TEST CODES & SPECIMEN REQUIREMENTS MANUAL VERSION 2.0

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TEST CODE SPECIMEN REQUIREMENT VACUTAINER BILLING LOC ALPHA–1 ANTITRYPSIN PHENOTYPING A1ATP Serum 1 mL FREEZE SERUM AND SEND FROZEN Transport specimen in a separate brown paper bag Labelled „Frozen Sample‟ TAT – 60 days 1YELLOW SST $105.00 CML ALPHA FETOPROTEIN, ONCOLOGY (AFP-ONCOLOGY) AFP Serum 1 mL FOR ONCOLOGY (Cancer) PATIENTS ONLY Indicate site of cancer TAT – 10 days YELLOW SST OHIP CML ALPHA FETOPROTEIN, PREGNANCY (AFP-PREGNANCY) MSS Serum 2 mL DO NOT REFRIGERATE For risk assessment of open neural tube defects testing is recommended at 15-20 weeks gestation YELLOW SST OHIP CHEO Complete a "Maternal Serum Screen Form” Indicate on the form "AFP ONLY" Results will be reported directly to the requesting physician by the testing location TAT – 5 days ALT (ALANINE TRANSAMINASE) (SGPT) ALT Serum Centrifuge only TAT – 1 day 1YELLOW SST OHIP BTL ALUMINUM AL Serum 3 mL TAT – 15 days AMETHOPTERIN (METHOTREXATE) METH Serum 2 mL Collect specimen 10 – 12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection TAT – 10 days ROYAL BLUE no additive $40.00 CML PLAIN RED OHIP CML J:\Test Specification Guide (TSG) Version 2.0.doc TEST SPECIFICATION GUIDE (TSG) Created by Vedrana Vaskovic QC Coordinator BIO-TEST LABS 168 Charlotte St., Ottawa, ON., K1N 8K6 Last printed 28/11/2011 1:52 PM BIO-TEST LABORATORY Tel: (613) 789-4242 Fax: (613) 789-7033 SECTION A Page 7 of 20 NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red ‘MASTER COPY’ are not controlled and should be checked against the original document titled as above in the electronic/hard copy version prior to use.
TEST CODE SPECIMEN REQUIREMENT VACUTAINER BILLING LOC AMIKACIN (GENTAMYCIN) PEAK TROUGH GAP GAT Serum 1 mL Collect 'peak' specimen at end of IV infusion or 60 minutes (trough) after IM injection by physician Record time in hours that have elapsed between last dose and specimen collection PLAIN RED OHIP CML FREEZE SERUM AND SEND FROZEN Transport specimen in a separate brown paper bag Labelled „Frozen Sample‟ TAT – 10 days AMINOACIDS- QUALITATIVE (METABOLIC SCREEN) METAB Urine 10 mL random urine Submit in an orange or white cap container State age of patient and clinical diagnosis State if patient is on a special diet FREEZE URINE AND SEND FROZEN Transport specimen in a separate brown paper bag Labelled „Frozen Sample‟ TAT – 25 days OHIP CML AMINOACIDS- QUANTITATIVE AMINO Serum 1 mL Fasting specimen preferred State if on special diet, and clinical diagnosis FREEZE SERUM AND SEND FROZEN Transport specimen in a separate brown paper bag Labelled „Frozen Sample‟ TAT – 25 days GREEN with heparin OHIP CML AMINOACIDS- QUANTITATIVE RCML 24 Hour Urine 50 mL aliquot – submit in an orange or white cap container State age of patient and clinical diagnosis No preservative OHIP CML State total 24-hour volume on the OHIP Requisition, on the specimen container and in “Notes and Instructions” FREEZE URINE AND SEND FROZEN Transport specimen in a separate brown paper bag Labelled „Frozen Sample‟ Retain a duplicate 50 mL urine sample in the freezer until test is reported TAT – 25 days AMINOGLYCOSIDES Specify whether Amikacin, Gentamycin or Tobramycin See individual listings J:\Test Specification Guide (TSG) Version 2.0.doc TEST SPECIFICATION GUIDE (TSG) Created by Vedrana Vaskovic QC Coordinator BIO-TEST LABS 168 Charlotte St., Ottawa, ON., K1N 8K6 Last printed 28/11/2011 1:52 PM BIO-TEST LABORATORY Tel: (613) 789-4242 Fax: (613) 789-7033 SECTION A Page 8 of 20 NOTE: This is a CONTROLLED document. Any documents appearing in paper form that are not stamped in red ‘MASTER COPY’ are not controlled and should be checked against the original document titled as above in the electronic/hard copy version prior to use.
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March 28, 2011 2.0 Vedrana Vaskovic
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TEST CODES & SPECIMEN REQUIREMENTS MANUAL VERSION 2.0

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