TEST CODES & SPECIMEN REQUIREMENTS MANUAL VERSION 2.0

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TEST CODE SPECIMEN REQUIREMENT VACUTAINER BILLING LOC CD3, CD4, CD8 (LYMPHOCYTE MARKER-T CELL ONLY) (T CELL LYMPHOCYTE MARKER ONLY) CD3 CD4 CD8 Blood Specimen collection Monday – Tuesday ONLY Store at room temperature Do not transport on ice LAVENDER OHIP CML Complete a “CML Lymphocyte Marker T Cells Only Form” FOR ALL OTHER MARKERS SEE – LYMPOHCYTE MARKERS MUST REACH MAIN LAB BY THURSDAY AT 12 NOON NOTIFY CLIENT SERVICES DEPT. PRIOR TO SENDING ON THURSDAY AM, TO ENSURE SPECIMENS ARE SENT TO REFERENCE LAB SAME DAY TAT – 3 days CD19 (LYMPHOCYTE MARKERS) (T & B CELLS) See IMMUNO PHENOTYPING C-PEPTIDE C-PEP Plasma 2 mL Fasting specimen required GREEN with heparin OHIP CML FREEZE PLASMA AND SEND FROZEN Transport specimen in a separate brown paper bag Labelled „Frozen Sample‟ TAT – 10 days C-REACTIVE PROTEIN (CRP) CRP Serum Centrifuge only TAT – 1 day YELLOW SST OHIP BTL C-REACTIVE PROTEIN HIGH SENSITIVITY (CRP– HIGH SENSITIVITY) CRPHS Serum 1 mL TAT – 15 days YELLOW SST OHIP CML CA 125 (OV 125) CA125 Serum Centrifuge only 1 mL YELLOW SST $35.00 CML NOT to be used as a screening test Malignancy must be established TAT – 10 days 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 C Page 2 of 26 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 CA 15-3, BREAST (CANCER ANTIGEN 15-3) (CARBOHYDRATE ANTIGEN 15-3) CA15 Serum 1 mL each (Same as CA 27, 29) TAT - 15 days Updated billing to correct price of $35.00 Revised 10 June 2008 (mjh) YELLOW SST $35.00 CML CA 19– 9, PANCREAS (CANCER ANTIGEN 19-9) (CARBOHYDRATE ANTIGEN 19-9) CA199 Serum 1 mL TAT – 15 days Updated billing to correct price of $55.00 Revised 10 June 2008 (mjh) YELLOW SST $55.00 CML CADMIUM CAD Blood Do not open tube TAT – 15 days CADMIUM SCREEN RCML 24 Hour Urine 50 mL aliquot – submit in an orange or white cap container Collect in an acid washed container LAVENDER $40.00 CML $40.00 CML 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 – 15 days CAFFEINE (CAFFEINE- QUANTITATIVE) RCML Serum 1 mL Collect 10 – 12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection TAT – 10 days PLAIN RED $60.00 CML CALCITONIN CLT Serum 3 mL YELLOW SST OHIP CML CALCIUM CA Serum Centrifuge only TAT – 1 day CALCIUM, CORRECTED RCML FREEZE SERUM AND SEND FROZEN Transport specimen in a separate brown paper bag Labelled „Frozen Sample‟ TAT – 30 days Serum Centrifuge only State test in “Notes and Instructions” and on the OHIP requisition TAT – 1 day YELLOW SST OHIP BTL YELLOW SST 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 C Page 3 of 26 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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