiandrosterone (DHEA), Serum or Plasma Dehydroepiandrosterone Sulfate (DHEA-S) Depakene Depakene Level Depakote Derm CD4 Des-gamma-carboxy Prothrombin Dexameth H Dexameth High Dose Dexameth L Dexameth Low Dose Dexamethasone Suppression, High Dose Dexamethasone Suppression, Low Dose DHEA DHEA-S Dialysis Panel DIC CONS DIC Panel (CRH) DIFF DIFF CON Diff Cons Differential Manual DIG Digoxin Digoxin Level

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----- See Al, Dermatophagoides Farinae IgE.

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Dilantin Level Dilantin Level Total Dilute Russell Viper Venom Time DIPHTH AB Diphtheria Ab, IgG Diphtheria IgG Antibody Direct Coombs Disaster Downtime Results DNA-Ab, Double Strand DNASE B AB DNase-B Ab DNase-B Antibody Dog Dander IgE Donnatol Donnatol Level DOT NIDA Coll DOT NIDA Collection (CRH) Draw Extra Blood Drug Detection by MS, Umbilical Cord Drug DetectionMS, Umbilical Cord Drug Screen 9 w GCMS Drug Screen 9, with Confirmation/Quantitation if Indicated, Serum or Plasma Drug Screen Urine Drug Screen Urine (CRH) DRVVT DRVVT Screen dsDNA Ab E Histolytica Ag, Feces E2 E2 Level EBV Ab IgG EIA EBV Ab IgM EIA EBV DNA by PCR EBV DNA PCR EBV IgG EIA EBV IgM EIA EBV PANEL EBV Panel EBV PCR QL

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----- See Entamoeba histolytica Antigen, EIA.

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EBV VCA IgG EIA EBV VCA IgM EIA ED POC BNP (NTpro) ED POC Cardiac Series ED POC Chem 8 ED POC CKMB ED POC Creat ED POC CritCare Panel ED POC Hgb+Hct ED POC Lactate ED POC Lytes ED POC Sepsis Panel ED POC Troponin ED POC UPT Egg White IgE Egg White IgG Egg Yolk IgE Egg Yolk IgG Egg, Whole, IgE Egg, Whole, IgG Electrolyte Panel Electrolytes Electrolytes, Ur, random (CRH) Electrolytes, Urine Timed (CRH) Electronic Medical Record Barcode Elm IgE EMR EMR Barcode ENA Ab ENA-Ab ENDOMYSIAL IGA Endomysial IgA Ab Endomysial IgA Antibody, IFA Enoxaparin Level Entamoeba histolytica Antigen, EIA Env CC ENV CC Env Col Count Environmental Colony Count Environmental Culture Colony Count

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Eos UA Eosinophils in Urine Eosinophils Urine Epicoccum Purpurascens IgE EPO EPO Level Epstein Barr IgG EIA Epstein Barr IgM EIA Epstein-Barr Virus Ab Panel Epstein-Barr Virus Antibody Panel, Serum Epstein-Barr virus, DNA, PCR Epstein-Barr Virus, Qual, PCR Epstein-Barr Virus, Qualitative PCR Erythropoietin Erythropoietin Level Eskalith ESR ESTRADIOL Estradiol Level Estradiol, Serum or Plasma ESTROGENS Estrogens, Fractionated, Serum or Plasma Estrogens, total Ethanol Ethanol Level Ethanol Ur Ethanol, Ur Ethos Level Ethosuximide Level Ethylene Glycol Extra Blood Draw Extractable Nuclear Antigen, Ab F5-LEIDEN Factor 5 (Leiden) Factor 7 FACTOR 8 Factor 8 Factor II Mutation (G20210A) Factor V (Leiden) Factor V Leiden (F5) R506Q Mutation Analysis

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----- See Factor V Leiden (F5) R506Q Mutation Analysis.

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Factor VII Activity Factor VIII Assay Farmer's Lung Disease. Fasting Blood Sugar Fasting Sugar Fat, Qualitative, Feces Fat, Quantitative, Feces Fax Faxed to Patient FBG FBS FC Add Mark CRH FC Leukemia CRH FC Leukemia Profile (CRH) FC Lymph CRH FC Lymphoma profile (CRH) FC Mark Eval CRH Fe FE & TIBC FE and IBC FE and TIBC Fe Level FECAL FAT QNT FECAL FAT QUAL Fecal Fat Qual Fecal Fat Quant Fecal Leukocytes Fecal Parasite Screen Fentanyl Ur Fentanyl, Urine Ferritin Fertility Study Fetal Fibrone Fetal Fibronectin Fetal Lung Maturity Fetal Tissue Chromosome Analysis fFN FFP Fibrinogen Fibromyalgia Panel

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FIBROSPECT FIBROSpect II Fifths Disease Fire Ant IgE Firebush (Kochia) IgE FK506 FK506 Level Flood Flow Cyt Blood Flow Cyt BM Flow Cyt Fluid Flow Cyt Tissue Flow Cytometry Body Fluid Flow Cytometry Bone Marrow Flow Cytometry Cell Marker Eval (CRH) Flow Cytometry Peripheral Blood Flow Cytometry Tissue Flow Cytometry, Additional Marker (CRH) Flow Cytometry, Leukemia Prof, IU Flow Cytometry, Leukemia Prof, IU (CRH) Flow Cytometry, Lymphoma Prof, IU Flow Cytometry, Lymphoma Prof, IU (CRH) FOL RBC Folate Folate Level Folate, RBC Folic Acid Follicle Stimulating Hormone Food Allergy Profile w IgE FOOD W/IGE Foods Multiallergen Assay, Qual Fragile X Fragile X (FMR1) w/Rflx to Methylation Analysis Free Calculation Testosterone, Females and Children Free Dilantin Free Kappa and Lambda Ratio Free Kappa and Lambda Ratio, Urine Free T3 Free T4 Free Thyroxine

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Fresh Frozen Plasma FSH FT4 FT4 Dialysis FTA, ABS FUNG PKG FUNGAL AB Fungal Ab by CF, Serum Fungal Ab Panel Fungal Abs by ID Fungal Antibodies by CF, CSF Fungal Antibodies by ID, Serum Fungal Culture Fungal Smear Fungus Culture not Blood Fungus Sm Fungus Smear Only Fusarium Proliferatum/F.moniliforme IgE G6PD G6PD Qnt G6PD Quant GABAPENTIN Gabapentin Level Gabapentin, Serum or Plasma GAD65 Galactose Alpha Gal IgE Gamma Glutamyl Transferase Gamma GT Garamycin Level Garlic IgE Gas Parietal Cell IgG Gastric Occult Blood Gastric Parietal Cell Ab, IgG GASTRIN Gastrin Gastroccult GBBS GBM AB IGG GBM Ab, IgG GBS Culture

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----- See Glucose 6-Phosphate Dehydrogenase Quant.

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GC Culture GC Probe GC Screen Gent Peak Gent Tro Gentamicin Gentamicin Level Gentamicin Level Peak Gentamicin Level Trough GGT GGT BF GGT Body Fluid Giant Ragweed IgE Giardia Ag Giardia and Crypto Screen Giardia lamblia Antigen EIA Giardia Screen Ginger IgE Gliadin (Dgp) Abs, IgG/A Gliadin Deamidated Peptide IgA and IgG Antibodies GLIADIN IGG/A Glomerular Basement Membrane Glomerular Basement Membrane IgG Antibody, Multiplex Bead Assay Glu Conf Gluc 1 Hr Gluc 2 Hr Gluc 24H Ur Gluc 3 Hr Gluc 30 Min Gluc 4 Hr Gluc 5 Hr Gluc BF Gluc CSF Gluc Dip Ur Gluc Fast LT Gluc Fasting Gluc NaF Gluc POC Request Gluc Rand

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Gluc w/cola Gluc1Preg Glucose 24 Hour Urine Glucose 30 Min Lactose Tolerance Glucose 6-PD Quant Glucose 6-Phosphate Dehydrogenase Quant Glucose Body Fluid Glucose Cerebrospinal Fluid Glucose CSF Glucose Dipstick Urine Glucose DipstickUrine GLUCOSE F Glucose Fasting Glucose Fasting Lactose Tolerance Glucose NaF Glucose NaF Specimen Glucose Nonfasting Glucose POC Confirmation Glucose POC Request GLUCOSE R Glucose Random Glucose Tol, OB 50 Gm w/Glucola Glucose Tolerance 2 Hr Glucose Tolerance 2Hr Notify Glucose Tolerance 3 Hr Glucose Tolerance 3 Hr OB (100gm) Glucose Tolerance 3Hr Notify Glucose Tolerance 4 Hr Glucose Tolerance 4Hr Notify Glucose Tolerance 5 Hr Glucose Tolerance 5Hr Notify GLUTAMIC ACID Glutamic Acid Decarboxylase Ab Glutamic Acid Decarboxylase Antibody Gluten IgE Gluten IgG Glycohemoglobin Glycohgb Glycosylated Hemoglobin Gonorrhea Culture

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Gonorrhea DNA Probe Gram St Gram Stain Gram Stain Only GROWTH H Growth Hormone GTT 2 Hr GTT 3 Hr GTT 4 Hr GTT 5 Hr GTT OB 50 Gm w/Glucola Gum Arabic IgE Gynodiol H Pylori Ag Fecal H PYLORI BREATH H PYLORI FECES H pylori IgG EIA H pylori Rapid Urease H pylori Screen H pylori Urease Breath Test H/H HA Ab Total Haptoglobin HAPTOGLOBIN HAV IgM Hazelnut (Filbert) IgE HBc Ab Total HBc IgM HBs Ag HBsAb Qt HBSAG (MT only) HBV DNA PCR HCG Quant HCG TUMOR MK hCG, Quant, Tumor Marker hCG, Quantitative, Tumor Marker, Serum Hct HCT Hct BF HCV IgG

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----- See Helicobacter pylori Antigen, EIA, Feces.

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HCV PCR Quant. HCV RNA Genotype HDL HDL Cholesterol Heat Shock 70 Heat Shock Protein 70, IgG by Immunoblot Helico Bx Helicobacter Pylori Ag Fecal Helicobacter pylori Antigen, EIA, Feces Helicobacter pylori IgG EIA Helicobacter pylori Screen Helicobacter pylori Urease Breath Test Helminthosporium Halodes IgE Hematocrit Hematocrit BF Hemochromatosis (HFE) Mutation Detection, Hereditary Hemochromatosis Genotype HEMOCHROMATOSIS MUTATION Hemoglobin Hemoglobin A1c Hemoglobin and Hematocrit Hemoglobin Electrophoresis Hemoglobin S Solubility Hemogram w-Platelets Hep A IgM Ab Hep B Core Ab Hep B Core IgM Ab Hep B Virus Surface Ag w Conf if Ind. (MT only) Hep Bc IgM Ab Hep Bs Ag HEP C GENO Hep C IgG Ab Hep C RNA PCR Qt. Hep C RNA PCR. Hep LMWH Hep Panel Hep UNFH Heparin Level Low Molecular Wt Heparin Level Unfractionated Heparin Level, Low Molecular Weight

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Heparin Level, Unfractionated HEPARIN PF4 Heparin-Associated Ab (PF4) Hepatic Function Panel Hepatic Panel HEPATITIS A Hepatitis A Antibody Total Hepatitis A IgM Antibody Hepatitis A Virus Total Antibodies HEPATITIS B CORE Hepatitis B Core IgM Antibody Hepatitis B DNA Hepatitis B Surface Antibody Quant Hepatitis B Surface Antigen Hepatitis B Virus Core Total Ab Hepatitis B Virus Core Total Antibodies Hepatitis B Virus DNA, Quant PCR Hepatitis B Virus DNA, Quantitative PCR Hepatitis B Virus Surface Ag, with Conf if Indicated HEPATITIS BE AB HEPATITIS BE AG Hepatitis Be Virus Ab Hepatitis Be Virus Ag Hepatitis Be Virus Antibody Hepatitis Be Virus Antigen Hepatitis C IgG Antibody Hepatitis C Virus Genotyping Hepatitis C Virus RNA, Quantitative PCR. Hepatitis Panel Hepatitis Panel Acute Hepatitis Viral Panel Hepcon HMS (Heart Center) ACT Hereditary Hemochromatosis Herpes Culture Herpes Simplex Culture Herpes Simplex V 1/2 Ab, IgG Herpes Simplex Virus 1/2 IgG/M Abs Herpes Simplex Virus 1/2, Qual, PCR Herpes Simplex Virus Type 1 and 2 Specific IgG Antibodies, Serum

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Herpes Simplex Virus Type 1 and 2, Qualitative PCR Herpes Simplex Virus Type 1 and/or 2 IgM Antibodies, Serum Herpes Simplex Virus Type 1/2, Qual, PCR CSF Heterophile Screen HEX PHOS Hexagonal Phospholipid Neutralization HFE Genotype HGB Hgb Hgb A1c Hgb Electrophoresis HGB EVAL Hgb Evaluation Hgb S Solubility hGH High Sensitivity CRP HISTO AG URINE HISTOPLASMA AG Histoplasma Ag Urine Histoplasma Antibodies by CF, Serum Histoplasma Antibody by CF Histoplasma Antigen Histoplasma Antigen Urine Histoplasma Antigen, EIA, Serum HISTOPLASMA CF Histoplasma Galactomannan Antigen, Quantitative EIA, Urine HIT HIV 1 RNA, Qt PCR HIV 1 RNA, Quantitative PCR HIV 1/2 Ab Scr HIV 1/2 Antibody Screen HIV 1/2 Screen HIV 1Ultra HIV SC HLA-B27 HLA-B27 Ag w PCR if Ind. HLA-B27 Antigen, Flow Cytometry with PCR if Indicated HMS ACT HMS HDR

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HMS Hep Dose Response Hrt Ctr HMS Hep Protam Titer Hrt Ctr HMS HPT Homocysteine Total Homocystine Homocystine Total Honey Bee IgE Horse Dander IgE HPV High Order HPV HIGH RISK HSV 1 + HSV 2 Abs, IgM, IFA HSV 1&2 IgG Ab HSV 1/2 IGG HSV 1/2 IgG/M Abs HSV 1/2 IgG/M Antibodies HSV 1/2 IGM AB HSV 1/2 PCR CSF HSV Culture HSV Culture with HSV Typing if Ind. HSV PCR HSV PCR CSF HSV1/2 PCR Human Papillomavirus (HPV) DNA, High Risk, Cervical, ThinPrep Hyper-Pneum-Eval Hypersensitivity Pneumonitis Eval. Hypersensitivity Pneumonitis Evaluation. IBD SGI IBD sgi Diagnostic IFB Ab IFE IFE Urine IgA IGE IgE IgE, Quantitative, Serum IGF 1 IGF Binding Protein-3 IGF-I IGFBP-3

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----- See Prometheus IBD sgi Diagnostic.

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IgG IGG SUBCLASS IgG Subclasses 1-4 IgG Synthesis Rate IgG,A,M IGG-SYNTHESIS IgM Immature Platelet Fraction Immufix Urine Immune Complex Panel Immunoelectropheresis S Immunoelectrophoresis Immunoelectrophoresis U Immunofixation Immunofixation Urine Immunofixation with IgA, G and M Immunogam Immunoglob GAM Immunoglobulin A Immunoglobulin G Immunoglobulin M Immunoglobulins GAM India Ink India Ink Prep India Ink Smear Indirect Coombs Influ Ag Influenza Ag Influenza Antigen Influenza Rapid Antigen Test INR and PT INSULIN Insulin Insulin Level Insulin Like Growth Factor I Insulin-like GFBP-3 Intrinsic Factor Blocking Antibody IODINE Iodine Iodine, Serum

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Ionized Calcium Ionized Calcium Level IPF Iron Iron & TIBC Iron and TIBC Iron and Total Iron Binding Capacity Iron Level Iron only ISDH Conf ISDH Confirmation ISLET AB Islet Cell Ab, IgG Islet Cell Cytoplasmic Antibody, IgG Isopropyl Alc Isopropyl Alcohol Level JAK2 (V617F) Mutation Analysis JAK2 Mutation, Qualitative JAK2 PCR Jo-1 Ab, IgG Jo-1 Antibody, IgG Johnson Grass IgE K 24 Hour Urine K BF K serum K+ K+ 24 Hour Urine K+ BF K+ Level K+ Random Urine K+ Timed Urine K/L Free Light Chains, Urine, Quant Kappa/Lambda Free Light Chains, Quant Kappa/Lambda Free Light Chains, Quantitative, with Ratio, Serum Kappa/Lambda Free Light Chains, Quantitative, with Ratio, Urine Kappa/Lambda Qnt Keppra Keppra Level Ketones

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----- See Potassium Level 24 Hour Urine.

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Ketones (CRH) Ketones Dip Ur Ketones Dipstick Urine Kidney Function Panel Kidney Stone Analysis KOH KOH Prep KOH Prep Only L/S Ratio Amn Fl L/S ratio, amniotic fluid LA LA Arterial LA CSF LACOSAMIDE Lacosamide Level Lacosamide, Serum or Plasma Lactate Lactate Dehydrogenase Lactate Dehydrogenase Body Fluid Lactate Dehydrogenase Isoenzymes, Serum Lactate,Blood Lactic Acid Lactic Acid Art Lactic Acid Cerebrospinal Fluid Lactic Acid CSF Lactic Acid, Arterial Lactic Dehydrogenase Lamellar Body Count Lamictal Lamictal Level LAMOTRIGINE Lamotrigine Level Lamotrigine, Serum or Plasma Lanoxin Lanoxin Level LAP Latex IgE LD (LDH), Isoenzymes LDH LDH BF

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----- See Lecithin/Sphingomyelin ratio amnio fld.

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LDH Body Fluid LDH CSF LDH ISO LDL Cholesterol, Direct LDL Cholesterol, Direct Measurement LDL-DIRECT Lead Level LEAD WB Lead, Whole Blood Lecithin/Sphingomyelin ratio amnio fld Legionella Ag Legionella pneumophilia Urinary Antigen Leiden Factor 5 Leutinizing Hormone LEVETIRACETAM Levetiracetam Level Levetiracetam, Serum or Plasma LFT LH Li Level Lidocaine CRH Lidocaine Level (CRH) Linseed (Flaxseed) IgE Lipase Lipid Panel LipoProfile by NMR Lipoprotein(a) Liquiprin Lithane Lithium Lithium Level Liver Fibrosis, NAFLD Liver Panel LMWH Lobster IgE Lovastatin Panel Lovenox Level LUPUS AC Lupus Anticoagulant Detection Luteinizing Hormone

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Lyme (B burg) Total Abs, EIA, with Western Blot if Indicated, Ser Lyme (B burg) Total Abs, ELISA, with Rflx to Immunoblot if Ind, CSF LYME CSFR Lyme Tot Ab w Rflx Immunoblot if Ind, CSF Lyme Total Ab w WB if Ind. LYME/WB Lytes Lytes U Rnd CRH Lytes Ur Timed CRH Lytes Urine Random Lytes Urine Random (CRH) Lytes Urine Timed Lytes Urine Timed (CRH) Mag 24H Ur Magn RBCs Magnesium Magnesium Level Magnesium Level 24 Hour Urine Magnesium, RBCs Mail Mailed to Patient Maize/Corn IgE Maize/Corn IgG MALARIA CONS Malaria Screen Mammotropin Man Diff Mango IgE Manual Differential Maternal Quad Screen MB Fraction (CRH) MB Isoenzyme (CRH) MC/CR Ratio, Urine MD Release Measles IgG EIA Measles, Mumps and Rubella IgG Panel Meconium Drug Screen Met Hemoglobin, Art META PF

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----- See Magnesium Level 24 Hour Urine.

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Metaneph Ur Metanephrines Fractionated by HPLC-MS/MS, Urine Metanephrines, Free, Plasma Metha Cnfrm CRH Methadone confirm ur (CRH) Methadone Scr Methadone Screen Methadone, confirmation, urine (CRH) Methanol Methemoglobin Methemoglobin, Arterial Methicillin Resistant Staph aureus Culture only Methotrexate Methotrexate Level Methylenetetrahydrofolate Reductase (MTHFR) Mutation Analysis Methylmalonic Acid Methylmalonic Acid, Urine, Random Mg Mg 24Hr U Mg Level MHA-TP Microalb/Cr Microalbumin 24Hr Urine Microalbumin/Creatinine Ratio Urine Microsomal Miscellaneous Test Mitochondrial Ab Mitochondrial Antibody Mitochondrial M2 Ab, IgG Mitochondrial M2 IgG Antibody, ELISA MMA MMR MONO Mono Scrn Mononucleosis Screen MPO AB MPO Ab, IgG MPO-ANCA MPO-ANCA Ab

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MRSA MRSA Culture MTHFR Analysis MTHFR Mutation MTHFRMugwort IgE Mulberry IgE Multiple Sclerosis Profile w MBP Multiple Sclerosis Profile with MBP Mumps IgG EIA Mustard IgE Myasthenia Gravis Antibody Profile MYCO-G Mycoplasma pneumoniae Ab, IgG Mycoplasma pneumoniae Antibody, IgG Myelin Basic Protein Myeloperoxidase Ab Myeloperoxidase Antibody Myeloperoxidase IgG Antibody MYOGLO Myoglobin Myoglobin, Serum or Plasma Myoglobin, Urine N-Telopeptide, Cross-Linked, Urine Na 24 Hour Urine Na level NA Level Urine, Random Na Level Urine, Random Na serum Na+ Level NAFLD Native DNA Ab NB Biot Conf NB Biotin Confirmation NB CAH Conf NB CAHD Confirmation NB Galact Conf NB Galactosemia Confirmation NB HCU Conf NB Homocysteine Confimation

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NB Maple Syrup Confirmation NB MSUD Conf NB MSUD Confirmation NB Phenylalanine Confirmation NB PKU Conf NB Scr NB Scr Rept NB Screen NB Thy Conf NB Thyroid Confirmation Nebcin Level Nebcin Level Random Nebcin Level Trough Nebcin Peak Level Neonatal Bili Total Neoral Nettle IgE Neuronal Nuclear (Hu, Ri, and Yo) Antibodies, IgG by Western Blot, Serum Neuronal Nuclear Ab, WB Neurontin Level Newborn Biotin Confirmation Newborn Cong Adrenal Hyper Conf Newborn Galactosemia Confirmation Newborn Homocysteine Confirmation Newborn Maple Syrup Confirmation Newborn Phenylalanine Confirmation Newborn Screen Newborn Screen Repeat Newborn Thyroid Confirmation NH3 NICOTINE Nicotine and Metab, Quant Serum/Plasma Nicotine and Metab., Quant, Urine Nicotine and Metabolites, Quantitative, Serum or Plasma Nicotine and Metabolites, Quantitative, Urine Nicotine Ur Random NMR LipoProfile NRNL IB NTX Urine

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Oak Tree IgE Oat IgE OB 3HR GTT OB GTT Order Notif OB GTT Order Notification OB Pre-Eclamptic Panel CRH OBS Obstetrics Panel Occ Bld St Occ Bld Stl Mult Card Occ Bld Stl Single Card Occult Blood Fecal Specimen Occult Blood Gastric Occult Blood Stool Occult Blood-Stool Multiple Card Occult Blood-Stool Single Card Oligoclonal Banding, CSF and Serum Onc BB Draw ONC BB Draw Oncology BB Draw Oncology Profile (CRH) Opiat Scr Ur CRH Opiate Conf U Opiate Confirmation Urine Opiate Screen Urine (CRH) Orange IgE Osmo Osmo BF Osmo Seru Osmo U Osmo Urine Osmolality Osmolality BF Osmolality Body Fluid Osmolality Urine Ova and Parasite Screen Ovarian Cancer Antigen Ovarian Tumor Panel Oxalate, 24 Hr Urine Oxalate, Urine, 24-Hour

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----- See Al, Oak IgE.

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OXCARB Oxcarbazepine Metabolite Oxcarbazepine Metabolite Level Oyster IgE P0 ABS P0 Antibodies, Western Blot PAN-ANCA Evaluation PAN-ELAST Pancreatic Elastase, Feces Paper Wasp IgE Paprika/Sweet Pepper IgE Paraneoplastic Abs, IFA Paraneoplastic Antibodies (PCCA/ANNA) by IFA with Titer and Western Blot if Indicated, Serum Parathyroid Hormone Intact Parathyroid Hormone Intact w/Calcium Parathyroid Hormone related Parathyroid Hormone-Related Peptide (PTHRP) by LCMS/MS Paroxysmal Nocturnal Hemoglobinuria Partial Thromboplastin Time PARVO ABS Parvovirus B19 Abs, IgG/M Parvovirus B19 IgG and IgM Antibodies Patient Recall Patient Release Pb Level PCCA/ANNA PCP Cnf Ur CRH PCP Scr Ur CRH PCP Screen Urine PCP Screen Urine (CRH) PD Fld Cell Ct PD Fluid Cell Count PE Pea IgE Peak Nebcin Level Peak Tobramycin Level Peanut IgE Peanut IgG Pecan IgE

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----- See P0 Antibodies, Western Blot.

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Penicillium Chrysogenum IgE Penicilloyl G IgE Penicilloyl V IgE Pepsinogen I Pepsinogen I (PG I), Serum or Plasma Pepsinogen II Pepsinogen II, Serum or Plasma Pericard Cell Ct Pericardial Fluid Cell Count Peripheral Smear Peritoneal-Fluid Cell Count Peritoneal-Fluid Cell Ct Pertussis Pertussis NAAT Pertussis Nucleic Acid Amplification Test (NAAT) Pertussis Probe PFA Panel PFGE PG I PG II pH BF pH Body Fluid pH Dip Ur pH Dipstick Urine pH Scalp pH Und Oil Ur CRH PH, scalp pH, under oil, Ur (CRH) Phencyclidine confirmation, Ur (CRH) Phencyclidine Screen Urine (CRH) Phencyclidine, confirmation, Ur (CRH) Phenobarb Phenobarbital Phenobarbital Level Phenytoin PHENYTOIN FREE Phenytoin Level Total Phenytoin Level, Free Phenytoin, Free Phleb Recall

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Phlebotomy Recall Phos PHOS Phos 24H Ur PHOS AB PHOS ACID Phos BF Phos Level Phos Ur PHOSCHOPAN PHOSETHPAN Phosphatidic Acid Ab GAM Phosphatidic Acid Antibodies, IgG, IgM, and IgA Phosphatidylcholine Ab GAM Phosphatidylcholine IgA, IgG, and IgM Antibodies Phosphatidylethanolamine Ab GAM Phosphatidylethanolamine IgA, IgG, and IgM Antibodies Phosphatidylserine IgA, IgG, and IgM Antibodies Phosphatidylserine IgG/A/M Phosphorus 24 Hour Urine Phosphorus Body Fluid Phosphorus Level Phosphorus Urine Random Pinworm Pinworm Prep Pinworm Prep Only Plantain (English)/Ribwort IgE Platelet Conc Platelet Count Platelet Count Automated Platelet Function Panel Pleural Fld Cell Ct Pleural Fluid Cell Count PLF Cell Ct PLT Auto PLT-AUTO PNEUM AB G PNH PNP POC BNP(NTpro) Req

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POC Card Series Req POC Cardiac Series Request POC Chem 8 Request POC Chem8 Req POC CKMB Req POC CKMB Request POC Creat Req POC Creatinine Request POC Critical Care Panel Request POC CritiCar Req POC H+H Req POC Hgb and Hct Request POC Hgb+Hct Request POC Lactate Req POC Lactate Request POC Lytes Req POC Lytes Request POC NTproBNP Request POC Sepsis Panel Request POC Sepsis Req POC Troponin Req POC Troponin Request POC UPT Req POC UPT Request Pork IgE Post Prandial Glucose POST VAS Post Vas Potas 24H Ur Potas BF Potas Ur Ran Potas Ur Timed Potassium Potassium Level Potassium Level 24 Hour Urine Potassium Level Body Fluid Potassium Level Urine Random Potassium level, Urine Timed Potato IgE Potato IgG

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PP ENZ ACT PR3PR3-ANCA Ab Pre-Eclamptic Panel 1 Prealbumin Preg Test Preg Test (CRH) Preg Test U Preg Urine PREGNENO Pregnenolone, HPLC-MS/MS PREN RISK4 Prenatal Panel PRENATAL PROFILE Prenatal Risk Assessment, Quadruple Marker PRIM Primidone and Metabolite PRL PRO S FREE PROBE C Probe for Chlamydia Probe for Gonorrhea PROBE G Progesterone Progesterone Level Prograf Prograf Level Prolactin Prolactin Level Prometheus FIBROSpect II Prometheus IBD sgi Diagnostic Prometheus TPMT Enzyme Prostate specific antigen, Diagnostic Prostate Specific Antigen, Free and Total Prostatic Specific Antigen Diagnostic Prostatic Specific Antigen Screening Prostatic Specific Antigen, screening PROT C PROT C TOT Prot CSF

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Prot Dip Ur PROT S PROT S-TOT Protein 24 Hour Urine Protein 24H Ur Protein BF Protein Body Fluid Protein C Activity Protein C, Functional Protein C, Total Ag Protein C, Total Antigen Protein Cerebrospinal Fluid Protein CSF Protein Dipstick Urine Protein Elect 24Hr Urine w/ Rflx Protein Elect Ur Random w/Rflx Protein Electrophoresis 24Hr Urine w/Reflex Protein Electrophoresis Serum Protein Electrophoresis Serum w/Reflex Protein Electrophoresis Urine, Ran w/Reflex Protein Electrophoresis, Serum Protein S, Activity Protein S, Free Ag Protein S, Free Ag w Protein S, Total Ag if Ind Protein S, Free Antigen Protein S, Free Antigen with Protein S, Total Antigen if Indicated Protein S, Functional Protein S, Total Ag Protein S, Total Antigen Protein Total Protein Ur Ran Protein Ur Time Protein Urine 12Hr Supine/Night Protein Urine 12Hr Upright/Day Protein Urine Random Protein Urine Timed Proteinase 3 Ab Proteinase 3 Antibody Proteinase-3 Ab, IgG

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Prothrombin (F2) G20210A Mutation Analysis Prothrombin (Factor II) 20210 Mutation Prothrombin Time PRS FREE R PRT-Fld Cell Ct PSA diag PSA Diag PSA Diagnostic PSA fr&tot PSA II PSA screen PSA Screen PSA Screening PSA T/F PSA, Total + Free PT PT 20210 Pt Recall PTH Intact w/Ca PTH Intact w/Calcium PTH-Related Peptide, LC-MS/MS PTHRP PTT Pumpkin IgE Qualitative U Beta hCG

----- See Beta Human Chorionic Gonadotropin Qualitative Urine.

Qualitative U Preg Test Qualitative Urine Preg Test Quant HCG QuantiFERON-TB Gold R Strep A RA Titer Rabbit Epithelium IgE Random Alb Urine Dip Random Bun Urine Random Calcium Urine Random Chloride Urine (CRH) Random Creatinine Urine Random Electrolytes Urine Random Glucose Random Dip Random Lytes Urine

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----- See Rapid Strep Test.

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Random Osmolality Urine Random Phosphorous Urine Random Uric Acid Urine Rapamune Rapamune Level Rapamycin Rapid Plasma Reagin (RPR) w/Rflx to Titer and TP-PA Rapid Strep A Rapid Strep Test Rapid Urease for H. pylori Rapid Urease for Helicobacter pylori RBC Folate Region 5 w IgE Release MD Release Patient Release Results MD Release Results Patient Release Results Series Release Series Renal Function Panel Renal Panel Renal Stone Analysis RENIN ACTRenin Activity Renin Activity, Plasma Resp Viral Ag Pnl Respiratory Syncyt Vir Antigen Respiratory Syncytial Virus Antigen Respiratory Viral Antigen Panel Retic Pan Reticulocyte Panel Retinol Retinol Level RF PAN RF Qnt RF quant RF Titer RF w/Reflex Rheumatoid Factor IgA, IgG, and IgM, Serum Rheumatoid Factor Quant

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Rheumatoid Factor Titer Rheumatoid Factor w/Reflex Rheumatoid Factor, IgG/A/M Rheumatrex Rheumatrex Level Rhizopus Nigricans IgE Rhogam PN Rhogam PP - CRH Ribonucleoprotein Ab Rice IgE Rickettsia rickettsii Abs, IgG and IgM Rickettsia rickettsii Antibodies, IgG and IgM by IFA RISTO Ristocetin Cofactor Assay RMSF G/M RNP Ab RNP Antibody Rocky Mt Spotted Fever ROM Rotavirus Rotavirus Antigen Rotavirus Direct Detection Stool Routine Culture CRH RPR w/Rflx to Titer and TP-PA RPR w/Titer and TP-PA RSV RSV Ag RSV Antigen RUBELLA Rubella G Rubella IgG Rubeola IgG EIA Rupture of Fetal Membranes Rupture of Membranes Rye IgE Salicylate Salicylate Level Salmon (Atlantic) IgE Saltwort (Prickly)/Russi SANE HIV

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----- See Salicylate Level.

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Scallop IgE Scalp pH SCL70 IGG Scleroderma (Scl-70) Ab, IgG Scleroderma IgG Antibody Sed Rate Sedimentation Rate Semen Analysis Semen Analysis Presence/ Motility Send Out Tracking Sensorineural Hearing Loss Profile I Series Release SEROT-SER Serotonin Serotonin, Serum SERUM CDAB Serum Protein Electrophoresis Sesame Seed IgE Sex Hormone Binding Globulin SGOT SGPT SHBG Sheep Sorrel IgE Shingles Screen Shrimp IgE Sickle Cell Sickle Cell Screen Sickle Cell Solubility Test Sirolimus level Sm Antibody Smith Ab Smith Antibody SMO MUS AB Smooth Muscle Antibody Smooth Muscle Antibody Screen SO Tracking Sodium Sodium 24H Ur Sodium BF Sodium Clearance (CRH)

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Sodium Clr CRH Sodium CSF Sodium Level Sodium Level 24 Hour Urine Sodium Level Body Fluid Sodium Level Cerebrospinal Fluid Sodium Level CSF Sodium Level Urine Random Sodium Level Urine Timed Sodium Ur Ran Sodium Ur Timed Soluble Transferrin Receptor Somatomedin C Soybean IgE Soybean IgG Sp Gr UR SPE SPE w/Reflex Specific Gravity Dipstick Urine SPEP Spneumo Ag Sprue Antibody Panel SPUTUM CULTURE Sputum Culture Sputum Culture w/Gram stain SS A(Ro)/SS B(La) Ab STATIN sTfR STONE Stone Analysis Stool Cult Salm/Shig/Campy/EC 0157 CRH Stool Culture STOOL CULTURE Stool Fat Qual Stool H Pylori Antigen Stool WBC STR STR MUSC Strawberry IgE Strep A DNA Probe

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Strep A DNA Reflex Strep B Screen Genital Strep Group A Rapid Antigen, throat Strep pneumo IgG Ab 14 Serotypes Strep pneumo Ur Ag Streptococcus B Screen Genital Streptococcus pneumoniae Ab IgG (14) Streptococcus pneumoniae Urinary Antigen Streptococcus pyogenes Grp A Ab w Rflx Striated Muscle IgG Ab wTiter if Ind. Striated Muscle IgG Antibody with Titer if Indicated STZ R Sugar BF Sugar Fasting Swallowed Blood Syndrome Sycamore IgE Syn Analysis Syn Cell Count Syn Crystal Syn Ct w/Crystals Syn Fld Cell Count only Syn Fld Cell Ct w/ Crystal Exam Syn Fld Crystal Exam Synovial Fluid Cell Count Synovial Fluid Crystal Exam Syph Syphilis T Pallidum Ab, TP-PA T/C T/S T3 by RIA (CRH) T3 Free T3 Resin Uptake T3 REV T3 RU T3 Total T3 TOTAL T3 Uptake T3, Reverse T3, Reverse by Tandem Mass Spectrometry

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----- See Treponema pallidum Antibody, Particle Agglutination (TP-PA), Serum.

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T3, Total T4 T4 (thyroxine) T4 Free T4 Total T4, Free, Dialysis Tacrolimus Tacrolimus Level TB Culture TB Gold TB Gold QuantiFERON TB Smear TBIL Tbil BF TBIL Neonatal TCT TEG Coag TEG Coag Analysis Heart Ctr Tegretol Tegretol Level TEST FR-Male TESTOS FR Testosterone Testosterone Total Testosterone, Free (Adult Males) Testosterone, Free Calculation, Females and Children Tetanus Ab, IgG TETANUS G Tetanus IgG Antibody THC Screen Urine THC, Urine quantitative Theodur Theodur Level Theophylline Theophylline Level Thiamine, Level Thoracentesis Fluid THROAT CULTURE Throat Culture Thrombin Clotting Time

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THYRO W/AB THYROG MS THYROGL AB Thyroglobulin Antibody Thyroglobulin by LC-MS/MS Thyroglobulin Tumor Marker Thyroglobulin w Thyroglobulin Ab Thyroglobulin with Thyroglobulin Antibodies Thyroid Antibody Panel Thyroid Group Antibody Thyroid Peroxidase Ab Thyroid Peroxidase Antibodies Thyroid Stimulating Hormone 3rd Gen Thyroid Stimulating IG Thyroid Stimulating Immunoglobulin Thyroxine Timothy Grass IgE Tissue Transglutaminase IgA and IgG Antibodies Tissue Transglutaminase IgA Antibody Tobra Peak Tobra Rand Tobra Tro Tobramycin Level Peak Tobramycin Level Random Tobramycin Level Trough TOF SCR CD Tomato IgE Tomato IgG Topamax Level TOPIR Topiramate Level Topiramate, Serum or Plasma Total Bili Total Bili Neonatal Total Bilirubin BF Total Protein Total Protein 24Hr Urine Total T4 Tox Drug Sc Meconium Tox Drug Screen Urine (CRH)

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Tox Mecon Tox Sc Bld Tox Scr Ur CRH Tox Screen 9 w GCMS, Blood Tox UDS 5 (CRH) Tox UDS 5 CRH Tox UDS 7 CRH Tox UDS PainToxicology Drug Screen Urine (CRH) Toxo Ab IgG Toxo Ab IgM TOXO IGG TOXO IGM Toxoplasma Ab, IgG Toxoplasma Ab, IgM Toxoplasma IgG Antibody Toxoplasma IgM Antibody TP TP BF TP-PA TPMT Enzyme TPO TPO Ab Tragacanth Gum IgE TRANSF Transferrin Transferrin, Serum Transglutaminase Transglutaminase IgA AutoAb Travel Allowance 20 Miles Treponema pallidum Antibody, Particle Agglutination (TPPA), Serum Trichomonas Prep Wet Mount Trig Trig BF Triglyceride Triglyceride Body Fluid Triiodothyronine Trileptal

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Trileptal Level Troponin-I Tryptase TRYPTASE Tryptase, Total TSH TSH 3rd Gen TSH 3rd Generation TSH CRH TSI TSITSIG TTG Ab, IgA Elisa TTG ABS TTG Abs, IgG/A Elisa TTG IGA Tuna/Yellow Fin IgE Turkey Meat IgE Tylenol Tylenol Level Type and Crossmatch Type and Screen U 5HIAA-24 U Acetone Dip U ALB Random Dip U Alcohol U Amphetamine Screen (CRH) U Amy 24 Hour U Amy Random U Barbiturate Quant (CRH) U Barbiturate Screen (CRH) U Benzodiazepine Quant (CRH) U Benzodiazepine Screen (CRH) U Beta Qualitative U Bun 24 Hour U Bun Random U CA 24 Hour U Ca/Crea Ratio Random U Calcium 24 Hour U Calcium Random

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----- See 5-Hydroxyindoleacetic Acid, Quantitative, Urine, 24-Hour.

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U Cannabinoid Screen (CRH) U CAT U Catecholamines 24 Hr Urine U Chloride 24 Hour (CRH) U Chloride Random (CRH) U Chloride Timed (CRH) U CIT24 U Citric Acid 24 Hr Urine U Cocaine Screen (CRH) U Col Ct U CORT24 U Cortisol Free 24 Hr Urine U Crea/Protein Random U Crea/TP Ratio, Random U Creatinine 24 hr U Creatinine Random U Culture U Electrolytes Random (CRH) U Electryolytes Timed (CRH) U Ethanol U Glucose 24 Hour U Glucose Random Dipstick U K/L QNT U Ketones Dip U Lytes Random (CRH) U Lytes Timed (CRH) U Magnesium 24 Hour U Malb 24Hr U Methadone Screen U Methylmalonic Acid Random Urine U Mg 24 Hour U Microalbumin 24Hr U MMA R U MYOGLO R U Myoglobin U NICOTINE U Nicotine Random U NTX U Opiate Screen U Opiate Screen (CRH)

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U Osmolality U OXAL24 U PCP Screen U PCP Screen (CRH) U Phosphorous 24 Hour U Phosphorous Random U Potassium 24 Hour U Potassium Random U Potassium Timed U Preg Test U Protein 12Hr Supine/Night U Protein 12Hr Upright/Day U Protein 24 Hour U Protein Elect Random w/Rflx U Protein Timed U Protein, Random U Sodium 24 Hour U Sodium Clearance U Sodium Clearance (CRH) U Sodium Random U Sodium Timed U Specific Gravity Dipstick U Urca Random U Urea Nitrogen 24 Hour U Urea Nitrogen Random U Uric Acid 24 Hour U Uric Acid Random U Vanillylmandelic Acide Ur 24hr U Volume Measurement UA UA and Cult+Sens if UA POS UA Reflex UA Reflex (w/scope if dip positive) UA w/micro UA w/microscopic UCG UDS UDS 5 (CRH) UDS Pain (CRH)UDS Pain-

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Ultrasensitive CRP Umbilical Cord Toxicology UN 24H Ur UN BF UN Ur Ran UNFH UPE 24H w/Rflx UPE 24Hr w/Rflx UPE Ran w/Rflx UProt 12H Supine UProt 12H Upright Ur bile dipstick Ur Blood dipstick Urca BF Urea Nitrogen 24 Hour Urine Urea Nitrogen, body fluid Urea Nitrogen, Urine Random Urease Urease Breath Test Uric Ac Ur Ran Uric Acid Uric Acid 24 Hour Urine Uric Acid 24H Ur Uric Acid BF Uric Acid Body Fluid Uric Acid Urine Random Urinalysis and Cult+Sens if UA POS Urinalysis w/microscopic Urinalysis with Reflex Urine Amylase, 24 Hour Urine bile dipstick Urine bilirubin dipstick Urine blood dipstick Urine CA 24 Hour Urine Chloride 24 Hour (CRH) Urine Chloride Timed (CRH) Urine Colony Count Urine Culture Urine Electrolytes Random Urine Eosinophils

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Urine K Level Random Urine K, 24 Hour Urine Lytes Random (CRH) Urine Microalb/Creat Ratio Urine Osmo Urine Protein 24 Hour Urine Protein Elect 24Hr w/Rflx Urine Protein Elect Random w/Rflx Urine Protein Random Dip Urine Protein, Random Urine Sodium Level, Rand Urobil Dip Ur Urobilinogen Dipstick Urine V HSVCT V VIRAL N Vag Grp B strep Vag Grp B strep culture Vaginal Group B Screen Vaginal Pathogen, Direct DNA Probe Vaginal Pathogens, Direct DNA Probe Valporate Valproic Acid Valproic Acid Level Vanco Peak Vanco Ran Vanco Tro Vancomycin Vancomycin Level Peak Vancomycin Level Random Vancomycin Level Trough Vanillylmandelic Acid, Urine, 24-Hour Varicella Zoster IgG Screen Varicella-Zoster Virus Ab, IgM Varicella-Zoster Virus IgM Antibody, Serum Varicella-Zoster Virus, Qual PCR Varicella-Zoster Virus, Qualitative PCR VDRL, CSF Venous Thrombosis w/o Treatment Profile and Interp Venous Thrombosis w/Treatment Profile and Interp Viral Hepatitis Panel

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----- See Culture, Herpes Simplex Virus with HSV Typing if Indicated.

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VIT A VIT B1 Vit B12 Vit B6 VIT D 1 25 (TMF) Vit D 25 Hydroxy (CRH) Vit D 25 Hydroxy EIA (CRH) Vit D 25 OH (CRH) VIT E Vitamin A Level Vitamin A, Serum or Plasma Vitamin B (Thiamine) Vitamin B1, Level Vitamin B12 Level Vitamin B6, Plasma or Serum Vitamin C Vitamin C Plasma Vitamin D 25 OH Level Vitamin D, 1,25-Dihydroxy Vitamin D, 1,25-Dihydroxy (TMF) Vitamin E (Tocopherol) Vitamin E, Serum or Plasma VMA Ur Volume Measure Volume Measurement von Willebrand Factor Ag von Willebrand Factor Multimers Von Willebrand Profile with Interpretation VORICON AF Voriconazole Level, Quant, LC/MS/MS VPIII VW AG VWF MULTI VZV IgG Scr VZV M VZVG VZVPCR Walnut IgE WBC WBC Stool

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----- See Al, Walnut IgE.

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WEST NILE West Nile Virus Ab, IgG/M West Nile Virus IgG and IgM Antibodies, Serum West Nile Virus RNA, Qual PCR Westergren Sed Rate Wet Mount Wet Mount Prep Wet Prep Wheat IgE Wheat IgG White Bean IgE White Blood Count White-faced Hornet IgE WNILE PCR Xtra Bld Draw

----- See Extra Blood Draw.

Xylocaine (CRH) Xylocaine Level Yeast IgE

----- See Al, Yeast IgE.

Yeast IgG Yellow Hornet IgE Zarontin

----- See Ethosuximide Level.

Zinc Level Zinc, Serum ZINCZonegran Level ZONI Zonisamide Level Zonisamide, Serum or Plasma

TEST DIRECTORY 680748

.*MiscTest 5 (OLD)

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Synonym

Procedure Components

.*MiscTest 5 (old)

Test Name 5 Misc 5

Collection Requirements

150369341 Synonym

Order Prompts

Specimen: Miscellaneous Age: All Container: No Specimen Minimum Volume: 1.0 ML Handling: See Lab Handbook

17-Hydroxyprogesterone, HPLC-MS/MS, Serum or Plasma Procedure Components Order Prompts

17-OH Progesterone Collection Requirements Specimen Handling

Turn Around Time Performing Facility

738972 Synonym

Specimen : Blood Container : Gold Minimum Volume : 2.5 mL Pediatric Volume: 1.0 mL Transfer 1 mL serum or plasma to a screw-capped plastic transport tube. (Min: 0.3 mL) Transport: Refrigerated Stability: After separation from cells: Refrigerated: 1 week Frozen: 6 months Room Temp: Unacceptable 4-7 days The Medical Foundation 44203 Performed at ARUP

2 Hr GTT Notification Procedure Components

Order Prompts

2 Hr GTT Notification Glucose Tolerance 2Hr Notify Order Information Collection Requirements Performing Facility

738974 Synonym

Notifies the Laboratory that a 2 hour tolerance needs to be performed. NA Columbus Regional Hospital Laboratory

3 Hr GTT Notification Procedure Components

Order Prompts

3 Hr GTT Notification Glucose Tolerance 3Hr Notify Order Information Collection Requirements Performing Facility

738976 Synonym

Notifies the Laboratory that a 3 hour tolerance needs to be performed. NA Columbus Regional Hospital Laboratory

4 Hr GTT Notification Procedure Components

4 Hr GTT Notification Glucose Tolerance 4Hr Notify

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Order Prompts

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Order Information Collection Requirements Performing Facility

738979 Synonym

Notifies the Laboratory that a 4 hour tolerance needs to be performed. NA Columbus Regional Hospital Laboratory

5 Hr GTT Notification Procedure Components

Order Prompts

5 Hr GTT Notification Glucose Tolerance 5Hr Notify Order Information Collection Requirements Performing Facility

149947479 Synonym 5-HIAA, Quant, 24 Hr Urine

Notifies the Laboratory that a 5 hour tolerance needs to be performed. NA Columbus Regional Hospital Laboratory

5-Hydroxyindoleacetic Acid, Quantitative, Urine, 24Hour Procedure Components Order Prompts Ur Ur Ur Ur Ur

Creatinine. Creatinine 24hr. 5HIAA U24. 5HIAA 24. Coll Valid.

U VOL. HR COLLECT.

Order Information

Diagnose carcinoid tumors and syndrome; evaluate cyanosis, liver enlargement, cardiac disease involving pulmonic valve, obstructive findings involving gastrointestinal tract, especially small intestine; diagnose adult celiac disease, in such applications, commonly ordered with indican. Moderate elevations have been described with Whipple's disease.

Patient Instructions

Patients should abstain, if possible, from medications, over-the-counter drugs and herbal remedies for at least 72 hours prior to collection. Patients should not eat avocados, bananas, eggplant, pineapple, plums, tomatoes or walnuts for a 48 hour period prior to start of collection.

Collection Instructions

Urine must be refrigerated during 24 hour collection.

Collection Requirements

Specimen : 24 hour urine collection Container : refridgerated urine container Minimum Volume : 4.0 mls Pediatric Volume: 4.0 mls

Specimen Handling

10.0 ml (4.0 ml min) aliquot of a 24 hour urine. Stable 7 days refridgerated. Record volume in order comments.

Turn Around Time Performing Facility

657313 Synonym

3-5 days The Medical Foundation Test code 23236

ABORh Type Procedure Components

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Order Prompts

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ABORh ABORh Type Blood Type

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

656504 Synonym

Anti-A Anti-B A cells B cells Anti-D D Control Du ABORh Interp Specimen : Blood Container : Pink or Red (no gel) Minimum Volume : 1.0ml Pediatric Volume: 1.0ml If testing is not performed within 24 hours, refrigerate sample at 1-10 C. Do not use gel separator tubes. Pink tubes are stable 10 days, red tubes are stable 21 days. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Acetaminophen Level Procedure Components

Overdose Dt Overdose Tm

Acetaminophen Level Liquiprin Tylenol Tylenol Level Order Information

Collection Instructions Collection Requirements

Order Prompts

If ingestion time is known, the sample should be drawn 4 hours after ingestion. In suspected overdose, order baseline Acetaminophen level and another level 4 hrs after the first specimen. Do not use tubes that contain separator gel. Peak specimens are collected 4 hours post ingestion. Specimen : Blood Container : Red - No Gel Minimum Volume : 3.0ml Pediatric Volume: 2 full microtainers

Specimen Handling

0.8 mL (0.2 mL) serum. Specimen stability: Ambient temperature 14 days, Refrigerated at 2 - 8C 14 days, Frozen at -20C 14 days.

Turn Around Time

Routines completed same day. Stats completed within an hour of receipt of specimen in lab.

Performing Facility

685156 Synonym

Columbus Regional Hospital Laboratory

Acetone (CRH) Procedure Components

Order Prompts

Acetone (CRH) Ketones Ketones (CRH) Order Information Collection Requirements

Semiquantitative determination of ketone bodies in plasma or urine is a helpful guide in the treatment of diabetic ketoacidosis. Specimen : Blood (serum) Container : Gold or Red Minimum Volume : 3.5 ml blood Pediatric Volume : 1 amber microtainer

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Specimen Handling Turn Around Time Performing Facility

154377020 Synonym

0.8 mL (0.2 mL) serum. All specimens should be refrigerated if not tested within 30 minutes. Routines completed same day. Stats completed within one hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Acetylcholine Receptor Binding Antibody Procedure Components Order Prompts

Acetylcholine Receptor Binding Ab Order Information

Collection Requirements Specimen Handling Turn Around Time Performing Facility

154377105 Synonym

Myasthenia gravis (MG), the most common neuromuscular transmission disorder, is an antibody-mediated autoimmune disease that stems from a lossof acetylcholine receptors (AChR) at neuromuscular junctions. AChR autoantibodies are diagnostic of MG, and are found in 85-90% of MG patients. AChR binding autoantibodies are present most frequently in MG and provide the most reliable information for diagnostic screening. A small portion of patients with early onset or ocular restricted MG may only have AChR modulating autoantibodies, thus if AChR binding autoantibodies are absent in a patient with weakness or ocular symptoms consistent with MG, AChR modulating autoantibodies should be ordered. AChR blocking autoantibodies are directed against the neurotransmitterbinding site and may be the only AChR autoantibody in about 1% of MG patients. Specimen : Serum ( separate within 30 minutes of collection) Container : Gold or Red Minimum Volume : 2.0 mls Pediatric Volume:1.0 mls 1.0 (0.5) ml serum. Separate within 30 minutes of collection. 7 days refridgerated, 1 month frozen. TAT 4-6 days The Medical Foundation Test Code 28053

Acetylcholine Receptor Blocking Antibody Procedure Components Order Prompts

Acetylcholine Receptor Blocking Ab Order Information

Collection Requirements

Myasthenia gravis (MG), the most common neuromuscular transmission disorder, is an antibody-mediated autoimmune disease that stems from a lossof acetylcholine receptors (AChR) at neuromuscular junctions. AChR autoantibodies are diagnostic of MG, and are found in 85-90% of MG patients. AChR binding autoantibodies are present most frequently in MG and provide the most reliable information for diagnostic screening. A small portion of patients with early onset or ocular restricted MG may only have AChR modulating autoantibodies, thus if AChR binding autoantibodies are absent in a patient with weakness or ocular symptoms consistent with MG, AChR modulating autoantibodies should be ordered. AChR blocking autoantibodies are directed against the neurotransmitterbinding site and may be the only AChR autoantibody in about 1% of MG patients. Specimen : Serum ( must separate within 2 hours of collection) Container : Gold or Red Minimum Volume : 2.0 mlsPediatric Volume: 1.0 mls

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Specimen Handling Turn Around Time Performing Facility

162569966 Synonym

1.0 (0.5 ml) serum. Separate within 2 hours of collection 14 days refridgerated, 1 year frozen. TAT 2-5 days The Medical Foundation Test Code 44509

Acetylcholine Receptor Modulating Ab Procedure Components Order Prompts

Acetylcholine Receptor Modulating Ab Collection Requirements Specimen Handling

Turn Around Time Performing Facility

659907 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 1.5 mls Pediatric Volume: 1.5 mls Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL) After separation from cells: Room temperature: 2 hours Refrigerated: 2 weeks Frozen: 1 year (avoid repeated freeze/thaw cycles) 3-8 days The Medical Foundation 44510

Acid Fast Bacilli Culture Procedure Components

Order Prompts

AFB Culture C AFB Culture AFB TB Culture Order Information

Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time

Performing Facility

Mycobacterium marinum, M. ulcerans and M. haemophilum need to be hand written on the requisition or be commented in the LIS/ comment field if suspected. These organisms require special handling in the microbiology department. Urine specimen should be the total first morning void. Do not allow tissue to dry out, add saline Swabs yield low % of organisms and are discouraged Specimen: urine, body fluid, BAL, biopsy, bronch wash, sputum, tissue Container: sterile container Minimum Volume: 5 mL Blood : Blood requires SPS tubes that are not stocked by CRH, but if received will be sent to a reference lab. Transport at room temperature. Refrigerate if transport to Lab will be delayed more than one hour. Reported as Negative after 8 weeks. Positive results are reported at isolation of acid fast organisms. AFB positive cultures are sent to ISDH for identification and possible susceptibility on M. tuberculosis. Columbus Regional Hospital Laboratory

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659920 Synonym

Acid Fast Bacilli Smear Procedure Components

Order Prompts

AFB Smear Acid Fast Smear Only TB Smear Order Information Collection Requirements Turn Around Time Performing Facility

A smear is included in the AFB Culture order (when possible). A smear alone is not recommended due to low sensitivity. See AFB Culture collection requirements. 24-72 hours Columbus Regional Hospital Laboratory

684394 Synonym

ACTH Stimulation Procedure Components

ACTH Stimulation

For: For: For: For: For:

Order Information

Collection Instructions

Collection Requirements Specimen Handling Turn Around Time

Order Prompts

*ACTH Stim Interp *Cortisol 30 Minutes *Cortisol 60 Minutes *Cortisol Baseline *Injection Time

To Schedule Test (Outpatient):Call OP Centralized Scheduling @ 376-5500 The test is performed by the Laboratory (Ext. 5328) CRH Inpatient: Order the ACTH Stimulation Power Plan. Nursing unit to verify with M.D. that procedure is acceptable. Physician cansubmit a specific protocol to use if desired. Call x5877 with questions. The rapid corticotropin (cosyntropin) stimulation test is performed attwo dose levels. The older, more conventional high-dose protocoluses a pharmacologic 250 mg dose (I.V. or I.M.), with blood samplesfor cortisol obtained just prior to the injection (baseline), and at 30and 60 minutes postinjection. This is the standard protocol used at CRH. Best results are obtained when the test is performed before 10 AM. High-dose protocol : Baseline, 30 minutes and 60 minutes postinjection. Limitations: The high-dose protocol can produce a misleadingly normalresult, especially in patients with subtle secondary or tertiary adrenalinsufficiency. A normal result in the highdose protocol does not implythat the cortisol output will be sufficient during a prolonged stress (eg, surgical procedures, infections, trauma, or neoplastic disease). Lab USP orders test for Out-patients. See ACTH Stimulation Test Procedure in Chemistry Advia Centaur Manual for more information. Best results are obtained when the test is performed before 10 AM. 1.Draw baseline Cortisol level. 2.Administer one dose of Cortrosyn 0.25 mg IM. 3.Draw a cortisol level 30 minutes post dose. 4.Draw a cortisol level 60 minutes post dose. Specimens must be clearly labeled with date/time of collection. If not using Millennium labels, label as: Baseline; 30 min p/dose; 60 min p/dose Specimen : Blood Container : Gold or Red Minimum Volume : 3.5ml Pediatric Volume: 2.0ml 1 mL (0.5 mL) serum. Stable 48 hrs. refrigerated at 2-8C, 1 month frozen at 20C. Cortisol testing performed daily.

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Performing Facility

738968 Synonym

Columbus Regional Hospital Laboratory

ACTH Stimulation Notification Procedure Components

Order Prompts

ACTH Stimulation Notification Collection Requirements

177535467 Synonym

This is just a notification order. See ACTH Stimulation for more information.

Activated Protein C Resistance Procedure Components

Order Prompts

Activated Protein C Resistance Order Information

A hereditary disorder in the Protein C anticoagulant pathway has been described which constitutes an important risk factor for thromboembolic disease. This disorder, denoted APC resistance, is characterized by an abnormally low anticoagulant response in human plasma on addition of human APC. 85-90% of cases with APC resistance are explained by a mutation in the Factor V gene, which renders one of the cleavage sites in factor Va less susceptible to cleavage due to an amino acid substitution (Arg/Gln). In patients with venous thromboembolic disease the incidence of resistance has been found to be 2040%. APC Resistance provides an APTT-based assay to semi-quantitative determination of the response towards human APC. The prolongation of the basal APTT clotting time after addition of APC is shorter in plasma from individuals with APC resistance than from individuals with normal response to APC.

Collection Instructions

Patient Prep: Collect prior to initiation of anticoagulant therapy. Spec Collect: NOTE : Traumatic puncture invalidates specimen for coagulation studies and necessitates recollection. Observe proper collection order for coagulation tests; collect tubes for coagulation studies prior to collecting tubes containing clot activators, additives, or anticoagulants. Fill Light Blue top tube to stated tube volume If coagulation study is only test ordered, collect 1.0 to 2.0 mL blood into tube for discard, then collect Light Blue top coagulation study tube(s). If multiple coagulation studies are requested, submit additional specimens for each coagulation test. Immediately after collection, gently invert tube to mix.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

1235141 Synonym

Specimen : Blood Container : Blue Minimum Volume : 2.7ml Pediatric Volume: 2.7ml Spec Process: Separate plasma from cells immediately Promptly centrifuge 15 minutes Carefully transfer plasma to separate plastic tube using plastic pipette NOTE : Buffy coat layer must be avoided Centrifuge transferred plasma again to produce platelet-poor plasma (PPP) Use second plastic pipette to carefully transfer PPP specimen into plastic aliquot tube(s) Immediately freeze PPP specimen(s) Pref Vol: 2mL (Two aliquots, 1.0 mL each) Spec Store Transport: Frozen Spec Stability: 4 hours room temperature (20-30°C) 2 weeks frozen (-20° C) (avoid repeated freeze/thaw cycles) Spec Reject: Citrate tube underfilled Sample clotted or hemolyzed Plasma not frozen within 4 hours of collection 3-5 days The Medical Foundation Test Code: 25185

Acute Pain Hormone Panel Procedure Components

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Order Prompts

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Acute Pain Hormone Panel Collection Requirements

153933885 Synonym

For: Cortisol AM For: Pregnenolone, HPLC-MS/MS For: Cortisol AM Specimen: blood Container: Gold or Red Minimum Volume: 3.0 mL blood For: Pregnenolone, HPLC-MS/MS Specimen : Blood Container : Gold or Red, Green or Lavender Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml

ADAMTS13 Activity Procedure Components

Order Prompts

ADAMTS13 Activity Collection Requirements Specimen Handling

Turn Around Time Performing Facility

147845184 Synonym

Specimen : blood Container : Full light blue Minimum Volume : 2.7 ml Pediatric Volume: 1.8 ml Separate plasma from cells immediately{bull; Promptly centrifuge 15 minutes {bull; Carefully transfer plasma portion of sample to separate plastic tube using plastic pipette {bull; NOTE : Buffy coat layer of sample must be avoided {bull; Centrifuge transferred plasma sample again to produce platelet-poor plasma (PPP) {bull; Use second plastic pipette to carefully transfer PPP sample into plastic aliquot tubes {bull; Immediately freeze PPP samples 2 hours room temperature (20-30°C) Refrigerated (2-8°C): Unacceptable 2 weeks frozen (-20° C) (avoid repeated freeze/thaw cycles) DO NOT SEND CLOTTED SPECIMENS 2-5 days The Medical Foundation 45551

Adrenocorticotropic Hormone Procedure Components

Order Prompts

ACTH Adrenocorticotropic Hormone Corticotropin Order Information

Aid in diagnosing disorders of the hypothalamic-pituitary system including ACTHsecreting tumors. In adrenal insufficiency, a concentration of ACTH greater than 100 pg/mL is diagnostic of primary adrenal insufficiency; whereas, patients with pituitary causes of adrenal insufficiency have ACTH concentrations in the normal range. In hypercortisolism (plasma cortisol greater than 15 ug/dL), an ACTH concentration of less than 5 pg/mL indicates that the cortisol secretion is ACTHindependent, usually an adrenal tumor or hyperplasia. An ACTH concentration of greater than 15 pg/mL indicates ACTH-dependent hypercortisolism, usually pituitary origin or occasionally ectopic ACTH secretion.

Collection Requirements

Specimen : Blood (plasma) Container : Lavender (pre-chilled) Minimum Volume: 3.0 mls Pediatric Volume: 1.5 mls

Specimen Handling Turn Around Time Performing Facility

1.5 (0.5 ml) plasma from a pre-chilled lavender tube. 30 days frozen TAT 3-5 days The Medical Foundation Test Code 30025

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151998593 Synonym

Al, Acacia IgE Procedure Components

Order Prompts

Al, Acacia IgE Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-3 days The Medical Foundation 45241

149955502 Synonym

Al, Almond IgE Procedure Components

Al, Almond IgE

Almond IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28527

149929033 Synonym

Al, Alternaria alternata IgE Procedure Components

Al, Alternaria Alternata IgE

Alternaria alternata IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Order Prompts

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28444

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151845625 Synonym

Al, Apple IgE Procedure Components

Al, Apple IgE

Apple IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation Test Code 28528

151995660 Synonym

Al, Asparagus IgE Procedure Components

Al, Asparagus IgE

Asparagus IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation Test Code 28604

149932625 Synonym

Al, Aspergillus fumigatus IgE Procedure Components

Al, Aspergillus Fumigatus IgE

Aspergillus Fumigatus IgE. Allergen Interp.

Collection Requirements

Order Prompts

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml

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Specimen Handling

Turn Around Time Performing Facility

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28442

151844749 Synonym

Al, Avocado IgE Procedure Components

Al, Avocado IgE

Avocado IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28392

150370250 Synonym

Al, Bahia Grass IgE Procedure Components

Al, Bahia Grass IgE

Bahia Grass IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151991628 Synonym

Order Prompts

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 mlPediatric Volume: 1.0 ml Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) 1-3 days The Medical Foundation 28552

Al, Barley IgE Procedure Components

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Order Prompts

file:///C|/LabTestDirectory.html

Al, Barley IgE Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Barley IgE. Allergen Interp. Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation Test Code 28484

150376878 Synonym

Al, Beef IgE Procedure Components

Al, Beef IgE

Beef IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28493

149943682 Synonym

Al, Bermuda Grass IgE Procedure Components

Al, Bermuda Grass IgE

Bermuda Grass IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28543

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151990699 Synonym

Al, Blue Mussel IgE Procedure Components

Al, Blue Mussel IgE

Blue Mussel IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 2-3 days The Medical Foundation 28597

150370060 Synonym

Al, Box-Elder IgE Procedure Components

Al, Box-Elder Tree IgE

Maple-Box Elder Tree IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28400

150372488 Synonym

Al, Brazil Nut IgE Procedure Components

Al, Brazil Nut IgE

Brazil Nut IgE. Allergen Interp.

Collection Requirements

Order Prompts

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml

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Specimen Handling

Turn Around Time Performing Facility

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28564

151995146 Synonym

Al, Budgerigar (Parakeet) Feathers IgE Procedure Components Order Prompts

Al, Budgerigar (Parakeet) Feathers IgE Al, Parakeet Feathers IgE

Budgerigar Feathers IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen : 1 year 1-3 days The Medical Foundation Test Code 28595

151844505 Synonym

Al, Cacao IgE Procedure Components

Al, Cacao IgE

Chocolate(Cacao) IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151996016 Synonym

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28531

Al, Cacao IgG Procedure Components

Al, Cacao IgG

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Order Prompts

file:///C|/LabTestDirectory.html

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151996371 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL/allergen) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-9 days The Medical Foundation 47236

Al, Canary Bird Feathers IgE Procedure Components

Order Prompts

Al, Canary Bird Feathers IgE Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells. Transfer 0.5 mL serum to a plastic transport tube. (Min: 0.34 mL) Room temperature: 4 weeks Refrigerated: 4 weeks Frozen: >4 weeks 4-7days The Medical Foundation 43235

151993878 Synonym

Al, Carrot IgE Procedure Components

Al, Carrot IgE

Carrot IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28556

151994848 Synonym

Al, Casein IgE Procedure Components

Al, Casein IgE

Casein Milk IgE. Allergen Interp.

Collection Requirements

Order Prompts

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml

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Specimen Handling

Turn Around Time Performing Facility

151845956 Synonym

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28585

Al, Casein IgG Procedure Components

Order Prompts

Al, Casein IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL/allergen) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen : 1 year 2-9 days The Medical Foundation 47234

150374004 Synonym

Al, Cashew Nut IgE Procedure Components

Al, Cashew Nut IgE

Cashew Nut IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation Test Code 28530

149301750 Synonym

Al, Cat Dander IgE Procedure Components

Al, Cat Dander IgE

Cat dander IgE. Allergen Interp.

Collection Requirements

Order Prompts

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml

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Specimen Handling

Turn Around Time Performing Facility

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28450

150372205 Synonym

Al, Chicken Meat IgE Procedure Components

Al, Chicken Meat IgE

Chicken IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28497

151995018 Synonym

Al, Cinnamon IgE Procedure Components

Al, Cinnamon IgE

Cinnamon IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149929537 Synonym

Order Prompts

Order Prompts

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28589

Al, Cladosporium Herbarum IgE Procedure Components Order Prompts

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Al, Cladosporium Herbarum IgE Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Cladosporium Herbarum IgE. Allergen Interp. Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation Test Code 28441

149934467 Synonym

Al, Clam IgE Procedure Components

Al, Clam IgE

Clam IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28532

150373714 Synonym

Al, Cockroach, German IgE Procedure Components

Al, Cockroach, German IgE

Cockroach German IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28475

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149535407 Synonym

Al, Codfish IgE Procedure Components

Al, Codfish IgE

Cod IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151990786 Synonym

Order Prompts

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28482

Al, Common Foods Multiallergen Assay, Qualitative Procedure Components Order Prompts

Al, Common Foods Multiallergen Assay, Qual Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 3.0 ml Pediatric Volume: 1.5 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube Properly centrifuged gel barrier tube sample does not require transfer of serum to separate tube 1.0 ml (0.5) 24 hours room temperature (20-30°C) 1 week refrigerated (2-8°C) Greater than 1 week, freeze (-20°C) (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28361

150365650 Synonym

Al, Common Pigweed IgE Procedure Components

Al, Common Pigweed IgE

Common Pigweed IgE. Allergen Interp.

Collection Requirements Specimen Handling

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles)

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Turn Around Time Performing Facility

1-3 days The Medical Foundation 28546

149935944 Synonym

Al, Common Ragweed IgE Procedure Components

Al, Common Ragweed IgE

Common Ragweed IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149937219 Synonym

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation Test Code 28420

Al, Common Silver Birch IgE Procedure Components

Order Prompts

Al, Common Silver Birch Tree IgE Silver Birch Tree IgE. Allergen Interp. Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151843120 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28541

Al, Common Wasp (Yellow Jacket) IgE Procedure Components Order Prompts

Al, Common Wasp (Yellow Jacket) Common wasp(Yellow Jacket) IgE. IgE Allergen Interp. Allergen Disclaimer. Collection Requirements

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml

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Specimen Handling

Turn Around Time Performing Facility

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation Test Code 28472

151846058 Synonym

Al, Cotton Seed IgE Procedure Components

Al, Cotton Seed IgE

Occ Cotton Seed IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells. Transfer 0.5 mL serum to a plastic transport tube. (Min: 0.34 mL) Room temperature: 4 weeks Refrigerated: 4 weeks Frozen: >4 weeks 3-7 days The Medical Foundation 28599

163453321 Synonym

Al, Cottonwood IgE Procedure Components

Al, Cottonwood IgE

Cottonwood IgE.. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28403

149297007 Synonym

Al, Cow's Milk IgE Procedure Components

Al, Cow's Milk IgE

Cow's milk IgE. Allergen Interp.

Collection Requirements

Order Prompts

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml

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Specimen Handling

Turn Around Time Performing Facility

151997022 Synonym

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation Test Code 28481

Al, Cow's Whey IgG Procedure Components

Order Prompts

Al, Cow's Whey IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL/allergen) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-9 days The Medical Foundation 47257

149539815 Synonym

Al, Crab IgE Procedure Components

Al, Crab IgE

Crab IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation Test Code 28533

149299151 Synonym

Al, Dermatophagoides Farinae IgE Procedure Components Order Prompts

Al, D Farinae IgE

D farinae IgE. Allergen Interp.

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Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28461

149296448 Synonym

Al, Dermatophagoides Pteronyssinus IgE Procedure Components Order Prompts

Al, D Pteronyssinus IgE

D pteronyssinus IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation Test Code 28460

149532498 Synonym

Al, Dog Dander IgE Procedure Components

Al, Dog Dander IgE

Dog dander IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28453

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150367219 Synonym

Al, Egg (Whole) IgE Procedure Components

Al, Egg (Whole) IgE

Egg(Whole) IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

146346787 Synonym

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28583

Al, Egg (Whole) IgG Procedure Components

Order Prompts

Al, Egg (Whole) IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.3 mL serum to a plastic transport tube. (Min: 0.2 mL) Room temperature: 2 weeks Refrigerated: 2 weeks Frozen: 1 month 4-6 days The Medical Foundation 43391

149301986 Synonym

Al, Egg White IgE Procedure Components

Al, Egg White IgE

Egg white IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28480

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153935027 Synonym

Al, Egg White IgG Procedure Components

Order Prompts

Al, Egg White IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL/allergen) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-9 days The Medical Foundation 47239

153935109 Synonym

Al, Egg Yolk IgE Procedure Components

Al, Egg Yolk IgE

Egg Yolk IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149294510 Synonym

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28534

Al, Egg Yolk IgG Procedure Components

Order Prompts

Al, Egg Yolk IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151990881

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL/allergen) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-9 days The Medical Foundation Test Code 47240

Al, Elm IgE

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Synonym

Procedure Components

Al, Elm IgE

Elm Tree IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28402

149952445 Synonym

Al, Epicoccum Purpurascens IgE Procedure Components Order Prompts

Al, Epicoccum Purpurascens IgE

Epicoccum Purpurascens IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151998200 Synonym

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28433

Al, Fire Ant IgE Procedure Components

Order Prompts

Al, Fire Ant IgE Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-3 days The Medical Foundation 45238

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151845176 Synonym

Al, Firebush (Kochia) IgE Procedure Components

Al, Firebush (Kochia) IgE

Firebush(Kochia) IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28426

151845855 Synonym

Al, Fusarium Proliferatum/F.moniliforme IgE Procedure Components Order Prompts

Al, Fusarium Proliferatum/F. moniliforme IgE

Fusarium Proliferatum IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation Test Code 28569

151994704 Synonym

Al, Garlic IgE Procedure Components

Al, Garlic IgE

Garlic IgE. Allergen Interp.

Collection Requirements Specimen Handling

Order Prompts

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles)

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Turn Around Time Performing Facility

1-3 days The Medical Foundation 28581

151991205 Synonym

Al, Giant Ragweed IgE Procedure Components

Al, Giant Ragweed IgE

Giant Ragweed IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151998908 Synonym

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28429

Al, Ginger IgE Procedure Components

Order Prompts

Al, Ginger IgE Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-3 days The Medical Foundation 45971

151845915 Synonym

Al, Gluten IgE Procedure Components

Al, Gluten IgE

Gluten IgE. Allergen Interp.

Collection Requirements

Order Prompts

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml

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Specimen Handling

Turn Around Time Performing Facility

151846117 Synonym

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation Test Code 28572

Al, Gluten IgG Procedure Components

Order Prompts

Al, Gluten IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL/allergen) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-9 days The Medical Foundation 47242

151996755 Synonym

Al, Gum Arabic IgE Procedure Components

Al, Gum Arabic IgE

Gum Arabic IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells. Transfer 0.5 mL serum to a plastic transport tube. (Min: 0.34 mL) Room temperature: 4 weeks Refrigerated: 4 weeks Frozen: >4 weeks 3-7 days The Medical Foundation 28603

150365706 Synonym

Al, Hazelnut IgE Procedure Components

Al, Hazelnut (Filbert) IgE

Hazelnut(Filbert) IgE. Allergen Interp.

Collection Requirements

Order Prompts

Order Prompts

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml

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Specimen Handling

Turn Around Time Performing Facility

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation Test Code 28559

151844061 Synonym

Al, Honey Bee IgE Procedure Components

Al, Honey Bee IgE

Honey Bee IgE. Allergen Interp. Allergen Disclaimer.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28470

151845341 Synonym

Al, Horse Dander IgE Procedure Components

Al, Horse Dander IgE

Horse Dander IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149934699 Synonym

Order Prompts

Order Prompts

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation Test Code 28451

Al, Johnson Grass IgE Procedure Components

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Order Prompts

file:///C|/LabTestDirectory.html

Al, Johnson Grass IgE Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Johnson Grass IgE. Allergen Interp. Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28544

151837834 Synonym

Al, Latex IgE Procedure Components

Al, Latex IgE

Latex IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28510

151998774 Synonym

Al, Linseed (Flaxseed) IgE Procedure Components

Al, Linseed (Flaxseed) IgE

Linseed(Flaxseed) IgE. Allergen Interp.

Order Prompts

Collection Requirements

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml

Specimen Handling

Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.3 mL serum to a plastic transport tube. (Min: 0.2 mL) Room temperature: 2 weeks Refrigerated: 2 weeks Frozen: 1 month

Turn Around Time Performing Facility

2-3 days The Medical Foundation Test Code 28600

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151843426 Synonym

Al, Lobster IgE Procedure Components

Al, Lobster IgE

Lobster IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28535

149929716 Synonym

Al, Maize/Corn IgE Procedure Components

Al, Maize/Corn IgE

Maize/Corn IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

150377047 Synonym

Order Prompts

Order Prompts

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation Test Code 28486

Al, Maize/Corn IgG Procedure Components

Order Prompts

Al, Maize/Corn IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL/allergen) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-9 days The Medical Foundation Test Code 47238

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151997285 Synonym

Al, Mango IgE Procedure Components

Order Prompts

Al, Mango IgE Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-3 days The Medical Foundation 45213

149944183 Synonym

Al, Mugwort IgE Procedure Components

Al, Mugwort IgE

Mugwort IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28421

151993486 Synonym

Al, Mulberry IgE Procedure Components

Al, Mulberry IgE

Mulberry Tree IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time

Order Prompts

Order Prompts

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days

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Performing Facility

The Medical Foundation 28542

151991052 Synonym

Al, Mustard IgE Procedure Components

Al, Mustard IgE

Mustard IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28415

162569970 Synonym

Al, Nettle IgE Procedure Components

Al, Nettle IgE

Nettle IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Specimen : blood Container : Gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28571

149943963 Synonym

Al, Oak IgE Procedure Components

Al, Oak Tree IgE

Oak Tree IgE. Allergen Interp.

Collection Requirements

Order Prompts

Order Prompts

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml

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Specimen Handling

Turn Around Time Performing Facility

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28401

151838293 Synonym

Al, Oat IgE Procedure Components

Al, Oat IgE

Oat IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28485

151993094 Synonym

Al, Orange IgE Procedure Components

Al, Orange IgE

Orange IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151843980 Synonym

Order Prompts

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28536

Al, Oyster IgE Procedure Components

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Order Prompts

file:///C|/LabTestDirectory.html

Al, Oyster IgE Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Oyster IgE. Allergen Interp. Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28584

151843309 Synonym

Al, Paper Wasp IgE Procedure Components

Al, Paper Wasp IgE

Paper Wasp IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28473

151844814 Synonym

Al, Paprika/Sweet Pepper IgE Procedure Components

Al, Paprika/Sweet Pepper IgE

Paprika/Sweet Pepper IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Order Prompts

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28393

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151993369 Synonym

Al, Pea IgE Procedure Components

Al, Pea IgE

Pea IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28537

146351971 Synonym

Al, Peanut IgE Procedure Components

Al, Peanut IgE

Peanut IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151995282 Synonym

Order Prompts

Order Prompts

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28488

Al, Peanut IgG Procedure Components

Order Prompts

Al, Peanut IgG Collection Requirements Specimen Handling

Turn Around Time

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL/allergen) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-9 days

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Performing Facility

The Medical Foundation 47249

149951175 Synonym

Al, Pecan Nut IgE Procedure Components

Al, Pecan IgE

Pecan Nut IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28500

149945442 Synonym

Al, Penicillium Chrysogenum/P.notatum IgE Procedure Components Order Prompts

Al, Penicillium Chrysogenum IgE

Penicillium Chrysogenum IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28440

151992171 Synonym

Al, Penicilloyl G IgE Procedure Components

Al, Penicilloyl G IgE

Penicilloyl G IgE. Allergen Interp.

Collection Requirements

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml

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Specimen Handling

Turn Around Time Performing Facility

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28520

151992493 Synonym

Al, Penicilloyl V IgE Procedure Components

Al, Penicilloyl V IgE

Penicilloyl V IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149944676 Synonym

Order Prompts

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28522

Al, Plantain (English)/Ribwort IgE Procedure Components Order Prompts

Al, Plantain (English)/Ribwort IgE English Plantain IgE. Allergen Interp. Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149542179 Synonym

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28422

Al, Pork IgE Procedure Components

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Order Prompts

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Al, Pork IgE Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Pork IgE. Allergen Interp. Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28492

151845517 Synonym

Al, Potato IgE Procedure Components

Al, Potato IgE

Potato IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151995431 Synonym

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28494

Al, Potato IgG Procedure Components

Order Prompts

Al, Potato IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151996216

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL/allergen) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-9 days The Medical Foundation 47251

Al, Pumpkin IgE

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Synonym

Procedure Components

Order Prompts

Al, Pumpkin IgE Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-3 days The Medical Foundation 47208

151994181 Synonym

Al, Rabbit Epithelium IgE Procedure Components

Al, Rabbit Epithelium IgE

Rabbit Epithelium IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

163453325 Synonym Al, Region 5 w IgE

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28566

Al, Respiratory Allergy Profile, Region V (IN, KY, OH, TN, WV) with Total IgE Procedure Components Order Prompts Timothy Grass IgE. Maple-Box Elder Tree IgE. Oak Tree IgE. Elm Tree IgE. Pecan Hickory Tree IgE. White Ash Tree IgE. Walnut Tree IgE. Mountain Juniper Tree IgE. Common Ragweed IgE. Saltwort Russian Thistle IgE. Sheep Sorrel IgE. Penicillium Chrysogenum IgE. Cladosporium Herbarum IgE. Aspergillus Fumigatus IgE. Alternaria alternata IgE. Cat dander IgE. Dog dander IgE.

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D pteronyssinus IgE. D farinae IgE. Cockroach German IgE. Silver Birch Tree IgE. Mulberry Tree IgE. Bermuda Grass IgE. Common Pigweed IgE. Maple Leaf Sycamore Tree IgE. Cottonwood IgE.. Allergen Interp. IgE. Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 8.0 ml Pediatric Volume: 4.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 4 mL serum or plasma to a plastic transport tube. (Min: 1.6 mL) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 35107

149951262 Synonym

Al, Rhizopus Nigricans IgE Procedure Components

Al, Rhizopus Nigricans IgE

Rhizopus Nigricans IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28576

151845804 Synonym

Al, Rice IgE Procedure Components

Al, Rice IgE

Rice IgE. Allergen Interp.

Collection Requirements

Order Prompts

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml

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Specimen Handling

Turn Around Time Performing Facility

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28538

151845383 Synonym

Al, Rye IgE Procedure Components

Al, Rye IgE

Rye Grass IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28487

151844336 Synonym

Al, Salmon (Atlantic) IgE Procedure Components

Al, Salmon (Atlantic) IgE

Salmon (Atlantic) IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151837853 Synonym

Order Prompts

Order Prompts

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28496

Al, Saltwort (Prickly)/Russian Thistle IgE Procedure Components Order Prompts

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Al, Saltwort (Prickly)/Russian Thistle IgE Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Saltwort Russian Thistle IgE. Allergen Interp. Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28424

149934119 Synonym

Al, Scallop IgE Procedure Components

Al, Scallop IgE

Scallop IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28565

149535050 Synonym

Al, Sesame Seed IgE Procedure Components

Al, Sesame Seed IgE

Sesame seed IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28561

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149948539 Synonym

Al, Setomelanomma Rostrata/Helminthosporium Halodes IgE Procedure Components Order Prompts

Al, Helminthosporium Halodes IgE Helminthosporium halodes IgE. Allergen Interp. Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28548

151845264 Synonym

Al, Sheep Sorrel IgE Procedure Components

Al, Sheep Sorrel IgE

Sheep Sorrel IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28428

149532718 Synonym

Al, Shrimp IgE Procedure Components

Al, Shrimp IgE

Shrimp IgE. Allergen Interp.

Collection Requirements

Order Prompts

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml

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Specimen Handling

Turn Around Time Performing Facility

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28490

149302167 Synonym

Al, Soybean IgE Procedure Components

Al, Soybean IgE

Soybean IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149295889 Synonym

Order Prompts

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28489

Al, Soybean IgG Procedure Components

Order Prompts

Al, Soybean IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL/allergen) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-9 days The Medical Foundation 47254

151991782 Synonym

Al, Strawberry IgE Procedure Components

Al, Strawberry IgE

Strawberry IgE. Allergen Interp.

Collection Requirements

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml

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Specimen Handling

Turn Around Time Performing Facility

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28498

151842909 Synonym

Al, Sycamore IgE Procedure Components

Al, Sycamore IgE

Maple Leaf Sycamore Tree IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28408

149935816 Synonym

Al, Timothy IgE Procedure Components

Al, Timothy Grass IgE

Timothy Grass IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

150378521 Synonym

Order Prompts

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28384

Al, Tomato IgE Procedure Components

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Order Prompts

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Al, Tomato IgE Collection Requirements Specimen Handling

Turn Around Time Performing Facility

150373409 Synonym

Tomato IgE. Allergen Interp. Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28491

Al, Tomato IgG Procedure Components

Order Prompts

Al, Tomato IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL/allergen) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-9 days The Medical Foundation 47255

151996908 Synonym

Al, Tragacanth Gum IgE Procedure Components

Al, Tragacanth Gum IgE

Tragacanth gum IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells. Transfer 0.5 mL serum to a plastic transport tube. (Min: 0.34 mL) Room temperature: 4 weeks Refrigerated: 4 weeks Frozen: >4 weeks 4-7 days The Medical Foundation 28606

151844311 Synonym

Al, Tuna/Yellow Fin IgE Procedure Components

Al, Tuna/Yellow Fin IgE

Tuna/Yellow Fin IgE. Allergen Interp.

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Order Prompts

file:///C|/LabTestDirectory.html

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28495

151844885 Synonym

Al, Turkey Meat IgE Procedure Components

Al, Turkey Meat IgE

Turkey Meat IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28419

149301346 Synonym

Al, Walnut IgE Procedure Components

Al, Walnut IgE

Walnut IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Order Prompts

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28540

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149299981 Synonym

Al, Wheat IgE Procedure Components

Al, Wheat IgE

Wheat IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149290674 Synonym

Order Prompts

Specimen : Blood Container : Gold or Red, Dark Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-4 days The Medical Foundation 28483

Al, Wheat IgG Procedure Components

Order Prompts

Al, Wheat IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151997761 Synonym

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL/allergen) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-9 days The Medical Foundation 47256

Al, White Bean IgE Procedure Components

Order Prompts

Al, White Bean IgE Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151843092

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.25 mL serum plus 0.1 mL for each additional allergen ordered to an ARUP Standard Transport Tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-3 days The Medical Foundation 45231

Al, White-faced Hornet IgE

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Synonym

Procedure Components

Al, White-faced Hornet IgE

White-Faced Hornet IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28471

151845724 Synonym

Al, Yeast IgE Procedure Components

Al, Yeast IgE

Yeast IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

151995196 Synonym

Order Prompts

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28529

Al, Yeast IgG Procedure Components

Order Prompts

Al, Yeast IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL/allergen) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-9 days The Medical Foundation 47230

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151843394 Synonym

Al, Yellow Hornet IgE Procedure Components

Al, Yellow Hornet IgE

Yellow Hornet IgE. Allergen Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

656510 Synonym

Order Prompts

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.25 mL serum or plasma plus 0.1 mL for each additional allergen ordered to a plastic transport tube. (Min: 0.25 mL plus 0.04 mL for each allergen ordered) Room temperature: 24 hours Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 28474

Alanine Aminotransferase Procedure Components

Order Prompts

ALT Alanine Aminotransferase SGPT Order Information Collection Requirements Specimen Handling Turn Around Time Performing Facility

670474 Synonym

Included in Comprehensive Metabolic Panel and Hepatic Panel. Specimen : Blood (serum or plasma) Container : Gold, Green or Red Minimum Volume : 3.0 ml blood Pediatric Volume : 2 full amber microtainers 0.8ml (0.2ml) serum or plasma. Stable 3 days at 25C and 7 days at 4C. Refrigeration is preferable to freezing. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Alanine Aminotransferase, body fluid Procedure Components Order Prompts BF type ALT

ALT BF Alanine Aminotransferase BF BF ALT Body Fluid ALT Collection Instructions Collection Requirements

Specimen Handling

Body fluid collection kits available from the Lab (376-5188 or 5877). Specimen: body fluid Container: Gold or Red Minimum Volume: 2.0 mL fluid 1.0 mL (0.5 mL) fluid. Stable 24hrs.ambient, refrigerated at 2-8C for 5 days, and frozen at -20C for 2 months.

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Turn Around Time Performing Facility

656512 Synonym

Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Albumin Level Procedure Components

Order Prompts

ALB Alb Albumin Level Order Information Collection Requirements Specimen Handling Turn Around Time Performing Facility

656514 Synonym

Included in Comprehensive Metabolic Panel and Hepatic Function Panel. Specimen : Blood Container : Gold, Green or Red Minimum Volume : 3.0ml Pediatric Volume: 2 full microtainers 0.8 mL (0.2 mL) serum or plasma. Specimen stability: Ambient 24 hours, Refrigerated at 2-8C 5 days, Frozen at -20C 2 months. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Albumin Level Body Fluid Procedure Components

Collection Instructions Collection Requirements Specimen Handling Turn Around Time Performing Facility

147835783 Synonym

Order Prompts BF Type Alb

Alb BF Alb Body Fluid Albumin Level Body Fluid BF Alb

Body fluid collection kits available from the Lab (376-5188 or 5877). Specimen : Body Fluid Container : Red or Gold Minimum Volume : 2.0 ml fluid 1.0 mL (0.5 mL) fluid. Stable 24hrs. ambient, 5 days refrigerated at 2-8C and 2 months frozen at -20C. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Aldolase Serum Procedure Components

Aldolase

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Order Prompts

file:///C|/LabTestDirectory.html

Order Information

Collection Requirements Specimen Handling Turn Around Time Performing Facility

149295466 Synonym

This glycolytic enzyme is increased in a number of skeletal muscle conditions, including progressive Duchenne's muscular dystrophy (including carriers), dermatomyositis, polymyositis, limb-girdle dystrophy, myotonia dystrophy, and rhabdomyolysis. Normal values are seen in neurogenic atrophies. Elevated levels have been found in acute hepatitis, myocardial infarction, hemorrhagic pancreatitis, trichinosis, gangrene, prostatic tumors, carcinomas metastatic to the liver, granulocytic and megaloblastic anemias, delirium tremens, 60% to 80% of patients with acute psychoses and schizophrenia, and neoplasia. In recent years the assay of creatine kinase (CK) has replaced the assay of aldolase activity in serum, especially in muscular dystrophy. In acute viral hepatitis, increases tend to parallel ALT. Specimen : Serum or plasma Container : Gold, red, or light green Minimum Volume : 2.0 mls Pediatric Volume: 1.0 mls 1.0 (0.4 mls) serum or plasma. Refrigerated 5 days, frozen 2 weeks. TAT 3-4 days The Medical Foundation Test code 29002

Aldosterone, Serum Procedure Components

Order Prompts

Aldosterone Collection Instructions Collection Requirements Specimen Handling

Turn Around Time Performing Facility

656524 Synonym

If upright specimen is collected, patient should be seated or standing for at least 2 hours. Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL) After separation from cells: Room temperature: 8 hours Refrigerated: 5 days Frozen: 1 month 4-5 days The Medical Foundation 30066

Alkaline Phosphatase Procedure Components

Order Prompts

ALKP ALP Alk Phos Alkaline Phosphatase Order Information Collection Requirements Specimen Handling

Included in Comprehensive Metabolic Panel and Hepatic Function Panel. Specimen : Blood (serum or plasma) Container : Gold, Green or Red Minimum Volume : 3.0 ml blood Pediatric Volume : 2 full amber microtainers 0.8 mL (0.2 mL) serum or plasma. Serum alkaline phosphatase increases slowly with storage. Increases of 5% to 10% can be expected after less than 4 hours storage at 4C. For this reason it is best to analyze the sample on the day of collection.

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Turn Around Time Performing Facility

701805 Synonym

Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Alkaline Phosphatase Body Fluid Procedure Components Order Prompts

ALP Body Fluid Alkaline Phosphatase Body Fluid BF ALP BF Alkaline Phosphatase Body Fluid ALP Body Fluid Alkaline Phosphatase Collection Instructions Collection Requirements Specimen Handling Turn Around Time Performing Facility

149531119 Synonym

BF Type Alk Phos

Body fluid collection kits available from the Lab (376-5188 or 5877). Specimen : Body fluid Container : Gold or Red Minimum Volume : 2.0ml Pediatric Volume: 1.0ml 1.0 mL (0.5 mL) fluid. Specimen stability: Ambient 24 hours, Refrigerated at 28C 5 days, Frozen at -20C 2 months. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Alkaline Phosphatase Isoenzymes Procedure Components Order Prompts

Alkaline Phosphatase Isoenzymes Alk Phosphatase. AlkPhos Iso LivTot%. AlkPhos Iso Liv2%. AlkPhos Iso Bone%. AlkPhos Iso Int%. AlkPhos Iso Placental %. AlkPhos Iso LivTot. AlkPhos Iso Liv2. AlkPhos Iso Bone. AlkPhos Iso Int. AlkPhos Iso Placental.

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Order Information

Collection Requirements Specimen Handling Turn Around Time Performing Facility

153928490 Synonym

Used to evaluate the contribution of various ALP isoforms -- derived from liver, gallbladder, bone, lung, leukocyte, fetal-derived tissue, small bowel and large bowel -- to total ALP.Bone isoenzyme is elevated in growing children, adults over 50 years of age, during bone healing, in Paget disease, renal rickets, bone cancer, osteomalacia, celiac sprue, and in the course of some drug treatment (e. g. Cyclosporine). Decreased levels of bone isoenzyme can be seen in children with cretinism or hypophosphatemia, and in patients with decreased bone deposition, e.g. systemic steroid treatment. Liver isoenzyme is most often elevated when total ALP levels are elevated, i.e. in the following conditions: acute hepatitis, cirrhosis, fatty liver, drug induced liver disease, obstruction of biliary flow by carcinoma at the head of the pancreas, bile duct stricture, primary biliary cirrhosis, and metastatic carcinoma of the liver. Intestinal ALP is normally higher in patients with B or O blood types, especially after a fatty meal. Pathological elevations are seen in perforation of the bowel, ulcerative disease of the intestine, faintly in liver cirrhosis, and in persons with Gilbert syndrome. Placental ALP is a heat-stable isoform, and is found in the circulation during pregnancy. Carcinoplacental or Regan isoenzyme is essentially identical with the placental isoform, and is seen in malignancies. Nagao isoenzyme is a placentallike isoform that is produced in certain types of cancer, such as metastatic carcinomatosis of the pleura. Specimen : Serum Container : Gold or Red Minimum Volume : 2.0 mls Pediatric Volume: 1.5 mls 1.0 (0.5 mls) serum. 7 days refridgerated, 2 months frozen. TAT 3-4 days The Medical Foundation Test code 23187

Allergen Interp ARUP Procedure Components

Order Prompts

Allergen Interp ARUP Collection Requirements

146353280 Synonym

Specimen: Blood Age: All Container: Red Small Minimum Volume: 0.1 ML

Alpha Fetoprotein Tumor Marker, Serum Procedure Components Order Prompts

A Fetoprotein Tumor Marker AFP TM AFP Tumor AFP Tumor Marker Alpha Fetoprotein Tumor Marker Collection Requirements Specimen Handling

Turn Around Time

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 0.5 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube Properly centrifuged gel barrier tube sample does not require transfer of serum to separate tube 1 week refrigerated (2-8°C) 1 month frozen (-20°C) (avoid repeated freeze/thaw cycles) 3-5 days

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Performing Facility

149026095 Synonym

The Medical Foundation 30191

Alpha-1-Antitrypsin, Serum Procedure Components

Order Prompts

Alpha-1-Antitrypsin a1-AT Collection Requirements Specimen Handling

Turn Around Time Performing Facility

656536 Synonym

Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube Properly centrifuged gel barrier tube sample does not require transfer of serum to separate tube 8 days refrigerated (2-8°C) 3-5 days The Medical Foundation 28142

Amikacin Level Peak Procedure Components

Amikacin Level Peak Order Information Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

656538 Synonym

Therapeutic drug monitoring. Specimen: Blood (plasma, serum) Container: Dark Green Sodium Heparin (No Gel) or Red Minimum Volume: 5.0 mls Pediatric Volume: 2.7 mls 1ml (0.6) sodium heparin plasma or serum, frozen. Specimen must be spun ASAP, plasma removed and frozen within less than 8 hours of collection. No SST tubes. 48 hours Clarian Health Partners

Amikacin Level Trough Procedure Components

Amikacin Level Trough Order Information Collection Requirements

Specimen Handling

Turn Around Time

Order Prompts Amik Pk Dose Dt Amik Pk Dose Tm

Order Prompts Amik Tr Dose Tm Amik Tr Dose Dt

Therapeutic drug monitoring. Specimen: Blood (plasma, serum) Container: Dark Green Sodium Heparin (No Gel) or Red Minimum Volume: 5.0 mls Pediatric Volume: 2.7 mls 1ml (0.6) sodium heparin plasma or serum, frozen. Specimen must be spun ASAP, plasma removed and frozen within less than 8 hours of collection. No SST tubes. 48 hours

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Performing Facility

679709 Synonym

Clarian Health Partners

Amikacin Level, Random Procedure Components

Amikacin Level, Random Order Information Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

670590 Synonym

Order Prompts Amik Dose Dt Amik Dose Tm

Therapeutic drug monitoring. Specimen: Blood (plasma, serum) Container: Dark Green Sodium Heparin (No Gel) or Red Minimum Volume: 5.0 mls Pediatric Volume: 2.7 mls 1ml (0.6) sodium heparin plasma or serum, frozen. Specimen must be spun ASAP, plasma removed and frozen within less than 8 hours of collection. No SST tubes. 48 hours Clarian Helath Partners

Amino acid, quantitative Procedure Components

Order Prompts

Amino acid, quant Order Information

Screening for inborn errors of metabolism or genetic diseases which produce alterations in the concentration of amino acids in the blood.

Collection Requirements

Specimen: Heparinized plasma Container: 5ml sodium heparin - No Gel Minimum Volume: 3 ml whole blood Pediatric Volume: 3 ml whole blood

Specimen Handling

Seperate plasma, 1 ml min. and freeze. Ship on dry ice. Requisition in Duke file folder.

Turn Around Time Performing Facility

656544 Synonym

6 weeks Duke University

Ammonia Level Procedure Components

Order Prompts

Ammonia Level NH3 Collection Instructions

For Inpatients or Outpatients at CRH: Put specimen on ice immediately after collection. Deliver to lab ASAP. Remote drawing site: centrifuge specimen then aliquot plasma, freeze plasma immediately! If plasma is not received in lab frozen from a remote site, sample will be rejected.

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Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood (plasma) Container : Lt.Green, Lithium Heparin gelMinimum Volume : 3.0 ml blood 0.5 mL plasma. The tube should be placed in ice; centrifuged immediately; and analyzed within 20 minutes. The tube should be filled completely and must be kept tightly stoppered at all times. Plasma can be frozen for several days at 70C. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

4270744 Synonym

Amphetamine Confirmation Ur Procedure Components

Amphetamine Confirmation Ur Confirm Amphetamine Ur

Amphet Conf Ur Amp Cnf Interp CRH COE Ampeth Methamp Conf MDMA Conf

Order Information Collection Instructions Collection Requirements Specimen Handling Turn Around Time Performing Facility

656546 Synonym

Ordered by CRH Chemistry dept. only. Witham UDS collection kit. Specimen : Random Urine Container : UDS kit Minimum Volume : 7.0ml Pediatric Volume: 7.0ml Store and ship at ambient temperature. 7-10 days Witham Health Services

Amphetamine Screen Urine (CRH) Procedure Components Order Prompts

Amphetamine Screen Urine U Amph Scrn Amphetamine Screen Urine (CRH) UDS Limits U Amphetamine Screen (CRH)

Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Order Prompts

U U U U U

Tox Tox Tox Tox Tox

Temp Sp Gravity pH Crea Coe

Drug screen collection kit is available from the Lab (376-5188 or 5877). Specimen: Random Urine Container: UDS Kit Minimum Volume: 7.0 ml urine Pediatric Volume: 7.0 ml urine 1.0ml for screening. Stable 24 hours refrigerated. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

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656548 Synonym

Amylase Procedure Components

Order Prompts

AMY Amylase Collection Requirements Specimen Handling Turn Around Time Performing Facility

Specimen : Blood Container : Gold, Red or Green Minimum Volume : 3.0ml Pediatric Volume: 2 full microtainers 0.8 mL (0.2 mL) serum or plasma. Stable for 60 days at refrigerator temperature (2-8C) and 7 days at 25C. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

668350 Synonym

Amylase 24 Hour Urine Procedure Components

24 Hr Urine Amylase Amylase 24 Hour Urine U Amy 24 Hour Urine Amylase, 24 Hour

Tot Vol Amyl U Amylase U24 Amylase

Collection Instructions

Order Prompts

Start collection in the morning (7 AM - 10 AM). Empty bladder completely, discard the specimen. From that point on, all urine voided is collected in the container for the time frame specified by physician. Keep specimen cold during collection. At the end of collection time period, empty bladder completely, add specimen to collection container. Make sure all lids and/or closures are secure before transporting to Laboratory. Additional instruction sheet may be enclosed if collecting 2 containers joined by a p-splitter. Additional instruction sheet may be enclosed if medication, food or other restrictions apply.

Collection Requirements

Specimen : Urine Container : 24hr collection Minimum Volume : 10.0ml Pediatric Volume: 1.0ml

Specimen Handling

Urine amylase is less stable and should be adjusted to a pH of 7.0 before storage under refrigerated conditions.

Turn Around Time Performing Facility

656550 Synonym

Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Amylase Body Fluid Procedure Components

Collection Instructions

Order Prompts BF Type Amyl

AMY BF Amylase BF Amylase Body Fluid BF Amylase

Body fluid collection kits available from the Lab (376-5188 or 5877).

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Collection Requirements Specimen Handling Turn Around Time Performing Facility

656552 Synonym

Specimen : Body fluid Container : Gold or Red Minimum Volume : 2.0ml Pediatric Volume: 0.5ml Stable for 60 days at refrigerator temperature (2-8C) and 7 days at 25C. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Amylase Urine Random Procedure Components

Order Prompts

Amylase Urine Random U Amy Random Collection Requirements Specimen Handling Turn Around Time Performing Facility

Specimen : Urine Container : Urine cup or tube with no preservative (yellow or red stopper) Minimum Volume : 10 mL Pediatric Volume: 1.0 mL Urine amylase is less stable and should be adjusted to a pH of 7.0 before storage under refrigerated conditions. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

855058 Synonym

ANA Reflex Panel Procedure Components

ANA Reflex Panel

dsDNA Reflx Pan Centro Rflx Pan Smith Rflx Pan SM/RNP Rflx Pan SSA/RO Rflx Pan SSB/LA Rflx Pan Reflex Pan Intrp

Order Information

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

ANA Reflex Panel can be requested as a single order or it can be requested as part of the ANA w/Reflex order. If an ANA w/Reflex is requested, the ANA Reflex Panel will be automatically performed when the ANA is not within normal limits. If automatic reflex testing is not desired, order the ANA Reflex Panel. Specimen : Blood Container : Gold Minimum Volume : 3.5ml Pediatric Volume: 1.3ml 0.5 ml serum. Stable 24 hours at 2-30C. Freeze if testing will be delayed longer than 24 hours. Specimens held for reflex testing are frozen and then stable at 20C for 6 months. No Hemolyzed, grossly Lipemic, or icteric samples. No Turbid (milky) or contaminated samples (serum drawn above an IV or contaminated with IV fluid). Test performed on Wednesdays. Columbus Regional Hospital Laboratory

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149939959 Synonym

ANA Titer and Pattern, IFA Procedure Components

ANA Titer and Pattern, IgG, IFA

ANA ANA ANA ANA

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

4201941 Synonym

Order Prompts

IgG Screen. Titer. Pattern. Pattern Interp.

Specimen : blood Container : gold or red Minimum Volume : 3.0 mlPediatric Volume: 2.0 ml Allow specimen to clot completely at room temperature.Centrifuge to separate serum from cells.SST: Transport properly centrifuged gel-barrier tube specimensin the original collection tube.Red Top: Transfer 1mL serum to a plastic transport tube.(Min: 0.5mL){nbsp;Transport-Refrigerated1 week refrigerated (2-8°C)Greater than 1 week, freeze (-20°C) (avoid repeated freeze/ thaw cycles)***Specimens that have been thawed and refrozen may yield false negativeor false positive results. 1-3 days The Medical Foundation 28079

ANA w/Reflex Procedure Components

Order Prompts

ANA w/Reflex Order Information

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

150372556 Synonym

An ANA test will be performed first. If these results are abnormal, an ANA Reflex Panel will be automatically performed. If automatic reflex testing is not desired , order an ANA only. Specimen : Blood Container : Gold Minimum Volume : 3.5ml Pediatric Volume: 1.3ml 0.5 ml serum. Stable 24 hours at 2-30C. Freeze if testing will be delayed longer than 24 hours. Specimens held for reflex testing are frozen and then stable at 20C for 6 months. No Hemolyzed, grossly Lipemic, or icteric samples. No Turbid (milky) or contaminated samples (serum drawn above an IV or contaminated with IV fluid). ANA performed on Tuesday and Friday ANA Reflex testing and ANA Reflex Panels performed on Wednesday. Columbus Regional Hospital Laboratory

Androstenedione, Serum or Plasma Procedure Components Order Prompts

Androstenedione, LC-MS/MS Collection Requirements Specimen Handling

Turn Around Time

Specimen : blood Container : Gold or red preferred. Also accept green or lavender. Minimum Volume : 2.0 ml Pediatric Volume: 0.7 ml Collect between 6-10 a.m. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.3 mL) After separation from cells: Room temperature: 24 hours Refrigerated: 1 week Frozen: 6 months 2-5 days

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Performing Facility

149952114 Synonym

The Medical Foundation 44751

Angiotensin Converting Enzyme, CSF Procedure Components Order Prompts

ACE, CSF Angiotension Converting Enz CSF Order Information

Collection Requirements Specimen Handling Turn Around Time Performing Facility

147858109 Synonym

Angiotensin-converting enzyme is increased in some cases of active sarcoidosis. Sensitivity about 75%, specificity about 95%. The sensitivity increases with the stage of the disease. Serial ACE determinations may be helpful in following the clinical course of sarcoidosis or to monitor the effectiveness of corticosteroid therapy. Elevated ACE levels will return to normal in sarcoidosis as a result of spontaneous or corticosteroid-induced remission. Decreased ACE activity is found in patients having chronic obstructive lung disease, lung cancer, emphysema, and cystic fibrosis. Patients with active tuberculosis generally have decreased activity though approximately 6% will show increases in ACE levels. Specimen : CSF Container : sterile tube Minimum Volume : 2.0 mls Pediatric Volume: 1.0 mls 1.0 (0.3) CSF, frozen 7 days refridgerated, 6 months frozen. 2-6 days The Medical Foundation Test code: 44121

Angiotensin Converting Enzyme, Serum or Plasma Procedure Components Order Prompts

ACE Angiotensin Converting Enzyme Order Information

Angiotensin converting enzyme (ACE. EC 3.4 15.1 dipeptidyl carboxypeptidase) is a glycoprotein peptidyldipeptide hydrolase that cleaves histidylleucine dipeptide from angiotensin I, a relatively inactive decapeptide. The latter is converted to the potent vasoconstrictor, angiotension II. ACE also inactivates bradykinin. Elevated levels of ACE activity occur in serum of patients with active sarcoidosis and occasionally in premature infants with respiratory distress syndrome, in adults with tuberculosis , Gaucher's disease, leprosy, and in many other pathologic conditions involving lung and liver disease.Significantly low levels were reported in many acute and chronic cases of lung injuries. Serial measurements of ACE in 71 patients showed that significantly decreasing levels over successive days were associated with a very high mortality rate. A single ACE measurement does not necessarily predict the presence or extent of lung injury, or aid in diagnosis or prognosis. However, serial levels are of value prognostically.

Collection Requirements

Specimen : Serum Container : Gold or Red Minimum Volume : 2.0 mls Pediatric Volume: 1.5 mls

Specimen Handling Turn Around Time Performing Facility

0.5(0.2) 7 days refridgerated, 2 months frozen 1-3 days The Medical Foundation Test code 29055

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863432 Synonym

Anti DNA Ab, Double Strand Procedure Components

Anti DNA Ab, Double Strand Anti DNA ds Ab DNA-Ab, Double Strand Native DNA Ab dsDNA Ab

dsDNA Interp dsDNA EIA

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold Minimum Volume : 3.5ml Pediatric Volume: 1.3ml 0.5 mL serum. Stable 24 hours refrigerated, -20C for 6 months. No Hemolyzed, grossly Lipemic, or icteric samples. No Turbid(milky) or contaminated samples (serum drawn above an IV or contaminated with IV fluid). Testing performed on Wednesdays. Columbus Regional Hospital Laboratory

863441 Synonym

Anti Smith Antibody Procedure Components

Anti Sm Antibody Anti Smith Antibody Sm Antibody Smith Antibody

Sm Ab Interp Sm AB EIA

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149955564 Synonym

Order Prompts

Order Prompts

Specimen : Blood Container : Gold Minimum Volume : 1.3 mL 0.5 mL serum. Stable 24 hours refrigerated, -20C for 6 months. No Hemolyzed, grossly Lipemic, or icteric samples. No Turbid(milky) or contaminated samples (serum drawn above an IV or contaminated with IV fluid). Testing performed on Wednesdays. Columbus Regional Hospital Laboratory

Anti-Mullerian Hormone Procedure Components

Order Prompts

Anti-Mullerian Hormone Collection Requirements Specimen Handling

Turn Around Time Performing Facility

146357312 Synonym

Specimen : blood Container : Gold or red. Green (lithium heparin) is acceptable Minimum Volume : 1.0 ml Pediatric Volume: 0.5 ml Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.2 mL) Room temperature: Unacceptable Refrigerated: 1 week Frozen: 3 weeks (avoid repeated freeze/thaw cycles) 2-4 days The Medical Foundation 44928

Anti-Neutrophil Cytoplasmic IgG Antibodies Procedure Components Order Prompts

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ANCA Antineutrophil Cytoplasmic Antibody

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

cANCA IgG. cANCA IgG Titer. pANCA IgG. pANCA IgG Titer. aANCA IgG. aANCA IgG Titer. Specimen : Blood Container : Gold or RedMinimum Volume : 3.0 mlPediatric Volume: 2.0 ml Allow specimen to clot completely at room temperature.Centrifuge to separate serum from cells ASAP or within 2 hoursof collection. Transfer 1mL serum to a plastic transport tube.(Min: 0.5mL){nbsp;Transport-RefrigeratedRefrigerated: 1 weekFrozen (-20C): 2 weeks (avoid repeated freeze/thaw cycles) 4-5 days The Medical Foundation 28094

863446 Synonym

Anti-ribonucleoprotein Ab Procedure Components

Anti-RNP Anti-ribonucleoprotein Ab RNP Ab RNP Antibody Ribonucleoprotein Ab

Sm/RNP Interp Sm/RNP EIA

Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

146356445 Synonym

Order Prompts

Specimen: blood Container: gold or red Minimum Volume: 1.3 mL 0.5 mL serum. Stable 24 hours refrigerated, -20C for 6 months. No Hemolyzed, grossly Lipemic, or icteric samples. No Turbid(milky) or contaminated samples (serum drawn above an IV or contaminated with IV fluid). Testing performed on Tuesday and Friday. Columbus Regional Hospital Laboratory

Anti-Streptolysin O Procedure Components

Order Prompts

ASO Antistreptolysin O Ab Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube Properly centrifuged gel barrier tube sample does not require transfer of serum to separate tube 1.0 ml(0.5) 8 days refrigerated (2-8° C) 2-4 days The Medical Foundation 28045

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657321 Synonym

Antibody Screen Procedure Components

Order Prompts

ABSC Antibody Screen Indirect Coombs Collection Requirements Specimen Handling

Turn Around Time Performing Facility

851742 Synonym

Specimen : Blood Container : Pink or Red (no gel) Minimum Volume : 4.0 ml blood Pediatric Volume : 2.0 ml blood If sample not tested immediately, store at 2-8C. Separate serum or plasma from red cells before storage. Serum or plasma stable 10 days. Reject grossly hemolyzed specimens. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Antinuclear Antibody Procedure Components

Order Prompts

ANA ANA Screen Order Information Collection Requirements Specimen Handling

Turn Around Time Performing Facility

180148998 Synonym

This is a screening test only. If automatic reflex testing is desired, order ANA w/ Reflex. Specimen : Blood Container : Gold Minimum Volume : 3.5ml Pediatric Volume: 1.3ml 0.5 ml serum. Stable 24 hours at 2-30C. Freeze if testing will be delayed longer than 24 hours. No Hemolyzed, grossly Lipemic, or icteric samples. No Turbid (milky) or contaminated samples (serum drawn above an IV or contaminated with IV fluid). Testing performed on Tuesday and Friday. Columbus Regional Hospital Laboratory

Antiphospholipid Ab w/o Treatment Profile and Interp Procedure Components Order Prompts

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Antiphospholipid Ab w/o Treatment Profile and Interp

For: *Clinical Path Consult-Antiphospholipid Antibody w/o Treatment For: Beta-2 Glycoprotein 1 IgG/A/M. Beta2 Glyco IgA. Beta-2 Glycoprotein 1 IgG. Beta-2 Glycoprotein 1 IgM. For: Cardiolipin Ab Panel IgG,A,M Cardiolipin IgG. Cardiolipin IgA. Cardiolipin IgM. For: Lupus Anticoagulant Detection Lupus Anticoag Pat1. Lupus Anticoag Pat2. Lupus Anticoag Mix1. La Interp. APTT Lupus AntiCoag. PT Sensitive. Ratio for TTI. For: Phosphatidylserine IgG/A/M Phosphatidylserine Ab IgG. Phosphatidylserine Ab IgM. Phosphatidylserine Ab IgA.

Collection Requirements

For: *Clinical Path Consult-Antiphospholipid Antibody w/o Treatment For: Beta-2 Glycoprotein 1 IgG/A/M. Specimen: BloodContainer: GoldMinimum Volume: 2.0mLPediatric Volume: 1.0mL For: Cardiolipin Ab Panel IgG,A,M Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml For: Lupus Anticoagulant Detection Specimen : Blood Container : Full Light Blue Minimum Volume : 2.7 ml Pediatric Volume: 2.7 ml For: Phosphatidylserine IgG/A/M Specimen : Blood Container : Gold or Red Minimum Volume : 1.0 ml Pediatric Volume: 1.0 ml

149299589 Synonym

Antithrombin III, Functional Procedure Components

Order Prompts

AT III, Functional ATIII, Funct Antithrombin III, Assay Antithrombin III, Functional Collection Requirements

Specimen : Blood Container : Full light blue Minimum Volume : 2.7 ml Pediatric Volume: 1.8 ml

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Specimen Handling

Turn Around Time Performing Facility

150370761 Synonym

Collect prior to initiation of anticoagulant therapy Separate plasma from cells immediately{bull; Promptly centrifuge 15 minutes {bull; Carefully transfer plasma portion of sample to separate plastic tube using plastic pipette {bull; NOTE : Buffy coat layer of sample must be avoided {bull; Centrifuge transferred plasma sample again to produce platelet-poor plasma (PPP) {bull; Use second plastic pipette to carefully transfer PPP sample into plastic aliquot tubes {bull; Immediately freeze PPP samples 4 hours room temperature (20-30°C) 2 weeks frozen (-20°C) (avoid repeated freeze/thaw cycles) 4-5 days The Medical Foundation 25727

Antithrombin, Antigen Procedure Components

Order Prompts

Antithrombin III Ag Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : blood Container : Full light blue tube Minimum Volume : 2.7 ml Pediatric Volume: 1.8 ml Separate plasma from cells immediately{bull; Promptly centrifuge 15 minutes {bull; Carefully transfer plasma portion of sample to separate plastic tube using plastic pipette {bull; NOTE : Buffy coat layer of sample must be avoided {bull; Centrifuge transferred plasma sample again to produce platelet-poor plasma (PPP) {bull; Use second plastic pipette to carefully transfer PPP sample into plastic aliquot tubes {bull; Immediately freeze PPP samples Room temperature: 8 hours Refrigerated: 8 hours Frozen: 1 month 2-3 days The Medical Foundation 44240

669040 Synonym

APT Test For Fetal Blood Procedure Components

APT Test For Fetal Blood APT-Downey Test Swallowed Blood Syndrome

APT Interp APT

Order Information

Collection Instructions Collection Requirements

Turn Around Time Performing Facility

Order Prompts

EFFECTIVE Oct. 27, 2008 Specimen is sent to Clarian Health for analysis. Used to determine the cause for bloody stool or vomitus: intrinsic hemorrhageor maternal blood swallowed during labor and delivery. Deliver to lab within 30 minutes of collection. Specimen: grossly bloody stool or vomitus from newborn blood stained diaper is also acceptable Container: Sterile specimen container Minimum Volume: small amount of stool or vomitus Pediatric Volume: small amount of stool or vomitus Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

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828651 Synonym

Arthritis Profile (CRH) Procedure Components

Arthritis Profile (CRH)

For: For: For: For:

Collection Requirements

Order Prompts

ANA RF w/Reflex Sed Rate Uric Acid

Specimen : Blood Container : Lavender and Gold Minimum Volume : 2.0ml Lavender must be at least half full 3.5 mL Gold

Specimen Handling

SED RATE In lavender tube stable 4 hours at room temp, 12 hours refrigerated. In vacu-tec tube stable 2 hours at room temp, 12 hours refrigerated. ANA 0.5 ml serum. Stable 4 days. refrigerated, -20 C indefinitely. RF 0.5 mL serum. Stable 5 days refrigerated, -20 C indefinitely. Uric Acid 0.5ml serum. Stable 7 days at ambient or refrigerated temp.

Turn Around Time

Sed rate and uric acid results available same day.ANA testing performed Monday and Thursday. RF testing performed Mon., Wed., Fri.

Performing Facility

656578 Synonym

Columbus Regional Hospital Laboratory

Aspartate Aminotransferase Procedure Components

Order Prompts

AST Aspartase Aminotransferase SGOT Order Information Collection Requirements

Included in Comprehensive Metabolic Panel and Hepatic Panel. Specimen: blood Container: Gold, Green, or Red Minimum Volume: 3.0 ml blood Pediatric Volume: 2 full amber microtainers

Specimen Handling

0.8 mL (0.2 mL) serum or plasma. Stable 3 days at 25C and 1 week at 4C.

Turn Around Time

Routines completed same day. Stats completed within an hour of receipt of specimen in lab.

Performing Facility

670642 Synonym

Columbus Regional Hospital Laboratory

Aspartate Aminotransferase, body fluid Procedure Components Order Prompts

AST BF AST Body Fluid Aspartate Aminotransferase BF BF AST Body Fluid AST Collection Instructions Collection Requirements

Specimen Handling

BF type AST

Body fluid collection kits available from the Lab (376-5188 or 5877). Specimen: body fluid Container: Red or Gold Minimum Volume: 2.0 mL fluid 1.0 mL (0.5 mL) fluid

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Turn Around Time Performing Facility

680441 Synonym

Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

B-Natriuretic Peptide Procedure Components

Order Prompts

B-Natriuretic Peptide BNP Brain Natriuretic Peptide Order Information

Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

680776 Synonym

BNP is associated with an increased mortality rate independent of age, TroponinI, presence and absence of heart failure, renal insufficiency and ST segment deviation. Brain Natriuretic Peptide is markedly increased in chronic and acute congestive heart failure patients and correlates with disease severity. Specimen: blood Container: Lavender Minimum Volume: 4 mL blood 0.5 mL EDTA plasma. Must be tested within 24 hours of collection. If plasma samples are not tested within 24 hours, store samples in plastic tubes and freeze at or below -20C in non-frost free freezers. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Bact Typing by PFGE (CRH) Procedure Components

Bact Typing by PFGE (CRH) PFGE Order Information Collection Requirements

Performing Facility

659923 Synonym

Order Prompts PFGE init acc# PFGE source

Ordered by CRH Micro. Dept. only Specimen: Micro Specimen Age: All Container: Isolate Slant Minimum Volume: 1.0 ML Mayo Medical Laboratory Test Code: 80349

Bacterial Culture Procedure Components

Aerobic Culture C Aerobic C Rout CRH C Routine CULTURE ROUTINE Culture Routine Routine Culture CRH

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Order Prompts

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Order Information

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

659927 Synonym

Culture includes gram stain and isolation of primary aerobic pathogens and normal flora. When suspected pathogens are isolated, identification and susceptibility will be performed and a fee will be charged. Specimen: body fluid, tissue, cath tip, bronch wash, genital, ear, eye, wound, abscess, rash, other Container: sterile container for body fluid, bronch wash, cath tip or tissue culturette swab of genital, wound, ear, eye, abscess, rash, other Minimum Fluid Volume: 10 mL in sterile container Transport at room temperature. Stable 24 hrs.in Stuart swab, 48 hrs. in gel swab. 2-5 days Columbus Regional Hospital Laboratory

Bacterial Culture Anaerobic Procedure Components

Order Prompts

ANAEROBIC CULTURE Anaerobe Culture Anaerobic Culture C Anaerobe Culture Anaerobic Order Information Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

659931 Synonym

Only anaerobic organisms are cultured. Identification of isolates when 1-2 species encountered. Additional charges apply to identifications. Acceptable specimens: deep wounds sterile fluids abscess, aspirates tissue blood ( See Bacterial culture, Blood) bone marrow IUD surgical specimens cellulitis bite wounds As a general rule, aspirated fluid or tissue is preferable to a swab. Deep sites are the typical sites for recovery of anaerobes. Unacceptable specimens: Throat swabs (beta strep only) Nasopharyngeal swabs Mouth surface Sputum : expectorated, suctioned Bronchial washings (protected brushes are acceptable) Gastric or small bowel contents Large bowel contents (except for C. difficile, C. botulinum, or other specific pathogens) Urine : voided or catheterized Vaginal Decubitus ulcers;perirectal abscesses; exposed wounds, sinuses Any material next to a mucous membrane that has not been adequately decontaminated. Specimen : any body fluid, tissue or gel swab of a site accepted Container : sterile container for fluids and tissues, gel swab of any site Minimum Fluid Volume: 10 mL Transport at room temperature. Stable 1 hr. in sterile container and 24 hrs. in gel swab. Average TAT is 5 days. Columbus Regional Hospital Laboratory

Bacterial Culture Blood Procedure Components

BLOOD CULTURE Blood Culture C Blood Culture Blood

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Order Prompts

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Order Information

Blood cultures are used to detect the presence of bacteria or yeast in the blood. Indications include suspected or confirmed sepsis, meningitis, osteomyelitis, arthritis, endocarditis, peritonitis, pneumonia, and fever of unknown origin. Routine blood cultures are not suited to detecting dimorphic fungi, such as Histoplasma capsulatum or mycobacteria. Please use Fungal Culture-Blood or consult Microbiology at 812-376-5226 if either of these cultures is desired. Blood cultures should be collected prior to initiation of therapy. Ideally 2-3 sets of blood cultures should be collected within a 24 hour time period. The timing of the blood culture collection is not as important as the number of cultures and the volume of blood collected. Febrile episodes have not demonstrated to have increased recovery of organisms.

Collection Instructions

PROCEDURE: CHLORAPREP-(DO NOT USE ON PATIENTS UNDER 2 MONTHS OLD) 1. Identify Patient: Always identify that you have the correct patient. Check the ID band on in-patients and ER patients. Call the patient by his/her full name. If it is a child, have the parent repeat the child's name. 2. Accession order: Check the accession order to see if other lab work is to be collected at the same time. 3. Apply tourniquet to locate vein: Inspect both arms of the patient to find a suitable vein. The venipuncture site should be free of all skin disorders. Apply the tourniquet to the patients' arm and select the optimal venipuncture site. 4. Release the tourniquet. 5. Prepare arm: Open the package of Chloraprep. Do not touch the sponge. Pinch the wings of the applicator to crush the ampule containing the disinfectant. Squeeze the liquid contents into the sponge against the patient's arm. Use the sponge to scrub the arm for 30 seconds. Proceed in diagonal, back and forth as well as circular motions. This action removes skin cells and the underlying bacteria. 6. Let the Chloraprep dry: This takes approximately 30 seconds. The timing is crucial since the skin bacteria are killed during this drying time. 7. Prepare blood culture bottles: Remove plastic top from each culture bottle to be inoculated and disinfect the rubber stopper with a new alcohol pad. Apply to center of stopper first and then move outward in concentric circles. Allow alcohol to dry. Do not use iodine to disinfect tops of vials. 8. Wear gloves: Gloves should be worn as a means of Universal Precautions against disease 9. Reapply the tourniquet. 10. Collect the Blood cultures: in the manner that is appropriate for the situation or phlebotomist style (syringe, butterfly, catheter). Do not palpitate for the vein at this point. 11. Remove tourniquet: and needle from venipuncture site. Apply pressure with gauze over the site 12. Remove chloraprep from skin: as much as possible with 70% alcohol. Avoid stinging the patients' arm at the draw site. 13. Bandage: Inspect the patients' arm to assure that the blood flow has ceased. Apply a folded 2 x 2 gauze pad with tape to the venipuncture. 14. Dispose of all sharps in the appropriate container. 15. Label specimens: and transport to lab ASAP. If pre-printed labels are not available, write legibly in ink the following: name, mrn#, date and time of collection, and initials of staff collecting specimen.

Collection Requirements

Specimen Handling

Specimen: Blood Container: Blood culture bottles 1 set or culture = 1 aerobic and 1 anaerobic bottle Adult Optimum Volume: 10ml per bottle = 20ml per set or culture Adult Minimum Volume: 3 ml per bottle = 6ml per set or culture Pediatric Optimum Volume: 1% of body weight, minimum volume is 1ml regardless of weight. Patient Weight (lb) Recommended blood volume per culture or set (ml) Volume of blood equal to 1 percent of patient's total blood volume (ml)* (2 sets) 120 20 >40 *Blood volume calculated by assuming 85 ml/kg in newborns and 73 ml/kg in other patients. Two 20 ml blood specimens collected from an 80 kg adult (40 ml total) represent approximately 0.7% of the patient's total blood volume. Stable 4 hrs. at room temperature. Transport ASAP.

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Turn Around Time

Performing Facility

105944523 Synonym

A culture is reported as Negative after 5 days. Positive results from gram stain of blood culture bottle are immediately called to attending physician or nurse. Identification and susceptibility will follow, generally 48-72 hours after positivity is known. Columbus Regional Hospital Laboratory

Bacterial Culture Blood Central Line Procedure Components Order Prompts

Blood Culture Central Line C Blood Central Line Culture Blood Central Line Order Information

Blood cultures are used to detect the presence of bacteria or yeast in the blood. Indications include suspected or confirmed sepsis, meningitis, osteomyelitis, arthritis, endocarditis, peritonitis, pneumonia, and fever of unknown origin. Routine blood cultures are not suited to detecting dimorphic fungi, such as Histoplasma capsulatum or mycobacteria. Please use Fungal Culture-Blood or consult Microbiology at 812-376-5226 if either of these cultures is desired. Blood cultures should be collected prior to initiation of therapy. Ideally 2-3 sets of blood cultures should be collected within a 24 hour time period. The timing of the blood culture collection is not as important as the number of cultures and the volume of blood collected. Febrile episodes have not demonstrated to have increased recovery of organisms.

Collection Instructions

1. Identify Patient: Always identify that you have the correct patient. Check the ID band on in-patients and ER patients. Call the patient by his/her full name. If it is a child, have the parent repeat the child's name. 2. Wear gloves: Gloves should be worn as a means of Universal Precautions against disease 3. Prepare the intravenous catheter by scrubbing with alcohol prep pad. 4. Collect the blood according to institution procedures for line draws. 5. DO NOT discard the existing blood in the line as that may be the best sample in order to determine if the line is contaminated. 6. Prepare blood culture bottles: Remove plastic top from each culture bottle to be inoculated and disinfect the rubber stopper with a new alcohol pad. Apply to center of stopper first and then move outward in concentric circles. Allow alcohol to dry. Do not use iodine to disinfect tops of vials. 7. Dispose of all sharps in the appropriate container. 8. Label specimens: and transport to lab ASAP. If pre-printed labels are not available, write legibly in ink the following: name, MRN, date and time of collection, and initials of staff collecting specimen.

Collection Requirements

Specimen Handling

Specimen : Blood Container : Blood culture bottles 1 set or culture = 1 aerobic and 1 anaerobic bottle Adult Optimum Volume: 10ml per bottle = 20ml per set or culture Adult Minimum Volume: 3 ml per bottle = 6ml per set or culture Pediatric Optimum Volume: 1% of body weight, minimum volume is 1ml regardless of weight. Patient Weight (lb) Recommended blood volume per culture or set (ml) Volume of blood equal to 1 percent of patient's total blood volume (ml)* (2 sets) 120 20 >40 *Blood volume calculated by assuming 85 ml/kg in newborns and 73 ml/kg in other patients. Two 20 ml blood specimens collected from an 80 kg adult (40 ml total) represent approximately 0.7% of the patient's total blood volume. Stable 4 hrs. at room temperature. Transport ASAP.

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Turn Around Time

Performing Facility

659934 Synonym

A culture is reported as Negative after 5 days. Positive results from gram stain of blood culture bottle are immediately called to attending physician or nurse. Identification and susceptibility will follow, generally 48-72 hours after positivity is known. Columbus Regional Hospital Laboratory

Bacterial Culture Bronch Wash Procedure Components

Order Prompts

BRONCH CULTURE Bronch Culture Bronchial Washing Culture C Bronch C Bronch Wash Culture Bronch Collection Requirements

Specimen Handling Turn Around Time Performing Facility

659938 Synonym

Specimen: bronch wash, BAL Container: leak proof, screw top, sterile container DO NOT transport in containers with tubing attached Minimum Volume: 10 mL Stable 6 hrs. at room temperature. 2-5 days Columbus Regional Hospital Laboratory

Bacterial Culture Cerebrospinal Fluid Procedure Components Order Prompts

C CSF CSF CULTURE CSF Culture CSF Culture w/Gram stain Cerebrospinal Fluid Culture w/ Gram stain Culture CSF Order Information Collection Requirements

Specimen Handling Turn Around Time Performing Facility

659950 Synonym

Gram stain reported stat if organisms are observed. All bacterial pathogens are cultured for. This culture will not isolate virus or mycobacterium. Specimen: CSF Container: sterile container Minimum Volume: 1 mL Stat to microbiology at room temperature 2-5 days Columbus Regional Hospital Laboratory

Bacterial Culture Sputum Procedure Components

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Order Prompts

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C Sputum Culture Sputum SPUTUM CULTURE Sputum Culture Sputum Culture w/Gram stain Patient Instructions Collection Instructions

Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

659953 Synonym

Do not use mouthwash before collection Provide a deep morning cough of lung contents not saliva The best specimen is collected in the morning immediately after getting up. Use the special sterile container provided by your nurse, doctor or laboratory personnel. 1.Brush teeth, gums and tongue with plain water . 2.Rinse or gargle with plain water . 3.Cough deeply to produce a lower respiratory (not postnasal) specimen. 4.The sputum needs to come from your lungs, not from spit or nasal passages. 5.Expectorate directly into the sterile container. The specimen must be transported as soon as possible to Columbus Regional Hospital Laboratory, preferably within 2 hours of collection. Refrigerate the specimen if there will be more than a 2 hr. delay in delivery to CRH. Specimen: sputum Container: sterile container Minimum Volume: 1.5 mL Specimen stability:Room Temp: 2 hours or less.Refrigerated: 2-24 hours, must be transported in a cooler or other insulated carrier in order to maintain refrigerator temps, must not be frozen (no ice).Specimens >24 hours must be recollected. 2-5 days Columbus Regional Hospital Laboratory

Bacterial Culture Stool Procedure Components

Order Prompts

C Stool Culture Stool STOOL CULTURE Stool Cult Salm/Shig/Campy/EC 0157 CRH Stool Culture Stool Culture Salm/Shig/Campy BH Order Information

Stool culture includes an aggressive search for Salmonella, Shigella,and E. coli 0157:H7. Campylobacter is an EIA method and is reported with the culture results. When enteric flora is disrupted, overgrowth of Staphylococcus aureus, Pseudomonas or yeast may predominate. These organisms will be identified and where appropriate have susceptibility studies for an additional charge. Other organisms that may cause diarrheal stools are Pleisomonas, Aeromonas, Vibrio or Bacillus. When inadvertently encountered, they will be identified and where appropriate have susceptibility studies for an additional charge. Yersinia must be commented or written on the requistion if desired. Note: E. coli 0157:H7 treatment and therefore their susceptibilities are contraindicated due to heavy release of toxins during degradation of bacteria.

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Patient Instructions

Special Circumstances 1. If barium has been used, wait 7 to 10 days before collecting samples for stool culture. 2. If antibacterial therapy directed against gut flora has been used, wait 2-3 weeks before collecting sample for stool culture. 3. If patient is using a laxative, collect one using the laxative and two from normal movements. 4. If therapy for Protozan infection has been indicated, wait 2-3 weeks before collecting samples for stool culture. 5. If therapy for Taenia infection has been indicated, wait 5-6 weeks before collecting samples for stool culture. Types of Specimen and Critical Time Period for Examination 1. A specimen collected in the Stool System kit can be kept at room temperature and processed within a 24-hour period. 2. Fresh specimens collected in clean containers should be examined as follows: a. Liquid specimens - fixation or examination within 30 minutes of passage. b. Soft specimens - fixation or examination within 60 minutes of passage. c. Formed specimens - same day as passage.

Collection Instructions

1. Identify the Patient: Refer to Patient Identification Procedure(s). 2. Give patient the Stool System kit and a copy of collection instructions to take home. 3. Instruct the patient to collect their stool specimen in a clean dry container free of residual detergents and disinfectants. Do not allow urine or toilet water to come in contact with the stool specimen. A clean margarine tub, clean widemouthed jar or a clean milk carton with the top cup off can also be used. 4. Instruct the patient to use the spoon attached to the lid to transfer their stool sample from the collection container to the vial(s). Enough specimen should be added to bring the fluid level up to the line on the vial. Sample areas that may contain blood, mucus, watery material or different areas of a solidly formed stool should be chosen. 5. Instruct the patient to mix the stool samples with the fluid in the vial by replacing the lid on the vial and shaking vigorously. 6. Instruct the patient to label the vial with their name, date and time of collection. 7. Instruct the patient to keep the vial containing the specimen at room temperature and return to the Lab within 24 hours of collection. 8. If more than one stool culture has been ordered, collect as follows: One specimen every day. If three cultures are ordered, collect every other day not to exceed 10 days. If six cultures are ordered, collect every day not to exceed 14 days. 9. Deliver specimen to Microbiology.

Collection Requirements

Specimen Handling Turn Around Time

Performing Facility

659957 Synonym

Specimen : Stool, colonic wash, duodenal aspirate Container : Colonic wash and Duodenal aspirate in sterile container. Stool in culture collection vial. Minimum Volume : Wash or aspirate: 1 ml, Stool: fill to line on vial Unacceptable Specimens : Swabs, Formalin preserved, or unpreserved for more than 24 hours. Unpreserved stool: Must be received by the laboratory within 2 hours of collection. Preserved stool or stool in collection vial: 24 hours refrigerated. Negative cultures are reported after 2 days. Cultures that yield pathogens and require susceptibility testing may take 3-5 days. Salmonella and Shigella are sent to ISDH. The Final report includes the ISDH typing. Columbus Regional Hospital Laboratory

Bacterial Culture Throat Procedure Components

C Throat Culture Throat THROAT CULTURE Throat Culture

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Order Prompts

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Order Information

Collection Instructions

Collection Requirements Specimen Handling Turn Around Time Performing Facility

659960 Synonym

Culture includes isolation of all known pharyngeal pathogens. If Streptococcus group A (Streptococcus pyogenes) only is desired, see Streptococcus Screen. Additional charges for identification and susceptibility. Success with culture or direct antigen tests (Strep A) depends on firmly and completely sampling the area or the inflamed throat. To obtain the best results, it is important that material for a throat culture be obtained before antimicrobial therapy is given. 1. Identify patient: check armband to identify in-patients and ER patients. Repeat their name to confirm. Check the DOB on out-patients. 2. Wear gloves as a barrier to self infection. 3. Position the patient for adequate lighting. 4. Remove the tongue blade from wrapping and the swab from the culturette shaft and collect the specimen as follows: a. Instruct patient to breathe deep, open mouth and say {ldquo;ah{rdquo;. b. Gently depress the tongue with a sterile wooden blade. c. Place swab to the back of the throat. d. Gently but firmly rub the swab over white or inflamed areas or over the tonsils and posterior pharynx (behind uvula and between tonsils). Do not touch the cheeks, teeth or gums as you withdraw the swab. e. Insert swab back into the shaft of the culturette. f. Label specimen before leaving the patient area (name, test, source, date, initials of tech). Specimen : pharynx or throat swab Container : culturette-with or without gel Culturette stable at room temperature 24 hrs. 2-3 days Columbus Regional Hospital Laboratory

Bacterial Culture Urine Procedure Components

Order Prompts

C Urine Culture Urine U Culture Urine Culture Order Information

Patient Instructions

Colony counts and organism identification with susceptibility are reported as standard procedure with counts of one or two organisms at >50,000 cfu/ml. Cath specimens and bladder urines are worked up at 10,000 cfu/ml if a clean straight cath and not a foley. Greater than 3 organisms is considered too contaminated for revelant clinical information and will be reported as such. There will be additional charges for identification and susceptibility. Do not urinate directly into cup. Collect specimen during flowing stream.

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Collection Instructions

Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

1. Identify the Patient: Refer to Patient Identification Procedure(s). 2. Instruct the patient. Give the patient the urine specimen cup and the two towelettes. Direct the patient to the bathroom and instruct the patient as follows: a. Wash hands. b. Unscrew cap of the urine specimen cup. Place cap on counter with {ldquo;straw{rdquo; facing upward. To avoid contamination, do not touch inside of cup, cap or straw. c. Cleanse yourself with towelettes as follows: Male: Wipe head of penis in a single motion with first towelette. Repeat with second towelette. If not circumcised, hold foreskin back before cleansing. Urinate a small amount into toilet. Proceed to Step d. Female: Separate the labia. Wipe inner labial fold front to back in a single motion with first towelette. Wipe down through center of labial folds with second towelette. Keep the labia separated and urinate a small amount into toilet. Proceed to Step d. d. Place cup under stream and continue to urinate into cup and collect specimen. e. Remove cup and finish voiding into toilet. f. Replace cap on cup. Tighten cap securely. Do not remove label from cap. g. Give filled cup to phlebotomist. Phlebotomist: 1. Apply gloves before handling filled urine specimen cup to prevent spread of disease. 2. Prepare the specimen. Peel back the label on top of cup to expose integral sampling device. 3. Place the Vacutainer Brand 5 ml draw tube with freeze-dried maintenance formula (gray top tube) stopper side down onto the needle with slight pressure. Caution should be used in handling the integral sample device which contains a needle under the label. Allow the tube to fill, remove the tube, reseal the label on the cup and dispose of the urine filled cup into a biohazard container. Shake tube in order to mix urine with freeze-dried maintenance formula. 4. Label cup with patient name, date and time of collection, location of patient, and initials of tech handling specimen. Label Vacutainer Brand tube with the same information. Specimen : midstream urine, cath urine, bladder aspirate Container : sterile container or grey top urine tube with preservative Minimum Volume : 1.0 mL in sterile container or fill tube to the line Yellow/cherry red marble stopper urine tubes are NOT ACCEPTABLE. Plain container without preservative, stable 3 hrs. refrigerated, deliver to Micro. ASAP. Yellow stopper urine tube, stable 3 hrs. refrigerated, deliver to Micro. ASAP. Grey stopper urine tube, stable 24 hrs, no refrigeration necessary. Red/grey marble stopper urine tube, stable 24 hrs, no refrigeration necessary. Average TAT is 2 days. Columbus Regional Hospital Laboratory

656582 Synonym

Barbiturate Screen Urine (CRH) Procedure Components Order Prompts

Barbiturate Screen Urine (CRH) U Barbiturate Screen (CRH)

U Barb Scrn UDS Limits

Collection Instructions Collection Requirements

Specimen Handling Turn Around Time

U U U U U

Tox Tox Tox Tox Tox

Temp Sp Gravity pH Crea Coe

Drug screen collection kit is available from the Lab (376-5188 or 5877). Specimen: urine Container: Drug screen collection kit Minimum Volume: 7.0 ml urine 1 mL urine for screening. Stable 24hrs. refrigerated. Routines completed same day. Stats completed within an hour of receipt of specimen in lab.

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Performing Facility

670650 Synonym

Columbus Regional Hospital Laboratory

Barbiturate, confirmation, Ur (CRH) Procedure Components Order Prompts

Barbiturate confirmation Ur (CRH) Barb Confirm Ur Confirm Barbiturate Urine (CRH) Barb Cnf Interp CRH COE Barb Amobar Barb Conf Butal Barb Conf Butab Barb Conf Pento Barb Conf Pheno Barb Conf Seco Barb Conf Other Barb Conf Order Information Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

670652 Synonym

Ordered by CRH Chemistry Dept. only. Witham UDS kit Specimen: Random Urine Container: UDS Kit Minimum Volume: 7.0ml Pediatric Volume: 7.0ml Store and ship at ambient temperature. 7-10 days Witham Health Services

Barbiturate, Ur, quantitative (CRH) Procedure Components Order Prompts

Barbiturate Ur Quant (CRH) U Barbiturate Quant (CRH) Order Information Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

149946749 Synonym

Drug of abuse testing. Drug screen collection kit is available from the Lab (376-5188 or 5877). Chain of Custody must accompany patient specimen. Specimen: Random Urine Container: UDS kit Minimum Volume: 7.0ml Pediatric Volume: 7.0ml Store and ship at ambient temperature. 7-10 days Witham Health Services

Bartonella henselae and B. quintana IgG and IgM Antibodies, IFA Procedure Components Order Prompts

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Bartonella Abs, IgG/M Cat Scratch Disease

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

B B B B

Henselae Henselae Quintana Quintana

IgG. IgM. IgG. IgM.

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 0.6 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Mark specimens plainly as acute or convalescent. After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year (avoid repeated freeze/thaw cycles) 2-9 days The Medical Foundation 44882

656584 Synonym

Basic Metabolic Panel Procedure Components

BMP Basic Met Basic Metabolic Panel Chem 8

BUN Calcium Creat GFR GFRAA BUN/Creat Gluc Ran Sodium Potassium Chloride CO2 AGAP

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

4269714 Synonym

Hrs PP

Specimen: blood Container: Gold, Green or Red Minimum Volume: 3.0 ml blood Pediatric Volume: 3 full amber microtainers Serum needs to be separated from the red cells within one hour of collection. 1.0 mL (0.5 mL) serum or plasma. See individual component listings for stability. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

BB Draw Specimen Procedure Components

BB Draw Collection Requirements

Order Prompts

Specimen: Blood Age: All Container: Pink K2 EDTA Minimum Volume: 6.0 ML

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Order Prompts

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5090077 Synonym

BCR-ABL p210 RT-PCR Procedure Components

BCR-ABL p210 RT-PCR

p210 BCR-ABL p210 transcripts p210 Interp

Order Information

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

4270748 Synonym

Order Prompts

BCR-ABL transcript level correlates with the number of leukemic cells present in blood and can be used to monitor response to therapy. Serial analysis of BCRABL levels by real-time quantitative (RQ-PCR) accurately reflects the level of leukemic inhibition induced by treatment. It provides an appropriate monitoring strategy for patients with chronic myeloid leukemia (CML). Molecular monitoring of BCR-ABL levels in conjunction with hematologic and cytologic findings provides correlative information to monitor response, remission, relapse/ progression, and resistance to treatment - particularly imatanib mesylate (Gleevec). Indiana University Health Molecular Pathology Laboratory BCR-ABL p210 transcript level is standardized to the International Scale, allowing the conversion of normal copy number (NCN) results to the International Scale, a more specific standard for determination of major molecular response (MMR) level of 0.1%. Values on the IS will allow comparison of response rates, including clinical trials for laboratories using the IS developed by the World Health Organization (WHO). The qRT-PCR assay tests for p210 BCR-ABL fusion forms (b2a2 and/or b3a2 BCR-ABL fusion gene transcripts). The copy number of p210 BCR-ABL fusion gene transcripts is expressed relative to the copy number of ABL reference gene transcripts with conversion to a percentage on the International Scale (BCR-ABL as a percentage of total ABL relative to the IS). The IS-MMR kit is compliant with the updated international recommendations. Monitoring should be performed using the same method and laboratory for each subsequent specimen. Significant changes during monitoring should be verified with a subsequent specimen if the results are being used to make major therapeutic decisions. Specimen : Whole Blood Container : Lavender Minimum Volume : 5.0ml Pediatric Volume: 5.0ml Must be collected and sent to Clarian Monday-Thursday only. Specimen must arrive within 24 hrs. of collection. Specimen must be in CRH Lab by 4:00pm Monday - Thursday. Whole blood is stable 48hrs. refrigerated. 7-10 days IU Health Partners

Benzodiazepine Confirmation Ur Procedure Components Order Prompts

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Benzodiazepine Confirmation Ur Confirm Benzodiazepine Ur

Order Information Collection Instructions Collection Requirements Specimen Handling Turn Around Time Performing Facility

Benzo Confirm Ur Benz Cnf Interp CRH COE Benzo Alpraz Benz Cnf Chlora Benz Cnf Chlord Benz Cnf Clonaz Benz Cnf Diazep Benz Cnf Flunit Benz Cnf Fluraz Benz Cnf Loraz Benz Cnf Oxazep Benz Cnf Temaze Benz Cnf Triazo Benz Cnf Nordia Benz Cnf Other Benz Cnf Ordered by CRH Chemistry dept. only. Witham UDS collection kit. Specimen : Randon urine Container : UDS kit Minimum Volume : 7.0ml Pediatric Volume: 7.0ml Store and ship at ambient temperature. 7-10 days Witham Health Services

656586 Synonym

Benzodiazepine Screen Urine (CRH) Procedure Components Order Prompts

Benzodiazepine Screen Urine (CRH) U Benzodiazepine Screen (CRH)

U Benzodia Scrn U Tox Temp U Tox Sp Gravity U Tox pH U Tox Crea U Tox Coe UDS Limits

Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

670658 Synonym

Drug screen collection kit is available from the Lab (376-5188 or 5877). Specimen: urine Container: Drug screen collection kit Minimum Volume: 7.0 ml urine 1.0 mL urine for screening. Stable 24hrs. refrigerated. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Benzodiazepine,Ur, quantitative (CRH) Procedure Components Order Prompts

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Benzodiazepine quant Ur (CRH) U Benzodiazepine Quant (CRH)

Order Information Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

656592 Synonym

Benzo Quant Ur CRH COE Benz Qt Other Benz Qnt Triazo Benz Qnt Temaze Benz Qnt Oxazep Benz Qnt Alpraz Benz Qnt Fluraz Benz Qnt Flunit Benz Qnt Diazep Benz Qnt Clonaz Benz Qnt Chlord Benz Qnt Chlora Benz Qnt Loraz Benz Qnt Drug of abuse testing. Drug screen collection kit is available from the Lab (376-5188 or 5877). Chain of Custody must accompany patient specimen. Specimen: Random Urine Container: UDS Kit Minimum Volume: 7.0mls Pediatric Volume: 7.0mls Store and ship at ambient temperature. 7-10 days Witham Health Services

Beta H Chorionic Gonadotropin Qual (CRH) Procedure Components Order Prompts

Beta hCG Qual (CRH) Preg Test Preg Test (CRH) Order Information Collection Requirements

Specimen Handling Turn Around Time Performing Facility

656594 Synonym

For the qualitative detection of human chorionic gonadotropin. Specimen: blood Container: Gold or Red Minimum Volume: 3.0 ml blood 1.0 mL serum. Stable at 2-8C for up to 48hrs., or frozen at -20C for up to one year. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Beta Human Chorionic Gonadotropin Qualitative Urine Procedure Components Order Prompts

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Beta hCG Qual Urine Preg Test U Qualitative U Beta hCG Qualitative U Preg Test Qualitative Urine Preg Test U Beta Qualitative U Preg Test UCG Collection Requirements Specimen Handling Turn Around Time Performing Facility

656596 Synonym

Specimen : urine Container : Urine cup or tube (No preservative) Minimum Volume : 10.0 mL 1.0 mL urine. Stable at room temperature (25 to 30C) for up to 8 hours, or at 2 to 8C for up to 72 hours. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Beta Human Chorionic Gonadotropin Quantitative Procedure Components Order Prompts

Beta hCG Quant HCG Quant Quant HCG Order Information

Collection Requirements Specimen Handling Turn Around Time Performing Facility

154361343 Synonym

For use in the quantitative determination of human chorionic gonadotropin (hCG), as an aid in the assessment of pregnancy status. This assay detects the intact hCG molecule and free beta subunits of the hCG molecule. Specimen : Blood Container : Gold or Red Minimum Volume : 5.0 mL 0.8 mL serum. Stable 8 hours at room temperature, 48 hours refrigerated. Routines completed same day. Stats completed within one hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Beta-2 Glycoprotein 1 Antibodies, IgG and IgM Procedure Components Order Prompts

Beta-2 Glycoprotein 1 Abs, IgG/M Beta-2 Glycoprotein 1 IgG. Beta-2 Glycoprotein 1 IgM. Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube Preferred volume 1.0 ml, minimum volume 0.5 ml. 1 week refrigerated (2-8°C) 3 months frozen (-20°C) (avoid repeated freeze/thaw cycles) 2-8 days The Medical Foundation 28246

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154380389 Synonym

Beta-2 Glycoprotein 1 IgA Antibody Procedure Components Order Prompts

Beta-2 Glycoprotein 1 IgA Antibody Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 1.0 ml Pediatric Volume: 0.6 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube 0.5 ml (0.3 ml) After separation from cells: 48 hours room temperature (20-30°C) 2 weeks refrigerated (2-8°C) 1 year frozen (-20°C) (avoid repeated freeze/thaw cycles) 2-3 days The Medical Foundation 44408

282346945 Synonym

Beta-2 Glycoprotein 1 IgG/A/M. Procedure Components Order Prompts

Beta-2 Glycoprotein 1 IgG/A/M.

Beta2 Glyco IgA. Beta-2 Glycoprotein 1 IgG. Beta-2 Glycoprotein 1 IgM.

Order Information Collection Requirements Specimen Handling Turn Around Time Performing Facility

149929195 Synonym

Aid in the diagnosis of Antiphospholipid Syndrome (APS). Specimen: BloodContainer: GoldMinimum Volume: 2.0mLPediatric Volume: 1.0mL 2.0mL (1.0mL minimum) serum. Stable 1 week refrigerated.Hemolyzed specimens will be rejected. 2-3 days The Medical Foundation Test Code: 28005

Beta-2-Microglobulin, Serum Procedure Components

Order Prompts

B2 Globulin Beta-2 Microglobulin Collection Requirements Specimen Handling

Turn Around Time Performing Facility

153934246 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 0.6 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube Properly centrifuged gel barrier tube sample does not require transfer of serum to separate tube 1.0 (0.3) ml 1 week refrigerated (2-8° C) 2 weeks frozen (-20°C) (avoid repeated freeze/thaw cycles) 3-5 days The Medical Foundation 30008

Beta-Hydroxybutyrate, Serum or Plasma Procedure Components Order Prompts

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Beta-Hydroxybutyrate Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149953447 Synonym

Specimen : Blood Container : Gold or Red. Also accepted are Green, Lavender, and Gray. Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. SST or PST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 1 mL serum or plasma to a plastic transport tube. (Min: 0.5 mL) Room temperature: 2 hours Refrigerated: 1 week Frozen: 1 month (avoid repeated freeze/thaw cycles) 1-2 days The Medical Foundation 29184

Bile Acids, Total Procedure Components

Order Prompts

Bile Acids, Total Collection Requirements Specimen Handling

Turn Around Time Performing Facility

670668 Synonym

Specimen : Blood Container : Gold Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Patient should fast for 8 hours prior to collection. Allow specimen to clot completely at room temperature before centrifugation. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL After separation from cells: Room temperature: 8 hours Refrigerated: 2 weeks Frozen: 3 months 1-2 days The Medical Foundation 44462

Bile Dipstick Ur Procedure Components

Order Prompts

Bile Dipstick Ur Bile urine dipstick Bilirubin Dipstick U Bilirubin urine dipstick Ur bile dipstick Urine bile dipstick Urine bilirubin dipstick Order Information

Collection Requirements

Specimen Handling Turn Around Time

Used to screen for liver diseases, hepatocellular diseases, and obstructive diseases of the biliary tract (e.g. biliary calculi, cancer of pancreas or bile ducts). Test included in UA (urinalysis). Specimen: urine Container: Urine cup or tube (yellow, red or yellow/cherry red marble stoppers) Minimum Volume: 0.2 mL urine Pediatric Volume: 0.1 mL urine No preservative: stable 1 hour at room temperature, 6 hours refrigerated. Yellow/cherry red preservative tube stable 72 hours at room temp Routines completed same day. Stats completed within an hour of receipt of specimen in lab.

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Performing Facility

656600 Synonym

Columbus Regional Hospital Laboratory

Bilirubin Body Fluid Procedure Components

BF Tbil BF Total Bilirubin Bili Tot BF Bilirubin Body Fluid Tbil BF Total Bilirubin BF Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

656602 Synonym

Order Prompts BF Type Bili

Body fluid collection kits available from the Lab (376-5188 or 5877). Specimen: body fluid Container: Gold or Red Minimum Volume: 2.0 ml fluid 1.0 mL (0.5 mL) fluid. Protect from light. Stable 24hrs. ambient, 5 days refrigerated at 2-8C, 2 months frozen at -20C. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Bilirubin Direct Procedure Components

Order Prompts

Bili Conjugated Bili Direct Bilirubin Direct Conjugated Bilirubin DBIL Order Information Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

656604 Synonym

Included in Hepatic Function Panel. Protect from light. Specimen: blood Container: Gold, red or green Minimum Volume: 3.0 ml blood Pediatric Volume: 1 full amber microtainer 0.8 mL (0.2 mL) serum or plasma. Protect from light. Stable 24 hrs. ambient, 5 days refrigerated at 2-8C, 2 months frozen at -20C. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Bilirubin Total Procedure Components

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Order Prompts

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Bili Tot Bili Total Bilirubin Total TBIL Total Bili Order Information Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

674036 Synonym

Included in Comprehensive Metabolic Panel and Hepatic Function Panel. Protect from light. Specimen: blood Container: Gold, red or green Minimum Volume: 3.0 mL blood Pediatric Volume: 1 full amber microtainer 0.8 mL (0.2 mL) serum or plasma. Protect from light. Stable 24hrs. ambient, 5 days refrigerated at 2-8C, 2 months frozen at -20C. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Bilirubin Total Neonatal Procedure Components

Order Prompts

Bilirubin Neonatal Total Bilirubin Total Neonatal Neonatal Bili Total TBIL Neonatal Total Bili Neonatal Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

If not in an amber microtainer, protect from light. Specimen: blood Container: amber microtainer Minimum Volume: 1 full microtainer Note: if both total and direct ordered, 1 microtainer is sufficient 0.2 mL serum. Protect from light. Stable 24hrs. ambient, 5 days refrigerated at 2-8C, 2 months frozen at -20C. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

24249802 Synonym

BK Virus Quantitation Procedure Components

BK Virus Quantitation

BK Virus Source BK Virus Quant BK Virus Comment Log10 BK Virus Quant

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Order Prompts

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Order Information

Collection Requirements

BKV primary infection occurs mainly during childhood and is usually asymptomatic. The seroprevalence in adults is up to 90%. After primary infection, BKV remains latent in kidney cells and can be reactivated under immune deficiency conditions, such as transplantation. BKV infection can be correlated with tubulointerstitial nephritis and ureteric stenosis in renal transplant recipients as well as hemorrhagic cystitis in bone marrow transplant recipients. It is also been associated with disease patterns for vasculopathy, pneumonitis, encephalitis, retinitis, and even multi-organ failure. Persistent highlevel BKV replication is the typical characteristic of polyomavirus-associated nephropathy (PAN) in renal transplantation patients. Up to 5% or renal allograft recipients can be affected about 40 weeks post-transplantation. The presence of DNA in plasma in conjunction with the persistence of nephropathy, and its disappearance from plasma after the reduction of immunosuppressive therapy. BKV DNA is typically detectable in urine prior to plasma. BKV DNA in plasma at levels >10,000 copies/mL and BKV DNA in urine at levels >10,000,000 copies/ mL may correlate with an increased risk of BKVAN. Clinically relevant infections are mostly limited to immunosupressed individuals. Specimen : Blood or Urine Container : Lavender for Blood, Urine cup for Urine Minimum Volume : 2.5ml blood, 1.0 ml Urine Pediatric Volume:

Specimen Handling

Spin and separate plasma within 6 hrs of collection. Aliquot and refrigerate plasma. Submit urine with no preservative in urine transport tube. Blood and urine are stable 5 days refrigerated.

Performing Facility

Indiana University Health

674492 Synonym

Blood Dipstick Urine Procedure Components

Order Prompts

Blood Dipstick Urine Blood Urine dipstick Ur Blood dipstick Urine blood dipstick Order Information Collection Requirements

Specimen Handling Turn Around Time Performing Facility

296643289 Synonym

Used to detect myoglobin, hemoglobin or RBC in urine. Test included in UA (urinalysis). Specimen: urine Container: Urine cup or tube (yellow, red or yellow/cherry red marble stoppers) Minimum Volume: 0.2 mL urine Pediatric Volume: 0.1 mL urine No preservative: stable 1 hour at room temperature, 6 hours refrigerated. Yellow/cherry red preservative tube stable 72 hours at room temp Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Blood Gas Arterial w/Co-ox Request Procedure Components Order Prompts

Blood Gas Arterial w/Co-ox Request Collection Instructions

BG Art w/Co-ox Request Deliver and run STAT.

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Collection Requirements Performing Facility

296644045 Synonym

Specimen: Arterial bloodContainer: Heparinized syringeMinimum Volume: 0.5 ml blood CRH Respiratory Department

Blood Gas Arterial wo/Co-ox Request Procedure Components Order Prompts

Blood Gas Arterial wo/Co-ox Request Collection Instructions Collection Requirements Performing Facility

296699867 Synonym

BG Art wo/Co-ox Request Deliver and run STAT. Specimen: Arterial bloodContainer: Heparinized syringeMinimum Volume: 0.5ml blood CRH Respiratory Department

Blood Gas Central Venous Request Procedure Components Order Prompts

Blood Gas Central Venous Request Collection Instructions Collection Requirements Performing Facility

296644513 Synonym

BG Central Ven Request Deliver and run STAT. Specimen: Blood collected from central lineContainer: Heparinized syringeMinimum Volume: 0.5ml blood CRH Respiratory Department

Blood Gas Cord Arterial w/Co-ox Request Procedure Components Order Prompts

Blood Gas Cord Arterial w/Co-ox Request Collection Instructions Collection Requirements Performing Facility

296645369 Synonym

BG Cord Art w/Co-ox Request Deliver and run STAT. Specimen: Arterial cord bloodContainer: Heparinized syringeMinimum Volume: 0.5ml blood CRH Respiratory Department

Blood Gas Cord Venous w/Co-ox Request Procedure Components Order Prompts

Blood Gas Cord Venous w/Co-ox Request Collection Instructions Collection Requirements Performing Facility

BG Cord Ven w/Co-ox Request Deliver and run STAT. Specimen: Venous cord bloodContainer: Heparinized syringeMinimum Volume: 0.5ml blood CRH Respiratory Department

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296700191 Synonym

Blood Gas O2 Saturation Request Procedure Components Order Prompts

BG SVO2 Request Blood Gas O2 Saturation Request Blood Gas SVO2 Request Collection Instructions Collection Requirements Performing Facility

296700657 Synonym

BG O2 Sat Request

Deliver and run STAT. Specimen: Arterial, Venous or Mixed Venous bloodContainer: Heparinized syringeMinimum Volume: 0.5ml blood CRH Respiratory Department

Blood Gas SVO2 Request Procedure Components

Blood Gas SVO2 Request Collection Requirements

656610 Synonym

Order Prompts BG SVO2 Request

Specimen: Blood Age: All Container: No Specimen Minimum Volume: 0.1 ML

Blood Urea Nitrogen Procedure Components

Order Prompts

BUN BUN Outreach Blood Urea Nitrogen Order Information Collection Requirements

Specimen Handling Turn Around Time Performing Facility

674496 Synonym

Included in Comprehensive Metabolic Panel and Basic Metabolic Panel. Specimen: blood Container: Gold, Green or Red Minimum Volume: 3.0 mL blood Pediatric Volume: 1 full amber microtainer 0.8 mL (0.2 mL) serum or plasma. Stable 1 day at room temperature, 3 days at 4-8C and 3 months at -20C. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Bone Marrow Tray Procedure Components

Order Prompts

Bone Marrow Bone Marrow Tray Order Information Collection Requirements Turn Around Time

Contact Pathology department (extension 5322) to schedule testing. Bone Marrow assistant will assist the physician in collecting specimen. Specimen sent to Pathology for processing. Results completed in 5-7 days.

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Performing Facility

149944885 Synonym

Columbus Regional Hospital Laboratory

C-1-Esterase Inhibitor Procedure Components

Order Prompts

C-1-Esterase Inhibitor Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149940777 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 0.8 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube and freeze After separation from cells: 2 hours room temperature (20-30°C) Refrigerated (2-8°C): Unacceptable 2 weeks frozen (-20° C) (avoid repeated freeze/thaw cycles) 2-5 days The Medical Foundation 44285

C-1-Esterase Inhibitor, Functional Procedure Components Order Prompts

C-1-Esterase Inhibitor, Functional Collection Requirements

Specimen : Blood Container : Gold or Red, Lavender Minimum Volume : 1.0 ml Pediatric Volume: 0.5 ml

Specimen Handling

Serum sample tubes, clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum or plasma to separate plastic tube and freeze After separation from cells: 2 hours room temperature (20-30°C) Refrigerated (2-8° C): Unacceptable 2 weeks frozen (-20°C) (avoid repeated freeze/thaw cycles)

Turn Around Time Performing Facility

147861821 Synonym

2-5 days The Medical Foundation 44223

C-Peptide Procedure Components

Order Prompts

C-Peptide Collection Requirements Specimen Handling

Turn Around Time Performing Facility

656728 Synonym

Specimen : Blood Container : Gold or Red, Light green, Lavender Minimum Volume : 2.0 ml Pediatric Volume: 1.0 ml Fasting at least 12 hours is preferred Clot 30 minutes Promptly centrifuge 15 minutes If sample not sent to SBMF on day collected: - Immediately transfer serum to separate plastic tube - Freeze and transport frozen 1.0 ml (0.5) After separation from cells: 4 hours room temperature (20-30°C) 24 hours refrigerated (2-8°C) 1 month frozen (-20°C) (avoid repeated freeze/thaw cycles) 1-2 days The Medical Foundation 30117

C-Reactive Protein Procedure Components

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Order Prompts

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C-Reactive Protein Inflammation CRP CRP (Inflammation) Order Information

Collection Requirements Specimen Handling

CRP is an acute reactant, which can be used as a general screening aid for inflammatory diseases, infections, and neoplastic diseases. In addition to its usual value as an acute phase reactant, CRP in large concentration (>5 mg/dL) predicts progression of erosions in rheumatoid arthritis. Elevated serum CRP is characteristic of bacterial, but not viral, meningitis or meningoencephalitis. It may be useful in monitoring the clinical course of these illnesses. CRP concentrations characteristically return to normal after 7 days of appropriate treatment or bacterial meningitis if no complications develop. Serial monitoring of serum and CSF CRP concentrations may be useful clinically. Specimen : Blood Container : Gold. Green or Red Minimum Volume : 3.5ml Pediatric Volume : 1.5ml 1(0.5)ml serum. Samples may be refrigerated at 2-8C for up to 8 days if not tested within 24 hours. For longer storage, samples may be frozen at -20C for up to three months.

Turn Around Time

Testing performed Mon., Wed., and Fri.

Performing Facility

Columbus Regional Hospital Laboratory

670814 Synonym

C-Reactive Protein, Cardiovascular Procedure Components Order Prompts

C-Reactive Protein Cardiovascular CRP Cardio CRP Cardiovascular Cardio CRP High Sensitivity CRP Ultrasensitive CRP Order Information

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

656618 Synonym

Elevated concentrations of CRP are associated with risk of myocardial infarction in patients with stable and unstable angina and predict risk of first myocardial infarction and ischemic stroke in apparently healthy individuals. In population at risk, elevated serum or plasma CRP increases the risk of ischemic stroke two-fold. Specimen: blood Container: Gold, red or green Minimum Volume: 3.0 mL 0.8 mL serum or plasma. Samples may be refrigerated at 4C for 3 g/dL. Specimen : blood Container : Gold, Red or Grn LI SST Minimum Volume : 3.0 mL blood Pediatric Volume: 2 full amber microtainers Minimum 0.2 mL serum. Stable 7 days ambient, 14 days refrigerated, and 2 months frozen at -20C. Testing performed Monday, Wednesday and Friday. Specimen retained in lab 7 days after testing is complete. Columbus Regional Hospital Laboratory

IgG Subclasses 1-4

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Synonym

Procedure Components

IgG Subclasses 1-4

IgG IgG IgG IgG

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Subclass Subclass Subclass Subclass

Order Prompts

1. 2. 3. 4.

Specimen : Blood Container : Gold or Red Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube Properly centrifuged gel barrier tube sample does not require transfer of serum to separate tube 0.5 ml(0.3) 8 days refrigerated (2-8° C) 2-4 days The Medical Foundation 28297

154357900 Synonym

IgG Synthesis Rate Procedure Components

IgG Synthesis Rate

CSF Albumin. Albumin Serum. CSF IgG. IgG Serum. IgG Synthesis Rate. IgG/Alb Ratio. IgG/Alb Index.

Order Prompts

Collection Requirements

Specimen : Blood and CSF Container : Gold or Red and sterile container for CSF Minimum Volume : 2.5 ml ( blood) and 0.5 ml(CSF) Pediatric Volume: 2.5 ml (blood) and 0.5 ml (CSF)

Specimen Handling

Centrifuge and separate CSF to remove cellular material. Allow serum specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL CSF AND 1 mL serum to individual plastic transport tubes (Min: 0.5 mL CSF AND 0.5 mL serum). Refrigerated: 1 week

Turn Around Time Performing Facility

656926 Synonym

2-4 days The Medical Foundation 23069

IgM Procedure Components

IgM Immunoglobulin M

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Order Prompts

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Order Information

Collection Requirements Specimen Handling Turn Around Time Performing Facility

181658739 Synonym

Evaluate humoral immunity; establish the diagnosis and monitor therapy in macroglobulinemia of Waldenstr{ouml;m and other lymphoid and lymphoplasmacytic neoplasms. Differential diagnosis includes plasma cell myeloma (the rare IgM myeloma), essential macroglobulinemia, and other entities. Like IgG and IgA, IgM increase can present as a monoclonal gammopathy. IgM is increased in primary biliary cirrhosis with high concentrations of serum alkaline phosphatase and with antimitochondrial antibodies. IgM levels are used to evaluate likelihood of in utero infections or acuteness of infection. IgM deficiency is associated especially with gram-negative infections. Specimen : blood Container : Gold, Red or Grn LI SST Minimum Volume : 3.0 mL blood Pediatric Volume: 2 full amber microtainers Minimum 0.2 mL serum. Stable 7 days ambient, 14 days refrigerated, and 2 months frozen at -20C. Testing performed Monday, Wednesday and Friday. Specimen retained in lab 7 days after testing is complete. Columbus Regional Hospital Laboratory

Immature Platelet Fraction Procedure Components

Order Prompts

IPF Immature Platelet Fraction Order Information

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Immature Platelet Fraction (IPF) is a measure of immature platelets and thus is an index of thrombopoiesis. A low PLT count + low IPF is consistent with a marrow production disorder. A low PLT count + high IPF is consistent with platelet consumption or destruction (ITP, TTP, DIC and autoimmune diseases). (The IPF will automatically be reported when flagging dictates or it can be ordered separately.) Specimen : Whole Blood Container : Lavender Minimum Volume : 4.0ml tube must be at least half full. Minimum Volume : 2.0ml tube must be at least half full. Pediatric Volume : 0.5ml microtainer must be at least half full. Stable 48 hours refrigerated, or 24 hours room temperature. Routines completed same day. Stats completed within one hour of receipt of specimen in the lab. Columbus Regional Hospital Laboratory.

174909437 Synonym

Immune Complex Panel Procedure Components

Immune Complex Panel

Raji Cell Immune Complex. C1Q Binding Assay.

Order Information

Order Prompts

Circulating immune complexes may be found without any evident pathology and positive results do not necessarily implicate the immune complex in a disease process. Many autoimmune disorders, chronic infections and malignancies are associated with circulating immune complexes. Quantitation of immune complexes assists in staging immunologic disorders.

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Collection Requirements Specimen Handling

Turn Around Time Performing Facility

656932 Synonym

Specimen: Blood Container: Red Minimum Volume: Two - 1 ml aliquots of serum Pediatric Volume: Two - 0.5 ml aliquots of serum Spec Process: Allow complete clotting of red blood cells (up to 1 hour), then separate serum from cells within 30 minutes. Transfer TWO - 1 mL aliquots of serum to individual screw-capped plastic transport tubes and freeze immediately. (Min: 0.5 mL/aliquot) Spec Store Transport: CRITICAL FROZEN. Separate specimens must be submitted when multiple tests are ordered. Spec Stability: Refer to individual components. Spec Reject: Non-frozen specimens. Specimens exposed to repeated freeze/thaw cycles. 5-12 days The Medical Foundation test code: 45557 Performed at ARUP Laboratories

Immunofixation Procedure Components

Order Prompts

IFE Immunoelectropheresis S Immunoelectrophoresis Immunofixation Order Information Collection Requirements Specimen Handling Turn Around Time Performing Facility

787033 Synonym

Primarily used in Clinical Laboratory for the detection of monoclonal bands, also known as monoclonal proteins, M-proteins, or paraproteins. Specimen : Blood Container : Gold Minimum Volume : 2.0 ml blood Pediatric Volume : 1.4 ml blood 1(0.5)ml serum. Stable 72 hrs. refrigerated, 2 months frozen. Testing performed on Tuesdays. Columbus Regional Hospital Laboratory

Immunofixation Urine Procedure Components

Order Prompts

IFE Urine Immufix Urine Immunoelectrophoresis U Immunofixation Urine Order Information Collection Requirements Specimen Handling Turn Around Time Performing Facility

683598 Synonym

Primarily used in Clinical Laboratory for the detection of monoclonal bands, also known as monoclonal proteins, M-proteins, or paraproteins. Specimen : Urine Container : U Cont Minimum Volume : 50mls urine Pediatric Volume : 20 mls urine 50 (20) ml urine. Stable 72 hrs. refrigerated, 30 days frozen. Testing performed on Tuesdays. Columbus Regional Hospital Laboratory

Immunofixation with IgA, G and M Procedure Components Order Prompts

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Immunofixation with IgA, G and M For: Immunofixation For: Immunoglobulins GAM IgA IgG IgM Collection Requirements Specimen Handling Turn Around Time Performing Facility

Immunofixation and Immunoglogulins GAM Specimen : Blood Container : Gold Minimum Volume : 3.5 ml Pediatric Volume: 2.0ml 1(0.5)ml serum. Stable 72 hrs. refrigerated, 2 months frozen. Testing performed on Friday. Columbus Regional Hospital Laboratory

674298 Synonym

Immunoglobulins GAM Procedure Components

IgG,A,M Immunogam Immunoglobulins GAM

IgA IgG IgM

Order Information Collection Requirements Specimen Handling Turn Around Time Performing Facility

660029 Synonym

Order Prompts

See individual tests (IgG, IgA, IgM) for Clinical Utility information. Specimen : blood Container : Gold, Red or Grn LI SST Minimum Volume : 3.0 mL blood Pediatric Volume: 3 full amber microtainers Minimum 0.6 mL serum. Specimen Stability: 14 days refrigerated 2 months frozen at -20C 7 days ambient Testing performed Monday, Wednesday and Friday. Specimen retained in lab 7 days after testing is complete. Columbus Regional Hospital Laboratory

India Ink Prep Procedure Components

Order Prompts

India Ink India Ink Smear Order Information

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Diagnostically, india ink as an ordered test has little clinical value. India ink is not a true stain. It is a particle solution that shows that capsules are present around yeast cells. Yeast must be present for the ink to exhibit capsules. Gram smear and hematology smears will demonstrate that yeast is present and the Medical Technologist will use india ink for presumptive identification of Cryptococcus. Specimen: CSF Container : Sterile container, CSF collection Minimum Volume : 1.0 ml Stat to microbiology at room temperature Stat 45 minutes Columbus Regional Hospital Laboratory

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660254 Synonym

Influenza Rapid Antigen Test Procedure Components

Order Prompts

Influ Ag Influenza Ag Influenza Antigen Collection Instructions

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

656940 Synonym

Swab Collection 1. Insert the swab straight back (not upwards) into the nasopharyngeal passage until a slight resistance is met. 2. Rotate the swab 5-10 times and leave in place 5-10 seconds to absorb material. 3. Place NP swab into the original dry tube for on-site collections or into the pink M4 viral transport media for client or off-site collections. Nasal Wash Collection 1. Acquire a Nasal Wash kit. 2. Explain procedure to parent / patient. 3. Collect specimen following Universal Precautions (wear a disposable lab coat, gloves, etc.) 4. Open a sterile bulb syringe carefully to prevent contamination of tip. 5. Open pink vial tube and pour 2-3 ml saline into open bulb packaging. Discard vial. 6. Open red top tube. 7. Aspirate approx. 2 ml of saline into bulb syringe. 8. Tilt patient's head back to an approximate 70 ° angle. Turn the patient's head to the side. 9. Insert the bulb syringe into one nostril until nostril is occluded. 10. Inject the bulb contents into the nostril with one gentle squeeze and immediately release bulb to recover nasal specimen. 11. Empty contents into the red top tube. Secure top. 12. Check patient for effects of the procedure. Coughing and sputtering are normal reactions. 13. Label specimen. 14. Remove protective clothing and wash hands. 15. Transport immediately to microbiology (or give specimen to Med Tech if micro is closed). Specimen : NP swab or Nasal wash Container : NP swab or viral transport media (in collection kit) Minimum Volume : 1 mL wash or 1 swab Specimens should be stored refrigerated at 2-8C until they are transported to the Lab. Specimens are stable for 24hrs. when stored refrigerated at 2-8C. For H1N1 influenza testing, State Form #35212 must accompany the specimen to the Laboratory. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Insulin Level Procedure Components

Order Prompts

INSULIN Insulin Level Order Information

Collection Requirements

Evaluate insulin producing neoplasm (islet cell tumor, insulinoma) or pancreatic islet cell hyperplasia; work-up for hypoglycemia to evaluate insulin production in diabetes mellitus. Insulin-secreting tumors usually present with hypoglycemic symptoms and are diagnosed by a 72-hour prolonged fast. After 72 hours of fasting an insulin concentration greater than 6 uIU/mL indicates an insulinoma. Factitious hypoglycemia from exogenous insulin shows increased insulin, but not proinsulin or C-peptide. Specimen: Blood Container: Gold or Red Minimum Volume: 3.5ml Pediatric Volume: 1.5ml

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Specimen Handling

Turn Around Time Performing Facility

1(0.5)ml serum. Do not use samples that have been stored at room temperature for more than 8 hrs. Stable 48hrs. refrigerated. Samples may be frozenat -20C for longer storage. Routines completed the same day. STATS completed within one hour of receipt of specimen in the Lab. Columbus Regional Hospital Laboratory

205703073 Synonym

Insulin Like Growth Factor I Procedure Components

IGF-I Insulin Like Growth Factor I Somatomedin C

IGF 1. IGF 1 Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

368136469 Synonym

Order Prompts

Specimen : Blood Container : Gold or Red Minimum Volume : 2 mL Pediatric Volume: 1 mL Allow serum specimen to clot completely at room temperature. Centrifuge to separate from cells and transfer 1 mL serum or plasma to a plastic transport tube. (Min: 0.5 mL) After separation from cells: Frozen: 1 year Refrigerated: 24 hours Room temperature: Unacceptable 2-3 days The Medical Foundation 30053

Intrinsic Factor Blocking Antibody Procedure Components Order Prompts

Intrinsic Factor Blocking Antibody Collection Requirements Specimen Handling

Turn Around Time Performing Facility

153939149 Synonym

Specimen: BloodContainer: Gold SmMinimum Volume: 3.0mLPediatric Volume: 2.0mL Transfer 1mL serum to a screw-capped plastic transport tube.(Min: 0.15mL) {nbsp;Transport: Frozen{nbsp;Stability:After separation from cells:Frozen: 1 monthRefrigerated: 48 hours 4-6 days The Medical Foundation 44084

Iodine, Serum Procedure Components

Order Prompts

Iodine Collection Instructions

Diet, medication, and nutritional supplements may introduce interfering substances. Patients should be encouraged to discontinue nutritional supplements, vitamins, minerals, nonessential over-the-counter medications for 48 hours (upon the advice of their physician). In addition, the administration of iodine-based contrast media and drugs containing iodine may yield elevated results. During venipuncture, do not use disinfectants (such as Betadine) that contain iodine.

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Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Royal Blue Serum Tube Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to the Trace Element Free transport tube provided in collection kit. (Min: 0.5 mL) Room temperature: 30 days Refrigerated: 30 days Frozen: 30 days 2-6 days The Medical Foundation 47074

671014 Synonym

Iron and Total Iron Binding Capacity Procedure Components Order Prompts

FE & TIBC FE and IBC FE and TIBC Iron & TIBC Iron and TIBC Iron and Total Iron Binding Capacity

Iron TIBC Iron Sat

Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

656942 Synonym

Most accurate results are obtained when specimen is drawn from fasting patient and beforereceiving iron or a blood transfusion. Specimen: blood Container: Gold or Red Minimum Volume: 3.0 mL blood Pediatric Volume: 2 full amber microtainers 0.8 mL (0.4 mL) serum. Stable 4 days refrigerated at 2-8C and frozen at -20C for one month. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Iron Level Procedure Components

Order Prompts

Fe Fe Level Iron Level Iron only Collection Instructions Collection Requirements

Most accurate results are obtained when specimen is drawn from fasting patient, before patient receives iron or a blood transfusion. Specimen: blood Container: Gold or Red Minimum Volume: 3.0 mL blood Pediatric Volume: 2 full amber microtainers

Specimen Handling

0.8 mL (0.4 mL) serum. Stable refrigerated 1 week at 4C, ambient 1 week, frozen at -20C 2 months.

Turn Around Time

Routines completed same day. Stats completed within an hour of receipt of specimen in lab.

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Performing Facility

3920656 Synonym

Columbus Regional Hospital Laboratory

ISDH Confirmation Procedure Components

ISDH Confirmation

Collection Requirements

150377510 Synonym

Order Prompts ISDH test Date sent out Transport by

Specimen: Miscellaneous Age: All Container: Miscellaneous Minimum Volume: 1.0 ML

Islet Cell Cytoplasmic Antibody, IgG Procedure Components Order Prompts

Islet Cell Ab, IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

671020 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 1.5 ml Pediatric Volume: 1.5 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer1 mL serum to an ARUP Standard Transport Tube. (Min: 0.15 mL) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year (avoid repeated freeze/thaw cycles) 2-4 days The Medical Foundation 44250

Isopropyl Alcohol Level Procedure Components

Order Prompts

Isopropyl Alcohol Level Collection Instructions Collection Requirements Specimen Handling

DO NOT use alcohol-based cleansers for collection.No SST tubes. Spin and separate ASAP. Keep tightly capped. Specimen : Blood Container : Green preferred, red or grey also acceptable. Minimum Volume : 3.0ml Pediatric Volume : 0.5ml 1.0ml serum, tightly capped and refrigerated.Centrifuge and separate serum ASAP.Transport to IU Health on ice.

Turn Around Time

4-8 hours

Performing Facility

IU Health

149299805 Synonym

JAK2 (V617F) Mutation Analysis Procedure Components Order Prompts

JAK2 Mutation, Qualitative Collection Requirements

JAK2 Source. Specimen : Blood or Bone Marrow Container : Lavender Minimum Volume : 1.0 ml Pediatric Volume: 1.0 ml

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Specimen Handling Turn Around Time Performing Facility

Transport 3 mL whole blood (Min: 1 mL) OR 3 mL bone marrow (Min: 1 mL) Room temperature: 24 hours Refrigerated: 10 days Frozen: Unacceptable 2-8 days The Medical Foundation 36140

153949160 Synonym

Jo-1 Antibody, IgG Procedure Components

Jo-1 Ab, IgG

Anti JO-1 IgG. JO-1 IgG Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

146358135 Synonym

Order Prompts

Specimen : Blood Container : Gold or Red Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube Properly centrifuged gel barrier tube sample does not require transfer of serum to separate tube 1.0 ml(0.5) 1 week refrigerated (2-8° C) 1 month frozen (-20°) (avoid repeated freeze/thaw cycles) 2-4 days The Medical Foundation 28340

Kappa/Lambda Free Light Chains, Quantitative, with Ratio, Serum Procedure Components Order Prompts

Free Kappa and Lambda Ratio Lambda Free Lt Chain. Kappa/Lambda Free Light Chains, Kappa Free Lt Chain. Quant Kappa Lambda Ratio. Collection Requirements Specimen Handling

Turn Around Time Performing Facility

163101131 Synonym Free Kappa and Lambda Ratio, Urine K/L Free Light Chains, Urine, Quant Collection Instructions

Specimen : Blood Container : Gold or Red Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube 0.5 ml (0.3) 3 weeks (21 days) refrigerated (2-8°C) Greater than 3 weeks, freeze (-20°C) (avoid repeated freeze/thaw cycles) 2-4 days The Medical Foundation 23217

Kappa/Lambda Free Light Chains, Quantitative, with Ratio, Urine Procedure Components Order Prompts Free Free Free Free Free

Urinary Urinary Urinary Urinary Urinary

Kappa Light Chains. Kappa Excretion/Day. Lambda Light Chain. Lambda Excretion/Day. K/L Ratio.

Hours Collected. Total Volume.

24-hour urine no preservatives added. Refrigerate during collection. Also acceptable: Random urine specimens and urine supernate.

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Collection Requirements Specimen Handling

Turn Around Time Performing Facility

656944 Synonym

Specimen : Urine Container : 24 hour collection container or random sterile cup Minimum Volume : 3.0 ml Pediatric Volume: 3.0 ml Transfer two 4 mL aliquots from a well-mixed 24-hour collection to individual ARUP Standard Transport Tubes. (Min: 3 mL) Record total volume and collection time interval on transport tube and test request form. Room temperature: 2 hours Refrigerated: 1 week Frozen: Unacceptable 2-6 days The Medical Foundation 23219

Ketones Dipstick Urine Procedure Components

Order Prompts

Acetone Dipstick Urine Acetone Urine Dip Ketones Dipstick Urine U Acetone Dip U Ketones Dip Collection Requirements

Specimen Handling Turn Around Time Performing Facility

660032 Synonym

Specimen: urine Container: Urine cup (CRH also accepts yellow or red top urine collection tubes) Minimum Volume: 0.2 mL urine Pediatric Volume: 0.1 mL urine No preservative: stable 1 hour at room temperature, 6 hours refrigerated.Yellow/ cherry red preservative tube stable 72 hours at room temperature. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

KOH Prep Procedure Components

Order Prompts

KOH KOH Prep Only Order Information

Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Schedule collection with Pathologist at 376-5322. KOH prep is about 60% sensitive in detecting fungal elements.For more accuracy or on negative KOH order fungal culture. Specimen obtained by Pathologist. Call 376-5322 to see if one is available. Collections can be done Monday through Friday from 08:00 until 15:00; no holidays . Specimen: body fluid, hair, nail, skin scraping, tissue Container: sterile container Minimum Volume:1 mL fluid or specimen in sterile container Dry specimens stable 2-3 days at room temperature. Wet specimens stable 3-5 days at room temperature. 1 day Columbus Regional Hospital Laboratory

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147856797 Synonym

Lacosamide, Serum or Plasma Procedure Components

Order Prompts

Lacosamide Level Collection Requirements Specimen Handling

Turn Around Time Performing Facility

656946 Synonym

Specimen : Blood Container : Red or Lavender Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.5 mL) Room temperature: 15 days Refrigerated: 15 days Frozen: 15 days 2-5 days The Medical Foundation 45899

Lactate Dehydrogenase Procedure Components

Order Prompts

LDH Lactic Dehydrogenase Collection Requirements Specimen Handling Turn Around Time Performing Facility

656948 Synonym

Specimen : blood Container : Gold, Red or Green Minimum Volume : 3.0 mL blood Pediatric Volume: 2 full amber microtainers 0.8 mL (0.2 mL) serum or plasma. Stable 7 days at 25C and 7 days at 4C. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Lactate Dehydrogenase Body Fluid Procedure Components Order Prompts

BF LDH LDH Body Fluid Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

150377378 Synonym

BF Type LDH Body fluid collection kits available from the Lab (376-5188 or 5877). Specimen: body fluid Container: Red Minimum Volume: 2.0 mL body fluid 1.0 mL fluid. Stable 2-3 days at 25C and 1 week at 4C. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Lactate Dehydrogenase Isoenzymes, Serum Procedure Components Order Prompts

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LD (LDH), Isoenzymes

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

656952 Synonym

LDH Total. LD1 Isoenzyme. LD2 Isoenzyme. LD3 Isoenzyme. LD4 Isoenzyme. LD5 Isoenzyme. LD Iso Interp. Specimen : Blood Container : Gold or Red Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube 1.0 ml (0.5) 1 week room temperature (20-30°C) - do not refrigerate or freeze 1-3 days The Medical Foundation 23067

Lactic Acid Procedure Components

Order Prompts

LA Lactate Lactate,Blood Lactic Acid Collection Instructions Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

656954 Synonym

Put specimen on ice immediately after collection. Deliver to lab ASAP. Specimen: blood Container: Grey Minimum Volume: 4.0 mL blood 0.8 mL plasma. Avoid hemolysis. Keep sample on ice and analyze promptly. If testing cannot be performed immediately, refrigerate the sample for up to 24 hours or freeze it for up to 1 month. Results completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Lactic Acid Cerebrospinal Fluid Procedure Components

Order Prompts

CSF Lactic Acid LA CSF Lactic Acid CSF Collection Instructions Collection Requirements

Specimen Handling

Turn Around Time

Deliver to lab ASAP. Specimen: CSF Container: CSF tube Minimum Volume: 1.0 ml CSF fluid 0.8ml CSF. Avoid hemolysis. Keep sample on ice and analyze promptly. If testing cannot be performed immediately, refrigerate the sample for up to 24 hours or freeze it for up to 1 month. Results completed within an hour of receipt of specimen in lab.

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Performing Facility

671024 Synonym

Columbus Regional Hospital Laboratory

Lactic Acid, Arterial Procedure Components

Order Prompts

LA Arterial Lactic Acid, Arterial Collection Instructions Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

Put specimen on ice immediately after collection. Deliver to lab ASAP. Specimen: arterial blood Container: Heparinized syringe or Grey tube Minimum Volume: 4.0 mL blood 0.8 mL plasma. Avoid hemolysis. Keep sample on ice and analyze promptly. If testing cannot be performed immediately, refrigerate the sample for up to 24 hours or freeze it for up to 1 month. Results completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

26560213 Synonym

Lamellar Body Count Procedure Components

Amniotic Lamellar Body Count Fetal Lung Maturity Lamellar Body Count

Lamellar Body Count LBC Meconium LBC Amniotic RBC

Order Information

Collection Instructions

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Order Prompts

Lamellar Body Count (LBC) provides an indirect assessment of the probability the patient will develop the neonatal respiratory distress syndrome (NRDS). NRDS is caused by the lack of surfactant phospholipids in the neonatal lung. During gestation fetal surfactant phospholipids are contained in small packages known as lameller bodies that are freely exchanged between the amniotic and the fetal lung fluids. The more lamellar bodies in the amniotic fluid suggests that the neonate will have sufficient surfactant to prevent the neonatal respiratory distress syndrome. Abnormal results will reflex to L/S Ratio at an additional charge. Specimen must be kept cold and protected from light. Label specimen with patient's name, MRN, date and time of collection. Specimens which are visibly contaminated with blood or meconium, centrifuged, or frozen will be rejected. Vaginal pool speciemens will have an L/S Ratio performed. Specimen : Amniotic Fluid Container : Sterile, brown vial Minimum Volume : 5.0ml Pediatric Volume: 3.0ml Ship STAT via taxi to IU Health Pathology Lab. Refer to Specimen Processing procedure manual for required patient information and forms. Specimen is stable refrigerated at 2-8 C for one week. 4 hours for STAT request once the specimen is received at IU Health pathology Lab. IU Health Pathology Laboratory

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147859706 Synonym

Lamotrigine, Serum or Plasma Procedure Components

Order Prompts

Lamictal Lamictal Level Lamotrigine Level Collection Requirements Specimen Handling

Turn Around Time Performing Facility

667645 Synonym

Specimen : Blood Container : Red, Dark Green, or Lavender Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Allow serum specimen to clot completely at room temperature. Centrifuge and separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to a plastic transport tube. (Min: 0.3 mL) After separation from cells: Refrigerated: 1 week Frozen: 4 weeks (avoid repeated freeze/thaw cycles) 1-2 days The Medical Foundation 23109

LDH CSF Procedure Components

Order Prompts

CSF LDH LDH CSF Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

149951536 Synonym

Deliver to lab STAT. Specimen: CSF Container: CSF tubes Minimum Volume: 1.0 ml CSF fluid 0.8 ml CSF. Stable 2-3 days at 25C and 1 week at 4C. Results completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

LDL Cholesterol, Direct Measurement Procedure Components Order Prompts

LDL Cholesterol, Direct Collection Requirements Specimen Handling

Turn Around Time Performing Facility

146357511 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Within 4 hours of collection: Serum sample tubes, clot 30 minutes All tubes, promptly centrifuge 15 minutes Immediately transfer serum or plasma to separate plastic tube 1.0 ml(0.3) 1 week refrigerated (2-8°C) 1-2 days The Medical Foundation 29142

Lead, Whole Blood Procedure Components

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Order Prompts

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Lead Level Pb Level

Collection Requirements Specimen Handling Turn Around Time Performing Facility

Lead Whole Blood. Pt Street Address. Pt City Address. Pt State Address. Pt Zip Address. PARENT LST NAME. PARENT FST NAME. PARENT PHONE.

Source ?. PB Ethnic. PB Race. Test Reason.

Specimen : Blood Container : Royal Blue Edta or Lavender Minimum Volume : 0.5 ml Pediatric Volume: 0.5 ml Whole Blood: Transport 7 mL whole blood. (Min: 0.5 mL) Room temperature: 24 hours Refrigerated: 1 month Frozen: Unacceptable 2-3 days The Medical Foundation 23081

671028 Synonym

Lecithin/Sphingomyelin ratio amnio fld Procedure Components Order Prompts

L/S ratio, amniotic fluid

L/S PG L/S Ratio

Order Information

Collection Instructions

Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

203091663 Synonym

A quantitative measurement of the surfactant present in the amniotic fluid. Lecithin/Sphingomyelin ratio with PG will be performed if Fetal Lung Maturity assay is borderline or immature. Specimen must be kept cold and protected from light. Label specimen with patient's name, MRN, date and time of collection. Specimen: Amniotic fluid Container: Sterile, brown vial Minimum Volume: 5.0ml Ship STAT via Taxi to Methodist Hospital. Refer to Specimen Processing Procedure Manual for required pt. info. and forms. Same day if received by Methodist before 11:30am. By noon the following day, if received after 11:30am. IU Health

Legionella pneumophilia Urinary Antigen Procedure Components Order Prompts

Legionella pneumophilia Urinary Antigen

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Order Information

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

146357726 Synonym

The Alere{trade; BinaxNOW Legionella Urinary Antigen Card is an in vitro rapid immunochromatographic assay for the qualitative detection of Legionella pneumophila serogroup 1 antigen (L. pneumophila serogroup 1 antigen) in urine specimens from patients with symptoms of pneumonia. It is intended to aid in the presumptive diagnosis of Legionella infection (Legionnaires' Disease) caused by L. pneumophila serogroup 1 in conjunction with culture and other methods. Legionella serogroup 1 antigen may be excreted in the urine as early as 3 days after the onset of symptoms. Specimen : Random Urine Container : Urine cup or gray-top urine tube w/boric acid Minimum Volume : 1.0ml Pediatric Volume: 1.0ml Samples may be stored at room temperature if assayed within 24 hours. Alternatively, samples may be refrigerated or frozen for up to 14 days before testing. ED and STATs: Within 1 hour All other providers: 24 hours CRH Laboratory

Levetiracetam, Serum or Plasma Procedure Components Order Prompts

Keppra Keppra Level Levetiracetam Level Collection Requirements Specimen Handling

Turn Around Time Performing Facility

656966 Synonym

Specimen : Blood Container : Red, Dark Green, and Lavender Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Allow serum specimen to clot completely at room temperature. Centrifuge and separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to a plastic transport tube. (Min: 0.3 mL) After separation from cells: Refrigerated: 1 week Frozen: 4 weeks (avoid repeated freeze/thaw cycles) 1-2 days The Medical Foundation 23216

Lidocaine Level (CRH) Procedure Components

Lidocaine Level (CRH) Xylocaine (CRH) Xylocaine Level Order Information Collection Requirements

Specimen Handling

Turn Around Time

Order Prompts Lido Dose Dt Lido Dose Tm

Monitor therapeutic level of antiarrhythmic drug. Specimen: Blood Container: Dk. Green - NO GEL Minimum Volume: 5.0ml 1.5ml min. plasma, refrigerated. Spin and separate immediately. Serum (NO GEL) is acceptable. STAT requests sent to IUMC via Taxi. 4 hrs. after specimen is received at IUMC.

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Performing Facility

656968 Synonym

Clarian Health Partners Test Code:

Lipase Procedure Components

Order Prompts

Lipase Collection Requirements Specimen Handling Turn Around Time Performing Facility

Specimen : blood Container : Gold, Red or Green Minimum Volume : 3.0 mL blood 0.8 mL serum.. Stable for 1 week at 25C or 3 weeks at 2-8C Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

1427858 Synonym

Lipid Panel Procedure Components

Lipid Panel

Chol Trig HDL LDL

Collection Instructions Collection Requirements Specimen Handling Turn Around Time Performing Facility

177535491 Synonym

Order Prompts Hrs PP Lip

Patient should be 12 hours fasting prior to specimen collection. Specimen : Blood Container : Gold, Green or Red Minimum Volume : 3.5 ml Pediatric Volume: 2.0 ml 0.8 ml serum. See individual component listings for stability. Routines completed the same day. STAT's completed within one hour of receipt of specimen in Laboratory. Columbus Regional Hospital

Lipoprotein(a) Procedure Components

Order Prompts

Lipoprotein(a) Order Information

Aid in the identification of individuals at risk from cardiovascular disease in specific populations when used in conjunction with clinical evaluation.

Collection Requirements

Specimen : Blood Container : Gold Minimum Volume : 3.5ml Pediatric Volume: 1.0ml

Specimen Handling

Allow serum specimen to clot completely at room temperature. Centrifuge and separate serum or plasma from cells ASAP or within 2 hours of collection. Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 1 mL serum or plasma to a plastic transport tube. (Min: 0.5 mL). Spec Stability: Refrigerated: 1 week Frozen: 1 month (avoid repeated freeze/thaw cycles).

Turn Around Time Performing Facility

2-6 days The Medical Foundation Test Code: 28238

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656974 Synonym

Lithium Level Procedure Components

Lith Dose Dt Lith Dose Tm

Eskalith Li Level Lithane Lithium Level Collection Instructions Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

Do not use tubes that contain separator gel. Specimen: blood Container: Red Minimum Volume: 3.0 mL blood 0.8 mL serum. Serum or plasma should be separated from the cells if analysis is not performed within 2 hours of collection. Once separated, lithium is stable for at least 24 hours at room temperature, 7 days if refrigerated at 4C. Samples may be frozen at -20C for at least 6 months. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

311188541 Synonym

Liver Fibrosis, NAFLD Procedure Components

Liver Fibrosis, NAFLD NAFLD

ALT. AST. Glucose, Serum. Ferritin. NAFLD Report. Platelet Ct. NAFLD Pt Score. Metavir Class. NAFLD Interp.

Patient Instructions

Order Prompts

Order Prompts Pt Weight Lbs.

Overnight fasting is required.

Collection Requirements

Draw 2 Gold Sm and 1 Lavender tubes{nbsp;Specimen: BloodContainer: Gold SmMinimum Volume: 6.0mLPediatric Volume: 3.0mL{nbsp;and{nbsp;Specimen: BloodContainer: LavenderMinimum Volume: 2.0mLPediatric Volume: 1.0mL

Specimen Handling

This test requires an automated platelet count performed and resultsent in comments.{nbsp;Gold Sm - Separate from cells ASAP or within 2 hours of collection.Transfer 2mL serum to a screw-capped plastic transport tube. (Min: 1.2mL){nbsp;Transport: Frozen{nbsp;Stability:Frozen: 2 weeksRefrigerated: 48 hoursRoom Temp: 8 hours

Turn Around Time Performing Facility

3430149 Synonym

4-8 days The Medical Foundation 47433

Lovastatin Panel Procedure Components

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Order Prompts

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Lovastatin Panel STATIN

Collection Requirements

ALT AST Chol Trig HDL LDL

Hrs PP Lip

Specimen: Blood Age: All Container: Gold Small Minimum Volume: 0.3 ML Specimen: Blood Age: All Container: Grn Li SST Minimum Volume: 0.3 ML

162569982 Synonym

Lupus Anticoagulant Detection Procedure Components

Lupus Anticoagulant Detection

Lupus Anticoag Pat1. Lupus Anticoag Pat2. Lupus Anticoag Mix1. La Interp. APTT Lupus AntiCoag. PT Sensitive. Ratio for TTI.

Order Prompts

Collection Requirements

Specimen : Blood Container : Full Light Blue Minimum Volume : 2.7 ml Pediatric Volume: 2.7 ml

Specimen Handling

Separate plasma from cells immediately{bull; Promptly centrifuge 15 minutes {bull; Carefully transfer plasma portion of sample to separate plastic tube using plastic pipette {bull; NOTE : Buffy coat layer of sample must be avoided {bull; Centrifuge transferred plasma sample again to produce platelet-poor plasma (PPP) {bull; Use second plastic pipette to carefully transfer PPP sample into plastic aliquot tubes {bull; Immediately freeze PPP samples 2 -1.0 ml aliquots (1.0) 4 hours room temperature (20-30°C) 2 weeks frozen (-20°C) (avoid repeated freeze/thaw cycles)

Turn Around Time Performing Facility

656978 Synonym

1-4 days The Medical Foundation 25243

Luteinizing Hormone Procedure Components

Order Prompts

LH Leutinizing Hormone Order Information Collection Requirements

Specimen Handling

For use in the quantitative determination of luteinizing hormone. Specimen: blood Container: Gold or Red Minimum Volume: 3.0 mL blood 0.8 mL serum. Stable 8 hours at room temperature, 48 hours refrigerated.

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Turn Around Time Performing Facility

151517476 Synonym

Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Lyme (B burg) Total Abs, EIA, with Western Blot if Indicated, Ser Procedure Components Order Prompts

Lyme Total Ab w WB if Ind. Collection Requirements Specimen Handling

Turn Around Time Performing Facility

146359952 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume :1.2 ml Pediatric Volume: 1.2 ml Separate serum from cells ASAP. Transfer 0.5 mL serum to a plastic transport tube. (Min: 0.2 mL) Properly centrifuged gel barrier tube sample does not require transfer of serum to separate tube. Refrigerated: 1 week Frozen (-20C): 6 months (avoid repeated freeze/thaw cycles) 2-12 days The Medical Foundation 28196

Lyme (B burg) Total Abs, ELISA, with Rflx to Immunoblot if Ind, CSF Procedure Components Order Prompts

Lyme Tot Ab w Rflx Immunoblot if Ind, CSF Collection Requirements Specimen Handling

Turn Around Time Performing Facility

656982 Synonym

Specimen : CSF Container : Sterile container Minimum Volume : 2.5 ml Pediatric Volume: 2.5 ml Transfer 6 mL CSF to an ARUP Standard Transport Tube. (Min: 2.5 mL) Room temperature: 8 hours Refrigerated: 2 weeks Frozen: 1 year (avoid repeated freeze/thaw cycles) 2-4 days The Medical Foundation 47070

Magnesium Level Procedure Components

Order Prompts

Magnesium Level Mg Mg Level Collection Requirements Specimen Handling

Specimen : blood Container : Gold, red or green Minimum Volume : 3.0 mL blood 0.8 mL serum or plasma. Separate serum or plasma from cells ASAP. Serum or plasma separated from cells is stable 7 days ambient or at 2-8C. Hemolyzed serum and serum not separated from cells ASAP could yield falsely elevated results.

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Turn Around Time Performing Facility

Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

656984 Synonym

Magnesium Level 24 Hour Urine Procedure Components Order Prompts

24 Hr Urine Magnesium Magnesium Level 24 Hour Urine Mg 24Hr U U Magnesium 24 Hour U Mg 24 Hour

Tot Vol Mag U Magnesium U24 Magnesium

Collection Instructions

Collection Requirements Specimen Handling Turn Around Time Performing Facility

289363609 Synonym

Start collection in the morning (7 AM - 10 AM). Empty bladder completely, discard the specimen. From that point on, all urine voided is collected in the container for the time frame specified by physician. Keep specimen cold during collection.At the end of collection time period, empty bladder completely, add specimen to collection container. Make sure all lids and/or closures are secure before transportingto Laboratory. Additional instruction sheet may be enclosed if collecting 2 containersjoined by a p-splitter. Additional instruction sheet may be enclosed if medication,food or other restrictions apply. Specimen : urine Container : Urine collection jug with 10 ml of 12M HCL added Minimum Volume : 10 mL aliquot from timed collection. 10ml of 12M HCL must be added to 24hr. urine container prior to collection. 1.0 mL urine. Stable at 2-8C for seven days. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Magnesium, RBCs Procedure Components

Order Prompts

Magnesium, RBCs Collection Requirements Specimen Handling

Turn Around Time Performing Facility

4993640 Synonym

Specimen: BloodContainer: Dark Blue EDTA (for plasma)Minimum Volume: 5.0mLPediatric Volume: 2.0mL Centrifuge whole blood and separate RBCs from plasma within2 hours of collection. Transfer 2mL RBCs to an ARUP Trace Element-FreeTransport Tube (Min: 0.6mL){nbsp;Transport: Room temperature{nbsp;Stability:Room temperature: 1 weekRefrigerated: 2 weeks 4-6 days The Medical Foundation Test Code: 45195

Mailed to Patient Procedure Components

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Order Prompts

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Mail Mailed to Patient

Collection Requirements

4352383 Synonym

Address 1 Address 2 City State Zip Code Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

Malaria Screen Procedure Components

Order Prompts

Malaria Screen Collection Instructions

Two collections are required. EDTA vacuatiner collected by venipuncture and thick and thin smears collected from a fingerstick.

Collection Requirements

Specimen : Whole blood and thick and thin smears Container : Lavender EDTA vacutainer plus thick and thin smears from a fingerstick Minimum Volume : 2.0ml EDTA tube plus the smears Pediatric Volume: 0.5ml EDTA tube plus the smears

Specimen Handling

EDTA sample may be used up to 2 hrs. maximum. Loss of Schuffner's stippling occurs 1 hour after collection. Slides stained in Hematology, read in Micro and reviewed by Pathologists.

Turn Around Time

Preliminary results available in 4 hours.

Performing Facility

Columbus Regional Hospital Laboratory

1553108 Synonym

Manual Differential Procedure Components

DIFF Differential Manual Man Diff Manual Differential

Plt Est/Morph RBC Morph Band Man Segs Man Lymph Man Monocyte Man Eos Man Basophil Man Meta Man Myelo Man Promyelo Man Blasts Man Other Man Plasmacyte Man NRBC. Corr WBC Polychrom Aniso Hypochrom Microcyte Macrocyte Reactive Ly Prolymph Man Toxic Gran

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Order Prompts

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Dohle Bodies Vacuol Neut Stippled RBC Smudge Acantho Echino Echino-Acantho Ellipto Rouleaux RBC Agglutin Teardrop Cell Oval Macrocyte Schistocyte Spherocyte Target Cell HJ Body Pappenheimer Auer Rods Hyperseg Micromeg Sickle Cell Stomatocyte Abs Neut Ct Abs Lymph Man Abs Mono Man Abs Eos Man Abs Baso Man Microorganisms NRBC Man Order Information Collection Instructions

Manual differential requests are honored if physician has a specific need to evaluate the smear. If a microtainer is collected, slides must be made at time of collection.

Collection Requirements

Specimen : Whole blood Container : EDTA - Lavender Minimum Volume : 2.0ml Pediatric Volume: 0.5ml microtainer

Turn Around Time

Routines completed the same day. STATS completed within one hr. of receipt of specimen in lab.

Performing Facility

Columbus Regional Hospital Laboratory

1639602 Synonym

Measles, Mumps and Rubella IgG Panel Procedure Components Order Prompts

MMR Measles, Mumps and Rubella IgG Panel

For: Mumps IgG EIA Mumps IgG EIA Mumps IgG Interp For: Rubella IgG For: Rubeola IgG EIA Rubeola Interp Rubeola IgG EIA

Collection Requirements

Specimen : Blood Container : Gold Minimum Volume : 3.5ml Pediatric Volume: 2.7ml

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Specimen Handling

0.5ml serum for Mumps IgG. Stable 14 days refrigerated. 0.5ml serum for Measles and Rubella IgG. Stable 2 days refrigerated.

Turn Around Time

Measles IgG Ab and Mumps IgG are performed on Tuesdays.Rubella IgG is performed Monday-Friday.

Performing Facility

Columbus Regional Hospital Laboratory and Specialty Laboratories

338731755 Synonym

Metanephrines Fractionated by HPLC-MS/MS, Urine Procedure Components Order Prompts

Metanephrines Fractionated by HPLC-MS/MS, Urine

Total Volume. Metanephrine, Ur - per vol. Normetanephrine, Ur - per vol. Metanephrine, Ur - per 24h. Metanephrine Ur ratio to CRT. Normetanephrine, Ur - per 24h. Normetanephrine Ur ratio to CRT. Metanephrines Ur Interp. Creatinine_. Ur Creatinine/24h.

Patient Instructions Collection Requirements Specimen Handling

Turn Around Time Performing Facility

If possible, abstain from medications for 72 hours prior to collection.{nbsp;24hour or random urine. Refrigerate 24-hour specimen during collection Specimen: UrineContainer: U24 ContainerMinimum Volume: 10.0mLPediatric Volume: 4.0mL Thoroughly mix entire collection (24-hr or Random) in one container.Transfer a 4mL aliquot to a screw-capped plastic transport tube. (Min: 2.5mL)A pH lower than 2 can cause assay interference. Record total volume andcollection time interval on transport tube and test request form.Specimen preservation can be extended to 1 month refrigerated by performingone of the following:Option 1: Transfer a 4mL aliquot to a screw-capped plastic transport tube(Min: 2.5mL) Adjust pH to 2.0-4.0 with 6M HCl.Option 2: Transfer a 4mL aliquot to a screwcapped plastic transport tubecontaining 20 mg sulfamic acid (ARUP Supply #48098). (Min: 2.5mL){nbsp;Transport: Refrigerated{nbsp;Stability: Refrigerated 2 weeks (unpreserved), 1 month (preserved)Frozen 1 month 4-7 days The Medical Foundation 47447

149947049 Synonym

Metanephrines, Free, Plasma Procedure Components

Metanephrines, Free, Plasma

Normetanephrine. Metanephrine. Metanephrine Interp.

Collection Instructions

Collection Requirements

Hours Collected.

Order Prompts

Drugs and medications may affect results and should be discontinued for at least 72 hours prior to specimen collection, if possible. Collection of the specimen after the patient has rested for 15 minutes in a supine position is recommended. Collect specimen and place in ice bath. Mix by inverting tube 8 times. Specimen : Blood Container : Lavender or Green Minimum Volume : 2.5 ml Pediatric Volume: 2.5 ml

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Specimen Handling

Turn Around Time Performing Facility

Centrifuge within 1 hour. Transfer 2 mL plasma to an ARUP Standard Transport Tube and freeze immediately. (Min: 1 mL) Avoid hemolysis. After separation from cells: Room temperature: Unacceptable Refrigerated (2-8°C): Unacceptable Frozen: 1 month 3-5 days The Medical Foundation 45362

679712 Synonym

Methadone Screen Procedure Components

Methadone Screen U Methadone Screen

Methadone Level UDS Limits U Tox Temp U Tox Sp Gravity U Tox pH U Tox Crea U Tox Coe

Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Order Prompts

Drug screen collection kit is available from the Lab (376-5188 or 5877). Specimen: urine Container: UDS collection kit Minimum Volume: 7 mL urine 1.0 mL urine for screening. Stable 24hrs. refrigerated. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

679104 Synonym

Methadone, confirmation, urine (CRH) Procedure Components Order Prompts

Confirm Methadone Urine (CRH) Methadone confirm ur (CRH)

Meth Confirm Meth Cnf Interp CRH COE Methad

Order Information Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

671086 Synonym

Ordered by CRH Chemistry Dept. only. Witham UDS kit Specimen: Random Urine Container: UDS kit Minimum Volume: 7.0ml Store and ship at ambient temperature. 7-10 days Witham Health Services

Methanol Procedure Components

Methanol

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Order Prompts

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Order Information Collection Instructions Collection Requirements Specimen Handling Turn Around Time Performing Facility

674525 Synonym

Toxicology testing. Use non-alcoholic skin prep for venipuncture. Specimen : Blood Container : Dk. Green, sodium heparin Minimum Volume : 3.0mlPediatric Volume: 1.0ml 0.5ml plasma, refrigerated.Separate ASAP and transport on ice to IU Health via Taxi. 4-8 hrs. after specimen is received by IU Health. IU Health Test Code:

Methemoglobin, Arterial Procedure Components

Order Prompts

Met Hemoglobin, Art Methemoglobin, Arterial Collection Requirements

Turn Around Time Performing Facility

3530634 Synonym

Specimen: arterial blood Container: Green-Lithium Heparin Minimum Volume: 1.0 ml arterial blood Results completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Respiratory Therapy Department

Methicillin Resistant Staph aureus Culture only Procedure Components Order Prompts

C MRSA Culture MRSA MRSA MRSA Culture Order Information

Collection Requirements Specimen Handling Turn Around Time Performing Facility

C MRSA culture selects for Methicillin Resistant Staph aureus only. If other pathogens are sought, order a routine bacterial culture. To determine colonization of MRSA, use a nasal specimen. Specimen : Nares, Nasal, Pustule, Scraping, Wound, Other Container : Culterette Minimum Volume : N/A Pediatric Volume: N/A Specimens collected on culturette are stable for 48 hours when stored at 2C to 35C (ambient or refrigerated). 24 to 48 hours. Columbus Regional Hospital Laboratory

656994 Synonym

Methotrexate Level Procedure Components

Order Prompts

Methotrexate Level Rheumatrex Rheumatrex Level

Meth Sent To: Methotrexate Level

Metho Dose Dt Metho Dose Tm

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Order Information Collection Instructions Collection Requirements Specimen Handling Turn Around Time Performing Facility

149928651 Synonym

Monitor therapeutic drug level, evaluate potential toxicity. Specimen must be protected from light. Specimen : Blood Container : Lt. Green - Minimum Volume : 3.0ml Pediatric Volume : 3.0ml 0.5ml Li. Hep. plasma, protected from light and frozen. Spin, separate and freeze ASAP. Serum from gold vacutainer is acceptable, but not preferred. 2 days Clarian Health Partners Test Code:

Methylenetetrahydrofolate Reductase (MTHFR) Mutation Analysis Procedure Components Order Prompts

MTHFR Analysis MTHFR Mutation Collection Requirements Specimen Handling Turn Around Time Performing Facility

146357373 Synonym

Specimen : Blood Container : Lavender, Yellow (ACD A or B), Light Blue Minimum Volume : 3.0 ml Pediatric Volume: 3.0 ml Transport 7 mL whole blood. (Min: 3 mL) Room temperature: 24 hours Refrigerated: 1 week Frozen: Unacceptable 4-6 days The Medical Foundation 36130

Methylmalonic Acid Procedure Components

Order Prompts

MMA Methylmalonic Acid Collection Requirements

Specimen : Blood Container : Gold, Red, or Lavender Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml

Specimen Handling

Allow serum specimen to clot completely at room temperature. Centrifuge to separate serum or plasma from cells. SST: Transport properly centrifuged gelbarrier tube specimens in the original collection tube. Other collection tubes: Transfer 1 mL serum or plasma to a plastic transport tube. (Min: 0.2 mL) Room temperature: 2 weeks Frozen: Greater than 2 weeks

Turn Around Time Performing Facility

4-5 days The Medical Foundation 31403

162569990 Synonym

Methylmalonic Acid, Urine, Random Procedure Components Order Prompts

Methylmalonic Acid, Urine, Random U Methylmalonic Acid Random Urine

Spec Type MMA. Creatinine-MMA. MMA mmol/mol CR.

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Collection Requirements Specimen Handling Turn Around Time Performing Facility

671096 Synonym

Specimen : Urine Container : Sterile cup Minimum Volume : 0.7 ml Pediatric Volume: 0.7 ml Refrigerate urine and transport refrigerated 2 weeks refrigerated (2-8°C) Greater than 2 weeks, freeze (-20°C) (avoid repeated freeze/thaw cycles) 4-5 days The Medical Foundation 31401

MHA-TP Procedure Components

Order Prompts

MHA-TP Order Information Collection Requirements

MHA is a particle agglutination test for Treponema pallidum. Specimen: Blood Container: Gold or Red Minimum Volume: 5.0ml Pediatric Volume: 5.0ml

Specimen Handling

4(2.0)ml serum, refrigerated. Performed at IU Serology Lab.

Performing Facility

Clarian Health

122727306 Synonym

Microalbumin 24Hr Urine Procedure Components

24 Hour Urine Microalbumin Microalbumin 24Hr Urine U Microalbumin 24Hr

Microalb Ur Tot Vol Microalb Hrs Collected Microalb Ur mg/24Hr Microalb Ur mcg/min

Collection Instructions

Collection Requirements Specimen Handling Turn Around Time Performing Facility

715433

Order Prompts

Start collection in the morning (7 AM - 10 AM). Empty bladder completely, discard the specimen.From that point on, all urine voided is collected in the container for the time frame specified by physician.Keep specimen cold during collection.At the end of collection time period, empty bladder completely, add specimen to collection container.Make sure all lids and/or closures are secure before transporting to Laboratory.Additional instruction sheet may be enclosed if collecting 2 containers joined by a p-splitter.Additional instruction sheet may be enclosed if medication, food or other restrictions apply. Specimen : 24Hr. urine Container : Urine collection jug Minimum Volume : 10 mL aliquot from timed collection 1.0 ml urine. No additive needed during collection. Specimens stored at 4C with no additives are stable for at least 7 days. Routines completed the same day. STATS completed within one hour of receipt of specimen in the Lab. Columbus Regional Health

Microalbumin/Creatinine Ratio Urine

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Synonym

Procedure Components

MC/CR Ratio, Urine Microalbumin/Creatinine Ratio Urine Urine Microalb/Creat Ratio

Microalb Ur U Creat MAlb/Creat

Order Information

Collection Requirements Specimen Handling Turn Around Time Performing Facility

Measurements of microalbumin in urine are used as an aid in monitoring the development of incipient diabetic nephropathy and for the diagnosis and treatment of a variety of diseases characterized by albuminuria. Specimen : Random urine Container : Urine cup Minimum Volume : 5.0 ml urine Stable 1 week refrigerated at 2-8C. Specimens should not be frozen. Turbid specimens should be centrifuged at 3,000 RPM for 10 min. prior to analysis. Routines completed the same day. STATs completed within one hour of receipt of specimen in the Laboratory. Columbus Regional Hospital

681305 Synonym

Miscellaneous Test Procedure Components

Miscellaneous Test

Test Name Misc Misc Test

Order Information Collection Requirements

149026006 Synonym

Order Prompts

Order Prompts

Used for tests that can not be ordered via CRH HIS or LIS. Inquiries should be made to CRH Lab.

Mitochondrial M2 IgG Antibody, ELISA Procedure Components Order Prompts

AMA Mitochondrial Ab Mitochondrial Antibody Mitochondrial M2 Ab, IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube 0.5 ml( 0.3) After separation from cells: 48 hours room temperature (20-30°C) 2 weeks refrigerated (2-8°C) 1 year frozen (-20°C) (avoid repeated freeze/thaw cycles) 1-2 days The Medical Foundation 45304

1165220 Synonym

Mononucleosis Screen Procedure Components

Heterophile Screen MONO Mono Scrn Mononucleosis Screen

Mono Scrn Mono Interp

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Order Prompts

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Collection Requirements Specimen Handling Turn Around Time Performing Facility

Specimen : Blood Container : Gold Minimum Volume : 3.5ml Pediatric Volume: 1.3ml 0.5ml serum, stable 3 days refrigerated. Plasma from EDTA sample is also acceptable; however, the plasma is stable 24 hrs. refrigerated. Routines performed Mon. - Fri. STATS completed within one hour of receipt of specimen in the Lab. Columbus Regional Hospital Laboratory

158737701 Synonym

Multiple Sclerosis Profile with MBP Procedure Components Order Prompts

Multiple Sclerosis Profile w MBP

For: IgG Synthesis Rate CSF Albumin. Albumin Serum. CSF IgG. IgG Serum. IgG Synthesis Rate. IgG/Alb Ratio. IgG/Alb Index. For: Myelin Basic Protein For: Oligoclonal Banding, CSF and Serum CSF Band Oligoclonal. Oligoclonal Interp. CSF Band Number.

Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood and CSF Container : Gold or Red and CSF( sterile tube) Minimum Volume : 2.0 ml blood and 0.7 CSF Pediatric Volume: 2.0 ml blood and 0.7 CSF Centrifuge and separate CSF to remove cellular material. Allow serum specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.5 mL CSF AND 1 mL serum to individual ARUP Standard Transport Tubes (Min: 0.7 mL CSF AND 0.5 mL serum). Room temperature: 8 hours Refrigerated: 1 week Frozen: 1 month 3-5 days The Medical Foundation 35384

3740283 Synonym

Mumps IgG EIA Procedure Components

Mumps IgG EIA

Mumps IgG EIA Mumps IgG Interp

Collection Requirements Specimen Handling

Turn Around Time

Order Prompts

Specimen : Blood Container : Gold Minimum Volume : 1.3ml Pediatric Volume: 1.3ml 0.5 ml serum. Stable 2 days refrigerated, -20C for 6 months. No hemolyzed, grossly Lipemic, or icteric samples. No contaminated samples (serum drawn above an IV or contaminated with IV fluid). Testing performed on Tuesdays.

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Performing Facility

158738000 Synonym

Columbus Regional Hospital

Myasthenia Gravis Antibody Profile Procedure Components Order Prompts

Myasthenia Gravis Antibody Profile For: Acetylcholine Receptor Binding Ab For: Acetylcholine Receptor Blocking Ab For: Acetylcholine Receptor Modulating Ab For: Striated Muscle IgG Ab wTiter if Ind. Str Muscle Scr. Str Muscle Titer. Collection Requirements Specimen Handling

Turn Around Time Performing Facility

153951457 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume :4.0 ml Pediatric Volume: 4.0 ml Separate serum from cells within 30 minutes of collection time; transfer serum to separate plastic tube 3.5 ml( 1.5) 1 week refrigerated (2-8°C) 1 month frozen (-20°) (avoid repeated freeze/thaw cycles) 3-8 days The Medical Foundation 35293

Mycoplasma pneumoniae Antibody, IgG Procedure Components Order Prompts

Mycoplasma pneumoniae Ab, IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

154358343 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 1.0 ml Pediatric Volume: 1.0 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube 0.5 ml (0.1) After separation from cells: 2 days room temperature (20-30°C) 2 weeks refrigerated (2-8°C) 1 year frozen (-20°) (avoid repeated freeze/thaw cycles) 2-4 days The Medical Foundation 44959

Myelin Basic Protein Procedure Components

Order Prompts

Myelin Basic Protein Collection Requirements

Specimen : CSF Container : Sterile container Minimum Volume : 0.3 ml Pediatric Volume: 0.3 ml

Specimen Handling

Transfer 1 mL CSF to an ARUP Standard Transport Tube. (Min: 0.3 mL) If CSF is bloody, centrifuge the sample and separate supernatant from cells. Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 3 weeks (avoid repeated freeze/thaw cycles)

Turn Around Time Performing Facility

2-5 days The Medical Foundation 44300

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149530629 Synonym

Myeloperoxidase IgG Antibody Procedure Components

Order Prompts

Antineutrophilic Myeloperoxidase Ab MPO Ab, IgG MPO-ANCA MPO-ANCA Ab Myeloperoxidase Ab Myeloperoxidase Antibody Collection Requirements Specimen Handling

Turn Around Time Performing Facility

147855591 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Separate serum from cells ASAP. Transfer 0.5 mL serum to a plastic transport tube. (Min: 0.3 mL) Room temperature: 8 hours Refrigerated: 48 hours Frozen: 1 month (avoid repeated freeze/thaw cycles) 2-8 days The Medical Foundation 28294

Myoglobin, Serum or Plasma Procedure Components

Order Prompts

Myoglobin Collection Requirements

Specimen : Blood Container : Gold, Red, Green, or Lavender Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml

Specimen Handling

Serum sample tubes, clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum or plasma to separate plastic tube Properly centrifuged gel barrier tube sample does not require transfer of serum to separate tube 1.0 ml (0.3) 7 days refrigerated (2-8°C) 3 months frozen (-20°C) (avoid repeated freeze/thaw cycles)

Turn Around Time Performing Facility

2-4 days The Medical Foundation 23244

147839549 Synonym

Myoglobin, Urine Procedure Components

Myoglobin, Urine U Myoglobin

Myoglobin Ur. Urine pH-Myoglobin.

Collection Requirements Specimen Handling

Turn Around Time

Order Prompts

Specimen : Urine Container : Sterile cup Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml Myoglobin deteriorates rapidly, but significant levels of myoglobin are in the thousands. - Sample stability can be enhanced if pH 8-9 is ensured by immediately adding 0.2 mL of 10% sodium carbonate solution to 10.0 mL wellmixed urine IMPORTANT : Do not use sodium bicarbonate - The urine sample should not be acidified. pH 8-9 1 hour room temperature (20-30°C) 3 days (72 hours) refrigerated (2-8°C) 1 month frozen (-20°C) (avoid repeated freeze/thaw cycles) 2-4 days

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Performing Facility

149954868 Synonym

The Medical Foundation 23269

N-Telopeptide, Cross-Linked, Urine Procedure Components Order Prompts

N-Telopeptide, Cross-Linked, Urine Urine NTx. NTX Urine Creatinine_. Collection Instructions Collection Requirements Specimen Handling

Turn Around Time Performing Facility

150378775 Synonym

Hours Collected. Total Volume.

Second-morning void or 24-hour urine. Refrigerate during collection. Collect without preservative. Specimen : Urine Container : Sterile cup or 24 hr container Minimum Volume : 0.5 ml Pediatric Volume: 0.5 ml Transfer a 1 mL aliquot of urine from a well-mixed, second-morning void or 24hour collection to an ARUP Standard Transport Tube. (Min: 0.5 mL) Room temperature: 24 hours Refrigerated: 1 week Frozen: 2 years 2-5 days The Medical Foundation 44463

Neuronal Nuclear (Hu, Ri, and Yo) Antibodies, IgG by Western Blot, Serum Procedure Components Order Prompts

Neuronal Nuclear Ab, WB Collection Requirements Specimen Handling

Turn Around Time Performing Facility

683678 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 1.0 ml Pediatric Volume: 1.0 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.15 mL) After separation from cells: Room temperature: 24 hours Refrigerated: 2 weeks Frozen: 1 year 2-9 days The Medical Foundation 47090

Newborn Biotin Confirmation Procedure Components

Order Prompts

NB Biotin Confirmation Newborn Biotin Confirmation Order Information

Ordered by CRH Lab only.

Collection Requirements

NBS Lab will notify CRH regarding specimen requirements.

Specimen Handling

NBS Lab will notify CRH regarding specimen requirements.

Performing Facility

Clarian Health Partners Test Code:

683680 Synonym

Newborn Cong Adrenal Hyper Conf Procedure Components Order Prompts

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NB CAHD Confirmation Newborn Cong Adrenal Hyper Conf Order Information

Ordered by CRH Lab only

Collection Requirements

NBS Lab will notify CRH regarding specimen requirements.

Specimen Handling

NBS Lab will notify CRH regarding specimen requirements.

Performing Facility

Clarian Health Partners Test Code:

683682 Synonym

Newborn Galactosemia Confirmation Procedure Components Order Prompts

NB Galactosemia Confirmation Newborn Galactosemia Confirmation Order Information

Ordered by CRH Lab only

Collection Requirements

NBS Lab will notify CRH regarding specimen requirements.

Specimen Handling

NBS Lab will notify CRH regarding specimen requirements.

Performing Facility

Clarian Health Partners Test Code:

683684 Synonym

Newborn Homocysteine Confirmation Procedure Components Order Prompts

NB Homocysteine Confimation Newborn Homocysteine Confirmation Order Information

Ordered by CRH Lab only

Collection Requirements

NBS Lab will notify CRH regarding specimen requirements.

Specimen Handling

NBS Lab will notify CRH regarding specimen requirements.

Performing Facility

Clarian Health Partners Test Code:

683688 Synonym

Newborn Maple Syrup Confirmation Procedure Components Order Prompts

NB MSUD Confirmation NB Maple Syrup Confirmation Newborn Maple Syrup Confirmation Order Information

Ordered by CRH Lab only

Collection Requirements

NBS Lab will notify CRH regarding specimen requirements.

Specimen Handling

NBS Lab will notify CRH regarding specimen requirements.

Performing Facility

Clarian Health Partners Test Code:

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683690 Synonym

Newborn Phenylalanine Confirmation Procedure Components Order Prompts

NB Phenylalanine Confirmation Newborn Phenylalanine Confirmation Order Information

Ordered by CRH Lab only

Collection Requirements

NBS Lab will notify CRH regarding specimen requirements.

Specimen Handling

NBS Lab will notify CRH regarding specimen requirements.

Performing Facility

Clarian Health Partners Test Code:

3448416 Synonym

Newborn Screen Procedure Components

NB Screen Newborn Screen

NB NB NB NB NB NB NB NB NB

Collection Requirements

Amino Acids Biotin Endocrine Fatty Acids Gal Hgb Organic Acids Cystic Fibrosis CF Interp

Specimen: Blood Age: All Container: Filt Paper Minimum Volume: 0.1 ML

3448421 Synonym

Newborn Screen Repeat Procedure Components

NB Scr Rept Newborn Screen Repeat

NB NB NB NB NB NB NB NB NB

Collection Requirements

Order Prompts Birth Date Birth Time # Weeks Gest

Amino Acids Biotin Endocrine Fatty Acids Gal Hgb Organic Acids Cystic Fibrosis CF Interp

Order Prompts NB Rpt DOB NB Rpt TOB NB Rpt Weeks

Specimen: Blood Age: All Container: Filt Paper Minimum Volume: 0.1 ML

683692 Synonym

Newborn Thyroid Confirmation Procedure Components Order Prompts

NB Thyroid Confirmation Newborn Thyroid Confirmation

NB TSH Conf NB T4 Conf

Order Information

Ordered by CRH Lab only

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Collection Requirements

NBS Lab will notify CRH regarding specimen requirements.

Specimen Handling

NBS Lab will notify CRH regarding specimen requirements.

Performing Facility

Clarian Health Partners Test Code:

150374344 Synonym

Nicotine and Metabolites, Quantitative, Serum or Plasma Procedure Components Order Prompts

Nicotine and Metab, Quant Serum/ Nicotine. Plasma Cotinine. 3-OH-Cotinine. Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149941290 Synonym

Specimen : Blood Container : Red, Dark Green, Lavender, or Gold Minimum Volume : 2.5 ml Pediatric Volume: 2.5 ml Separate serum or plasma from cells ASAP or within 2 hours of collection. Transfer 4 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1 mL) After separation from cells: Room temperature: 1 week Refrigerated: 2 weeks Frozen: 3 years (avoid repeated freeze/thaw cycles) 2-5 days The Medical Foundation 44552

Nicotine and Metabolites, Quantitative, Urine Procedure Components Order Prompts

Nicotine Ur Random Ur Nicotine and Metab., Quant, Urine Ur U Nicotine Random Ur Ur Ur Ur Collection Requirements Specimen Handling

Turn Around Time Performing Facility

205703747 Synonym

Nicotine. Cotinine. 3-OH-Cotinine. Nornicotine. Anabasine. Creat.

Specimen : Urine Container : Sterile cup Minimum Volume : 1.0 ml Pediatric Volume: 1.0 ml Transfer 4 mL with no additives or preservatives urine to an ARUP Standard Transport Tube. (Min: 1 mL) Room temperature: 10 days Refrigerated: 10 days Frozen: 8 months 2-5 days The Medical Foundation 44352

NMR LipoProfile Procedure Components

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Order Prompts

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LipoProfile by NMR NMR LipoProfile

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

738970 Synonym

LDL Part Number. Sm LDL Part Num. Tot.Cholesterol. LDL Part Size. Triglycerides. HDL Chol. LDL Chol (Calc). HDL-P (Total). Sm LDL-P. Lg VLDL-P. Lg HDL-P. LDL Size. HDL Size. VLDL Size. LP Insulin Res. Specimen : Blood Container : Red Minimum Volume : 4.0 mL Pediatric Volume: 2.0 mL 12-14 hour fast is preferred by not required. Allow serum specimen to clot at room temperature for 30 minutes. Centrifuge to separate serum or plasma from cells within 8 hours. Transfer 2 mL serum or plasma to a screw-capped plastic transport tube. (Min: 1 mL) Refrigerated: 6 days Room temperature: Unacceptable Frozen: Unacceptable 6-9 days The Medical Foundation 45142

OB GTT Order Notification Procedure Components

Order Prompts

OB GTT Order Notification Order Information Collection Requirements

Inpatient use only at Columbus Regional Hospital NA

821862 Synonym

OB Pre-Eclamptic Panel CRH Procedure Components

OB Pre-Eclamptic Panel CRH

For: LDH For: SGPT For: Uric Acid

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

674312

Order Prompts

Specimen: blood Container: Gold, red or Green (LiHep) Minimum Volume: 3.0 mL blood 0.8 mL serum or plasma Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Obstetrics Panel

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Synonym

Procedure Components

Obstetrics Panel PNP PRENATAL PROFILE Prenatal Panel

For: *OB ABORh Anti-A Anti-B A cells B cells Anti-D D Control Du OB ABORh Int

Order Prompts

For: *OB ABSC For: CBC w-Diff WBC. instWBC. RBC. Hgb. Hct. MCV. MCH. MCHC. RDW SD. RDW CV. Platelet. MPV. IG Abs. IG%. NRBC Abs. NRBC Auto. Order Man Diff?. Judgment. For: Hep Bs Ag For: Rubella IgG For: Syphilis Collection Requirements

Turn Around Time Performing Facility

3609528 Synonym

Specimen : Blood Container : Pink, Lavender, and two Gold tubes (or Red) Minimum Volume : Pink tube: should be full (Blood Bank testing) Lavender tube: at least half full (CBC) Gold: at least 6 ml blood (red may be substituted for gold) Red: at least 6 ml blood Lavender may be used in place of pink but is not the recommended tube for Blood Bank testing. All results completed within 3-4 days of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Occult Blood Fecal Specimen Procedure Components

Order Prompts

OBS Occult Blood Stool Order Information

The fecal occult blood test (FOBT) is an immuno-chemical technique. This method has increased specificity to human blood, therefore no dietary or medicine restrictions. Immuno-chemical procedures are much more sensitive than guaiac paper, therefore one specimen is sufficient as opposed to 3 with guaiac paper. Also, digested blood from the upper GI remains negative, therefore a positive test means there is likely a lower GI bleed.

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Patient Instructions

Collection Instructions

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

660042 Synonym Patient Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

There are NO dietary or medication restrictions. Do not collect samples if you have diarrhea. Do not collect samples during or until three days after your menstrual period. Do not collect samples while you have bleeding hemorrhoids. Do not collect samples if you have blood in your urine. Remove toilet bowl cleaners from toilet tank and flush twice before collecting. Collection kit contains supplies and instructions. 1. Place the enclosed flushable paper in the toilet bowl. 2. Deposit a stool specimen onto the paper. 3. Using the wand from the Purple end of the vial, poke the wand into the stool in several places. 4. Peplace the wand back into the vial. 5. Tighten the cap securely to the container. 6. Flush the toilet contents including the paper. 7. Label your specimen vial with your name, date of collection and date of birth. 8. Place specimen vial in the Biohazard ziplock bag. 9. Return the specimen to the Laboratory within 3 days of collection. Specimen : Stool Container Container : Hemosure (purple) collection vial Minimum Volume : sm. amt. of stool that adheres to wand Extracted samples (place in Clearview vial) may be stored at room temperature for up to 5 days or may be refrigerated at 2-8 C for up to 14 days. Samples in collection cups are not stable and must be transferred to the Clearview extraction vial immediately. STAT's completed within 1 hour of receipt of specimen in Laboratory. Routines completed in 1-2 days. Columbus Regional Hospital Laboratory

Occult Blood-Stool Multiple Card Procedure Components Order Prompts Do not collect samples during or until three days after your menstrual period. Do not collect samples while you have bleeding hemorrhoids. Do not collect samples if you have blood in your urine. Avoid 7 days prior to and during the test : Aspirin containing substances, nonsteroidal, anti-inflammatory drugs i.e Ibuprofen, Naproxen, etc. For pain take Tylenol, up to 8 extra strength per day. Avoid 72 hours (3 days) prior to and during the test period: 250mg vitamin C per day. Note: some iron supplements contain high levels. Red meat (beef and lamb) including processed meats (bologna) and liver. Raw fruits and vegetables, especially melons, radishes, turnips and horseradish. Popcorn. Remove toilet bowl cleaners from toilet tank and flush twice before proceeding. Collect samples from three consecutive bowel movements ( or three bowel movements closely spaced in time). Protect slides from heat, light, and volatile chemicals, such as iodine or bleach. Keep cover flap of slides closed when not in use Specimen: stool Container: occult blood test cards Minimum Volume:small amount of stool applied to the 2 application areas on the card. Specimens should be returned to the Lab within one week. Specimens applied to the card are stable 14 days at room temperature. 1-3 days Columbus Regional Hospital Laboratory

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671144 Synonym Patient Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Occult Blood-Stool Single Card Procedure Components

Order Prompts

Do not collect samples during or until three days after your menstrual period. Do not collect samples while you have bleeding hemorrhoids. Do not collect samples if you have blood in your urine. Avoid 7 days prior to and during the test : Aspirin containing substances, nonsteroidal, anti-inflammatory drugs i.e Ibuprofen, Naproxen, etc. For pain take Tylenol, up to 8 extra strength per day. Avoid 72 hours (3 days) prior to and during the test period: 250mg vitamin C per day. Note: some iron supplements contain high levels. Red meat (beef and lamb) including processed meats (bologna) and liver. Raw fruits and vegetables, especially melons, radishes, turnips and horseradish. Popcorn. Remove toilet bowl cleaners from toilet tank and flush twice before proceeding. Collect samples from three consecutive bowel movements ( or three bowel movements closely spaced in time). Protect slides from heat, light, and volatile chemicals, such as iodine or bleach. Keep cover flap of slides closed when not in use. Specimen: stool Container: occult blood test cards Minimum Volume:small amount of stool applied to the 2 application areas on the card. Specimens should be returned to the Lab within one week. Specimens applied to the card are stable 14 days at room temperature. 1-3 days Columbus Regional Hospital Laboratory

153938184 Synonym

Oligoclonal Banding, CSF and Serum Procedure Components Order Prompts

Oligoclonal Banding, CSF and Serum

CSF Band Oligoclonal. Oligoclonal Interp. CSF Band Number.

Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

332267295 Synonym

Specimen : Blood and CSF Container : Red or Gold and sterile container (CSF) Minimum Volume : 0.7 ml CSF and 1.5 ml blood Pediatric Volume: 0.7 ml CSF and 1.5 ml blood Centrifuge and separate CSF to remove cellular material. Allow serum specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.5 mL CSF AND 1 mL serum to individual ARUP Standard Transport Tubes (Min: 0.7 mL CSF AND 0.5 mL serum). Room temperature: 8 hours Refrigerated: 1 week Frozen: 1 month 3-5 days The Medical Foundation 44619

Oncology BB Draw Procedure Components

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Order Prompts

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ONC BB Draw Oncology BB Draw Collection Requirements

Specimen: Blood Age: All Container: Pink K2 EDTA Minimum Volume: 6.0 ML

674529 Synonym

Oncology Profile (CRH) Procedure Components

Oncology Profile (CRH)

For: Comprehensive Metabolic Panel Albumin Alk Phos ALT AST BUN Calcium Creat GFR GFRAA BUN/Creat Gluc Ran Sodium Potassium Chloride CO2 AGAP Bili Total Total Protein Globulin A/G Ratio

Order Prompts For: Comprehensive Metabolic Panel Hrs PP

For: LDH For: Uric Acid Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

30083475 Synonym

Protect from light. Specimen: blood Container: Gold, red or Green (LiHep) Minimum Volume: 3.0 mL blood 0.8 mL serum or plasma. See individual component listings for stability. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Opiate Confirmation Urine Procedure Components

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Order Prompts

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Confirm Opiate Urine Opiate Confirmation Urine

Order Information Collection Instructions Collection Requirements Specimen Handling Turn Around Time Performing Facility

Opiate Confirm Ur Opiate Cnf Interp CRH Coe Opi Morphine Conf Codeine Conf Hydromorph Conf Hydrocodone Cnf Oxycodone Conf Oxymorphone Conf 6MAmorphine Cnf Ordered only placed by CRH Chemistry dept. Witham UDS kit Specimen : Random Urine Container : UDS kit Minimum Volume : 7.0ml Pediatric Volume : 7.0ml Store and ship at ambient temperature. 7-10 days Witham Health Services

657010 Synonym

Opiate Screen Urine (CRH) Procedure Components

Opiate Screen Urine (CRH) U Opiate Screen U Opiate Screen (CRH)

U Opiate 300 U Tox Sp Gravity U Tox pH U Tox Temp U Tox Crea U Tox Coe UDS Limits

Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

657012 Synonym

Drug screen collection kit is available from the Lab (376-5188 or 5877). Specimen: urine Container: Drug screen collection kit Minimum Volume: 7.0 mL urine 1.0 mL urine for screening. Stable 24hrs. refrigerated. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Osmolality Procedure Components

Osmo Osmolality Collection Requirements

Order Prompts

Specimen: blood Container: Gold or Red Minimum Volume: 3.0 mL blood

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Order Prompts

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Specimen Handling Turn Around Time Performing Facility

668916 Synonym

0.5 mL serum. Stability: ambient 7 days, refrigerated at 2 - 8C 14 days, frozen at -20C 2 months. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Osmolality Body Fluid Procedure Components

BF Type Osmol

BF Osmo BF Osmolality Osmo BF Osmolality Body Fluid Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

657016 Synonym

Order Prompts

Body fluid collection kits available from the Lab (376-5188 or 5877). Specimen: body fluid Container: Red Minimum Volume: 2.0 mL body fluid 0.5 mL fluid. Stability: ambient 7 days, refrigerated at 2 - 8C 14 days, frozen at 20C 2 months. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Osmolality Urine Procedure Components

Order Prompts

Osmo Urine Osmolality Urine Random Osmolality Urine U Osmolality Urine Osmo Collection Requirements Specimen Handling Turn Around Time Performing Facility

Specimen : urine Container : Urine cup or tube with no preservative (yellow or red stopper) Minimum Volume : 10 mL urine 0.5 mL urine. Stability: ambient 7 days, refrigerated at 2 - 8C 14 days, frozen at -20C 2 months. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

4579104 Synonym

Ovarian Tumor Panel Procedure Components

Ovarian Tumor Panel

For: For: For: For: For:

AFP TM CA 125 CA 19-9 CEA LDH

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Order Prompts

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Collection Requirements

For: AFP TM Specimen : blood Container : gold or red Minimum Volume : 2.0 ml Pediatric Volume: 0.5 ml For: CA 125 Specimen : Blood Container : Gold or Red, lavender or light green Minimum Volume : 3.2 ml Pediatric Volume: 1.6 ml For: CA 19-9 Specimen : Blood Container : Gold or Red Minimum Volume : 1.0 ml Pediatric Volume: 0.6 ml For: CEA Specimen: blood Container: Gold or Red Minimum Volume: 3.0 ml blood For: LDH Specimen : blood Container : Gold, Red or Green Minimum Volume : 3.0 mL blood Pediatric Volume: 2 full amber microtainers

149953056 Synonym

Oxalate, Urine, 24-Hour Procedure Components

Oxalate, 24 Hr Urine

Ur Oxalate. Ur Oxalate/day. Creatinine_. Ur Creatinine/24h.

Patient Instructions Collection Instructions

Order Prompts Hours Collected. Total Volume.

Patient should avoid ingestion of vitamin C prior to collection. 24-hour urine. Refrigerate during collection. No Preservative

Collection Requirements

Specimen : Urine Container : 24 hr urine jug Minimum Volume : 1.5 ml Pediatric Volume: 1.5 ml

Specimen Handling

Upon completion of collection, thoroughly mix entire collection (24-hour or random) in one container. a. Transfer 4 mLs of well-mixed aliquot to a transport tube with 20mg Sulfamic Acid. Mix Well. b. Transfer 4 mL aliquot of adjusted urine to an ARUP Standard Transport Tube. (Min: 1.5 mL) c. Record total volume and collection time interval on transport tube and test request form. This information is required for test interpretation. d. If collection tube with Sulfamic Acid is not available, transport a 4 mL unadjusted aliquot of urine (Min: 1.5 mL) Frozen: 1 month ONLY SEND FROZEN

Turn Around Time Performing Facility

149294953 Synonym

2-5 days The Medical Foundation 44045

Oxcarbazepine Metabolite Procedure Components

Order Prompts

Oxcarbazepine Metabolite Level Trileptal Trileptal Level Collection Requirements Specimen Handling

Specimen : Blood Container : Red, Dark green, or Lavender Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to a plastic transport tube. (Min: 0.3 mL) Refrigerated: 1 week Frozen: 4 months (avoid repeated freeze/thaw cycles)

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Turn Around Time Performing Facility

174909429 Synonym

1-2 days The Medical Foundation 23068

P0 Antibodies, Western Blot Procedure Components

Order Prompts

P0 Antibodies, Western Blot Order Information

Antibodies to P0 at the 30kD protein occur in 46% of patients with Meniere's disease, 40% of patients with otosclerosis, 28% of patients with idiopathic progressive sensorineural hearing loss and in 18% of patients with sudden deafness. Sensorineural hearing loss (SNHL), commonly referred to as nerve deafness, may be caused by genetic factors, acquired factors (i.e. infections) or can be immunologically mediated. In the majority of cases, no cause of SNHL is apparent. Such cases are referred to as idiopathic SNHL. A subgroup of idiopathic SNHL cases is treatable with immunosuppressive therapy. The laboratory studies used to identify these cases should include serum antibody tests to 68kD (hsp-70) inner ear antigen and other auto antigens such as to P0, a 30 KD antigen. Approximately 60% of patients with progressive SNHL have antibodies to P0. A strong positive correlation between chronic progressive hearing loss and the presence of P0 antibodies has been observed.

Collection Requirements

Specimen : Blood Container : Gold Minimum Volume : 3.5ml Pediatric Volume: 2.0ml

Specimen Handling

Spec Collect: Draw blood in a plain, red-top tube(s), serum gel tube(s) is acceptable. Spin down and send 3 mL of serum refrigerated in a plastic vial. (Min: 1 mL) Spec Store Transport: Refrigerated. Spec Stability: Refrigerated: 5 days Frozen: 1 year

Turn Around Time Performing Facility

Within 4 weeks Immco Diagnostics The Medical Foundation Test Code: 43556

197720740 Synonym

PAN-ANCA Evaluation Procedure Components

PAN-ANCA Evaluation

For: ANA Titer and Pattern, IgG, IFA ANA IgG Screen. ANA Titer. ANA Pattern. ANA Pattern Interp.

Order Prompts

For: ANCA cANCA IgG. cANCA IgG Titer. pANCA IgG. pANCA IgG Titer. aANCA IgG. aANCA IgG Titer. For: MPO Ab, IgG For: Proteinase-3 Ab, IgG Order Information

This is a care set comprised of the following orders: ANCA Myeloperoxidase Ab, IgG Proteinase-3 Ab, IgG ANA Titer and pattern

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Collection Requirements

See individual orders for collection requirements.

Specimen Handling

See individual orders.

Turn Around Time

See individual orders.

Performing Facility

150378923 Synonym

The Medical Foundation

Pancreatic Elastase, Feces Procedure Components

Order Prompts

Pancreatic Elastase, Feces Collection Requirements Specimen Handling Turn Around Time Performing Facility

149294735 Synonym

Specimen : Stool Container : Sterile cup with no preservatives Minimum Volume : 1 gram Pediatric Volume: 1 gram Transfer 5 g feces to a plastic container with no media, preservative, or fixative. (Min: 1 g) Room temperature: 5 days Refrigerated: 1 week Frozen: 1 year 2-5 days The Medical Foundation 44591

Paraneoplastic Antibodies (PCCA/ANNA) by IFA with Titer and Western Blot if Indicated, Serum Procedure Components Order Prompts

Paraneoplastic Abs, IFA Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 2 mL serum to an ARUP Standard Transport Tube. (Min: 0.75 mL) After separation from cells: Room temperature: 24 hours Refrigerated: 2 weeks Frozen: 1 year 2-10 days The Medical Foundation 47089

1311195 Synonym

Parathyroid Hormone Intact w/Calcium Procedure Components Order Prompts

PTH Intact w/Calcium Parathyroid Hormone Intact

PTH Intact Calcium

Order Information

Collection Requirements

For in vitro diagnostic use in the quantitative determination of intact parathyroid hormone (PTH) in EDTA plasma or serum using the ADVIA Centaur System. This assay is intended to be used to aid in the differential diagnosis of hyperparathyroidism, hypoparathyroidism, or hypercalcemia of malignancy. Specimen : Blood Container : Gold or Red Minimum Volume : 3.5ml Pediatric Volume: 2.7ml

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Specimen Handling

0.5ml serum. Keep tubes covered and upright at all times. Do not use serum samples that have been stored at room temperature for longer than 4 hours. Tightly cover and refrigerate serum specimens at 4C if the assay is not completed within 4 hours. Do not use serum samples that have been stored at 4C for longer than 48 hours. Freeze serum samples at or below -20C if the sample is not assayed within 48 hours.

Turn Around Time

Routines completed the same day, STATS completed within one hour of receipt of specimen in the Laboratory.

Performing Facility

150368663 Synonym

Columbus Regional Hospital Laboratory

Parathyroid Hormone-Related Peptide (PTHRP) by LCMS/MS Procedure Components Order Prompts

PTH-Related Peptide, LC-MS/MS Parathyroid Hormone related Collection Instructions

Tubes in the referral refridgerator

Collection Requirements

Specimen : Blood Container : Protease Inhibitor Tube Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml

Specimen Handling

Mix well. Separate from cells within 1 hour of collection. Transfer 1.5 mL plasma to an ARUP Standard Transport Tube. (Min: 0.7 mL) After separation from cells: Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 3 months

Turn Around Time Performing Facility

4648652 Synonym

2-4 days The Medical Foundation 47166

Paroxysmal Nocturnal Hemoglobinuria Procedure Components Order Prompts

PNH Order Information Patient Instructions Collection Requirements

Currently analyzed by flow cytometry. Previous called Ham's Test, Sucrose Hemolysis or Sugar Water Test. Collect Mon-Thursday only due to specimen stability. Specimen : Whole Blood Container : Dk. Green - No Gel and Lavender Minimum Volume : 7.0ml Pediatric Volume: 3.0 ml

Specimen Handling

Blood must be received within 24 hours of collection time. Testing performed Monday -Thursday 8-4 and Friday 8-12. Keep blood at room temperature

Performing Facility

IU Health

39350285 Synonym

Partial Thromboplastin Time Procedure Components

PTT Partial Thromboplastin Time

PTT Heparin Therapeutic Range Heparin CCU Proph Range

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Order Prompts

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Order Information

Collection Instructions

Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

Used as a screening test to evaluate the overall integrity of the intrinsic and common pathways or to assess the therapeutic dosing of unfractionated heparin or other prophylactic need. Note: Clear top discard tube draw is only required if using the butterfly collection method. Discard tube is not needed with other collection methods. Use a 21 guage needle or larger. Draw a clear top tube to remove tissue fluid contamination. Discard this tube. Draw blood into a buffered citrate tube (blue top) filled to proper level. Mix by gentle inversion 10 times. Transport at ambient temperature. Do not place on ice or refrigerate. Specimen : Blood Container : Blue and Clear, if using butterfly collection Minimum Volume : 2.7ml blue top tube must be full Pediatric Volume: 2.7ml blue top tube must be full Must centrifuge specimen within 1 hour of collection. Must remove plasma from RBC's if not tested within 1 hr. of collection. Plasma must be tested within 4 hrs. of collection. Routines completed same day. Stats completed within one hour of receipt of specimenin the Lab. Columbus Regional Hospital Laboratory

149945052 Synonym

Parvovirus B19 IgG and IgM Antibodies Procedure Components Order Prompts

Fifths Disease Parvovirus B19 Abs, IgG/M

Parvovirus IgG Ab. Parvovirus IgM Ab. Parvovirus Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red, Lavender or Green Minimum Volume : 1.5 ml Pediatric Volume: 1.5 ml Serum sample tubes, clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum or plasma to separate plastic tube Properly centrifuged gel barrier tube sample does not require transfer of serum to separate tube 1.0 ml (0.5) 48 hours room temperature (20-30°C) 2 weeks refrigerated (2-8°C) 1 year frozen (-20°C) (avoid repeated freeze/thaw cycles) 2-9 days The Medical Foundation 28254

820974 Synonym

Patient Recall Procedure Components

Patient Recall Pt Recall

Recall Reason Pt Called Return Date

Collection Requirements

373122521

Order Prompts Acc# Test Name

Specimen: Blood Age: All Container: No Specimen Minimum Volume: 0.1 ML

Pepsinogen I (PG I), Serum or Plasma

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Synonym

Procedure Components

Order Prompts

Pepsinogen I Patient Instructions

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

368136687 Synonym

Patient should be fasting 10-12 hours prior to collection of specimen.Antacids or other medications affecting stomach acidity orgastrointestinal motility should be discontinued, if possible, for atleast 48 hours prior to collection. Specimen: BloodContainer: LavenderMinimum Volume: 3mLPediatric Volume: 3mL 3mL serum or EDTA plasma should be collected and separated assoon as possible. Freeze specimens immediately after separation.Minimum specimen size is 1mL.{nbsp;Transport: Ship specimens frozen in dry ice. 7-10 days The Medical Foundation 43528

Pepsinogen II, Serum or Plasma Procedure Components Order Prompts

Pepsinogen II Patient Instructions

Patient should be fasting 10-12 hours prior to collection of specimen.Antacids or other medications affecting stomach acidity orgastrointestinal motility should be discontinued, if possible, for atleast 48 hours prior to collection.

Collection Requirements

Specimen: BloodContainer: LavenderMinimum Volume: 3.0mLPediatric Volume: 3.0mL

Specimen Handling

3mL serum or EDTA plasma should be collected and separated assoon as possible. Freeze specimen immediately after separation.Minimum specimen size is 1mL.{nbsp;Transport: Ship specimens frozen in dry ice.

Turn Around Time Performing Facility

108199859 Synonym

7-10 days The Medical Foundation 43529

Pertussis Nucleic Acid Amplification Test (NAAT) Procedure Components Order Prompts

Pertussis NAAT Pertussis Probe Order Information

Bordetella pertussis is a human pathogen exclusively responsible for the endemic respiratory disease whooping cough (pertussis); a publically reportable disease that impacted over 200,000 people worldwids in 2012. The assay targets a 198 base pair (bp) sequence of the Bordetella pertussis genome residing in a region of the IS481 insertional element sequence, resulting in a high sensitivity and specificity.

Collection Instructions

Nasopharyngeal swab specimen collection should be performed in accordance with institutional procedures for collection of clinical specimens for Bordetella pertussis infection. 1. Nasopharyngeal swab samples should be collected with suitable swab types (e.g. Polyester. Flocked Nylon or Rayon). 2. Place swab(s) in non-nutritive transport medium (e.g. Liquid Amies, without charcoal or Liquid Stuart) or store unpreserved in a sterile tube without medium.

Collection Requirements

Specimen : NP Swab Container : Flocked swab in a dry tube

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Specimen Handling

Turn Around Time Performing Facility

657028 Synonym

Preferred Sample: Flocked swab in a dry tube (CRH will provide). Place swab(s) in a non-nutritive transport medium (e.g. Liquid Amies, without charcoal or Liquid Stuart) or store unpreserved in a sterile tube without medium.Stability: Room temperature (21-27 degrees C) up to 5 days. Refrigerated (2-8 degrees C) up to 7 days. Batch testing performed daily, Monday - Friday. No testing performed on weekends or holidays. Average TAT is 1-3 days. Columbus Regional Hospital Laboratory

pH Body Fluid Procedure Components

BF Type pH

BF pH Body Fluid pH pH BF pH Body Fluid Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

657032 Synonym

Order Prompts

Body fluid collection kits available from the Lab (376-5188 or 5877). Specimen: body fluid Container: Green (LiHep) Minimum Volume: 2.0 ml fluid 1.0 mL fluid Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

pH Dipstick Urine Procedure Components

Order Prompts

pH Dipstick Urine Order Information Collection Requirements

Specimen Handling Turn Around Time Performing Facility

674196 Synonym

Included in UA (urinalysis). Specimen: urine Container: Urine cup or tube (yellow, red or yellow/cherry red marble stoppers) Minimum Volume: 0.2 mL Pediatric Volume: 0.1 mL No preservative: stable 1 hour at room temperature, 6 hours refrigerated. Yellow/cherry red preservative tube stable 72 hours at room temperature. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

PH, scalp Procedure Components

PH, scalp Scalp pH

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Order Prompts

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Collection Requirements

Turn Around Time Performing Facility

671180 Synonym

Specimen: blood Container: Capillary draw Minimum Volume: 0.5 ml blood Results completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Respiratory Department

pH, under oil, Ur (CRH) Procedure Components

Order Prompts

pH, under oil, Ur (CRH) Order Information Collection Instructions Collection Requirements

Turn Around Time Performing Facility

657034 Synonym

Ordered by CRH staff only. Send urine to lab STAT. Specimen: urine Container: Urine cup Minimum Volume: 2.0 ml urine Routines and stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Phencyclidine Screen Urine (CRH) Procedure Components Order Prompts

PCP Screen Urine U PCP Scrn PCP Screen Urine (CRH) U Tox Sp Gravity Phencyclidine Screen Urine (CRH) U Tox pH U PCP Screen U Tox Temp U PCP Screen (CRH) U Tox Crea U Tox Coe UDS Limits Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Drug screen collection kit is available from the Lab (376-5188 or 5877). Specimen: urine Container: Drug screen collection kit Minimum Volume: 7.0 mL urine 1.0 mL urine for screening. Stable 24hrs. refrigerated. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

671182 Synonym

Phencyclidine, confirmation, Ur (CRH) Procedure Components Order Prompts

Confirm PCP Urine (CRH) Phencyclidine confirmation, Ur (CRH)

PCP confirm Ur PCP Conf Interp CRH COE PCP

Order Information

Ordered by CRH Chemistry dept. only

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Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

657036 Synonym

Witham UDS collection kit. Specimen: Random Urine Container: UDS Kit Minimum Volume: 7.0ml Store and ship at ambient temperature. 7-10 days Witham Health Services

Phenobarbital Level Procedure Components

Pheno Dose Dt Pheno Dose Tm

Donnatol Donnatol Level Phenobarb Phenobarbital Level Collection Instructions Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

657044 Synonym

Do not use tubes that contain separator gel. Specimens are collected just prior to next dose. Specimen: blood Container: Red Minimum Volume: 3.0 ml blood Pediatric Volume: 2 full clear microtainers 0.8 mL (0.2 mL) serum or plasma. Serum and plasma samples may be stored for up to two days at room temperature (25 °C) or 7 days efrigerated (2-8 °C). For long term storage, samples may be frozen for up to 6 months. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Phenytoin Level Total Procedure Components

Dilantin Level Dilantin Level Total Phenytoin Level Total Collection Instructions

Collection Requirements

Specimen Handling

Order Prompts

Order Prompts Pheny Dose Dt Pheny Dose Tm

Do not use tubes that contain separator gel. Trough specimens are collected just prior to next dose, but at least 2 hours after IV infusion or 4 hours after IM injection Specimens can be drawn any time during dosing interval, but trough levels are preferred. Specimen: blood Container: Red Minimum Volume: 3.0 ml blood Pediatric Volume: 2 full clear microtainers 0.8 mL (0.2 mL) serum or plasma. Specimen stability: Ambient for 1 day, refrigerated at 2-8C for 7 days, frozen at -20C for 2 months.

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Turn Around Time Performing Facility

Routines completed the same day. STATS completed within one hour of receipt of specimen. Columbus Regional Hospital Laboratory

149951123 Synonym

Phenytoin, Free Procedure Components

Free Dilantin Phenytoin Level, Free

Phenytoin, Free. Last Dose-Free Dilantin.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

296628205 Synonym

Specimen : Blood Container : Red Minimum Volume : 2.5 ml Pediatric Volume: 2.5 ml Refrigerate tube of blood and transport refrigerated on day collected If specimen will not be transported to SBMF on day collected: - For samples collected in serum tubes, clot 30 minutes - Promptly centrifuge 15 minutes - Immediately transfer serum or plasma to a separate plastic tube and freeze (-20°C) 1.5 ml (1.0) 24 hours refrigerated (2-8°C) Greater than 24 hours, freeze (-20°C) (avoid repeated freeze/thaw cycles) 1-2 days The Medical Foundation 23130

Phlebotomy Recall Procedure Components

Phlebotomy Recall

Collection Requirements

Order Prompts

Order Prompts Acc# Test Name Recall Reason. Redraw Requested To DT/TM Requested

Specimen: Blood Age: All Container: No Specimen Minimum Volume: 0.1 ML

149930729 Synonym

Phosphatidic Acid Antibodies, IgG, IgM, and IgA Procedure Components Order Prompts

Phosphatidic Acid Ab GAM

Phosphatidic IgG. Phosphatidic IgM. Phosphatidic IgA.

Collection Requirements

Specimen : Blood Container : Gold Minimum Volume : 1.0 ml Pediatric Volume: 1.0 ml

Specimen Handling

Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.15 mL) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year (avoid repeated freeze/thaw cycles)

Turn Around Time Performing Facility

2-9 days The Medical Foundation 47194

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149930883 Synonym

Phosphatidylcholine IgA, IgG, and IgM Antibodies Procedure Components Order Prompts

Phosphatidylcholine Ab GAM

Phos Choline IgG. Phos Choline IgM. Phos Choline IgA.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149931850 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year (avoid repeated freeze/thaw cycles) 2-9 days The Medical Foundation 45369

Phosphatidylethanolamine IgA, IgG, and IgM Antibodies Procedure Components Order Prompts

Phosphatidylethanolamine Ab GAM Phos Ethanol IgG. Phos Ethanol IgM. Phos Ethanol IgA. Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year 2-5 days The Medical Foundation 45394

149530969 Synonym

Phosphatidylserine IgA, IgG, and IgM Antibodies Procedure Components Order Prompts

Antiphosphatidylserine Ab Phosphatidylserine IgG/A/M

Phosphatidylserine Ab IgG. Phosphatidylserine Ab IgM. Phosphatidylserine Ab IgA.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

657048

Specimen : Blood Container : Gold or Red Minimum Volume : 1.0 ml Pediatric Volume: 1.0 ml Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.25 mL) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year (avoid repeated freeze/thaw cycles) 2-4 days The Medical Foundation 44239

Phosphorus 24 Hour Urine

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Synonym

Procedure Components

24 Hour Phosphorous Urine 24 Hr Urine Phosphorous Phosphorus 24 Hour Urine U Phosphorous 24 Hour

Tot Vol Phos U Phos U24 Phosphorus

Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

657050 Synonym

Start collection in the morning (7 AM - 10 AM). Empty bladder completely, discard the specimen. From that point on, all urine voided is collected in the container for the time frame specified by physician. Keep specimen cold during collection. At the end of collection time period, empty bladder completely, add specimen to collection container. Make sure all lids and/or closures are secure before transporting to Laboratory. Additional instruction sheet may be enclosed if collecting 2 containers joined by a p-splitter. Additional instruction sheet may be enclosed if medication, food or other restrictions apply. Specimen: urine Container: Urine collection jug Minimum Volume: 10 mL aliquot from timed collection 1.0 mL urine. Stable 14 days refrigerated. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Phosphorus Body Fluid Procedure Components

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

657046 Synonym

Order Prompts BF Type Phos

BF Phos BF Phosphorus Phos BF Phosphorus Body Fluid Collection Instructions

Order Prompts

Body fluid collection kits available from the Lab (376-5188 or 5877). Specimen: body fluid Container: Red Minimum Volume: 2.0 mL body fluid 1.0 mL fluid. Stability: Ambient 72 hours, refrigerated at 2-8C 7 days, Frozen at 20C 2 months. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Phosphorus Level Procedure Components

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Order Prompts

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Collection Requirements Specimen Handling Turn Around Time Performing Facility

657052 Synonym

Specimen : blood Container : Gold, red or green Minimum Volume : 3.0 mL blood 0.8 mL (0.2 mL) serum or plasma. Stability: Ambient 72 hours, refrigerated at 28C for 7 days, frozen at -20C for 12 months. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Phosphorus Urine Random Procedure Components

Order Prompts

Phosphorus Urine Random Random Phosphorous Urine U Phosphorous Random Collection Requirements Specimen Handling Turn Around Time Performing Facility

660049 Synonym

Specimen : urine Container : Urine cup or tube with no preservative (yellow or red stopper) Minimum Volume : 10 mL urine 1.0 mL urine. Stable 14 days refrigerated. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Pinworm Prep Procedure Components

Order Prompts

Pinworm Pinworm Prep Only Patient Instructions

Patient's mother should be given a clear glass microscope slide, tongue depressor and slide holder. First thing in the morning, lay child over your lap and spread buttocks. Apply a piece of clear tape to the anal oriface sticky side down and press down with tongue depressor. Take the imprinted tape and place it sticky side down onto the microscope slide. Put slide into holder and write patients name on the outside. Secure with tape and transport to the laboratory at room temperature.

Collection Requirements

Specimen : Special procedure. See patient instructions Container : Clear tape, tongue depressor, slide and holder

Specimen Handling Turn Around Time Performing Facility

669765 Synonym

Stable 1-2 days at room temperature. 1 day Columbus Regional Hospital Laboratory

Platelet Conc Procedure Components

Platelet Conc

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Order Prompts # Units Plt Plt Reason

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Order Information Collection Requirements Turn Around Time Performing Facility

Call Blood Bank if platelets are to be given to patient (5173, 5172). No specimen needed if patient blood type is on file. If available in Blood Bank, Product ready within 30 minutes. Columbus Regional Hospital Laboratory

178821862 Synonym

Platelet Count Automated Procedure Components

PLT Auto Platelet Count Platelet Count Automated

Platelet. Judgment.

Order Information Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Order Prompts

Included in a CBC and Hemogram w/platelet (AUTO). Specimen : Whole Blood Container : Lavender Minimum Volume : 4.0ml tube must be at least half full. Minimum Volume : 2.0ml tube must be at least half full. Pediatric Volume : 0.5ml microtainer must be at least half full. Stable 48 hours refrigerated, or 24 hours room temperature. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

4387973 Synonym

Platelet Function Panel Procedure Components

Bleeding Time Platelet Function Panel

Collagen/Epi Collagen/ADP Plt Funct Interp

Order Prompts

Order Information

Aid in the detection of platelet dysfunction. May also indicate the effect of acetyl salicylic acid (ASA) ingestion.

Patient Instructions

For menorrhagic patient: optimal testing time is on days 5-7 of menstrual cycle. Test is affected by: aspirin or non-steroidal anti-inflammatories, cold environment, birth control pills, hormone therapy, pregnancy, breastfeeding, childbirth, exercise, stress, crying.

Collection Instructions

Note: Clear top discard tube draw is only required if using the butterfly collection method. Discard tube is not needed with other collection methods. 1. Collect on site at CRH . 2. Use a 21 guage needle or larger. 3. Draw a clear top tube to remove tissue fluid contamination. Discard this tube. 4. Draw blood into a buffered citrate tube (blue top) filled to proper level. 5. Mix by gentle inversion 10 times. 6. Do not send to Lab by Pneumatic Tube system.

Collection Requirements

Specimen : Blood Container : Clear and Blue Minimum Volume : 2.7ml Blue tube must be full.Pediatric Volume: 2.7ml Blue tube must be full.

Specimen Handling

Samples are Not to be delivered in the pneumatic tube system. Platelet clumping could occur. Stable 4 hrs. at ambient temperature. Samples that have been refrigerated or centrifuged are inacceptable and must not be used.

Turn Around Time

Less than one hour for STATs.

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Performing Facility

285339033 Synonym

Columbus Regional Hospital

POC Cardiac Series Request Procedure Components

Order Prompts

ED POC Cardiac Series POC Cardiac Series Request Collection Requirements

5340703 Synonym

Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

POC Chem 8 Request Procedure Components

ED POC Chem 8 POC Chem 8 Request Collection Requirements

285341367 Synonym

Order Prompts POC test request

Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

POC CKMB Request Procedure Components

Order Prompts

ED POC CKMB POC CKMB Request Collection Requirements

5410068 Synonym

Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

POC Creatinine Request Procedure Components

ED POC Creat POC Creatinine Request Collection Requirements

5410198 Synonym

Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

POC Critical Care Panel Request Procedure Components Order Prompts

ED POC CritCare Panel POC Critical Care Panel Request Collection Requirements

Order Prompts POC test request

POC test request Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

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5410139 Synonym

POC Hgb and Hct Request Procedure Components

ED POC Hgb+Hct POC Hgb+Hct Request Collection Requirements

5345346 Synonym

POC test request Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

POC Lactate Request Procedure Components

ED POC Lactate POC Lactate Request Collection Requirements

5409589 Synonym

5345402 Synonym

Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

POC Lytes Request Procedure Components

5409975 Synonym

Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

POC NTproBNP Request Procedure Components

Order Prompts POC test request

Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

POC Sepsis Panel Request Procedure Components

ED POC Sepsis Panel POC Sepsis Panel Request Collection Requirements

Order Prompts POC test request

ED POC BNP (NTpro) POC NTproBNP Request Collection Requirements

Order Prompts POC test request

ED POC Lytes POC Lytes Request Collection Requirements

Order Prompts

Order Prompts POC test request

Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

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285340147 Synonym

POC Troponin Request Procedure Components

Order Prompts

ED POC Troponin POC Troponin Request Collection Requirements

5344721 Synonym

Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

POC UPT Request Procedure Components

ED POC UPT POC UPT Request Collection Requirements

657062 Synonym

Order Prompts POC test request

Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

Potassium Level Procedure Components

Order Prompts

K serum K+ K+ Level Potassium Level Order Information Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Included in Comprehensive Metabolic, Basic Metabolic and Electrolyte Panels. Specimen : blood Container : Gold, red or green Minimum Volume : 3.0 mL blood 0.5 ml serum or plasma. Separate serum/plasma from cells ASAP. Hemolyzed samples and samples not separated ASAP could yield falsely elevated results. Specimen stability: Ambient 24 hours (tightly capped), Refrigerated 72 hours (tightly capped). Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

657064 Synonym

Potassium Level 24 Hour Urine Procedure Components Order Prompts

24 Hr Urine Potassium K 24 Hour Urine K+ 24 Hour Urine Potassium Level 24 Hour Urine U Potassium 24 Hour Urine K, 24 Hour

U Potassium Tot Vol K U24 Potassium

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Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

657066 Synonym

Start collection in the morning (7 AM - 10 AM). Empty bladder completely, discard the specimen. From that point on, all urine voided is collected in the container for the time frame specified by physician. Keep specimen cold during collection. At the end of collection time period, empty bladder completely, add specimen to collection container. Make sure all lids and/or closures are secure before transporting to Laboratory. Additional instruction sheet may be enclosed if collecting 2 containers joined by a p-splitter. Additional instruction sheet may be enclosed if medication, food or other restrictions apply. Specimen: urine Container: Urine collection jug Minimum Volume: 10 mL aliquot from timed collection 1.0 mL urine. Store at 2 - 8C or frozen for delayed analysis Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Potassium Level Body Fluid Procedure Components

BF Potassium Body Fluid Potassium K BF K+ BF Potassium Level Body Fluid Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

657068 Synonym

Order Prompts BF Type K

Body fluid collection kits available from the Lab (376-5188 or 5877). Specimen: body fluid Container: Red Minimum Volume: 2.0 mL body fluid 1.0 mL fluid. Specimen stability: Ambient 24 hours (tightly capped), Refrigerated 72 hours (tightly capped). Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Potassium Level Urine Random Procedure Components Order Prompts

K+ Random Urine Potassium Level Urine Random U Potassium Random Urine K Level Random Collection Requirements Specimen Handling

Specimen : urine Container : Urine cup or tube with no preservative (yellow or red stopper) Minimum Volume : 10 mL 1.0 mL urine. Store at 2 - 8C or frozen for delayed analysis.

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Turn Around Time Performing Facility

Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

674138 Synonym

Potassium level, Urine Timed Procedure Components

K+ Timed Urine Potassium level, Urine Timed U Potassium Timed

Hrs Coll Potas U Potas Timed

Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Order Prompts

Start collection in the morning (7 AM - 10 AM). Empty bladder completely, discard the specimen. From that point on, all urine voided is collected in the container for the time frame specified by physician. Keep specimen cold during collection. At the end of collection time period, empty bladder completely, add specimen to collection container. Make sure all lids and/or closures are secure before transporting to Laboratory. Additional instruction sheet may be enclosed if collecting 2 containers joined by a p-splitter. Additional instruction sheet may be enclosed if medication, food or other restrictions apply. Specimen: urine Container: Urine collection jug Minimum Volume: 10 mL aliquot from timed collection 1.0 mL urine. Store at 2 - 8C or frozen for delayed analysis. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

4579156 Synonym

Pre-Eclamptic Panel 1 Procedure Components

Pre-Eclamptic Panel 1

For: CBC w-Diff WBC. instWBC. RBC. Hgb. Hct. MCV. MCH. MCHC. RDW SD. RDW CV. Platelet. MPV. IG Abs. IG%. NRBC Abs. NRBC Auto. Order Man Diff?. Judgment.

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Order Prompts For: Cr Cl 24 Hour Urine Height inches Weight kgs

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For: Cr Cl 24 Hour Urine Tot Vol Cr Hrs Coll CrCl BSA Creat Serum U Creat U24 Creat Cr Clearance For: Hepatic Function Panel Albumin Alk Phos AST ALT Bili Direct Bili Total Total Protein For: LDH For: Protein 24 Hour Urine Tot Vol Prot U Protein U24 Protein For: Uric Acid Collection Requirements

671194 Synonym

For: CBC w-Diff Specimen : Whole Blood Container : Lavender Minimum Volume : 4.0ml tube must be at least half full. Minimum Volume : 2.0ml tube must be at least half full. Pediatric Volume : 0.5ml microtainer must be at least half full. For: Cr Cl 24 Hour Urine Specimen : timed urine collection & blood Container : Urine collection jug and Gold, red or green Minimum Volume : 10 mL urine and 3.0 mL blood For: Hepatic Function Panel Specimen: blood Container: Gold, Green or Red Minimum Volume: 3.0 mL For: LDH Specimen : blood Container : Gold, Red or Green Minimum Volume : 3.0 mL blood Pediatric Volume: 2 full amber microtainers For: Protein 24 Hour Urine Specimen: urine Container: Urine collection jug Minimum Volume: 10 mL aliquot from timed collection For: Uric Acid Specimen: blood Container: Gold, red or green Minimum Volume: 3.0 mL blood

Prealbumin Procedure Components

Order Prompts

Prealbumin Collection Requirements

Specimen : blood Container : Gold, Red or Green Minimum Volume : 3.0 mL blood

Specimen Handling

0.5ml serum. Stable 3 days at ambient, 7 days at 4C, 3 months at -20C and indefinitely at -70C.

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Turn Around Time Performing Facility

154361175 Synonym

Testing performed Monday, Wednesday and Friday. Columbus Regional Hospital Laboratory

Pregnenolone, HPLC-MS/MS Procedure Components

Order Prompts

Pregnenolone, HPLC-MS/MS Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red, Green or Lavender Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Separate serum or plasma cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum or plasma to an ARUP Standard Transport Tube and freeze immediately. (Min: 0.25 mL) After separation from cells: Room temperature: Unacceptable Refrigerated: Unacceptable Frozen: 6 months 2-5 days The Medical Foundation 44275

149025728 Synonym

Prenatal Risk Assessment, Quadruple Marker Procedure Components Order Prompts

Maternal Quad Screen

Gestational Age. Days Gestation. Age At EDD. AFP Maternal. Estriol Unconjugated. hCG. Inhibin A. Neural Tube Defect Risk. AFP MoM. AFP Cutoff MoM. Estriol MoM. hCG MoM. Inhibin A MoM. Neural Tube Defect Interp. Trisomy 18. Trisomy 18 Risk. Trisomy 18 Interp. Down Syn 1 Risk Age. Down Syn Risk. Risk 4 Interp. Recalc. Date.

Collection Instructions

Collection Requirements Specimen Handling

Exact birthdate. EDD?. Weight (lbs). Multiple Gestation?. Race Black?. Insulin?. Repeat Specimen?. Previous Abnormal?.

Specimen must be collected between 15th and 22nd week of gestation for a complete risk analysis (optimal time is 16-18 weeks). Collect prior to amniocentesis. Pregnancies with more than 2 fetuses cannot be assessed. Specimen : Blood Container : Gold or Red Minimum Volume : 4.0 ml Pediatric Volume: 4.0 ml Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 3 mL serum to a plastic transport tube. (Min: 1.5 mL) Refrigerated: 1 week Frozen: 1 month (avoid repeated freeze/thaw cycles)

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Turn Around Time Performing Facility

2-4 days The Medical Foundation 30180

149938358 Synonym

Primidone and Metabolite Procedure Components

Primidone and Metabolite

Phenobarbital level. Primidone level. Next Dose Primidone?.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

657072 Synonym

Order Prompts

Specimen : Blood Container : Red or Lavender Minimum Volume : 1.5 ml Pediatric Volume: 1.5 ml Refrigerate tube of blood and transport refrigerated on day collected If specimen not sent to SBMF on day collected: - Serum sample tubes, clot 30 minutes - All tubes, promptly centrifuge 15 minutes - Immediately transfer serum or plasma to separate plastic tube and freeze 1.0 ml (0.3) 1 hour room temperature (2030°C) 3 months frozen (-20°C) (avoid repeated freeze/thaw cycles) 1-2 days The Medical Foundation 31083

Progesterone Level Procedure Components

Order Prompts

Progesterone Level Order Information Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

657074 Synonym

For in vitro diagnostic use in the quantitative determination of progesterone. Specimen: blood Container: Gold or Red Minimum Volume: 3.0 mL blood 0.8 mL serum Red top serum stable 8 hours RT, 48 hours refrigerated SST serum stable 8 hours RT, 24 hours refrigerated Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Prolactin Level Procedure Components

Order Prompts

Mammotropin PRL Prolactin Level Order Information Collection Requirements

For in vitro diagnostic use in the quantitative determination of prolactin. Specimen: blood Container: Gold or Red Minimum Volume: 2.0 ml blood

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Specimen Handling

0.8 mL serum. Stable 8 hours at room temperature, 48 hours refrigerated.

Turn Around Time

Routines completed same day. Stats completed within an hour of receipt of specimen in lab.

Performing Facility

174208500 Synonym

Columbus Regional Hospital Laboratory

Prometheus FIBROSpect II Procedure Components

Order Prompts

FIBROSpect II Order Information

Collection Requirements

Testing can aid physicians in differentiating no/mild liver fibrosis from moderateto-severe liver fibrosis in patients with hepatitis C, and may help reduce the number of liver biopsies required. Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml

Specimen Handling

Allow specimen to clot completely at room temperature. Separate from cells and transfer 2 mL serum to a plastic transport tube. (Peds: 0.5 mL) Room Temperature: 7 days Refrigerated: 30 days Frozen: 30 days

Performing Facility

Prometheus Laboratories The Medical Foundation Test Code: 45149

174208512 Synonym

Prometheus IBD sgi Diagnostic Procedure Components Order Prompts

IBD sgi Diagnostic Order Information

Collection Requirements

The first and only test that combines serologic, genetic and inflammation markers in a proprietary Smart Diagnostic Algorithm to provide added IBD diagnostic clarity. This test will help physicians differentiate IBD vs. non-IBD and CD vs. UC in one comprehensive blood test. Specimen : Blood Container : Gold or Red and Lavender Minimum Volume : 4.0 ml red and 2.0 ml lavender Pediatric Volume: 4.0 ml red and 2.0 ml lavender

Specimen Handling

SST / Serum: Allow specimen to clot completely at room temperature. Separate from cells and transfer 2 mL serum to a plastic transport tube. EDTA: Transport 5 mL whole blood in the original collection tube. (Min: 2 mL) Room Temperature: 7 days Refrigerated: 21 days Frozen: Unacceptable

Performing Facility

Prometheus Laboratories The Medical Foundation Test Code: 45832

174208520 Synonym

Prometheus TPMT Enzyme Procedure Components

Order Prompts

TPMT Enzyme Order Information

Collection Requirements

Provides a quantitative analysis of a patient's thiopurine methyltransferase (TPMT) enzyme activity level allowing physicians to individualize dosing, identify patients in whom thiopurine therapy should be avoided, and help reduce the risk of leukopenia. Also Known As: TPMT Enzyme Activity (phenotype) for Azathioprine (Imuran) and 6-MP (Purinethol) dosing; PRO-PredictRx EnzAct Specimen : Blood Container : Lavender Minimum Volume : 5.0 ml Pediatric Volume: 5.0 ml

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Specimen Handling

Transport 5 mL whole blood in the original collection tube. Room temperature: 24 hours Refrigerated: 8 days Frozen: Unacceptable

Performing Facility

Prometheus Laboratories The Medical Foundation Test Code: 45103

671198 Synonym

Prostate specific antigen, Diagnostic Procedure Components Order Prompts

PSA Diagnostic PSA diag Prostatic Specific Antigen Diagnostic Order Information

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

PSA screen: can only be performed 1 time per year for Medicare patients without symptoms of prostate cancer. PSA Diagnostic: for patients with current or past diagnosis of prostate cancer or other related symptoms (trouble urinating, nodules, enlarged prostate, etc.) Specimen: blood Container: Gold or Red Minimum Volume: 3.0 mL blood 0.8 mL serumRed top serum stable 8 hours RT, 48 hours refrigeratedSST serum stable 8 hours RT, 48 hours refrigerated Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

147838772 Synonym

Prostate Specific Antigen, Free and Total Procedure Components Order Prompts

PSA II PSA fr&tot PSA, Total + Free

PSA Total Diag. PSA Free. PSA Pct Free.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

671202 Synonym

Specimen : Blood Container : Gold or Red, Light Green Minimum Volume : 1.5 ml Pediatric Volume: 1.5 ml Allow serum specimen to clot completely at room temperature. Centrifuge and separate serum or plasma from cells ASAP or within 2 hours of collection. SST or PPT: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 1 mL serum or plasma to a plastic transport tube. (Min: 0.5 mL) Refrigerated: 5 days Frozen: 3 months (avoid repeated freeze/thaw cycles) 1-2 days The Medical Foundation 30278

Prostatic Specific Antigen, screening Procedure Components Order Prompts

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PSA Screening PSA screen Prostatic Specific Antigen Screening Order Information

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

PSA screen: can only be performed 1 time per year for Medicare patients without symptoms of prostate cancer. PSA Diagnostic: for patients with current or past diagnosis of prostate cancer or other related symptoms (trouble urinating, nodules, enlarged prostate, etc.) Specimen: blood Container: Gold or Red Minimum Volume: 3.0 mL blood 0.8 mL serumRed top serum stable 8 hours RT, 48 hours refrigeratedSST serum stable 8 hours RT, 48 hours refrigerated Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

657084 Synonym

Protein 24 Hour Urine Procedure Components

24 Hr Urine Protein Protein 24 Hour Urine Total Protein 24Hr Urine U Protein 24 Hour Urine Protein 24 Hour

Tot Vol Prot U Protein U24 Protein

Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

657086 Synonym

Order Prompts

Start collection in the morning (7 AM - 10 AM). Empty bladder completely, discard the specimen. From that point on, all urine voided is collected in the container for the time frame specified by physician. Keep specimen cold during collection. At the end of collection time period, empty bladder completely, add specimen to collection container. Make sure all lids and/or closures are secure before transporting to Laboratory. Additional instruction sheet may be enclosed if collecting 2 containers joined by a p-splitter. Additional instruction sheet may be enclosed if medication, food or other restrictions apply. Specimen: urine Container: Urine collection jug Minimum Volume: 10 mL aliquot from timed collection 1.0 mL urine. No additive needed during collection. Specimens stored at 4 °C with no additives are stable for at least three days. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Protein Body Fluid Procedure Components

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Order Prompts

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BF Type Prot

BF Protein BF TP Protein Body Fluid TP BF Collection Requirements

Specimen Handling Turn Around Time Performing Facility

149298097 Synonym

Specimen: body fluid Container: Red Minimum Volume: 2.0 mL body fluid 1.0 mL fluid. Specimen stability: Ambient 7 days, Refrigerated at 2-8C 14 days, Frozen at -20C 2 months. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Protein C, Functional Procedure Components

Protein C Activity Protein C, Functional

Order Prompts Pt on Coumadin?.

Collection Requirements

Specimen : Blood Container : Full light blue Minimum Volume : 5.4 ml Pediatric Volume: 5.4 ml

Specimen Handling

Separate plasma from cells immediately{bull; Promptly centrifuge 15 minutes {bull; Carefully transfer plasma portion of sample to separate plastic tube using plastic pipette {bull; NOTE : Buffy coat layer of sample must be avoided {bull; Centrifuge transferred plasma sample again to produce platelet-poor plasma (PPP) {bull; Use second plastic pipette to carefully transfer PPP sample into plastic aliquot tubes {bull; Immediately freeze PPP samples 2- 1.0 ml aliquots 4 hours room temperature (20-30°C) 2 weeks frozen (-20°C) (avoid repeated freeze/thaw cycles)

Turn Around Time Performing Facility

153944109 Synonym

4-5 days The Medical Foundation 25725

Protein C, Total Antigen Procedure Components

Order Prompts

Protein C, Total Ag Collection Requirements

Specimen : Blood Container : Full light blue Minimum Volume : 2.7 ml Pediatric Volume: 2.7 ml

Specimen Handling

Separate plasma from cells immediately{bull; Promptly centrifuge 15 minutes {bull; Carefully transfer plasma portion of sample to separate plastic tube using plastic pipette {bull; NOTE : Buffy coat layer of sample must be avoided {bull; Centrifuge transferred plasma sample again to produce platelet-poor plasma (PPP) {bull; Use second plastic pipette to carefully transfer PPP sample into plastic aliquot tubes {bull; Immediately freeze PPP samples 2- 1.0 ml aliquots (1.0 min)) Room temperature: 4 hours Refrigerated: Unacceptable Frozen: 3 months Deep-frozen (-70°C): 6 months

Turn Around Time Performing Facility

2-3 days The Medical Foundation 44401

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657090 Synonym

Protein Cerebrospinal Fluid Procedure Components

Order Prompts

CFP CSF Protein Protein CSF Collection Instructions

Deliver to lab ASAP for testing.

Collection Requirements

Specimen: CSF Container: CSF tube Minimum Volume: 2.0 mL CSF Pediatric Volume: 1.0 mL CSF

Specimen Handling Turn Around Time Performing Facility

656516 Synonym

0.5 mL (0.2 mL) CSF. Specimen stability: Ambient 72 hours, Refrigerated at 28C 5 days, Frozen at -20C 2 months. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Protein Dipstick Urine Procedure Components

Order Prompts

ALB Urine Random Dip Protein Dipstick Urine Random Alb Urine Dip U ALB Random Dip Urine Protein Random Dip Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Specimen: urine Container: Urine cup or tube (yellow, red or yellow/cherry red marble stoppers) Minimum Volume: 0.2 mL Pediatric Volume: 0.1 mL No preservative: stable 1 hour at room temperature, 6 hours refrigerated. Yellow/cherry red preservative tube stable 72 hours at room temperature. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

179080490 Synonym

Protein Electrophoresis 24Hr Urine w/Reflex Procedure Components Order Prompts

24 Hr Urine Protein Elect w/Rflx Protein Elect 24Hr Urine w/ Rflx UPE 24Hr w/Rflx Urine Protein Elect 24Hr w/Rflx

Tot Vol UPE Prot Tot UPE Prot Tot 24H UPE Albumin UPE Alpha 1 UPE Alpha 2 UPE Beta UPE Gamma UPE MBand UPE Interp UPE

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Order Information Collection Instructions Collection Requirements Specimen Handling Turn Around Time

Performing Facility

UPE will be performed first. If results are abnormal an IFE will be performed to identify all abnormal bands. 24Hr. Urine Collection Specimen : 24Hr Urine collection Container : Urine jug Minimum Volume : 50.0ml Pediatric Volume: 25.0ml 50.0 (25.0)ml aliquot of a 24Hr. urine collection. Stable 72 hrs. refrigerated, 1 month frozen at -20C. UPE is performed on Mondays and Thursdays. IFE is performed on Tuesdays. When a holiday falls on Monday, Tuesday or Thursday, a testing adjustment will be made. Columbus Regional Health

4449184 Synonym

Protein Electrophoresis Serum w/Reflex Procedure Components Order Prompts

SPE w/Reflex

Protein Total PE Albumin PE Alpha 1 PE Alpha 2 PE Beta PE Gamma PE A/G Ratio PE MBand SPE Interp PE

Order Information

SPE will be performed first. If the results are abnormal, an IFE (Immunofixation and quantitative Immunoglobulins) will automatically be performed. If automatic reflex testing is not desired, order a Serum Protein Electrophoresis only. Reference ranges for this test are available only for patients 18 years of age or older. Specimens collected from patients less than 18 years of age will be referred to a reference lab.

Collection Instructions

Specimen : Blood Container : Gold Minimum Volume : 3.5ml Pediatric Volume: 2.0ml

Collection Requirements

Specimen : Blood Container : Gold Minimum Volume : 3.5ml Pediatric Volume: 2.0ml

Specimen Handling Turn Around Time

Performing Facility

4449190 Synonym

1(0.3)ml serum. Stable 14 days refrigerated, up to 6 months frozen at -20 C. No hemolyzed, grossly icteric or lipemic samples. No Plasma samples. SPE is performed on Monday and Thursday. IFE is performed on Tuesday. Note: When a holiday falls on Monday, Tuesday or Thursday, a testing adjustment will be made. Columbus Regional Hospital

Protein Electrophoresis Urine, Ran w/Reflex Procedure Components Order Prompts

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Protein Elect Ur Random w/Rflx U Protein Elect Random w/Rflx UPE Ran w/Rflx Urine Protein Elect Random w/Rflx

Order Information Collection Requirements Specimen Handling Turn Around Time

Performing Facility

Prot Tot Ur Albumin UPE Alpha 1 UPE Alpha 2 UPE Beta UPE Gamma UPE MBand UPE Interp UPE UPE will be performed first. If the results are abnormal, an IFE (Immunofixation) will automatically be performed to identify all abnormal bands. Specimen : Urine Container : U Cont Minimum Volume : 50mls Urine Pediatric Volume: 20mls Urine 50 (20)ml random urine.Stable 72 hours refrigerated, 1 month frozen at -20 C. UPE is performed on Monday and Thursday. IFE is performed on Tuesday. Note: When a holiday falls on Monday, Tuesday or Thursday, a testing adjustment will be made for these orders. Columbus Regional Hospital

679505 Synonym

Protein Electrophoresis, Serum Procedure Components Order Prompts

PE Protein Electrophoresis Serum SPE SPEP Serum Protein Electrophoresis

Protein Total PE Albumin PE Alpha 1 PE Alpha 2 PE Beta PE Gamma PE A/G Ratio PE Monoclonal PE Interp PE

Order Information

Collection Requirements Specimen Handling Turn Around Time Performing Facility

162569994 Synonym

Reference ranges for this test are available only for patients 18 years of age or older. Specimens collected from patients less than 18 years of age will be referred to a reference lab. Specimen : Blood Container : Gold Minimum Volume : 3.5 ml blood Pediatric Volume : 2.0 ml blood 1(0.2)ml serum. Stable 14 days refrigerated, up to 6 months frozen at -20 C. No hemolyzed, grossly icteric or lipemic samples. No Plasma samples. Testing performed on Mondays and Thursdays. Note: When a holiday falls on Monday or Thursday, a testing adjustment will be made for these orders. Columbus Regional Hospital Laboratory

Protein S, Free Antigen Procedure Components

Order Prompts

Protein S, Free Ag Collection Requirements

Specimen : Blood Container : Full light blue Minimum Volume : 2.7 ml Pediatric Volume: 2.7 ml

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Specimen Handling

Turn Around Time Performing Facility

177535503 Synonym

Separate plasma from cells immediately{bull; Promptly centrifuge 15 minutes {bull; Carefully transfer plasma portion of sample to separate plastic tube using plastic pipette {bull; NOTE : Buffy coat layer of sample must be avoided {bull; Centrifuge transferred plasma sample again to produce platelet-poor plasma (PPP) {bull; Use second plastic pipette to carefully transfer PPP sample into plastic aliquot tubes {bull; Immediately freeze PPP samples 2- 1.0 ml aliquots (1.0 min) Room temperature: 4 hours Refrigerated: Unacceptable Frozen: 3 months Deep-frozen (-70°C): 6 months 2-4 days The Medical Foundation 44422

Protein S, Free Antigen with Protein S, Total Antigen if Indicated Procedure Components Order Prompts

Protein S, Free Ag w Protein S, Total Ag if Ind Order Information

Collection Instructions Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149299283 Synonym

Use to detect and subtype protein S deficiency. Do not order if individual has been on warfarin therapy in the previous 2-4 weeks. If low Protein S Free Antigen is detected, then Protein S, Total Antigen, test code 44502, will be performed. Additional charges apply. Patients should be off warfarin therapy for two weeks for accurate measurement of free protein S levels. Specimen : Blood Container : Blue Minimum Volume : 5.4ml Pediatric Volume: 2.7ml Separate plasma from cells immediately. Promptly centrifuge 15 minutes. Carefully transfer plasma to separate plastic tube using plastic pipette. NOTE : Buffy coat layer of sample must be avoided.Centrifuge transferred plasma sample again to produce platelet-poor plasma (PPP).Use second plastic pipette to carefully transfer PPP sample into plastic aliquot tubes.Immediately freeze PPP samples. Preferred volume: 2.0ml, minimum vol: 1.0ml. Spec Stability: Room temperature: 4 hoursRefrigerated: UnacceptableFrozen: 3 monthsDeep-frozen (70°C): 6 months 2-5 days ARUP Laboratories The Medical Foundation Test Code: 44899

Protein S, Functional Procedure Components

Order Prompts

Protein S, Activity Protein S, Functional Collection Requirements

Specimen : Blood Container : Full light blue Minimum Volume : 5.4 ml Pediatric Volume: 5.4 ml

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Specimen Handling

Turn Around Time Performing Facility

153943804 Synonym

Separate plasma from cells immediately{bull; Promptly centrifuge 15 minutes {bull; Carefully transfer plasma portion of sample to separate plastic tube using plastic pipette {bull; NOTE : Buffy coat layer of sample must be avoided {bull; Centrifuge transferred plasma sample again to produce platelet-poor plasma (PPP) {bull; Use second plastic pipette to carefully transfer PPP sample into plastic aliquot tubes {bull; Immediately freeze PPP samples 2- 1.0 ml aliquots 4 hours room temperature (20-30°C) 2 weeks frozen (-20°C) (avoid repeated freeze/thaw cycles) 4-5 days The Medical Foundation 25184

Protein S, Total Antigen Procedure Components

Order Prompts

Protein S, Total Ag Collection Requirements

Specimen : Blood Container : Full light blue Minimum Volume : 2.7 ml Pediatric Volume: 2.7 ml

Specimen Handling

Separate plasma from cells immediately{bull; Promptly centrifuge 15 minutes {bull; Carefully transfer plasma portion of sample to separate plastic tube using plastic pipette {bull; NOTE : Buffy coat layer of sample must be avoided {bull; Centrifuge transferred plasma sample again to produce platelet-poor plasma (PPP) {bull; Use second plastic pipette to carefully transfer PPP sample into plastic aliquot tubes {bull; Immediately freeze PPP samples 2- 1.0 ml aliquots (1.0 min) Room temperature: 4 hours Refrigerated: Unacceptable Frozen: 3 months Deep-frozen (-70°C): 6 months

Turn Around Time Performing Facility

657096 Synonym

2-3 days The Medical Foundation 44502

Protein Total Procedure Components

Order Prompts

Protein Total TP Total Protein Order Information Collection Requirements

Included in Comprehensive Metabolic Panel and Hepatic Function Panel. Specimen : blood Container : Gold, Red or Green Minimum Volume : 3.0 mL blood

Specimen Handling

0.8 mL serum. Specimen stability: Ambient 7 days, Refrigerated at 2-8C 14 days, Frozen at -20C 2 months.

Turn Around Time

Routines completed same day. Stats completed within an hour of receipt of specimen in lab.

Performing Facility

122727988 Synonym

Columbus Regional Hospital Laboratory

Protein Urine 12Hr Supine/Night Procedure Components Order Prompts

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Protein Urine 12Hr Supine/Night U Protein 12Hr Supine/Night Collection Instructions

Collection Requirements Specimen Handling Turn Around Time Performing Facility

Tot Vol Prot U Protein U Prot 12Hr Supine In the evening lie down for 2 hours before going to sleep. Just before sleeping, empty bladder completely. If doing a daytime collection, add this urine to the daytime container. Collect all urine during the night and add to nighttime container.Keep specimen cold during collection.At the end of collection time period, empty bladder completely, add specimen to collection container.Make sure all lids and/or closures are secure before transporting to Laboratory. Additional instruction sheet may be enclosed if collecting 2 containers joined by a p-splitter.Additional instruction sheet may be enclosed if medication, food or other restrictions apply. Specimen : 12Hr urine Container : Urine collection jug Minimum Volume : 10 mL aliquot from timed collection 1.0 ml urine. No additive needed during collection. Specimens stored at 4C with no additives are stable for at least 7 days. Routines completed the same day. STATS completed within one hour of receipt of specimen in the Lab. Columbus Regional Health

122727593 Synonym

Protein Urine 12Hr Upright/Day Procedure Components Order Prompts

Protein Urine 12Hr Upright/Day U Protein 12Hr Upright/Day

Tot Vol Prot U Protein U Prot 12Hr Upright

Collection Instructions

Collection Requirements Specimen Handling Turn Around Time Performing Facility

657098 Synonym

Start collection in the morning (7 AM - 10 AM). Empty bladder completely, discard the specimen.From that point on, all urine voided is collected in the container for the time frame specified by physician.Keep specimen cold during collection.At the end of collection time period, empty bladder completely, add specimen to daytime collection container. Make sure all lids and/or closures are secure before transporting to Laboratory.Additional instruction sheet may be enclosed if collecting 2 containers joined by a p-splitter.Additional instruction sheet may be enclosed if medication, food or other restrictions apply. Specimen : 12Hr. urine Container : Urine collection jug Minimum Volume : 10 mL aliquot from timed collection 1.0 ml urine. No additive needed during collection. Specimens stored at 4C with no additives are stable for at least 7 days. Routines completed the same day. STATS completed within one hour of receipt of specimen in the Lab. Columbus Regional Health

Protein Urine Random Procedure Components

Protein Urine Random U Protein, Random Urine Protein, Random

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Order Prompts

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Collection Requirements Specimen Handling Turn Around Time Performing Facility

Specimen : urine Container : Urine cup or tube with no preservative (yellow or red stopper) Minimum Volume : 10 mL Pediatric Volume: 1.0 mL 1.0 mL urine. Specimens stored at 4 °C with no additives are stable for at least three days. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

688437 Synonym

Protein Urine Timed Procedure Components

Protein Urine Timed U Protein Timed

U Protein Hrs Coll Prot

Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

149942588 Synonym

Order Prompts

Start collection in the morning (7 AM - 10 AM). Empty bladder completely, discard the specimen. From that point on, all urine voided is collected in the container for the time frame specified by physician. Keep specimen cold during collection. At the end of collection time period, empty bladder completely, add specimen to collection container. Make sure all lids and/or closures are secure before transporting to Laboratory. Additional instruction sheet may be enclosed if collecting 2 containers joined by a p-splitter. Additional instruction sheet may be enclosed if medication, food or other restrictions apply. Specimen: urine Container: Urine collection jug Minimum Volume: 10 mL aliquot from timed collection 1.0 mL urine. No additive needed during collection.Specimens stored at 4 °C with no additives are stable for at least three days. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Proteinase-3 Ab, IgG Procedure Components

Order Prompts

Antineutrophilic Proteinase 3 Ab PR3-ANCA Ab Proteinase 3 Ab Proteinase 3 Antibody Proteinase-3 Ab, IgG Collection Requirements Specimen Handling

Turn Around Time

Specimen : Blood Container : Gold or Red Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Separate serum from cells ASAP. Transfer 0.5 mL serum to a plastic transport tube. (Min: 0.3 mL) Room temperature: 8 hours Refrigerated: 48 hours Frozen: 1 month (avoid repeated freeze/thaw cycles) 2-8 days

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Performing Facility

149304620 Synonym

The Medical Foundation 28295

Prothrombin (F2) G20210A Mutation Analysis Procedure Components Order Prompts

Factor II Mutation (G20210A) Prothrombin (Factor II) 20210 Mutation Collection Requirements Specimen Handling Turn Around Time Performing Facility

Specimen : Blood Container : Lavender, Yellow ACD (A or B), Light Blue Minimum Volume : 3.0 ml Pediatric Volume: 3.0 ml Transport 7 mL whole blood. (Min: 3 mL) Room temperature: 24 hours Refrigerated: 1 week Frozen: Unacceptable 2-7 days The Medical Foundation 36010

39350583 Synonym

Prothrombin Time Procedure Components

INR and PT PT Prothrombin Time

PT INR INR Therapeutic Range INR Prosthetic Heart Valve

Order Information Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Order Prompts

Used as a screening test to evaluate the overall integrity of the extrinsic and common pathways or to monitor warfarin therapy. Note: Clear top discard tube draw is only required if using the butterfly collection method. Discard tube is not needed with other collection methods. Use a 21 guage needle or larger. Draw a clear top tube to remove tissue fluid contamination. Discard this tube. Draw blood into a buffered citrate tube (blue top) filled to proper level. Mix by gentle inversion 10 times. Transport at ambient temperature. Do not place on ice or refrigerate. Specimen : Blood Container : Clear * and Blue Minimum Volume: 2.7ml blue tube must be full Pediatric Volume: 2.7ml blue tube must be full * Clear top discard tube draw is only required if using the butterfly collection method. Stable 24 hrs. unopened at room temperature. Routines completed same day. STATS completed within one hour of receipt of specimen in Lab. Columbus Regional Hospital Laboratory

278732783 Synonym

QuantiFERON-TB Gold Procedure Components

QuantiFERON-TB Gold TB Gold TB Gold QuantiFERON

TB Screen Qferon-Gold. TB-NIL. Mitogen-NIL. NIL.

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Order Prompts

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Order Information

The QuantiFERON-TB Gold test is for Cell Mediated Immune (CMI) responses to peptide antigens, that stimulate mycobacterial proteins,ESAT-6 and CFP-10. Numerous studies have demonstrated that these proteins stimulate IFN-gamma responses in T-cells from individuals infectedwith M. tuberculosis but usually not from uninfected of BCG vaccinatedpersons without disease or risk for latent TB infection.This test can aid in detecting M. tuberculosis infections among certain populations who are at increased risk for latent TB infection. Thesepopulations include recent immigrants from high-prevalence countries wheretuberculosis case rates are equal to or greater then 30/100,000, injection-drugusers, residents and employees of prisons and jails, and health-care workerswho, after their pre-employment assessment, are considered at increased risk for exposure to tuberculosis.

Collection Instructions

Routine venipunctureCollect 1.0mL of blood into each of 3 different QuantiFERON sample tubes.A black line on the tube indicates proper filing of 1.0mL (0.81.2mL is acceptable).Butterfly or syringe collection is discouraged. A waste tube must be drawn to displaceair in the tubing if a butterfly set is used. Due to its small volume the vacuum tube will fill slowly. Ensure complete filling byholding the tube on the needle for an additional 2-3 seconds after the tube seemscompletely filled. Order of collection should be 10 gray top, 2) red top, 3) purple top.After filling the tubes shake them ten times with just enough force to adequatelyensure blood coats the entire inner wall of the tube.AVOID OVERLY VIGOROUS SHAKING.Inspect and affirm the correct fill level of the tube.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen: BloodContainer: QuantiFERON TB Collection KitMinimum Volume: 1.0mL in each tubePediatric Volume: 1.0mL in each tube Up to 16 hours at room temperature (20-30C) is acceptable**Refrigerated (28C): UnacceptableFrozen: Unacceptable** Alternate procedure available if blood not sent within 16 hours. See procedure in referral. 4-5 days The Medical Foundation Test Code: 30175

220265789 Synonym

Rapid Plasma Reagin (RPR) w/Rflx to Titer and TP-PA Procedure Components Order Prompts

RPR w/Rflx to Titer and TP-PA

RPR Screen, Serum STS, Quant

Order Information

Collection Requirements Specimen Handling

Turn Around Time

Syphilis screening by immunoassay which first determines whether true Treponemal antibody is present is the generally preferred protocol in a population with no known history of syphilis, because it will yield far fewer false positive test results. Screening by traditional non-treponemal RPR method is preferred for patients with known or highly suspected history of syphilis because in these individuals the Treponemal antibodies are still detectable even after prior treatment. RPR is useful for determining disease activity. Specimen : Blood Container : Gold Sm Minimum Volume : 1.0 mL Pediatric Volume: 0.5 mL Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other Collection Tubes: Transfer 1 mL serum to a plastic transport tube. (Min:0.5 mL) Specimen Stability Refrigerated: 5 days Frozen: Greater than 5 days (avoid repeated freeze/thaw cycles) 2-3 days

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Performing Facility

660052 Synonym

The Medical Foundation 28068

Rapid Strep Test Procedure Components

Order Prompts

R Strep A Rapid Strep A Rapid Strep Test Strep Group A Rapid Antigen, throat Order Information Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

674871 Synonym

Rapid test for Streptococcus pyogenes ( Group A) antigen. All specimens with negative results will have confirmatory molecular testing performed. Success with culture or direct antigen tests (Strep A) depends on firmly and completely sampling the area or the inflamed throat. To obtain the best results, it is important that material for a throat culture be obtained before antimicrobial therapy is given. 1. Identify patient: check armband to identify in-patients and ER patients. Repeat their name to confirm. Check the DOB on out-patients. 2. Wear gloves as a barrier to self infection. 3. Position the patient for adequate lighting. 4. Remove the tongue blade from wrapping and the swab from the culturette shaft and collect the specimen as follows: a. Instruct patient to breathe deep, open mouth and say {ldquo;ah{rdquo;. b. Gently depress the tongue with a sterile wooden blade. c. Place swab to the back of the throat. d. Gently but firmly rub the swabs over white, inflamed, tonsillar or posterior pharynx areas, making sure that both swabs have contact with the affected areas. Do not touch the cheeks, teeth, gums or tongue blade as you withdraw the swab. e. Insert swab back into the shaft of the culturette. f. Label specimen before leaving the patient area (name, test, source, date, initials of tech ). Specimen : 2 swabs of the throat or pharynx Container Either use the double swab culturette with liquid Amies media or 2 single swab culturettes with liquid Amies media. NO GEL swabs will be accepted. Stable 24 hrs. Routines completed same day. Stats completed within an hour of receipt of specimen in Lab. See Strep A DNA Reflex for confirmatory results. Columbus Regional Hospital Laboratory

Rapid Urease for Helicobacter pylori Procedure Components Order Prompts

CLO Test H pylori Rapid Urease Helico Bx Rapid Urease for H. pylori Urease Collection Requirements Turn Around Time Performing Facility

Specimen: gastric biopsy Container: specimen placed into solid media (clo test) then sent to lab 24 hours Columbus Regional Hospital Laboratory

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1154690 Synonym

Release Results MD Procedure Components

MD Release Release MD Collection Requirements

1154693 Synonym

Expires Password Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

Release Results Patient Procedure Components

Patient Release Release Patient Collection Requirements

1154696 Synonym

Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

Release Results Series Procedure Components

Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

Renal Function Panel Procedure Components

Kidney Function Panel Renal Panel

Gluc Ran BUN Creat GFR GFRAA BUN/Creat Sodium Potassium Chloride CO2 AGAP Albumin Calcium Phos

Specimen Handling Turn Around Time

Order Prompts Expires Password

1448759 Synonym

Collection Requirements

Order Prompts Expires Password

Release Series Series Release Collection Requirements

Order Prompts

Order Prompts Hrs PP

Specimen : Blood Container : Gold, Red or Green Minimum Volume : 3.5ml Pediatric Volume: 2.0ml 0.8ml serum. See individual components for stability requirements. Routines completed the same day. STAT's completed within one hour of receipt of specimen in Laboratory.

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Performing Facility

149296220 Synonym

Columbus Regional Hospital

Renin Activity, Plasma Procedure Components

Order Prompts

Renin Activity Collection Instructions

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

660061 Synonym

Lavender top (EDTA) tube. Mix by inverting tube 8 times. Supine specimen: Draw before patient arises in morning. Upright specimen: Draw from patient who has been upright at least 2 hours. NOTE: Do not collect in refrigerated tubes Specimen : Blood Container : Lavender Minimum Volume : 2.5 ml Pediatric Volume: 2.5 ml Separate plasma from cells ASAP. Transfer 1 mL plasma to a plastic transport tube and freeze immediately. (Min: 0.75 mL) After separation from cells: Room temperature: 6 hours Refrigerated: Unacceptable Frozen: 1 month (avoid repeated freeze/thaw cycles) 4-5 days The Medical Foundation 30073

Respiratory Syncytial Virus Antigen Procedure Components Order Prompts

RSV RSV Antigen Respiratory Syncyt Vir Antigen Order Information

The BD Veritor TM System for Rapid Detection of Respiratory Syncytial Virus (RSV) isachromatographic immunoassay with an instrumented read for the direct and qualitativedetection of RSV fusion protein from nasopharyngeal wash, aspirate and swab in transportmedia samples from patients suspected of having a viral respiratory infection. This test isintended for in vitro diagnostic use to aid in the diagnosis of RSV infections in infants andpediatric patients under the age of 20 years. Negative results do not preclude RSV infectionand should not be used as the sole basis for treatment or for other management decisions.A negative test is presumptive. It is recommended that negative test results be confirmed byviral cell culture or an alternative method, such as a FDA-cleared molecular assay.

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Collection Instructions

Swab Collection 1. Insert the swab straight back (not upwards) into the nasopharyngeal passage until a slight resistance is met. 2. Rotate the swab 5-10 times and leave in place 5-10 seconds to absorb material. 3. Place NP swab into the original dry tube for on-site collections or into the pink M4 viral transport media for client or off-site collections. Nasal Wash Collection 1. Acquire a Nasal Wash kit. 2. Explain procedure to parent / patient 3. Collect specimen following Universal Precautions (wear a disposable lab coat, gloves, etc.) 4. Open a sterile bulb syringe carefully to prevent contamination of tip. 5. Open pink vial tube and pour 2-3 ml saline into open bulb packaging. Discard vial. 6. Open red top tube. 7. Aspirate approx. 2 ml of saline into bulb syringe. 8. Tilt patient's head back to an approximate 70 ° angle. Turn the patient's head to the side. 9. Insert the bulb syringe into one nostril until nostril is occluded. 10. Inject the bulb contents into the nostril with one gentle squeeze and immediately release bulb to recover nasal specimen. 11. Empty contents into the red top tube. Secure top. 12. Check patient for troublesome effects of the procedure. 13. Label and log-in the specimen. 14. Remove protective clothing and wash hands. 15. Transport immediately to Microbiology (or give specimen to Med Tech if micro is closed).

Collection Requirements

Specimen : NP swab or nasal wash Container : NP swab or viral transport media (in collection kit) Minimum Volume : 1 mL wash or 1 swab Deliver IMMEDIATELY to lab!

Specimen Handling Turn Around Time Performing Facility

Stable 3-4 hrs. at room temperature. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

3950365 Synonym

Respiratory Viral Antigen Panel Procedure Components Order Prompts

Respiratory Viral Antigen Panel

Adenovirus RVAP Influenza A DFA Influenza A H1 Influenza A H3 Influenza B DFA Metapneumovirus Parainfluenza 1 Parainfluenza 2 Parainfluenza 3 Rhinovirus RSV A RSV B Viral Ag Pool Viral Cult RVAP

Order Information

Collection Instructions Collection Requirements

Specimen Handling

Viral culture and screen for the following antigens: Influenza A, Influenza B, Parainfluenza 1, Parainfluenza 2, Parainfluenza 3, Adenovirus, Influenza A H1, Influenza A H3 Metapneumovirus, Rhinovirus, RSV A, and RSV B. collection kits are available from the Lab - 376-5188 or 5877. Specimen : NP swab ( dacron or rayon only ) Container : Swab in M4 media on ice and transport to Lab immediately. Thachael aspirates, sputum, and biopsy in M4 media are acceptable. Refrigerate specimen in M4 media. Preferred: send to IU Health same day as specimen is collected. Note: iIf collected on Friday after courier pickup, can refrigerate and send with courier on Monday.

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Turn Around Time Performing Facility

1-2 days for Resp Viral Pool results and 2 weeks for viral culture to be finalized. IU Health Test Code: 4970

181672173 Synonym

Reticulocyte Panel Procedure Components

Reticulocyte Panel

Retic %. Retic Abs. Retic-HE. IRF. Judgment.

Order Information

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Order Prompts

Reticulocyte Hemoglobin (RET-He) is a reliable marker of cellular hemoglobin content. RET-He is an earlier indicator of diminished Hgb production compared to Hgb/Hct levels. RET-He may be falsely low in patients with beta thalassemia due to defective hemoglobin synthesis. (RET-He correlates with CHr, our previous method) Immature Reticulocyte Fraction (IRF) is a useful parameter to determine need for blood transfusion in anemic patients. The IRF is an indicator of the rate of production of reticulocytes which is largely dependent on the bone marrow response to erythropoietin. Specimen : Whole Blood Container : Lavender Minimum Volume : 4.0ml tube must be at least half full. Minimum Volume : 2.0ml tube must be at least half full. Pediatric Volume : 0.5ml microtainer must be at least half full. Stable 48 hours refrigerated, or 24 hours room temperature. Routines completed same day. Stats completed within one hour of receipt of specimen in the lab. Columbus Regional Hospital Laboratory.

150378200 Synonym

Rheumatoid Factor IgA, IgG, and IgM, Serum Procedure Components Order Prompts

Rheumatoid Factor, IgG/A/M

RF IgG. RF IgM. RF IgA.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

657120 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 1.5 ml Pediatric Volume: 1.5 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 0.5 mL serum to an ARUP Standard Transport Tube. (Min: 0.25 mL) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year (avoid repeated freeze/thaw cycles) 2-4 days The Medical Foundation 45363

Rheumatoid Factor Quant Procedure Components

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Order Prompts

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RA Titer RF Titer RF quant Rheumatoid Factor Quant Rheumatoid Factor Titer Order Information

Collection Requirements Specimen Handling Turn Around Time Performing Facility

4201945 Synonym

The measurement of rheumatoid factor in serum may aid in the diagnosis of rheumatoid arthritis.The Sure-Vue {Ocirc; RF-Latex test is a rapid latex particle agglutination test for the qualitative and semi-quantitative determinations of rheumatoid factor in serum. I f the serum contains approximately more than 10 IU/mL or greater of rheumatoid factor, a clear agglutination will appear. Results are expressed in International Units per mL based on the International Reference Preparation of Rheumatoid Arthritis Serum (World Health Organization). Specimen : Blood Container : Gold Minimum Volume : 1.5 ml blood Stable 5 days refrigerated or frozen at -20C for 6 months. Testing performed Monday - Friday. Columbus Regional Hospital Laboratory

Rheumatoid Factor w/Reflex Procedure Components

Order Prompts

RF w/Reflex Order Information Collection Requirements Specimen Handling Turn Around Time Performing Facility

RF Quantitation testing is automatically ordered if RF is positive. Specimen : Blood Container : Gold Minimum Volume : 3.5ml Pediatric Volume: 2.0ml Stable 5 days refrigerated or frozen at -20C for 6 months. Testing is performed Monday, Wednesday and Friday. Columbus Regional Hospital

669713 Synonym

Rhogam PN Procedure Components

Rhogam PN

For: ABORh Anti-A Anti-B A cells B cells Anti-D D Control Du ABORh Interp

Order Prompts

For: ABSC For: RHIG PN Info File CK Lot # Order Information

For miscarriage or abortion patients less than 20 weeks gestation.

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Collection Instructions Collection Requirements Specimen Handling Turn Around Time

Performing Facility

Patient needs Hollister armband. Blood Bank personnel to collect specimen. Specimen : Blood Container : Pink Minimum Volume : 6.0 ml blood Stable 10 days. If testing not performed within 24 hours, refrigerator sample at 2-8C. No gel separator tubes. Reject grossly hemolyzed samples. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Rhogam to be injected after testing is performed on blood drawn. Columbus Regional Hospital Laboratory

671612 Synonym

Rhogam PP - CRH Procedure Components

Rhogam PP - CRH

For: ABORh Type Anti-A Anti-B A cells B cells Anti-D D Control Du ABORh Interp

Order Prompts For: RHIG PP Info Rcvd PN RHIG Infant Type

For: FMH Screen Count/LPF FMH Interp Neg Control Pos Control For: RHIG PP Info File CK RHIG Ind? Lot # Order Information Collection Instructions Collection Requirements Specimen Handling

Turn Around Time

Performing Facility

153953376 Synonym

Used for full term post-partum patients and also for any delivery, miscarriage or abortion patients more than 20 weeks gestation. Patient needs Hollister armband. Blood Bank personnel to collect specimen. Specimen : Blood Container : Pink Minimum Volume : 6.0 ml Specimen for Fetal Maternal Screen testing is stable for 3 days. Specimen must be drawn at least 1 hour after delivery or miscarriage. If testing not performed within 24 hours, refrigerator sample at 2-8 C. No gel separator tubes. Reject grossly hemolyzed samples. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Rhogam to be injected after testing is performed on blood drawn. Columbus Regional Hospital Laboratory

Rickettsia rickettsii Antibodies, IgG and IgM by IFA Procedure Components Order Prompts

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Rickettsia rickettsii Abs, IgG and IgM Rocky Mt Spotted Fever Collection Requirements Specimen Handling

Turn Around Time Performing Facility

147847260 Synonym

Rocky Mt Ab IgG. Rocky Mt Ab IgM. Specimen : Blood Container : Gold or Red Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.1 mL) Parallel testing is preferred and convalescent specimens must be received within 30 days from receipt of the acute specimens. Mark specimens plainly as acute or convalescent. After separation from cells Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year (avoid repeated freeze/thaw cycles) 2-6 days The Medical Foundation 44410

Ristocetin Cofactor Assay Procedure Components

Order Prompts

Ristocetin Cofactor Assay Collection Requirements Specimen Handling

Turn Around Time Performing Facility

660065 Synonym

Specimen : Blood Container : Full light blue Minimum Volume : 5.4ml Pediatric Volume: 5.4 ml Separate plasma from cells immediately{bull; Promptly centrifuge 15 minutes {bull; Carefully transfer plasma portion of sample to separate plastic tube using plastic pipette {bull; NOTE : Buffy coat layer of sample must be avoided {bull; Centrifuge transferred plasma sample again to produce platelet-poor plasma (PPP) {bull; Use second plastic pipette to carefully transfer PPP sample into plastic aliquot tubes {bull; Immediately freeze PPP samples 2-1.0 ml aliquots 4 hours room temperature (20-30°C) 2 weeks frozen (-20°C) (avoid repeated freeze/thaw cycles) 2-5 days The Medical Foundation 25250

Rotavirus Direct Detection Stool Procedure Components Order Prompts

Rotavirus Rotavirus Antigen Collection Requirements

Specimen Handling Turn Around Time Performing Facility

4446358

Specimen: stool, feces Container: specimen container without preservative or soiled diaper. Minimum Volume: 0.5 mL stool Stable 48 hrs. refrigerated. Same day Columbus Regional Hospital Laboratory

Rubella IgG

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Synonym

Procedure Components

Order Prompts

RUBELLA Rubella IgG Collection Requirements Specimen Handling Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Green Minimum Volume : 3.5ml Pediatric Volume: 1.5ml 0.5 mL serum or plasma. Stable 2 days at room temperature, 7 days at 4-8C or 2 months at -20C. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

858942 Synonym

Rubeola IgG EIA Procedure Components

Measles IgG EIA Rubeola IgG EIA

Rubeola Interp Rubeola IgG EIA

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold Minimum Volume : 3.5ml Pediatric Volume: 1.5ml 0.5 ml serum. Stable 2 days refrigerated, -20C for 6 months. No hemolyzed, grossly Lipemic, or icteric samples. No contaminated samples (serum drawn above an IV or contaminated with IV fluid). Testing performed on Tuesdays. Columbus Regional Hospital Laboratory

1596071 Synonym

Rupture of Fetal Membranes Procedure Components

Amnisure ROM Rupture of Fetal Membranes Rupture of Membranes

ROM Result Internal Ctrl Lot num. RN perf.

Collection Requirements

668943 Synonym

Order Prompts

Specimen: No Specimen Age: All Container: No Specimen Minimum Volume: 1.0 ML

Salicylate Level Procedure Components

ASA Level Acetylsalicylic Acid Aspirin Level Bufferin Salicylate Level Collection Instructions

Order Prompts

Order Prompts Sal Dose Dt Sal Dose Tm

Do not use tubes that contain separater gel. Specimens for peak level determinations should be collected 6 hours post ingestion.

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Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Specimen: blood Container: Red Minimum Volume: 1.0 ml blood 0.8 mL serum (plasma not acceptable). Specimen stability: Ambient 7 days, Refrigerated at 2-8C 7 days, Frozen at -20C 30 days. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

3608563 Synonym

SANE HIV Procedure Components

SANE HIV

HIV 1/2 Screen COE SANE HIV

Order Information Collection Requirements Specimen Handling

Turn Around Time Performing Facility

This order may only be placed by the Sexual Assault Nurse Examiner (SANE) of the Emergency Department. Specimen : Blood Container : Gold or Red Minimum Volume : 3.5ml Pediatric Volume: 2.7ml 1.0 ml minimum. Store specimens at 2-8C if not tested within 24 hrs. of collection. Stable at 2-8C for 14 days. Serum specimens are stable frozen at 20C or below for 365 days. STAT's completed within three hours from the time the specimen is received in the Lab. Columbus Regional Hospital Laboratory

149948346 Synonym

Scleroderma IgG Antibody Procedure Components

Scleroderma (Scl-70) Ab, IgG

Anti-Scl70 IgG. Anti-Scl70 Interp.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

657130 Synonym

Order Prompts

Order Prompts

Specimen : Blood Container : Gold or Red Minimum Volume : 1.5 ml Pediatric Volume: 1.5 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube Properly centrifuged gel barrier tube sample does not require transfer of serum to separate tube 1.0 ml (0.5) 1 week refrigerated (2-8° C) 1 month frozen (-20°) (avoid repeated freeze/thaw cycles) 2-4 days The Medical Foundation 28335

Sedimentation Rate Procedure Components

ESR Sed Rate Sedimentation Rate Westergren Sed Rate

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Order Prompts

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Order Information Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Blood erythro sedimentation is accelerated in the presence of an inflammatory process, neoplasia, rheumatic diseases, and blood or liver disorders. Specimen: blood Container: Lavender or Vacu-tec tube Minimum Volume: Lavender at least half full or Vacu-tec at least 90% full Pediatric Volume: same as minimum volume In lavender tube stable 4 hours at room temp, 12 hours refrigerated. In vacu-tec tube stable 2 hours at room temp, 12 hours refrigerated. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

193076753 Synonym

Semen Analysis Procedure Components

Fertility Study Semen Analysis

Tot Vol Semen Viscosity Semen # of Sperm dil factor Sperm # of sq mm Sperm Sperm concentration Semen color Semen pH Progressive motile sperm Nonprogressive motile sperm Total motile sperm Immotile sperm Clumping of sperm Morphology normal Semen evaluation time

Order Information

Order Prompts Semen collection time Semen submission time

Aids in the evaluation of male fertility.CRH uses W.H.O. 5th classification for sperm morphology. If Krugers strict classification is requested, specimen will be sent to Mayo Laboratories.

Patient Instructions

Semen (ejaculate) must be collected during laboratory hours: 7AM-3PM MFCollect specimen directly into plastic vial by interrupting intercourse or by masterbation (DO NOT use condom/rubber).Replace lid on vial, place in paper sack. Keep at body temperature by placing inside clothing next to skin of stomach or groin. Bring immediately (15-30 minutes) to lab with doctor's orders. If specimen cannot be delivered to lab within 30 minutes, we will provide a place for you to collect the specimen.

Collection Instructions

Semen (ejaculate) must be collected during laboratory hours: 7AM-3PM MFCollect specimen directly into plastic vial by interrupting intercourse or by masterbation (DO NOT use condom/rubber).Replace lid on vial, place in paper sack. Keep at body temperature by placing inside clothing next to skin of stomach or groin. Bring immediately (15-30 minutes) to lab with doctor's orders. If specimen cannot be delivered to lab within 30 minutes, we will provide a place for you to collect the specimen.

Collection Requirements Specimen Handling

Specimen : Seminal fluid Container : Sterile cup Minimum Volume : 0.5mL Specimen stable 1 hour at body temperature. If testing is delayed past 1 hour, keep at body temperature and deliver to lab ASAP.

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Turn Around Time Performing Facility

657135 Synonym

Results completed in 2-3 days. Columbus Regional Health

Semen Analysis Presence/ Motility Procedure Components Order Prompts

Post Vas Tot Vol Semen Semen Analysis Presence/ Motility Motile Sperm Nonmotile Sperm Order Information Patient Instructions

Collection Instructions

Collection Requirements

Turn Around Time Performing Facility

Aids in the confirmation of sterility. After vasectomy, wait 2 months and ejaculate at least 12 times (by intercourse or masturbation) before collecting this specimen for sterility check. Usual contraceptive methods must be continued until test is completed. Collect semen directly into plastic vial by interrupting intercourse or by masturbation (DO NOT use a condom/rubber). Replace lid on vial, place in paper sack. Deliver to the lab within 2 hours after collection. Specimen: semen Container: Sterile cup Minimum Volume: 0.5 ml semen Pediatric Volume: NA Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

3866580 Synonym

Send Out Tracking Procedure Components

Send Out Tracking

Sent to Date Sent Spec temp

Collection Requirements

Order Prompts

Specimen: Blood Age: All Container: No Specimen Minimum Volume: 0.1 ML Specimen: Urine Age: All Container: No Specimen Minimum Volume: 0.1 ML

180150617 Synonym

Sensorineural Hearing Loss Profile I Procedure Components Order Prompts

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Sensorineural Hearing Loss Profile For: ANA Titer and Pattern, IgG, IFA I ANA IgG Screen. ANA Titer. ANA Pattern. ANA Pattern Interp. For: Antineutrophil Cytoplasmic Antibody cANCA IgG. cANCA IgG Titer. pANCA IgG. pANCA IgG Titer. aANCA IgG. aANCA IgG Titer. For: Cardiolipin IgA Antibody For: Cardiolipin IgG Antibody For: Cardiolipin IgM Antibody For: Collagen Type II Antibody For: Heat Shock Protein 70, IgG by Immunoblot For: Immune Complex Panel Raji Cell Immune Complex. C1Q Binding Assay. For: P0 Antibodies, Western Blot For: Rheumatoid Factor, IgG/A/M RF IgG. RF IgM. RF IgA. Collection Requirements

For: ANA Titer and Pattern, IgG, IFA Specimen : blood Container : gold or red Minimum Volume : 3.0 mlPediatric Volume: 2.0 ml For: Antineutrophil Cytoplasmic Antibody Specimen : Blood Container : Gold or RedMinimum Volume : 3.0 mlPediatric Volume: 2.0 ml For: Cardiolipin IgA Antibody Specimen : Blood Container : Gold Minimum Volume : 3.0ml Pediatric Volume: 2.0ml For: Cardiolipin IgG Antibody Specimen : Blood Container : Gold Minimum Volume : 3.0ml Pediatric Volume: 2.0ml For: Cardiolipin IgM Antibody Specimen : Blood Container : Gold Minimum Volume : 3.0ml Pediatric Volume: 2.0ml For: Collagen Type II Antibody Specimen : Blood Container : Gold Minimum Volume : 3.0ml Pediatric Volume: 2.0ml For: Heat Shock Protein 70, IgG by Immunoblot Specimen: BloodContainer: Gold SmMinimum Volume: 2.0mLPediatric Volume: 1.0mL For: Immune Complex Panel Specimen: Blood Container: Red Minimum Volume: Two - 1 ml aliquots of serum Pediatric Volume: Two - 0.5 ml aliquots of serum For: P0 Antibodies, Western Blot Specimen : Blood Container : Gold Minimum Volume : 3.5ml Pediatric Volume: 2.0ml For: Rheumatoid Factor, IgG/A/M Specimen : Blood Container : Gold or Red Minimum Volume : 1.5 ml Pediatric Volume: 1.5 ml

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153952079 Synonym

Serotonin, Serum Procedure Components

Order Prompts

Serotonin Collection Instructions Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149955801 Synonym

Abstain from medications for 72 hours prior to collection. Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml Separate serum from cells ASAP or within 1 hour of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.3 mL) After separation from cells: Room temperature: Unacceptable Refrigerated: 24 hours Frozen: 1 month 2-6 days The Medical Foundation 44083

Sex Hormone Binding Globulin Procedure Components

Order Prompts

Sex Hormone Binding Globulin Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml Allow specimen to clot completely at room temperature. Centrifuge and separate serum from cells. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 1 mL serum to a plastic transport tube. (Min: 0.5 mL) Room temperature: 48 hours Refrigerated: 1 week Frozen: 2 months (avoid repeated freeze/thaw cycles) 2-4 days The Medical Foundation 30032

657139 Synonym

Sickle Cell Solubility Test Procedure Components

Hemoglobin S Solubility Hgb S Solubility Sickle Cell Screen Sickle Cell Solubility Test

Sickle Cell Sol Sickle Interp

Order Information Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Screening test for Hemoglobin S. Specimen: Whole Blood Container: Lavender Minimum Volume: 2.0ml Pediatric Volume: 0.5ml Stable 7 days refrigerated. 1 day Clarian Health Partners

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683856 Synonym

Sirolimus level Procedure Components

Sirolim Dose Dt Sirolim Dose Tm

Rapamune Rapamune Level Rapamycin Sirolimus level Order Information

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Immunosuppressive therapeutic drug monitoring to assess efficacy and potential toxicity. Peak concentrations are reached in 2 hours following oral administration. Elimination half-life in males is 72 hours; in females 61 hours. Specimen: blood Container: lavender Minimum Volume: 3 mL 4(3.0)ml EDTA whole blood.Stable 7 days refrigerated. 2-3 days. Testing performed Monday-Friday. Clarian Pathology Laboratory

149290546 Synonym

Smooth Muscle Antibody Procedure Components

ASMA Smooth Muscle Antibody Screen

Smooth Muscle Ab Titer. Smooth Muscle Ab.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Allow specimen to clot completely at room temperature.Centrifuge to separate serum from cells.SST: Transport properly centrifuged gel-barrier tube specimensin the original collection tube.Red Top: Transfer 1mL serum to a plastic transport tube.(Min: 0.5mL){nbsp;Transport-Refrigerated5 days refrigerated (2-8°C)Greater than 5 days, freeze (-20°C) (avoid repeated freeze/ thaw cycles) 4-5 days The Medical Foundation 28082

Sodium Clearance (CRH) Procedure Components

Sodium Clearance (CRH) U Sodium Clearance U Sodium Clearance (CRH)

Sodium Creat Serum U Sodium Ur Creat Ran Sodium Clear

Collection Requirements

Order Prompts

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml

710141 Synonym

Collection Instructions

Order Prompts

Order Prompts

Random urine and blood draw required for this test. Specimen : blood & urine Container : Blood in Gold or Red and Urine cup or tube with no preservative (yellow or red stopper) Minimum Volume: 3.0 mL blood, 10 mL urine

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Specimen Handling Turn Around Time Performing Facility

657144 Synonym

0.8 mL (0.2 mL) serum and 1.0 mL urine Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Sodium Level Procedure Components

Order Prompts

Na level Na serum Na+ Level Sodium Level Order Information Collection Requirements Specimen Handling Turn Around Time Performing Facility

Included in Comprehensive Metabolic, Basic Metabolic and Electrolyte Panels. Specimen : blood Container : Gold, red or green Minimum Volume : 3.0 mL blood Pediatric Volume: 2 full amber microtainers 0.8 mL (0.2 mL) serum or plasma. Specimen stability: Ambient 24 hours (tightly capped), Refrigerated 72 hours (tightly capped). Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

657146 Synonym

Sodium Level 24 Hour Urine Procedure Components

24 Hr Urine Sodium Na 24 Hour Urine Sodium Level 24 Hour Urine U Sodium 24 Hour

Tot Vol Na U Sodium U24 Sodium

Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Order Prompts

Start collection in the morning (7 AM - 10 AM). Empty bladder completely, discard the specimen. From that point on, all urine voided is collected in the container for the time frame specified by physician. Keep specimen cold during collection. At the end of collection time period, empty bladder completely, add specimen to collection container. Make sure all lids and/or closures are secure before transporting to Laboratory. Additional instruction sheet may be enclosed if collecting 2 containers joined by a p-splitter. Additional instruction sheet may be enclosed if medication, food or other restrictions apply. Specimen: urine Container: Urine collection jug Minimum Volume: 10 mL aliquot from timed collection 1.0 mL urine. Store at 2 - 8C or frozen for delayed analysis. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

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657148 Synonym

Sodium Level Body Fluid Procedure Components

BF Sodium Body Fluid Sodium Sodium Level Body Fluid Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

657150 Synonym

Order Prompts BF Type Na

Body fluid collection kits available from the Lab (376-5188 or 5877). Specimen: body fluid Container: Red Minimum Volume: 2.0 mL body fluid 1.0 mL fluid. Specimen stability: Ambient 24 hours (tightly capped), Refrigerated 72 hours (tightly capped). Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Sodium Level Cerebrospinal Fluid Procedure Components Order Prompts

CSF Sodium Sodium Level CSF Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

657152 Synonym

Deliver to lab ASAP. Specimen: CSF Container: CSF tube Minimum Volume: 2.0 mL CSF Pediatric Volume: 1.0 mL CSF 1.0 mL (0.5 mL) CSF. Specimen stability: Ambient 24 hours (tightly capped), Refrigerated 72 hours (tightly capped). Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Sodium Level Urine Random Procedure Components

Order Prompts

NA Level Urine, Random Na Level Urine, Random Sodium Level Urine Random U Sodium Random Urine Sodium Level, Rand Collection Requirements Specimen Handling

Specimen : urine Container : Urine cup or tube with no preservative (yellow or red stopper) Minimum Volume : 10 mL 1.0 mL urine. Store at 2 - 8C or frozen for delayed analysis.

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Turn Around Time Performing Facility

Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

689159 Synonym

Sodium Level Urine Timed Procedure Components

Sodium Level Urine Timed U Sodium Timed

Hrs Coll Sod Sodium Ur Timed

Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

149026016 Synonym

Order Prompts

Start collection in the morning (7 AM - 10 AM). Empty bladder completely, discard the specimen. From that point on, all urine voided is collected in the container for the time frame specified by physician. Keep specimen cold during collection. At the end of collection time period, empty bladder completely, add specimen to collection container. Make sure all lids and/or closures are secure before transporting to Laboratory. Additional instruction sheet may be enclosed if collecting 2 containers joined by a p-splitter. Additional instruction sheet may be enclosed if medication, food or other restrictions apply. Specimen: urine Container: Urine collection jug Minimum Volume: 10 mL aliquot from timed collection 1.0 mL urine. No additive needed during collection. Store at 2-8C or frozen for delayed analysis. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Soluble Transferrin Receptor Procedure Components

Order Prompts

Soluble Transferrin Receptor sTfR Collection Requirements

Specimen : Blood Container : Gold, Red, Green, or Lavender Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml

Specimen Handling

Separate serum or plasma from cells within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.3 mL) After separation from cells: Room temperature: 72 hours Refrigerated: 1 week Frozen: 1 month (avoid repeated freeze/thaw cycles)

Turn Around Time Performing Facility

657156 Synonym

1-2 days The Medical Foundation 44004

Specific Gravity Dipstick Urine Procedure Components

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Order Prompts

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Specific Gravity Dipstick Urine U Specific Gravity Dipstick Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Specimen: urine Container: Urine cup Urine cup (CRH also accepts yellow or red top urine collection tubes) Minimum Volume: 0.2 ml urine Pediatric Volume: 0.1 ml urine No preservative: stable 1 hour at room temperature, 6 hours refrigerated. Yellow/cherry red preservative tube stable 72 hours at room temperature. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

863451 Synonym

SS A(Ro)/SS B(La) Ab Procedure Components

SS A(Ro)/SS B(La) Ab

SS-A/RO EIA SSA/RO Interp SS-B/LA EIA SSB/LA Interp

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold Minimum Volume : 3.5ml Pediatric Volume: 1.5ml 0.5 mL serum. Stable 24 hours refrigerated, -20C for 6 months. No Hemolyzed, grossly Lipemic, or icteric samples. No Turbid(milky) or contaminated samples (serum drawn above an IV or contaminated with IV fluid). Testing performed Wednesday. Columbus Regional Hospital Laboratory

146356674 Synonym

Stone Analysis Procedure Components

Kidney Stone Analysis Renal Stone Analysis Stone Analysis

Stone Weight. Stone Composition.

Collection Instructions

Collection Requirements Specimen Handling Turn Around Time Performing Facility

Order Prompts

Order Prompts

Place entire specimen in separate plastic tube Use plastic container for calculi too large for separate plastic tube Indicate source on container and on requisition Do not tape specimen to any surface Do not transport stones in liquid (saline or formalin) Specimen : Kidney Stone Container : Sterile Cup Minimum Volume : n/a Pediatric Volume: n/a Plastic container with tightly fitting lid - without additives or preservative Stones should be dry 2-4 days The Medical Foundation 23000

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660072 Synonym

Stool WBC Procedure Components

Order Prompts

Fecal Leukocytes Stool WBC WBC Stool Collection Requirements

Specimen Handling Turn Around Time Performing Facility

78692747 Synonym

Specimen: stool, feces Container: specimen container, refrigerated, or O/P kit Minimum Volume: teaspoon stool or fill to vial line Specimen in O/P kit is stable 5 days at room temperature. Unpreserved specimen is stable 2 hrs. refrigerated. 1 day Columbus Regional Hospital Laboratory

Strep A DNA Reflex Procedure Components

Order Prompts

Strep A DNA Probe Strep A DNA Reflex Order Information

Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

660082 Synonym

Molecular test specific for Group A Streptococcus. This test may be used as a confirmatory test or as a replacement to the rapid antigen test. High sensitivity and specificity. Success with culture or direct antigen tests (Strep A) depends on firmly and completely sampling the area or the inflamed throat. To obtain the best results, it is important that material for a throat culture be obtained before antimicrobial therapy is given. 1. Identify patient: check armband to identify in-patients and ER patients. Repeat their name to confirm. Check the DOB on out-patients. 2. Wear gloves as a barrier to self infection. 3. Position the patient for adequate lighting. 4. Remove the tongue blade from wrapping and the swab from the culturette shaft and collect the specimen as follows: a. Instruct patient to breathe deep, open mouth and say {ldquo;ah{rdquo;. b. Gently depress the tongue with a sterile wooden blade. c. Place swab to the back of the throat. d. Gently but firmly rub the swabs over white, inflamed, tonsillar or posterior pharynx areas, making sure that both swabs have contact with the affected areas. Do not touch the cheeks, teeth, gums or tongue blade as you withdraw the swab. e. Insert swab back into the shaft of the culturette. f. Label specimen before leaving the patient area (name, test, source, date, initials of tech ). Specimen : 2 swabs of the throat or pharynx Container Either use the double swab culturette with liquid Amies media or 2 single swab culturettes with liquid Amies media. NO GEL swabs will be accepted. Stable 24 hrs. Testing is batched and run once (1) daily. Columbus Regional Hospital Laboratory

Streptococcus B Screen Genital Procedure Components Order Prompts

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C Strep B C StrepB C Vaginal B Only Culture Strep B Vaginal Culture Vaginal Group B Strep GBBS GBS Culture Strep B Screen Genital Vag Grp B strep Vag Grp B strep culture Vaginal Group B Screen Order Information

Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

361985667 Synonym

Group B Streptococcus infection of neonates occurs most commonly when Streptococcus agalactiae ascends the vagina to amniotic fluid after membrane rupture. Screening for GBS colonization in antepartum women between 35 and 37 weeks' gestation, followed by intrapartum antibiotic treatment for women with positive colonization status has proven to be an effective mechanism for prevention of perinatal Group B Streptococcal disease. As colonization may be transient, intermittent or persistent throughout pregnancy, screening is most effective when performed when specimens are collected no more than five weeks (35 - 37 weeks gestation) prior to delivery and after enrichment with selective broth medium. The illumi gene Group B Streptococcus ( GBS) molecular assay is based on loop-mediated amplification technology, which uses specifically designed primers to Streptococcus agalactiae to provide for specific and continuous isothermal DNA amplification. Vaginal and rectal sample collection should be performed in accordance with published guidelines for collection of clinical specimens for culture of Group B Streptococcus. Vaginal and rectal specimens may be collected using the same swab or with two different swabs. Cervical, perianal, perirectal or perineal specimens are not acceptable sample types. A speculum should not be used for sample collection. S Specimen: Vaginal and rectal swabs. Container: Single or double swab culturette with liquid Amies or Stuarts transport media. No gel swabs will be accepted. Stable 48 hrs. at room temperature. Specimens will be batched and ran one time per day. 1-2 days for initial result, 35 days if susceptibility testing is required. Columbus Regional Hospital Laboratory

Streptococcus pneumoniae Ab IgG (14) Procedure Components Order Prompts

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Strep pneumo IgG Ab 14 Serotypes

Order Information

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

203092083 Synonym

Pneumo Pneumo Pneumo Pneumo Pneumo Pneumo Pneumo Pneumo Pneumo Pneumo Pneumo Pneumo Pneumo Pneumo Pneumo

serotype 3 IgG (P13,PNX) serotype 7F IgG (P13,PNX) serotype 9N IgG (PNX) serotype 14 IgG (P7,P13,PNX) Serotype Interpretation serotype 1 IgG (P13,PNX) serotype 4 IgG (P7,P13,PNX) serotype 5 IgG (P13,PNX) serotype 6B IgG (P7,P13,PNX) serotype 8 IgG (PNX) serotype 9V IgG (P7,P13,PNX) serotype 12F IgG (PNX) serotype 18C IgG (P7,P13,PNX) serotype 19F IgG (P7,P13,PNX) serotype 23F IgG (P7,P13,PNX)

A pre- and post- vaccination sample comparison is required in order to assess the humoral immune response to vaccination with Streptococcus pneumoniae vaccine. Post vaccination samples should be obtained at 4{nbsp;weeks postimmunization. A single sample provides only general immune status of an individual to various serotypes of pneumococci. Immune response to pneumococci may vary in different individuals based on age, vaccination status, immunologic competence and the serotype of the organism. Long-term protection is generally considered to be a serotype antibody level of 1.3{nbsp; {micro;g/mL or greater.{nbsp;Following vaccination, an antibody ratio of less than twofold is considered a non-responder; a ratio of two- to fourfold is a weak responder; a ratio of fourfold or greater is a good responder. The higher the prevaccination antibody level for a specific pneumococcal serotype, the less likely the response will increase significantly after vaccination.{nbsp;An increased antibody level to 50-70{nbsp;percent or more of the serotypes is thought to represent a normal humoral response. In the case of pure polysaccharide vaccine, indication of immune system competence is further delineated as an adequate response to at least 70 percent of the serotypes in the vaccine challenge for those 6-65{nbsp;years of age, or to at least 50{nbsp;percent of the serotypes in the vaccine challenge for those 2-5{nbsp;years of age.{nbsp; This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions. Specimen: BloodContainer: Gold or RedMinimum Volume: 3.5mlPediatric Volume: 1.5ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 1.5 mL serum to an ARUPStandard Transport Tube. (Min: 0.25 mL) MARK SPECIMENS CLEARLY AS "PRE" OR "POST" SOSPECIMENS WILL BE SAVED AND TESTED SIMULTANEOUSLY.After separation from cells:Room temperature: 48 hoursRefrigerated: 2 weeksFrozen: 1 year (avoid repeated freeze/thaw cycles) 2-3 days The Medical Foundation Test Code: 44342

Streptococcus pneumoniae Urinary Antigen Procedure Components Order Prompts

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Order Information

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

153198968 Synonym

The Alere {trade; BinaxNOW Streptococcus pneumoniae Antigen Card is an in vitro rapid immunochromatographic (ICT) assay for the detection of Streptococcus pneumoniae (S. pneumoniae) antigen in the urine of patients with pneumonia. It is intended, in conjunction with culture and other methods, to aid in the diagnosis of both pneumococcal pneumonia and pneumococcal meningitis. Pneumococcal vaccination will cause false positive results if tested within 48 hours of vaccination. Testing is not recommended within 5 days of vaccination. Additionally, increased false positives may be seen in children due to higher incidence of S. penumoniae carriage as normal flora. Specimen : Random Urine Container : Urine cup or gray-top urine tube w/boric acid Minimum Volume : 1.0ml Pediatric Volume: 1.0ml Samples may be stored at room temperature if assayed within 24 hours. Alternatively, samples may be refrigerated or frozen for up to 14 days before testing. ED and STATs: Within 1 hour All other providers: 24 hours CRH Laboratory

Streptococcus pyogenes Grp A Ab w Rflx Procedure Components Order Prompts

Streptococcus pyogenes Grp A Ab Strep GrpA Ab. w Rflx StrepGrpA Titer. Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold or Red, Lavender Minimum Volume : 1.5 ml Pediatric Volume: 1.5 ml Centrifuge to separate from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.05 mL) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year (avoid repeated freeze/thaw cycles) 2-5 days The Medical Foundation 44212

154377376 Synonym

Striated Muscle IgG Antibody with Titer if Indicated Procedure Components Order Prompts

Striated Muscle IgG Ab wTiter if Ind.

Str Muscle Scr. Str Muscle Titer.

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold Minimum Volume : 1.5 ml Pediatric Volume: 1.5 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.15 mL) After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year (avoid repeated freeze/thaw cycles) 2-6 days The Medical Foundation 44486

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4049141 Synonym

Synovial Fluid Crystal Exam Procedure Components

Crystals, Synovial Fluid Syn Crystal Syn Fld Crystal Exam Synovial Fluid Crystal Exam

Site SynF Appear Syn Crystals Syn

Order Information Collection Instructions Collection Requirements

Order Prompts

Used to confirm presence of crystal-induced arthropathy. Deliver to lab within 30 minutes of collection. Crystals will decrease within a few daysor a few weeks depending on type of crystal. Specimen : Synovial fluid Container : Lavender; Plain Red top tube is also acceptable Minimum Volume : 0.5 mL fluid Pediatric Volume : 0.5 mL fluid

Specimen Handling

Routines completed same day. Stats completed within an hour of receipt of specimen in lab.

Turn Around Time

Routines completed same day. Stats completed within an hour of receipt of specimen in lab.

Performing Facility

207340430 Synonym

Columbus Regional Hospital Laboratory

Syphilis Procedure Components

Order Prompts

Syphilis Order Information

Collection Requirements

Treponemal tests are more specific in detecting antibodies to treponemal antigens. One of the clinical advantages of adopting the reverse screening algorithm is the enhanced detection of late-stage-syphilis cases that would go undetected using a traditional (non-treponemal) screening algorithm. All positive Syphilis tests will be confirmed following the CDC recommended guidelines. The confirmation testing will be performed at the South Bend Medical Foundation Laboratory. Specimen : Blood Container : Gold (Red or Green) Minimum Volume : 3.5 mL Pediatric Volume: 1.0 mL

Specimen Handling

Store specimens @ 2-8 celsius for up to 7 days. Specimens can be stored frozen -20 celsius for longer storage. Samples stored at room temperature up to 7 days are also acceptable.

Turn Around Time

Routines completed the same day. STATS completed within one hour of the time the specimen is received in the Laboratory.

Performing Facility

668074 Synonym

Columbus Regional Hospital

T3 Free Procedure Components

Order Prompts

Free T3 T3 Free Order Information

For use in the quantitative determination of free triiodothyronine.

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Collection Requirements

Specimen Handling Turn Around Time Performing Facility

657162 Synonym

Specimen: blood Container: Gold or Red Minimum Volume: 3.0 mL blood 0.8 mL serumRed top serum stable 8 hours RT, 48 hours refrigerate, Must Be SeparatedSST serum stable 8 hours RT, 48 hours refrigerated Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

T3 Resin Uptake Procedure Components

Order Prompts

T3 RU T3 Resin Uptake T3 Uptake Collection Requirements

Specimen: blood Container: Gold or Red Minimum Volume: 3.0 mL blood

Specimen Handling

0.8 mL serum. Specimen stability: Ambient 24 hours, Refrigerated at 2-8C, Frozen at -20C 2 months.

Turn Around Time

Routines completed same day. Stats completed within an hour of receipt of specimen in lab.

Performing Facility

150377270 Synonym

Columbus Regional Hospital Laboratory

T3, Reverse by Tandem Mass Spectrometry Procedure Components Order Prompts

T3, Reverse Collection Requirements Specimen Handling

Turn Around Time Performing Facility

146356407 Synonym

Specimen : Blood Container : Gold or Red, Lavender Minimum Volume : 2.5 ml Pediatric Volume: 2.5 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within two hours of collection. Transfer 2 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 1 mL) Room temperature: 24 hours Refrigerated: 1 week Frozen: 3 months 2-5 days The Medical Foundation 44131

T3, Total Procedure Components

Order Prompts

T3 Total T3 by RIA (CRH) Triiodothyronine Collection Requirements

Specimen : Blood Container : Gold or Red, light Green Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml

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Specimen Handling

Turn Around Time Performing Facility

657180 Synonym

Serum sample tubes, clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum or plasma to separate plastic tube Properly centrifuged gel barrier tube sample does not require transfer of serum to separate tube 1.6 ml (0.8) 1 week refrigerated (2-8°C) 1 month frozen (-20°C) (avoid repeated freeze/thaw cycles) 1-2 days The Medical Foundation 30012

T4 Free Procedure Components

Order Prompts

FT4 Free T4 Free Thyroxine T4 Free Order Information Collection Requirements

Specimen Handling Turn Around Time Performing Facility

153954461 Synonym

For in vitro diagnostic use in the quantitative determination of free thyroxine. Specimen: blood Container: Gold or Red Minimum Volume: 3.0 mL blood 0.8 mL (0.2 mL) serum. Stable 8 hours at room temperature, 48 hours refrigerated. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

T4, Free, Dialysis Procedure Components

Order Prompts

T4, Free, Dialysis Collection Requirements

Specimen : Blood Container : Red Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml

Specimen Handling

Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube 2.0 ml (0.3) After separation from cells: 4 days room temperature (20-30°C) 2 weeks refrigerated (2-8°C) 1 month frozen (-20°C) (avoid repeated freeze/thaw cycles)

Turn Around Time Performing Facility

3-6 days The Medical Foundation 45360

684916 Synonym

Tacrolimus Level Procedure Components

Order Prompts

FK506 FK506 Level Prograf Prograf Level Tacrolimus Level

Prog Sent to: Prograf

Prograf Dose Tm Prograf Dose Dt

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Order Information Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Post-transplant immunosuppression therapy. Specimen: Whole Blood Container: Lavender Minimum Volume: 4.0ml 4ml EDTA whole blood. Stable 14 days refrigerated. Refer to Transplant List for patient information.All specimens are stored and shipped refrigerated. 2 days Clarian Health Partners

786668 Synonym

TEG Coag Analysis Heart Ctr Procedure Components

TEG Coag

TEG TEG TEG TEG TEG

Collection Instructions Collection Requirements

Turn Around Time Performing Facility

657166 Synonym

Order Prompts

Fiblys PT St ACT Plt Ag FBG

Cardiac perfusionist collects specimen in surgery. Specimen: Blood Age: All Container: Syringe Minimum Volume: 5.0 ML Results available immediately. Columbus Regional Hospital Laboratory

Testosterone Total Procedure Components

Order Prompts

Testosterone Total Order Information Collection Requirements

For in vitro diagnostic use in the quantitative determination of total testosterone bound and unbound). Specimen: blood Container: Gold or Red Minimum Volume: 3.0 mL blood

Specimen Handling

0.5 mL serum. Stable 8 hours at room temperature, 48 hours refrigerated.

Turn Around Time

Routines completed same day. Stats completed within an hour of receipt of specimen in lab.

Performing Facility

168749959 Synonym

Columbus Regional Hospital Laboratory

Testosterone, Free (Adult Males) Procedure Components Order Prompts

Testosterone, Free (Adult Males)

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Collection Requirements Specimen Handling

Turn Around Time Performing Facility

147689756 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 2.5 ml Pediatric Volume: 2.5 ml Allow specimen to clot completely at room temperature. Centrifuge to separate serum from cells. Transfer 1 mL serum to a plastic transport tube. (Min: 0.5 mL) Refrigerated: 24 hours Frozen: 2 months (avoid repeated freeze/thaw cycles) 1-3 days The Medical Foundation 30102

Testosterone, Free Calculation, Females and Children Procedure Components Order Prompts

Free Calculation Testosterone, Females and Children Testosterone, Free Calculation, Females and Children Collection Instructions Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149237526 Synonym

Collect between 6-10 a.m. Specimen : Blood Container : Gold, Red, or Green Minimum Volume : 1.5 ml Pediatric Volume: 1.5 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.4 mL) After separation from cells: Room temperature: 24 hours Refrigerated: 1 week Frozen: 6 months 2-5 days The Medical Foundation 45752

Tetanus IgG Antibody Procedure Components

Order Prompts

Tetanus Ab, IgG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

657168 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.15 mL) Mark specimens clearly as "Pre-Vaccine" or "Post-Vaccine". If shipped separately, "Post" specimen must be received within 60 days of "Pre" specimen. After separation from cells: Room temperature: 48 hours Refrigerated: 2 weeks Frozen: 1 year (avoid repeated freeze/thaw cycles) 2-3 days The Medical Foundation 44119

Theophylline Level Procedure Components

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Order Prompts

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Aminophylline Aminophylline Level Theodur Theodur Level Theophylline Level Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

177535471 Synonym

Theo Dose Dt Theo Dose Tm

Do not use tubes that contain separator gel. Specimens for "trough" levels should be collected just prior to the next dose. Specimens for "peak" levels should be collected 1 hour post dose. For intermittent IV administration, specimens ahould be collected 30 minutes after the infusion. Specimens for random levels should be collected 6 hours after dose of sustained release meds are administered, or 18-24 hours after initiation of continuous IV therapy. Specimen: blood Container: Red or green Minimum Volume: 3.0 ml blood Pediatric Volume: 2 full clear microtainers 0.8 mL (0.2 mL) serum or plasma. Specimen stability: Ambient 24 hours, Refrigerated at 2-8C 30 days, Frozen at -20C 3 months. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Thrombin Clotting Time Procedure Components

Order Prompts

Thrombin Clotting Time Order Information

Used in determination of severe hypofibrinogenemia, dysfibrinogenemia, and presence of heparin-like anticoagulant. Also useful in diagnosis and monitoring of disseminated intravascular coagulation (DIC) and fibrinolysis. A component of the Venous Thrombosis without Treatment Profile.

Collection Instructions

NOTE : Traumatic puncture invalidates specimen for coagulation studies and necessitates recollection. Observe proper collection order for coagulation tests; collect tubes for coagulation studies prior to collecting tubes containing clot activators, additives, or anticoagulants. Fill Light Blue top tube to stated tube volume If coagulation study is only test ordered, collect 1.0 to 2.0 mL blood into tube for discard, then collect Light Blue top coagulation study tube(s). If multiple coagulation studies are requested, submit additional specimens for each coagulation test. Immediately after collection, gently invert tube to mix.

Collection Requirements Specimen Handling

Turn Around Time

Specimen : Blood Container : Blue Minimum Volume : 2.7ml Pediatric Volume: 2.7ml Spec Process: Separate plasma from cells immediately Promptly centrifuge 15 minutes Carefully transfer plasma to separate plastic tube using plastic pipette NOTE : Buffy coat layer must be avoided Centrifuge transferred plasma again to produce platelet-poor plasma (PPP) Use second plastic pipette to carefully transfer PPP specimen into plastic aliquot tube(s) Immediately freeze PPP specimen(s) Pref Vol: 2.0 mL (Two aliquots, 1.0 mL each) Spec Store Transport: Frozen Spec Stability: 4 hours room temperature (20-30°C) 2 weeks frozen (-20° C) (avoid repeated freeze/thaw cycles) Spec Reject: Citrate tube underfilled Sample clotted or hemolyzed Plasma not frozen within 4 hours of collection 2-3 days

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Performing Facility

146356005 Synonym

The Medical Foundation Test Code: 25235

Thyroglobulin Antibody Procedure Components

Order Prompts

Antithyroid Ab Panel Thyroglobulin Antibody Thyroid Antibody Panel Thyroid Group Antibody Collection Requirements Specimen Handling

Turn Around Time Performing Facility

174208508 Synonym

Specimen : Blood Container : Gold, Red, or Green Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 1 mL serum or plasma to a plastic transport tube. (Min: 0.5 mL) Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 2-4 days The Medical Foundation 30020

Thyroglobulin by LC-MS/MS Procedure Components

Order Prompts

Thyroglobulin by LC-MS/MS Order Information

Collection Requirements Specimen Handling

Turn Around Time Performing Facility

149928926 Synonym

Tandem Mass Spectrometry is recommended for quantifying thyroglobulin in individuals with antithyroglobulin antibodies and for surveillance of residual/ recurrent thyroid cancer in individuals who have developed antibodies to thyroglobulin. Order immunoassay for thyroglobulin and antithyroglobulin antibodies (SBMF# 30022) in cases where antithyroglobulin antibody status is negative or unknown. Specimen : Blood Container : Gold or Red, Green or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml Centrifuge to separate from cells and transfer 1.5 mL serum or plasma to an ARUP Standard Transport Tube. (Min: 0.7 mL) After separation from cells: Room temperature: 1 day Refrigerated: 1 week Frozen: 1 year 2-7 days The Medical Foundation 47100

Thyroglobulin with Thyroglobulin Antibodies Procedure Components Order Prompts

Thyroglobulin Tumor Marker Thyroglobulin. Thyroglobulin w Thyroglobulin Ab Thyroglobulin Ab. Thyroglobulin % Recovery. Collection Requirements

Specimen : Blood Container : Gold, Red, or Green Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml

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Specimen Handling

Turn Around Time Performing Facility

148469949 Synonym

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 1 mL serum or plasma to a plastic transport tube. (Min: 0.5 mL) Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles) 2-4 days The Medical Foundation 30022

Thyroid Peroxidase Antibodies Procedure Components

Order Prompts

Anti-TPO Microsomal TPO Ab Thyroid Peroxidase Ab Collection Requirements

Specimen : Blood Container : Gold, Red, or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml

Specimen Handling

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 1 mL serum or plasma to a plastic transport tube. (Min: 0.5 mL) Refrigerated: 1 week Frozen: Greater than 1 week (avoid repeated freeze/thaw cycles)

Turn Around Time Performing Facility

149935201 Synonym

2-4 days The Medical Foundation 30019

Thyroid Stimulating Immunoglobulin Procedure Components Order Prompts

TSI TSIG Thyroid Stimulating IG Collection Requirements Specimen Handling

Turn Around Time Performing Facility

657178 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 2.5 ml Pediatric Volume: 2.5 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube and freeze 1.0 ml (0.7) After separation from cells: 2 hours room temperature (20-30°C) 6 days refrigerated (2-8°C) 3 months frozen (-20° C) (avoid repeated freeze/thaw cycles): 3-6 days The Medical Foundation 44243

Thyroxine Procedure Components

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Order Prompts

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T4 T4 (thyroxine) T4 Total Thyroxine Total T4 Collection Requirements

Specimen Handling Turn Around Time Performing Facility

Specimen: blood Container: Gold, red or green Minimum Volume: 3.0 mL blood 0.8 mL serum. Stable 1 week at 25C. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

149391640 Synonym

Tissue Transglutaminase IgA and IgG Antibodies Procedure Components Order Prompts

TTG Abs, IgG/A Elisa Transglutaminase

tTG IgA. tTG IgG.

Collection Requirements

Specimen : Blood Container : Gold, Red, or Lavender Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml

Specimen Handling

Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 1 mL serum or plasma to a plastic transport tube. (Min: 0.5 mL) Room temperature: 24 hours Refrigerated: 1 week Frozen: 1 year (avoid repeated freeze/thaw cycles)

Turn Around Time Performing Facility

149026040 Synonym

4-5 days The Medical Foundation 28266

Tissue Transglutaminase IgA Antibody Procedure Components Order Prompts

TTG Ab, IgA Elisa Transglutaminase IgA AutoAb Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Gold, Red, or Lavender Minimum Volume : 1.5 ml Pediatric Volume: 1.5 ml Allow serum specimen to clot completely at room temperature. Separate serum or plasma from cells ASAP or within 2 hours of collection. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 0.5 mL serum or plasma to a plastic transport tube. (Min: 0.25 mL) Room temperature: 24 hours Refrigerated: 1 week Frozen: 1 year (avoid repeated freeze/thaw cycles) 4-5 days The Medical Foundation 28014

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657184 Synonym

Tobramycin Level Peak Procedure Components

Tobra Pk Dose Tm Tobra Pk Dose Dt

Nebcin Peak Level Peak Nebcin Level Peak Tobramycin Level Tobramycin Level Peak Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

657182 Synonym

Do not use tubes that contain separator gel. Specimens should be collected immediately following a 1 hour IV infusion or an IM injection. Specimen: blood Container: Red or Green (Li Hep no gel) Minimum Volume: 3.0 mL blood Pediatric Volume: 2 full plain microtainers 0.8 mL (0.2 mL) serum or plasma. Specimen stability: Refrigerated at 2-8C 7 days, Frozen at -20C 2 months. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Tobramycin Level Random Procedure Components

Nebcin Level Nebcin Level Random Tobramycin Level Random Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

657186 Synonym

Order Prompts Tobra Dose Dt Tobra Dose Tm

Do not use tubes that contain separator gel. Specimens should be collected 6-14 hours after initial dose. Specimen: blood Container: Red or Green (Li Hep no gel) Minimum Volume: 3.0 mL blood Pediatric Volume: 2 full plain microtainers 0.8 mL (0.2 mL) serum or plasma. Specimen stability: Refrigerated at 2-8C 7 days, Frozen at -20C 2 months. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Tobramycin Level Trough Procedure Components

Nebcin Level Trough Tobramycin Level Trough Collection Instructions

Order Prompts

Order Prompts Tobra Tr Dose Dt Tobra Tr Dose Tm

Do not use tubes that contain separator gel. Specimens should be collected just prior to next dose.

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Collection Requirements

Specimen Handling Turn Around Time Performing Facility

147861370 Synonym

Specimen: blood Container: Red or Green (Li Hep no gel) Minimum Volume: 3.0 mL blood Pediatric Volume: 2 full plain microtainers 0.8 mL (0.2 mL) serum or plasma. Specimen stability: Refrigerated at 2-8C 7 days, Frozen at -20C 2 months. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Topiramate, Serum or Plasma Procedure Components

Order Prompts

Topamax Level Topiramate Level Collection Requirements Specimen Handling

Turn Around Time Performing Facility

Specimen : Blood Container : Red Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml Serum sample tubes, clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum or plasma to separate plastic tube 0.5 ml (0.2) 24 hours refrigerated (2-8°C) 3 months frozen (-20°C) (avoid repeated freeze/thaw cycles) 1-2 days The Medical Foundation 23125

679584 Synonym

Tox Drug Sc Meconium Procedure Components

Meconium Drug Screen Tox Drug Sc Meconium

Amphet Mec Sc Amphet Mec Conf Cannab Mec Sc Cannab Mec Conf Cocain Mec Sc Cocain Mec Conf Opiate Mec Sc Opiate Mec Conf Meconium Interp

Collection Requirements

710137 Synonym

Order Prompts

Specimen: Feces Age: All Container: Meconium Kit Minimum Volume: 2.0 ML

Tox UDS 5 (CRH) Procedure Components

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Order Prompts

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Tox UDS 5 (CRH) UDS 5 (CRH)

Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

U Cannab Scrn U Amph Scrn U Cocaine Scrn U Opiate 300 U PCP Scrn U Tox Temp U Tox pH U Tox Sp Gravity U Tox Crea U Tox Coe UDS Limits Drug screen collection kit is available from the Lab (376-5188 or 5877). Specimen: urine Container: Drug screen collection kit Minimum Volume: 7.0 mL urine 1.0 mL urine Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

744208 Synonym

Tox UDS 7 CRH Procedure Components

Tox UDS 7 CRH

U Cannab Scrn U Amph Scrn U Barb Scrn U Benzodia Scrn U Cocaine Scrn U Opiate 300 U PCP Scrn U Tox Temp U Tox pH U Tox Sp Gravity U Tox Crea U Tox Coe UDS Limits

Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

213998421 Synonym

Order Prompts

Drug screen collection kit is available from the Lab (376-5188 or 5877). Specimen: urine Container: Drug screen collection kit Minimum Volume: 7.0 mL urine 1.0 mL urine Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Tox UDS PainProcedure Components

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Order Prompts

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Tox UDS PainUDS Pain (CRH)UDS Pain-

Amphet Screen AmphetamineMethamphetamineMDMA (Ecstacy)Barbs Screen AmobarbitalButalbitalPentobarbitalPhenobarbitalSecobarbitalBenzo Screen 2-Hydroxy-Ethyl-Flurazepam7-Aminoclonazepam7-AminoflunitrazepamA-HydroxyalprazolamA-Hydroxy-TriazolamLorazepamNordiazepamOxazepamTemazepamClonazepam MetaboliteFlurazepam MetaboliteTriazolam MetaboliteCocaine Screen BenzoylecgonineOpiate Screen CodeineHydrocodoneHydromorphoneMorphineOxycodoneOxymorphone6-Monoacetyl MorphineHydrocodone MetaboliteMorphine MetaboliteOxycodone MetabolitePCP Screen PhencyclidineCannab/Creat RatioCannab Screen THC-COOHAlcohol Screen EthanolMethadone Screen MethadoneEDDPMeperidine Screen MeperidineEthyl Gluc Screen ETGETSFentanyl Screen FentanylNorfentanylCarisoprodol Screen CarisoprodolMeprobamateSomaSoma MetaboliteBupren Screen Buprenorphine-

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NorbuprenorphineTramadol Screen TramadolCollection Instructions Collection Requirements Specimen Handling Turn Around Time Performing Facility

Drug screen collection kit is available from the Lab (376-5188 or 5877). Specimen : Urine Container : Drug screen collection kit Minimum Volume : 7.0 mL urine 7.0 mL urine 5-7 days Witham Health Services

657190 Synonym

Toxicology Drug Screen Urine (CRH) Procedure Components Order Prompts

Drug Screen Urine Drug Screen Urine (CRH) Tox Drug Screen Urine (CRH) UDS

U Cannab Scrn U Amph Scrn U Barb Scrn U Cocaine Scrn U Opiate 300 U Benzodia Scrn U PCP Scrn Methadone Level U Tox Temp U Tox pH U Tox Sp Gravity U Tox Crea U Tox Coe UDS Limits

Collection Instructions Collection Requirements

Specimen Handling Turn Around Time Performing Facility

149301065 Synonym

Drug screen collection kit is available from the Lab (376-5188 or 5877). Specimen: urine Container: Drug screen collection kit Minimum Volume: 7.0 mL urine 1.0 mL urine Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Toxoplasma IgG Antibody Procedure Components

Order Prompts

Toxo Ab IgG Toxoplasma Ab, IgG Collection Requirements

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml

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Specimen Handling

Turn Around Time Performing Facility

149531509 Synonym

Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube Properly centrifuged gel barrier tube sample does not require transfer of serum to separate tube 1.0 ml (0.5) 3 days (72 hours) refrigerated (2-8°C) 3 months frozen (-20°C) (avoid repeated freeze/thaw cycles) 4-6 days The Medical Foundation 28139

Toxoplasma IgM Antibody Procedure Components

Order Prompts

Toxo Ab IgM Toxoplasma Ab, IgM Collection Requirements Specimen Handling

Turn Around Time Performing Facility

147840743 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube Properly centrifuged gel barrier tube sample does not require transfer of serum to separate tube 1.0 ml (0.5) 3 days refrigerated (2-8° C) 3 months frozen (-20°C) (avoid repeated freeze/thaw cycles) 4-6 days The Medical Foundation 28138

Transferrin, Serum Procedure Components

Order Prompts

Transferrin Collection Requirements Specimen Handling

Turn Around Time Performing Facility

744078 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml Clot 30 minutes Promptly centrifuge 15 minutes Immediately transfer serum to separate plastic tube Properly centrifuged gel barrier tube sample does not require transfer of serum to separate tube 1.0 ml (0.5) 38 days refrigerated (28°C) If frozen within 24 hours of collection, 1 year frozen (-20°C) (avoid repeated freeze/thaw cycles) 2-4 days The Medical Foundation 28171

Travel Allowance 20 Miles Procedure Components

Order Prompts

Travel Allowance 20 Miles

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149939764 Synonym

Treponema pallidum Antibody, Particle Agglutination (TP-PA), Serum Procedure Components Order Prompts

FTA, ABS T Pallidum Ab, TP-PA Collection Requirements Specimen Handling

Turn Around Time Performing Facility

660088 Synonym

Specimen : Blood Container : Gold or Red Minimum Volume : 1.2 ml Pediatric Volume: 1.2 ml Allow specimen to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection. SST: Transport properly centrifuged gel-barrier tube specimens in the original collection tube. Other collection tubes: Transfer 1 mL serum to a plastic transport tube. (Min: 0.2 mL) Refrigerated: 5 days Frozen: Greater than 5 days (avoid repeated freeze/thaw cycles) 4-5 days The Medical Foundation 28060

Trichomonas Prep Wet Mount Procedure Components

Order Prompts

Trichomonas Prep Wet Mount Wet Mount Wet Mount Prep Wet Prep Order Information

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

657205 Synonym

A wet prep of the vagina is a rapid method for detection of common vaginal infections. The following criteria is reported: Number of WBC's, presence/ absence of Trichomonas, presence/ absence of yeast and presence/ absence of clue cells ( suggestive of Gardnerella vaginalis). Specimen: vaginal Container: Sterile container with 1 mL saline Minimum Volume: 1 mL Deliver to lab within 15 minutes, not recommended for collections outside the hospital. Completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Triglyceride Procedure Components

Order Prompts

Triglyceride Collection Requirements Specimen Handling Turn Around Time Performing Facility

Specimen : blood Container : Gold, Green or Red Minimum Volume : 3.0 mL blood 0.8 mL serum. Serum samples are stable 8 hrs. at 25C, 7 days at 2-8C, frozen at -20C for up to 3 months or many years at -70C. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

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657207 Synonym

Triglyceride Body Fluid Procedure Components

BF Type Trig

BF Trig BF Triglyceride Trig BF Triglyceride Body Fluid Collection Instructions Collection Requirements

Specimen Handling

Turn Around Time Performing Facility

657213 Synonym

Order Prompts

Body fluid collection kits available from the Lab (376-5188 or 5877). Specimen: blood Container: Red or gold Minimum Volume: 2.0 mL fluid 1.0 mL fluid. Samples may be refrigerated for up to 7 days if not tested within 24 hours. For longer storage, samples may be frozen at -20C for up to 3 months or many years at -70C. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Troponin-I Procedure Components

Order Prompts

Troponin-I Order Information

Collection Instructions

Collection Requirements

Specimen Handling Turn Around Time Performing Facility

147861537 Synonym

Cardiac troponin I determinations aid in the diagnosis of acute myocardial infarction and in the risk stratification of patients with non-ST segment elevation acute coronary syndromes with respect to relative risk of mortality, myocardial infarction or increased probability of ischemic events requiring urgent revascularization procedures. Testing performed on same patient at different times must be collected in same type of tube (gold/red or green). It is not recommended that heparinized plasma and serum samples from the same patient be used interchangeably. Specimen: blood Container: Green preferred, gold or red also acceptable. See Collection Instructions. Minimum Volume: 3.0 mL blood 0.8 mL plasma or serum (see Collection Instructions) Stable 4 hours RT, 24 hours refrigerated, 1 month frozen. Routines completed same day. Stats completed within an hour of receipt of specimen in lab. Columbus Regional Hospital Laboratory

Tryptase, Total Procedure Components

Tryptase

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Order Prompts

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Collection Requirements

Specimen : Blood Container : Gold Minimum Volume : 2.0 ml Pediatric Volume: 2.0 ml

Specimen Handling

Allow serum to clot completely at room temperature. Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL) After separation from cells: Room temperature: 48 hours Refrigerated: 72 hours Frozen: 1 month

Turn Around Time Performing Facility

657176 Synonym

2-5 days The Medical Foundation 44559

TSH 3rd Generation Procedure Components

Order Prompts

3rd Generation TSH (CRH) TSH TSH 3rd Generation TSH CRH Thyroid Stimulating Hormone 3rd Gen Order Information Collection Requirements

For use in the quantitative determination of thyroid-stimulating hormone (TSH, thyrotropin). Specimen : blood Container : Gold or Red(DkGnNaSm or GrnLiSST are acceptable) Minimum Volume : 3.0 mL blood

Specimen Handling

0.8 mL serum. Stable 8 hours at room temperature, 48 hours refrigerated. DkGnNaSm and GrnLiSST tubes are also acceptable.

Turn Around Time

Routines completed same day. Stats completed within an hour of receipt of specimen in lab.

Performing Facility

Columbus Regional Hospital Laboratory

664862 Synonym

Type and Crossmatch Procedure Components

T/C Type and Crossmatch

For: ABSC For: Crossmatch IS BBID IS XMIS Interp For: T ABORh Anti-A Anti-B A cells B cells Anti-D D Control Du T ABORh Interp Trans