TEST CODES & SPECIMEN REQUIREMENTS MANUAL VERSION 2.0

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TEST CODE SPECIMEN REQUIREMENT VACUTAINER BILLING LOC CULTURE & SENSITIVITY ANY FLUID, Except Semen Body Fluid – state source 10 mL Place fluid in a sterile container *Refer to Data Entry code sheet for specific codes TAT – 2 days OHIP BTL CULTURE & SENSITIVITY MISCELLANEOUS Includes wound, skin, all abscesses, axilla, groin, discharge, eye lid, mouth, perianal, pharynx rectal abscess, tonsil Swab – state source Place swab in charcoal transport media *Refer to Data Entry code sheets for specific codes TAT – 2 days OHIP BTL CULTURE & SENSITIVITY RECTAL / ANAL Swab – Rectal Place swab in charcoal transport media *Refer to Data Entry code sheets for specific codes TAT – 2 days OHIP BTL CULTURE & SENSITIVITY SEMEN SEMEN Semen 2 mL Place in sterile container TAT – 2 days OHIP BTL CULTURE & SENSITIVITY SMEAR/SLIDE SMEAR Smear/Slide- state source For Gram Stain TAT – 2 days OHIP BTL CULTURE & SENSITIVITY SPUTUM SPUT1 Sputum Deep cough specimen in sterile container Use only 1 sample per requisition *If second sample received, enter SPUT2 *If third sample received, enter SPUT3 TAT – 2 days OHIP BTL CULTURE & SENSITIVITY STOOL STOOL1 Stool Place stool in Cary–Blair transport container to the “FILL LINE” Shake to emulsify sample *If second sample received, enter STOOL2 *If third sample received, enter STOOL3 TAT – 2 days OHIP BTL CULTURE & SENSITIVITY THROAT THRO Swab – Throat Place swab in charcoal transport media State if patient in allergic to penicillin in “ Notes and Instructions” Test is for Beta Streptococcus Group A only TAT – 2 days OHIP BTL 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 20 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 CULTURE & SENSITIVITY THROAT FOR STREP THRO Swab – Throat Place swab in charcoal transport media State if patient is allergic to penicillin in “ Notes and Instructions” Test is for Beta Streptococcus Group A ONLY TAT – 2 days OHIP BTL CULTURE & SENSITIVITY URETHRAL URETH Swab – Urethral – Male or Female Submit swab in charcoal transport media TAT – 2 days OHIP BTL CULTURE & SENSITIVITY URINE U Urine Collect a minimum of 10 mL of mid–stream urine in an orange or white cap container TAT – 2 days OHIP BTL CYANIDE CYAN IDE Blood 10 mL TAT – 25 days 2 GREEN with heparin $60.00 CML CYCLOSPORINE TRANSPLANT *Must collected and tested at Hospital where transplant performed CYCLOSPORINE, NON TRANSPLANT RCML Blood State on the tube “non–transplant” Keep cold during transport TAT – variable LAVENDER OHIP CML CYSTATIN-C (CYSTATIN 3) (GAMMA TRACE) RCHEO Plasma Spin & separate GREEN with heparin $7.20 CHEO CYSTIC FIBROSIS (CF) See MOLECULAR GENETICS (I) RCHEO CYSTINE (QUANTITATIVE) 24CYS 24 Hour Urine 90 mL aliquot – submit in an orange or white cap container 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 90 mL urine sample in the fridge until test is reported TAT – 25 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 21 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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