MJH Clinical Laboratory Test Listing Specimen Code …€¦ · · 2018-03-01MJH Clinical...

MJH Clinical Laboratory Test Listing

*Test sent to Reference Lab

LGN= Light Green (Lithium Heparin), GN= Green (Sodium Heparin), GY= Grey, L= Lavender, P= Pink, LB= Light Blue, DB=

Dark Blue (no additive), R= Red, SS= SST, W= PPT (Plasma Preparation Tube, White top tube with K2 EDTA, for 5ml blood)

Last update: 3/8/11 of 27

Test

Code

Specimen

Requirements

Tube(s)

Alphabetical Profile Listing

Anti-Thyroid Antibody Group

ATAB

2 mL serum

SS

Cardiac Profile - Chem 7, Total CK, Isos = CKMB &Troponin, HP,

Blue hold tube

CARP

SS, L, and

LB

Chem 7 Profile - Glucose, BUN, Creatinine, Sodium, Potassium,

Chloride, CO2, Calcium

C7

2 mL serum

Fasting specimen

preferred.

SS

Chem Metabolic Profile - Glucose, BUN, Creatinine, Sodium,

Potassium, Chloride, Total Protein, Albumin, Calcium, Total

Bilirubin, AST (SGOT), ALP

CMET

2 mL serum

Fasting specimen

preferred.

SS

DIC Panel (PT, PTT, Fibrinogen, D-Dimer)

DIC Panel

LB

Drug Profile, (Amphetamines, Barbiturates,

Benzodiazepines, Marijuana,

Cocaine, Opiates, PCP, Methamphetamine, TCA, Methadone,

MDMA, Oxycodone)

UTOX

50 mL urine

Electrolyte Profile (Sodium, Potassium, Chloride, CO2)

LYTE

2 mL serum

SS

Hepatitis B Infectivity Profile HBsAg, Anti-HBc-IgM, HBeAg, and

Anti-HBe *

HEP2

3 mL serum

SS

Hepatitis Profile, Acute/Chronic Diagnostic* (Anti-HAV-IgM,

HbsAg and Anti-HBc-IgM)

HEP1

2.5 mL serum

SS

Hepatitis Profile, Comprehensive* Anti-HAV, Anti-HAV-IgM,

HBsAg, HbeAg, Anti-HBs, Anti-HBc, Anti-HBc-IgM and Anti-HBe

HEP6

4 mL serum, refrigerated

SS

Iron Profile, Iron, TIBC, UIBC, %SAT, Ferritin

FEP

3 mL serum

SS

Lipid Profile, Cholesterol, Triglycerides, HDL, LDL, VLDL and Risk

Ratio

LIPD

3 mL serum

SS

Liver Profile, AST (SGOT), LD, ALT(SGPT), Direct Bilirubin, Total

Bilirubin, ALP, ALB

LIVR

3 mL serum

SS

Prenatal Profile (CBC, RPR, ABO and Rh, Antibody Screen,

Rubella, HBsAG)

PN

EDTA blood, do not

refrigerate

AND 7 mL serum

P or L and 2

SS

Prenatal Profile w/ HIV *

(CBC, RPR, ABO and Rh, Antibody Screen, Rubella, HbsAg, HIV)

PNHV

EDTA blood, do not

refrigerate

AND 7 mL serum

P or L and

2 SS






Test

Code

Specimen

Requirements

Tube(s)

Rheumatoid Profile (includes ANA, ASO, CRP, RF and Uric Acid)

RP

5 mL serum

SS

Thyroid Profile I, T4, T3 Uptake, Free Thyroxine Index (FTI)

THY1

2 mL serum

SS

Thyroid Profile II, T4, T3 Uptake, FTI, TSH

THY2

2 mL serum

SS

Alphabetical Test Listing

ABO/RH Blood Type

ABR

10 mL blood

P, L or R

Acetaminophen

ACET

2 mL serum

SS

Acetone, Serum

ATON

1 mL serum

SS

Acetylcholine Receptor Binding Antibodies *

ACRA

0.3 mL serum

SS

ACTH *

ACTH

2 mL EDTA plasma,

frozen.

Maintain collection tube

on ice bath before and

after collection of blood ,

mix well and centrifuge,

separate plasma from

cells and store frozen in

plastic vial.

L or W

Actin Antibodies, IFA *

ASM

1 mL serum

R or SS

Activated Partial Thromboplastin Time (APTT, PTT)

PTT

1 blue top tube (citrate)

LB

Albumin

ALB

2 mL serum

SS

Alcohol, Blood

ETOH

One unopened SST tube,

do not prep with alcohol.

SS

Aldolase *

ALDO

2 mL serum, frozen

R or SST

Aldosterone *

ADTR

1 mL serum

R

Alkaline Phosphatase Isoenzyme Electrophoresis*

ALPI

2 mL serum

Fasting specimen

preferred

SS

ALP (Alkaline Phosphatase)

ALP

2 mL serum

SS

Alpha-1 Antitrypsin *

A1AT

1 mL serum

SS

Alpha-Fetoprotein (AFP)

AFP

2 mL serum

SS






Test

Code

Specimen

Requirements

Tube(s)

Alpha-Fetoprotein Triscreen *

AFPT

2 mL serum

SS

Alpha-Fetoprotein Quadscreen *

AFPQ

2 mL serum

SS

ALT (SGPT)

ALT

2 mL serum

SS

Amino Acids, Qualitative *

AAQ

20 mL random urine OR

0.5 mL plasma freeze

GN

Aminophylline (Theophylline)

THEO

2 mL serum

SS

Amiodarone *

(includes desethylaminodarone)

AMIO

3 mL serum or plasma

R or GN

No SS

Amitriptyline (Elavil) * Includes nortriptyline

AMIT

2 mL serum

DB, or R

No SS

Ammonia

NH4

7 mL blood

L - collect on ice, spin,

separate, and remove plasma

within 20 minutes of

collection. Refrigerate up to

3 hours or freeze.

W (PPT) – collect on ice,

spin and refrigerate within

20 minutes of collection.

Refrigerate up to 3 hours or

freeze.

L or

W (PPT)

Amniotic L/S and PG Ratio *

LSPG

6 mL amniotic fluid

Amylase, Urine

URAMY

2 mL urine

Amylase

AMY

2 mL serum

SS

ANCA Profile *

Includes Anti-pANCA and Anti-PR3 (cANCA)

ANCA

1 mL serum

SS

ANA (Anti-Nuclear Antibodies) *

ANA

2 mL serum

SS

Androstenedione, RIA *

ADSD

2.5 mL serum,

refrigerated or frozen

Fasting specimen

preferred.

R, No SS

Angiotensin-1-Converting Enzyme *

ACE

0.5 mL serum,

refrigerated

R or SS

Anti-Cardiolipin, IgG *

ACAG

1 mL serum

SS

Anti-Cardiolipin, IgM *

ACAM

1 mL serum

SS






Test

Code

Specimen

Requirements

Tube(s)

Anti-DNA *

DNAU

2 mL serum

R or SS

Anti-DNase *

(Anti-Streptococcal Dnase antibodies)

DNASE

1 mL serum

SS

Anti-nDNA Antibodies, RIA

Antibodies to native (double stranded) nDNA *

DNA

0.3 mL serum

SS

Anti-Extractable Nuclear Antigen (ENA), UVA *

Includes Anti-RNP, anti-Sm, anti-SS-A (anti-Ro), anti-other ENA

ENAU

SS

Anti-Extractable Nuclear Antigen (ENA), Quest *

Includes Anti-RNP, anti-Sm, anti-SS-A (anti-Ro), anti-other ENA

ENAA

SS

Anti-Mitochondrial Antibodies (AMA), IFA *

AMAB

1 mL serum

R or SS

Anti-Smooth Muscle Antibodies (ASMA), IFA *

ASM

1 mL serum

R or SS

Anti-Streptolysin O Antibodies (ASO)

ASOT

1 mL serum

SS

Anti SS-A (Anti-Ro), UVA *

SSAU

2 mL serum

SS

Anti SS-A (Anti-Ro), Quest *

SSAB

2 mL serum

SS

Anti-Thrombin III *

ATIII

1 mL citrate plasma,

FROZEN

LB

Anti-Thyroglobulin Antibodies

ATG

2 mL serum

SS

Anti-Thyroid Antibody Group

ATAB

2 mL serum

SS

Antibody Screen

AS

10 mL blood

P or R

Antibody to Hepatitis A Virus, IgM (Anti-HAV, IgM) *

Positive result indicates acute Hepatitis A (HAV) infection

AHAV

0.5 mL serum

SS

Antibody to Hepatitis A Virus, Total (Anti-HAV, Total) *

Positive when IgG and/or IgM antibodies to Hepatitis A virus (HAV)

are present, therefore, can be positive in acute or past HAV infection.

May be negative when only IgM antibodies are present in low titer

during early acute phase of HAV infection.

HAVT

0.5 mL serum

SS

Antibody to Hepatitis B Core

Antigen (Anti-HBc, Total) *

AHBC

0.5 mL serum

SS

Antibody to Hepatitis B Core, IgM (Anti-HBc, IgM) *

HBCM

0.5 mL serum

SS

Antibody to Hepatitis B e Antigen (Anti-HBe) *

AHBE

0.5 mL serum

SS

Antibody to Hepatitis B Surface Antigen (Anti-HBs) *

AHBS

0.5 mL serum

SS






Test

Code

Specimen

Requirements

Tube(s)

Antibody to Hepatitis C Virus, 2nd Generation *Positive when IgG

and/or IgM antibodies to Hepatitis C are present, therefore can be

positive in acute, past, or chronic hepatitis C virus (HCV) infection

HEPC

0.5 mL

SS

Arsenic *

(Note: Fish, shellfish and kelp should not be consumed for at least one

week prior to collection of specimen)

ARU

ARB

100 mL urine, OR 100

mL aliquot of

24 hr collection preserved

with 30 mL 6N HCl

4 mL blood

L

AST (SGOT)

AST

2 mL serum

SS

βHCG, Quantitative

HCGQ

2 mL serum

SS

Beta-2-Microglobulin *

B2M

0.50 mL serum OR

Urine: First void urinary

bladder, then drink large

glass of water and collect

urine sample within 1 hr.

Check pH of urine. If it

is below 6.0, adjust it to

between 6-8 with 1.0M

NaOH before storage.

R, DB or SS

Beta Strep Screen (Group A)

SAG

2 Throat swabs

Bile Acids *

BA

0.5 mL serum after 8 hr

fast

SS

Bilirubin, Direct

DBIL

2 mL serum

SS

Bilirubin, Total

TBIL

2 mL serum

SS

Bone Marrow Aspirate/Biopsy

Obtain appropriate

collection container(s)

from the laboratory.

Slides should be made at

the bedside.

Bordetella Pertussis by PCR

BPCR

Nasopharyngeal washing

Bordetella Pertussis Antibodies *

SS

BUN (Blood Urea Nitrogen)

BUN

2 mL serum

SS

C-Peptide

CPEP

2 mL serum.

SS

C1q Binding Assay *

(Immune Complex Detection by C1q Binding Assay)

IMUV

1 mL serum or EDTA

plasma, FROZEN

Centrifuge, separate, and

freeze serum or plasma

R or LB






Test

Code

Specimen

Requirements

Tube(s)

CA-125 (Cancer Antigen 125)

Indicated for use as an aid in detection of residual ovarian cancer.

C125

0.5 mL

SS

CA 15-3 Used for early detection of recurrence of Stage II or III breast cancer.

CA153

0.3 mL non-hemolyzed

serum, refrigerated

SS

CA 19-9 (Carbohydrate Antigen 19-9)

CA19

2 mL serum

SS

Calcitonin *

CALT

0.5 mL serum, FROZEN

SS

Calcium, Urine

24 hr

URCA

Random

UCA

2 mL aliquot of 24 hr

urine

2 mL urine

Calcium

CA

2 mL serum

SS

Calcium, Serum, Ionized (Free), Ion-selective Electrode

ICA

Collect blood in a serum

separator tube. 7 mL

tube must be filled

completely. Allow blood

to clot and centrifuge

with stopper in place.

Keep sample anaerobic.

SS

Carbamazepine (Tegretol)

TEG

2 mL serum

SS

Carbon Monoxide*

CO/MHB

3 mL blood, on ice

LGN

Cardiac Profile (Total CK, CKMB, Troponin)

ISOS

2 mL serum

SS

Carotene, Beta Carotene *

CARO

3 mL serum, fasting,

PROTECT FROM

LIGHT.

SS

Catecholamines, Fractionated, Plasma * (epinephrine,

norepinephrine and dopamine)

CATP

10 mL sodium

heparinized whole blood

drawn in chilled tube,

separated and stored

frozen.

GN

Catecholamines, Fractionated, Urine * (epinephrine, norepinephrine

and dopamine)

CATF

Record 24-hour urine

volume on test request

form and urine container.

Collect 24-hour urine

with 25 mL 6N HCl to

maintain a pH below 3.

Urine without

preservative is acceptable

if pH is below 6 and the

sample is shipped frozen.






Test

Code

Specimen

Requirements

Tube(s)

Cat Scratch Fever, Rochalimaea Lenslelae Antibodies *


SS

CBC, does not include differential

CBC

5 mL EDTA whole blood

L

CBCD (Complete Blood Count) with automated differential, reflex to

manual

CBCD


L

CBC with manual differential

CBCM


L

CEA (Carcinoembryonic Antigen)

CEA

2 mL serum

SS

Ceruloplasmin *

CERU

1 mL serum

SS

Chem 7 Profile - Glucose, BUN, Creatinine, Sodium, Potassium,

Chloride, CO2, Calcium

C7

2 mL serum

SS

Chem Metabolic Profile - Glucose, BUN, Creatinine, Sodium,

Potassium, Chloride, Total Protein, Albumin, Calcium, Total

Bilirubin, AST (SGOT), ALP

CMET

2 mL serum

SS

Chlamydia/GC STD Probe

STDP

Chlamydia/GC collection

swab

Chloramphenicol *

CHLR

0.5 mL serum, protect

from light

R

Chloride

CL

2 mL serum

SS

Cholesterol

CHOL

2 mL serum, fasting

SS

Chromosome Analysis, Blood *

7 mL blood

Submit specimen to

Anatomic Pathology Lab.

GN

Chromosome Analysis, Bone Marrow *

1 mL bone marrow

Submit specimen to

Anatomic Pathology

Lab..

GN

Chromosome Analysis, Amniotic fluid *

1 mL amniotic fluid

Completed UVA

Chromosome Study

Consultation form must

accompany specimen.

Citrate, 24 hr urine

URCT


urine collection

CK, Total and CK-MB

CKMB

2 mL serum, free from

hemolysis

SS






Test

Code

Specimen

Requirements

Tube(s)

CK (Creatine Kinase, CPK)

CK


hemolysis

SS

Clostridium difficile, Toxin A

CDIA

2-10 mL LIQUID stool

CO2

CO2

2 mL serum

SS

Cold Agglutinins

COLD

1 red top at room

temperature.

R

Complement, C4

C4

1 mL serum

SS

Complement, C3

C3

1 mL serum

SS

Complement, Total CH50 Units *

CH50

1 mL serum, separated

from clot and frozen

immediately.

SS

Coombs, Indirect (Antibody Screen)

AS

7 mL blood

PN

Coombs, Direct (Direct Antiglobulin Test)

DAT

5 mL blood

PN

Copper, Serum, Atomic Absorption *

CU

3 mL serum

DB

Cortisol

COR

2 mL serum

SS

Cortrosyn Stimulation Test

Contact MJH Laboratory

for instructions.

NOTE: The MJH

Laboratory does not

supply or administer

Cortrosyn

SS

Coumadin Level

COUM

EDTA plasma

L

C-Reactive Protein

CRP

1 mL serum

SS

C-Reactive Protein, High Sensitivity

HSCRP

2 mL serum

SS

Creatinine Clearance

CC

24 hr urine, no

preservative and serum

sample

SS

Creatinine

CREA

2 mL serum

SS

Cryoglobulins, Immediately wrap tube in heel warmer and change as

needed

CRYO

10 mL blood, keep warm

R

Cryptococcal Antigen, Latex Agglutination *

SCAG

CCAG

1 mL serum OR

1 mL CSF

SS






Test

Code

Specimen

Requirements

Tube(s)

Crystals/Synovial Fluid Analysis

FCRY

2 mL synovial fluid

L or R or

Sterile tube

Culture, Acid Fast *

Culture and smear

Smear only

AFSC

AFSS

Sputum: First specimen,

preferably collected in a

Falcon Sputum

Collection System.

Urine: At least 50 mL of

a first morning specimen.

Other: Specimen

submitted in a sterile

container.

Culture, Anaerobic

Fluid

Respiratory

Wound

ANC

RANC

WANC

Specimen submitted on a

swab suitable for

anaerobic transport.

Positive isolates are sent

to UVA for identification

and sensitivities at the

physicians request.

There is an additional

charge.

Culture, Blood

BLDC

2 blood culture bottles (1

set), 5-10 mL of blood in

each.

Culture, Cervical/vaginal for Group B Strep only

CXVB

Collection swab

Culture, Fungus

FUNC

Specimen submitted in a

sterile container or on a

swab. Positive isolates

are sent to the State Lab

for identification at an

additional charge.

Culture, Herpes*

HERC

(Quest)

HERSC

(UVA)

Vesicle, throat, genital,

eye Submit in VTM

liquid.

Culture, Routine with Sensitivity

Urine

Fluid

Genital

Wound

Wound, Surgical

Feeding Tube Site Decubitus

Sputum

URNC

FLDC

GENC

WNDC

WNDS

FTC

DECUB

SPUC

Specimen submitted in a

sterile container or on a

swab. Do not refrigerate

CSF or genital

specimens. Specify

source.






Test

Code

Specimen

Requirements

Tube(s)

Culture, Stool

STPC

Stool submitted in a clean

container or a rectal

swab.

Culture, Strep only

THSC

Collection swab

Culture, Urine

URNC

Urine in a sterile

specimen container.

Specify method of

collection (clean catch,

cath).

Culture, Viral (see Viral Culture)

Cyclic AMP, Urine *


urine collection preserved

with 30 mL of 6N HCl

solution, FROZEN. OR

Random urine preserved

with 3mLof 6N HCl

solution, FROZEN.

Specify on request form:

24 hr urine with total

volume or random urine.

Cyclosporin, Monoclonal *

CYCT

7 mL blood

L

Cystine, Urine *

CYST

1.8 mL aliquot of 24 hr

urine.

Cytomegalovirus IgG Antibodies, IFA*

CMVG

1 mL serum

SS

Cytomegalovirus IgM Antibodies, IFA*

CMVM

1 mL serum

SS

DAT (Direct Coombs)

DAT

5 mL blood

PN

D-Dimer

DIME

4.5 mL citrated blood

Stable up to 8 hours at

room temperature.

LB

Delta Amino-levulinic Acid *

DALA

24 hr urine with HCl as

preservative

Depakene (Depakote, Valproic Acid)

VALP

1 mL serum

SS

Desipramine (Norpramin)*

Included when imipramine ordered

DESP

2 mL serum

R






Test

Code

Specimen

Requirements

Tube(s)

Dexamethosone-Suppression Test

Contact MJH Laboratory

NOTE: MJH Laboratory

does not supply

Dexamethasone.

DHEA (Dehydroepiandrosterone)

DHEA

2.5 mL serum

SS

DHEA Sulfate

(Dehydroepiandrosterone sulfate), (DHEA-S)

DHES

0.5 mL serum

SS

Diazepam*

VALM

2 mL serum/plasma

R or DB

DIC Panel (PT, PTT, Fibrinogen, D-Dimer)

LB

Digoxin

DIG

2 mL serum

Collect 8 to 12 h after

dosing.

SS

Dilantin (Phenytoin)

DIL

2 mL serum

SS

Dilute Russell’s Viper Venom Time *

RVV


FROZEN

LB

Disopyramide (Norpace)*

NORP

1 mL serum

DB

or R

Doxepin (Sinequan)*

DOXP

2 mL serum

DB

or R

Drug Abuse Screen with Confirmation *

DRGW

50 mL urine

Drug Profile, (Amphetamines, Barbiturates,

Benzodiazepines, Marijuana,

Cocaine, Opiates, PCP, Methamphetamine, TCA, Methadone,

MDMA, Oxycodone)

UTOX

50 mL urine

Ehrlichia canis *

1 mL serum

SS

Ehrlichia chaffeensis Antibody Panel *

EHRL

2 mL serum

SS

Ehrlichia phagocytophilia, * HGE

Elavil (Amitriptyline) *

Includes nortriptyline

AMIT

2 mL serum

DB or L

No SS

Electrolyte Profile (Sodium, Potassium, Chloride, CO2)

LYTE

2 mL serum

SS

Entamoeba Histolytica Antibodies, IFA *

AMEB

1 mL serum

SS

Eosinophil Count, Absolute

EOST

5 mL EDTA blood

L






Test

Code

Specimen

Requirements

Tube(s)

Eosinophils, Sputum or Nasal secretions

Specimen in sterile

container. Submit to

Anatomic Pathology.

Epstein-Barr Virus Antibody Panel I*,

IFA EBVCA-IgG (IFA), EBVCA-IgM (IFA), EBNA (ACIF)

EBVP

2 mL serum

SS

Erythropoietin*

ERYP

1 mL random serum

SS

ESR (Erythrocyte Sedimentation Rate)

ESR

5 mL EDTA whole

blood, refrigerated

L

Estradiol, 17 Beta

DIOL

1 mL serum

SS

Estriol, Unconjugated *

1.0 mL serum

R (preferred)

or SST

Estrogen, Total

ESTR

1.5 mL serum

SS

Ethanol

ETOH

One unopened SST tube,

do not prep with alcohol.

SS

Ethylene Glycol *

EGLY

3 mL blood

OR 10 mL urine

OR 3 ml gastric contents

GY

Factor Assays *

Notify MJH Laboratory

to arrange for collection

Factor V Lieden *

F5Leiden

5 mL whole blood,

EDTA

L

Fatty Acids, Fecal, Total *

FAT

72 hr fecal collection.

Specimen will ONLY be

processed if submitted in

pre-weighed feces

container and refri-

gerated.

Patient should be on a 80-

100 g/day fat diet for 3

days prior to starting

collection and through-

out the 3 day collection

period. Avoid urine

contamination.

Fecal Fat, Qualitative * SFAT Random stool

Ferritin

FER

2 mL serum

SS

Fetal Fibronectin

FFN

FFN swab






Test

Code

Specimen

Requirements

Tube(s)

Fibrinogen

FIB

1 blue top (citrate).

Do not spin, separate or

refrigerate. Stable up to

4 hours at room

temperature.

LB

Fluid Analysis, Body fluids including synovial fluid, cyst fluid

Transfer specimen to

appropriate vacutainer

tubes.

Cell Count

Chemistries

Transfer culture

specimens to a sterile

culture tube.

State site/source of

specimen on requisition.

L

R

Folic Acid, Serum

FOL

0.5 mL serum

SS

Follicle Stimulating Hormone (FSH), Serum

FSH

1 mL serum

SS

Fungal Antibodies Screen, Immunodiffusion* (Histoplasma

capsulatum, Blastomyces dermatitidis, Coccidioides immitis and

Aspergillus spp.)

FAS

1 mL serum

SS

FTA-ABS (Fluorescent Treponemal Antibodies, Absorbed)*

FTA

1 mL serum

SS

Gabapentin *

GABA

3 mL plasma

DB, L, or R

Gastrin*

GAST

1 mL serum,separated

from clot and frozen.

Overnight 10-12 hour fast

required. No smoking,

coffee, tea or WATER

during fast. Antacid

medications should be

discontinued for 24 hours

before test.

SS

GC STD Probe

STDP

Chlamydia/GC collection

swab

GGT (Gamma-Glutamyl Transferase)

GGT

1 mL serum

SS

Giardia/Cryptosporidium Screen, EIA

GIA/

Crypto

Refrigerate < 24 hours

Gliaden/Gluten Antibody Panel*

GLIA

1 mL serum

SS

Glucose

GLU

2 mL serum separated

and refrigerated or 1 gray

top tube.

SS or

GY






Test

Code

Specimen

Requirements

Tube(s)

Glucose, Fasting

GLUF


and refrigerated OR 1

gray top tube.

SS or GY

Glucose, Fluid

FGLU

3 mL fluid

Glucose, 1 Hr Post 50

GL50


and refrigerated OR 1

gray top tube collected 1

hrs post 50 gm glucola

SS or GY

Glucose-6-Phosphate Dehydrogenase (G-6-PD)*

G6PD

1 mL blood

L

Glucose Tolerance, 3 Hr

GTT3

12 hour fast preferred.

100 gm glucola.

SS or GY

Glucose Tolerance, 2 Hr

GTT2

12 hour fast preferred.

75 gm glucola.

SS or GY

Glycohemoglobin (Hemoglobin A1C)

H1AC

5 mL blood

L

Gram Stain

GRAM

Swab/specimen in sterile

container

Growth Hormone *

GH

1 mL serum,

Fasting specimen

R or SS

Hansel Stain

HNST

Sputum - submit to

Anatomic Pathology.

Secretions - submit to

Hematology.

Sterile

specimen cup

Haptoglobin *

HAPT


Fasting specimen

preferred.

SS

HDL Cholesterol (High Density Lipoprotein)

HDL

2 mL serum

12 hour fast required.

SS

Heavy Metals Group, Blood *

Includes quantitative arsenic, lead and mercury

HMB

4 ml x2

5 ml

DB (EDTA)

L






Test

Code

Specimen

Requirements

Tube(s)

Heavy Metals Group, Urine *

Includes quantitative arsenic,

mercury and delta-aminolevulinic acid. Appropriate for industrial

and environmental screening.

HMU

24-hour urine container

preserved with 25 mL

50% Acetic

Acid [Minimum:

Transfer 100 mL of that

sample to an acid-

washed, metal-free, leak-

proof container for

refrigerated (cold packs)

transport.] Specify total

volume on the request

form and on the urine

container.

Helicobacter pylori, IgG antibodies, EIA

HPYLA

1 mL serum

SS

Hematocrit

HCT


L

Hemochromatosis Genetic Test *

HCHROM

5 mL whole blood,

EDTA at room temp

L

Hemoglobin

HGB

5 mL EDTA whole

blood, do not refrigerate

L

Hemoglobin A2 *

HA2

5 mL blood

L

Hemoglobin Electrophoresis Screen *

HGBS

5 mL blood

L

Hemosiderin, Urine Cytologic

Examination *

HSID

15 mL random urine,

collected without

preservative.

Hepatitis Acute/Chronic HAV, HBV, HCV Profile *

(HBsAG, Anti-HBc-IgM, Anti-HAV-IgM, HEPC)

ACHEP

2 mL serum

SS

Hepatitis Acute/Chronic HBV and HCV Profile *

(HBsAG, Anti-HBc-IgM, HEPC)

HepB&C

Profile

4 mL serum

SS

Hepatitis B e Antigen (HbeAg) *

BEAG

0.5 mL serum

SS

Hepatitis B Infectivity Profile * HBsAg, Anti-HBc-IgM, HBeAg,

and Anti-HBe

HEP2


SS

Hepatitis B Surface Antigen (HBsAg)

BSAG

1 mL serum

SS

Hepatitis B Vaccine Screen*, For immune status

HVAC

1 mL serum

SS

Hepatitis C Antibody, EIA*

HEPC

0.5 mL serum

SS

Hepatitis Profile, Acute/Chronic Diagnostic* (Anti-HAV-IgM,

HbsAg and Anti-HBc-IgM)

HEP1

2.5 mL serum

SS






Test

Code

Specimen

Requirements

Tube(s)

Hepatitis Profile, Comprehensive* Anti-HAV, Anti-HAV-IgM,

HBsAg, HbeAg, Anti-HBs, Anti-HBc, Anti-HBc-IgM and Anti-HBe

HEP6

3 mL serum

SS

Herpes Simplex Antibodies, IgM, EIA *

HSVIGM

2 mL serum

SS

Herpes Simplex Virus (HSV 1 and 2) IgG Antibodies, IFA *

HSVA

1 mL serum

SS

5-HIAA (5-Hydroxyindoleacetic acid) *

HIAA



with 30 mL of 6N HCl or

25 mL 50% acetic acid

during collection.

Specify total volume on

request form.

Histoplasma capsulatum Antibodies, Immunodiffusion (H and M

Bands) *

HIST

1 mL serum

SS

HIV-1 p24 Antigen, Quantitiative *

For detection of antigenemia. This is NOT for initial screening of

patients.

P24A


SS

HIV-1/2 Serology *

An ELISA screen is performed. If the test is repeatedly reactive, a

Western Blot will be performed for an additional charge.

HIV

2 mL serum. Serum

should be fresh,

nonhemolyzed,

nonlipemic, and should

not be repeatedly thawed

and refrozen.

SS

HIV-1 RNA, Quantitiative *

HIVR

3 ml plasma, FROZEN

W or L

HLA-B27 Histocompatibility Antigen (lymphocyte

microcytotoxicity method) *

HB27

12 mL whole blood

submitted in ACD tubes.

Collect and send

promptly. DO NOT

REFRIGERATE.

SPECIMENS

ACCEPTED MONDAY

THROUGH

THURSDAY ONLY.

Y

HTLV I/II Antibodies, ELISA *

1 mL serum

SS

Homocysteine

HOMO

2 mL

SS

17-Hydroxycorticosteroids *

17OH



with 25 mL of 50%

Acetic acid or 30 mL 6N

HCl during collection.

Specify total volume.






Test

Code

Specimen

Requirements

Tube(s)

Ibuprofen*

1 mL serum/ plasma

R or

L

Imipramine (Tofranil)* (Includes desipramine)

IMIP

2 mL serum

DB or R

Immune Complex Detection by C1q Binding Assay *

IMUV

1 mL serum

OR

1 mL citrated plasma

Specimen should be

immediately separated

from blood cells, frozen,

and submitted on dry ice.

SS or LB

Immunoelectrophoresis, Serum*

SIEP


SS

Immunoelectrophoresis, Urine*

UIEP


urine, collected without

preservatives and

refrigerated, OR

Random urine,

refrigerated. Specify on

request form: 24 hr urine

with total volume or

random urine.

Immunoglobulin E

IGE

2 mL serum

SS

Immunoglobulins, G, A and M, Quantitative

IGAM


SS

India Ink Prep

INK

0.5 mL spinal fluid

Influenza A and B, EIA

Detects Inluenza A viral antigen

INFA

Nasal swab OR

Nasopharyngeal aspirate

or swab; place in 1-2 mL

saline. Refrigerate if

sample will not be tested

immediately.

Transport to laboratory

ASAP

Insulin

INSU

0.5 mL serum

Fasting specimen

preferred.

SS

Insulin-like Growth Factor-1 *

(Formerly Somatomedin-C)

SOMC

0.5 mL serum

R or SS

Intrinsic Factor Blocking

Antibodies *

IFBA

0.5 mL serum

SS






Test

Code

Specimen

Requirements

Tube(s)

Iron

FE

2 mL serum

SS

Iron Profile I (Iron, TIBC, UIBC, %SAT, Ferritin)

FEP

3 mL serum

SS

17-Ketogenic Steroids (total adrenal corticosteroids)*

17KG



with 25 mL 50% Acetic

acid or 1gram Boric

Acid/100mL during

collection.

17-Ketosteroids *

17KS



with 25 mL of 50%

Acetic acid or 30 mL 6N

HCl during collection.

Lactic Acid

LACT

1 grey top tube on ice,

spin, separate and keep

plasma refrigerated

GY

Lamotrigine * (Lamictal)

LAMO

1 mL serum

R

Lanoxin (Digoxin)

DIG

2 mL serum

Collect 8 to 12 h after

dosing

SS

LAP (Leukocyte Alkaline Phosphatase)

LAP

Contact Hematology lab

prior to collection. Must

be received in lab within

1 hour of collection.

Transport immediately.

GN

LD, Total (Lactate Dehydrogenase)

LD


hemolysis

SS

LDL Cholesterol (Low Density

Lipoprotein)

Performed when

Triglyceride > 350

mg/dL.

SS

Lead, Blood*

Lead

1 mL blood

L

Lead, Urine*

LeadU

7 mL urine in acid

washed metal free

continer

Legionella pneumophila

Antibodies, (Polyvalent) EIA*

LEGI

1 mL serum

SS

Lipase

LIPS

1 mL serum

SS






Test

Code

Specimen

Requirements

Tube(s)

Lipid Profile, Cholesterol, Triglycerides, HDL, LDL, VLDL and Risk

Ratio

LIPD

2 mL serum

12 hour fast required.

SS

Lithium

LI

2 mL serum

SS

Liver Profile, AST (SGOT), LD, ALT(SGPT), Direct Bilirubin, Total

Bilirubin, ALP, ALB

LIVR

2 mL serum

SS

Lupus Anticoagulant-PNP * (Platelet Neutralization Procedure)

PTTLA

Requires special

handling. Contact MJH

Laboratory.

LB

Luteinizing Hormone (LH)

LH

1 mL serum

SS

Lymes Test, Qualitative

SLYMS

2 mL serum

SS

Lymphocyte Subset Panel *

Includes B, Pan-T, T helper/inducer, T suppressor/ cytotoxic, and

helper/ suppressor ratio

TCEL

20 mL sodium

heparinized blood

AND

5 mL EDTA blood

If possible, the sample

should be drawn shortly

before courier pickup.

Maintain at ambient

temperature. Include on

the request form the time

of collection. Specimens

should be received within

24 hrs, shipped

MONDAY THROUGH

THURSDAY ONLY.

GN

and

L

Magnesium

MG

1 mL serum

SS

Malaria/Blood Parasite Prep

MALR

5 mL EDTA whole

blood.

L

Melanin *

MEL

20 mL random urine

PROTECT FROM

LIGHT and transport

FROZEN






Test

Code

Specimen

Requirements

Tube(s)

Metanephrines, * fractionated, urine, HPLC

METN


urine collection. After

urine collection, add 25

mL 6N HCl to maintain a

pH below 3. Urine

without preservative is

acceptable if pH is below

6 and the sample is

shipped frozen. Record

24-hour urine volume on

urine vial.

Methotrexate*

MTX

2 mL serum, frozen

R

Methylmalonic Acid, serum *

MMAS

2 mL serum

R

Methylmalonic Acid, urine *

MMAU

24 hr urine collection

MHA-TP *

MHA

2 mL serum

SS

Microalbumin

MALB



preservative and

refrigerated. Provide

total volume.

OR

Random urine for

screening purposes only.

Microalbumin with Creatinine MALC 100 mL aliquot of 24 hr


preservative and

refrigerated. Provide

total volume.

OR

Random urine for

screening purposes only.

Monospot

MSPT

1 mL serum or EDTA

plasma

SS or L

Mucin Clot, Synovial Fluid L or R or

Sterile

Mycoplasma pneumoniae Antibody Profile * M. pneumoniae IgG,

IgM antibodies, EIA


SS

Mycoplasma pneumoniae, IgG Antibodies, EIA*

MYPA


SS or R

Myoglobin, Quantitative, Urine*

MYOG

10 mL random urine,

refrigerated

NMRLipd Lipoprofile (includes lipid profile) NMR serum Bumblebee

(black and

yellow) or R






Test

Code

Specimen

Requirements

Tube(s)

Norpace (Disopyramide) *

NORP

1 mL serum

DB or R

Nortriptyline *

NORT

2 mL serum

DB or R

Osmolality, Serum *

OSMS

1 mL serum

SS

Osmolality, Urine *

UOSM

3 mL urine

Ova and Parasites *

OAP

Fresh < 1hr, or if delay

Para-Pak MF Fixative

PAP, see Prostatic Acid Phosphatase *

PAP

1 mL frozen serum, free

from hemolysis

SS

Parathyroid Hormone, Intact (IRMA Intact-PTH) Report includes

calcium, phosphorous and creatinine levels.

PTH

2 mL serum.

SS

Parvovirus B19, IgG and IgM Antibodies *

Acute or convalescent

HP19

2mL serum

SS

Phenobarbital

PHEN

2 mL serum

SS

Phenytoin (Dilantin)

DIL

2 mL serum

SS

Phosphorous

PHOS

1 mL serum

SS

Pinworm Prep

PIN

Scotch tape prep prepared

with plain tape. Do not

use transparent tape.

Platelet Antibody, Direct *

PABD

10 mL EDTA whole

blood

(2) L

Platelet Antibody, Indirect *

PABI

5 mL EDTA plasma,

FROZEN

(2) L

Platelet Count

PLT


L

Porphobilinogen, Urine *

Imperative to assay within 24 hours of collection.

PBG


urine, preserved with 5

gm sodium

carbonate. Specify total


form.

Protect from light and

refrigerate.






Test

Code

Specimen

Requirements

Tube(s)

Porphyrins, Fractionated, Urine* (Coproporphyrin and

uroporphyrin)

POR


urine, with no

preservative or with 5 gm

sodium carbonate.

Protect from light and

refrigerate. Specify total


form.

Potassium

K


hemolysis

SS

Prealbumin (Transthyretin)

PREA

1 mL serum

SS

Pregnancy Test, Serum, Quantitative BHCG

HCGQ

2 mL serum

SS

Pregnancy Test, Urine

UPREG

10 mL urine

First morning specimen

preferred.

Prenatal Profile (CBC, RPR, ABO and Rh, Antibody Screen,

Rubella, HBsAG)

PN

EDTA blood, do not

refrigerate

AND 7 mL serum

PN, L and

2R

Prenatal Profile w/ HIV *

(CBC, RPR, ABO and Rh, Antibody Screen, Rubella, HbsAg, HIV)

PNHV

EDTA blood, do not

refrigerate

AND 7 mL serum

PN, L and

2R

Primidone (Mysoline), Includes Phenobarbital

MYSO

0.5 mL plasma, OR

0.5 mL serum

L, R, DB

Procainamide (Pronestyl) *

Includes N-acetyl procainamide (NAPA)

PRCN

1 mL serum

DB or R

Progesterone

PROG

1 mL serum

SS

Prolactin

PROL

1.5 mL serum

Fasting specimen

preferred.

SS

Prostate Specific Antigen (PSA)

PSA

1 mL serum

SS

Prostate Specific Antigen (PSA), Free and Total

Free PSA done when total PSA between 4-10 ng/mL

PSAF

1 mL serum

SS

Prostatic Acid Phosphatase (PAP) *

PAP

1 mL frozen serum, free

from hemolysis

SS

Protein C *

PRC


FROZEN; centrifuge,

separate, and freeze

plasma immediately.

LB






Test

Code

Specimen

Requirements

Tube(s)

Protein S (Total and Free) *

PRS


FROZEN; centrifuge,

separate, and freeze

plasma immediately.

LB

Protime (PT), includes INR

PT


DO NOT spin, separate

or refrigerate.

Stable up to 24 hrs at

room temp.

LB

PTT (Activated Partial Thromboplastin Time, APTT, PTT)

PTT


DO NOT separate or

refrigerate.

Stable up to 4 hrs at room

temperature if patient on

heparin, 12 hours for

non-heparinized patient.

LB

Quinidine *

QUIN

2 mL serum or plasma

R or L

RBC Count

RBC


L

RBC Folic Acid *

RFA

5 mL EDTA whole

blood, transferred to

plastic tube within 4 hrs

of collection and

transported frozen.

L

Renin, Direct *

REN

3 mL EDTA plasma

Collect blood in L tube,

mix well, immediately

centrifuge. Pour plasma

into shipping vial and

freeze. Discard the red

cells.

L

Reticulocyte Count

RETC


L

Rheumatoid Factor

RF

2 mL serum

SS

Rheumatoid Profile (includes ANA, ASO, CRP, RF and Uric Acid)

RP

5 mL serum

SS

Rocky Mountain Spotted Fever Antibodies, IgG, IgM Typhus Fever

Antibodies, IFA *

RMSF

1 mL serum

SS

RPR

RPR

1 mL serum

SS

Rubella Screen

RUBE

2 mL serum

SS

Rubeola Virus, IgG Antibodies, EIA *

1 mL serum

SS






Test

Code

Specimen

Requirements

Tube(s)

Salicylate

SAL

2 mL serum

SS

Serotonin, Blood *

SERO

2 ml plasma/serum.

Frozen

L or SS

Serum Protein Electrophoresis *

SPEP

2 mL serum

SS

Sex Hormone Binding Globulin

SHBG

2 mL serum

SS

SGOT (AST)

AST

1 mL serum

SS

SGPT (ALT)

ALT

1 mL serum

SS

Sickle Cell Screen *

SICL

5 mL EDTA blood

L

Sjogren’s Syndrome Antibodies*

SS-A(Ro), SS-B (La)

SSAB

1 mL serum

SS

Sodium

NA

1 mL serum

SS

Somatomedin-C *

(Insulin-like Growth Factor-1)

SOMC

1 mL serum

SS

Specific Gravity

1 mL urine

Specific Gravity, Fluid 1 mL fluid

Stone Analysis *

STONE

Stone(s), free of tissue

and blood, submitted in a

clean container. Specify

source of stone on

requisition.

Synovial Fluid, Count

SYNCT

1 mL synovial fluid

L

Synovial Fluid Analysis

Includes Cell Count and Diff, Crystal Analysis, Mucin Clot Test

SYNA

L

T3, Free

FT3

2 mL serum

SS

T3, Total

T3R

2 mL serum

SS

T3 Uptake

T3UP

0.5 mL serum

SS

T4 (Thyroxine)

T4

2 mL serum

SS

T4, Free

Total T4 not included

FT4

0.5 mL serum

SS

Tay Sachs Screen * (Hexosaminidase A)

TAYS

5 mL serum and 10 mL

blood.

R or SST and

Yellow ACD (2)






Test

Code

Specimen

Requirements

Tube(s)

Tegretol (Carbamazepine)

TEG

2 mL serum

SS

Testosterone, Total

TEST

0.5 mL serum

SS

Theophylline

THEO

2 mL serum

SS

Thyroglobulin Also includes Anti-Thyroglobulin Antibodies, IHA

THYR

2 mL serum

SS

Thyroid Peroxidase Antibodies

TPO

2 mL serum

SS

Thyroid Profile I, T4, T3 Uptake, Free Thyroxine Index (FTI)

THY1

2 mL serum

SS

Thyroid Profile II , T4, T3 Uptake,FTI, TSH

THY2

2 mL serum

SS

Tofranil (Imipramine) *

Includes Desipramine

IMIP

2 mL serum

DB or R

TORCH Panel *

Includes Toxoplasma gondii IgG, Rubella IgG Titer, Cytomegalovirus

IgG, Herpes simplex 1/2, RPR

TORH

2 mL serum

SS

Total Protein

TP

2 mL serum

SS

Total Protein, Fluid

FTP

2 mL fluid

Specify source.

Total Protein, Urine

(24 Hr sample)

URTP

3 mL urine

Total Protein, Random Urine

UTP

Toxoplasma gondii, IgG Antibodies, EIA *

TPGG

1 mL serum

SS

Toxoplasma gondii, IgM Antibodies, EIA *

TPGM

1 mL serum

SS

Transferrin*

TRAN

1 mL serum

Fasting specimen

preferred.

SS

Trazodone (Desyrel) *

TRAZ

2 mL serum

R or L

Treponema Pallidum Antibodies, Microhemagglutination

(MHA-TP)*

MHA

1 mL serum

SS

Triglycerides

TRIG

2 mL serum

Fasting specimen

preferred, required for

lipid assessment.

SS

Troponin

TROT

2 mL serum

SS






Test

Code

Specimen

Requirements

Tube(s)

TSH (Thyroid Stimulating Hormone)

TSH

2 mL serum

SS

Tzanck Smear

Vesicle smeared on glass

slide

Uric Acid

URIC

2 mL serum

SS

Urinalysis

UA

12 mL urine

Valproic Acid (Depakene)

VALP

2 mL serum

SS

Vanilmandelic Acid (VMA) *

VMA



with 30 mL of 6N HCl

during collection.

Specify total volume on

request form.

Aspirin, disulfiram,

levodopa, reserpine and

pyroxidine must be

discontinued 2 weeks

prior to specimen

collection.

Varicella Zoster Virus Antibody Panel * (VZV IgG Antibodies,

IFA, VZV IgM Antibodies, IFA)

VZVA

1 mL serum

SS

Viral Culture, CMV *

CMVC

VTM

Viral Culture, CSF *

CSFV

1-1.5 mL CSF

Viral Culture, Mucocutaneous*

VMUC

VTM

Viral Culture, Respiratory*

VRES

VTM

Viscosity

VISC

5 mL serum

SS

Vitamin B12

B12

1 mL serum

SS

Vitamin B12 and Folic Acid

B12F

1 mL serum

SS

Vitamin D, 1,25-Dihydroxy *

V125

1 mL serum

SS

Vitamin D, 25-hydroxy *

VD25

0.5 mL serum

SS

Vitamin E, HPLC *

1 mL serum

Refrigerated, protect

from light.

Fasting specimen

preferred.

SS

WBC Count

WBC


L






Test

Code

Specimen

Requirements

Tube(s)

White Cell Count, Stool

LUKT

Fresh stool, submitted in

clean plastic stool

container.

Zinc, Serum*

ZINC

1 mL serum

DB

MJH Clinical Laboratory Test Listing Specimen Code …€¦ · · 2018-03-01MJH Clinical...

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Transcript of MJH Clinical Laboratory Test Listing Specimen Code …€¦ · · 2018-03-01MJH Clinical...