TEST CODES & SPECIMEN REQUIREMENTS MANUAL VERSION 2.0

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TEST CODE SPECIMEN REQUIREMENT VACUTAINER BILLING LOC CARCINOEMBRYONIC ANTIGEN (CEA) CEAN Serum 3 mL A CEA Requisition Form completed and signed by the physician must accompany sample YELLOW SST $35.00 CML Note: to be used when four weeks have NOT elapsed between CEA test requests OR when the patient does not meet the aforementioned criteria and not covered by OHIP TAT – 10 to 15 days CARDIOLIPIN ANTIBODY (ANTI PHOSPHOLIPIN) See ANTI–CARDIOLIPIN AB ACL CARNITINE, FREE / TOTAL RCML Serum Minimum Volume required: 1 mL YELLOW SST $60.00 CML FREEZE PLASMA AND SEND FROZEN Transport specimen in a test labelled Separate brown paper bag TAT – 15 days CAROTENE (B–CAROTENE) RCML Serum 2 mL Protect from light by transferring serum into an amber transport tube TAT – 7 days YELLOW SST OHIP CML CAT SCRATCH FEVER ANTIBODY 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 – 15 days PLAIN RED N/C PHL CATECHOLAMINES TEST NO LONGER AVAILABLE(Plasma) 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 6 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 CATECHOLAMINES, FRACTIONATED 24CAT 24 Hour Urine 50 mL aliquot – submit in a white cap 90 ml container Refrigerate during storage and transport OHIP CML Do not add acid; pH will be adjusted in Biochemistry Dept. Do not use this sample for any other test State total 24-hour volume on the OHIP Requisition, on the specimen container and in “Notes and Instructions” Retain a duplicate 50 mL aliquot in the fridge until test is reported Testing Includes Epinephrine & Norepinephrine, Metanephrines TAT – 30 days CATECHOLAMINES, TOTAL TOTAL NO LONGER AVAILABLE, ONLY FRACTIONATED – SEE ABOVE CEA See CARCINOEMBRYONIC ANTIGEN CEA CEA See CARCINOEMBRYONIC ANTIGEN CEAN Note: to be used when four weeks have NOT elapsed between CEA test requests OR when the patient does not meet the aforementioned criteria and not covered by OHIP CELIAC DISEASE PANEL CELD Serum 2 mL Testing Includes Gliadin IgG & IgA, tissue transglutaminase IgA Antibodies TAT – 30 days YELLOW SST $120.00 CML TTG Screen includes or can be ordered separately: TTG – Tissue Transglutaminase/IGA $60.00 ANTEN ANTI-ENDOMYSIAL AB $55.00 ANGLI GLIADIN AB IGG & IGA $90.00 CELONTIN (METSUXIMIDE) RCML Plasma 2 mL Collect specimen 10 – 12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection TAT – 25 days ROYAL BLUE with heparin 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 7 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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