TEST CODES & SPECIMEN REQUIREMENTS MANUAL VERSION 2.0

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TEST CODE SPECIMEN REQUIREMENT VACUTAINER BILLING LOC CHLORIDE 24UCL 24 Hour Urine 10 mL aliquot – submit in a white cap conical tube No preservative OHIP 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 – 2 days CHLORPROMAZINE (LARGACTIL) CHLOR 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 PLAIN RED OHIP CML CHOLESTEROL, FASTING CHOL Serum Centrifuge only Patient must fasting overnight TAT – 1 day YELLOW SST OHIP BTL CHOLESTEROL, RANDOM RCHOL Serum Centrifuge only TAT – 1 day YELLOW SST OHIP BTL CHOLINESTERASE (PSEUDO- CHOLINESTERASE) CHOLI Serum 1 mL TAT – 5 days YELLOW SST OHIP CML CHOLINESTERASE, RBC (RBC CHOLINESTERASE) See ACETYL CHOLINESTERASE CHOL RBC CHOLINESTERASE, PHENOTYPING RCML Serum Centrifuge only TAT – 15 days YELLOW SST OHIP CML CHORIONIC GONADOTROPIN See BETA HCG PREGNANCY HCG CHORIONIC GONADOTROPIN See BETA HCG ONCOLOGY HCG 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 10 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 CHROMIUM RCML Urine 50 mL random urine Submit in an orange or white cap container TAT – 10 days $60.00 CML CHROMOSOME ANALYSIS (KARYOTYPING) See CYTOGENETICS TESTING RCHEO CIRCULATING ANTICOAGULANT (LUPUS ANTICOAGULANT) (NON–SPECIFIC COAGULATION INHIBITORS) LUANT Plasma 5 mL Separate immediately FREEZE PLASMA AND SEND FROZEN Transport specimen in a separate brown bag labelled „Frozen Sample‟ TAT – 25 days 3 LIGHT BLUE OHIP CML CITRATE 24CIT 24 Hour Urine 50 mL aliquot – submit in an orange or white cap container No preservative required State 24-hour volume Retain a duplicate 50 mL urine sample in the fridge until test is reported TAT – 15 days OHIP CML CK (CPK, TOTAL CK) (CREATINE PHOSPHOKINASE) CK Serum Centrifuge only TAT – 1 day YELLOW SST OHIP BTL CK–MB (CK-2 MB) (CREATINE PHOSPHOKINASE-MB) NO LONGER AVAILABLE CK ELECTROPHORESIS (CK ISOENZYMES) (CK FRACTIONATION) NO LONGER AVAILABLE CLOBAZAM (FRISIUM) (DESMETHYLCLOBAZAM) CLOB Serum 3 mL Separate serum and transfer to plastic tube Collect specimen 10 – 12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection TAT – 10 days 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 C Page 11 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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