TEST CODES & SPECIMEN REQUIREMENTS MANUAL VERSION 2.0

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TEST CODE SPECIMEN REQUIREMENT VACUTAINER BILLING LOC BENCE–JONES PROTEIN (Immunoelectrophoresis) (HEAVY AND LIGHT CHAINS) 24BJ 24 Hour Urine 10 mL aliquot – submit in an orange or white cap container labelled CREATININE and a 50 mL aliquot – submit in an orange or white cap container labelled BENCE JONES OHIP CML No preservative State total 24-hour volume on the OHIP Requisition, on the specimen container and in “Notes and Instructions” Retain a duplicate 50 mL urine sample in the fridge until test is reported TAT – 5 days BENZENE (PHENOL) TEST NO LONGER AVAILABLE BENZODIAZEPINE BENZ Urine 10 mL random urine Submit in an orange or white cap container TAT – 2 days OHIP CML BETA 2 MICROGLOBULIN (MICROGLOBULIN) See B2 MICROGLOBULIN B2MIC BETA–Hcg, PREGNANCY (BHCG) (HUMAN CHORIONIC GONADOTROPIN) HCG Serum Centrifuge only TAT – 1 day YELLOW SST OHIP BTL BETA–Hcg, ONCOLOGY (HCG FOR ONCOLOGY) See BETA-Hcg, PREGNANCY HCG Label tube “hCG for Oncology” BICARBONATE (CARBON DIOXIDE) (CO 2) (HCO 3) CO2 Serum Centrifuge only Do not remove stopper TAT – 1 day YELLOW SST OHIP BTL BILE ACIDS (BILE SALTS) BILE Serum 5 ml FREEZE SERUM AND SEND FROZEN Transport specimen in a separate brown paper bag Labelled „Frozen Sample‟ TAT – 30 days 2 YELLOW SST $40.00 CML J:\Test Specification Guide (TSG) Version 2.0.doc TEST SPECIFICATION GUIDE (TSG) Created by Michael Halsall 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 B Page 2 of 7 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 BIO AVAILABLE TESTOSTERONE (TESTOSTERONE BIO AVAILABLE) FOR MALE PATIENTS FOR FEMALE PATIENTS BIOT BIOF Serum 2 mL Collect specimen in morning Free and Total Testosterone ordered, code for these tests and follow sample-processing procedure FREEZE SERUM AND SEND FROZEN Transport specimen in a separate brown paper bag Labelled „Frozen Sample‟ T – 25 days YELLOW SST (Males) $60.00 (Females) $65.00 WA BILIRUBIN (BILE) UBILI Urine 10 mL random urine Submit in an orange or white cap container TAT – 1 day OHIP CML BILIRUBIN, CONJUGATED (DIRECT BILIRUBIN) (BILIRUBIN FRACTIONATION) DBIL Serum Centrifuge only TAT – 1 day * For Quebec insured patients, protect specimen from light (Montfort Hospital requirements) Revised March 2008 (am/mjh) YELLOW SST OHIP CML BILIRUBIN, TOTAL BILI Serum Centrifuge only TAT – 1 day YELLOW SST OHIP BTL BILIRUBIN, UNCONJUGATED (INDIRECT BILIRUBIN) INBL Serum Centrifuge only YELLOW SST OHIP CML BIQUIN (QUINIDINE) (Q-10 METABOLITE) QUI 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 – 3 days PLAIN RED OHIP CML BIRD FANCIERS‟ DISEASE (ALLERGIC LUNG) (FARMERS LUNG) See ALLERGIC ALVEOLITIS RCML BLASTOMYCOSIS ANTIBODY DERMATITIDIS RPHL Do not centrifuge tube MINISTRY OF HEALTH GUIDELINES Refer to the General Information Page for the MOH Procedure regarding specimen processing and transportation TAT – 30 days PLAIN RED N/C PHL J:\Test Specification Guide (TSG) Version 2.0.doc TEST SPECIFICATION GUIDE (TSG) Created by Michael Halsall 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 B Page 3 of 7 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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