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TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

TEST SPECIFICATION GUIDE


The Test Specification Guide will be available to CML HealthCare CCCs / POCCs, and to all CML
clients upon request (electronically and/or hard copy).
This guide outlines the information needed to access the services provided by CML Healthcare for
the procurement of laboratory specimens.
Each individual test listing is arranged in a consistent format, providing specific information.
This guide provides the following information:
Test name, synonyms or other common names for the test and the computer testing
code.
Patient preparation, including patient care instruction prior to, or during specimen
collection, or performance of the test.
Patient clinical information that is required because of its relevance to the determination
of the diagnosis, and to the testing protocol. The clinical information includes, but is not
limited to, patient history, date of birth, sex, ethnic background, height and weight.
Specimen collection instructions, including specimen type, container or vacutainer tube,
specific days and times for sample procurement.
Post specimen collection instructions including storage and transportation instructions,
testing facility, estimated time for test results availability, and billing information.
Unless specified otherwise, specimen storage and transport is at room temperature.

TSG GENERAL INFORMATION


Page 1 of 6
CML HealthCare Inc Test Specification Guide 16954 Version: 14.0 17-Aug-2015
DOI: Sept/2005
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

SPECIMEN PROCESSING INFORMATION


Tests are listed in the manual under the following headings:
TEST:
The test is listed first by its most common standard nomenclature and underneath any
alternate names.
Each test request is specifically cross-referenced.

CODE:
The test code(s) must always be Data Entered unless otherwise specified.

SPECIMEN REQUIREMENT:
Blood test requests are indicated as Serum, Plasma, or Blood.
Instructions will specify either minimum volume required or centrifuge only.
When a minimum volume amount is indicated, the vacutainer tube must be centrifuged, and
an aliquot separated into a plastic transport tube.

BILLING:
All tests are considered OHIP or non-OHIP payable.
Tests indicated with OHIP are covered by OHIP and are patient payment exempt upon
presentation of a valid Ontario Health Card.
Tests indicated with a dollar amount after the test, require patient payment before specimen
collection.

TSG GENERAL INFORMATION


Page 2 of 6
CML HealthCare Inc Test Specification Guide 16954 Version: 14.0 17-Aug-2015
DOI: Sept/2005
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC:
The laboratory, which performs the test, is designated by a unique abbreviation.

Abbreviation
BAGL
CENTO

Testing Facility
Bay Area Genetic Laboratory
Centogene AG

CML

CML HealthCare

CVH

Credit Valley Hospital

DYN

Dynacare

HLRC

Hamilton Lab Reference Center

HOSP

Designated Hospital

HRL

Hemostasis Reference Laboratory

KGH

Kingston General Hospital

LHSC

London Health Services Center

LL

Testing Facility Phone #


905-385-1045
1-844-363-4357
905-565-0043
905-813-4335/4214
1-800-265-5946
905-577-1477

905-521-2100 x 42667

519-685-8500 ext.77736

Life Labs

1-877-404-0637

LLG

LifeLabs Genetics

1-844-363-4357

MSH

Mount Sinai Hospital

MUMC
NAT
NYGH

McMaster University Medical Centre


Natera Inc
North York General Hospital

416-586-4800
905-521-2100 x 75022
1-844-363-4357
416-756-6055

OGH

Oshawa General Hospital

PHL

Public Health Labs

416-235-5952

PLSI

Phenomenome Lab Services Inc.

306-202-8378

Quest Diagnostics Inc.

201-393-5300

SBH

Sunnybrook Health Science Centre

416-480-4652

SKH

Hospital for Sick Kids

416-813-1500

SMH

St. Michaels Hospital

416-360-4000

SJH

St. Josephs Hospital

905-521-6036

TGH

Toronto General Hospital

416-586-8510

VTF

Various Testing Facilities

QUEST

1-877-677-5463

TSG GENERAL INFORMATION


Page 3 of 6
CML HealthCare Inc Test Specification Guide 16954 Version: 14.0 17-Aug-2015
DOI: Sept/2005
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

LOC

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

LOCATION INDEX ON REPORTS


LOCATION NAME

FACILITY
CODE

ADDRESS

CML HEALTHCARE MAIN LABORATORY

6560 KENNEDY ROAD, MISSISSAUGA

L5T 2X4

70

MOUNT SINAI HOSPITAL

600 UNIVERSITY AVENUE, TORONTO

M5G 1X5

82

UNIVERSITY HEALTH NETWORK


(TORONTO GENERAL SITE)

190 ELIZABETH AVENUE, TORONTO

M5G 2C4

83

NATERA INC.

400 -201 INDUSTRIAL ROAD, SAN


CARLOS, CA

94070

97

NORTH YORK GENERAL HOSPITAL

4001 LESLIE STREET, TORONTO

M2K 1E1

84

LAKERIDGE HEALTH CORPORATION

1 HOSPITAL COURT, OSHAWA

L1G 2B9

85

CREDIT VALLEY HOSPITAL

2200 EGLINTON AVE. W., MISSISSAUGA

L5M 2N1

86

SUNNYBROOK HEALTH SCIENCE CENTRE

2075 BAYVIEW AVENUE, TORONTO

M4N 3M5

87

PUBLIC HEALTH LAB TORONTO BRANCH

81 RESOURCE ROAD, TORONTO

M9P 3T1

90

DYNACARE

245 PALL MALL STREET, LONDON

N6A 1P4

92

ST MICHEALS HOSPITAL

30 BOND ST, TORONTO, ONT

M5B 1W8

93

LIFE LABS

100 INTERNATIONAL BLVD, TORONTO

M9W 6J6

94

HAMILTON LAB REFERENCE CENTRE

50 CHARLTON AVE. E., HAMILTON

L8N 4A6

95

HEMOSTASIS REFERENCE LABORATORY

711 CONCESSION ST, 15(H) WING, 2ND FL

L8V 1C3

70

PHENOMENOME LABORATORY SERVICE INC.

103-407 DOWNEY ROAD, SASKATOON,


SASKATCHEWAN

S7N 4L8

BAY AREA GENETIC LABORATORY

205B-565 SANATORIUM ROAD, SIR


WILLIAM OSLER BLDG, HAMILTON

L9C 7N4

CENTOGENE AG

QUEST DIAGNOSTICS INC. LENEXA

SCHILLINGALLEE 68, 18057 ROSTOCK,


GERMANY
10101 RENNER BLVD., LENEXA, KS, USA

96

98

66219

TSG GENERAL INFORMATION


Page 4 of 6
CML HealthCare Inc Test Specification Guide 16954 Version: 14.0 17-Aug-2015
DOI: Sept/2005
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

99

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LIST OF TESTS MIDWIVES ARE PERMITTED TO ORDER (TESTS FOR MOTHERS):


CHEMISTRY/RIA
-

Glucose
Glucose Challenge,
Gestational Screen
Urinalysis Routine
Chemical
Urinalysis
Microscopic
examination
Estriol
HCG
Hepatitis associated
antigen or antibody
immunoassay
Alphafetoprotein
Screen
Albumin
Quantitative
Serum Ferritin
Serum Folate

HEMATOLOGY
-

W.B.C differential count


(includes R.B.C Morphology
and platelet estimate)
W.B.C (lkc count, excluding
whole blood manual method)
Hematocrit
Hemoglobin
Sickle cell solubility test
(screen)
Kleihauer

Blood Group per antigen

Cervicovaginal
specimens

CYTOLOGY
-

BACTERIOLOGY
Antibiotic Sensitivity
Chlamydia
Culture Cervical,
Vaginal (includes G.C)
Culture Other swabs
or pus

IMMUNOLOGY
-

Pregnancy test
Virus antibodies
hemagglutination inhibition or
ELISA technique
Non-cultural, indirect
antibody or antigen assays
by fluorescence,
agglutination or ELISA
technique (toxoplasmosis)
HTLVIII/LAV antibody screen
by ELISA technique (HIV
Antibody)

Culture Urine
Virus Isolation
Wet preparation (for
fungus, tricomonas,
parasites)
Strep B rapid screen

IMMUNOHEMATOLOGY
-

Antibody Identification
Incomplete antibody
Antibody screen
Blood group ABO
and Rho (D)
Direct Anti-human
globulin test
Direct Anti-human
globulin test

TSG GENERAL INFORMATION


Page 5 of 6
CML HealthCare Inc Test Specification Guide 16954 Version: 14.0 17-Aug-2015
DOI: Sept/2005
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

LOC

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

LIST OF TESTS MIDWIVES ARE PERMITTED TO ORDER (TESTS FOR NEWBORNS):


CHEMISTRY/RIA
-

Bilirubin Total
Bilirubin Conjugated
Glucose
TSH/PKU Newborn
screening

HEMATOLOGY
-

W.B.C differential count


(includes R.B.C
Morphology and platelet
estimate)
Platelet count
W.B.C (lkc count,
excluding whole blood
manual method)
Hematocrit
Hemoglobin

IMMUNOHEMATOLOGY
-

Blood group ABO and


Rho (D)

LIST OF TESTS MIDWIVES ARE PERMITTED TO ORDER (TESTS FOR FATHERS/DONORS):


CHEMISTRY/RIA
-

Urinalysis microscopic
examination
Hepatitis associated
antigen or antibody
immunoassay

HEMATOLOGY
-

BACTERIOLOGY
-

Antibiotic Sensitivity
Chlamydia
Culture other swabs or
pus
Virus isolation
Wet preparation (for
fungus, trichomonas,
parasites)

Sickle cell solubility test


(screen)
Blood group per antigen

IMMUNOHEMATOLOGY
- Blood group ABO and
Rho (D)

IMMUNOLOGY
-

HTLVIII/LAV antibody
screen by ELISA
technique (HIV Antibody)

TSG GENERAL INFORMATION


Page 6 of 6
CML HealthCare Inc Test Specification Guide 16954 Version: 14.0 17-Aug-2015
DOI: Sept/2005
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

SPECIMEN REQUIREMENT

3A/G RATIO

Refer to ALBUMIN/GLOBULIN RATIO

A1C

Refer to HEMOGLOBIN A1C

ABO, RhD

Refer to BLOOD GROUP

ABO, Rh(D), GENOTYPE

Refer to BLOOD GROUP PHENOTYPE

(ALBUMIN/ GLOBULIN RATIO)

(GLYCOSYLATED HEMOGLOBIN)
(HbA1C)
(HEMOGLOBIN A1C)

(ABO & TYPE)


(BLOOD GROUP & RhD)
(BLOOD GROUP) (Rh TYPING)

(BLOOD GROUP, Rh(D) & GENOTYPE)

VACUTAINER

BILL

LOC

(GENOTYPE)
E.G. ANTIGENS C, E, c, e

ABO & ANTIBODY SCREEN

Refer to BLOOD GROUP


and
Refer to ANTIBODY SCREEN

ACE

Refer to ANGIOTENSIN CONVERTING ENZYME

(ABO & SCREEN)


(PRENATAL SCREEN)
(TYPE & SCREEN)
(BLOOD GROUP PRENATAL ANTIBODY)

(ANGIOTENSIN CONVERTING ENZYME)

ACETAMINOPHEN
(TYLENOL)

079A

Serum
PLAIN RED
Minimum Volume required: 2 mL
Record time in hours that have elapsed between
last dose and specimen collection.

OHIP

HLRC

OHIP

DYN

OHIP

CML

TAT 5 days
ACETONE

(KETONES)

002

Serum
Centrifuge only. Do not open tube
Refrigerate during storage and transport.

GOLD SST

TAT 8 days
ACETONE, QUALITATIVE

(KETONES QUALITATIVE)

2545

Urine
10 mL random urine
Submit in a YELLOW cap conical tube.
TAT 1 day

ACETYLCHOLINE
RECEPTOR ANTIBODY

9144

Serum
Centrifuge only

GOLD SST

TAT 30 days

TEST SPECIFICATION GUIDE - SECTION A


Page 1 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED

HLRC

TEST NAME

CODE

ACETYL CHOLINESTERASE

057R

(RBC CHOLINESTERASE)

SPECIMEN REQUIREMENT

VACUTAINER

BILL

Red cells
2 LAVENDER
Centrifuge tubes within 1-hour of collection
Aliquot and discard plasma from lavender tubes
Send red cells only
Keep tubes together with an elastic
Store and transport refrigerated

OHIP

LOC
DYN

TAT 7 days

Refer to SALICYLATE

ACETYLSALICYLIC ACID

(ASA)
(ASPIRIN)
(SALICYLATE)

ACYLCARNITINE
(FRACTIONATION)

9341

Centrifuge, separate into transfer tube


GREEN
and freeze immediately. Store and send frozen

UNINSURED HLRC

TAT 15 days
ACID FAST BACILLUS

Refer to MYCOBACTERIA TUBERCULOSIS DETECTION

ACID PHOSPHATASE,
PROSTATIC

TEST NO LONGER AVAILABLE

ACID PHOSPHATASE
TOTAL

TEST NO LONGER AVAILABLE

ACTH

Refer to CORTICOTROPIN

(AFB)
(MYCOBACTERIA TUBERCULOSIS DETECTION)
(T.B. CULTURE)
(TUBERCULOSIS CULTURE)

(ADRENOCORTICOTROPIC HORMONE)
(CORTICOTROPIN)

ACTIVATED PROTEIN C
RESISTANCE

9901

(APCR)

Plasma
Minimum Volume required: 2 mL
Patient should not be on anticoagulant
therapy

LIGHT BLUE

FREEZE PLASMA AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT 25 days
ACUTE LEUKEMIA PHENOTYPING

Refer to LYMPHOCYTE MARKERS, T & B CELLS

ACUTE RUBELLA

Refer to RUBELLA VIRUS ANTIBODY, IgM

(LYMPHOCYTE MARKERS, T & B CELLS)


(LYMPHOPROLIFERATIVE DISEASE
PHENOTYPING)

(RUBELLA VIRUS ANTIBODY, IGM)

TEST SPECIFICATION GUIDE - SECTION A


Page 2 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED HLRC

TEST NAME

CODE

ADAMTS - 13

9535

(THROMBOTIC THROMBOCYTOPENIC
PURPURA)

SPECIMEN REQUIREMENT

VACUTAINER

Both Red and Blue vacutainers are required. PLAIN RED


Centrifuge, separate serum and plasma
AND LIGHT BLUE
into separate transfer tubes and freeze both
ASAP. Store and send frozen.

BILL
N/C

LOC
MUMC

FORM AVAILABLE ON CML WEBSITE


ADENOVIRUS ANTIBODY
ADENOVIRUS PCR

SEROLOGY NO LONGER AVAILABLE


9068

Specimen must be sent on dry ice.


LAVENDER
A completed molecular microbiology requisition
must be sent with specimen.
(See also Ministry of Health guidelines)

UNINSURED SKH

FORM AVAILABLE ON CML WEBSITE


ADIPONECTIN

99999

Serum
Patient must be fasting for min of 8 hours
Allow 30 mins for sample clot.
Spin and separate, aliquot into transfer tube.
Store and ship refrigerated.

GOLD SST

UNINSURED

LL

TAT 14 days.
FORM AVAILABLE ON CML WEBSITE
ADH

Refer to VASOPRESSIN

(ANTIDIURETIC HORMONE)
(ADH VASOPRESSIN)
(VASOPRESSIN)

ADRENAL ANTIBODIES

9904

Serum
Centrifuge only

GOLD SST

TAT 15 days
ADRENOCORTICOTROPIC
HORMONE

Refer to CORTICOTROPIN

AFB

Refer to MYCOBACTERIA TUBERCULOSIS DETECTION

AGGLUTINATION REACTION
SCREEN

Refer to COLD AGGLUTININS SCREEN

AIDS

Refer to HIV 1 & 2 ANTIBODY SCREEN

AGA

Refer to GLIADIN ANTIBODIES

(ACTH)
(CORTICOTROPIN)

(ACID FAST BACILLUS)


(MYCOBACTERIA TUBERCULOSIS DETECTION)
(T.B. CULTURE)
(TUBERCULOSIS CULTURE)

(COLD AGGLUTININS SCREEN)

(HIV)
(HIV 1 & 2 ANTIBODY SCREEN)
(HIV SEROLOGY)

(ANTIGLIADIN ANTIBODY)
(GLIADIN ANTIBODIES)

TEST SPECIFICATION GUIDE - SECTION A


Page 3 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

HLRC

TEST NAME

CODE

ALA

223

(ALT)
(SGPT)

ALBUMIN

VACUTAINER

BILL

LOC

Refer to PROPHYRIN PRECURSORS

(AMINOLEVULINATE)
(AMINO LEVULINIC ACID)

ALANINE AMINO
TRANSAMINASE

SPECIMEN REQUIREMENT

Serum
Centrifuge only

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

OHIP

CML

OHIP

CML

OHIP

CML

TAT 1 day
005

Serum
Centrifuge only
TAT 1 day

ALBUMIN, QUALITATIVE

254 3

(PROTEIN, TOTAL QUALITATIVE)

Urine
10 mL random urine
Submit in a YELLOW cap conical tube.
TAT 2 days

ALBUMIN, URINE
24-HOUR

005U

(ALBUMIN, QUANTITATIVE URINE)


(MICROALBUMIN, 24-HOUR)

24-Hour Urine
CLEAR
1 x 6 mL aliquot
Submit in a clear cap vacutainer
Label tube MICROALBUMIN
No preservative
Submit a separate sample for other urine tests.
State total 24-hour volume on the OHIP requisition,
on the specimen container and in Notes and Instructions.
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT 2 days

ALBUMIN, URINE
RANDOM

005RU

(ALBUMIN, QUANTITATIVE URINE)


(MICROALBUMIN, RANDOM)

Urine
CLEAR
6 mL random urine
Submit in a clear cap vacutainer
Label tube MICROALBUMIN
Submit a separate sample for other urine tests.
TAT 2 days

ALBUMIN/GLOBULIN RATIO

TEST NO LONGER AVAILABLE

(A/G RATIO)

ALCOHOLS (GC)

9242

Whole Blood
GRAY
Includes Methanol, Ethanol, Acetone,
Isopropanol
Do not open tube. Do not separate.
Use iodine swab to cleanse venepuncture site.
This test is not available for CCC use.
This test is only for use at Kennedy Road
for hospital patients
TAT 4 days

TEST SPECIFICATION GUIDE - SECTION A


Page 4 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

HRLC

TEST NAME

CODE

SPECIMEN REQUIREMENT

ALCOHOL- ETHYL

Refer to ETHANOL

ALCOHOL- ISOPROPYL

Refer to ISOPROPANOL

ALCOHOL- METHYL

Refer to METHANOL

ALDOLASE

TEST NO LONGER AVAILABLE

(ETHANOL)

(ISOPROPANOL)

(METHANOL

ALDOSTERONE
HOSPITAL ONLY

300

VACUTAINER

BILL

LOC

**This test is for hospital clients only. CCC staff should not use this code.**
Serum
Centrifuge only and aliquot
to transfer tube.
Ship frozen

GOLD SST

OHIP

LAVENDER

OHIP

HLRC

TAT 24 days
ALDOSTERONE UPRIGHT

2616

Plasma
Minimum Volume Required: 1.0 mL

LL

Collect in the morning before 10:00am


Record on requisition Time Upright
number of hours since the patient arose
(to the nearest 0.5hrs)
Minimum time before collection in UPRIGHT position
(standing, walking or sitting) is 2 hours.
If patient has been standing or walking,
have them sit for 5-10 minutes before collection.
Collect blood in Lavender (EDTA) tube.
Mix thoroughly by gentle inversion.
Centrifuge immediately and transfer an aliquot of
o
plasma to a labeled tube, cap tightly and FREEZE at -20 C.
o

Store and ship frozen at -20 C


TAT 1 week
ALDOSTERONE URINE

300U

24-Hour Urine
OHIP
50 mL aliquot submit in a 90 mL white cap container
No preservative
Patient must be on normal sodium intake and not receiving diuretics
for one week before urine sample is collected.
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions.
Retain a duplicate 50 mL sample in the freezer until test is reported.
FREEZE URINE AND SEND FROZEN
Refer to the General Information Pages for
Specimen Processing & Transport Guidelines
TAT 14 days

TEST SPECIFICATION GUIDE - SECTION A


Page 5 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

DYN

TEST NAME
ALKALINE PHOSPHATASE

CODE

SPECIMEN REQUIREMENT

191

Serum
Centrifuge only

(PHOSPHATASE ALKALINE)
(ALP)

ALKALINE PHOSPHATASE
FRACTIONATION

BILL

LOC

GOLD SST

OHIP

CML

2 GOLD SST

OHIP

CML

OHIP

HLRC

TAT 1 day
191
192

Serum
Label 1 SST autoChem
Label 1 SST Alk. Phos. Fract.
Centrifuge only

(ALKALINE PHOSPHATASE
ISOENZYME)

(PHOSPHATASE ALKALINE ISOENZYMES)

ALLERGIC ALVEOLITIS

VACUTAINER

Testing Includes Total Alkaline Phosphase


TAT 4 days

9036

Serum
Centrifuge only
Store and send frozen.

(ALLERGIC LUNG)
(FARMERS LUNG)

GOLD SST

Do not confuse with Avian Precipitins


Includes M. Faeni and T Vulgaris. To order Allergic Lung
Serology please order both Farmers Lung Precipitins (SFAR) AND
Aspergillus Precipitins (SASPP)
TAT 30 days
ALLERGY TESTING

(ASIA)
(SERUM ALLERGEN TEST)
(ALLERGEN SPECIFIC IGE
ANTIBODY TEST)
(RAST)
(ALLERGEN SPECIFIC
IMMUNOASSAY)

See chart

Serum
GOLD SST
Min Volume Required: 1ml
Centrifuge and aliquot.
Store and ship refrigerated.
Be specific when free texting allergen name.
Can enter up to nine allergens on one accession.

UNINSURED

HRL

TAT 5 days
NOTE: TAT for unlisted allergens is 4-6 weeks.

Uncommon/unlisted allergens should be followed up by contacting the Pre-Analytical Department to ensure that testing can be
done prior to accessioning. Ensure the requested allergen is for diagnostic use. Research allergens are not available.

Test Name

Test
Code

Allergy Testing-First Allergen

350-1

Allergy Testing-Second Allergen

350-2

Allergy Testing-Third Allergen

350-3

Allergy Testing-Fourth Allergen

350-4

Allergy Testing-Fifth Allergen

350-5

Allergy Testing-Sixth Allergen

350-6

Allergy Testing-Seventh Allergen

350-7

Allergy Testing-Eighth Allergen

350-8

Allergy Testing-Nineth Allergen

350-9

TEST SPECIFICATION GUIDE - SECTION A


Page 6 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

ALLERGY TESTING MIX

CODE

SPECIMEN REQUIREMENT

See Chart

VACUTAINER

Serum
GOLD SST
Centrifuge and aliquot
Store and ship refrigerated
Can enter up to four allergen mixes on one accession.
Eg: Tree mix, Food mix, Grass mix

BILL

LOC

UNINSURED HRL

TAT 5 days

Test Name

ALPHA 1-ANTITRYPSIN

Test
Code

Allergy Testing- Mix 1

353-1

Allergy Testing- Mix 2

353-2

Allergy Testing- Mix 3

353-3

Allergy Testing- Mix 4

353-4

555

Serum
Centrifuge only

GOLD SST

OHIP

CML

GOLD SST

UNINSURED HLRC

TAT 2 days
ALPHA1 ANTITRYPSIN
PHENOTYPE

9905

Serum
Minimum volume required: 1 mL
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines

Note: Alpha-1 Antitryspin Phenotyping Analysis


is only available if previously measured alpha-1
antitrypsin was <1.5 g/L or patient is first-degree
relative or spouse of known individual.
Request must specify previous alpha-1 antitrypsin result
and relationship for testing to proceed
TAT 60 days
ALPHA1 ACID
GLYCOPROTIEN

9923

Serum
Centrifuge and aliquot to transfer tube.

GOLD SST

TAT 15 days
TEST SPECIFICATION GUIDE - SECTION A
Page 7 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

HLRC

TEST NAME

ALPHA 2-MACROGLOBULIN

CODE

556

SPECIMEN REQUIREMENT

VACUTAINER

Serum
Centrifuge Only.

BILL

LOC

GOLD SST

OHIP

LIGHT BLUE

UNINSURED HLRC

GOLD SST

OHIP

CML

GOLD SST

OHIP

VTF

HLRC

TAT 20 days
ALPHA 2 PLASMIN INHIBITOR 9258

(ALPHA 2 ANTIPLASMIN)

Plasma
Centrifuge and aliquot Platelet Poor Plasma
To transfer tube. Freeze immediately.
Store and ship frozen
TAT 25 days

ALPHA FETOPROTEIN,
ONCOLOGY

691C

(AFP-ONCOLOGY)

Serum
Centrifuge only
Specify if testing is tumor related
Diagnosis must be indicated
TAT 1 day

ALPHA FETOPROTEIN,
PREGNANCY

691P

(AFP-PREGNANCY)

Serum
Centrifuge only

For risk assessment of open neural tube defects


Testing is recommended at 16 weeks gestation
Completed "Maternal Serum Screen Form must
be provided by ordering Physician.
Indicate on the form "AFP ONLY"
Results will be reported directly to the requesting
Physician by the testing location.
TAT 5 days

ALT

Refer to ALANINE AMINO TRANSAMINASE

(ALANINE AMINO TRANSAMINASE)


(SGPT)

ALUMINUM

9355

Plasma
Centrifuge and aliquot plasma into
Aliquot tube. Separate and refrigerate
As soon as possible.

ROYAL BLUE
K2 EDTA

TAT 15 days

TEST SPECIFICATION GUIDE - SECTION A


Page 8 of 20
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11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED HLRC

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

ALUMINUM 24HR URINE

99999

24hr urine
ACID WASHED CONTAINER UNINSURED
Patient must avoid chocolate, fruits, juice,
beer, coffee, teas and antactids for
containing aluminium 24 hours PRIOR to and
during collection of 24 hour urine.
24 hour urine MUST be collected in ACID WASHED container
Record total volume and transfer 20 ml of measured 24hr urine into
A labelled sterile urine container and cap tightly
Store and ship refrigerated.
TAT 5 days

LL

ALUMINUM RANDOM URINE

99999

Random Urine
ACID WASHED CONTAINER UNINSURED
Minimum voume: 10mL
Patient must avoid gadolinium-based
Contrast media 48 hours prior to collection
Collect urine in a labelled sterile 90ml container and
Transfer WITHOUT DELAY into a labelled ACID WASHED container.
Store and ship refrigerated

LL

TAT 1-2 weeks


ALZ-ID

4105

(ALZHEIMERS DISEASE)
(ALZID)

Serum
Minimum volume: 1.0mL

PLAIN RED

UNINSURED PLSI

Allow blood to clot at room temperature for


30 minutes and separate by centrifugation.
Transfer an aliquot of serum to a labelled tube, cap tightly
o

Store and ship refrigerated at 2-8 C


TAT 1-2 weeks
AMINOLEVULINATE

Refer to PORPHYRIN PRECURSORS

AMETHOPTERIN

Refer to METHOTREXATE

AMIKACIN

Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect 'peak' specimen 30 minutes after IV infusion or
1-2 hours after IM injection by physician

(METHOTREXATE)

PEAK

304AP

TROUGH

304AT

OHIP

HLRC

OHIP

HLRC

Trough before IV / IM injection by physician


Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport.
TAT 15 days

AMIKACIN - RANDOM

304AR

Serum
Minimum Volume required: 1 mL
Specimens submitted as peak or trough
are preferred; random orders should be
avoided whenever possible.

PLAIN RED

Store and ship refrigerated


TAT 15 days
TEST SPECIFICATION GUIDE - SECTION A
Page 9 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

AMINO ACIDS

Refer to METABOLIC SCREEN

AMINO ACIDS-QUANTITATIVE 013

Plasma
GREEN
Minimum Volume required: 1 mL
- with Heparin
Fasting specimen preferred
State age of patient, (date of birth), and clinical diagnosis
State if patient is on a special diet

(METABOLIC SCREEN)

(AMINO ACID FRACTIONATION)


(PHENYLALANINE)

BILL

OHIP

LOC

HLRC

FREEZE PLASMA AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days
AMINO ACIDS-QUANTITATIVE 013U

REFER TO METABOLIC SCREEN

AMINOGLYCOSIDES

Amikacin, Gentamycin or Tobramycin.


See individual listings.

AMINOPHYLLINE

Refer to THEOPHYLLINE

(THEOPHYLLINE)
(UNIPHYL)

AMIODARONE

9417

Plasma
Minimum Volume required: 3 mL
Draw 1-hour prior to next dose

GREEN
with Heparin

UNINSURED HLRC

TAT 20 days
AMITRIPTYLINE

079AM

(ELAVIL)

Serum
ROYAL BLUE
Minimum Volume required: 2 mL
- No Additive
Centrifuge and aliquot into serum tube
Collect specimen 1012 hours after last dose
Record time in hours that has elapsed
between last dose and specimen collection.
Refrigerate during storage and transport.

OHIP

DYN

OHIP

HLRC

Testing Includes Nortriptyline


TAT 14 days
AMMONIA

TESTING NO LONGER AVAILABLE

(NH3)

AMOBARBITAL
(AMYTAL)

9411

Serum
Minimum Volume required: 3 mL

PLAIN RED

TAT 15 days

TEST SPECIFICATION GUIDE - SECTION A


Page 10 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME
AMOBARBITAL

CODE
9412

(AMYTAL)

SPECIMEN REQUIREMENT

VACUTAINER

Urine
Minimum Volume required: 10 mL random urine
Submit in a 90 mL orange cap container

BILL

LOC

OHIP

HLRC

N/C

PHL

N/C

PHL

OHIP

CML

OHIP

CML

OHIP

CML

OHIP

CML

TAT 15 days
AMOEBIC ANTIBODY

9078

(E. HISTOLYTICA SEROLOGY ANTIBODY)


(ENTAMOEBA HISTOLYTICA ANTIBODY)

Do not centrifuge tube

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days

AMOEBIC DETECTION

99999

(E. HISTOLYTICA)

Stool
Collect two stool samples
st
1 in ova and parasite container
nd
2 in 90 mL container with orange lid
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 15 days

AMOXAPINE
AMPHETAMINE

Serum - NO LONGER AVAILABLE


078AM

Urine
10 mL random urine
Submit in a blue cap conical tube
TAT 3 days

AMYLASE

018

(DIASTASE)

Serum
Centrifuge only

GOLD SST

TAT 1 day
AMYLASE

(DIASTASE)

018U

24-Hour Urine
10 mL aliquot submit in a white cap conical tube
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions.
Retain a duplicate 90 mL sample in the fridge until test is reported.
Testing includes urine creatinine and total volume.
TAT 2 day

AMYLASE

(DIASTASE)

018RU

Urine
10 mL random urine
Submit in a white cap conical tube.
TAT 2 days

TEST SPECIFICATION GUIDE - SECTION A


Page 11 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME
AMYLASE FLUID

CODE
018FL

SPECIMEN REQUIREMENT

VACUTAINER

Fluid
PLAIN RED
Minimum volume required: 1 ml
This test is NOT available for CCC use.
This test is only available at Kennedy Lab for hospital patients.

BILL

LOC

CONTRACT HLRC

TAT 10 days
AMYLASE FRACTIONATION
(AMYLASE ISOENZYME)

018I

Serum
Centrifuge only
Indicate clinical problem requiring analysis.

GOLD SST

UNINSURED HLRC

TAT 45 to 60 days
AMYTAL

Refer to AMOBARBITAL

ANA

Refer to NUCLEAR ANTIBODIES

ANAFRANIL

Refer to CLOMIPRAMINE

ANCAC (CYTOPLASMIC)

Refer to NEUTROPHIL CYTOPLASMIC ANTIBODIES - C

ANCAp (PERINUCLEAR)

Refer to NEUTROPHIL CYTOPLASMIC ANTIBODIES - P

ANDROGEN TESTICULAR

Refer to TESTOSTERONE

(AMOBARBITAL)

(ANF)
(ANTINUCLEAR ANTIBODY)
(CENTROMERE ANTIBODY)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODIES)

(CLOMIPRAMINE)

(ANTINEUTROPHIL
CYTOPLASMIC ANTIBODYC)
(NEUTROPHIL CYTOPLASMIC ANTIBODIES)

(ANTINEUTROPHIL
CYTOPLASMIC ANTIBODIESP)

(TESTOSTERONE)

ANDROSTENEDIONE

305

Serum

PLAIN RED

OHIP

SKH

UNINSURED

HLRC

Spin, separate and freeze


Store and ship FROZEN
TAT 21 days
ANDROSTERONE

NO LONGER AVAILABLE

ANF

Refer to NUCLEAR ANTIBODIES

(ANA)
(ANTI-NUCLEAR ANTIBODY)
(CENTROMERE ANTIBODY)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODIES)

ANGIOTENSIN CONVERTING
ENZYME
(ACE)

9245

Serum
GOLD SST
Centrifuge only
Assay cannot be performed on a lipemic specimen
Refrigerate during storage and transport.
TAT 15 days

TEST SPECIFICATION GUIDE - SECTION A


Page 12 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

ANION GAP

SPECIMEN REQUIREMENT

053
061
204
226

Serum
Centrifuge only

VACUTAINER

BILL

LOC

GOLD SST

OHIP

CML

3 LAVENDERS

OHIP

CML

LAVENDER

OHIP

CML

Hemolyzed specimens are unacceptable


TAT 1 day

ANTABUSE
ANTIBODY IDENTIFICATION

(ANTIBODY ID)

NO LONGER AVAILABLE
HP15

(BLOOD GROUP ANTIBODY IDENTIFICATION)

Blood
DO NOT SEPARATE
Testing Includes titre if positive
TAT 2 days

ANTIBODY SCREEN

(INDIRECT COOMBS)

482

(REPEAT PRENATAL ANTIBODY SCREEN)

Blood
DO NOT SEPARATE
TAT 2 days

ANTICARDIOLIPIN AB

Refer to CARDIOLIPIN ANTOBIDES

ANTI-CCP

Refer to CYCLIC CITRULLINATED PEPTIDE ANTIBODIES

ANTIdsDNA ANTIBODY

Refer to DNA ds ANTIBODIES

ANTIDIURETIC HORMONE

Refer to VASOPRESSIN

ANTIENA

Refer to EXTRACTABLE NUCLEAR ANTIBODIES SCREEN

ANTIENDOMYSIAL ANTIBODY
(ENDOMYSIUM ANTIBODIES)

Refer to ENDOMYSIUM ANTIBODIES

ANTIEPIDERMAL ANTIBODY

Refer to PEMPHIGUS/PEMPHIGOID ANTIBODIES

ANTIGLIADIN ANTIBODY

Refer to GLIADIN ANTIBODIES

ANTIGLOMERULAR
BASEMENT MEMBRANE

Refer to GLOMERULAR BASEMENT MEMBRANE ANTIBODY

(ANTI PHOSPHOLIPID)
(CARDIOLIPIN ANTOBIDES)

(ANTI-DNA)
(ANTI DSDNA DOUBLE STRANDED AB)
(DNA ds ANTIBODIES)

(ADH)
(VASOPRESSIN)

(ENA ANTIBODY)
(EXTRACTABLE NUCLEAR ANTIBODIES SCREEN)

(ANTI-SKIN ANTIBODIES)
(PEMPHIGUS/PEMPHIGOID ANTIBODIES)

(AGA)
(GLIADIN ANTIBODIES)

(GLOMERULAR BASEMENT MEMBRANE ANTIBODY)

TEST SPECIFICATION GUIDE - SECTION A


Page 13 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

SPECIMEN REQUIREMENT

9233

(ANTI-GAD)

Serum
Minimum Volume Required: 1ml
Centrifuge and aliquot
Store and ship frozen
TAT - 34 days

ANTIHISTONE

Refer to HISTONE ANTIBODIES

ANTIHBs

Refer to HEPATITIS B VIRUS SURFACE ANTIBODY

ANTIINSULIN

Refer to INSULIN ANTIBODIES

ANTIINTRINSIC FACTOR

Refer to INTRINSIC FACTOR ANTIBODIES

ANTIJO 1

Refer to EXTRACTABLE NUCLEAR ANTIBODIES

ANTILA

Refer to EXTRACTABLE NUCLEAR ANTIBODIES

ANTI-GLUTAMIC ACID
DEHYDECARBOXYLASE

(HISTONE ANTIBODIES)

(HEPATITIS BIMMUNE STATUS)


(HEAPTITIS B VIRUS SURFACE ANTIBODY)

(INSULIN ANTIBODIES)

(INTRINSIC FACTOR ANTIBODIES)

(JO-1 EXTRACTABLE NUCLEAR ANTIBODIES)

(SS-B)
(SS-B EXTRACTABLE NUCLEAR ANTIBODIES)

ANTI-LKM ANTIBODY

9237

VACUTAINER
GOLD SST

LOC

OHIP

HLRC

OHIP

HLRC

(LKM ANTIBODY)
(ANTI-LIVER KIDNEY MICROSOMAL
ANTIBODIES)

Serum
Centrifuge only
Store and ship refrigerated
TAT 14 days

ANTI-MICROSOMAL ANTIBODIES

Refer to ANTI-THYROID PEROXIDASE

ANTIMITOCHONDRIAL ANTIBODY

Refer to MITOCHONDRIAL ANTIBODIES

ANTIMONY RANDOM URINE

99999

Urine
Min volume: 20ml
Ensure hands are washed and free of contamination.
For industrial exposure collect at end of work shift.
Store and ship refrigerated.
TAT 10 days

UNINSURED

LL

ANTI-MULLERIAN HORMONE

9590

Serum
Minium volume required: 1 mL
Centrifuge and aliquot
Store and ship frozen.

UNINSURED

LL

(MICROSOMAL ANTIBODIES)

(ASMA)
(ANTI-SMOOTH MUSCLE ANTIBODIES)
(MITOCHONDRIAL ANTIBODIES)
(SMA)
(SMOOTH MUSCLE ANTIBODY)

(AMH)
(ANTI OVARIAN HORMONE)
(MIS)

GOLD SST

BILL

PLAIN RED

TAT 10 days

TEST SPECIFICATION GUIDE - SECTION A


Page 14 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

ANTIMYOCARDIAL ANTIBODY 99999

SPECIMEN REQUIREMENT
Serum
Allow blood to clot for 30mins at room temp.
Centrifuge.
Store and ship refrigerated.

VACUTAINER
GOLD SST

TAT 6 days
ANTINEUTROPHIL CYTOPLASMIC
ANTIBODIES - C

Refer to NEUTROPHIL CYTOPLASMIC ANTIBODIES - C

ANTINEUTROPHIL CYTOPLASMIC
ANTIBODIES - P

Refer to NEUTROPHIL CYTOPLASMIC ANTOBIDIES - P

ANTINUCLEAR ANTIBODY

Refer to NUCLEAR ANTIBODIES

ANTIPANCREATIC
ISLET CELLS ANTIBODY

Refer to PANCREATIC ISLET CELL ANTIBODIES

(c-ANCA - CYTOPLASMIC)

(p-ANCA PERINUCLEAR)

(ANA)
(ANF)
(CENTROMERE ANTIBODIES)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODIES)

(PANCREATIC ISLET CELL ANTIBODIES)

ANTIPARIETAL CELL
ANTIBODIES

Refer to PARIETAL CELL ANTIBODIES

ANTIPHOSPHOLIPID

Refer to CARDIOLIPIN ANTIBODIES

ANTI-PLATELET ANTIBODIES

Refer to PLATELET ANTIBODY SCREEN

ANTIRETICULIN ANTIBODY

Refer to RETICULIN ANTIBODIES

ANTIRNP

Refer to EXTRACTABLE NUCLEAR ANTIBODIES

ANTIRO

Refer to EXTRACTABLE NUCLEAR ANTIBODIES

ANTISCL70

Refer to EXTRACTABLE NUCLEAR ANTIBODIES

(PARIETAL CELL ANTIBODIES)

(ANTI-CARDIOLIPIN)
(CARDIOLIPIN ANTIBODIES)

(PLATELET ASSOCIATED ANTIBODIES)


(PLATELET ANTIBODY SCREEN)

(ANTI-RETICULIN AB)
(RETICULIN ANTIBODIES)

(SSA)

(Scl-70 ANTIBODIES)
(SCLERODERMAL ANTIBODY)

TEST SPECIFICATION GUIDE - SECTION A


Page 15 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

BILL

LOC

UNINSURED

LL

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

ANTISM

Refer to EXTRACTABLE NUCLEAR ANTIBODIES SCREEN

ANTISMOOTH MUSCLE ANTIBODIES

Refer to MITOCHONDRIAL ANTIBODIES

ANTISPERM ANTIBODIES

Refer to SPERM ANTIBODIES

ANTISTREPTOCCAL
HYALURONIDASE ANTIBODY

TEST NO LONGER AVAILABLE

ANTISTREPTOLYSIN O TITRE

Refer to STREPTOLYSIN O ANTIBODY

(ANTISMITH)

(ANTI-MITOCHONDRIAL ANTIBODIES)
(ASMA) (MITOCHONDRIAL ANTIBODIES)
(SMA) (SMOOTH MUSCLE ANTIBODY)

(SPERM ANTIBODIES)

BILL

LOC

(ASH)

(ASOT)
(STREPTOLYSIN O ANTIBODY)

ANTITHROMBIN III

373

(ANTI-THROMBIN ASSAY)

Plasma
LIGHT BLUE
Minimum Volume required: 1 mL
Patient should not be on anticoagulant therapy

OHIP

HLRC

Includes both Functional and Immunological testing


FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT 20 days
ANTI-THYROID ANTIBODY

HP16A

(ATA)
(ANTI-THYROID ANTIBODIES)
(THYROID ANTIBODY)
(THYROID ANTIBODIES)
(THYROID AUTOANTIBODIES)
(THYROID AUTOANTIBODY)

Serum
GOLD SST
Minimum Volume Required: 2ml
Collect blood in SST. Allow blood to
clot at room temperature for 30 mins
and separate by centrifugation.
Store and ship refrigerated at 2-8 degrees celcius for
up to 5 days.

OHIP

LL

This testing includes Anti-Thyroid Peroxidase and Anti-Thyroglobulin


This test is NOT the same as Thyroglobulin (9494)
TAT 4 days
ANTITHYROGLOBULIN

(ATG)
(THYROGLOBULIN ANTIBODIES)

327

Serum
Minimum Volume required: 1.0 mL

GOLD SST

Collect blood in SST tube. Allow blood to


clot at room temperature for 30 minutes
and separate by centrifugation.
o

Store and ship refrigerated at 2-8 C for up to 7 days.


TAT 4 days

TEST SPECIFICATION GUIDE - SECTION A


Page 16 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

LL

TEST NAME

CODE

ANTI-THYROID PEROXIDASE

326

(ANTI TPO)
(TPO)
(ANTI-PEROXIDASE)
(ANTI-MICROSOMAL)
(MICROSOMAL ANTIBODY)
(MICROSOMAL ANTIBODIES)
(THYROID PEROXIDASE ANTIBODY)

SPECIMEN REQUIREMENT

VACUTAINER

Serum
Min Volumne Required: 1.0mL

GOLD SST

BILL
OHIP

LOC
LL

Collect blood in SST tube. Allow blood


clot at room temperature for 30 mins
and separate by centrifugation.
o

Store and ship refrigerated at 2-8 C for


up to 5 days.
NOTE:
If physician orders Anti-Thyroid Peroxidase AND
Anti-Thyroglobulin together, please key HP16A.
TAT 4 days

APCR

Refer to ACTIVATED PROTEIN C RESISTANCE

(ACTIVATED PROTEIN C RESISTANCE)

APOLIPOPROTEIN A1
(APO A1)

1976

Serum
Minimum Volume required: 1.0 mL

GOLD SST

UNINSURED LL

GOLD SST

UNINSURED LL

Collect blood in SST tube.


Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation
AS SOON AS POSSIBLE.
o

Store and ship refrigerated at 2-8 C.


TAT 3 days
APOLIPOPROTEIN B
(APO B)

1977

Serum
Minimum Volume required: 1.0 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation
AS SOON AS POSSIBLE.
o

Store and ship refrigerated at 2-8 C.


TAT 3 days
APOLIPOPROTEIN-E
(LIPO QUANT)

30374

Plasma
LAVENDER
Minimum volume required: 7 mL
Assay is performed on consultation basis only
PHYSICIAN MUST CONTACT DR. CONNELLY
At the Lipid Research Lab at St. Michaels Hospital,
Toronto. (416)-864-6023
It is preferred that the patient fast a minimum of 12 hours.
Test is not performed if Triglycerides is normal.
Collect 4 lavender tubes and mix thoroughly.
Centrifuge and separate within 4 hrs of collection
Transfer all the plasma to a labelled tube
Store and ship ALL tubes refrigerated.
TAT 20 days

TEST SPECIFICATION GUIDE - SECTION A


Page 17 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED

SMH

TEST NAME

CODE

APO PROTEIN a

VACUTAINER

BILL

LOC

Refer to LIPOPROTEIN a

(LIPOPROTEIN a)

ARBOVIRUS ANTIBODIES

SPECIMEN REQUIREMENT

9080

Do not centrifuge tube

PLAIN RED

N/C

PHL

PHL recommends both acute and convalescent


samples be taken 2 weeks apart.
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 15 days
ARSENIC- BLOOD

9279

Whole Blood
Do not centrifuge.
Send entire tube.

ROYAL BLUE (K2EDTA)

UNINSURED HLRC

TAT 20 days
ARSENIC- HAIR

9908

Hair
Clip hair close to the nape of the neck from 6-8
different locations 0.2 gm hair required
(approximately 2 teaspoons full)
Bleaches and dyes may interfere
Submit in a 90 mL container

UNINSURED

HLRC

TAT 45 days
ARSENIC- NAIL

9909

Nails
Clip nails from all fingers
Patient must remove nail polish prior to collection
Submit in a 90 mL container

UNINSURED

HLRC

TAT 20 days

ARSENIC- 24 HOUR URINE

9187

24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
Avoid seafood consumption 5 days prior to collection.
Inorganic arsenic will be performed if total is elevated.

UNINSURED

HLRC

State total 24-hour volume on the OHIP Requisition,


on the specimen container and in Notes & Instructions
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 10 to 60 days
ARSENIC- RANDOM URINE

9186

Urine
15 mL random urine
Submit in a 90 mL orange cap container
Avoid seafood consumption 5 days prior to collection.
Inorganic arsenic will be performed if total is elevated.

UNINSURED

TAT 30 days
TEST SPECIFICATION GUIDE - SECTION A
Page 18 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

HLRC

TEST NAME
ARSENIC- INORGANIC
TOTAL 24 HOUR URINE

CODE
99999

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

24 hour Urine
ACID WASHED CONTAINER UNINSURED
24 hour urine must be collected in an ACID WASHED container
Avoid seafood consumption 72 hours prior to collection.
Record total volume and transfer 20ml into 90ml container

LL

Store and ship refrigerated.


For industrial exposure a random urine is recommended.
Creatinine level is determined on all 24 hours urines to assess the
Completeness of the 24 hour urine collection.
TAT 10 days
ARSENIC TOTALRANDOM URINE

99999

Urine

ACID WASHED CONTAINER

UNINSURED LL

10 mL random urine
Submit in a 90 mL orange cap container
Patient must avoid gadolinium based contrast media
Used for MRIs 48 hours prior to collection.
90ml ACID WASHED container is required.
Store and ship refrigerated.
TAT 1-2 weeks

ARTHROPOD IDENTIFICATION 9028

(BUGS)
(LICE)

Send entire specimen in container

N/C

PHL

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days

ARYLSULFATASE A WBC
(HOSP ONLY)

9383

Whole Blood
GREEN
Min volume required: 7ml
- Heparinized
Test not available for CCC use
This test is only for use at the Kennedy lab for hospital patients
Client must call Client Services Urgent Desk between 8:00am
and 9:00am to arrange a pickup no later than 10:00am.

CONTRACT HICL

Do not separate. Maintain at room temp. Immediately


ship directly to HICL before 12:00 pm (noon) on the day
of collection. Sample must be analysed within 12 hours
of collection.
ASA

Refer to SALICYLATE

(ACETYSALICYLIC ACID)
(ASPIRIN)
(SALICYLATE)

ASCORBATE

(ASCORBIC ACID)
(VITAMIN C)

019

Serum
GOLD SST
Minimum Volume required: 2 mL
Protect from light by aliquoting into amber tube.
FREEZE SERUM AND SEND FROZEN
Freeze within 30 minutes of collection
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT 14 days

TEST SPECIFICATION GUIDE - SECTION A


Page 19 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

DYN

TEST NAME

CODE

SPECIMEN REQUIREMENT

ASH

TEST NO LONGER AVAILABLE

ASMA

Refer to MITOCHONDRIAL ANTIBODIES

ASOT

Refer to STREPTOLYSIN O ANTIBODY

(ANTISTREPTOCCAL HYALURONIDASE AB)

(ANTISMOOTH MUSCLE ANTIBODY)


(ANTI-MITOCHONDRIAL ANTIBODY)
(MITOCHONDRIAL ANTIBODIES)
(SMA) (SMOOTH MUSCLE ANTIBODY)

(ANTISTREPTOLYSIN O TITRE)
(STREPTOLYSIN O ANTIBODY)

ASPARTATE AMINO
TRANSAMINASE

222

BILL

LOC

GOLD SST

OHIP

CML

PLAIN RED

N/C

PHL

Centrifuge only

(AST)
(SGOT)

ASPERGILLUS ANTIBODY

Serum

VACUTAINER

TAT 1 day
9033

Do not centrifuge

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 30 days
ASPIRIN

Refer to SALICYLATE

AST

Refer to ASPARTATE AMINO TRANSAMINASE

ATA

Refer to ANTI-THYROID ANTIBODY

ATIVAN

Refer to LORAZEPAM

AVENTYL

Refer to NORTRIPTYLINE

(ACETYSALICYLIC ACID)
(ASA)
(SALICYLATE)

(ASPARTATE AMINO TRANSAMINASE)


(SGOT)

(ANTI-THYROID ANTIBODY)
(THYROID ANTIBODIES)

(LORAZEPAM)

(NORTRIPTYLINE)

AVIAN PRECIPITINS

(BIRD FANCIERS DISEASE)

9034

Serum
Centrifuge, separate into transfer
tube and refrigerate.

PLAIN RED

UNINSURED

Billed per each allergen.


Budgie & Pidgeon done routinely: goose, chicken, duck, canary,
cockatiel, parrot, turkey must be requested if clinically indicated.
TAT 18 days

TEST SPECIFICATION GUIDE - SECTION A


Page 20 of 20
CML HealthCare Inc Test Specification Guide 18356 Version: 29.0
11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

HLRC

TEST NAME

CODE

BCAROTENE

VACUTAINER

BILL

LOC

Refer to CAROTENE

(CAROTENE)

B-TYPE NATRIURETIC
PEPTIDE

SPECIMEN REQUIREMENT

1562

(BNP)

Plasma
Minimum volume required: 1.0mL

LAVENDER

UNINSURED LL

Collect blood in Lavender top tube (EDTA).


Mix thouroughtly by gentle inversion and
separate by centrifugation WITHIN 2-4 hours of
collection. Transfer an aliquot of plasma
to a labelled tube, cap tightly and
o
FREEZE at -20 C.
o

Store and ship FROZEN at -20 C.


TAT - 5 days
B12

Refer to COBALAMINS

B2 MICROGLOBULIN

Refer to BETA 2-MICROGLOBULIN

(VITAMIN B12)
(COBALAMINS)

(BETA 2-MICROGLOBULIN)
(MICROGLOBULIN)

BARBITURATES SCREEN

026U

Urine
10 mL random urine
Submit in a blue cap conical tube

OHIP

CML

N/C

PHL

TAT 2 days
BARTONELLA ANTIBODY
(CAT SCRATCH DISEASE)

9011

Do not centrifuge tube

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 3 weeks

BCR-ABL
(QUANTITATIVE PCR)
(BCR/ABL)

9382

Whole Blood
LAVENDER
CONTRACT HLRC
Min volume required: 10ml
Test is NOT available for CCC use.
Test is only for use at Kennedy Lab for
Hospital patients.
Download requisition at http://lrc.hrlmp.ca/uploaded/R_MolecularOncology.pdf
Form must be completed and submitted along with specimen and req.
Ship within 24 hours. If required store overnight at 4C
TAT 33 days

BENADRYL

Refer to DIPHENHYDRAMINE

BENCEJONES PROTEIN

Refer to PROTEIN ANALYSIS BENCE JONES PROTEIN

BENZENE (PHENOL)

TEST NO LONGER AVAILABLE

(DIPHENHYDRAMINE)

(IEP RANDOM URINE)


(IMMUNOELECTROPHORESIS)
(HEAVY AND LIGHT CHAINS)

TEST SPECIFICATION GUIDE - SECTION B


Page 1 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 10.0 11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME
BENZODIAZEPINE SCREEN

CODE
078BE

SPECIMEN REQUIREMENT

VACUTAINER

Urine
10 mL random urine
Submit in a blue cap conical tube

BILL

LOC
CML

OHIP

TAT 2 days
BENZTROPINE MESYLATE

99999

Urine
10 mL random urine
Store and ship refrigerated

UNINSURED

LL

TAT 3 days
BERYLLIUM LYMPHOCYTE
PROLIFERATION

99999

Whole Blood 4 tubes


GREEN TOP
FOR CONTRACT USE ONLY
- Hepartinized
Collect Mon-Wed only.
DO NOT SHIP ON FRIDAY
Do not refrigerate or freeze.
Specimen must arrive within 24 hours of collection.
Store and ship room temp.

UNINSURED

LL

Specimens sent by FEDEX to the Celevland Clinic


TAT 2-3 weeks
BERYLLIUM RANDOM URINE 99999

Urine
Min volume required: 20ml

UNINSURED LL

Ensure that hands are washed and clothes are


free of contamination.
Store and ship refrigerated.
For Industrial exposure collect specimen at the end of the
work shift.
A random urine test includes creatinine to be performed the the referred
testing site.
TAT 5-10 days
BETA 2 GLYCOPROTIEN I IgG 9268

(BETA-2-GP-I IgG

Serum

PLAIN RED

OHIP

HLRC

GOLD SST

UNINSURED

HLRC

Centrifuge and aliquot to transfer tube.


Store and ship frozen.
TAT 33 days

BETA 2 MICROGLOBULIN

9101

(B2 MICROGLOBULIN)
(MICROGLOBULIN)

Serum
Centrifuge only
Refrigerate during storage and transport.
TAT 25 days

BETA 2 MICROGLOBULIN

(B2 MICROGLOBULIN)
(MICROGLOBULIN)

9101RU

Urine
10 mL random urine Submit in a 90 mL orange cap container
Ask patient to void (discard), then drink a glass of water collect urine for submission one hour later
FREEZE URINE AND SEND FROZEN
TAT 25 days

TEST SPECIFICATION GUIDE - SECTION B


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CML HealthCare Inc Test Specification Guide 17525 Version 10.0 11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UINNSURED HLRC

TEST NAME

CODE

BETAhCG

(BHCG)
(HUMAN CHORIONIC GONADOTROPIN)
(CHORIOGONADOTROPIN)

BETA HYDROXYBUTYRATE

9248

(BHBA)
(3HBA)

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to CHORIOGONADOTROPIN

Serum
Centrifuge, separate into transfer tube.
Freeze immediately. Store and send frozen.

GOLD SST

UNINSURED HLRC

TAT 6 days
BETA TRANSFERRIN

9352

Fluid
STERILE CONTAINER
Accept any container/tube received.
Indicate source.
Store and send frozen.
Analysis includes Beta 1 Transferrin and Beta 2 Transferrin

UNINSURED

HLRC

TAT 14 days
BICARBONATE

Refer to CARBON DIOXIDE

(CO 2)
(CARBON DIOXIDE)

BILE ACID

9307

Serum
Minimum Volume required: 1 mL

GOLD SST

UNINSURED HLRC

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

12 hour fast required


FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days
BIO AVAILABLE
TESTOSTERONE

Refer to TESTOSTERONE BIO AVAILABLE

BILIRUBIN

Refer to UROBILINOGEN

(TESTOSTERONE BIO AVAILABLE)

BILIRUBIN, DIRECT

031

(CONJUGATED BILIRUBIN)
(BILIRUBIN GLUCURONIDATED)

TAT 1 day

BILIRUBIN, INDIRECT

TEST NO LONGER AVAILABLE

(UNCONJUGATED BILIRUBIN)
(BILIRUBIN NON-GLUCURONIDATED)

BILIRUBIN, TOTAL

Serum
Centrifuge only

030

Serum
Centrifuge only
TAT 1 day

TEST SPECIFICATION GUIDE - SECTION B


Page 3 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 10.0 11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

SPECIMEN REQUIREMENT

BIQUIN

Refer to QUINIDINE

BIRD FANCIERS DISEASE

Refer to AVIAN PRECIPITINS

(Q-10 METABOLITE)
(QUINIDINE)

BISMUTH RANDOM URINE

99999

VACUTAINER

BILL

LOC

Urine
UNINSURED LL
Min volume: 20ml
Store and ship refrigerated
Ensure hands are washed and clothes
are free of contamination.
For industrial exposure collect specimen at the end of the work shift.
A random urine test includes creatinine to be performed by the
referred out testing site
TAT 5-10 days

BLASTOMYCES ANTIBODY

(BLASTOMYCOSIS ANTIBODY
DERMATITIDIS)

9037

Do not centrifuge tube

PLAIN RED

N/C

PHL

N/C

PHL

LAVENDER

OHIP

CML

LAVENDER

OHIP

CML

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 30 days

BLASTOMYCOSIS
CULTURE DERMATITIDIS

9038

Culture
Skin scraping
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 30 days

BLEEDING TIME,
DUKE METHOD

TEST NO LONGER AVAILABLE

BLEEDING TIME,
IVY METHOD

NO LONGER AVAILABLE

BLOOD CULTURE

Refer to CULTURE & SENSITIVITY - BLOOD

BLOOD FILM EXAMINATION

Refer to COMPLETE BLOOD COUNT

BLOOD GROUP

490

(ABO, Rh(D) (ABO & TYPE)


(BLOOD GROUP)
(Rh TYPE)

TAT 2 days

BLOOD GROUP ANTIBODY


IDENTIFICATION
BLOOD GROUP PHENOTYPE

(ABO, Rh(D), (GENOTYPE)


(GENOTYPE)
- Eg ANTIGEN C, E, c, e

Blood
DO NOT SEPARATE

Refer to ANTIBODY IDENTIFICATION

493

Blood
DO NOT SEPARATE
TAT 2 days

TEST SPECIFICATION GUIDE - SECTION B


Page 4 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 10.0 11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

BLOOD GROUP
PRENATAL Ab

- Eg Kell, Duffy, KIDD

VACUTAINER

BILL

LOC

Refer to BLOOD GROUP


and
Refer to ANTIBODY SCREEN

(ABO & Ab SCREEN


PRENATAL SCREEN
TYPE & SCREEN)

BLOOD GROUP ANTIGENS

SPECIMEN REQUIREMENT

494

Blood
DO NOT SEPARATE

LAVENDER

OHIP

CML

OHIP

CML

TAT 2 days
BLOOD, QUALITATIVE

2547

Urine
10 mL random urine
Submit in a yellow cap conical tube
TAT 1 day

BLOOD PRESSURE
MONITORING

995

Performed at limited sites

UNINSURED CML

TAT 4 days

BLOOD TYPE

Refer to BLOOD GROUP

BNP

Refer to B-TYPE NATRIURETIC PEPTIDE

BORDETELLA PERTUSSIS
ANTIBODY

SERUM TESTING NO LONGER AVAILABLE

(ABO, Rh(D), (ABO & TYPE)


(BLOOD GROUP & Rh(D)
(Rh TYPE)

(NT-PRO)

(WHOOPING COUGH)

BORDETELLA PERTUSSIS

9047

(WHOOPING COUGH)

Swab State source


Use the PHL Kit

N/C

PHL

N/C

PHL

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 4 days
BORRELIA BURGDORFERI
ANTIBODY

9045

(LYME DISEASE)

Do not centrifuge tube


PLAIN RED
Patients history and symptoms are mandatory
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 15 days

BROAD SPECTRUM DRUG SCREEN

Refer to DRUG SCREEN BROAD SPECTRUM

BROMIDE

NO LONGER AVAILABLE

TEST SPECIFICATION GUIDE - SECTION B


Page 5 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 10.0 11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME
BRUCELLA ANTIBODY

CODE
9007

SPECIMEN REQUIREMENT
Do not centrifuge tube

VACUTAINER

BILL

PLAIN RED

LOC

N/C

PHL

OHIP

HLRC

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
Testing Includes Brucella Abortus and Brucella Melitensis
TAT 5 days
BUGS

Refer to ARTHROPOD IDENTIFICATION

BUN

Refer to UREA

(ARTHROPODS)
(LICE)

(UREA)

BUTABARBITAL

9471

Urine
25 mL random urine
Submit in a 90 mL orange cap container
TAT 15 days

BUTAZOLIDINE

(PHENYLBUTAZONE)

NO LONGER AVAILABLE

TEST SPECIFICATION GUIDE - SECTION B


Page 6 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 10.0 11-May-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

C1 ESTERASE INHIBITOR

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to COMPLEMENT C1 ESTERASE INHIBITOR

(COMPLEMENT C1)

C1 ESTERASE INHIBITOR,
FUNCTIONAL
C1Q IMMUNE COMPLEXES

Refer to COMPLEMENT C1 ESTERASE INHIBITIOR, FUNCTIONAL

688

(C1Q COMPLEMENT BINDING ACTIVITY)

(C1Q IMMUNE COMPLEXES)


(COMPLEMENT C1Q)

Serum
Minimum Volume required: 1 mL
Only performed if CH50 is low

GOLD SST

OHIP

HLRC

OHIP

CML

GOLD SST

OHIP

CML

GOLD SST

UNINSURED HLRC

Separate and freeze within 1-hour of clotting


FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 25 days
C2

Refer to COMPLEMENT C2

(COMPLEMENT C2)

C3

Refer to COMPLEMENT C3

(COMPLEMENT C3)

C4

Refer to COMPLEMENT C4

(COMPLEMENT C4)

C5

Refer to COMPLEMENT C5

(COMPLEMENT C5)

C6

Refer to COMPLEMENT C6

(COMPLEMENT C6)

CD3, CD4, CD8

Refer to LYMPHOCYTE MARKER T CELLS ONLY

(LYMPHOCYTE MARKER-T CELL ONLY)


(T CELL LYMPHOCYTE MARKER ONLY)

CPEPTIDE

346

Plasma
Minimum Volume required: 2 mL
Fasting specimen required

GREEN
with Heparin

FREEZE PLASMA AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 5 days
CREACTIVE PROTEIN
SEE C-REACTIVE PROTEIN HIGH SENSITIVITY

(CRP)
(CREACTIVE PROTEIN)

CREACTIVE PROTEIN
HIGH SENSIVITY

665HS

Serum
Centrifuge only

(CRP HIGH SENSIVITY)

TAT 1 day
CTELOPEPTIDE

9164

Serum
Minimum volume required: 1 ml
Fasting specimen preferred
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 20 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 1 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.

TEST NAME
CA 125

CODE
9389

(OV 125)
(CANCER ANTIGEN 125)

SPECIMEN REQUIREMENT

VACUTAINER

Serum
Centrifuge only

BILL

LOC

GOLD SST

UNINSURED CML

GOLD SST

UNINSURED LL

GOLD SST

UNINSURED LL

LAVENDER

UNINSURED HLRC

Should not to be used as a diagnostic


screening test.
TAT 5 days
CA 15 3, Breast

3011

(CANCER ANTIGEN 15-3)


(CARBOHYDRATE ANTIGEN 15-3)

Serum
Minimum Volume required: 1.0 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation.
Transfer an aliquot of serum to a labelled tube,
o
cap tightly and FREEZE at -20 C.
o

Store and ship frozen at -20 C


TAT 1 week
CA 19 9, Pancreas

3012

(CANCER ANTIGEN 19-9)


(CARBOHYDRATE ANTIGEN 19-9)

Serum
Minimum Volume required: 1.0 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation.
o

Store and ship refrigerated at 2-8 C


TAT 1 week
CADMIUM

9680

Blood
Do not open tube
TAT 21 days

CADMIUM SCREEN

9680U

24 Hour Urine
50 mL aliquot submit in a white cap 90 mL container

UNINSURED HLRC

State total 24-hour volume on the OHIP Requisition,


on the specimen container and in Notes & Instructions .
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 15 days
CADMIUM SCREEN

9680R

Urine
50 mL aliquot random urine
Submit in a white cap 90 mL container

UNINSURED HLRC

TAT 21 days
CAFFEINE
(CAFFEINE- QUANTITATIVE)

9129

Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT 15 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 2 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.

UNINSURED HLRC

TEST NAME
CALCIDIOL (UNINSURED)

CODE
9802

(25 HYDROXY VITAMIN D)


(VITAMIN D)

SPECIMEN REQUIREMENT

VACUTAINER

Serum
Minimum volume required: 2 mL

BILL

LOC

GOLD SST

UNINSURED CML

GOLD SST

OHIP

Centrifuge SST
Store and ship refrigerated
No pour-off required
TAT 2 days
CALCIDIOL (INSURED)

606

(25 HYDROXY VITAMIN D)


(VITAMIN D)

Serum
Minimum volume required: 2 mL

CML

Centrifuge SST
Store and ship refrigerated
No pour-off required
Patient must meet eligibility criteria for insurable Calcidiol testing
TAT 2 days
CALCITONIN

301

Serum
Minimum Volume required: 3 mL
Fasting sample required.
Centrifuge, separate, freeze within
30-minutes of clotting.

GOLD SST

OHIP

DYN

GOLD SST

OHIP

LL

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

OHIP

CML

FREEZE SERUM AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 14 days
CALCITRIOL

528

(VITAMIN D 1-25)
(1, 25 DIHYDROXY VITAMIN D)

Serum
Minimum volume required: 2.0 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation.
Serum must NOT be aliquoted,
the testing bench must receive the
specimen in the primary SST tube.
o

Store and ship refrigerated at 2-8 C.


TAT 1 week
CALCIUM

045

Serum
Centrifuge only
TAT 1 day

CALCIUM, CORRECTED

045C

Serum
Centrifuge only
Testing includes serum calcium and albumin.

State test in Notes & Instructions and on the OHIP requisition.


TAT 1 day
CALCIUM, IONIZED

0461

Serum
GOLD SST
Allow specimen to clot for 30 minutes
Centrifuge only
Do not remove tube stopper
Test result is invalid if specimen is exposed to air
TAT 2 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 3 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.

TEST NAME
CALCIUM, URINE

CODE
045U

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

OHIP

CML

OHIP

CML

OHIP

HLRC

UNINSURED

HLRC

24 Hour Urine
10 mL aliquot submit in a white cap conical tube
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions.
Testing includes urine creatinine
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT 2 days

CALCIUM, URINE

045RU

Urine
10 mL random urine
Submit in a white cap conical tube
TAT 2 days

CALCULUS ANALYSIS

047

(STONE ANALYSIS)

Submit entire specimen


Indicate source
Transportation: follow irretrievable sample procedure.
Submit unpreserved stone in clean labelled container.
TAT 30 days

CALPROTECTIN, STOOL

9293

(FECAL CALPROTECTIN)

Sterile Container
Collect undiluted feces in a clean, dry, sterile, leakproof
container. Do not add fixative or preservative.
Store and ship FROZEN.

Refrigerated specimens are stable for 5 days after collection,


and should not be rejected if received within 5 days of collection
TAT- 17 days
CAMPYLOBACTER

Refer to CULTURE & SENSITIVITY - STOOL

(STOOL CULTURE)

CANCER ANTIGEN 15-3

Refer to CA 15-3

(CA 15-3, Breast)


(CARBOHYDRATE ANTIGEN 15-3)

CANCER ANTIGEN 19-9


(CA 19 9, Pancreas)
(CARBOHYDRATE ANTIGEN 19-9)

Refer to CA 19-9

CANDIDA TITRE

TEST NO LONGER AVAILABLE

CANNABINOIDS SCREEN

078M

(CANNABIS)
(MARIJUANA)
(TETRAHYDROCANNABINOIDS)
(THC)

CARBAMAZEPINE
(TEGRETOL)

Urine
10 mL random urine
Submit in a blue cap conical tube

OHIP

CML

OHIP

CML

TAT 2 days
040

Serum
PLAIN RED
Minimum Volume required: 2 mL
Collect specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT 1 day

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 4 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.

TEST NAME

CODE

CARBOHYDRATE
ANTIGEN 15-3

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

GOLD SST

OHIP

CML

GREEN
-with Heparin

OHIP

LL

GOLD SST

OHIP

Refer to CA 15-3

(CA 15-3, Breast)


(CANCER ANTIGEN 15-3)

CARBOHYDRATE
ANTIGEN 19-9
CARBON DIOXIDE

Refer to CA 19-9

061

(BICARBONATE)
(CO2)

Serum
Centrifuge only
Do not remove tube stopper.
TAT 1 day

CARBOXYHEMOGLOBIN

060

Blood

(CARBON MONOXIDE)

DO NOT OPEN TUBE


Refrigerate during storage and transport.
TAT 14 day
CARCINOEMBRYONIC
ANTIGEN

690

Serum Min volume: 1ml

CML

A CEA Requisition Form completed and signed


by the physician must accompany sample.

(CEA)

KEEP TOGETHER IN A PRIORITY BAG


Four weeks (28 days) must elapse between test requests.
Testing is covered by OHIP for a patient who is:
(a) being treated for metastatic breast cancer
(b) receiving adjuvant therapy for resected colorectal cancer
(c) being treated for metastatic disease
FORM AVAILABLE ON CML WEBSITE
TAT 4 days
CARCINOEMBRYONIC
ANTIGEN

9328

Serum Min Volume 1ml

GOLD SST

UNINSURED CML

Store and ship refrigerated.

(CEA)

A CEA Requisition Form completed and signed


by the physician must accompany sample.
KEEP TOGETHER IN A PRIORITY BAG
NOTE: to be used when four weeks have NOT elapsed
between CEA test requests OR when the patient does
not meet the above criteria.
FORM AVAILABLE ON CML WEBSITE
TAT 4 days
CARDIOLIPIN ANTIBODIES
IgG AND IgM
(ANTICARDIOLIPIN AB)
(ANTI PHOSPHOLIPIN)

9109

Serum
Minimum volume required: 2 mL

PLAIN RED

FREEZE SERUM AND SEND FROZEN


Includes ACL IgG and ACL IgM
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 15 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 5 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.

UNINSURED HLRC

TEST NAME

CODE

CARDIOVASCULAR
INFLAMATION PANEL

CVIP

SPECIMEN REQUIREMENT

VACUTAINER

Plasma

2 LAVENDER

BILL

LOC

UNINSURED

(CVIP)

Myeloperoxidase
(MPO)

Panel Handling
Plasma (LAVENDER)

Testing Location
LL

Minimum Volume Required: 1mL


After mixing, IMMEDIATELY centrifuge for 10
minutes. IMMEDIATELY aliquot plasma into transfer
tube.
Store and ship refrigerated.
Plasma (LAVENDER)

Lp-PLA2
(PLAC)

LL

Collect lavender and mix by inversion.


Centrifuge and aliquot plasma.
Store and ship refrigerated.
TAT 17 days

CARNITINE, FREE / TOTAL

9710

Serum
Minimum Volume required: 1 mL
Provide date of birth, gender, clinical history.

GOLD SST

UNINSURED HLRC

GOLD SST

OHIP

FREEZE SERUM AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 20 days
CAROTENE

049

(BCAROTENE)

Serum
Minimum Volume required: 4 mL

HLRC

FREEZE SERUM AND SEND FROZEN


Protect from light by transferring serum into an amber transport tube.
TAT 20 days
CAT SCRATCH FEVER ANTIBODY

Refer to BARTONELLA ANTIBODY

(BARTONELLA ANTIBODY)

CATECHOLAMINES
(EPINEPHRINES)
(NOREPINEPHRINES)

9527

Plasma

LAVENDER

Patient must be supine for at least 15


minutes prior to & during specimen collection.
Collect after overnight fast (water and noncaffeinated
drinks permissable).
Provide list of medications.
Specimen should be kept cold and spun in refrigerated
centrifuge ASAP, within 60 minutes of
collection. Freeze immediately. Store and send frozen.
If the specimen thaws, it is unsuitable for analysis.
TAT 14 Days

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Page 6 of 31
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OHIP

HLRC

TEST NAME
CATECHOLAMINES,
FRACTIONATED

CODE
051

SPECIMEN REQUIREMENT

VACUTAINER

24-Hour Urine
50 mL aliquot submit in a white cap 90 mL container
Do not add acid; ph will be adjusted in Biochemistry Dept.
Do not use this sample for any other test.

BILL

LOC

OHIP

DYN

State total 24-hour volume on the OHIP Requisition,


on the specimen container and in Notes & Instructions .
Refrigerate during storage and transport.
Retain a duplicate 50 mL aliquot with preservative, in the
fridge until test is reported.
Testing Includes Epinephrine & Norepinephrine, Dopamine
To be avoided for 48 hours before collection: ASA, Chloralhydrate, coffee, cola drinks,
dopamine, erythromycin, methyldopa, niacin, phenothiazines, quinidine,
quinine,
riboflavin, smoking, tea, tetracycline, vitamin B.
To be avoided for 72 hours before collection: avacados, bananas, chocolate, eggplant,
fruit and juices, hypertensive drugs (esp. Aldomet), pineapple, plums, Tylenol
(acetaminophen), walnuts.
TAT 14 days
CATECHOLAMINES,
TOTAL

TOTAL NO LONGER AVAILABLE


- refer to CATECHOLAMINES, FRACTIONATED

CBC

Refer to COMPLETE BLOOD COUNT

CCP ANTIBODY

Refer to CYCLIC CITRULLINATED PEPTIDE ANTIBODIES

CEA

Refer to CARCINOEMBRYONIC ANTIGEN

(CARCINOEMBRYONIC ANTIGEN)

CELIAC DISEASE PANEL


- HOSPITALS ONLY

9951

Serum
Centrifuge only

GOLD SST

UNINSURED HLRC

Testing Includes Deamidated Gliadin Peptide IgG


And Tissue Transglutaminase IgA Antibodies
TAT 15 days
CELIAC DISEASE PANEL
(GLUTEN ANTIBODIES)

1728

Serum
Minimum volume required: 1.0mL

GOLD SST

Collect blood in SST tube. Allow blood to clot


at room temperature for 30 minutes and separate
by centrifugation.
o

Store and ship at 2-8 C


NOTE: this test includes Deamidated Gliadin IgG (1726)
and Tissue Transglutaminase IgA (1727).
They can be requested and billed separately.
TAT 15 days
CELONTIN

Refer to METHSUXIMIDE

(METHSUXIMIDE)

TEST SPECIFICATION GUIDE - SECTION C


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UNINSURED LL

TEST NAME

CODE

CENTOGENE GENETIC
TEST - ADULT

4005

SPECIMEN REQUIREMENT
Whole Blood

VACUTAINER
2 LAVENDER

BILL

LOC

UNINSURED

CENTO

Minimum Volume required: 4 mL


Patient must present with completed
Genetic Testing Requisition, and has signed the
Patient Consent Section of the Requisition.
Collect blood in two Lavender (EDTA) tubes.
Ensure full draw. Mix thoroughly by gentle inversion.
Label tubes with collection labels.
Store and ship at room temperature.
TAT 7 to 28 days
CENTOGENE GENETIC
TEST - REDRAW

4011

Whole Blood

1-2 LAVENDER

UNINSURED CENTO

Minimum Volume required: 2 or 4 mL


Patient must present with completed
Genetic Testing Requisition, and has signed the
Patient Consent Section of the Requisition.
Collect blood in one or two Lavender (EDTA) tubes according
to original collection. Ensure a full draw. Mix thoroughly by gentle inversion.
Label tubes with collection labels.
Store and ship at room temperature.
TAT 7 to 28 days

CENTOGENE GENETIC
TEST - OTHER

4014

All other non-blood specimens


(Filter card, fluid, swab, other)

UNINSURED

CENTO

Specimen must be received with a completed


Genetic Testing Requisition.
The patient/guardian must have signed the
Patient Consent Section on the Requisition.
Ensure that specimen is labeled with:
Patient's full name, DOB or Health Card Number,
Date and Time of collection.
Store and ship at room temperature
TAT 7 to 28 days
CENTOGENE GENETIC
TEST - PED

4008

Whole Blood

LAVENDER

Minimum Volume required: 2 mL


Patient must present with completed
Genetic Testing Requisition, and guardian
has signed the Patient Consent Section of the Requisition.
Collect blood in one Pediatric Lavender (EDTA) tube.
Ensure a full draw. Mix thoroughly by gentle inversion.
Label tube with collection label.
Store and ship at room temperature.
TAT 7 to 28 days
CENTROMERE ANTIBODIES

Refer to NUCLEAR ANTIBODIES

(ANA)
(ANF)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODY)

TEST SPECIFICATION GUIDE - SECTION C


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UNINSURED

CENTO

TEST NAME

CODE

CERULOPLASMIN

SPECIMEN REQUIREMENT

052

Serum
Centrifuge only

VACUTAINER

BILL

LOC

GOLD SST

OHIP

CML

1 GOLD SST
1 LAVENDER

UNINSURED

TAT 1 day
CH50

Refer to COMPLEMENT TOTAL CH50

(COMPLEMENT HEMOLYTIC)
(HEMOLYTIC COMPLEMENT FIXATION)
(COMPLEMENT TOTAL CH50)

CHF PANEL

CHFP

Serum (SST) and Whole Blood (Lavender)

(CHRONIC HEART FAILURE)

BNP

Galectin - 3

Panel Handling
Collect blood in Lavender top tube (EDTA)
Mix thoroughly by gentle
inversion and separate by
centrifugation WITHIN 2-4 hours of
collection. Transfer an aliquot of plasma
to a labelled tube, cap tightly
Store and ship FROZEN.
Serum (SST)
Minimum Volume required: 1 mL
Centrifuge and aliquot serum into transfer tube.

Testing Location
LL

LL

Store and send refrigerated.


TAT 14 days
CHLAMYDIA URINE

APTIMA URINE - PHL 9166


VIPER TUBE:

6932

TAT - 15 Days
N/C
CML
Note: Send sample to PHL ONLY IF specifically requested by the physician.
REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM.
TAT - 3 Days
OHIP
CML
Patient should not have urinated in the last hour. Collect the first part of the
urine stream to ensure a high organism count. Void 20-30 mL (larger urine
volume dilutions may result in false negative results) into one container for
Chlamydia and then collect urine for any other tests ordered in a second
container. Staff transfer 2mL with provided pipette to VIPER Urine Specimen
Collection Kit (BD PROBETEC QX UPT).
Note: Submission will also be tested and reported for Neisseria Gonorrhoeae.

CHLAMYDIA - SWAB

APTIMA SWAB - PHL 9083


VIPER SWAB:

6930

TAT - 15 Days
N/C
CML
Note: Send sample to PHL ONLY IF specifically requested by the physician.
REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM.
TAT - 3 Days
OHIP
CML
Swab state source: cervical/vaginal (for female); urethral (for male)
Note: Submission will also be tested and reported for Neisseria Gonorrhoeae
Swab must be submitted in BD PROBETEC QX COLLECTION KIT transport tube
with black cap. Store and transport at room temperature.

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
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Page 9 of 31
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TEST NAME

CODE

CHLAMYDIA PSITTACI
ANTIBODY

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

OHIP

CML

OHIP

CML

24 Hour Urine
OHIP
10 mL aliquot submit in a white cap conical tube
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Retain a duplicate 50 mL sample in the fridge until test is reported.
Includes urine creatinine and total volume

CML

SEROLOGY TESTING NO LONGER AVAILABLE.

(PSITTACOSIS ANTIBODY)

CHLORDIAZEPOXIDE

TEST NO LONGER AVAILABLE

(LIBRIUM)

CHLORIDE

053

Serum
Centrifuge only

GOLD SST

TAT 1 day
CHLORIDE, URINE

053RU

Urine
10 mL random urine
Submit in a white cap conical tube
TAT 2 days

CHLORIDE, 24 HOUR URINE

053U

TAT 2 days
CHLORPROMAZINE

TEST NO LONGER AVAILABLE

(LARGACTIL)

CHOLESTEROL, FASTING

055F

Serum
Centrifuge only
Patient has fasted for 10 hours or more.

GOLD SST

OHIP

CML

Ask patient:
When did you last have something
to eat or drink other than water?
Document number of hours on the requisition.
Drop-offs/hubbing document Drop-Off instead of number of hours.
TAT 1 day
CHOLESTEROL, RANDOM

055R

Serum
Centrifuge only
Patient has fasted less than 10 hours.

GOLD SST

OHIP

Ask patient:
When did you last have something
to eat or drink other than water?
Document number of hours on the requisition.
Drop-offs/hubbing document Drop-Off instead of number of hours.
TAT 1 day

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
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Page 10 of 31
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CML

TEST NAME
CHOLESTEROL, HDL
(HDL CHOLESTEROL)

CODE
117H

SPECIMEN REQUIREMENT
Serum
Centrifuge only
Either fasting or random samples are
acceptable for testing

VACUTAINER

BILL

GOLD SST

OHIP

GOLD SST

OHIP

LOC
CML

TAT 1 day
CHOLESTEROL, NON-HDL
FASTING

3921

Serum
Centrifuge only
Patient has fasted for 10 hours or more.

CML

Ask patient:
When did you last have something
to eat or drink other than water?
Document number of hours on the requisition.
Drop-offs/hubbing document Drop-Off instead of number of hours.
TAT 1 day
CHOLESTEROL, NON-HDL
RANDOM

3922

Serum
Centrifuge only
Patient has fasted less than 10 hours.

GOLD SST

OHIP

CML

Ask patient:
When did you last have something
to eat or drink other than water?
Document number of hours on the requisition.
Drop-offs/hubbing document Drop-Off instead of number of hours.
TAT 1 day
CHOLINESTERASE, TOTAL

057

Serum
Minimum volume required: 2 mL
Centrifuge and aliquot into transfer tube
Store and ship frozen.

GOLD SST

OHIP

HLRC

GOLD SST

OHIP

HLRC

GOLD SST

OHIP

CML

If patient has had recent surgery, please


wait 24 hours post-surgery before
blood collection.
TAT 10 days
CHOLINESTERASE,
PHENOTYPE

058

(DIBUCAINE INHIBITION TEST)


(PSEUDO-CHOLINESTERASE)

Serum
Minimum volume required: 2 mL
Centrifuge and aliquot into transfer tube
Store and ship frozen.
If patient has had recent surgery, please
wait 24 hours post-surgery before
blood collection.
TAT 11 days

CHOLINESTERASE, RBC
(ACETYL CHOLINESTERASE)
CHORIO GONADOTROPIN,
ONCOLOGY
(BETA HCG- for ONCOLOGY)

Refer to ACETYL CHOLINESTERASE

318C

Serum
Centrifuge only
Label tube hCG for Oncology.
TAT 1 day

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
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Page 11 of 31
Version: 46.0 14-Sep-2015
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TEST NAME
CHORIO GONADOTROPIN,
PREGNANCY

CODE
318

SPECIMEN REQUIREMENT
Serum
Centrifuge only

VACUTAINER

BILL

LOC

GOLD SST

OHIP

CML

(BETA HCG- for PREGNANCY)

TAT 1 day
CHORIO GONADOTROPIN SCREEN

Refer to PREGNANCY TEST

(PREGNANCY TEST)

CHROMIUM

9232

Urine
50 mL random urine
Submit in a 90 mL orange cap container.

UNINSURED HLRC

TAT 15 days
CHROMIUM

99999

24 Hour Urine
ACID WASHED CONTAINER
24 hour urine MUST be collected in an
ACID WASHED Container.
Store and ship refrigerated.
For industrial exposure a random urine is recommended.
Creatinine level is determined on all 24 hour urine
specimens to assess the completeness of the 24 hr collection.

UNINSURED LL

TAT 10 days
CHROMIUM

9249

Plasma
ROYAL BLUE (K2EDTA)
Min volume: 3ml
Separate plasma within 30 min
into metal-free polypropylene tube.
Do not use gel-separator collection tubes.

UNINSURED HLRC

TAT 20 days
CHROMOGRANIN A

9244

Plasma (EDTA)
Minimum Volume required:
Two 1 mL aliquots

LAVENDER

UNINSURED HLRC

Patient should abstain from proton pump inhibitor medication


(e.g. lansoprazole, omeprazole) for two weeks prior to collection.
Store and send frozen.
If the specimen thaws, it is unsuitable for analysis.
Samples with cloudiness, hemolysis, hyperlipidemia or containing fibrin may give
inaccurate results.
TAT 15 days
CHROMOSOME ANALYSIS

Refer to KARYOTYPING

(KARYOTYPING)

CIRCULATING ANTICOAGULANT

Refer to LUPUS ANTICOAGULANT

(LUPUS ANTICOAGULANT)
(NONSPECIFIC COAGULATION INHIBITORS)

CITRATE

9323

24-Hour Urine
OHIP
2 X 10 mL submit in white cap conical tubes
Do NOT add acid; pH will be adjusted in Biochemistry Dept.
State 24-hour volume
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 15 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
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Page 12 of 31
Version: 46.0 14-Sep-2015
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HLRC

TEST NAME

CODE

CITRATED PLATELET COUNT 394

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

LIGHT BLUE

OHIP

CML

OHIP

HLRC

OHIP

DYN

WHOLE BLOOD

(CITRATED PLATELETS)

Pre-Test Preparation:
Complete Blood Count (CBC Test Code 393)
must be collected and ordered with the Citrated
Platelet Count.
Collect blood in 1 LIGHT BLUE top tube (Citrated)
And 1 LAVENDAR top tube (EDTA). Mix
thoroughly by gentle invertion.
Elacticize together both LIGHT BLUE and LAVENDAR
top tubes and send in a ziplock bag.
TAT 1 Day
CK

Refer to CREATINE KINASE

(CPK)
(CREATINE PHOSPHOKINASE)
(CREATINE KINASE)

CKMB

Refer to CREATINE KINASE- MB

(CK-2 MB)
(CREATINE PHOSPHOKINASE-MB)
(CREATINE KINASE-MB)

CK ELECTROPHORESIS

Refer to CREATINE KINASE FRACTIONATION

(CK ISOENZYMES)
(CK FRACTIONATION)
(CREATINE KINASE FRACTIONATION)

CLOBAZAM

9116

(FRISIUM)
(DESMETHYL CLOBAZAM)

Serum or heparinized plasma

PLAIN RED

Minimum Volume required: 2 mL


Morning sample taken prior to the drug dose.
Do not use gel separator tubes.
Promptly centrifuge and separate
serum/plasma into a plastic transfer tube
separate serum and transfer to plastic tube.
Also includes Desmethyl Clobazam
Sodium or Lithium heparinized plasma is acceptable.
o
Store and ship at 4 - 8 C
TAT 10 days

CLOMIPRAMINE
(ANAFRANIL)

079E

Serum
ROYAL BLUE
Minimum Volume required: 2 mL
- no additive
Centrifuge and aliquot into serum tube
Collect specimen 1012 hours after last dose
Do not use SST
Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport.
Includes Desmethyclomipramine
TAT 14 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
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Page 13 of 31
Version: 46.0 14-Sep-2015
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TEST NAME
CLONAZEPAM 9536

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

N/C

PHL

OHIP
HLRC
PLAIN RED
Minimum Volume required: 3 mL
Centrifuge and aliquot into serum tube
Collect trough specimen immediately
prior to next dose.
FREEZE SERUM AND SEND FROZEN

Serum

(RIVOTRIL)

TAT 10 days
CLOSTRIDIUM DIFFICILE
CULTURE AND TOXIN
STUDIES

9074

Stool
Submit approximately 15 mL of stool in
sterile 90 mL orange cap container.
If sample will not be sent to PHL
within 48 hours, it must be frozen.
Specify culture and / or toxin studies
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
Specimen storage and transportation at 2-8 C,
or frozen if time in transit greater than 48 hours.
TAT 5 to 10 days

CLOT RETRACTION

TEST NO LONGER AVAILABLE

CLOTTING TIME

TEST NO LONGER AVAILABLE

CLOZAPINE

9916

(CLOZARIL)
(DESMETHYLCLOZAPINE)
(NORCLOZAPINE)

Plasma
Minimum Volume required: 2 mL
Collect trough specimen immediately
prior to next dose.

LAVENDER

OHIP

HLRC

GOLD SST

OHIP

ROYAL BLUE
K2 EDTA

UNINSURED HLRC

FREEZE PLASMA AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 20 days
CMV

Refer to CYTOMEGALOVIRUS ANTIBODY

(CYTOMEGALOVIRUS ANTIBODY)

CMV ISOLATION

Refer to CYTOMEGALOVIRUS ISOLATION

(CYTOMEGALOVIRUS ISOLATION)

CO2

Refer to CARBON DIOXIDE

(BICARBONATE)
(CARBON DIOXIDE)

COBALAMINS

345

(VITAMIN B12)

Serum
Centrifuge only.

CML

TAT 1 day
COBALT

9917

Plasma
Separate
Minimum Volume required: 3 mL.
TAT 30 days

COBALT

9918

Urine
50 mL random urine
Submit in a 90 mL orange cap container.
TAT 30 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
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Page 14 of 31
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UNINSURED HLRC

TEST NAME

CODE

COBALT

99999

SPECIMEN REQUIREMENT

VACUTAINER

24 Hour Urine
ACID WASH CONTAINER
24 hour urine MUST be collected in
an ACID WASHED CONTAINER
Store and ship refrigerated.
For industrial exposure a random
urine is recommended.

BILL

LOC

UNINSURED LL

TAT 10 days
COCAINE SCREEN

078C

Urine
10 mL random urine
Submit in a blue cap conical tube.

OHIP

CML

N/C

PHL

OHIP

CML

TAT 2 days
COCCIDIOIDES ANTIBODY

9012

Do not centrifuge tube

PLAIN RED

(VALLEY FEVER)

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days
CODEINE

Refer to DRUG SCREEN BROAD SPECTRUM

COLD AGGLUTININS SCREEN 660

Serum and Clot

PLAIN RED

(AGGLUTINATION REACTION SCREEN)

Blood drawn in a SST is not acceptable


o
Clot at room temperature (preferable 37 C)
Centrifuge immediately upon complete clot formation.
Remove serum and transfer into a separation tube
and send both serum and clot tube elastized together.
DO NOT REFRIGERATE
TAT 1 day
COLOGIC

9280

Serum

GOLD SST

UNINSURED PLSI

GOLD SST

OHIP

LIGHT BLUE

OHIP

(GTA-446)

Centrifuge and aliquot into serum tube


Refrigerate during storage and transport
TAT 10 days
COMPLEMENT C1

561

(ESTERASE INHIBITOR)

Serum
Centrifuge only
Refrigerate during storage and transport.

DYN

TAT 7 days
COMPLEMENT C1
ESTERASE INHIBITOR,
FUNCTIONAL

9707

Plasma
Minimum volume required: 2 mL
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 34 days

COMPLEMENT C1Q

Refer to C1Q IMMUNE COMPLEXES

(C1Q IMMUNE COMPLEXES)


(C1Q COMPLEMENT BINDING ACTIVITY)

(IMMUNE COMPLEXES, C1Q)

TEST SPECIFICATION GUIDE - SECTION C


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Page 15 of 31
Version: 46.0 14-Sep-2015
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HLRC

TEST NAME

CODE

COMPLEMENT C2

9919

(C2)

SPECIMEN REQUIREMENT

VACUTAINER

Serum
Minimum Volume required: 2 mL
Collect in pre-chilled tube

GOLD SST

BILL

LOC

UNINSURED HLRC

Separate within one hour of collection and freeze serum


as soon as possibleSubmission of duplicate
aliquots is recommended in case of repeat analysis.
Avoid multiple freeze/thaw. If thawed, specimen is unsuitable.
FREEZE SERUM AND SEND FROZEN
TAT 30 days
COMPLEMENT C3

551

(C3)

Serum
Centrifuge only

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

LAVENDER

OHIP

HLRC

LAVENDER

OHIP

HLRC

GOLD SST

OHIP

HLRC

LAVENDER

OHIP

CML

ROYAL BLUE
- No Additive

OHIP

DYN

TAT 1 day
COMPLEMENT C4

552

(C4)

Serum
Centrifuge only
TAT 1 day

COMPLEMENT C5

9708

(C5)

Plasma
Minimum Volume required: 2 mL
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days

COMPLEMENT C6

9709

(C6)

Plasma
2 aliquots of 1 mL keep aliquots
together with elastic
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days

COMPLEMENT,TOTAL CH50

530

(CH50)

Serum
Minimum Volume required: 2 mL

(HEMOLYTIC COMPLEMENT FIXATION)

FREEZE SERUM AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 15 days
COMPLETE BLOOD COUNT

393

Blood
TAT 1 day

COOMBS TEST

Refer to DIRECT ANTI-GLOBULIN TEST

(DIRECT ANTI GLOBULIN)


(DIRECT COOMBS)
(DIRECT ANTIHUMAN GLOBULIN)

COPPER

063

Serum
Minimum Volume required: 3 mL
Centrifuge and aliquot into serum tube
Refrigerate during storage and transport.
TAT 20 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
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Page 16 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.

TEST NAME

CODE

COPPER

063U

SPECIMEN REQUIREMENT

VACUTAINER

24-Hour Urine
50 mL aliquot submit in a white cap container
Refrigerate during storage and transport

BILL

LOC

UNINSURED DYN

State total 24-hour volume on the OHIP Requisition,


on the specimen container and in Notes & Instructions.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 14 days
COPPER - RBC

99999

Red Cells

ROYAL BLUE
K2EDTA

UNINSURED LL

Mix thoroughly by inversion.


Centrifuge tube for 15 minutes.
Specimen must be processed within 2 hours of collection
Using a polypropylene transfer pipette remove the plasma,
buffy coat and a little of the red cells and place into an empty tube,
cap and discard.
Keep the RED CELLS in the original ROYAL BLUE top tube.
Ensure tube is capped tightly to avoid leakage.
TAT 20 days
COPPER

9520

Tissue
Please entere specimen source
required, e.g. Liver

CONTAINER - STERILE

N/C

LHSC

FORM AVAILABLE ON CML WEBSITE


TAT 13 days
COPROPORPHYRINS

Refer to PORPHYRINS, QUANTITATIVE

(PORPHYRINS)
(UROPORPHYRINS)

CORTICOTROPIN

2618

(ADRENOCORTICOTROPIC HORMONE)
(ACTH)

Plasma
LAVENDER
Minimum Volume required: 2.0 mL
Collect blood in CHILLED LAVENDER top tube.
Mix thoroughly by gentle inversion and place
tube in refrigerator until centrifugation.
Centrifuge WITHIN 60 minutes of collection.
Transfer an aliquot of plasma to a labeled tube,
o
cap tightly and FREEZE at -20 C.

OHIP

LL

OHIP

CML

SHIP FROZEN
Plasma is stable for:
o
8 hours at 2-8 C
o
4 weeks at -20 C
Samples are not stable at room temperature.
Multiple freeze/thaw cycles must be avoided.
Freeze only once.
TAT 11 days
CORTISOL

Plasma
GREEN
Indicate time of collection (AM, PM, Random) with Heparin
A.M.
P.M.
RANDOM

303AP
303PP
303RP

Note: AM Collection Range: 6am 10am


Note: PM Collection Range: 3pm 11pm
Note: For specimens collected outside of AM and PM ranges
TAT 3 days

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This document hardcopy must be used for reference only.

Page 17 of 31
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The electronic copy must be used as the current version.

TEST NAME

CODE

CORTISOL

SPECIMEN REQUIREMENT

VACUTAINER

Serum
GOLD SST
Centrifuge only
Indicate time of collection (AM, PM, Random)
A.M.
P.M.
RANDOM

303AM
303PM
303R

BILL

LOC

OHIP

CML

OHIP

CML

Note: AM Collection Range: 6am 10am


Note: PM Collection Range: 3pm 11pm
Note: For specimens collected outside of AM and PM ranges
TAT 3 days

CORTISOL
FREE

303UF

24-Hour Urine
10 mL aliquot submit in a white cap conical tube
labelled CREATININE and a
50 mL aliquot submit in a 90 mL white cap container
labelled CORTISOL FREE
Testing includes urine creatinine and total volume.
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 12 days

CORTISOL
FREE
RANDOM
URINE

303RU

Random urine
Two 10ml random urines submitted in
two white cap conical tubes. Testing includes
Creatinine Random Urine
Min urine required: 10ml

OHIP

CML

TAT 12 days

CORTISOL
TOTAL

TEST NO LONGER AVAILABLE

COUMADIN

Refer to WARFARIN

(WARFARIN)

COUNSYL FAMILY
PREP SCREEN 1.0

4100

Blood
LAVENDER
Optimal volume 4 mL
Mix thoroughly by gentle inversion.
o
Store specimen refrigerated at 2-8 C until ready to ship
Ship at room temperature
Specimen is stable 7 days at room temperature.
This test requires a LifeLabs / Counsyl requisition
to be completed by the ordering physician.
Please use the same test code if Saliva specimen is required.
TAT 10 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 18 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.

UNINSURED LLG

TEST NAME

COUNSYL FAMILY
PREP SCREEN 2.0

CODE

4101

SPECIMEN REQUIREMENT

VACUTAINER

Blood
LAVENDER
Optimal volume 4 mL
Mix thoroughly by gentle inversion.
o
Store specimen refrigerated at 2-8 C until ready to ship

BILL

LOC

UNINSURED LLG

Ship at room temperature


Specimen is stable 7 days at room temperature.
This test requires a LifeLabs / Counsyl requisition
to be completed by the ordering physician.
Please use the same test code if Saliva specimen is required.
TAT 14 days
COUNSYL FAMILY
PREP REDRAW

4102

Blood
LAVENDER
Optimal volume 4 mL
Mix thoroughly by gentle inversion.
o
Store specimen refrigerated at 2-8 C until ready to ship

UNINSURED LLG

Ship at room temperature


Specimen is stable 7 days at room temperature.
This test requires a LifeLabs / Counsyl requisition
to be completed by the ordering physician.
Please use the same test code if Saliva specimen is required.
TAT 14 days
COXSACKIE VIRUS,
ISOLATION

9008

(HAND, FOOT, MOUTH DISEASE)


(ENTEROVIRUS)

Stool / Rectal Swab / Throat Swab


Viral history sheet must be completed.

N/C

PHL

Stool is the preferred specimen


REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
MINISTRY OF HEALTH GUIDELINES
Refer to the General Information Page for the MOH
Procedure regarding specimen processing & transport.
Use appropriate MOH container: Stool VirusTM
Rectal or Throat Swab VirusSW
TAT 15 to 30 days

CREATINE
CREATINE KINASE
(CK)
(CPK)

TEST NO LONGER AVAILABLE


066

Serum
Centrifuge only

GOLD SST

TAT 1 day
CREATINE KINASE-MB

TEST NO LONGER AVAILABLE

(CK-2 MB)

CREATINE KINASE,
FRACTIONATION
(CK ELECTROPHORESIS)
(CK ISOENZYMES)
(CK FRACTIONATION)

TEST NO LONGER AVAILABLE

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CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 19 of 31
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OHIP

CML

TEST NAME
CREATININE

CODE
067

(eGFR)
(ESTIMATED GFR)

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

GOLD SST

OHIP

CML

OHIP

CML

Serum and 24-Hour Urine


GOLD SST
OHIP
centrifuge only and
10 mL urine aliquot submit in a white cap conical tube
No preservative
Collect blood specimen at the end of the 24-hour urine collection.

CML

Serum
Centrifuge only
TAT 1 day

CREATININE

067U

24-Hour Urine
10 mL aliquot submit in a white cap conical tube
labelled CREATININE
No Preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions.
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT 1 day

CREATININE CLEARANCE

068

State total 24-hour volume, height and weight on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Retain a duplicate 50 mL sample in the fridge until test is reported.
Testing Includes serum creatinine, urine creatinine, total volume
TAT 2 days
CRP

Refer to C-REACTIVE PROTEIN HIGH SENSITIVITY

(CREACTIVE PROTEIN)

CRP-HIGH SENSIVITY

Refer to C-REACTIVE PROTEIN HIGH SENSITIVITY

(CREACTIVE PROTEIN HIGH SENSITIVITY)

CRYOFIBRINOGEN

599

Blood
Do not open

LIGHT BLUE

OHIP

CML

GOLD SST

OHIP

CML

PLAIN RED

N/C

PHL

KEEP AT ROOM TEMPERATURE


TAT 1 day
CRYOGLOBULINS,
QUALITATIVE

600

Serum
Centrifuge only
Fasting specimen preferred.
KEEP AT ROOM TEMPERATURE
TAT 1 day

CRYPTOCOCCOSIS
ANTIGEN

9009

Do not centrifuge tube

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
MINISTRY OF HEALTH GUIDELINES
Refer to the General Information Page for the MOH
Procedure regarding specimen processing & transport.
TAT 15 days
CULTURE FUNGAL

Refer to FUNGAL CULTURE

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 20 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.

TEST NAME

CULTURE & SENSITIVITY


BLOOD

CODE

SPECIMEN REQUIREMENT

VACUTAINER

624

Blood

624-2
nd
2 set

Disinfect the venipuncture site first with


70% isopropyl alcohol, then with
10% Povidone Iodine Prep Pad

624-3
rd
3 set

BLOOD
CULTURE
BOTTLES

BILL

OHIP

LOC

CML

Cleanse the top of the tubes with 70% isopropyl alcohol


Adult collect 2 sets of blood culture bottles
(a total of 4 bottles);
1st set (1 aerobic and 1 anaerobic)
2nd set (1 aerobic and 1 anaerobic)
from a different venipuncture site.
If the requisition requests Endocarditis then collect
3 sets of blood culture bottles (a total of 6 bottles),
each set should be collected 30 minutes after the previous pair:
1st set (1 aerobic and 1 anaerobic)
2nd set (1 aerobic and 1 anaerobic) from a different venipuncture site
3rd set (1 aerobic and 1 anaerobic) from a different venipuncture site
Child refer to table below for collections for children and infants
Weight

Approximate Age

Total Volume of
Blood

< 2 kg
(< 5 lb)

Neonate
(< 1 month)

1 to 2 mL

1 BacT Alert Peds

3 to 5 mL

1 BacT Alert Peds

2.1 - 12.7 kg
Infant
(5 to 28 lb) (1 month to 2 years)
12.8 - 36.3 kg
(28 to 80 lb)

Children
(2 to 12 years)

> 36.3 kg
(> 80 lb)

Adolescent
(> 12 years)

5 to 10 mL
(5 mL per bottle)

BacT Alert Bottles

2 BacT Alert Peds


collected from same
venipuncture site

1 aerobic BacT Alert


20 mL
1 anaerobic BacT Alert
(10 mL per bottle) collected from same
venipuncture site

Collect the blood culture tubes first, then draw any other specimens required
Collect at intervals specified by the physician. If none is given, a series of three
collections over a period of 24 hours to 48 hours is recommended
(12-24 hours between collections depending on patients accessibility
to a collection centre).
STATE THE DATE AND TIME OF COLLECTION ON THE BOTTLES
State on the OHIP requisition: the patients home telephone number
and the full information about the ordering physician.
Bottles should not be refrigerated
Specimen storage and transportation at room temperature
TAT 5-7 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
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Page 21 of 31
Version: 46.0 14-Sep-2015
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TEST NAME

CODE

CULTURE & SENSITIVITY


6284
EAR
EYE / CONJUNCTIVA
NOSE / NARES

SPECIMEN REQUIREMENT

VACUTAINER

Swab state source


Place swab in clear transport media

BILL

LOC

OHIP

CML

OHIP

CML

OHIP

CML

OHIP

CML

Use code 628-44 for a second swab on same patient


Specimen storage and transportation at room temperature.
TAT 2 to 3 days

CORD BLOOD

TEST NO LONGER AVAILABLE

CULTURE & SENSITIVITY


6284
EAR
EYE / CONJUNCTIVA
NOSE / NARES

Swab state source


Place swab in clear transport media
Use code 628-44 for a second swab on same patient
Specimen storage and transportation at room temperature.
TAT 2 to 3 days

CULTURE & SENSITIVITY


FEMALE G.C. ONLY
CERVICAL
ENDOCERVICAL
GONORRHOEAE

627

Swab state source


Place swab in charcoal transport media
Test is for N. gonorrhoeae only
Vaginal swabs should not be coded for GC as per Micro.
Specimen storage and transportation at room temperature.
TAT 3 days

CULTURE & SENSITIVITY


625
GENITAL
CERVICAL/VAGINAL
LABIA
PENIS/PENILE
VAGINAL
VAGINAL/ANAL
VAGINAL/RECTAL
VULVA

Swab state source


Place swab in charcoal transport media

Test is for N. gonorrhoeae, Yeast, Trichomonas and Bacterial Vaginosis


Use code 625-2 for a second swab on same patient
Specimen storage and transportation at room temperature.
TAT 3 days

CULTURE & SENSITIVITY


625S
GROUP B STREP SCREEN ONLY
VAGINAL
VAGINAL/RECTAL

Swab
Place swab in clear or charcoal transport media

OHIP

CML

OHIP

CML

OHIP

CML

Specimen storage and transportation at room temperature.


TAT 5 to 7 days

CULTURE & SENSITIVITY


ANY FLUID,
EXCEPT SEMEN

639F

Body Fluid state source


10 mL
Place fluid in a sterile container
TAT 3 days

CULTURE & SENSITIVITY


6285
MISCELLANEOUS
Includes wound, skin,
all abscesses, axilla,
groin, discharge, eye lid,
mouth, perianal, pharynx
rectal abscess, tonsil

Swab state source


Place swab in clear or charcoal transport media
Use code 628-6 for a second routine swab on same patient
Specimen storage and transportation at room temperature.
TAT 2 to 3 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 22 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.

TEST NAME

CODE

CULTURE & SENSITIVITY


RECTAL / ANAL

6289

SPECIMEN REQUIREMENT

VACUTAINER

Swab Rectal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.

BILL

LOC

OHIP

CML

OHIP

CML

OHIP

CML

OHIP

CML

OHIP

CML

OHIP

CML

OHIP

CML

OHIP

CML

OHIP

CML

TAT 4 days
CULTURE & SENSITIVITY
667-1
RECTAL/ANAL ESBL

Swab Rectal/Anal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT 4 days

CULTURE & SENSITIVITY


667-2
RECTAL/ANAL VRE

Swab Rectal/Anal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT 4 days

CULTURE & SENSITIVITY


667-3
RECTAL/ANAL CRE

Swab Rectal/Anal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT 4 days

CULTURE & SENSITIVITY


667-4
RECTAL/ANAL GC

Swab Rectal/Anal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT 4 days

CULTURE & SENSITIVITY


667-5
RECTAL/ANAL
GROUP A STREP

Swab Rectal/Anal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT 4 days

CULTURE & SENSITIVITY


SEMEN

639S

Semen
Minimum Volume required: 2 mL
Place in sterile container
TAT 3 days

CULTURE & SENSITIVITY


SPUTUM

629

Sputum
Deep cough specimen in sterile container
Use only 1 sample per requisition
Specimen storage and transportation at 2-8 C.
TAT 2 to 3 days

CULTURE & SENSITIVITY


STOOL

6301

Stool
Place stool in CaryBlair transport container to the FILL LINE
Shake to emulsify sample

Only one request per requisition will be accepted unless


authorized by Dr. P. Stuart then code additional samples 630-2, 630-3.
Specimen storage and ship refrigerated.
Patient may present with a room temperature sample. This is acceptable.
TAT 3- to 4 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 23 of 31
Version: 46.0 14-Sep-2015
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TEST NAME
CULTURE

CODE
628

THROAT

SPECIMEN REQUIREMENT

VACUTAINER

Swab Throat
Place swab in clear transport media

BILL

LOC

OHIP

CML

OHIP

CML

OHIP

CML

State if patient is allergic to penicillin in Notes and Instructions.


State if Sensitivity Test is required in Notes and Instructions.
Sensitivity is NOT automatically included in this test.
Test is for Beta Streptococcus Group A
Use code 628-2 for a second swab on same patient
Specimen storage and transportation at room temperature.
TAT 2 to 3 days
CULTURE & SENSITIVITY
THROAT FOR STREP

Refer to Culture, Throat

CULTURE & SENSITIVITY


URETHRAL

Swab Urethral Male or Female


Submit swab in charcoal transport media.

6287

Specimen storage and transportation at room temperature.


TAT 3 days
CULTURE & SENSITIVITY
URINE

634

Urine Grey Top Urine Vacutainer


Collect a minimum of 10 mL of midstream urine
in a sterile orange cap container.
Transfer IMMEDIATELY into grey top urine C&S tube.
ALWAYS aliquot urine C&S first if aliquotting multiple tubes.
If unable to aliquot immediately refrigerate orange cap sample until
Aliquot is possible.
Store and ship at room temperature once aliquotted.
TAT 1 to 3 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 24 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.

TEST NAME

CODE

CULTURE & SENSITIVITY

SPECIMEN REQUIREMENT

VACUTAINER

QUICK REFERENCE CODING LIST


For specimen requirements refer to the Individual test specifications

SWAB SOURCE

CODE

SWAB SOURCE

BILL

LOC

OHIP

CML
CODE

ALL ABSESSES

628-5

NASAL, MRSA Screen Test

610-1

ANAL

628-9

NARES

628-4

AXILLA

628-5

NOSE

628-4

AXILLA, MRSA Screen Test

610-1

PENIS / PENILE

625

BLOOD

624

PERIANAL

628-5

CERVICAL

627

PHARYNX

628-5

CERVIX FOR G.C.

627

RECTAL

628-9

CERVIX/VAGINAL

625

RECTAL ABSCESS

628-5

CONJUNCTIVA

628-4

RECTAL/ANAL *NEW*

628-9

EAR

628-4

RECTAL/ANAL CRE *NEW*

667-3

EAR LOBE

628-5

RECTAL/ANAL ESBL *NEW*

667-1

ENDOCERVICAL

627

RECTAL/ANAL GC *NEW*

667-4

EYE

628-4

RECTAL/ANAL GROUP A STREP *NEW*

667-5

EYE LID

628-5

RECTAL/ANAL VRE *NEW*

667-2

FLUID, (All fluids except Semen)

639F

RECTAL, MRSA Screen Test

610-1

FORESKIN

628-5

SEMEN

639S

GC ( includes THROAT, EYE, CERVIX


when ONLY GC is ordered)
GONORRHOEAE (provide source)

627

SKIN (includes FORESKIN)

628-5

627

SLIDE FOR GRAM STAIN

643

GROIN

628-5

SMEAR FOR GRAM STAIN

643

GROIN, MRSA SCREEN TEST

610-1

SPUTUM

629

GROUP B STREP SCREEN, VAG

625S

STOOL

630-1

IUD

628-5

THROAT - Allergic to penicillin

628

LABIA

628-5

THROAT FOR STREP - Allergic to penicillin

628

LESION (from any site)

628-5

TONSIL

628-5

MISCELLANEOUS (provide source)

628-5

ULCER (from any site)

628-5

MRSA Screen Test, AXILLA

610-1

URETHRAL- MALE or FEMALE

628-7

MRSA Screen Test, GROIN

610-1

URINE

634

MRSA Screen Test, NASAL

610-1

VAGINAL

625

MRSA Screen Test, RECTAL

610-1

VAGINAL, GROUP B STREP SCREEN

625S

MOUTH Includes yeast/ thrush

628-5

VAGINAL/ ANAL

625

VAGINAL/ CERVICAL

625

VAGINAL/ RECTAL, Group B Strep Screen

625S

VULVA

625

WOUND
VRE (source STOOL)

628-5
Contact
Micro

MUTIPLE SWABS - on same patient


Source
Eye, Ear, Nose
Throat
Miscellaneous
Vaginal, Vag/Cx, Vag/Anal
MRSA

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

First Swab

Subsequent Swab(s)

628-4
628
628-5
625
610-1

628-44
628-2
628-6
625-2
610-2, 610-3, 610-4, 610-5

Page 25 of 31
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TEST NAME

CODE

CYANIDE

9920

SPECIMEN REQUIREMENT
Whole blood
Minimum volume required: 7 mL

VACUTAINER
ROYAL BLUE
-with K2 EDTA

BILL

LOC

UNINSURED HLRC

DO NOT CENTRIFUGE SEND ENTIRE TUBE


TAT 29 days
CYCLIC CITRULLINATED
PEPTIDE ANTIBODIES
- HOSPITALS ONLY

9165

(ANTI-CCP)
(CCP ANTIBODY)

Serum
Minimum volume required: 1 mL
Centrifuge only
Store and transport refrigerated

GOLD

UNINSURED HLRC

GOLD SST

UNINSURED LL

LAVENDER

OHIP

Collect sample Monday Wednesday only


TAT 15 days
CYCLIC CITRULLINATED
PEPTIDE ANTIBODIES

3029

Serum
Minimum volume required: 0.5 mL

(ANTI CYCLIC CITRULLINATED PEPTIDE)


(ANTI-CCP)
(CCP ANTIBODY)
(CPP IGG)

Collect blood in SST tube. Allow bloof to clot


at room temperature for 30 minutes and
separate by centrifugation.
o

Store and ship at 2-8 C


TAT 4 days
CYCLOSPORINE,
TRANSPLANT

9153

Blood

HLRC

Place specimen, Hospital Form or copy of the OHIP requisition


in a ziplock bag with a priority label.
On priority label print `CYCLOSPORINE TRANSPLANT
Indicate name of transplant hospital and transplant physician on requisition.
Keep cold during transport.
TAT variable
CYCLOSPORINE,
NON TRANSPLANT

9385

Blood
LAVENDER
State on the tube and requisition nontransplant

UNINSURED HLRC

Ensure that ALL of the patient information is


Complete and clearly indicated especially date of birth
Keep cold during transport.
TAT variable
CYSTINE
(QUANTITATIVE)
(CYSTINURIA MONITORING)

069U

Random Urine
10 mL aliquot submit in a 90 mL orange cap container.
No preservative.
FREEZE URINE AND SEND FROZEN.
TAT 18 days

CYSTINE SCREEN

Refer to METABOLIC SCREEN

(CYSTINE QUALITATIVE)

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 26 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.

UNINSURED HLRC

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

CYTOLOGY
705
ASPIRATION BIOPSY

Slide and / or Aspiration Fluid


Optimal volume 1 mL or more

Includes all aspirations and or slides from:


ANY TUMOR
LYMPH NODE
MASS
NECK
NODULE

Complete a Cytology & HPV Testing Requisition for samples.


Fix with an equal volume of Cytolyt to sample.

BILL

LOC

OHIP

CML

For complete specimen collection instructions, click on the link below:


http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp

Do not code the Documentation Fee for this test.


Or CYST from:
THYROID
LYMPH NODE
SALIVARY GLAND

For transportation, follow irretrievable procedure

TAT 5 days
CYTOLOGY
706
BRONCHIAL WASHING
OR BRUSHING

Washings
Optimal volume 5 mL or more

OHIP

CML

Complete a Cytology & HPV Testing Requisition for samples..


Fix with an equal volume of Cytolyt to sample.
Complete a Cytology Form for sample.
The physician must provide the patients history and clinical diagnosis.
For complete specimen collection instructions, click on the link below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp

Assign the same accession number if a slide or fluid is submitted from


the same site.
Assign a separate accession number if a slide or fluid is submitted from
different sites.
Do not code the Documentation Fee for this test.
TAT 5 days
CYTOLOGY

BUCCAL SMEAR

NO LONGER AVAILABLE

CYTOLOGY
710
DIRECT SMEAR
LARYNX
NIPPLE DISCHARGE
OPEN LESION
ORAL
VULVAR

Slide and/or Aspiration Fluid

OHIP

CML

Complete a Cytology & HPV Testing Requisition for samples.


Fix with an equal volume of Cytolyt to sample.
For complete specimen collection instructions, click on the link below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp

ANAL
Assign a separate accession number for each body site.
Do not code the Documentation Fee for this test.
TAT 5 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 27 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.

TEST NAME

CODE

CYTOLOGY
714
DIRECT SMEAR FOR HERPES

SPECIMEN REQUIREMENT

VACUTAINER

Slide

BILL

LOC

OHIP

CML

The physician must scrape the lesion at the base of the blister
and prepare a moderately thick smear of cellular material that
displays no evidence of air drying.

(VIRAL INCLUSION)

The physician must print the patient's name and another unique identifier
(Health Card Number or Date of Birth)on slide with a pencil.
Apply directly from source or by means of applicator to slide.
Fix slide immediately with cytospray.
Complete a Cytology Form & HPV Testing Requisition for samples.
Clinical data requested on requisition must be provided.
Place a barcode on the mailer for easier identification.
NOTE: Barcode label is in addition to the patient information
written on the slide.
Do not code the Documentation Fee for this test.
TAT 5 days
CYTOLOGY
708
WASHINGS/BRUSHINGS
ESOPHAGEAL
GASTRIC OR
ENDOMETRIAL

Washings
Optimal volume 5 mL or more

OHIP

CML

Complete a Cytology & HPV Testing Requisition for samples.


Fix with an equal volume of Cytolyt to sample.
For complete specimen collection instructions, click on the link below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp

Do not code the Documentation Fee for this test.


EXCLUDING: BRONCHIAL
TAT 5 days
CYTOLOGY
711-2
MISCELLANEOUS FLUID
OR CYST
Includes:

peritoneal fluid
pleural fluid
synovial fluid
cysts from sources other
than those listed below

Fluid
Optimal volume 5 mL or more

OHIP

CML

Complete a Cytology & HPV Testing Requisition for samples.


Fix with an equal volume of cytolyt to sample.
For complete specimen collection instructions, click on the link below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp

Assign the same accession number if a slide or fluid is submitted from the same site.
Assign a separate accession number if s slide or fluid is submitted from different sites.
Excludes, (Code as 705):
lymph nodes cyst
thyroid cyst
salivary gland cyst
CYTOLOGY, PAP SMEAR

Do not code a documentation fee for this test.


TAT 5 days
CP70

TEST NO LONGER AVAILABLE

(PAPANICOLAOU SMEAR
CONVENTIONAL)

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 28 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.

TEST NAME
CYTOLOGY, PAP SMEAR
MONOLAYER/THINLAYER

CODE
ML70

(PAPANICOLAOU SMEAR LIQUID BASED)

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

30 mL Monolayer Container (SUREPATH)


Complete a Cytology & HPV Testing Requisition for samples.

OHIP

CML

Fix the SurePath Preservative Fluid

NOTE: Ensure the head of the collection instrument (broom) is in the vial.
For complete specimen collection instructions, click on the like below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp

Do not code the Documentation Fee for this test.


TAT 20 days
CYTOLOGY
SPUTUM

716

Sputum
Optimal volume 5 mL

OHIP

CML

Complete a Cytology & HPV Testing Requisition for samples.


Fix with equal volume of Cytolyt to sample.
(Do NOT over saturate with alcohol)
Collect specimens on 3 consecutive mornings
(early morning deep cough samples)
For complete specimen collection instructions, click on the link below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp

Do not code the Documentation Fee for this test.


Store and ship at room temperature.
TAT 5 days
CYTOLOGY
URINE

711U

Urine
Optimal volume 15-50mL

OHIP

CML

Complete a Cytology & HPV Testing Requistion for samples.


Fix with an equal volume of Cytolyt to sample.
Collect specimens on 3 consecutive mornings.
For complete collection instructions, click on the link below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp

Note: Specify if voided or cathererized collection


Do not code the Documentation Fee for this test
Store and ship at room temperature.
TAT 5 days
CYTOMEGALOVIRUS
ANTIBODY
(CMV)

9020

Do not centrifuge tube

PLAIN RED

Public Health Laboratories recommend the


Collection of both acute and convalescent
specimens taken two weeks apart.
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
MINISTRY OF HEALTH GUIDELINES
Refer to the General Information Page for the MOH
Procedure regarding specimen processing & transport
TAT 25 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 29 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.

N/C

PHL

TEST NAME
CYTOMEGALOVIRUS
ISOLATION

CODE
9065

SPECIMEN REQUIREMENT

VACUTAINER

Urine/BronchialWashing

BILL

LOC

N/C

PHL

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
MINISTRY OF HEALTH GUIDELINES
Refer to the General Information Page for the MOH
Procedure regarding specimen processing & transport
Refrigerate during storage and transport
TAT 20 days
CYTOMEGALOVIRUS
QUANTITATIVE PCR

9549

Plasma

LAVENDER

Collect Mon through Thurs only.


For transplant patients only.
Centrifuge, separate into transfer tube and
freeze immediately. Store and send frozen.
TAT 4 days

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

Page 30 of 31
Version: 46.0 14-Sep-2015
The electronic copy must be used as the current version.

N/C

HLRC

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

CYTOLOGY WORKSHEETS
WORSHEET NAME & NUMBER
703

SPUTUM

D/E CODES
716

DESCRIPTION (S)
Sputum for Cytology.
(Make sure sputum not saturated in Cytolyt, equal
amount only).

706

ASPIRATION BIOPSY

705

All aspirations and/or slides from any tumor, mass,


nodule.
Cysts from breast, thyroid, lymph node, salivary gland
(parotid, sub-mandibular) or ovary.
If slide(s) and fluid(s) received from same site, same
accession number is given.

707

BRONCHIAL WASHINGS/BRUSHINGS

706

Bronchial washings or brushings for cytology.


If more than one bottle is received from the same site,
same accession number is given.

708

BUCCAL SMEAR FOR BARR BODIES

709

WASHINGS/BRUSHINGS
(other than Bronchial)

No longer available

708

Washings or brushings from Gastric, Esophagus or


Endometrium.
(Excludes Bronchial Wash/Brush which is worksheet 707
D/E 706).

710

DIRECT SMEARS

711

MISCELLANEOUS FLUIDS

710

711-2

Direct smears from open lesions.


Oral, vulvar, larynx smears.
Nipple discharges/secretions.
Anal smears.
NOTE: Code as direct smear, even if any of the above
are collected in a liquid-based media bottle.

Synovial, pleural and peritoneal fluids.


Cysts from sources other than those mentioned under
aspiration biopsy above.

712

VIRAL INCLUSION

714

URINE

TEST SPECIFICATION GUIDE - SECTION C


CML HealthCare Inc Test Specification Guide 18353
This document hardcopy must be used for reference only.

714

Direct smears for viral inclusions or herpes.

711U

Voided or catheterized urines for Cytology.

Page 31 of 31
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TEST NAME

CODE

7DEHYDROCHOLESTEROL

9975

(7DHC)

SPECIMEN REQUIREMENT

VACUTAINER

Serum
GOLD SST
Minimum Volume required: 1 mL
Fasting specimen preferred.
Protect vacutainer tube from light after collection
By aliquoting into amber tube.

BILL

LOC

UNINSURED HLRC

FREEZE SERUM AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 35 days
11DEOXYCORTISOL

9141

Serum
Minimum Volume required: 1 mL

GOLD SST

UNINSURED HLRC

GOLD SST

UNINSURED LL

GOLD SST

UNINSURED LL

GOLD SST

OHIP

FREEZE SERUM AND SEND FROZEN


TAT 30 days
D. DIMER

Refer to FIBRIN D-DIMER

(FIBRIN D-DIMER)

DALMANE

Refer to FLURAZEPAM

(FLURAZEPAM)

DARVON

Refer to PROPOXYPHENE

(PROPOXYPHENE)

DEAMIDATED GLIADIN
PEPTIDE IGG ANTIBODY
- HOSPITALS ONLY

9742

(DGP IgG)
(DEAMIDATED GLIADIN PEPTIDE IGG AB)
(GLIADIN IGG)
(GLIADIN ANTIBODIES)

Serum
Minimum Volume required: 1.0mL
Collect blood I SST tube. Allow blood to clot
at room temperature for 30 minutes and
separate by centrifugation.
o

Store and ship at 2-8 C


TAT 4 days
DEAMIDATED GLIADIN
PEPTIDE IGG ANTIBODY

1726

(DGP IgG)
(DEAMIDATED GLIADIN PEPTIDE IGG AB)
(GLIADIN IGG)
(GLIADIN ANTIBODIES)

Serum
Minimum Volume required: 1.0mL
Collect blood I SST tube. Allow blood to clot
at room temperature for 30 minutes and
separate by centrifugation.
o

Store and ship at 2-8 C


TAT 4 days
DEHYDROEPIANDROSTERONE 347
SULPHATE

Serum
Centrifuge only

(DHEA S)
(DHEA SULPHATE)

TAT 2 days

TEST SPECIFICATION GUIDE SECTION D


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CML HealthCare Inc Test Specification Guide 18354 Version: 12.0 28-Jul-2015
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The electronic copy must be used as the current version.

CML

TEST NAME

CODE

DENGUE ANTIBODY

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

N/C

PHL

OHIP

DYN

OHIP

CML

Refer to ARBOVIRUS SEROLOGY

(ARBOVIRUS SEROLOGY)

DEOXYPYRIDINOLINE

TEST NO LONGER AVAILABLE

(PYRIDINIUM)

DEPAKENE

Refer to VALPROATE

(EPIVAL)
(VALPROATE)

DERMATOPHYTOSIS

9075

(RINGWORM OF SCALP)

Hair Roots
Submit only root ends of at least 12 hairs
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 25 days

DESIPRAMINE

079D

(NORPRAMINE)

Serum
ROYAL BLUE
Minimum Volume required: 2 mL
- No Additive
Centrifuge and aliquot into serum tube
Collect specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport.
TAT 14 days

DESYREL

Refer to TRAZODONE

(TRAZ0DONE)

DGP IGG

Refer to DEAMIDATED GLIADIN PEPTIDE IgG Ab

(DEAMIDATED GLIADIN PEPTIDE IGG AB)

DHEAS

Refer to DEHYDROEPIANDROSTERONE SULPHATE

(DHEA SULPHATE)
(DEHYDROEPIANDROSTERONE SULPHATE)

DIASTASE

Refer to AMYLASE

(AMYLASE)

DIAZEPAM

TEST NO LONGER AVAILABLE

(VALIUM)

DIBUCAINE INHIBITION TEST


DIGOXIN
(DIGITALIS)
(LANOXIN)

Refer to CHOLINESTERASE, PHENOTYPE


306

Serum
Minimum Volume required: 2 mL
Collect specimen 5 - 6 hours after last dose

PLAIN RED

Record time in hours that have elapsed between


last dose and specimen collection.
Hemolysed specimen not acceptable
TAT 1 day

TEST SPECIFICATION GUIDE SECTION D


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CML HealthCare Inc Test Specification Guide 18354 Version: 12.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME
DIGOXINFREE

CODE
9712

SPECIMEN REQUIREMENT

VACUTAINER

BILL

PLAIN RED

OHIP

Serum
Minimum Volume required: 2 mL

LOC

HLRC

Record time in hours that have elapsed between


last dose and specimen collection.
Testing Includes Total Digoxin
TAT 15 days
DIHYDROTESTOSTERONE

9131

Serum
Minimum Volume required: 3 mL

RED

UNINSURED HLRC

FREEZE SERUM AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days
1,25DIHYDROXY

Refer to CALCITRIOL

(VITAMIN D)
(CALCITRIOL)

DIPHTHERIA ANTITOXIN

SEROLOGY TESTING NO LONGER AVAILABLE

(CORYNE BACTERIUM
DIPHTHERIA TOXIN ANTIBODY)

DILANTIN

Refer to PHENYTOIN

(PHENYTOIN)

DILANTIN, FREE

Refer to PHENYTOIN, FREE

(PHENYTOIN, FREE)

DIPHENHYDRAMINE

TEST NO LONGER AVAILABLE

(BENADRYL)

DIRECT ANTIGLOBULIN
TEST

495

Blood

LAVENDER

DO NOT SEPARATE

(COOMBS TEST)
(DIRECT ANTI-HUMAN GLOBULIN)
(DIRECT COOMBS)

TAT 2 days

DIRECT BILIRUBIN

Refer to BILIRUBIN, DIRECT

(CONJUGATED BILIRUBIN)
(BILIRUBIN, DIRECT)

DIRECT COOMBS

Refer to DIRECT ANTI-GLOBULIN TEST

(COOMBS TEST)
(DIRECT ANTIHUMAN GLOBULIN)
(DIRECT ANTI-GLOBULIN)

DISOPYRAMIDE

TEST NO LONGER AVAILABLE

DIVALPROEX

Refer to VALPROATE

(DEPAKENE)
(EPIVAL)
(VALPROATE)
(VALPROIC ACID)

TEST SPECIFICATION GUIDE SECTION D


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CML HealthCare Inc Test Specification Guide 18354 Version: 12.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

CML

TEST NAME

CODE

DNA dsANTIBODIES

322

(DOUBLE STRANDED DNA Ab)

SPECIMEN REQUIREMENT

Serum
Centrifuge only

VACUTAINER

BILL

LOC

GOLD SST

OHIP

CML

OHIP

HLRC

OHIP

CML

OHIP

CML

TAT 5 days
DNA SEQUENCING FOR
HEMOGLOBINOPATHY
INVESTIGATION

Refer to HEMOGLOBINOPATHY INVESTIGATION

DOPAMINE

Refer to CATECHOLAMINES FRACTIONATED

(CATECHOLAMINES FRACTIONATED)

DORIDEN

Refer to GLUTETHIMIDE

(GLUTETHIMIDE)

DOWN'S SYNDROME SCREEN

Refer to MATERNAL SCREEN

(MSS) (FETAL MARKERS)


(TRIPLE MARKER TEST)
(MATERNAL SERUM SCREEN)
(IPS)

DOXEPIN

079X

(SINEQUAN)

Serum
PLAIN RED
Minimum Volume required: 2 mL
Centrifuge and aliquot into serum tube
Collect trough specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport
Testing Includes Desmethyl Doxepin
TAT 20 days

DRUG SCREEN
BROAD SPECTRUM

079

Urine
10 mL random urine
(DRUG SCREEN CHROMATOGRAPHIC METHOD) Submit in a blue cap conical tube
Test Confirmation / Broad Spectrum code the test and
Indicate the drug of interest in Notes & Instructions and
on the OHIP Requisition.
Includes:
Methadone, Cocaine, Morphine, Heroin, Oxycodone,
Diphenhydramine, Ranitidine, Nortriptyline,
Amphetamine, Ephedrine/Pseudoephedrin,
Phenylpropanolamine, and Other Drugs as detected
TAT 10 days

DRUG SCREEN
WITH CREATININE, pH

078CR

Urine
10 mL random urine
Submit in a blue cap conical tube
NOTE: Testing includes Drug Screen, pH, Creatinine
TAT 10 days

TEST SPECIFICATION GUIDE SECTION D


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CML HealthCare Inc Test Specification Guide 18354 Version: 12.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

DRUG SCREEN
WITH CREATININE, pH
SODIUM,
CHLORIDE

078RU

SPECIMEN REQUIREMENT

VACUTAINER

Urine
10 mL random urine
Submit in a blue cap conical tube
NOTE: Testing includes Drug Screen, pH, Creatinine, Sodium,
Chloride

BILL

LOC

OHIP

CML

OHIP

CML

OHIP

CML

TAT 10 days
DRUG SCREEN
WITH ALCOHOL

078A

Urine
10 mL random urine
Submit in a blue cap conical tube
NOTE: Testing includes Drug Screen, and Ethanol
TAT 10 days

DRUG SCREEN - HAIR

TEST NO LONGER AVAILABLE

DRUG SCREEN - MECONIUM

TEST NO LONGER AVAILABLE

DRUG SCREEN - NEONATE

TEST NO LONGER AVAILABLE

DRUGS OF ABUSE SCREEN


(NARCOTIC SCREEN)
(STREET DRUGS)
(URINE TOXICOLOGY)

078U

Urine
10 mL random urine
Submit in a blue cap conical tube

Testing Includes: Amphetamines, Benzodiazepine, Cocaine metabolite


Cannabinoids (THC), Methadone Metabolite, Opiates, Oxycodone
NOTE: Any additional drugs of interest, drug analysis, indicate in Notes
& Instructions and on the OHIP Requisition.
TAT 10 days

TEST SPECIFICATION GUIDE SECTION D


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CML HealthCare Inc Test Specification Guide 18354 Version: 12.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

E1

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to ESTRONE

(ESTRONE)

E2

Refer to ESTRADIOL

(ESTROGEN)
(ESTRADIOL)
(ESTROGEN- NON PREGNANT)

E 3, PREGNANT

TEST NO LONGER AVAILABLE

(ESTRIOL TOTAL)

EBV

Refer to EPSTEIN-BARR VIRUS, SEROLOGY

(EPSTEINBARR VIRUS, SEROLOGY)

ECG

Refer to ELECTROCARDIOGRAM

(ELECTROCARDIOGRAM)

ECHINOCOCCOSUS
ANTIBODY

9088

Do not centrifuge tube

PLAIN RED

N/C

PHL

N/C

PHL

(ECHINOCOCCUS GRANULOSUS ANTIBODY)

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM

(HYDATID)

TAT 15 days
ECHOVIRUS ISOLATION

9059

Stool/ Throat swab/ Rectal Swab


Complete a PHL Form
Stool is the preferred specimen
Stool
Throat Swab
Rectal Swab

VIRUSTM
VIRUSSW
VIRUSSW

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 to 30 days
eGFR

Refer to CREATININE

(CREATININE)

E. HISTOLYTICA SEROLOGY
ANTIBODY

Refer to AMOEBIC ANTIBODY

(AMOEBIC DYSENTERY SEROLOGY AB)

(ENTAMOEBA HISTOLYTICA AB)

ELASTASE

4103

Random Stool

STOOL

(FECAL ELASTASE)

Minimum Volume Required: 5.0 mL


Collect in a labeled 90 mL orange cap sterile container.
o
Store and ship refrigerated at 2-8 C.
TAT 21 Days
ELAVIL

Refer to AMITRIPTYLINE

(AMITRIPTYLINE)

TEST SPECIFICATION GUIDE - SECTION E


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CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
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The electronic copy must be used as the current version.

UNINSURED SKH

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

G310 Technical Component


G313 Professional Component
G700 Documentation Fee
G888 Technical and professional Component
for ECGs sent to Head Office

ELECTROCARDIOGRAM
(ECG)

BILL

LOC

OHIP

CML

OHIP

SBH

Refer to location protocol for billing codes.

ELECTRON MICROSCOPY

9756

Tissue

(EM)

Send specimen in an EM Fixative Kit


Kit available from CML Purchasing Department
Complete a Histology Form; follow irretrievable procedure
Send the sample and the form in a Histology (pink) envelope with
priority label in corner.
State the name of the test and Sunnybrook Hospital on the priority label.
TAT 30 days

ELECTROPHORESIS

Specify test: protein, immuno, Isoenzyme (alk phos, CK, LD),


lipoprotein, or hemoglobin.
See separate listings.

ENA ANTIBODY

Refer to EXTRACTABLE NUCLEAR ANTIBODIES SCREEN

(ANTI-ENA)
(EXTRACTABLE NUCLEAR ANTIBODIES SCREEN)

ENDOMYSIUM ANTIBODIES

9147

(ANTI-ENDOMYSIAL ANTIBODY)

Serum
Centrifuge only

GOLD SST

UNINSURED HLRC

TAT 21 days

ENTEROVIRUS PCR

9284

Cerebral Spinal Fluid


STERILE CONTAINER
Accept any container/tube received
Store and ship frozen

UNINSURED HLRC

TAT 4 day

EOSINOPHIL COUNT

395

Blood

LAVENDER

TAT 1 day

EOSINOPHIL SMEAR, EYE

TEST NO LONGER AVAILABLE

EOSINOPHIL SMEAR, NASAL

TEST NO LONGER AVAILABLE

EOSINOPHIL SMEAR, SPUTUM

TEST NO LONGER AVAILABLE

TEST SPECIFICATION GUIDE - SECTION E


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CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

CML

TEST NAME

CODE

EPIDERMAL ANTIBODIES

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to PEMPHIGUS/PEMPHIGOID ANTIBODIES

(ANTI-SKIN ANTIBODIES)
(PEMPHIGUS/PEMPHIGOID ANTIBODIES)

EPIVAL

Refer to VALPROATE

(DEPAKENE)
(VALPROATE)

EPSTEINBARR VIRUS
SEROLOGY

9040

Do not centrifuge tube

PLAIN RED

N/C

PHL

N/C

HLRC

Public Health Laboratories


recommends both acute and convalescent
specimens taken 2 weeks apart.

(EBV)

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days

EPSTEINBARR VIRUS
QUANTITATIVE PCR

9573

(EBV VIRAL LOAD)


(QUANTITATIVE EBV PCR)

Do not centrifuge tube


LAVENDER
Collect Mon through Thurs only.
For transplant patients only.
Centrifuge, separate into transfer tube and freeze immediately.
Store and send frozen.
TAT 10 days

EQUANIL

Refer to MEPROBAMATE

(MEPROBAMATE)
(MILTOWN)

EQUINE ENCEPHALITIS
ANTIBODIES

Refer to ARBOVIRUS SEROLOGY

(ARBOVIRUS SEROLOGY)

ERYTHEMA INFECTIOSUM

Refer to PARVO VIRUS

(FIFTHS DISEASE)
(PARVO VIRUS )
(PARVO VIRUS B19)

ERYTHROCYTE COUNT

Refer to COMPLETE BLOOD COUNT

(COMPLETE BLOOD COUNT)

ERYTHROCYTE SEDIMENTATION 451


RATE
(SED RATE)
(SEDIMENTATION RATE)

Blood

LAVENDER

Test must be performed within 10 hours


of collection.
TAT 1 day

TEST SPECIFICATION GUIDE - SECTION E


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CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

CML

TEST NAME

CODE

ERYTHROPOIETIN

9132

SPECIMEN REQUIREMENT

VACUTAINER

Serum
Minimum Volume required: 2 x 1 mL
Keep aliquots together with elastic band.
Avoid hemolysis
Separate ASAP

BILL

LOC

GOLD SST

UNINSURED HLRC

GOLD SST

OHIP

FREEZE SERUM AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days

ESTRADIOL

310

(E 2)
(ESTROGEN)
(ESTROGEN-NON PREGNANT)

CML

TAT 1 day

ESTRIOL TOTAL, PREGNANT (E 3)

ESTRIOL

Serum
Centrifuge only

9265

(E 3)

ESTROGEN, NON PREGNANT

TEST NO LONGER AVAILABLE

Serum
Centrifuge and aliquot into transfer tube.
Store and ship refrigerated.
TAT 11 days

GOLD SST

OHIP

HLRC

Refer to ESTRADIOL

(E 2)
(ESTRADIOL)
(ESTROGEN)

ESTRONE

313

(E 1)

Serum
Minimum volume required: 1 mL

GOLD SST

OHIP

DYN

OHIP

CML

OHIP

CML

FREEZE SERUM AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 12 days

ETHANOL

006

(ALCOHOL- ETHYL)

Blood
GRAY
Keep vacutainer tube sealed with minimum air space
Use an iodine swab to cleanse venipuncture site
TAT 2 days

ETHANOL
(ALCOHOL- ETHYL)

006U

Urine
10 mL random urine
Submit in a blue cap conical tube
Keep container closed with minimum air space.
TAT 2 days

TEST SPECIFICATION GUIDE - SECTION E


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CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

ETHCHLORVYNOL

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

NO LONGER AVAILABLE

(PLACIDYL)

ETHOSUXIMIDE

092

(ZARONTIN)

Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect trough specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.

OHIP

DYN

TAT 6 days

ETHYLBENZENE
EXPOSURE

99999

(MANDELIC ACID)

Urine
For industrial exposure collect specimen
at the end of the work week.
Collect urine in a labelled sterine 90ml
urine container and cap tightly.
Store and ship refrigerated.

UNINSURED

LL

TAT 1-2 weeks

ETHYLENE GLYCOL

9133

(ANTIFREEZE)

Whole blood
Do not sperarate. Send entire tube.
Will require consultation with biochemist
On-call (905-521-2100 x76443) BEFORE
Sending specimen to HLRC.

GRAY

UNINSURED

HLRC

URINE

UNINSURED

HLRC

This test is not available for CCC use.


This test is only for use at Kennedy Road
for hospital patients
TAT 4 days

ETHYL GLUCURONIDE URINE 9667

Random Urine

(ETHYLGLUCONARIDE)

Minimum Volume Required: 5.0 mL


Collect in a labeled 90 mL orange cap sterile container.
Urine to be stored and shipped frozen.
TAT 12 Days

TEST SPECIFICATION GUIDE - SECTION E


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CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

EXTRACTABLE NUCLEAR
ANTIBODIES SCREEN
- HOSPITALS ONLY

CODE

9593

(ANTI-ENA)
(ENA ANTIBODY)

SPECIMEN REQUIREMENT

VACUTAINER

Serum
GOLD SST
Centrifuge only
Positive results may be delayed for confirmation
Note: Specific antigens reported only when screen is positive

BILL

OHIP

LOC

HLRC

Includes antibody screen for: dsDNA; Chromatin; Ribosomal Protein; SS-A52


SS-A60; SS-B; Sm; SmRNP; RNP A, RNP 68; Scl-70; Jo-1; Centromere B
TAT 30 days

EXTRACTABLE NUCLEAR
ANTIBODIES SCREEN
(ANTI-ENA)
(ANTI-SM)
(ANTI-SSARO)
(ANTI-SSBLA)
(ANTI-SCL70)
(ANTI-RNP)
(ANTI-JO1)
(EXTRACTIBLE NUCLEAR ANTIGENS)
(ENA ANTIBODY)

1641

Serum

GOLD SST

Minimum volume required: 3.0mL


Collect blood in SST tube. Allow blood to clot
at room temperature for 30 minutes and separate by
centrifugation.
o

Store and ship at 2-8 C


This test screens for Anti-SM, Anti-RNP, Anti-SSA/RO,
Anti-SSB/La, Anti-Scl-70, and Anti-Jo-1
TAT 10 days

TEST SPECIFICATION GUIDE - SECTION E


Page 6 of 6
CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

LL

TEST NAME

CODE

FACTOR ASSAY

VACUTAINER

BILL

LOC

LIGHT BLUE

OHIP

HLRC

OHIP

HLRC

NO LONGER AVAILABLE

(COAGULATION FACTOR)

FACTOR II ASSAY

SPECIMEN REQUIREMENT

9758

Plasma

1 mL sodium citrate platelet poor plasma.


Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days
FACTOR V ASSAY

9759

Plasma

LIGHT BLUE

1 mL sodium citrate platelet poor plasma.


Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days
FACTOR V
LEIDEN MUTATION

9149

Blood

1 LAVENDER
1 LIGHT BLUE

UNINSURED HLRC

Lavender
Light Blue
Unspun
separate 2 mL plasma, FREEZE
Label tube Factor V Leiden label tube APC Resistance / Factor V Leiden

(FVL) (INCLUDES APCR)

Heparin is to be restricted one week prior to test collection


Patient must contact their physician for restriction guidelines
FREEZE PLASMA FROM LIGHT BLUE AND SEND FROZEN
Keep lavender at room temperature, send together.
Refer to the General Information page for the
Specimen Processing & Transport Guidelines.
NOTE: NOT THE SAME AS FACTOR V
TAT 40 days
FACTOR VII ASSAY

9760

Plasma

LIGHT BLUE

OHIP

HLRC

Please used specifically defined test codes


Each individual factor assay.
Spin and separate platelet poor plasma immediately.
Store and ship frozen.
TAT 10 days
FACTOR VIII INHIBITOR

(FACTOR VIII INHIBITO HUMAN


BETHESDA)

9761

Plasma

LIGHT BLUE

UNINSURED

1 mL sodium citrate platelet poor plasma.


Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
Von Willebrand Factor VIII-C result is included as part of the test.
TAT 13 days

FACTOR VIII: C
VON WILLEBRAND

Refer to VON WILLIBRAND FACTOR SCREEN

(BIOLOGICAL)

TEST SPECIFICATION GUIDE SECTION F Page 1 of 6


CML HealthCare Inc Test Specification Guide 18207 Version: 7.0 23-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

HLRC

TEST NAME
FACTOR IX ASSAY
(FACTOR 9)

CODE
9762

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LIGHT BLUE

OHIP

HLRC

OHIP

HLRC

OHIP

HLRC

OHIP

HLRC

OHIP

HLRC

OHIP

HLRC

Plasma

LOC

1 mL sodium citrate platelet poor plasma.


Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days

FACTOR X ASSAY

9763

Plasma

LIGHT BLUE

1 mL sodium citrate platelet poor plasma.


Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days
FACTOR XI ASSAY

9764

Plasma

LIGHT BLUE

1 mL sodium citrate platelet poor plasma.


Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days
FACTOR XII ASSAY

9765

Plasma

LIGHT BLUE

1 mL sodium citrate platelet poor plasma.


Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days
FACTOR XIII Panel

9256

Plasma
LIGHT BLUE
Draw 2 light blue vacutainers to
ensure enough plasma.
Send platelet poor plasma in three 1ml aliquots.
Separate and freeze immediately. Ship frozen.
Put an elastic around all aliquots to keep them together.
Patient should not be on anticoagulant therapy.
TAT 13 days.

FACTOR XIII SCREEN

9766

(UREA CLOT SOLUBILITY)

Plasma
LIGHT BLUE
1 mL sodium citrate platelet poor plasma.
Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days

FARMERS LUNG

Refer to ALLERGIC ALVEOLITIS

FAT AND MEAT FIBRES

NO LONGER AVAILABLE

(ALLERGIC ALVEOLITIS)
(ALLERGIC LUNG)

MICROSCOPIC EXAMINATION

FAT GLOBULES

(FAT SCREEN)
(FECAL FAT SCREEN)

9229

1g sample

STERILE CONTAINER

1 gram of stool to be submitted


in an orange cap urine container.
TAT 7 days

TEST SPECIFICATION GUIDE SECTION F Page 2 of 6


CML HealthCare Inc Test Specification Guide 18207 Version: 7.0 23-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

HLRC

TEST NAME

CODE

FATTY ACID, FREE

9418

(FATTY ACIDS, NONESTERIFIED)

SPECIMEN REQUIREMENT

VACUTAINER

BILL

GOLD SST

OHIP

GOLD SST

UNINSURED HLRC

Serum
Minimum Volume required: 1 mL

LOC
HLRC

Must fast a minimum of 12 hours


FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days
FATTY ACID,
VERY LONG CHAIN

9134

Serum
Minimum Volume required: 2 mL
Note: not the same as Fatty acid, free
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days

FEBRILE AGGLUTININS

NO LONGER AVAILABLE

FECAL ELASTASE

Refer to ELASTASE STOOL

FECAL FAT, TOTAL

095

Stool
72 HOUR CAN
This test is available only for use
At Kennedy Road for hospital patients
And is not available for CCC use. Please note
Whether 48 hour or 72 hour collection

OHIP

HLRC

TAT 14 days
FERRITIN

329

Serum
Centrifuge only
3 MICROTAINERS ARE REQUIRED WHEN
COLLECTING FROM AN INFANT

GOLD SST

OHIP

CML

LIGHT BLUE

OHIP

CML

LIGHT BLUE

OHIP

CML

TAT 1 day
FETAL HEMOGLOBIN

Refer to HEMOGLOBIN FRACTIONATION

(HEMOGLOBIN A2)

(HEMOGLOBIN FRACTIONATION)
(HEMOGLOBIN FETAL)

FIBRIN D-DIMER

405

(FIBRIN DEGRADATION PRODUCTS)


(D. DIMER)

Plasma
Minimum Volume required: 1 mL
Centrifuge within 30 minutes.
FREEZE PLASMA AND SEND FROZEN
TAT 2 days

FIBRINOGEN, QUANTITATIVE 402

Plasma
Fill tube completely
Do not centrifuge
TAT 1 day

TEST SPECIFICATION GUIDE SECTION F Page 3 of 6


CML HealthCare Inc Test Specification Guide 18207 Version: 7.0 23-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

FIFTHS DISEASE

Refer to PARVO VIRUS

FK 506

Refer to TACROLIMUS

FLUID, TOTAL EXAM

State source synovial, knee fluid, aspirate, etc.

(ERYTHEMA INFECTIOSUM)
(PARVO VIRUS )
(PARVO VIRUS B19)

(PROGRAF)
(TACROLIMUS)

(SYNOVIAL FLUID)

BILL

LOC

OHIP

CML

HP10

a) Uric Acid Crystals & Cells transfer to a Lavender tube

639F

b) Culture

- transfer to a 90 mL white cap container


- print FLUID on lid

Serum
Codes

c) Chemistry

- transfer to a plain red tube


- code test(s) according to serum codes
- tests are usually protein (208FL) and glucose (111RS)

State tests requested in Notes & Instructions


Submit all fluids in a priority labelled zip-lock bag.
Results may be delayed due to confirmation by Pathologist
Testing Includes LKcs, crystals, chemistry, differential
TAT 4 days
FLUORESCENT ABSORPTION TEST

Refer to SYPHILIS

FLUORIDE

Serum
Minimum Volume required: 2 mL
Transfer serum to plastic serum tube

(FTA- TREPONEMAL ANTIBODIES)


(TREPONEMAL ANTIBODIES)
(SYPHILIS)

9224

PLAIN RED

UNINSURED HLRC

TAT 25 days
FLUORIDE

99999

Urine
ACID WASH CONTAINER UNINSURED
Min Volume: 10ml
Patient must avoid gadolinium based contrast media
Used for MRIs for 48 hours prior to collection.
ACID WASH Container MUST be used.
Store and ship refrigerated.

LL

TAT 1-2 weeks


FLUOXETINE
(PROZAC)

9107

Plasma
Minimum Volume required: 2 mL

GREEN
with Heparin

Collect trough sample 10 12 hours after last dose


Record time in hours that have elapsed between
last dose and specimen collection.
TAT 20 days
FLURAZEPAM

(DALMANE)

TEST NO LONGER AVAILABLE

TEST SPECIFICATION GUIDE SECTION F Page 4 of 6


CML HealthCare Inc Test Specification Guide 18207 Version: 7.0 23-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

HLRC

TEST NAME

CODE

FLUVOXAMINE

VACUTAINER

BILL

LOC

2 LAVENDER

OHIP

CML

GOLD SST

OHIP

CML

TEST NO LONGER AVAILABLE

(LUVOX)

FOLATE, RBC

SPECIMEN REQUIREMENT

309

Blood
Note: If routine hematology tests are NOT
ordered, an additional lavender tube
is required for hematocrit
Testing Includes Hematocrit
TAT 2 days

FOLLITROPIN

315

(FOLLICLE STIMULATING HORMONE)

(FSH)

FORMIC ACID

Serum
Centrifuge only
TAT 1 day

315

(FORMATE)

(FORMALDEHYDE METABOLITE)

Plasma
GREEN TOP
Mix through gentle inversion
- Heparin
Store and ship refrigerated
Formic Acid is a metabolite of: Formaldehyde,
Formate Esters, Formate Salts, Heteromethanes,
Methylalkyl, Methylesters,Methanol

UNINSURED LL

TAT 2-3 weeks


FRAGILE X CHROMOSOME

9714

Whole Blood

LAVENDER

OHIP

VTF

DO NOT SPIN
Collect sample Monday Wednesday only
A form for Molecular Genetic DNA Testing must be
completed by the doctor and accompany the specimen
Form available from CML Problem Solving Department.
Store and transport specimen at room temperature
Place specimen and form in a test labelled priority labelled zip-lock bag
State FRAGILE X on the priority label
TAT 30 days
FREE HEMOGLOBIN

Refer to HEMOGLOBIN PLASMA

(PLASMA HEMOGLOBIN)
(HEMOGLOBIN PLASMA)

FREE KAPPA/LAMBDA
RATIO

(SERUM FREE LIGHT CHAINS)

9247

Serum
Centrifuge and aliquot to transfer tube.
Store and ship refrigerated.

GOLD SST

TAT 8 days
FREE T3

Refer to TRIIODOTHYRONINE FREE

FREE T4

Refer to THYROXINE FREE

FREE TESTOSTERONE

Refer to TESTOSTERONE FREE

(TRIIODOTHYRONINE FREE)

(FREE THYROXINE)
(THYROXINE FREE)

(TESTOSTERONE FREE)

TEST SPECIFICATION GUIDE SECTION F Page 5 of 6


CML HealthCare Inc Test Specification Guide 18207 Version: 7.0 23-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED

HLRC

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

FREE THYROXINE INDEX (FTI)

TEST NO LONGER AVAILABLE

FREE / TOTAL PSA

Refer to PROSTATE SPECIFIC ANTIGEN FREE/TOTAL

FRISIUM

Refer to CLOBAZAM

(PSA FREE AND TOTAL RATIO)


(PSA PERCENT %)
(PSA FRACTIONATION)
(CLOBAZAM)

FRUCTOSAMINE

9114

Serum
Centrifuge only

GOLD SST

BILL

LOC

UNINSURED HLRC

TAT 20 days
FRUCTOSE

9211

Semen
Minimum Volume required: 1 mL

OHIP

DYN

OHIP

CML

Freeze within 30 minutes after collection


FREEZE SEMEN AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 14 days
FSH

Refer to FOLLITROPIN

(FOLLICLE STIMULATING HORMONE)

(FOLLITROPIN)

FTA

Refer to SYPHILIS

FTI (FREE THYROXINE INDEX)

TEST NO LONGER AVAILABLE

(FLUORESCENT ABSORPTION TEST)


(FTA- TREPONEMAL ANTIBODIES)
(SYPHILIS)

FUNGAL CULTURE

626

Skin Scrapings, Nails, Hairs


State Source
Submit specimen in heavy black paper placed
in a plastic transport container.
STORE AND SHIP AT ROOM TEMPERATURE

Use code 626-2 for second specimen on same patient, 626-3 for third specimen
TAT 10 to 30 days
FUNGAL CULTURE

641-1

Sputum
Early morning deep cough specimen
Submit specimen in a 90 mL transport container
STORE AND SHIP AT ROOM TEMPERATURE
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM CODE M04 ON
PHL REQUISITION
TAT 10 to 30 days

FVL

(FACTOR V LEIDEN MUTATION)


(INCLUDES APCR)

Refer to FACTOR V LEIDEN MUTATION

TEST SPECIFICATION GUIDE SECTION F Page 6 of 6


CML HealthCare Inc Test Specification Guide 18207 Version: 7.0 23-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

N/C

PHL

TEST NAME

CODE

G6PD

VACUTAINER

BILL

LOC

Refer to GLUCOSE-6-PHOSPHATE DEHYDROGENASE

(GLUCOSE6PHOSPHATE
DEHYDROGENASE ASSAY)

GABAPENTIN

SPECIMEN REQUIREMENT

9922

(NEURONTIN)

Serum
PLAIN RED
Minimum Volume required: 2 mL
Collect trough specimen 10 to 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.

OHIP

HLRC

FREEZE SERUM AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 20 days
GALACTOSE1PHOSPHATE
URIDYL TRANSFERASE

TEST NO LONGER AVAILABLE

GALECTIN-3

Serum
GOLD SST
Minimum Volume required: 1 mL
Centrifuge and aliquot serum into transfer tube.
Store and send refrigerated.

(GALACTOSE-1 PUT)

9288

UNINSURED

LL

TAT 14 Days
GAM

Refer to IMMUNOGLOBULIN GAM

(IMMUNO GAM)

(IMMUNOGLOBULIN, QUANTITATIVE)

GAMMAGLUTAMYL
TRANSFERASE

107

(GGT)
(GGTP)

GOLD SST

OHIP

CML

TAT 1 day

(GAMMA GLUTAMYL TRANSPEPTIDASE)

GANGLIOSIDE ANTIBODY

Serum
Centrifuge only

9715

(GM1 GANGLIOSIDE ANTIBODY)

Serum
PLAIN RED
Minimum Volume required: 2 x 1mL
Submit two aliquots kept together with elastic band.

UNINSURED HLRC

FREEZE SERUM AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days
GASTRIN

316

Serum
PLAIN RED
Minimum Volume required: 2 mL
Patient must fast minimum of 10 hours prior to collection
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 10 days

GCFT

(GONOCOCCAL COMPLEMENT FIXATION TEST)

TEST NO LONGER AVAILABLE

(GONOCCAL INFECTION)

TEST SPECIFICATION GUIDE SECTION G Page 1 of 4


CML HealthCare Inc Test Specification Guide 18340 Version: 9.0 15-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

CML

TEST NAME

CODE

GENOTYPE

(ABO, Rh(D), GENOTYPE)


(BLOOD GROUP, Rh(D) AND GENOTYPE)

GENTAMICIN, PEAK

304GP

(POST)

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to BLOOD GROUP PHENOTYPE

Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect hour after IV infusion, or 1-2 hours after IM injection.
Record time in minutes that has elapsed
between last dose and specimen collection.

OHIP

HLRC

OHIP

HLRC

OHIP

CML

OHIP

CML

FREEZE SERUM AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 5 to 10 days
GENTAMICIN, TROUGH

304GT

(PRE)

Serum
Minimum Volume required: 1 mL
Collect prior to IV infusion or IM injection.
Record time in minutes that has elapsed
between last dose and specimen collection.

PLAIN RED

FREEZE SERUM AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 5 to 10 days
GESTATIONAL DIABETES 50g 103S

(GESTATIONAL DIABETES SCREEN)

Plasma
GRAY
Do not centrifuge
Give patient 50 g glucose drink
Collect a gray top tube 1-hour after drink given
Record glucose load given
TAT 1 day

GESTATIONAL DIABETES 75g 3008

(GESTATIONAL DIABETES 75g SCREEN)


(GESTATIONAL DIABETES 75g
CONFIRMATION)
(GESTATIONAL DIABETES CONFIRMATION)

Plasma
Collect a fasting gray top tube
DO NOT collect a fasting urine sample

GRAY
Do not centrifuge

DO NOT COLLECT A 3 HR SPECIMEN


Give patient 75 g glucose drink
Collect a gray top tube 1 hr and 2 hrs after drink given
Record glucose load given
TAT 1 day

GGT

Refer to GAMMA GLUTAMYL TRANSFERASE

(GGPT)

(GAMMAGLUTAMYL TRANSPEPTIDASE)
(GAMMA GLUTAMYL TRANSFERASE)

GLIADIN ANTIBODIES
(AGA)
(ANTIGLIADIN)

9117

Serum
Centrifuge only

GOLD SST

Testing Includes Gliadin antibody IgG, IgA


TAT 25 days

GLOBULIN

TEST NO LONGER AVAILABLE

TEST SPECIFICATION GUIDE SECTION G Page 2 of 4


CML HealthCare Inc Test Specification Guide 18340 Version: 9.0 15-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED HLRC

TEST NAME
GLUCAGON

CODE
9295

SPECIMEN REQUIREMENT

VACUTAINER

Plasma (ETDA)
Min volume required: 3ml
Collect an overnight fasting sample.
Separate and freeze as soon as possible.
Store and send frozen.

BILL

LOC

LAVENDER

UNINSURED HRLC

GOLD SST

UNINSURED HLRC

GRAY

OHIP

CML

GOLD SST

OHIP

CML

GRAY

OHIP

CML

OHIP

HLRC

TAT 15 days
GLOMERULAR
BASEMENT MEMBRANE
ANTIBODY

GLUCOSE

FASTING
RANDOM
PC

9435

Serum
Centrifuge only
TAT 20 days

111F
111R
111PC

Plasma
Minimum Volume required: 2 mL

NOTE: PC is available for 2 hour specimens only


TAT 1 day

GLUCOSE

FASTING
RANDOM

111FS
111RS

GLUCOSE CHALLENGE
75 gm glucose load

Serum
Centrifuge only
TAT 1 day
Plasma
Do not centrifuge

3106
3108

FASTING PLASMA
2-HOUR PLASMA AFTER 75gm GLUCOSE LOAD
Collect a fasting grey top tube
Give patient 75 gm glucose drink
Collect a gray top tube 2 hours after drink given
Record glucose load given
Note: No urine required
Testing for non-pregnant females and males.
TAT 1 day

GLUCOSE CHALLENGE,
O SULLIVAN SCREEN
- 50g glucose load

TEST NO LONGER AVAILABLE

GLUCOSE CHALLENGE
GESTATIONAL SCREEN
- 100g glucose load

TEST NO LONGER AVAILABLE

GLUCOSE-6-PHOSPHATE
DEHYDROGENASE ASSAY

(G6PD ASSAY)

GLUCOSE6PHOSPHATE
DEHYDROGENASE SCREEN

9973

Blood
Do not open tube

LAVENDER

TAT 15 days
TEST NO LONGER AVAILABLE

(G6PD SCREEN)

TEST SPECIFICATION GUIDE SECTION G Page 3 of 4


CML HealthCare Inc Test Specification Guide 18340 Version: 9.0 15-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

GLUCOSE,
QUALITATIVE

2544

SPECIMEN REQUIREMENT

VACUTAINER

Urine
10 mL random urine
Submit in a YELLOW cap conical tube

BILL

LOC

OHIP

CML

N/C

PHL

OHIP

CML

TAT 1 day
GLUCOSE TOLERANCE,
75g glucose load

Refer to GLUCOSE CHALLENGE

GLUTETHIMIDE

SERUM TESTING NO LONGER AVAILABLE

GLUTETHIMIDE

URINE TESTING NO LONGER AVAILABLE

GLYCOPROTEIN
ALPHA SUBUNIT

TEST NO LONGER AVAILABLE

(DORIDEN)

(DORIDEN)

GLYCOSYLATED
HEMOGLOBIN

Refer to HEMOGLOBIN A1C

GM 1 GANGLIOSIDE ANTIBODY

Refer to GANGLIOSIDE ANTIBODY

GOLD

TEST NO LONGER AVAILABLE

GONORRHOEAE SWAB

Refer to CULTURE AND SENSITIVITY

(A1C) (HbA1C) (HEMOGLOBIN A1C)

GONORRHOEAE URINE

9166

(GC)

Urine
20 - 40 mL
Collect the first part of the urine stream to ensure a
high organism count.
Higher volumes of urine will invalidate the test.
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM - CODE B11
TAT15 days

GRAM STAIN

643

Smear state source


Label frosted end of prepared slide
TAT 1 day

GROWTH HORMONE

Refer to SOMATOTROPIN

GTA-446

Refer to COLOGIC

(HGH)
(HUMAN GROWTH HORMONE)
(SOMATOTROPIN)

TEST SPECIFICATION GUIDE SECTION G Page 4 of 4


CML HealthCare Inc Test Specification Guide 18340 Version: 9.0 15-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

HALCION

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

TEST NO LONGER AVAILABLE

(TRIAZOLAM)

HALOPERIDOL

9118

(HALDOL)

Plasma
GREEN
Minimum Volume required: 3 mL
with Heparin
Separate immediately
Collect trough specimen prior to next dose
Record time in hours that have elapsed between
last dose and specimen collection.

UNINSURED HLRC

FREEZE PLASMA AND SEND FROZEN


TAT 15 to 25 days

HAND, FOOT, MOUTH DISEASE

Refer to COXSACKIE VIRUS ISOLATION

(COXSACKIE VIRUS ISOLATION)

HAPTOGLOBIN

120

Serum
Centrifuge only
Avoid hemolysis

GOLD SST

OHIP

TAT 1 day

HbA1C

Refer to HEMOGLOBIN A1C

(A1C)
(GLYCOSYLATED HEMOGLOBIN)
(HEMOGLOBIN A1C)

HCG

Refer to CHORIOGONADOTROPIN

(BHCG)
(HUMAN CHORIONIC GONADOTROPIN)

HDL CHOLESTEROL

Refer to LIPID ASSESSMENT, FASTING/LIPID ASSESSMENT, NON FASTING

(CHOLESTEROL IN HDL)

HDL/LDL CHOLESTEROL

Refer to LIPID ASSESSMENT, FASTING/LIPID ASSESSMENT, NON FASTING

(LDL CHOLESTEROL)
(CHOLESTEROL IN LDL)

HEAVY & LIGHT CHAINS

Refer to IMMUNOELECTROPHORESIS

(IMMUNOELECTROPHORESIS)
(IMMUNOFIXATION)
(GAMMOPATHY TYPING)

HEAVY & LIGHT CHAINS

Refer to PROTEIN ANALYSIS BENCE JONES PROTEIN

(BENCE JONES PROTEIN)


(IEP)
(IMMUNOELECTROPHORESIS)

TEST SPECIFICATION GUIDE SECTION H Page 1 of 15


CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

CML

TEST NAME

CODE

HEINZ BODIES

9718

SPECIMEN REQUIREMENT

VACUTAINER

Blood
LAVENDER
Do not open tube
Part of hemolytic investigation form available
from Problem Solving Department at Head Office.

BILL

LOC

OHIP

HLRC

OHIP

CML

TAT 30 days

HELICOBACTER PYLORI

683

(H. PYLORI)
(H. PYLORI ANTIBODY)

Serum
Centrifuge only

GOLD SST

TAT 3 days
HEMATOCRIT
HEMOCHROMATOSIS

Refer to COMPLETE BLOOD COUNT


9977

(HFE C282Y, H63D)

Blood
2 LAVENDERS OHIP
Specimen must be analysed within 24-hours
Submit Monday Wednesday only
A doctor must complete a Molecular Diagnostic DNA Testing form
Form available from CML Problem Solving Department.

HLRC

Transport specimens and Form in a Priority labelled ziplock bag.


DO NOT REFRIGERATE
TAT 25 DAYS

HEMOGLOBIN
HEMOGLOBIN A1C

Refer to COMPLETE BLOOD COUNT


093

(A1C) (HbA1C)
(GLYCOSYLATED HEMOGLOBIN)

HEMOGLOBIN A2

Blood

LAVENDER

OHIP

CML

LAVENDER

OHIP

HLRC

LAVENDER

OHIP

CML

TAT 2 days

9959

QUANTITATION COLUMN

Blood
Do not open the tube
TAT 15 days

HEMOGLOBIN
FRACTIONATION
(FETAL HEMOGLOBIN)
(HEMOGLOBINOPATHY SCREENING)
(HEMOGLOBIN ELECTROPHORESIS)

419

Blood
Do not open the tube
Abnormal results may be delayed due to
interpretation by consultant.
TAT 1 day

HEMOGLOBIN
PLASMA

Refer to METHEMALBUMIN SCREEN

(FREE HEMOGLOBIN)
(PLASMA HEMOGLOBIN)

TEST SPECIFICATION GUIDE SECTION H Page 2 of 15


CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

HEMOGLOBINOPATHY
INVESTIGATION STAGE 1

CODE

9251

SPECIMEN REQUIREMENT

Whole Blood

VACUTAINER

LAVENDER

BILL

LOC

UNINSURED HLRC

Please provide current CBC results. A


hemoglobinopathy investigation form should
be completed along with specimen and requisition.
If investigating Alpha Thalassemia or a rare HB
variant send extra lavender tube.

(DNA SEQUENCING FOR


HEMOGLOBINOPATHY
INVESTIGATION)

FORM AVAILABLE ON CML WEBSITE


TAT 13 days

HEMOLYTIC COMPLEMENT
FIXATION

Refer to COMPLEMENT TOTAL CH50

(CH50)
(COMPLEMENT HEMOLYTIC)

HEMOLYTIC INVESTIGATIONS 9253


STAGE 1

Whole Blood
Please provide current CBC results
Hemolytic investigation form should be
Completed and sent with req.

LAVENDER

UNINSURED

HLRC

FORM AVAILABLE ON CML WEBSITE


TAT 8 days
HEMOPEXIN

9925

Serum
Minimum Volume required: 2 mL
Collect Monday Wednesday only.

PLAIN RED

UNINSURED HLRC

TAT 20 days
HEMOSIDERIN

424

Urine
10 mL random urine
Submit in a 90 mL orange cap container
First morning sample

OHIP

HLRC

TAT 20 days
HEPARIN ASSAY
(XA INHIBITOR)
FONDAPARINUX
(ARIXTRA)

9543

Plasma

LIGHT BLUE

Separate and freeze


Minimum Volume required: 1 mL
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
State type of drug patient is on.
TAT 4 days

TEST SPECIFICATION GUIDE SECTION H Page 3 of 15


CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED HRLC

TEST NAME

HEPARIN ASSAY
(XA INHIBITOR)
UNFRACTIONATED

CODE

9537

SPECIMEN REQUIREMENT

VACUTAINER

Plasma

BILL

LOC

LIGHT BLUE

UNINSURED HRLC

LIGHT BLUE

OHIP

LIGHT BLUE

UNINSURED HRLC

PLAIN RED

UNINSURED MUMC

Separate and freeze


Minimum Volume required: 1 mL
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
State type of drug patient is on.
TAT 4 days

HEPARIN ASSAYORGARAN

9243

Plasma

HRLC

Separate and freeze


Minimum Volume required: 1 mL
FREEZE PLASMA AND SEND FROZEN
TAT 4 days
HEPARIN CO FACTOR II

9178

Plasma
Separate and freeze
Minimum Volume required: 1 mL
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 20 days

HEPARIN
INDUCED
THROMBOCYTOPENIA

9353

(HIT)

Serum
Minimum Volume required: 4 mL
Centrifuge, separate into transfer tube.
Freeze immediately. Store and send frozen.
Send Platelet Immunology Lab requisition.
FORM AVAILABLE ON CML WEBSITE

HEPARIN
LOW MOLECULAR WEIGHT

9252

Plasma
LIGHT BLUE
Minimum Volume required: 2 mL
Separate platelet poor plasma into 2 x 1 mL aliquots
Freeze immediately
State on requisition the type of heparin
(drug) patient is receiving.
TAT 5 days

TEST SPECIFICATION GUIDE SECTION H Page 4 of 15


CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED HLRC

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

HEPATITIS TESTING DETAILS


Information pertaining to Hepatitis testing and coding is now displayed with the following set up:

A Quick Reference Coding Sheet which is set up to show:


Coding when the Hepatitis request is checked off in the pre-printed section of the OHIP Requisition.
Coding when the Hepatitis request is hand written on the OHIP Requisition.

AS PRINTED ON THE OHIP REQUISITION


Viral Hepatitis (check one only)

Acute Hepatitis

Chronic Hepatitis (Carrier)

Immune status/prev. exposure


Specify:
Hepatitis A _______
Hepatitis B _______
Hepatitis C ________

HEPATITIS, ACUTE

560

Serum
Centrifuge tubes only

2 GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

Label 1 tube autoChem


Label 1 tube Hepatitis - Acute
TAT 2 days
HEPATITIS, CHRONIC

570

Serum
Centrifuge only
TAT 2 days

HEPATITIS A

580

IMMUNE STATUS/PREV.EXPOSURE

Serum
Centrifuge only
TAT 2 days

HEPATITIS B

590

IMMUNE STATUS/PREV.EXPOSURE

Serum
Centrifuge only
TAT 2 days

HEPATITIS C
IMMUNE STATUS/PREV.EXPOSURE

4037

Serum
Centrifuge only
TAT 2 days

TEST SPECIFICATION GUIDE SECTION H Page 5 of 15


CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

HEPATITIS A ANTIBODY IgG

4612

(Anti-HAA IgG)
(Anti-HAV IgG)
(Anti-HAV)
(Havab (HAVAB))
(Hep A Ab (IgG))

SPECIMEN REQUIREMENT

Serum
Centrifuge only

VACUTAINER

BILL

LOC

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

All markers only 1 FULL tube needed.


TAT 2 days

HEPATITIS A ANTIBODY IgM

4613

(Anti-HAV IgM)
(HAVAB-M)
(Hep A (current infection))
(Hep A (M))
(Hep A AB (IgM))
(Hep A Antibody IgM)
(Hep A IgM)

HEPATITIS B core ANTIBODY

Serum
Centrifuge only
All markers only 1 FULL tube needed.

TAT 2 days
4609

(AHBC)
(Anti-HBc)
(B Core)
(HbcAb)
(Hep B Core Ab)
(Hep Bc)
(Hep BcAb)

Serum
Centrifuge only
All markers only 1 FULL tube needed.

TAT 2 days

HEPATITIS B core IgM ANTIBODY 4614


(AHBC-IgM)
(Anti-HBc IgM)
(Core IgM)
(Hep B Core IgM)

Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT 2 days

HEPATITIS B SURFACE
ANTIBODY

4608

(AHBS)
(Antibody to Hepatitis B S Ag)
(Antibody to Hepatitis B S Antigen)
(Anti-HBS)
(Anti-HbsAg)
(HbsAb)
(Hep B Antibodies)
(Hep B Surface Ab)
(Hep B Surface Ab Titre)
(Hep B Surface Antibody)
(Hep B Titre)
(Post Hepatitis Vaccination)

HEPATITIS B SURFACE
ANTIGEN
(Australian Antigen)
(B Surface Antigen)
(B. Antigen)
(HbsAg)
(Hep B S Ag)

Serum
Centrifuge only
All markers only 1 FULL tube needed.

TAT 2 days
4607

Serum
Centrifuge only
All markers only 1 FULL tube needed
TAT 2 days

TEST SPECIFICATION GUIDE SECTION H Page 6 of 15


CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

HEPATITIS Be ANTIBODY

CODE

4611

(AHBe)
(Anti-Hbe)
(Be Antibody)
(E Antibody)
(HbeAb)
(Hep Be Ab)
(Hep Be Antibody)

HEPATITIS Be ANTIGEN

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

PLAIN RED

N/C

PHL

N/C

PHL

GOLD SST

OHIP

CML

PLAIN RED

N/C

PHL

Serum
Centrifuge only
All markers only 1 FULL tube needed.

TAT 2 days
4610

(Be Antigen)
(Hbe Ag)
(Hep Be Ag)

Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT 2 days

HEPATITIS B PRENATAL

319P

Do not centrifuge tube

(HBsAg Prenatal)
(Hepatitis B Prenatal (HBSAG) only)

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM

(Maternal Hepatitis B Screening)

TAT 15 days
HEPATITIS B VIRUS DNA

9053

(HEPATITIS B VIRAL LOAD)

Serum
Minimum Volume required: 3 mL
2 red top tubes required

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 10 days
HEPATITIS C ANTIBODY

4037

(Anti-HCV)
(HCV)
(Hep C)
(Hepatitis C Exposure)
(Hepatitis C Screen)
(Non A and Non B AntiHCV)

HEPATITIS C GENOTYPING
(HEPATITIS C PCR)
(HEPATITIS C VIRAL LOAD)

Serum
Centrifuge only
All markers only 1 FULL tube needed.
TAT 2 days

9067

Serum
Minimum Volume required: 2 mL

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 10 days

TEST SPECIFICATION GUIDE SECTION H Page 7 of 15


CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

HEPATITIS C RNA

CODE

9016

SPECIMEN REQUIREMENT

VACUTAINER

Serum
Minimum Volume required: 3 mL
Centrifuge and separate within 4 hours
MOH Form must include: risk factors,
liver functions, current treatment

PLAIN RED

BILL

LOC

N/C

PHL

N/C

PHL

N/C

PHL

OHIP

CML

N/C

PHL

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 10 days
HEPATITIS D VIRUS
ANTIBODY

9041

Do not centrifuge tube

PLAIN RED

(DELTA AGENT)

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 10 days
HEPATITIS E VIRUS
ANTIBODY

9081

Do not centrifuge tube

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 10 days
HEROIN

079

Urine
10 mL random urine
Submit in a blue top conical tube
State under notes and instructions
CHECK FOR HEROIN
TAT 3 days

HERPES SIMPLEX,
SEROLOGY IgG

9030

Do not centrifuge tube

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days

HERPES SIMPLEX,
TYPE 1&2
(IMMUNOBLOT)
(HSV)

99999

Serum
GOLD SST
UNINSURED LL
All blood to clot at room temp for 30 mins.
Centrifuge tube and aliqyot into transfer tube.
Freeze sample and ship FROZEN
It is highly recommended that patients go to a CCC for this service.

TAT 1-2 weeks

TEST SPECIFICATION GUIDE SECTION H Page 8 of 15


CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

HERPES SIMPLEX,
VIRAL CULTURE

CODE

9030C

SPECIMEN REQUIREMENT

VACUTAINER

Swab
Use Public Health VirusSW canister
Swab and transport media provided
State source

BILL

LOC

N/C

PHL

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days

HERPES SIMPLEX,
VIRUS PCR

9331

Spinal Fluid

STERILE CONTAINER

UNINSURED HLRC

Accept and container/tube received.


Freeze and ship frozen on dry ice.
TAT 4 days
HETEROPHILE ANTIBODY

668

(MONO)
(MONONUCLEOSIS SCREEN)

Serum
Centrifuge only

GOLD SST

OHIP

CML

TAT 1 day
HGH

Refer to SOMATOTROPIN

(GROWTH HORMONE)
(HUMAN GROWTH HORMONE)
(SOMATOTROPIN)

5HIAA

Refer to 5-HYDROXY-INDOLACETATE

(5HYDROXYINDOL ACETATE)

(HYDROXYINDOLE)
(SEROTONIN METABOLITE)

HIPPURIC ACID
(NBENZOYGLYCINE)
(TOLUENE EXPOSURE)
(BENZYALCOHOL METABOLITE)

99999

Urine
Collect in 90ml sterile urine container
Store and ship refrigerated

UNINSURED

LL

TAT 1-2 weeks


HISTAMINE

TEST NO LONGER AVAILABLE

For investigation of anaphylaxis or mastocytosis, total tryptase measurement is recommended as alternative to histamine.
For investigation of neuroendocrine tumours, measurement of chromogranin A, serotonin, 5-hydroxyindole acetic acid (5-HIAA)
and/or other markers is recommended instead of histamine.

TEST SPECIFICATION GUIDE SECTION H Page 9 of 15


CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

HISTOPATHOLOGY

720-1

(PATHOLOGY)
(HISTOLOGY)

SPECIMEN REQUIREMENT

VACUTAINER

Tissue

BILL

LOC

OHIP

CML

The tissue must be placed into a container of sufficient size


containing 10 % Neutral Buffered Formalin, which must
equal 10-20 times the volume of the specimen
10 % buffered formalin bottles available from the Purchasing Dept.
For complete specimen collection instructions, click on the link below:
http://www.lifelabs.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.asp
All Histology specimens must be accompanied by a completed Surgical
Pathology Requisition.
Place the requisition and the histology specimen(s) in the Histotology envelope.
Complete the Histology Specimen Log Form.
Note: Do not place the patients other related specimens (ie. Microbiology, cytology)
Within the Histology envelope (Histology samples ONLY).
Transport specimen with regular pick-up (tote)
Do not code the Documentation Fee for this test
Use Test Code 720-2 for second specimen, etc.
TAT 10 days

HISTONE ANTIBODIES

9703

(ANTI-HISTONE)

Serum
Minimum Volume required: 2 mL

GOLD SST

UNINSURED HLRC

PLAIN RED

N/C

PHL

N/C

PHL

Testing includes IgG and IgM antibodies.


FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 60 days
HISTOPLASMA ANTIBODY

9017

Do not centrifuge tube

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days
HISTOPLASMA CULTURE
(HISTOPLASMA CAPSULATUM)

9018

Sputum
Deep cough specimen in sterile container
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 15 days

TEST SPECIFICATION GUIDE SECTION H Page 10 of 15


CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

HISTOPLASMA
HIV

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

N/C

PHL

N/C

PHL

N/C

PHL

N/C

PHL

URINE TESTING NO LONGER AVAILABLE


9096

(AIDS)
(HIV ROUTINE)
(HIV SEROLOGY)

Do not centrifuge tube

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days

HIV GENOTYPING

HIV Genotyping can be ordered as a follow up to a positive


Viral load result.
The physician must directly notify MOH and send the
appropriate form to have this test performed.
The test will be performed from the viral load samples
held by Public Health.
TAT 1 month

HIV
IMMIGRATION
AND INSURANCE
HIV PCR

TEST NO LONGER AVAILABLE

9099

Blood
LAVENDER &
Arrangements must be made with HIV lab
PLAIN RED
at PHL by telephone BEFORE sending
specimens to PHL Telephone # 416-235-6022
Collect specimen Monday Wednesday only
Complete and label package HIVPCR STAT
DO NOT REFRIGERATE
Label lavender tube HIVPCR
Label plain red tube HIV
REQUESTING PHYSICIAN MUST PROVIDE A
COMPLETED PHL HIV FORM, INDICATING PCR.
TAT 1 month

HIV, PRENATAL

9096P

Do not centrifuge tube


Use this code when blue PHL prenatal form
Has HIV box checked

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days

TEST SPECIFICATION GUIDE SECTION H Page 11 of 15


CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

HIV VIRAL LOAD

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

N/C

PHL

This test is available only to known positive HIV patients


The Viral Load form MUST be completed by the physician
Collect test Monday to Wednesday only

(VIRAL LOAD)

9097

Blood:
2 x 7 mL PPT Tubes

PPT TUBES

PHL will not test the specimen without a completed Viral Load Requisition
Do not collect the specimen until the requisition is available
PHL will not process the specimen without the following information:
Health Card number
CD4 results
Patient name
Current therapy
Collection Information complete collection information is required
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
Transport specimen in a test labelled Biohazard Transport Container.
Staff collecting sample must fill out collection time and centrifuge time
on PHL Form. Centrifuge sample within 4-hours of collection.
TAT 15 days
HLAB27

583

Blood
LAVENDER
Collect samples Monday, Tuesday, Wednesday ONLY

OHIP

HLRC

DO NOT REFRIGERATE
TAT 25 days
HLAB27 (PCR)

9196

Blood
3 LAVENDER
Minimum volume required: 10mL
Collect samples Monday, Tuesday, Wednesday ONLY
Form available on CML website.

UNINSURED HLRC

*Only performed when HLA B27 Result is inconclusive


DO NOT REFRIGERATE
TAT 30 days
HLA TISSUE TYPING

583T

(HLA- TYPING)
HISTOCOMPATIBLITY TESTING

For organ/tissue
Transplant purposes only

Blood
4 LAVENDER
OHIP
Collect samples Monday Wednesday ONLY
Doctor's name and telephone number must be on the requisition
A questionnaire, which is available from the Head Office Problem Solving
Department must be completed. Requires clinical information
Type of organ transplant, donors residency (Ontario Y or N)
Place samples, a copy of the OHIP requisition and the
questionnaire in a Priority labelled ziplock bag for transport.
DO NOT REFRIGERATE
CCCs: do not contact the Histocompatability Head of Service for approval.
This step will have already been taken before it gets to the CCC.
TAT 63 days

TEST SPECIFICATION GUIDE SECTION H Page 12 of 15


CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

HLRC

TEST NAME

CODE

HLAB29

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

TEST NO LONGER AVAILABLE

HOLTER MONITOR
Description
Technical (Hook Up)
Professional (Reading)

24 Hour Holter
G651
G650

48 Hour Holter
G682
G658

72 Hour Holter
G684
G659

Each code can only be keyed once


A combination of each set of codes will be used for each holter dependent upon the
requesting physician and the location protocol
Refer to the location protocol for the Group Billing Code and Reading Physician code

HOMOCYSTEINE

9142

Plasma
Minimum Volume required: 2 mL
Centrifuge and separate immediately
Fasting sample preferred

LAVENDER

UNINSURED CML

FREEZE PLASMA AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 5 days
HOMOGENTISATE

123

(HOMOGENSTISIC ACID)

Urine
25 mL random urine, freeze within 30 minutes of collection
Submit in a 90 mL orange cap container

OHIP

DYN

OHIP

HLRC

FREEZE URINE AND SEND FROZEN


TAT 38 days
HOMOVANILLATE
(HOMOVANILLIC ACID)
(HVA)

101U

24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
Do NOT add acid; pH will be adjusted in Biochemistry Dept.
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 25 days

H. PYLORI

Refer to HELICOBACTER PYLORI

(H. PYLORI ANTIBODY)


(HELICOBACTER PYLORI)

HUMAN CHORIONIC
GONADOTROPIN

Refer to CHORIOGONADOTROPIN

(BHCG)
(HCG, PREGNANCY)

HUMAN GROWTH HORMONE

Refer to SOMATOTROPIN

(GROWTH HORMONE)
(HGH)

TEST SPECIFICATION GUIDE SECTION H Page 13 of 15


CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

HUMAN PAPILLOMA VIRUS

HPV

(HPV)

SPECIMEN REQUIREMENT

VACUTAINER

Digene Kit
Surepath kits will be rejected.
Patient will be invoiced at a later date

BILL

UNINSURED

LOC

LL

**Physicians are to call Client Services at 1-800-263-0801 x 2


to obtain a Digene HPV kit and LifeLabs requisition.**
TAT 14 days
HYDATID

Refer to ECHINOCOCCOSUS ANTIBODY

(ECHINOCOCCOSUS ANTIBODY)
(ECHINOCOCCUS GRANULOSUS ANTIBODY)

25HYDROXY VITAMIN D

Refer to CALCIDIOL

(25-HYDROXYVITAMIN D)
(VITAMIN D)
(CALCIDIOL)

TEST NO LONGER AVAILABLE

17HYDROXYCORTICOSTEROIDS
(17OH STEROIDS)

5HYDROXYINDOLE ACETATE

122

(5-HIAA)
(HYDROXYINDOLE)
(SEROTONIN METABOLITE)

24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
Do NOT add acid. pH will be adjusted in Biochemistry Dept.

OHIP

DYN

OHIP

DYN

OHIP

DYN

State total 24-hour volume on the OHIP requisition,


on the specimen container and in Notes and Instructions.
Retain a duplicate 50 mL sample in the fridge until test is reported.
Refrigerate during storage and transport
TAT 14 days

17HYDROXY PROGESTERONE

333

Serum
1 mL aliquot
Submit in plastic transfer tube
TAT 12 days

079H

Broad Spectrum Tox Urine


Submit in a blue cap conical tube

(17 OH PROGESTERONE)
(PREGNANETRIOL)

HYDROMORPHONE
(BROAD SPECTRUM TOXICOLOGY)
(CHROMOTOGRAPHY)

GOLD SST

Note: Only code if broad spectrum mentions Hydromorphone


Refer to TU-2014-16 Hydromorphone Drug Screening to Gamma
TAT 10 days

TEST SPECIFICATION GUIDE SECTION H Page 14 of 15


CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
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The electronic copy must be used as the current version.

TEST NAME

HYDROXYPROLINE, FREE

CODE

131U

SPECIMEN REQUIREMENT

VACUTAINER

24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
No preservative

BILL

LOC

OHIP

DYN

OHIP

DYN

A controlled diet free of gelatin and low in collagen is required.


Avoid meat, fish, jam, ice cream for 1 day prior to, and day of
collection.
Refrigerate during storage and transport.
State total 24-hour volume on the OHIP requisition,
on the specimen container and in Notes and Instructions
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 35 days
HYDROXYPROLINE, TOTAL

130U

24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
No preservative
A controlled diet free of gelatin and low in collagen is required.
Avoid meat, fish, jam, ice cream for 1 day prior to, and day of
collection.
Refrigerate during storage and transport.
State total 24-hour volume on the OHIP requisition,
on the specimen container and in Notes and Instructions
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 35 days

5HYDROXYTRYTAMINE

Refer to SEROTONIN

(SEROTONIN)

25HYDROXY VITAMIN D

Refer to CALCIDIOL

(VITAMIN D)
(CALCIDIOL)

TEST SPECIFICATION GUIDE SECTION H Page 15 of 15


CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

IBD AND CELIAC DISEASE


PANEL

SPECIMEN REQUIREMENT

IBDCP

VACUTAINER

Serum and Sterile Container

Panel Handling

Celiac Disease

IBUPROFEN

Testing Location
HLRC

HLRC

TEST NO LONGER AVAILABLE

(MOTRIN)

IGF BP3

LOC

GOLD SST
UNINSURED
STERILE CONTAINER

Sterile Container
Collect undiluted feces in a clean, dry, sterile,
leakproof
container. Do not add fixative or preservative.
Store and ship FROZEN.
Serum
Centrifuge only
Testing Includes Deamidated Gliadin Peptide IgG
And Tissue Transglutaminase IgA Antibodies

Calprotectin,
Stool

BILL

99999

(IGF BINDING PROTEIN 3)

Serum
Allow blood to clot for 30 mins.
Spin and Separate IMMEDIATELY after
Aliquot sample and FREEZE.
Store and ship frozen.

PLAIN RED

UNINSURED

LL

TAT 10-15 days


IGG SUBCLASSES

Refer to IMMUNOGLOBULIN G SUB CLASSES

IL28B PANEL

TEST NO LONGER AVAILABLE

IL28BRS12979860

TEST NO LONGER AVAILABLE

(IMMUNOGLOBULIN G SUB CLASSES)

(INTERLEUKIN 28B GENOTYPE


TOTAL)
(HCV RESISTANCE)
(HEPATITIS C RESISTANCE)
(HEPATITIS C GENOTYPING IL28B)

IMIPRAMINE

079I

(TOFRANIL)

Serum
ROYAL BLUE
Minimum Volume required: 2 mL
- No Additive
Centrifuge and aliquot into serum tube
Collect specimen 10 12 after last dose
Record time in hours that have elapsed between
last dose and specimen collection.

OHIP

DYN

OHIP

CML

Refrigerate during storage and transport.


Testing Includes Desipramine
TAT 14 days
IMMUNE COMPLEXES, C1Q

Refer to C1Q IMMUNE COMPLEXES

(C1Q COMPLEMENT BINDING ACTIVITY)

(C1Q IMMUNE COMPLEXEXES)


(COMPLEMENT C1Q)

IMMUNOELECTROPHORESIS
(HEAVY & LIGHT CHAINS IMMUNO)
(IMMUNOFIXATION)
(GAMMOPATHY TYPING)

575

Serum
Centrifuge only

GOLD SST

TAT 5 days

TEST SPECIFICATION GUIDE SECTION I


Page 1 of 5
CML HealthCare Inc Test Specification Guide
17530 Version: 14.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

IMMUNOELECTROPHORESIS

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Urine Refer to PROTEIN ANALYSIS BENCE JONES PROTEIN

(BENCE JONES PROTEIN)

(HEAVY & LIGHT CHAINS IMMUNO)

(IEP)

IMMUNOFIXATION

Refer to IMMUNOELECTROPHORESIS

(HEAVY & LIGHT CHAINS IMMUNO)


(IMMUNOELECTROPHORESIS)

IMMUNOFLUORESCENCE

9757

(I.F.)

Tissue
OHIP
Send specimen in an IF Transport Kit
Kit available from CML Purchasing department
This test is sent to and reported by LifeLabs, 100 International Blvd

LL

Complete a Histology Form


Send the sample and the form in a Pink Envelope following
Irreplaceable Specimen Procedure
Place the barcode label in the upper right hand corner of the envelope
TAT 20 days
IMMUNOGLOBULIN G
SUBCLASSES

9722

(IGG SUBCLASSES)

Serum
Fasting preferred

GOLD SST

UNINSURED HLRC

FREEZE AND SEND FROZEN


Testing Includes IgG1, IgG2, IgG3, and IgG4
TAT 9 days

IMMUNOGLOBULIN G4,
SUBCLASS

9588

(IgG4 SUBCLASS)

Serum
Fasting preferred

GOLD SST

UNINSURED

HLRC

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

GOLD SST

OHIP

HLRC

GOLD SST

OHIP

CML

FREEZE AND SEND FROZEN


TAT 9 days

IMMUNOGLOBULIN,
GAM

550

(IMMUNO GAM)
(IMMUNOGLOBULIN, QUANTITATIVE)

Serum
Centrifuge only
Testing Includes IgA, IgG, & IgM
TAT 2 days

IMMUNOGLOBULIN, IgA

550A

Serum
Centrifuge only
TAT 2 days

IMMUNOGLOBULIN, IgD

550D

Serum
Minimum volume required: 1ml
Centrifuge and aliquot into serum tube
TAT 7 days

IMMUNOGLOBULIN, IgE

334

Serum
Centrifuge only
TAT 5 days

TEST SPECIFICATION GUIDE SECTION I


Page 2 of 5
CML HealthCare Inc Test Specification Guide
17530 Version: 14.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

IMMUNOGLOBULIN, IgG

550G

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

Serum
Centrifuge only
TAT 2 days

IMMUNOGLOBULIN, IgM

550M

Serum
Centrifuge only
TAT 2 days

IMMUNO PHENOTYPING

Refer to LYMPHOCYTE MARKERS

INDERAL

Refer to PROPRANOLOL

INDICANS

TEST NO LONGER AVAILABLE

INDICES, RBC

Refer to COMPLETE BLOOD COUNT

INDIRECT BILIRUBIN

Refer to BILIRUBIN, INDIRECT

INDIRECT COOMBS

Refer to ANTIBODY SCREEN

(LYMPHOCYTE MARKERS)
(T & B CELLS)
(LYMPHOTYPING)

(PROPRANOLOL)

(MCV, MCH, MCHC)

(UNCONJUGATED BILIRUBIN)

(ANTIBODY SCREEN)

(REPEAT PRENATAL ANTIBODY SCREEN)

INFECTIOUS MONONUCLEOSIS

Refer to HETEROPHILE ANTIBODY

INFLUENZA VIRUS
A & B ANTIBODY

SEROLOGY TESTING NO LONGER AVAILABLE

INORGANIC PHOSPHATE

Refer to PHOSPHATE

(MONO)
(HETEROPHILE ANTIBODY)

(PHOSPHORUS)

INR

445

(INTERNATIONAL NORMALIZED RATIO)


(PRO TIME)
(PROTHROMBIN TIME)
(PT)

INSULIN

Fasting
Random

325F
325R

Blood
LIGHT BLUE
OHIP
CML
Fill tube completely
Do not centrifuge
Ensure to collect blood at minimum to the vacutainer fill line (1:9 additive to blood)
TAT 1 day
Serum
GOLD SST
Minimum Volume required: 2 mL
Patient must fast a minimum of 14 hours for fasting test
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 4 days

TEST SPECIFICATION GUIDE SECTION I


Page 3 of 5
CML HealthCare Inc Test Specification Guide
17530 Version: 14.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

CML

TEST NAME
INSULIN ANTIBODIES

CODE
9182

(ANTI-INSULIN)

SPECIMEN REQUIREMENT

VACUTAINER

BILL

GOLD SST

OHIP

GOLD SST

UNINSURED HLRC

GOLD SST

OHIP

CML

OHIP

HLRC

Serum
Centrifuge only

LOC
HLRC

TAT 30 days
INSULIN-LIKE GROWTH
FACTOR 1

9139

(IGF-1)
(SOMATOMEDIN-C)

Serum
Minimum Volume required: 2 mL
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 25 days

INSULIN RESPONSE STUDY

325120 Serum
Minimum Volume required: 2 mL

Patient must FAST a minimum of 14 hours for test.


Collect a fasting SST
Give patient 75g glucose drink
Collect SST 2 hours after drink given
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 4 days
INTEGRATED PRENATAL
SCREENING

Refer to MATERNAL SCREEN

(FIRST or SECOND TRIMESTER SCREENING)

(PAPP-A)

INTERSTITIAL CELL
STIMULATING HORMONE

Refer to LUTEINIZING HORMONE

(LH)
(LUTEINIZING HORMONE)
(LUTROPIN)

INTRINSIC FACTOR
ANTIBODIES

9183

(ANTI-INTRINSIC FACTOR)

Serum
Centrifuge only

GOLD SST

Collect Monday Wednesday only


Refrigerate during storage and transport
Patient must not have received any vitamin B12
injections within 24 hours of collection
TAT 30 days

IODIDE PLASMA NMS LABS

99999

Plasma
ROYAL BLUE
Mix by gentle inversion..
- with K2EDTA
Centrifuge for 15 mins.
Specimens MUST be sun and separated WITHIN 30 mins
of collection.
Transfer plasma into new labelled ROYAL BLUE top tube
(With or without K2EDTA)
Store and ship refrigerated.
TAT 1-2 weeks

TEST SPECIFICATION GUIDE SECTION I


Page 4 of 5
CML HealthCare Inc Test Specification Guide
17530 Version: 14.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED

LL

TEST NAME
IODINE

CODE
99999

SPECIMEN REQUIREMENT

VACUTAINER

24 Hour Urine
No preservative required.
Store and ship refrigerated.

BILL

LOC

UNINSURED

LL

TAT 1-2 weeks


IRON

139

(IRON BINDING CAPACITY)


(IRON SATURATION)
(TIBC) (UIBC)
(TOTAL IRON BINDING CAPACITY)
(TRANSFERRIN SATURATION)

Serum
Centrifuge only

GOLD SST

OHIP

CML

Morning sample preferred


Testing Includes Iron, TIBC, % Saturation and unsaturated iron (UIBC)
TAT 1 day

IRON, URINE

139U

24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container

OHIP

HLRC

N/C

LHSC

OHIP

HLRC

State total 24-hour volume on the OHIP requisition,


on the specimen container and in Notes and Instructions.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 20 days
IRON, TISSUE

9380

Tissue
Enter specimen source required
Ie: Liver

STERILE CONTAINER

FORM AVAILABLE ON CML WEBSITE


TAT 23 days
ISLET CELL ANTIBODY
SCREEN & TITRE

9907

(PANCREATIC ISLET CELL ANTIBODIES)


(ANTI-ISLET CELL)

Serum

GOLD SST

Minimum volume required: 2ml


FREEZE SERUM AND TRANSPORT FROZEN
TAT 12 days

ISONIAZID

99999

(ISONICOTINIC ACID)

Plasma
GREEN TOP
Mix by gentle inversion
- Heparinized
Spin, separate, and transfer plasma into aliquot tube.
Stope and ship frozen.
TAT 5 days

ISOPROPANOL

(ALCOHOL-ISOPROPYL)

006I

TEST NO LONGER AVAILABLE

TEST SPECIFICATION GUIDE SECTION I


Page 5 of 5
CML HealthCare Inc Test Specification Guide
17530 Version: 14.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED LL

TEST NAME
JAK 2 PCR

CODE
9308

(JAK 2 GENE MUTATION)

SPECIMEN REQUIREMENT
Whole Blood
A Molecular Hematology
form should be completed and submitted
along with specimen and requisition.
Ship at room temperature.

VACUTAINER

BILL

LAVENDER

OHIP

LOC
HLRC

Collect samples Monday, Tuesday, Wednesday ONLY


FORM AVAILABLE ON CML WEBSITE
If patient does not have a health card, there is a $75.00 charge
TAT 13 days
JO-1

Refer to EXTRACTABLE NUCLEAR ANTIBODIES

(EXTRACTABLE NUCLEAR
ANTIBODIES)

JOINTSTAT
(14-3-3n)
(14-3-3 eta)

3971

Serum
Minimum Volume required: 0.5 mL

GOLD SST

Collect blood in SST tube.


Allow blood to clot at room temperature for 30 minutes and
separate by centrifugation ASAP.
Aliquot serum to a labelled transfer tube.
Store and ship FROZEN.
TAT 10 days

TEST SPECIFICATION GUIDE SECTION J


Page 1 of 1
CML HealthCare Inc Test Specification Guide
18395 Version: 5.0 15-Dec-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED

CML

TEST NAME

KARYOTYPING

CODE

701A

SPECIMEN REQUIREMENT

VACUTAINER

Blood / Tissue
Specimen must be analysed within 24-hours
Submit Monday Wednesday ONLY

BILL

LOC

OHIP

VTF

OHIP

HLRC

Requesting physician must provide completed hospital


Cytogenetics Form.
Follow collection instructions on form.
Pre package sample with completed Cytogenetics Form
in a zip lock bag with priority label.
DO NOT REFRIGERATE
TAT - Variable
KETONES

Refer to ACETONE

(ACETONE)

17 KETOGENIC STEROIDS

TEST NO LONGER AVAILABLE

(17KGS)

17 KETOSTEROIDS

TEST NO LONGER AVAILABLE

(17KS)

KLEIHAUER STAIN
(NIERHAUS)

431

Blood
Minimum Volume required: 3 mL

LAVENDER

TAT 30 days

TEST SPECIFICATION GUIDE SECTION K Page 1 of 1


CML HealthCare Inc Test Specification Guide 17755 Version: 1.3 8/19/2011
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

SPECIMEN REQUIREMENT

145

Plasma
Minimum Volume required: 2 mL
Collect in a pre-chilled tube
Fasting specimen preferred.

L-LACTATE
(LACTATIC ACID)
(LACTATE)

VACUTAINER

BILL

LOC

GRAY

OHIP

HLRC

GOLD SST

OHIP

CML

OHIP

CML

OHIP

HLRC

FREEZE PLASMA AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 15 days
LACTATE DEHYDROGENASE

146

(LD)
(LDH)

Serum
Centrifuge only
Hemolyzed specimens are not acceptable.
TAT 1 day
TEST NO LONGER AVAILABLE

LACTATE DEHYDROGENASE,
FRACTIONATION
(LD ISOENZYMES)
(LDH ISOENZYMES)

LACTOSE TOLERANCE

LAC3

(LACTOSE ABSORPTION TEST)

Blood
GRAY
Do not separate.
Adult dose: 50g lactose dissolved in 300 mL water
Child dose: 2 grams lactose per kilogram of body
weight to a maximum of 50 g
Collect fasting, 1/2, 1, 2, 3 hour samples.
TAT 1 day

LAMOTRIGINE

9956

(LAMICTAL)

Serum
Minimum Volume required: 2 mL

PLAIN RED

Collect specimen 10 12 hours after last dose


Record time in hours that have elapsed between
last dose and specimen collection.
TAT 20 days
LANOXIN

Refer to DIGOXIN

(DIGITALIS)
(DIGOXIN)

LAP (LEUCINE AMINOPEPTIDASE)

Serum and 24-Hour Urine

TEST NO LONGER AVAILABLE

LAP

Refer to LEUKOCYTE ALKALINE PHOSPHATASE

(LEUKOCYTE ALKALINE PHOSPHATASE)


(NEUTROPHIL ALKALINE PHOSPHATASE)

LARGACTIL

Refer to CHLORPROMAZINE

(CHLORPROMAZINE)

TEST SPECIFICATION GUIDE SECTION L


Page 1 of 8
CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

GREEN
with Heparin

OHIP

CML

GOLD SST

OHIP

CML

ROYAL BLUE
K2 EDTA

OHIP

GD

OHIP

DYN

Refer to RHEUMATOID FACTOR

LATEX FIXATION
(RA) (RA FACTOR)
(RA FIXATION)
(RHEUMATOID FACTOR)

Refer to THYROID RECEPTOR ANTIBODIES

LATS
(LONG ACTING THYROID STIMULATOR)

(TB11)
(THROTROPIN BINDING INHIBITING
IMMUNOGLOBULIN)

(THYROID STIMULATING ANTIBODY)


(TRAB) TSH RECEPTOR ANTIBODY

Refer to LYMPHOCYTIC CHORIOMENINGITIS ANTIBODY

LCM ANTIBODY
(LYMPHOCYTIC CHORIOMENINGITIS ANTIBODY)

Refer to LACTATE DEHYDROGENASE

LDH
(LACTATE DEHYDROGENASE)

Refer to LACTATE DEHYDROGENASE FRACTIONATION

LDH ISOENZYMES
(LD ISOENZYMES)
(LACTATE DEHYDROGENASE FRACTIONATION)

Refer to LIPID FASTING/LIPID NON FASTING

LDL CHOLESTEROL
(HDL/LDL CHOLESTEROL)

L.E. CELL PREPARATION

430

Blood
Do not remove plasma from cells
TAT 1 day

L.E. SCREEN

500LE

(LE LATEX)
(LUPUS ERYTHEMATOSUS SCREEN)

Serum
Centrifuge only
TAT 1 day

LEAD

148

Whole Blood
Do not centrifuge
TAT 8 days

LEAD

148U

24-Hour Urine
50 mL aliquot submitted in a white cap container
State total 24-hour volume on the OHIP requisition,
on the specimen container and in Notes and Instructions.
Retain a duplicate 50 mL sample in the fridge until test is reported.
Refrigerate during storage and transport.
TAT 14 days

TEST SPECIFICATION GUIDE SECTION L


Page 2 of 8
CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

LEAD

CODE

9994

SPECIMEN REQUIREMENT

VACUTAINER

Random Urine
Min volume reqd: 10ml

BILL

LOC

OHIP

HLRC

Submit in 90ml orange container.


Indicate Random.
Provide collection date
TAT 14 days

LEGIONELLA DETECTION

9085

Do not centrifuge tube

PLAIN RED

N/C

PHL

N/C

PHL

(LEGIONAIRES DISEASE)

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days
LEPTOSPIRA ANTIBODY

9056

(LEPTOSPIROSIS ANTIBODIES)
(WEILS DISEASE)

Do not centrifuge tube

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days

LEPTOSPIROSIS, URINE

NO LONGER AVAILABLE

LEUCINE AMINOPEPTIDASE

Serum and 24-hour urine

NO LONGER AVAILABLE

(LAP)

LEUKOCYTE ALKALINE
PHOSPHATASE

NO LONGER AVAILABLE

(LAP)
(NEUTROPHIL ALKALINE PHOSPHATASE)

LEUKOCYTE COUNT

Refer to COMPLETE BLOOD COUNT

(WBC)

LH

Refer to LUTEINIZING HORMONE

(LUTEINIZING HORMONE)
(INTERSTITIAL CELL STIMULATION
HORMONE)

LIBRIUM

Refer to CHLORDIAZEPOXIDE

(CHLORDIAZEPOXIDE)

LICE

Refer to ARTHROPOD IDENTIFICATION

(ARTHROPODS)
(BUGS)

LIGHT CHAINS IMMUNOELECTROPHORESIS

Refer to PROTEIN ANALYSIS BENCE JONES PROTEIN

(BENCE JONES PROTEIN)


(HEAVY & LIGHT CHAINS
IMMUNOELECTROPHORESIS)

TEST SPECIFICATION GUIDE SECTION L


Page 3 of 8
CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

(IEP)

LIGHT CHAINS IMMUNOELECTROPHORESIS

Refer to IMMUNOELECTROPHORESIS

(HEAVY & LIGHT CHAINS


IMMUNOELECTROPHORESIS)

TEST SPECIFICATION GUIDE SECTION L


Page 4 of 8
CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

BILL

LOC

TEST NAME

CODE

150

LIPASE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

GOLD SST

OHIP

CML

Serum
Centrifuge only
TAT 4 days

117F

LIPID ASSESSMENT,
FASTING

Serum
GOLD SST
OHIP
CML
Centrifuge only
Patient has fasted 10 hours or more.
Ask Patient When did you last have something to eat or drink other than water?
Document number of hours on the requisition.
Drop offs/hubbing Document Drop off instead of number
of hours.
Test includes:
Cholesterol Fasting
Triglycerides
HDL-C
LDL-C
Cholesterol/HDL-C Ratio
Non HDL-C
TAT 1 Day

117NF

LIPID ASSESSMENT,
NON FASTING

Serum
GOLD SST
OHIP
CML
Centrifuge only.
Patient has fasted less than 10 hours.
Ask Patient When did you last have something to eat or drink other than water?
Document number of hours on the requisition.
Drop offs/hubbing Document Drop off instead of number
of hours.
Test includes:
Cholesterol Non Fasting
Triglycerides
HDL-C
LDL-C
Cholesterol/HDL-C Ratio
Non HDL-C
TAT 1 Day
NO LONGER AVAILABLE

LIPIDS, TOTAL

LIPOPROTEIN a

9137

Serum
FASTING REQUIRED (12 HOURS)

PLAIN RED

Minimum Volume required: 1 mL


Separate within 4 hours
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days

TEST SPECIFICATION GUIDE SECTION L


Page 5 of 8
CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED

HLRC

TEST NAME

CODE

LIPOPROTEIN FRACTIONATION

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

OHIP

CML

OHIP

HLRC

TEST NO LONGER AVAILABLE

(LIPOPROTEIN PHENOTYPING WITH


ELECTROPHORESIS)

LIQUID BASED PAP SMEAR

Refer to CYTOLOGY, PAP SMEAR

LISTERIA ANTIBODY

TEST NO LONGER AVAILABLE

LITHIUM

157

Serum
GOLD SST
Centrifuge only
Collect specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT 1 day

L.M.W. HEPARIN

Refer to HEPARIN LOW MOLECULAR WEIGHT

LONG ACTING THYROID


STIMULATOR

Refer to THYROID RECEPTOR ANTIBODIES

(LATS) (TB11)
(THYROTROPIN BINDING INHIBITING
IMMUNOBLOBULIN)
(THYROID STIMULATING ANTIBODY)

LORAZEPAM

9706

(ATIVAN)

Serum
PLAIN RED
Do not use gel separator tubes.
Separate and aliquot serum ASAP
Indicate time and date of specimen collection
On both the transport tube and the requisition.
Store and ship to room temp.
TAT 13 days
TEST NO LONGER AVAILABLE

LORAZEPAM, urine
(ATIVAN)

LP-PLA2

9292

(PLAC)
(LIPOPROPROTEIN ASSOCIATED
PHOSPHOROUS A2)
(LP-PLAC2)
(LP-PLAC)

Plasma

LAVENDER

UNINSURED

Collect lavender and mix by inversion.


Centrifuge and aliquot plasma.
Store and ship refrigerated
TAT-17 days

LSD
(LYSERGIC ACID DIETHYLAMIDE)

99999

Urine
Min volume: 10ml
Protect from light.
Store and ship refrigerated.
TAT 1-2 weeks

TEST SPECIFICATION GUIDE SECTION L


Page 6 of 8
CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED LL

LL

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

LIGHT BLUE

OHIP

HLRC

GOLD SST

OHIP

CML

OHIP

CML

Refer to MAPROTILINE

LUDIOMIL
(MAPROTILINE)

(CIRCULATING ANTICOAGULANT)

Plasma
Minimum Volume required: 2 mL

(NON SPECIFIC COAGULATION


INHIBITORS)

Separate immediately

LUPUS ANTICOAGULANT

9104

Patient should not be on anticoagulant therapy.


FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 25 days
LUTEINIZING HORMONE

328

(LH)
(INTERSTITIAL CELL STIMULATING
HORMONE)
(LUTROPIN)

Serum
Centrifuge only
TAT 1 day
Refer to FLUVOXAMINE

LUVOX
(FLUVOXAMINE)

Refer to BORRELIA BURGDORFERI ANTIBODY

LYME DISEASE
(BORRELIA BURGDORFERI)

LYMPHOCYTE MARKERS,
T CELLS ONLY

2810

Blood

LAVENDER

Submit the specimen Monday Wednesday,


Thursday if Friday is not a statuory holiday.
Store and Transport at room temperature
Complete a CML Lymphocyte Marker T Cells only Form

(CD3, CD4, CD8)


(T CELL LYMPHOCYTE MARKER ONLY)

Specimen must be tested within 24-hours.


FOR ALL OTHER MARKERS SEE LYMPOHCYTE MARKERS, T & B CELLS
TAT 3 days

LYMPHOCYTE MARKERS
T & B CELLS
(ACUTE LEUKEMIA PHENOTYPING)
(LYMPHOPROLIFERATIVE DISEASE
PHENOTYPING)

9326

Blood *ONLY BLOOD IS ACCEPTABLE*


2 LAVENDERS
OHIP
Store and ship room temp
Collect specimen Monday Wednesday only prior to last courier pick up
The specimens must be accompanied by:
Mount Sinai Hosptial Flow Cytometry Requisition
available from Problem Solving Department and a photocopy of a physician signed OHIP requisition requesting
Lymphocyte Marker analysis with diagnosis indicated.
Specimens MUST be tested within 24-hours.
Specimens other than blood cannot be accepted.
TAT 20 days

TEST SPECIFICATION GUIDE SECTION L


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This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

MSH

TEST NAME

LYMPHOCYTIC
CHORIOMENINGITIS
ANTIBODY

CODE

9066

SPECIMEN REQUIREMENT

VACUTAINER

BILL

PLAIN RED

N/C

PHL

N/C

PHL

Do not centrifuge tube

LOC

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM

(LCM ANTIBODY)

TAT 15 days
LYMPHOGRANULOMA
VENEREUM GROUP
ANTIBODIES

9014

Do not centrifuge tube

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM

(LGV)

TAT 15 days
Refer to LYMPHOCYTE MARKERS, T & B CELLS

LYMPHOPROLIFERATIVE
DISEASE PHENOTYPING
(ACUTE LEUKEMIA PHENOTYPING)
(LYMPHOCYTE MARKERS, T & B CELLS)

LYSOZYME

99999

(MURAMIDASE)

Serum
Allow blood to clot at room temp for 30 mins.
Spin and separate serum into aliquot tube.
Store and ship FROZEN.

PLAIN RED

UNINSURED LL

TAT 1-2 weeks


LYSOZYME
(MURAMIDASE)

99999

Urine
Min volume: 25ml
Cap 90ml urine container tightly and FREEZE
Store and ship FROZEN
TAT 1-2 weeks

TEST SPECIFICATION GUIDE SECTION L


Page 8 of 8
CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED LL

TEST NAME

MACROAMYLASE

CODE

9135

SPECIMEN REQUIREMENT

Serum
Centrifuge only

VACUTAINER

GOLD SST

BILL

LOC

UNINSURED HLRC

TAT 20 days
MACROGLOBULIN,
ALPHA 2
MACROPROLACTIN

Refer to ALPHA-2 MACROGLOBULIN

9236

Serum
GOLD SST
Minimum volume required: 2ml
Store and send refrigerated
Must be collected in separate SST tube from prolactin test.

OHIP

HLRC

GOLD SST

OHIP

CML

GREEN
with Heparin

UNINSURED HLRC

TAT 25 days
MAGNESIUM

165

Serum
Centrifuge only
TAT 1 day

MAGNESIUM, RBC

165R

Blood
TAT 20 days

MAGNESIUM
24 HOUR URINE

165U

24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
No preservative

OHIP

DYN

OHIP

HLRC

OHIP

CML

Refrigerate during storage and transport.


State total 24-hour volume on the OHIP requisition,
on the specimen container and in Notes and Instructions.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 6 days
MAGNESIUM
RANDOM URINE

165RU

Random Urine
10 mL aliquot submit in a 90 mL orange cap container
TAT 8 days

MALARIA
(PLASMODIUM SCREEN)
(MALARIA SMEAR)

432

Blood

LAVENDER

If test is ordered on a child, may substitute


finger prick blood. 3 thin smears are required for finger pricks on children
Note: Effective March 2, 2015 Malaria Testing must be collected in a dedicated
Lavender Top Vacutainer
PRIORITY SPECIMEN Must be processed within
1 hour of receipt at laboratory.
TAT 1 day

TEST SPECIFICATION GUIDE SECTION M


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CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

MANGANESE

9930

SPECIMEN REQUIREMENT

VACUTAINER

Plasma
Min volume reqd: 3 mL
Collect blood in a contaminant-free
Royal Blue top K2EDTA.
Separate plasma within 30min into
Metal-free polypropylene tube. Do not
Use gel-seperator collection tubes.

ROYAL BLUE
K2 EDTA

BILL

LOC

UNINSURED HLRC

TAT 14 days
MANGANESE

9931

Urine
25 mL random urine
Submit in a 90 mL orange cap container

UNINSURED HLRC

TAT 20 days
MAPROTILINE

079M

(LUDIOMIL)

Plasma
Minimum Volume required: 3 mL

GREEN
- with Heparin

OHIP

DYN

Centrifuge and aliquot into serum tube


Collect specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport.
TAT 13 days
MARIJUANA

Refer to CANNABINOIDS SCREEN

(CANNABINOIDS SCREEN)
(CANNABIS)
(TETRAHYDROCANNOBINOIDS)
(THC)

MATERNAL SCREEN
(DOWNS SYNDROME SCREEN)
(MSS)
(TRIPLE MARKER SCREEN)
(PAPP A)
(INTEGRATED PRENATAL SCREENING)

Serum
Centrifuge tube only

GOLD SST

OHIP

Requesting physician must provide completed form


The form must accompany the specimen and include responses
To specific questions relating to clinical information
Place specimen and Form in Priority labelled ziplock bag.
Store the name of the test and the testing hospital on the outside
Of the ziplock bag.
Results will be reported directly to the physician.
Testing includes hCG, AFP, uE3
Each hospital must be assigned its specific test code:

944NY
North York General Hospital
944MS
Mount Sinai Hospital
944CV
Credit Valley Hospital
944LH
London Health Sciences Centre
944CHEO Childrens Hospital of Easrn Ontario - Ottawa
TAT 15 days
MCV, MCH, MCHC

Refer to COMPLETE BLOOD COUNT

(INDICES, RBC)

TEST SPECIFICATION GUIDE SECTION M


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The electronic copy must be used as the current version.

NYGH

MSH
CVH
LHSC

CHEO

TEST NAME

CODE

MEASLES VIRUS ANTIBODY

9010

(MEASLES RED)
(RUBEOLA)

SPECIMEN REQUIREMENT

Do not centrifuge tube

VACUTAINER

BILL

PLAIN RED

N/C

LOC

PHL

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 25 days

MEDICAL LEGAL DOA U 5 PANEL


(DOA-5),
(DRUGS OF ABUSE UR 5 PANEL)

785

Urine
Minimum Volume Required: 45.0 mL

UNINSURED QUEST

Inquiries for pricing are to be directed to Specialty & Contract Services.


(416-213-4725 or 1-877-990-1575).
Refer to SOP for Medical Legal Urine Collection for Drug Analysis.
TAT 4-8 Days
MEDICAL LEGAL DOA U 10 PANEL 790
(DOA-10),
(DRUGS OF ABUSE UR 10 PANEL)

Urine
Minimum Volume Required: 45.0 mL

UNINSURED QUEST

Inquiries for pricing are to be directed to Specialty & Contract Services.


(416-213-4725 or 1-877-990-1575).
Refer to SOP for Medical Legal Urine Collection for Drug Analysis.
TAT 4-8 Days
MEDICAL LEGAL ALCOHOL URINE 787
(DOA UR ETHANOL)

Urine
Minimum Volume Required: 25.0 mL

UNINSURED QUEST

Inquiries for pricing are to be directed to Specialty & Contract Services.


(416-213-4725 or 1-877-990-1575).
Refer to SOP for Medical Legal Urine Collection for Drug Analysis.
TAT 4-8 Days
MEDICAL LEGAL DOA HAIR
(DOA HAIR)

1558

Hair

UNINSURED QUEST

Inquiries for pricing are to be directed to Specialty & Contract Services.


(416-213-4725 or 1-877-990-1575).
Refer to SOP for Medical Legal Urine Collection for Drug Analysis.
TAT 4-8 Days
MEDICAL LEGAL OXYCODONE
(DOA UR OXYCODONE)

1602

Urine
Minimum Volume Required: 30.0 mL

UNINSURED QUEST

Inquiries for pricing are to be directed to Specialty & Contract Services.


(416-213-4725 or 1-877-990-1575).
Refer to SOP for Medical Legal Urine Collection for Drug Analysis.
TAT 4-8 Days
MEDICAL LEGAL REPORT
REVIEW FEE

30497

None

UNINSURED

N/A

UNINSURED

N/A

Inquiries for pricing are to be directed to Specialty & Contract Services.


(416-213-4725 or 1-877-990-1575).
TAT 4-8 Days
MEDICAL LEGAL DOA
NO SHOW FEE

1097

None
Inquiries for pricing are to be directed to Specialty & Contract Services.
(416-213-4725 or 1-877-990-1575).
TAT 4-8 Days

TEST SPECIFICATION GUIDE SECTION M


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CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
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The electronic copy must be used as the current version.

TEST NAME

CODE

MEDICAL LEGAL DOA


786
COLLECTION FEE WITH TESTING

SPECIMEN REQUIREMENT

VACUTAINER

None

BILL

LOC

UNINSURED

N/A

UNINSURED

N/A

Inquiries for pricing are to be directed to Specialty & Contract Services.


(416-213-4725 or 1-877-990-1575).
TAT 4-8 Days
MEDICAL LEGAL DOA
COLLECTION FEE W/O TESTING

1096

None
Inquiries for pricing are to be directed to Specialty & Contract Services.
(416-213-4725 or 1-877-990-1575).
TAT 4-8 Days

MELISA PANEL 1

4383

(MERCURY AND AMALGAM PANEL)

Whole Blood 4 Tubes


YELLOW ACD
Min Volume: 34ml
Collect on Tues, Wed, and Thurs ONLY
Do NOT collect on Thurs before a Good Friday.

UNINSURED CML

Must be transported to Kennedy within 24-48 hours


Store and ship room temp.
If a tube only fills half way, take an extra tube to compensate for volume.
If patient comes in with other blood work, ACD tubes are last in order of draw.

MELISA PANEL 2

4384

(IMPLANTS PANEL)

Whole Blood 4 Tubes


YELLOW ACD
Min Volume: 34ml
Collect on Tues, Wed, and Thurs ONLY
Do NOT collect on Thurs before a Good Friday.

UNINSURED CML

Must be transported to Kennedy within 24-48 hours


Store and ship room temp.
If a tube only fills half way, take an extra tube to compensate for volume.
If patient comes in with other blood work, ACD tubes are last in order of draw.

MELISA PANEL 3

4385

(AUTOIMMUNE/DENTAL/FERTILITY PANEL)

Whole Blood 6 Tubes


YELLOW ACD
Min Volume: 51ml
Collect on Tues, Wed, and Thurs ONLY
Do NOT collect on Thurs before a Good Friday.

UNINSURED CML

Must be transported to Kennedy within 24-48 hours


Store and ship room temp.
If a tube only fills half way, take an extra tube to compensate for volume.
If patient comes in with other blood work, ACD tubes are last in order of draw.

MELLARIL

Refer to THIORIDAZINE

(THIORIDAZINE)

MEPROBAMATE

9498

(EQUANIL)
(MILTOWN)

Serum
Minimum Volume required: 3 mL

PLAIN RED

OHIP

HLRC

OHIP

HLRC

TAT 20 days
MEPROBAMATE

9498U

Urine
50 mL random urine
Submit in a 90 mL orange cap container
TAT 20 days

TEST SPECIFICATION GUIDE SECTION M


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CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME
MERCURY WHOLE BLOOD

CODE

168

SPECIMEN REQUIREMENT

VACUTAINER

BILL

ROYAL BLUE
K2 EDTA

OHIP

DYN

OHIP

DYN

OHIP

HLRC

Whole Blood
Do not centrifuge

LOC

Note: urine is the specimen of choice.


Refrigerate during storage and transport.
TAT 12 days
MERCURY 24 HOUR URINE

168U

24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
No preservative
State total 24-hour volume on the OHIP requisition,
on the specimen container, and in Notes and Instructions.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 14 days

MERCURY RANDOM URINE

9358

Random Urine
Min Volume: 13ml
Collect and transfer into metal-free container
Indicate Random
Provide collection date. Avoid seafood
Consumption for 3 days prior to collection.
TAT 14 days

METABOLIC SCREEN

9932

Urine
10 mL random urine
Submit in a 90 mL white cap container

UNINSURED HLRC

State Date of Birth and clinical diagnosis.


Includes: Amino Acid Screen, reducing substances,
other chemical tests, Fractionation and Cystine Quantitation
will be performed if indicated.
FREEZE URINE AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 15 days
METANEPHRINES,
PLASMA

9269

Plasma
LAVENDER
Min volume: 3ml
Collect fasting sample.
Patient must abstain from smoking
for at least 4 hours prior to collection.
Store and ship frozen.
If specimen thaws, it is unsuitable for analysis.
TAT 14 days

TEST SPECIFICATION GUIDE SECTION M


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CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

HLRC

TEST NAME

METANEPHRINES,
FRACTIONATED

CODE

170U

SPECIMEN REQUIREMENT

VACUTAINER

24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container

BILL

LOC

OHIP

DYN

(NORMETANEPHRINE)

Do NOT add acid; pH will be adjusted in Biochemistry Dept.


State total 24-hour volume on the OHIP requisition,
on the specimen container and in Notes and Instructions.
Retain a duplicate 50 mL sample in the fridge until test is reported.
Refrigerate during storage and transport.
To be avoided for 48 hours before collection: ASA, Chloralhydrate, coffee, cola
drinks, dopamine, erythromycin, methyldopa, niacin, phenothiazines, quinidine,
quinine, riboflavin, smoking, tea, tetracycline, vitamin B.
To be avoided for 72 hours before collection: avacados, bananas, chocolate,
eggplant, fruit and juices, hypertensive drugs (esp. Aldomet), pineapple, plums,
Tylenol (acetaminophen), walnuts.
TAT 14 days
METANEPHRINES,
TOTAL
METHADONE

TEST NO LONGER AVAILABLE

078ME

Urine
10 mL random urine
Submit in a blue cap conical tube

OHIP

CML

TAT 3 days
METHANOL

TEST NO LONGER AVAILABLE

(ALCOHOL-METHYL)

METHAQUALONE
METHEMALBUMIN SCREEN

TEST NO LONGER AVAILABLE


9267

Serum or Plasma

GOLD SST

OHIP

HLRC

Specimen must be received by


testing lab within 48 hours
of collection.

(HAPTOGLOBIN SCREEN)
(HEMPEXIN SCREEN)
(FREE Hb)
(PLASMA HEMOGLOBIN)

Testing consists of free hb, haptoglobin,


hemopexin-heme complex and methemalbumin.
TAT 8 days

METHEMOGLOBIN
METHOTREXATE
(AMETHOPTERIN)

By appointment only at local hospital


9729

Serum
PLAIN RED
Minimum Volume required: 2 mL
Protect from light. Aliquot into amber tube
Collect specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection. Indicate high
dose or low dose therapy.
TAT 15 days

METHOTRIMEPRAZINE

TEST NO LONGER AVAILABLE

(NOZINAN)

TEST SPECIFICATION GUIDE SECTION M


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CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
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The electronic copy must be used as the current version.

OHIP

HLRC

TEST NAME

CODE

METHYLENE CHLOROANLINE 99999


(MOCA)

SPECIMEN REQUIREMENT

VACUTAINER

BILL

Urine
Min volume: 30ml
Add three drops of Concentrated Hydrochloric Acid
cap tightly and FREEZE

LOC

UNINSURED LL

FREEZE URINE AND SEND FROZEN


TAT 2 weeks
METHYLMALONATE

9730

(METHYLMALONIC ACID)

Urine
10 mL random urine
Submit in a 90 mL orange cap container

UNINSURED HLRC

Early morning specimen preferred.


FREEZE URINE AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 35 days
METHYLPHENIDATE

9817

(RITALIN)

Urine
Random urine
Submit in a 90 mL orange cap container

OHIP

DYN

TAT 12 days
METHYPRYLON

9815

(NOLUDAR)

Serum
Minimum Volume required: 3 mL

PLAIN RED

OHIP

HLRC

TAT 15 days
METHSUXIMIDE

TEST NO LONGER AVAILABLE

(CELONTIN)

MEXILETINE
MICROALBUMIN
24-HOUR URINE

TEST NO LONGER AVAILABLE


005U

Refer to ALBUMIN, URINE 24-HOUR URINE

005RU

Refer to ALBUMIN, URINE RANDOM URINE

3650

24-Hour Urine
CLEAR
1 x 6 mL aliquot submit in clear cap vacutainer
Label tube MICROALBUMIN RATIO
No preservative

(ALBUMIN, QUANTITATIVE URINE)


(ALBUMIN, URINE, 24-HR)

MICROALBUMIN
RANDOM URINE
(ALBUMIN, QUANTITATIVE URINE)
(ALBUMIN, RANDOM URINE)

MICROALBUMIN/
CREATININE RATIO
24-HOUR URINE

State total 24-hour volume on the OHIP requisition,


on the specimen container and in Notes and Instructions.
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT 2 days

TEST SPECIFICATION GUIDE SECTION M


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CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
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The electronic copy must be used as the current version.

OHIP

CML

TEST NAME

MICROALBUMIN/
CREATININE RATIO
RANDOM URINE

CODE

3670

SPECIMEN REQUIREMENT

VACUTAINER

Urine
1 x 6 mL random urine
Submit in clear cap vacutainer
Label tube MICROALBUMIN RATIO
Testing includes albumin and creatinine

BILL

LOC

CLEAR

OHIP

CML

GOLD SST

OHIP

CML

N/C

PHL

Submit a separate sample for other urine tests.


TAT 2 days
MICROGLOBULIN

Refer to BETA-2 MICROGLOBULIN

(B2 MICROGLOBULIN)
(BETA 2 MICROGLOBULIN)

MICROSOMAL THYROID
ANTIBODIES

Refer to ANTI-THYROID PEROXIDASE

(MICROSOMAL ANTIBODIES)

MILTOWN

Refer to MEPROBAMATE

(EQUANIL)
(MEPROBAMATE)

MITOCHONDRIAL
ANTIBODIES

HP18

(ANTI-MITOCHONDRIAL ANTIBODIES)
(ANTI-SMOOTH MUSCLE ANTIBODY)

Positive results may be delayed due to interpretation


by Consultant.

(ASMA)
(SMA)
(SMOOTH MUSCLE ANTIBODY)

MMR

Serum
Centrifuge only

TAT 2 days
9167

Do not centrifuge tube.

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
Testing includes Mumps, Measles and Rubella
Do not code 679 for Rubella.
TAT 15 days
MOGADON

Refer to NITRAZEPAM

(NITRAZEPAM)

MONONUCLEOSIS SCREEN

Refer to HETEROPHILE ANTIBODY

(MONO)
(HETEROPHILE ANTIBODY)

MORPHINE

Refer to DRUG SCREEN BROAD SPECTRUM

(DRUG SCREEN)

MOTRIN

Refer to IBUPROFEN

(IBUPROFEN)

TEST SPECIFICATION GUIDE SECTION M


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CML HealthCare Inc Test Specification Guide 18162 Version: 23.0 8-Sep-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

MRSA SCREEN TEST

610-1

(METHICILLIN RESISTANT
STAPHYLOCOCCUS AUREUS)

SPECIMEN REQUIREMENT

VACUTAINER

Swab- state source

BILL

OHIP

LOC

CML

Place swab in charcoal transport media

AXILLA
GROIN
NASAL
RECTAL

Use 610-2 for second specimen #2, etc.(up to 5)


Storage and transportation at room temperature
TAT 4 days

***IF MRSA ORDERED WITH ANY OTHER SOURCE THAN ABOVE > CODE 628-5 WITH SOURCE AND INDICATE MRSA IN
NOTES AND INSTRUCTIONS***
MSS

Refer to MATERNAL SCREEN

(MATERNAL SERUM SCREEN)


(DOWNS SYNDROME SCREEN)
(TRIPLE MARKER SCREEN)

MUCONIC ACID
MUCOPOLYSACCHARIDES

TEST NO LONGER AVAILABLE


9732

Urine

OHIP

HLRC

N/C

PHL

N/C

PHL

Minimum volume required: 10 mL random urine


Submit in a 90 mL orange cap container
Avoid first morning collection
Provide clinical history
FREEZE URINE AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 40 days
MULTIMER - VWF

Refer to VON WILLEBRAND FACTOR

(VON WILLEBRAND FACTOR)

MUMPS VIRUS ANTIBODY

9035

Do not centrifuge tube

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 5 days
MURAMIDASE

Refer to LYSOZYME

(LYSOZYME)

MYCOBACTERIUM
TUBERCULOSIS DETECTION
(ACID FAST BACILLUS)
(AFB)
(T.B. CULTURE)
(TUBERCULOSIS CULTURE)

631

Sputum
First morning specimen submit in a tightly sealed
sterile container.
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
Use code 631-2 for a second specimen
Use code 631-3 for a third specimen
DO NOT RINSE MOUTH PRIOR TO COLLECTION
TAT 60 days

MYCOPLASMA PNEUMONIAE
ANTIBODY

SEROLOGY TESTING NO LONGER AVAILABLE

TEST SPECIFICATION GUIDE SECTION M


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This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

MYCOPLASMA PNEUMONIAE
CULTURE

9015C

(RESPIRATORY CULTURE)

SPECIMEN REQUIREMENT

VACUTAINER

State source.
Nasopharyngeal swab, tracheal aspirate,
bronchial washing, auger suction, respiratory
tract specimens.
Special Mycoplasma transport media available from PHL.

BILL

LOC

N/C

PHL

UNINSURED

DYN

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days
MYCOPLASMA ISOLATION

9122

(UREAPLASMA UREALYTICUM)

State source.
Swab/Urine/Fluid/Tissue/Semen.
Place swab from vagina, cervix or urethra,
sediment from centrifuged other fluid,
or tissue in special Mycoplasma Transport Media.
Break off applicator and replace transport tube cap tightly.
Store and ship refrigerated.
Do not use swabs with wooden shaft
Send Monday, Tuesday, Wednesday only.

Urine is to be sent in a sterile container and shipped refrigerated.


NO KIT IS NECESSARY FOR URINE.
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 12 days
MYELOPEROXIDASE PLASMA 9592
(MPO)

Plasma
LAVENDER
Min volume required: 1 mL
After mixing IMMEDIATELY centrifuge for
10 minutes. IMMEDIATELY aliquot plasma into
transfer tube
Store and ship refrigerated.

UNINSURED

LL

TAT 6 days
MYOGLOBIN
RANDOM URINE

174

Random urine
Min volume required: 10ml
Adjust PH of urine to 8-9 and freeze immediately.
Specimen is unsuitable for testing if it thaws.

OHIP

HLRC

UNINSURED

HLRC

TAT 6 days

MYOGLOBIN
SERUM

9552

Serum
Min volume required: 1ml
Centrifuge and aliquot to transfer tube.
Store and ship refrigerated.

GOLD SST

TAT 13 days

MYSOLINE

Refer to PRIMIDONE

(PRIMIDONE)

TEST SPECIFICATION GUIDE SECTION M


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The electronic copy must be used as the current version.

TEST NAME

CODE

SPECIMEN REQUIREMENT

5 NUCLEOTIDASE

NO LONGER AVAILABLE

NAPROXEN

NO LONGER AVAILABLE

NARCOTIC SCREEN

Refer to DRUGS OF ABUSE

VACUTAINER

BILL

LOC

(DRUG OF ABUSE)
(DRUG SCREEN)
(STREET DRUGS)
(URINE TOXICOLOGY)

NEIRHAUS

Refer to KLEIHAUER STAIN

(KLEIHAUER STAIN)

NEUROMYELITIS
OPTIC ANTIBODY (IgG)

9553

Serum
GOLD SST
UNINSURED HLRC
Min Volume: 1ml
Centrifuge and aliquot into transfer tube.
Store and ship frozen.
Hemolysed and lipemic specimens are not suitable for testing.
TAT 24 days

NEURONTIN
(GABAPENTIN)

Refer to GABAPENTIN

NEUTROPHIL ALKALINE
PHOSPHATASE

Refer to LEUKOCYTE ALKALINE PHOSPHATASE

(LAP)
(LEUKOCYTE ALKALINE PHOSPHATASE)

NEUTROPHIL CYTOPLASMIC
ANTIBODIES - C

9112

Serum
Centrifuge only

GOLD SST

UNINSURED HLRC

GOLD SST

UNINSURED HLRC

(c-ANCA)

TAT 15 days
NEUTROPHIL CYTOPLASMIC 9148
ANTIBODIES - PERINUCLEAR

Serum
Centrifuge only

(p-ANCA)

TAT 15 days
NH 3

Refer to AMMONIA

(AMMONIA)

TEST SPECIFICATION GUIDE SECTION N


Page 1 of 3
CML HealthCare Inc Test Specification Guide 17533 Version: 5.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

NICKEL

CODE

9934

SPECIMEN REQUIREMENT

VACUTAINER

Plasma
Centrifuge and pour off into aliquot tube

ROYAL BLUE
K2 EDTA

BILL

LOC

UNINSURED HLRC

TAT 30 days
NICKEL

9217

Urine
10 mL random urine
Submit in a 90 mL orange cap container

UNINSURED HLRC

Indicate Random.
Provide collection date.
TAT 14 days
NICKEL

99999

24 hour Urine
Store and ship refrigerated

ACID WASHED CONTAINER

UNINSURED LL

TAT 10 days
NICOTINE

9238

Urine
10 mL random urine
Submit in a 90 mL orange cap container

UNINSURED HLRC

TAT 15 days

NICOTINE

99999

Serum

PLAIN RED

UNINSURED LL

(COTININE)

Allow blood to clot at room temp for 30 mins.


Centrifuge.
Store and ship refrigerated.
Test includes Nicotine and Nicotine Metabolite (Cotinine)
TAT 1-2 weeks
NITRAZEPAM
(MOGADON)

9126

Serum
PLAIN RED
Minimum Volume required: 3 mL
not SST
Centrifuge and aliquot into serum tube
Collect trough specimen 10 12 hours after last dose
FREEZE SERUM AND SEND FROZEN
Record time in hours that have elapsed between
last dose and specimen collection.
TAT 15 days

NITROGEN

NO LONGER AVAILABLE

NOLUDAR

Refer to METHYPRYLON

NONSPECIFIC
COAGULATION INHIBITORS

Refer to LUPUS ANTICOAGULANT

(CIRCULATING ANTICOAGULANT)
(LUPUS ANTICOAGULANT)

TEST SPECIFICATION GUIDE SECTION N


Page 2 of 3
CML HealthCare Inc Test Specification Guide 17533 Version: 5.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

HLRC

TEST NAME

CODE

NOREPINEPHRINE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

OHIP

DYN

OHIP

CML

Refer to CATECHOLAMINES, FRACTIONATED

(CATECHOLAMINES
FRACTIONATED or FREE)

NORMETANEPHRINE

Refer to METANEPHRINES, FRACTIONATED

(METANEPHRINES
FRACTIONATED)

NORPACE

Refer to DISOPYRAMIDE

(DISOPYRAMIDE)

NORPRAMINE

Refer to DESIPRAMINE

(DESIPRAMINE)

NORTRYPTYLINE

079N

(AVENTYL)

Serum
ROYAL BLUE
Minimum Volume required: 2 mL
- no additive
Centrifuge and aliquot into serum tube
Collect specimen 1012 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
Refrigerate during storage and transport.
TAT 14 days

NOZINAN

Refer to METHOTRIMEPRAZINE

(METHOTRIMEPRAZINE)

NT-PRO-BNP

NUCLEAR ANTIBODIES

Refer to N-TERMINAL PRO BRAIN NATRIURETIC PEPTIDE

HP17

(ANA)
(ANF)
(CENTROMERE ANTIBODY)
(SLE ANTIBODIES)

Serum
Centrifuge only

GOLD SST

Positive results may be delayed due to


interpretation by Consultant
TAT 2 days

NUCLEAR MATRIX PROTEIN-22 99999

Urine

NMP CONTAINER UNINSURED LL

(NMP-22)

NMP Stabilizer containers are required and supplied


by LifeLabs. Please call LifeLabs Data Sort (CDS)
100 International Blvd. 416-675-4530 x 2614
Collect random urine specimen between midnight and noon into a
Sterile 90ml urine container and IMMEDIATELY transfer 10ml
Into a labelled NMP-22 stabilizer container. Refrigerate immediately.
Store and ship refrigerated.
TAT 2-3 weeks
TEST SPECIFICATION GUIDE SECTION N
Page 3 of 3
CML HealthCare Inc Test Specification Guide 17533 Version: 5.1 30-Sep-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

17-OH STEROIDS

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to 17-HYDROXY CORTICOSTEROIDS

(17-HYDROXY CORTICOSTEROIDS)

17-OH PROGESTERONE

Refer to 17-HYDROXY PROGESTERONE

(PREGNANETRIOL)
(17-HYDROXY PROGESTERONE)

OCCULT BLOOD

1811

Stool
Random specimen
Instructions for the patient are in the red kit.

OHIP

CML

OHIP

CML

OHIP

HLRC

Use code 181-2 for second specimen


Use code 181-3 for third specimen
TAT 3 days

OCCULT BLOOD
CANCER CHECK
PROGRAMME

179-1

Stool
Random specimen
Instructions for the patient are in the green kit
Use code 179-2 for second specimen
Use code 179-3 for third specimen
TAT 3 days

OLANZAPINE, SERUM

9957

(ZYPREXA)

Serum
1 mL Collect trough sample

PLAIN RED

FREEZE SERUM AND SEND FROZEN


TAT 14 days
OLIGOCLONAL BANDING
OLIGOSACCHARIDES

Refer to PROTEIN FRACTIONATION, CSF


9936

Urine
Submit in a 90 mL orange cap container
Avoid first morning collection
Provide date of birth, gender and clinical history.

UNINSURED HLRC

FREEZE URINE AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 40 days
OMEGA-3 FATTY ACID
(AA EPA RATIO)

99999

Whole blood
LAVENDER
UNINSURED LL
Fasting is not required.
Mix thoroughly by gentle inversion.
Store and ship refrigerated.
Specimens stable for 7 days if refrigerated 24 hours after collection
TAT 10 days

TEST SPECIFICATION GUIDE SECTION O


CML HealthCare Inc Test Specification Guide 17759
This document hardcopy must be used for reference only.

Page 1 of 3
Version: 8.0 1-Sep-2015
The electronic copy must be used as the current version.

TEST NAME

OPIATES SCREEN

CODE

078OP

SPECIMEN REQUIREMENT

VACUTAINER

Urine
10 mL random urine
Submit in a blue cap conical tube

BILL

LOC

OHIP

CML

OHIP

HLRC

OHIP

HLRC

OHIP

HLRC

OHIP

HLRC

TAT 10 days

ORGANIC ACIDS

9937

Urine
10 mL random urine early morning sample preferred
Submit in a 90 mL orange cap container
State age of patient and clinical diagnosis
FREEZE URINE AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days

OSMOLALITY

183

Serum
Centrifuge only

GOLD SST

TAT 15 days
OSMOLALITY

183U

Urine
This code can be used for either a random or a 24-hour urine
Submit in a 90 mL orange cap container
Retain a duplicate sample in the fridge until the test is reported
if the specimen is a 24-hour sample.
TAT 15 days

OSMOTIC FRAGILITY

450

Blood

LAVENDER

Collect specimen before last courier, Monday to Wednesday


Keep refrigerated
Must be tested within 24-hours
TAT 20 days
OSTEOCALCIN

9938

Serum
Avoid hemolysis
Minimum Volume required: 2 x 1mL
Keep aliquots together with elastic band.

GOLD SST

FREEZE SERUM AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 25 days
OSULLIVAN SCREEN
GLUCOSE CHALLENGE

TEST NO LONGER AVAILABLE

(GLUCOSE CHALLENGE
O SULLIVAN)

50g glucose load

TEST SPECIFICATION GUIDE SECTION O


CML HealthCare Inc Test Specification Guide 17759
This document hardcopy must be used for reference only.

Page 2 of 3
Version: 8.0 1-Sep-2015
The electronic copy must be used as the current version.

UNINSURED HLRC

TEST NAME

CODE

OV 125

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to CA125

(CA 125)

OVA AND PARASITES


IDENTIFICATION

MP66

Stool
Place approximately 1 tablespoon of stool in preservative

OHIP

CML

OHIP

HLRC

(O&P)
(GIARDIA, CRYPTOSPORIDIUM, CYCLOSPORA)

TAT 5 days
OVARY ANTIBODIES

TESTING CURRENTLY NOT AVAILABLE

(OVARIAN ANTIBODIES)

OXALATE

184U

24-Hour Urine
2 X 10 mL submit in white cap conical tubes
Do NOT add acid; pH will be adjusted in Biochemistry Dept.
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Retain a duplicate 50 mL sample in the fridge until test is reported.
Refrigerate during storage and transport.
TAT 15 days

OXAZEPAM

TEST NO LONGER AVAILABLE

(SERAX)

OXYGEN AFFINITY OF
HEMOGLOBIN
(P50)

9266

Whole Blood
LAVENDER
Completed form must be submitted with the sample
Store and ship at room temperature.
FORM AVAILABLE ON CML WEBSITE
TAT 8 days

TEST SPECIFICATION GUIDE SECTION O


CML HealthCare Inc Test Specification Guide 17759
This document hardcopy must be used for reference only.

Page 3 of 3
Version: 8.0 1-Sep-2015
The electronic copy must be used as the current version.

UNINSURED HLRC

TEST NAME

CODE

P 24, HIV

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to HIV

(AIDS)
(HIV SEROLOGY)

PANORAMA 22q11.2
DELETION

3037

Blood
Patient MUST have a completed Panorama
Test requisition with physician signature
And patient signature in Patient Consent
Section.
Collect Monday-Saturday ONLY. Store and
Ship at room temperature.

Panorama Kit UNINSURED NAT

TAT 15 days
PANORAMA (NIPT)

2093

Blood
Patient MUST have a completed Panorama
Test requisition with physician signature
And patient signature in Patient Consent
Section.
Collect Monday-Saturday ONLY. Store and
Ship at room temperature.

Panorama Kit UNINSURED NAT

TAT 15 days
PANORAMA (NIPT)
REDRAW

3000

Blood
Patient MUST have a completed Panorama
Test requisition with physician signature
And patient signature in Patient Consent
Section.
Collect Monday-Saturday ONLY. Store and
Ship at room temperature.

Panorama Kit UNINSURED NAT

TAT 15 days
PANORAMA MICRODELETION 3071
PANEL

Blood

Panorama Kit UNINSURED NAT

Patient MUST have a completed Panorama


Test requisition with physician signature
And patient signature in Patient Consent
Section.
Collect Monday-Saturday ONLY. Store and
Ship at room temperature.
TAT 15 days
PANORAMA - MOH COVERED 4010

Blood

Panorama Kit UNINSURED NAT

**Only use this code for pre-approved MOH funding with


Approval** Patient MUST have a completed
Panorama Test Requisition with physician signature and
Patient signature in Patient Consent Section.
Collect on Monday-Saturday ONLY. Store and ship at room temp.
TAT 15 days
PANCREATIC ISLET CELL
ANTIBODIES

Refer to ISLET CELL ANTIBODY

TEST SPECIFICATION GUIDE SECTION P


Page 1 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

PAPP-A

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to MATERNAL SCREEN

(FIRST or SECOND TRIMESTER


SCREENING)
(INTEGRATED PRENATAL SCREENING)

PAP SMEAR

Refer to CYTOLOGY, PAP SMEAR

PARAINFLUENZA VIRUS
ANTIBODIES

TEST NO LONGER AVAILABLE

PARANEOPLASTIC
AUTOANTIBODY PANEL,
SERUM

9277

Serum

GOLD SST

UNINSURED HLRC

Minimum Volume required: 1 mL


Store and ship at 4-8C
TAT 17 days

PARANEOPLASTIC
AUTOANTIBODY PANEL,
SPINAL FLUID

9285

Spinal Fluid
Accept any container received.
Minimum Volume required: 1 mL
Store and ship at 4-8C.

UNINSURED HLRC

TAT 17 days
PARASITE SEROLOGY TEST
PARATHYROID
HORMONE

Information regarding requests for specific tests available through CML Consultants
330

(PTH)
(PARATHYRIN)

Serum
PLAIN RED
Minimum Volume required: 3 mL
Separate within 30 minutes
Specimen collected in a SST tube is not acceptable.

OHIP

CML

OHIP

DYN

FREEZE SERUM AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 5 days
PARIETAL CELL ANTIBODIES 9205

Serum
Centrifuge only
Refrigerate during storage and transport.

GOLD SST

TAT 8 days
PAROXETINE

TEST NO LONGER AVAILABLE

(PAXIL)

PAROXYSMAL NOCTURNAL
HEMOGLOBINURIA

9278

Whole Blood
LAVENDER
2 x 5ml lavender top tubes required
Requires a lavender tube, unstained slide
and latest CBC/diff results.
completed immunophenotyping form is required.
Specimen must be less than 48 hours old upon receipt.
FORM AVAILABLE ON CML WEBSITE
TAT 3 days

TEST SPECIFICATION GUIDE SECTION P


Page 2 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED HLRC

TEST NAME

CODE

PARTIAL THROMBOPLASTIN
TIME

462

(PTT)
(COAGULATION SURFACE INDUCED)

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Plasma
Fill tube completely - Centrifuge

LIGHT BLUE

OHIP

CML

PLAIN RED

N/C

PHL

N/C

PHL

FREEZE PLASMA AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 2 days

PARVO VIRUS

9001

(ERYTHEMA INFECTIOSUM)
(FIFTHS DISEASE)
(PARVO VIRUS B19)

Do not centrifuge tube


State Acute (IgM) or Immune (IgG)

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days
PASTEURELLA
TULARENSIS ANTIBODY

9024

(TULAREMIA)
(FRANCISELLA TULARENSIS
ANTIBODY)

Do not centrifuge tube

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 25 days

PATERNITY TESTING

TEST NO LONGER AVAILABLE

PATHOLOGY

Refer to HISTOPATHOLOGY

(HISTOLOGY)

PAXIL

Refer to PAROXETINE

(PAROXETINE)

PBG

Refer to PORPHYRIN PRECURSORS

(PORPHOBILINOGEN SCREEN)

PCB PANEL

99999

(POLYCHLORINATED BIPENYLS
PANEL)

Serum
Allow blood to clot for 30mns at room temp
Spin and separate. Transfer to aliquot tube
within 2 hours of collection.
SST tubes are UNACCEPTABLE
Store and ship refrigerated.

PLAIN RED

UNINSURED LL

GOLD SST

UNINSURED HRL

TAT 1-2 weeks


PCP

Refer to PHENCYCLIDINE SCREEN

(PHENCYCLIDINE, SCREEN)
(ANGEL DUST)

PEANUT COMPONENT
PANEL

352

Serum
1 SST Required for entire panel.
Includes all peanut components.
Centrifuge and aliquot
Store and ship refrigerated
TAT 5 days

TEST SPECIFICATION GUIDE SECTION P


Page 3 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

PEANUT COMPONENT
TESTING

CODE

See chart

SPECIMEN REQUIREMENT

VACUTAINER

Serum
GOLD SST
Centrifuge and aliquot
Store and ship refrigerated
Please free text requested componemt
Eg: Peanut rAra h1, Peanut rAra h3
Can have up to 4 components on one accession.

BILL

LOC

UNINSURED HRL

If 5 components ordered use test code 352 (Peanut Compontent Panel)


TAT 5 days

Test Name
Peanut Component
First Component
Peanut Component
Second Component
Peanut Component
Third Component
Peanut Component
Fourth Component
PEMPHIGUS/PEMPHIGOID
ANTIBODIES

9391

Serum
Centrifuge only

Test Code
351-1
351-2
351-3
351-4
GOLD SST

OHIP

HLRC

(ANTI-SKIN ANTIBODIES)
(EPIDERMAL ANTIBODIES)
(SKIN ANTIBODIES)

TAT 25 days
PERCHLOROETHYLENE

99999

(TETRACHLOROTHELENE)

Serum
PLAIN RED
For Industrial exposure collect specimen
In an area that is removed from the use of this solvent.
Collect prior to the last workshift of work week.

UNINSURED LL

All blood to clot for 30mins at room temp and spin sample.
DO NOT USE SST TUBES.
Store and ship refrigerated.
TAT 1-2 weeks
PENTOBARBITAL

TEST NO LONGER AVAILABLE

PH, STOOL

TEST NO LONGER AVAILABLE

PHENCYCLIDINE SCREEN

078PH

(PCP)
(ANGEL DUST)

Urine
10 mL random urine
Submit in a blue top conical tube

OHIP

CML

Indicate in Notes and Instructions - CHECK FOR PHENCYCLIDINE


TAT 5 days
PHENOBARBITAL

081

Serum
PLAIN RED
Centrifuge only
Collect trough specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT 1 day

PHENOL

TEST NO LONGER AVAILABLE

(BENZENE)

TEST SPECIFICATION GUIDE SECTION P


Page 4 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

CML

TEST NAME

CODE

PHENOTHIAZINES SCREEN

9259

SPECIMEN REQUIREMENT

VACUTAINER

Urine
Min volume required: 10ml random sample

BILL

OHIP

LOC

HLRC

TAT 5 days
PHENYLALANINE
PHENYTOIN

REFER TO AMINO ACIDS - QUANTITAVIVE


324

(DILANTIN)

Serum
PLAIN RED
Minimum Volume required: 2 mL
Collect trough specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.

OHIP

CML

OHIP

HLRC

N/C

PHL

OHIP

CML

OHIP

CML

TAT 1 day
PHENYTOIN, FREE

9169

(DILANTIN, FREE)

Serum
PLAIN RED
Minimum Volume required: 2 mL
Collect trough specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT 15 days

PHL TEST NOT ON FILE

9580

SPECIMEN TYPE WILL VARY

VARIES

TEST MUST BE SPECIFIED


Use this test for PHL tests that are not on file
DO NOT use 99999 for not-on-file PHL tests
PHOSPHATASE ACID, PROSTATIC

TEST NO LONGER AVAILABLE

PHOSPHATASE ACID, TOTAL

TEST NO LONGER AVAILABLE

PHOSPHATASE ALKALINE

Refer to ALKALINE PHOSPHATASE

(ALKALINE PHOSPHATASE)
(ALP)

PHOSPHATASE ALKALINE
ISOENZYME

Refer to ALKALINE PHOSPHATASE FRACTIONATION

(ALKALINE PHOSPHATASE
ISOENZYME)
(ALKALINE PHOSPHATASE
FRACTIONATION)

PHOSPHATE

194

(PHOSPHORUS)
(INORGANIC PHOSPHATE)

Serum
Centrifuge only

GOLD SST

TAT 1 day
PHOSPHATE
(PHOSPHORUS)

194U

24-Hour Urine
10 mL aliquot submit in a white cap conical tube
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT 2 days

TEST SPECIFICATION GUIDE SECTION P


Page 5 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

PHOSPHOLIPIDS
PHOSPHORUS, URINE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

TEST NO LONGER AVAILABLE


194RU

(PHOSPHATE RANDOM URINE)

Urine
10 mL random urine
Submit in a white cap conical tube

OHIP

CML

TAT 2 days
PHYTANATE

9734

(PHYTANIC ACID)

Plasma
Minimum Volume required: 2 mL
Fasting sample preferred

GREEN
with Heparin

UNINSURED HLRC

FREEZE PLASMA AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 25 days
PINWORM PREPARATION

MP80

Paddle State Source


Obtain specimen from perianal area
Recommend specimen be obtained early morning
prior to washing due to nighttime migration of pinworm.

OHIP

CML

OHIP

HLRC

Use code MP81 for a second specimen


Use code MP82 for a third specimen
TAT 2 days
PK SCREEN

Refer to PYRUVATE KINASE

(PYRUVATE KINASE)

PKU
(PHENYLKETONURIA)

TEST NO LONGER AVAILABLE


send patient to hospital

PLACIDYL

TEST NO LONGER AVAILABLE

(ETHCHLORVYNOL)

PLASMA HEMOGLOBIN

Refer to HEMOGLOBIN PLASMA

(FREE HEMOGLOBIN)

PLASMINOGEN

9735

Plasma
Minimum Volume required: 1 mL

LIGHT BLUE

FREEZE PLASMA AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 15 days
PLASMODIUM SCREEN

Refer to MALARIA

PLATELET COUNT

Refer to COMPLETE BLOOD CONT

(THROMBOCYTE)

PLATELET COUNT,
CITRATE SAMPLE

Refer to CITRATED PLATELET COUNT

TEST SPECIFICATION GUIDE SECTION P


Page 6 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

PLATELET ANTIBODY
SCREEN

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

TEST NO LONGER AVAILABLE

(ANTI-PLATELET ANTIBODY)
(PLATELET ASSOCIATED IGG)

PLATELET FUNCTION TEST


POLIO ANTIBODY
NEUTRALIZATION,
OCCUPATIONAL IMMUNE
STATUS (CONTRACT)

By appointment only at hospital


99999

Serum
Store and ship frozen.
Test is for CONTRACT use only

GOLD SST

UNINSURED LL

TAT 1-2 weeks


POLIO VIRUS

Stool/ Throat Swab/ Rectal Swab


Viral history sheet must be completed
Stool is the preferred sample
9026
9031
9031

N/C

PHL

Use the correct transport media


Stool
VIRUS TM
Throat Swab VIRUS SW
Rectal Swab
VIRUS SW
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 15 to 30 days

PORPHOBILINOGEN
DEAMINASE

9525

Whole Blood
GREEN
Min Volume: 7ml
- Heparinized
SST tube not acceptable.
Do not freeze. Store and send refrigerated.
Provide haematocrit result for calculation of results.

UNINSURED HLRC

TAT 14 days
PORPHYRIN PRECURSORS,
RANDOM URINE

197

Urine

OHIP

HLRC

25 mL random urine
Protect from light by wrapping with aluminium foil.
Label container with one barcode; wrap container with foil.
Place another label with barcode on top of foil overwrap.
FREEZE URINE AND SEND FROZEN
Testing Includes: Porphobilinogen Screen (PBG), Aminolevulinic Acid (ALA)
TAT 15 days
PORPHYRIN PRECURSORS,
24 HOUR URINE

9702

24-Hour Urine

OHIP

50 mL aliquot submit in a 90 mL white cap container


Protect from light by wrapping with aluminium foil.
Label container with one barcode; wrap container with foil.
Place another label with barcode on top of foil overwrap.
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Retain a duplicate 50 mL sample in the fridge until test is reported.
Testing Includes: Porphobilinogen Screen (PBG), Aminolevulinic Acid (ALA)
TAT 15 days
TEST SPECIFICATION GUIDE SECTION P
Page 7 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

HLRC

TEST NAME

CODE

PORPHYRINS, BLOOD
PORPHYRINS, QUALITATIVE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to PROTOPORPHYRIN
200S

Stool
50 g (app. tablespoon) random stool specimen
Protect from light by wrapping with aluminium foil.

OHIP

DYN

OHIP

DYN

FREEZE STOOL AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 18 days
PORPHYRINS, QUANTITATIVE 203

Stool
50 g (approximately tablespoon) random stool.
Protect from light by wrapping in aluminium foil
Note: Quantitation performed only if qualitative screen is positive.
FREEZE STOOL AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 18 days

PORPHYRINS, QUANTITATIVE

201U

(COPROPORPHYRINS)
(UROPORPHYRINS)

24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
Keep refrigerated during collection
Protect from light by wrapping with aluminium foil.

UNINSURED DYN

Preservative: sodium carbonate to be added by Biochemistry Dept.


State total 24-hour volume on the OHIP Requisition,
on the specimen container, and in Notes & Instructions .
Sample Sorting Department to freeze urine and send frozen.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 18 days
POST VAS

Refer to SEMEN ANALYSIS, POST VASECTOMY

(SEMEN ANALYSIS, POST VASECTOMY)


(SEMEN POST VAS)

POTASSIUM, SERUM

204

Serum
Centrifuge only
Hemolyzed specimens are not acceptable

GOLD SST

OHIP

CML

OHIP

CML

OHIP

CML

TAT 1 day
POTASSIUM, 24 HOUR URINE 204U

24-Hour Urine
10 mL aliquot submit in a white cap conical tube
No preservative
Testing includes urine creatinine and total volume
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 2 days

POTASSIUM, RANDOM URINE 204RU

Urine
10 ml random urine
Submit in a white cap conical tube
TAT 2 days

TEST SPECIFICATION GUIDE SECTION P


Page 8 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

POTASSIUM
PREALBUMIN

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

TEST NO LONGER AVAILABLE


9291

Serum
Minimum volume required: 1ml
Centrifuge and aliquot
Store and ship refrigerated

GOLD SST

UNINSURED HRLC

TAT 10 days
PREGNANCY TEST

655

(CHORIOGONADOTROPIN
SCREEN)

Urine
10 mL random urine
Submit in a 90 mL white cap container
First morning specimen preferred

OHIP

CML

N/C

PHL

N/C

PHL

OHIP

DYN

TAT 1 day
PREGNANEDIOL

Refer to PROGESTERONE

(PROGESTERONE)

PREGNANETRIOL

Refer to 17-HYDROXYPROGESTERONE

(17 HYDROXYPROGESTERONE)
(17 OH PROGESTERONE)

PRE NATAL SCREEN

Refer to BLOOD GROUP


and
Refer to ANTIBODY SCREEN

(ABO & Ab SCREEN)


(ABO & SCREEN)
(TYPE & SCREEN)

PRE NATAL SCREEN


WITH HIV FOR PHL

9001P

Do not centrifuge tube

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
Complete Prenatal form must be attached
Group test includes: Hepatitis B Prenatal
Rubella Antibody Prenatal
HIV Prenatal
PHL Prenatal VDRL
TAT 15 days
PRE NATAL SCREEN
WITHOUT HIV FOR PHL

9002P

Do not centrifuge tube

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
Complete Prenatal form must be attached
Group test includes: Hepatitis B Prenatal
Rubella Antibody Prenatal
PHL Prenatal VDRL
TAT 15 days
PRIMIDONE
(MYSOLINE)

211

Serum
PLAIN RED
Minimum volume required: 1ml
Collect trough specimen 10 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT 6 days

TEST SPECIFICATION GUIDE SECTION P


Page 9 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

PROCAINAMIDE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

TEST NO LONGER AVAILABLE

(PRONESTYL)

PROGESTERONE

331

(PREGNANEDIOL)

Serum
Centrifuge only

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

PLAIN RED

OHIP

TAT 1 day
PROGRAF

Refer to TACROLIMUS

(FK506)
(TACROLIMUS)

PROLACTIN

332

Serum
Centrifuge only
TAT 1 day

PRONESTYL

Refer to PROCAINAMIDE

(PROCAINAMIDE)

PROINSULIN

9304

Serum
Minimum Volume required: 1 mL

HLRC

Collect overnight fasting specimen in pre-chilled tube.


Allow blood to fully clot. Centrifuge in a refrigerated
Centrifuge. separate and freeze serum immediately.
Store and ship frozen.
TAT 15 days
PROLIFERATING CELL
NUCLEAR ANTIBODIES

9335

(ANTI PCNA)

Serum

GOLD SST

UNINSURED HLRC

Minimum Volume required: 1 mL


Centrifuge, separate into transfer tube and freeze immediately.
Store and send frozen.
TAT 24 days

PROPAFENONE

TEST NO LONGER AVAILABLE

(RYTHMOL)

PROPOXYPHENE
(DARVON)

078PR

Urine
10 mL random urine
Submit in a blue top conical tube
TAT 7 days

PROPRANOLOL

TEST NO LONGER AVAILABLE

(INDERAL)

TEST SPECIFICATION GUIDE SECTION P


Page 10 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

CML

TEST NAME

CODE

PROSTATE SPECIFIC ANTIGEN, 354


FREE / TOTAL RATIO
- MONITORING
(PSA, FREE / TOTAL RATIO)
(PSA PERCENT )

SPECIMEN REQUIREMENT

VACUTAINER

Serum

GOLD SST

BILL

OHIP

LOC

CML

Centrifuge within 2-hours of collection


Must be tested within 24-hours after
collection, or freeze for storage and transport.
Testing Includes Total PSA
Patient must meet eligibility criteria for insurable PSA testing
TAT 3 days

PROSTATE SPECIFIC ANTIGEN, 9146


FREE / TOTAL RATIO
- SCREENING
(PSA, FREE / TOTAL RATIO)
(PSA PERCENT )

Serum

GOLD SST

UNINSURED

CML

Centrifuge within 2-hours of collection


Must be tested within 24-hours after
collection, or freeze for storage and transport.
Testing Includes Total PSA
TAT 3 days

PROSTATE SPECIFIC ANTIGEN, 358


TOTAL MONITORING

Serum
Centrifuge only

GOLD SST

OHIP

CML

OHIP

CML

(PSA, TOTAL DISEASE STATE)

Patient must meet eligibility criteria for insurable PSA testing


TAT 3 days
PROSTATE SPECIFIC ANTIGEN, 358
WITH HETEROPHILE BLOCK

Serum
Centrifuge only

GOLD SST

(PSA WITH HETEROPHILE BLOCK)

Physician may request PSA with heterophile block


to confirm positive post-prostatectomy PSA
only after consultation with Biochemistry manager,
Place specimen and OHIP requisition in priority labelled ziplock bag
Indicate on priority label:
ATTN: BIOCHEMISTRY MANAGER/SUPERVISOR
PSA WITH HETEROPHILE BLOCK
TAT 3 days.
PROSTATE SPECIFIC ANTIGEN, 9701
TOTAL SCREENING ONLY

Serum
Centrifuge only

(PSA SCREEN)
(PSA TOTAL)

TAT 3 days

PROTEIN ANALYSIS
BENCE JONES PROTEIN
(IMMUNOELECTROPHORESIS
HEAVY & LIGHT CHAINS
BENCE JONES PROTEIN)

575RU

GOLD SST

Urine
50 mL random urine
Submit in 90 mL white cap container
No preservative
First morning specimen preferred
TAT 5 days

TEST SPECIFICATION GUIDE SECTION P


Page 11 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED CML

OHIP

CML

TEST NAME

CODE

PROTEIN ANALYSIS
BENCE JONES PROTEIN

575U

(BENCE JONES PROTEIN


HEAVY & LIGHT CHAINS
IMMUNOELECTROPHORESIS)

SPECIMEN REQUIREMENT

VACUTAINER

24-Hour Urine
10 mL aliquot submitted in white cap conical tube
labelled CREATININE and
50 mL aliquot submitted in 90 mL white cap container
labelled BENCE JONES
No preservative

BILL

OHIP

LOC

CML

State 24-hours total volume on the OHIP requisition,


On the specimen and in Notes and Instructions.
Retain a duplicate 50 mL sample in the fridge until
test is reported.
TAT 5 days
PROTEIN C ACTIVITY

9971

(FUNCTIONAL/IMMUNOLOGICAL)

Plasma (Citrate)
Minimum Volume required: 3 mL

LIGHT BLUE

UNINSURED

HLRC

Coumadin should be restricted for 2 weeks prior


to the test. Consult with the patients physician
before proceeding with the test. Document the call
on the OHIP requisition.
Separate plasma immediately.
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 15 to 25 days
PROTEIN ELECTROPHORESIS,
CSF
PROTEIN FRACTIONATION,
CSF

Refer to PROTEIN FRACTIONATION, CSF

9257

(PROTEIN ELECTROPHORESIS - CSF)


(OLIGOCLONAL BANDING)

Serum
Minimum Volume required: 1 mL serum,
5ml CSF

RED TUBE
UNINSURED
AND STERILE CONTAINER

HLRC

Serum sample MUST accompany CSF.


Serum MUST be collected within 24 hrs of CSF collection.
Include collection date, collection time, and
Physicians name on requisition
TAT 11 days
PROTEIN FRACTIONATION
(PROTEIN ELECTROPHORESIS)
(SPE)

085

Serum
Centrifuge only

GOLD SST

Testing Includes Total Protein


TAT 2 days

TEST SPECIFICATION GUIDE SECTION P


Page 12 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

CML

TEST NAME

PROTEIN FRACTIONATION

CODE

086

(PEP)
(SPE- 24 HOUR)
(PROTEIN ELECTROPHORESIS)

SPECIMEN REQUIREMENT

VACUTAINER

BILL

24-Hour Urine
10 mL aliquot submit in a white cap conical tube
labelled CREATININE and a
50 mL aliquot submit in a 90 mL white cap container
labelled PEP
No preservative

OHIP

LOC

CML

State total 24-hour volume on the OHIP Requisition,


on the specimen container and in Notes & Instructions.
Retain a duplicate 50 mL sample in the fridge until test is reported.
Testing Includes Total Protein, Urine Creatinine
TAT 3 days
PROTEIN S, FREE/TOTAL

9479

Plasma
Minimum Volume required: 2 mL

LIGHT BLUE

UNINSURED HLRC

FREEZE PLASMA AND SEND FROZEN


Note: Total analysis will only be performed if
Protein S, Free is low (< 0.62 U/mL).
NOTE: Patient should not be on anticoagulant therapy
Reference range applies to patients 18 year of age and older
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 15 to 25 days
PROTEIN S, TOTAL
PROTEIN, TOTAL FLUID

Refer to PROTEIN S, FREE/TOTAL


208FL

Fluid state source


Minimum Volume required: 1 mL
Submit in plastic transfer tube

PLAIN RED

OHIP

CML

GOLD SST

OHIP

CML

OHIP

CML

OHIP

CML

TAT 1 day
PROTEIN, TOTAL SERUM

208

Serum
Centrifuge only
TAT 1 day

PROTEIN, TOTAL
QUALITATIVE

254 3

(ALBUMIN, QUALITATIVE URINE)

Urine
10 mL random urine
Submit in a yellow cap conical tube
TAT 2 days

PROTEIN, TOTAL
QUANTITATIVE

208RU

Urine
CLEAR
6 mL random urine
Submit in a clear cap vacutainer labelled PROTEIN
TAT 1 day

TEST SPECIFICATION GUIDE SECTION P


Page 13 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

PROTEIN, TOTAL
24-HOUR URINE

CODE

208U

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

OHIP

CML

OHIP

HLRC

LAVENDER

OHIP

DYN

ROYAL BLUE
- no Additives

OHIP

DYN

24-Hour Urine
2 CLEAR
10 mL aliquot submit in a clear cap vacutainer
labelled CREATININE and a
6 mL aliquot submit in a clear cap vacutainer
labelled PROTEIN
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions.
Testing includes urine creatinine and total volume.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 2 days

PROTHROMBIN GENE
MUTATION

9212

(FACTOR II PROTHROMBIN
MUTATION)

Blood
Collect sample Monday Wednesday only

LAVENDER

A form for Molecular Genetic DNA Testing must be


completed by the doctor and accompany the specimen.
Form available from CML Problem Solving Department
Keep form and sample together in a Priority labelled zip lock bag
Refrigerate during storage and transport.
TAT 30 days

PROTHROMBIN TIME

Refer to INR

(INR)
(PRO TIME)
(PT)

PROTOPORPHYRINS, RBC

202

Whole blood
Do not centrifuge
Protect from light
Refrigerate during storage and transport.
TAT 17 days

PROTRIPTYLINE
(TRIPTIL)

9433

Serum
Minimum Volume required: 3 mL
Centrifuge and aliquot into serum tube

Collect trough specimen 10 12 hours after last dose


Record time in hours that have elapsed between
last dose and specimen collection.
TAT 18 days
PROZAC

Refer to FLUOXETINE

(FLUOXETINE)

PSA, TOTAL

Refer to PROSTATE SPECIFIC ANTIGEN

(PROSTATE SPECIFIC ANTIGEN,


TOTAL SCREENING ONLY)

PSA, FREE / TOTAL RATIO

Refer to PROSTATE SPECIFIC ANTIGEN FREE/TOTAL

(PROSTATE SPECIFIC ANTIGEN


FREE / TOTAL RATIO)
(PSA PERCENT %)
(PSA FRACTIONATION)

TEST SPECIFICATION GUIDE SECTION P


Page 14 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

PSEUDOCHOLINESTERASE

Refer to CHOLINESTERASE, PHENOTYPE

PSITTACOSIS ANTIBODY
(Chlamydia Psittaci)

Refer to CHLAMYDIA PSITTACI ANTIBODY

PT

Refer to INR

BILL

LOC

(INR)
(PRO TIME)
(PROTHROMBIN TIME)

PTH

Refer to PARATHYROID HORMONE

(PARATHYROID HORMONE)
(PARATHYRIN)

PTT

Refer to PARTIAL THROMBOPLASTIN TIME

(PARTIAL THROMBOPLASTIN TIME)

PYRIDINIUM
PYRIDOXINE

Refer to DEOXYPYRIDINOLINE
9379

(PYRIDOXAL PHOASPHATE)
(VITAMIN B6)

Plasma
LAVENDER
Minimum Volume required: 2 mL
Separate within 1-hour of collection.
Transfer plasma into an amber transport tube
to protect from light.

UNINSURED HLRC

FREEZE PLASMA AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 40 days
PYRUVATE KINASE
(PK SCREEN)

9941

Blood
LAVENDER
Store and send refrigerated
Blood transfusion within the last 3 months will
invalidate test results
TAT 25 days

TEST SPECIFICATION GUIDE SECTION P


Page 15 of 15
CML HealthCare Inc Test Specification Guide 18355 Version: 22.0 21-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

HLRC

TEST NAME

QUETIAPINE

CODE

9569

(SEROQUEL)

SPECIMEN REQUIREMENT

Serum
Minimum Volume required: 1 mL

VACUTAINER

PLAIN RED

BILL

LOC

UNINSURED HLRC

Centrigue and aliquot into transfer tube.


Store and ship frozen.
Trough specimen required.
Do NOT collect in gel seperater (SST) tube
TAT 12 days
QUININE

9468U

Urine
25 mL random urine
Submit in a 90 mL orange cap container

UNINSURED HLRC

TAT 20 days
QUINIDINE

TEST NO LONGER AVAILABLE

(BIQUIN)

Q FEVER ANTIBODY

(COXIELLA BURNETTI ANTIBODY)

9027

Do not centrifuge tube

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days

TEST SPECIFICATION GUIDE SECTION Q Page 1 of 1


CML HealthCare Inc Test Specification Guide 16914 Version: 4.0 15-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

N/C

PHL

TEST NAME

CODE

RA

VACUTAINER

BILL

LOC

Refer to RHEUMATOID FACTOR

(LATEX FIXATION)
(RA FACTOR) (RA FIXATION)
(RHEUMATOID FACTOR)

RABIES VIRUS ANTIBODY

SPECIMEN REQUIREMENT

9070

State if post vaccination


Do not centrifuge tube

PLAIN RED

N/C

PHL

OHIP

DYN

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days
R. AKARI

Refer to RICKETTSIA ANTIBODY

RAPAMUNE

Refer to SIROLIMUS

RAST

Refer to ALLERGEN TESTING

RBC CHOLINESTERASE

Refer to ACETYL CHOLINESTERASE

RBC MAGNESIUM

Refer to MAGNESIUM, RBC

RED BLOOD CELL COUNT

Refer to COMPLETE BLOOD COUNT

RED MEASLES

Refer to MEASLES VIRUS ANTIBODY

(RICKETTSIA ANTIBODY)
(RMSF)
(ROCKY MOUNTAIN SPOTTED FEVER)
(TYPHUS MURINE ANTIBODY)

(RAPAMYCIN)
(SIROLIMUS)

(ACETYL CHOLINESTERASE)

(MAGNESIUM, RBC)

(ERYTHROCYTE COUNT, RBC)

(RUBEOLA)

REDUCING SUBSTANCES

216

Stool
5 g (approx. 1 teaspoon) random stool
Freeze stool and send FROZEN
TAT 14 days

REDUCING SUBSTANCES

TEST NO LONGER AVAILABLE

REPEAT PRENATAL ANTIBODIES

Refer to ANTIBODY SCREEN

RENIN
HOSPITAL ONLY

**This test is for hospital clients only. CCC staff should not use this code.**

(ABO & Ab SCREEN)


(ABO & SCREEN)
(PRENATAL SCREEN)
(TYPE & SCREEN)

(RENIN DIRECT)

9376

Serum
Centrifuge only and aliquot
to transfer tube.
Ship frozen

GOLD SST

TAT 24 days
TEST SPECIFICATION GUIDE SECTION R Page 1 of 4
CML HealthCare Inc Test Specification Guide 16915 Version: 10.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

HLRC

TEST NAME
RENIN UPRIGHT

CODE
1718

SPECIMEN REQUIREMENT
Plasma
Minimum Volume Required: 1.0 mL

VACUTAINER

BILL

LOC

LAVENDER

OHIP

LL

Collect in the morning before 10:00am


Record on requisition Time Upright
the number of hours since the patient arose
(to the nearest 0.5hrs)
Minimum time before collection in UPRIGHT position
(standing, walking or sitting) is 2 hours.
If patient has been standing or walking,
have them sit for 5-10 minutes before collection.
Collect blood in Lavender (EDTA) tube.
Mix thoroughly by gentle inversion.
Centrifuge immediately and transfer an aliquot of
o
plasma to a labeled tube, cap tightly and FREEZE at -20 C.
o

Store and ship frozen at -20 C


TAT 1 week
RENIN SUPINE

NOTE: This test is not available for collection or testing at a CML branded Customer
Care Centre. Please have patient go to a LifeLabs branded Patient Service Centre
for collection.

RESPIRATORY CULTURE

Refer to MYCOPLASMA PNEUMONIAE CULTURE

(MYCOPLASMA CULTURE)

RETICULIN ANTIBODIES

9942

(ANTI-RETICULIN ANTIBODY)

Serum
Centrifuge only

GOLD SST

UNINSURED HLRC

LAVENDER

OHIP

CML

GOLD SST

OHIP

HLRC

TAT 20 days
RETICULOCYTE COUNT

398

Blood
TAT 1 day

RETINOL

260

(VITAMIN A)

Serum
Minimum Volume required: 2 mL
Avoid hemolysis
Protect from light by transferring serum
into an amber transport tube
Fasting specimen preferred
FREEZE SERUM AND SEND FROZEN.
TAT 15 days

REVERSE T3

(RT3)
(REVERSE TRIIODOTHYRONINE)
(TRIIODOTHYRONINE REVERSE)

9170

Serum
PLAIN RED
Min Volume Required 1ml
Collect blood in PLAIN RED top tube.
Allow blood to clot at room temperature for
30 minutes and separate by centrifugation.
Transfer an aliquot of serum to a labelled aliquot tube.
o

Store and ship refrigerated at 2-8 C


TAT 17 days
TEST SPECIFICATION GUIDE SECTION R Page 2 of 4
CML HealthCare Inc Test Specification Guide 16915 Version: 10.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED

LL

TEST NAME

CODE

RHEUMATOID ARTHRITIS
DIAGNOSTIC PANEL

RADP

SPECIMEN REQUIREMENT

VACUTAINER

Serum

3 GOLD SST

BILL

LOC

UNINSURED

See table below for collection instructions

Rh PANEL

The following tests will automatically be included


ANTI-CCP (9165)
JOINT STAT (3971)
RHEUMATOID FACTOR (500RA)
Panel Handling
SERUM GOLD SST

ANTI-CCP
(CYCLIC
CITRULLINATED
PEPTIDE ANTIBODIES)
(CCP ANTIBODY)

Testing Location
HLRC

Centrifuge only
Collect sample MONDAY WEDNESDAY only
o

JOINT STAT

Store and ship refrigerated at 2-8 C


SERUM GOLD SST

(14-3-3n)
(14-3-3eta)

Minimum volume 0.5mL

CML

Collect blood in SST tube


Allow to clot at room temperature for 30 minutesand
separate by centrifugation immediately.
Aliquot serum to a labeled transfer tube
RHEUMATOID
FACTOR
(LATEX FIXATION)
(RA)
(RA FACTOR)
(RA FIXATION)

Store and ship frozen


SERUM GOLD SST

CML

Centrifuge only

TAT 15 days
Rh FACTOR

Refer to BLOOD GROUP

(ABO & TYPE)


(ABO RhD)
(BLOOD GROUP & Rh(D))
(BLOOD TYPE)

RHEUMATOID FACTOR

500RA

(LATEX FIXATION)
(RA) (RA FACTOR)
(RA FIXATION)

RICKETTSIA ANTIBODY

Serum
Centrifuge only

GOLD SST

OHIP

CML

PLAIN RED

N/C

PHL

TAT 1 day
9044

(R.AKARI)
(RMSF)
(ROCKY MOUNTAIN SPOTTED FEVER)
(TYPHUS MURINE ANTIBODY)

Public Health Laboratory recommends


both acute and convalescent specimens
taken two weeks apart
Do not centrifuge tube

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 45 days

RINGWORM OF SCALP

(DERMATOPHYTOSIS)
(WOOD LAMPS TEST)

Refer to DERMATOPHYTOSIS

TEST SPECIFICATION GUIDE SECTION R Page 3 of 4


CML HealthCare Inc Test Specification Guide 16915 Version: 10.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

RISPERIDONE

9738

(RISPERDOL)

SPECIMEN REQUIREMENT
Serum 2mL
Trough specimen.
Freeze serum and send FROZEN
Collect just prior to next dose.
Serum from gel separator NOTacceptable

VACUTAINER
PLAIN RED

BILL

LOC

UNINSURED HLRC

TAT 15 days
RISTOCETIN CO FACTOR
VON WILLEBRAND

TEST NO LONGER AVAILABLE

RITALIN

Refer to METHYLPHENIDATE

RIVOTRIL

Refer to CLONZAEPAM

ROCKY MOUNTAIN
SPOTTED FEVER ANTIBODY

Refer to RICKETTSIAL ANTIBODY

(METHYLPHENIDATE)

(CLONAZEPAM)

(R.AKARI)
(RICKETTSIAL ANTIBODY)
(RMSF)
(TYPHUS MURINE ANTIBODY)

ROHYPNOL

9739

(DATE RAPE)
(FLUNITRAZEPAM)

Urine
10 mL random urine
Submit in a 90 mL orange cap container

OHIP

HLRC

N/C

PHL

GOLD SST

OHIP

CML

PLAIN RED

N/C

PHL

TAT 15 days
RUBELLA VIRUS ANTIBODY,

IgM

9077

(ACUTE RUBELLA)
(RUBELLA IGM)

Collect specimen 1 to 3 weeks


after onset of rash

PLAIN RED

Do not centrifuge tube


REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 5 days

RUBELLA VIRUS
ANTIBODY, IgG

679

(RUBELLA ANTIBODY IGG IMMUNE)


(RUBELLA IGG)

RUBELLA VIRUS
ANTIBODY, IgG PRENATAL

Serum
Centrifuge only
TAT 1 day

679-P

Do not centrifuge tube

To be sent in conjunction with Prenatal Hepatitis B,


VDRL and Prenatal HIV
One tube is required for all the tests
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 10 days

RUBEOLA

Refer to MEASLES VIRUS ANTIBODY

RYTHMOL

Refer to PROPAFENONE

(RED MEASLES)

(PROPAFENONE)

TEST SPECIFICATION GUIDE SECTION R Page 4 of 4


CML HealthCare Inc Test Specification Guide 16915 Version: 10.0 29-Jun-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME
SALICYLATE

CODE
221

(ACETYLSALICYLIC ACID)
(ASA)
(ASPIRIN)

SPECIMEN REQUIREMENT

VACUTAINER

Serum
PLAIN RED
Minimum Volume required: 2 mL
Record time in hours that have elapsed between
last dose and specimen collection.

BILL
OHIP

LOC

HLRC

TAT 15 days
SCHILLINGS TEST

Refer patient to hospital for testing

SCL-70 ANTIBODIES

Refer to EXTRACTABLE NUCLEAR ANTIBODIES

(SCLERODERMAL ANTIBODY)
(ANTI SCL-70)

SECOBARBITAL

9434

Serum
PLAIN RED
Minimum Volume required: 3 mL
Collect trough specimen 10 - 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.

OHIP

HLRC

TAT 15 days
SEDIMENTATION RATE

Refer to ERYTHROCYTE SEDIMENTATION RATE

(ESR)
(SED RATE)

SELENIUM

99999

Serum

ROYAL BLUE
WITHOUT ADDITIVE

UNINSURED LL

Allow blood to clot for 30 minutes


at room temperature and separate
by centrifugation.
Transfer an aliquot of serum to a new
labelled ROYAL BLUE top tube (without additive),
cap tightly and FREEZE.
Store and ship frozen.
TAT - 10 days
SELENIUM

9491

Plasma
Minimum Volume required: 3 mL
Collect blood in contaminant-free
Royal Blue Top K2-EDTA
Separate plasma within 30 mins
Into metal-free polypropylene tube.
DO NOT use gel separator collection tubes.
TAT 14 days

ROYAL BLUE
- with K2 EDTA

SELENIUM

9944

Urine Random
10 mL random urine
Submit in 90 mL orange cap container. Indicate Random
Provide collection date.
Avoid Mineral spplements for 5 days.
TAT - 14 days

UNINSURED HLRC

SELENIUM

99999

24 hour urine
ACID WASHED CONTAINER
24 hour urine MUST be in an acid washed container
Record total volume and transfer 20ml
of measured 24 hour urine into a labelled sterile
90ml urine container.
Store and ship refrigerated.
TAT - 10 days

UNINSURED LL

TEST SPECIFICATION GUIDE SECTION S


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CML HealthCare Inc Test Specification Guide 18396 Version: 10.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED HLRC

TEST NAME

SELENIUM

CODE

99999

(SELENIUM ERYTHROCYTES)

SPECIMEN REQUIREMENT

VACUTAINER

Red Cells
ROYAL BLUE
Mix thoroughly through gentle inversion
- K2EDTA
Spin specimen for 15 mins.
Take off the plasma and buffy and a little of the red cells using a
Polyethylene transfer pipette and discard this.
Make sure to POUR the remaining RED CELLS into a
Labelled polypropylene tube and cap tightly.

BILL

LOC

UNINSURED LL

Be sure to allow all the blood to drain into the tube.


Store and ship refrigerated.
TAT 10 days
SEMEN ANALYSIS,
COMPLETE

HP12

(FOR FERTILITY)

Semen
Available only at specific sites by appointment.
Patient may call 905-565-0433 to arrange an appointment.

OHIP

CML

OHIP

CML

Do not code the Documentation Fee for this test.


TAT 4 days
Results may be delayed due to confirmation by pathologist
SEMEN ANALYSIS,
POST VASECTOMY

HP13

(POST VAS)
(SEMEN POST VAS)

Semen
Collection instructions and kits available
Do not code the Documentation Fee for this test.
TAT 4 days
Results may be delayed due to confirmation by pathologist

SENSITIVE TSH

Refer to THYROTROPIN

(THYROTROPIN)
(TSH)

SERAX

Refer to OXAZEPAM

(OXAZEPAM)

SEROTONIN
(5 HYDROXYTRYTAMINE)

9716

Serum
GOLD SST
2 aliquots of 1 mL keep aliquots together with elastic

UNINSURED HLRC

For 48-hours prior to collection, patient should abstain from:


Avocados, bananas, coffee, plums, pineapple, tomatoes, walnuts, hickory nuts,
Mollusks, eggplant, and meds such as aspirin, corticotrophins,
MAO inhibitors, phenacetin, catecholamines, reserpine, nicotine
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 35 days
SEROTONIN METABOLITE

Refer to 5-HYDROXYINDOL ACETATE

(5 HIAA)
(HYDROXYINDOLE)
(5-HYDROXYINDOLE ACETATE)

TEST SPECIFICATION GUIDE SECTION S


Page 2 of 6
CML HealthCare Inc Test Specification Guide 18396 Version: 10.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

SERTRALINE

9952

(ZOLOFT)

SPECIMEN REQUIREMENT

VACUTAINER

Serum
PLAIN RED
Centrifuge
Minimum Volume required: 2 mL aliquot
Patient should be on the drug 7 days prior to testing
Collect trough specimen 10 12 hours after last dose

BILL
OHIP

LOC

HLRC

Record time in hours that have elapsed between


last dose and specimen collection.
TAT 25 days
SEX HORMONE
BINDING GLOBULIN

2019

Serum
Minimum Volume required: 1.0 mL

GOLD SST

UNINSURED LL

(SHBG)

Collect blood in SST tube.


Allow blood to clot at room temperature for
30 minutes and separate by centrifugation.
o

Store and ship refrigerated at 2-8 C.


TAT 3 days
SGOT

Refer to ASPARATE AMINO TRANSAMINASE

(AST)
(ASPARATE AMINO TRANSAMINASE)

SGPT

Refer to ALANINE AMINO TRANSAMINASE

(ALT)
(ALANINE AMINO TRANSAMINASE)

SICKLE CELL SCREEN

453

(SICKLE CELL PREP)


(SICKLE CELL SOLUBILITY SCREEN)

Blood
Do not centrifuge

LAVENDER

OHIP

CML

TAT 1 day
SILVER, PLASMA
SILVER

TEST NO LONGER AVAILABLE


99999

24 hour urine
ACID WASHED CONTAINER
24 hour urine MUST be in an acid washed container.
Store and ship refrigerated.

UNINSURED LL

For industrial exposure, a random urine is recommended.


Creatinine level is determined on all 24 hour
urines to assess the completeness of the 24 hour collection.
TAT 10 days
SILVER

99999

Urine
Min volume: 20ml
Store and ship refrigerated.
TAT 10 days

SINEQUAN

Refer to DOXEPIN

(DOXEPIN)

TEST SPECIFICATION GUIDE SECTION S


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CML HealthCare Inc Test Specification Guide 18396 Version: 10.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED LL

TEST NAME

CODE

SIROLIMUS

9161

(RAPAMUNE)
(RAPAMYCIN)

SPECIMEN REQUIREMENT

VACUTAINER

Blood Whole

LAVENDER

BILL

LOC

OHIP

HLRC

OHIP

CML

OHIP

CML

OHIP

CML

Transplant hospital and Transplant physician MUST


be provided on the requisition.
Place the specimen and the Hospital Form
in a Priority labelled ziplock bag.
TAT 15 days

SLE ANTIBODIES

Refer to NUCLEAR ANTIBODIES

(ANA)
(ANF)
(ANTI NUCLEAR ANTIBODY)
(CENTROMERE ANTIBODY)

SMEAR FOR GRAM STAIN

Refer to GRAM STAIN

SMOOTH MUSCLE
ANTIBODIES

Refer to MITOCHONDRIAL ANTIBODIES

(ANTI-MITOCHONDRIAL ANTIBODIES)
(ANTI-SMOOTH MUSCLE ANTIBODY)
(ASMA)
(MITOCHONDRIAL ANTIBODIES)
(SMA)

SODIUM, SERUM

226

Centrifuge only
Hemolyzed specimens are not acceptable

GOLD SST

TAT 1 day
SODIUM, 24 HOUR URINE

226U

24-Hour Urine
10 mL aliquot submit in a white cap conical tube
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT 2 days

SODIUM, URINE

226RU

Urine
10 mL random urine
Submit in a white cap conical tube
TAT 2 days

SOMATOMEDIN C

Refer to INSULIN LIKE GROWTH FACTOR 1

(IGF)
(INSULIN LIKE GROWTH FACTOR 1)

TEST SPECIFICATION GUIDE SECTION S


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CML HealthCare Inc Test Specification Guide 18396 Version: 10.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

SOMATOTROPIN

CODE

317

(HUMAN GROWTH HORMONE)


(HGH)

SPECIMEN REQUIREMENT

VACUTAINER

Serum
Minimum volume required: 2 mL
Separate within 30 minutes

BILL

LOC

GOLD SST

OHIP

CML

GOLD SST

OHIP

DYN

OHIP

CML

FREEZE SERUM AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT 10 days
SPE

Refer to PROTEIN FRACTIONATION

(PROTEIN FRACTIONATION)

SPERM ANTIBODIES

597

(ANTI-SPERM ANTIBODIES)

Serum
Centrifuge only
Hemolysed samples are NOT acceptable
TAT 12 days

SS A

Included in Extractable Nuclear Antibodies Screen

(ROSE ANTIBODIES)

SS B

Included in Extractable Nuclear Antibodies Screen

(LATIMER ANTIBODIES)

STONE ANALYSIS

Refer to CALCULUS ANALYSIS

(CALCULUS ANALYSIS)

STOOL, PH

Refer to PH

STOOL,

Refer to REDUCING SUBSTANCES

(REDUCING SUBSTANCES)

STREET DRUGS

Refer to DRUGS OF ABUSE

(DRUGS OF ABUSE)
(DRUGS SCREEN)
(NARCOTIC SCREEN)
(URINE TOXICOLOGY)

STREPTOCOCCUS
THROAT SCREEN
STREPTOLYSIN O
ANTIBODY

Refer to CULTURE & SENSITIVITY, THROAT

659

Serum
Centrifuge only

GOLD SST

(ASOT)

TAT 1 day

STREPTOZYME TEST

Refer to STREPTOLYSIN O ANTIBODY

TEST SPECIFICATION GUIDE SECTION S


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CML HealthCare Inc Test Specification Guide 18396 Version: 10.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

SPECIMEN REQUIREMENT

SUCROSE LYSIS

NO LONGER AVAILABLE

SULFHEMOGLOBIN

NO LONGER AVAILABLE

SULPHONAMIDE

NO LONGER AVAILABLE

VACUTAINER

BILL

LOC

SURGICAL PATHOLOGY
Refer to HISTOPATHOLOGY
_________________________________________________________________________________________________________
SURMONTIL

Refer to TRIMIPRAMINE

(TRIMIPRAMINE)

SYNOVIAL FLUID

Refer to FLUID, TOTAL EXAM

(FLUID, TOTAL EXAM)

SYPHILIS
(VDRL)
(VDRL ROUTINE)
(TPI TREPONEMAL PALLIDUM
INVESTIGATION)
(FTA TREPONEMAL ANTIBODIES)

9000

Do not centrifuge tube

PLAIN RED

Syphilis requests can be for Screen, Confirmatory


or Diagnostic purposes
Code S17 on PHL Form
Reactive Syphilis screen test EIA is automatically tested
by confirmatory procedures and RPR
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 15 days

TEST SPECIFICATION GUIDE SECTION S


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CML HealthCare Inc Test Specification Guide 18396 Version: 10.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

N/C

PHL

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to LYMPHOCYTE MARKER T CELLS ONLY

T CELL LYMPHOCYTE
MARKER ONLY
(CD3, CD4, CD8)
(LYMPHOCYTE MARKER- T CELLS ONLY)

T3 RIA

Refer to TRIIODOTHYRONINE, TOTAL

(TOTAL T3)
(TRIIODOTHYRONINE)

T4 TOTAL, THYROXINE
TACROLIMUS

TEST NO LONGER AVAILABLE


9720

(FK506)
(PROGRAF)

Blood

LAVENDER

OHIP

HLRC

OHIP

SKH

STORE AND TRANSPORT AT ROOM TEMPERATURE


Collect specimen Monday to Thursday only
Send the specimen and a copy of the OHIP requisition
in a Priority labelled ziplock bag.
Transplant hospital and Transplant physician MUST
be provided on the requisition or print non-transplant
if indicated.
TAT variable

TAY SACHS

99999

Blood

(BETA n-ACETYLHEXOSAMINIDASE)

1 LAVENDER
1 PLAIN RED
1 GREEN
- with Heparin

Collect specimen Monday to Wednesday only


STORE AND SEND AT ROOM TEMPERATURE
Physician must complete a SKH Tay Sachs Registration Form
and a Molecular Genetics Form
The forms are available from the CML Problem solving Department
Send the specimens and the forms in a Priority labelled ziplock bag
Address Priority label:
Hospital for Sick Kids
Biochemical Genetics Laboratory
555 University Ave, Toronto
M5G 1X8
TAT - 15 days
T.B. CULTURE

Refer to MYCOBACTERIA TUBERCULOSIS DETECTION

(ACID FAST BACILLUS)


(AFB)
(TUBERCULOSIS CULTURE)

T & B CELLS

Refer to LYMPHOCYTE MARKERS, T & B CELLS

(ACUTE LEUKEMIA PHENOTYPING)


(LYMPHOPROLIFERATIVE DISEASE
PHENOTYPING)

TEST SPECIFICATION GUIDE SECTION T


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CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

TBG

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to THYROXINE BINDING GLOBULIN

(THYROXINE BINDING GLOBULIN)

TBII

Refer to THYROID RECEPTOR ANTIBODIES

(LATS)
(LONG ACTING THYROID STIMULATOR)
(THYROTROPIN BINDING INHIBITING
IMMUNOGLOBULIN)
(THYROID RECEPTOR ANTIBODIES)
(TRAB) TSH RECEPTOR ANTIBODY

TEGRETOL

Refer to CARBAMAZEPINE

(CARBAMAZEPINE)

TEST NO LONGER AVAILABLE Refer to C-TELOPEPTIDE

TELOPEPTIDE - N
TESTOSTERONE,
BIO AVAILABLE

2021

(BIO AVAILABLE TESTOSTERONE)


(BAT)

Serum
Minimum Volume required: 1.5 mL

GOLD SST

UNINSURED LL

GOLD SST

OHIP

LL

GOLD SST

OHIP

CML

Collect blood in SST tube.


Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation
o

Store and ship refrigerated at 2-8 C


TAT 3 days
TESTOSTERONE, FREE

763

(FREE TESTOSTERONE)

Serum
Minimum Volume required: 1.5 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation
o

Store and ship refrigerated at 2-8 C.


TAT 3 days
TESTOSTERONE, TOTAL

340

(TESTICULAR ANDROGEN)

Serum
Centrifuge only
State age and sex of patient
TAT 1 day

TETANUS

SEROLOGY TESTING NO LONGER AVAILABLE

(CLOSTRIDIUM TETANI
ANTIBODY)

THALASSEMIA
(ALPHA THALASSEMIA)
(BETA THALASSEMIA)

9200

Whole Blood- 5 tubes


LAVENDER
N/C
Serum 1 tube
GOLD SST
Min sample required 10ml
INCLUDES: CBC, Hemoglobin Electrophoresis and Ferritin
DNA Genetic Testing Form must be completed at Drs office
Prepackage sample with completed DNA form in PRIORITY envelope,
addressed to HLRC/MUMC
Collect Mon-Wed ONLY
TAT 8 weeks

TEST SPECIFICATION GUIDE SECTION T


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CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

HLRC

TEST NAME

THALLIUM

CODE

99999

SPECIMEN REQUIREMENT

VACUTAINER

Whole Blood
Mix thoroughly through gentle inversion.
SEND ENTIRE TUBE
Store and ship refrigerated.

ROYAL BLUE
- K2EDTA

BILL

LOC

UNINSURED LL

TAT 10 days
THALLIUM

99999

Urine
Min Volume: 20ml
Ensure hands are washed and clothes are free
of contamination.
Store and ship refrigerated.

UNINSURED LL

TAT 5-10 days


THC

Refer to CANNABINOIDS SCREEN

(CANNABIS)
(CANNABINOIDS SCREEN)
(MARIJUANA)
(TETRAHYDROCANNABINOIDS)

THEOPHYLLINE

321

(AMINOPHYLLINE)
(UNIPHYL)

Serum
PLAIN RED
Minimum specimen required: 2 mL
Collect trough specimen 10 12 hours after the last dose

OHIP

CML

Record time in hours that have elapsed between


last dose and specimen collection.
TAT 1 day
THIAMINE

9231

(VITAMIN B1)

Plasma
Minimum Volume required: 2 mL
Centrifuge within 1 hour of collection
Transfer plasma to amber transport tube

LAVENDER

UNINSURED HLRC

LAVENDER

UNINSURED HLRC

GOLD SST

OHIP

FREEZE PLASMA AND SEND FROZEN


TAT 25 days
THIOCYANATE
THIOPURINE
S METHLTRANSFERASE
(TPMT) GENOTYPE

TEST NO LONGER AVAILABLE


9311

(TPMT)

Whole Blood
Must complete form for molecular
Hematology testing and submit with
Specimen and requisition
TAT 13 days

THIORIDAZINE
(MELLARIL)

9731

Serum
Centrifuge only
TAT 20 days

THROMBOCYTE COUNT

Refer to COMPLETE BLOOD COUNT

(PLATELET COUNT)

TEST SPECIFICATION GUIDE SECTION T


Page 3 of 8
CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

HLRC

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

9743

Plasma
Minimum Volume required: 1 mL

LIGHT BLUE

OHIP

THROMBIN TIME

(THROMBIN CLOTTING TIME)


(COAGULATION THROMBIN INDUCED)

LOC

HLRC

Must be a clean venipuncture puncture


Remove tourniquet when blood starts to flow
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days
THROMBOPLASTIN TIME,
PARTIAL

99999

(FACTOR V LEIDEN)
(FACTOR V VON LEIDEN)
(PROTHROMBIN VARIANT)
(PROTHROMBIN MUTATION)
(PROTHROMBIN 20210A)
(MTHFR C677T)

Whole blood
LAVENDER
Mix thoroughly by gentle inversion.
To be received within 5 days
Store and ship and room temp.
This test includes Prothrombin Variant (mutation)
and Factor V Leiden

UNINSURED LL

TAT 14-21 days

THROMBOSIS GENETIC
SCREEN

Refer to PARTIAL THROMBOPLASTIN TIME

(PTT)

THYROGLOBULIN

9494

Serum
Centrifuge only

GOLD SST

OHIP

CML

Note: Not the same test as Thyroglobulin Antibody (HP16A)


TAT 10 days
THYROID RECEPTOR
ANTIBODIES

9454

(LATS)

Serum
Minimum volume required: 2 mL
Separate within 1 hour of collection

GOLD SST

UNINSURED HLRC

GOLD SST

OHIP

(LONG ACTING THYROID STIMULATOR)

FREEZE SERUM AND SEND FROZEN

(TBII)
(THYROPIN BINDING INHIBITOR

Requires clinical information: thyroid status,


Presence of exophthalmos

IMMUNOGLOBULIN)
(TRAB) TSH RECEPTOR ANTIBODY

TAT 30 days
THYROTROPIN

341

(SENSITIVE TSH)
(TSH)

Serum
Centrifuge only
TAT 1 day
3 MICROTAINERS ARE REQUIRED
WHEN COLLECTING FROM AN INFANT

THYROTROPIN BINDING
INHIBITOR IMMUNOGLOBULIN

Refer to THYROID RECEPTOR ANTIBODIES

(TBII) (THYROID STIMULATING ANTIBODY)


(LATS) (LONG ACTING THYROID STIMULATOR)

TRAB) TSH RECEPTOR ANTIBODY

TEST SPECIFICATION GUIDE SECTION T


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CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

CML

TEST NAME

CODE

THYROXINE BINDING
GLOBULIN

SPECIMEN REQUIREMENT

342

VACUTAINER

Serum
Centrifuge only
Submit Monday to Wednesday only

(TBG)

BILL

LOC

GOLD SST

OHIP

HLRC

GOLD SST

OHIP

CML

GOLD SST

UNINSURED HLRC

GOLD SST

UNINSURED LL

TAT 25 days
THYROXINE, FREE

339

Serum
Centrifuge only

(FREE T4)

TAT 1 day
3 MICROTAINERS ARE REQUIRED
WHEN COLLECTING FROM AN INFANT
THYROXINE, TOTAL (T4)

TEST NO LONGER AVAILABLE

TIBC

Refer to IRON

(IRON)
(IRON BINDING CAPACITY)
(IRON SATURATION)
(TIBC) (UIBC)
(TOTAL IRON BINDING CAPACITY)
(TRANSFERRIN SATURATION)

TISSUE TRANSGULTAMINASE 9744


IgA ANTIBODY
- HOSPITALS ONLY

Serum
Centrifuge only
TAT 20 days

TISSUE TRANSGULTAMINASE 1727


IgA ANTIBODY

Serum

(TISSUE TRANSGLUTAMINASE)
(TRANSGLUTAMINATE IGA)
(TTIGA)

Minimum volume required 1.0mL


Collect blood in SST tube. Allow blood to clot
at room temperature for 30 minutes and separate
by centrifugation.
o

Store and ship at 2-8 C


TAT 4 days
TOBRAMYCIN

PEAK
304TP
TROUGH 304TT

Serum
Minimum Volume required: 1 mL

PLAIN RED

OHIP

HLRC

Collection of trough (pre) and peak (post)doses must be collected


Collect blood prior to and I-hour following I.M. injection
Record time in hours that have elapsed between doses.
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 5 to 10 days
TOCOPHEROL
(VITAMIN E)

9386

Serum
Minimum Volume required: 2 mL
Protect from light by transferring serum
into an amber transport tube.

GOLD SST

FREEZE SERUM AND SEND FROZEN.


Refer to General Information Page for
Specimen Processing & Transport Guidelines.
TAT 30 days
TEST SPECIFICATION GUIDE SECTION T
Page 5 of 8
CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED HLRC

TEST NAME

CODE

TOFRANIL

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to IMIPRAMINE

(IMIPRAMINE)

TOPIRAMATE

9745

(TOPOMAX)

Serum
Minimum Volume required: 1 mL

PLAIN RED

OHIP

HLRC

PLAIN RED

N/C

PHL

N/C

PHL

OHIP

LL

FREEZE SERUM AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 20 days
TORCH STUDIES

9061

Do not centrifuge tube

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
Testing Includes Toxoplasmosis, Rubella,
Cytomegalovirus &Herpes Serologies
TAT 15 days
TOTAL IRON BINDING CAPACITY

Refer to IRON

(IRON)
(IRON BINDING CAPACITY)
(IRON SATURATION)
(TIBC) (UIBC)
(TRANSFERRIN SATURATION)

TOTAL T 3

Refer to TRIIODOTHYRONINE, TOTAL

(T3 RIA)
(TRIIODOTHYRONINE)

TOXOPLASMA GONDII
ANTIBODY

9025

Do not centrifuge tube

PLAIN RED

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days
TPO AB

Refer to ANTI-THYROID PEROXIDASE

(ANTITHYROID PEROXIDASE)

TRANSCOBALAMIN
TRANSFERRIN

TEST NO LONGER AVAILABLE


461

Serum
Minimum Volume required: 0.5 mL

GOLD SST

Collect blood in SST tube.


Allow blood to clot at room temperature for
30 minutes and separate by centrifugation
AS SOON AS POSSIBLE.
Transfer an aliquot of serum to a labelled tube,
cap tightly.
o

Store and ship refrigerated at 2-8 C.


TAT 3 days
TRANSFERRIN SATURATION

Refer to IRON

(IRON)
(IRON BINDING CAPACITY)
(IRON SATURATION)
(TIBC) (UIBC)
(TOTAL IRON BINDING CAPACITY)

TEST SPECIFICATION GUIDE SECTION T


Page 6 of 8
CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

TRANSGLUTAMINASE
IgA TISSUE (TTG)

Refer to TISSUE TRANSGLUTAMINASE IgA ANTIBODY

TRAZODONE

TEST NO LONGER AVAILABLE

BILL

LOC

(DESYREL)

TREPONEMAL ANTIBODIES

Refer to SYPHILIS

(FLUORESCENT ABSORPTION TEST)


(FTA- TREPONEMAL ANTIBODIES)

(SYPHILIS)

TREPONEMA PALLIDUM
IMMOBILIZATION

Refer to SYPHILIS

(TPI)
(SYPHILIS)

TRIAZOLAM (HALCION)
TRICHINELLA ANTIBODY

TEST NO LONGER AVAILABLE


9055

Do not centrifuge tube

PLAIN RED

N/C

PHL

(TRICHINOSIS IMMOBILIZATION
ANTIBODY)

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM

(TIA)

TAT 5 days
TRICHOMONAS VAGINALIS

Refer to CULTURE & SENSITIVITY, GENITAL

(TRICH)
(WET PREPARATION)

TRICYCLIC & TETRACYCLIC


ANTIDEPRESSANTS

See SPECIFIC DRUG SPECIMEN REQUIREMENTS


Specify Amitriptyline, Clomipramine, Desipramine,
Doxepin, Imipramine, Maprotiline, Nortriptyline,
Protriptyline, Trimipramine
TAT Variable

TRIGLYCERIDES

243

Serum
Centrifuge only
Either fasting or random samples are
acceptable for testing

GOLD SST

OHIP

CML

Ask patient
When did you last have something to eat
or drink other than water?
Document number of hours on the requisition.
Drop-offs/hubbing Document Drop-Off instead of number of hours.
TAT 1 day
TRIIODOTHYRONINE, FREE

607

(FREE T3)

Serum
Centrifuge only

GOLD SST

OHIP

CML

GOLD SST

OHIP

CML

TAT 1 day
TRIIODOTHYRONINE
REVERSE
TRIIODOTHYRONINE, TOTAL
(T3 RIA)
(TOTAL T3)

See REVERSE T3
336

Serum
Centrifuge only
TAT 1 day

TEST SPECIFICATION GUIDE SECTION T


Page 7 of 8
CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

TRIIODOTHYRONINE, UPTAKE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

TEST NO LONGER AVAILABLE

(T3 UPTAKE)

TRIMIPRAMINE

079T

(SURMONTIL)

Plasma
GREEN
Minimum Volume required: 2 mL
- with Heparin
Centrifuge and aliquot into serum tube
Collect trough specimen 10 12 hours after last dose
Record time in hours that has elapsed between
last dose and specimen collection.

OHIP

DYN

Refrigerate during storage and transport.


TAT 14 days
TRIPLE MARKER TEST

Refer to MATERNAL SCREEN

(DOWNS SYNDROME SCREEN)


(IPS- INTEGRATED PRENATAL SCREENING)

(MSS) (FETAL MARKERS)


(MATERNAL SCREEN)

TRIPTIL

Refer to PROTRIPTYLINE

(PROTRIPTYLINE)

TROPONIN I

Advise Doctor That We Do Not Perform This Test


Send Patient Back To The Physician Office
If The Physician Is Not Available, Send Patient To Hospital.
(Possible Heart Attack Patient)

TRYPSIN
TRYPTASE

TEST NO LONGER AVAILABLE


9949

Serum
GOLD SST
UNINSURED HLRC
Minimum Volume required: 2 mL
Collect 15 minutes to 3 hours post allergic reaction
Separate into 2 x 1ml aliquots and freeze as soon as possible
Elasticize aliquots together and send frozen to Pre-Analytical Dept.
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 25 days

TSH, SENSITIVE

Refer to THYROTROPIN

(SENSITIVE TSH)
(THYROTROPIN)

TSH, RECEPTOR Ab

Refer to THYROID RECEPTOR ANTIBODIES

(TRAB)
(LATS)
(TBII)

TTG

Refer to TISSUE TRANSGLUTAMINASE IgA ANTIBODY

TYLENOL

Refer to ACETAMINOPHEN

(ACETAMINOPHEN)

TYPHUS MURINE ANTIBODY

Refer to RICKETTSIA ANTIBODY

(R.AKARI)
(RICKETTSIA ANTIBODY)
(RMSP)
(ROCKY MOUNTAIN SPOTTED FEVER)

TYROSINE

Refer to PHENYLALANINE

TEST SPECIFICATION GUIDE SECTION T


Page 8 of 8
CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

UIBC

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to IRON

(IRON)
(IRON BINDING CAPACITY)
(IRON SATURATION)
(TIBC)
(TOTAL IRON BINDING CAPACITY)
(TRANSFERRIN SATURATION)

_________________________________________________________________________________________________________
UNIPHYL

Refer to THEOPHYLLINE

(AMINOPHYLLINE)
(THEOPHYLLINE)

URATE

252

(URIC ACID)

Serum
Centrifuge only

GOLD SST

OHIP

CML

OHIP

CML

OHIP

CML

OHIP

HLRC

OHIP

CML

TAT 1 day
URATE

252U

(URIC ACID)

24-Hour Urine
10 mL aliquot submit in a white cap conical tube
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Testing includes urine creatinine and total volume.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 2 days

UREA

251

(BLOOD UREA NITROGEN)


(BUN)

UREA

Serum
Centrifuge only

GOLD SST

TAT 1 day
251U

(BUN)

24-Hour Urine
50 mL aliquot submit in a white cap 90 mL container
No preservative
State total 24-hour volume on the OHIP Requisition,
on the specimen container and in Notes & Instructions .
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 15 days

UREAPLASMA

Refer to MYCOPLASMA ISOLATION

URIC ACID

Refer to URATE

(MYCOPLASMA ISOLATION)

(URATE)

URIC ACID, URINE

(URATE RANDOM URINE)

252RU

Urine
10 mL random urine
Submit in a white cap conical tube
TAT 2 days

TEST SPECIFICATION GUIDE SECTION U Page 1 of 2


CML HealthCare Inc Test Specification Guide 18085 Version: 5.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME
URINALYSIS, CHEMICAL

CODE
281

(URINALYSIS ROUTINE)

SPECIMEN REQUIREMENT

VACUTAINER

Urine
Collect urine in a sterile 90mL urine container
Transfer 10-12mL of urine into a urinalysis conical tube

BILL
OHIP

LOC
CML

If testing is delayed more than two hours post collection,


o
Specimens should be stored and shipped refrigerated at 2-8 C
FIRST MORNING SPECIMEN IS PREFERRED
Test includes: Appearance, Colour, pH, Protein,
Glucose, Keytone, Blood, Nitrite, Leukocyte Esterase
and Specific Gravity
Store and ship refrigerated at 2-8 C. If testing will be delayed
more than 24 hours post collection IMMEDIATELY add one 50 mg
Cargille tablet to 10 mL of urine in the conical tube.
Clearly label the tube preservative added.
Store and ship at room temperature for up to 72 hours.
Note: if adding preservative it must be added within 24hrs of collection. It cannot be
added after 24hrs post collection. Best practice is to add preservative as soon as
possible.
TAT 1 day
URINALYSIS, MICROSCOPIC

299

(URINALYSIS MICRO)

Urine
Collect urine in a sterile 90mL urine container
Transfer 10-12mL of urine into a urinalysis conical tube

OHIP

CML

If testing is delayed more than two hours post collection,


o
Specimens should be stored and shipped refrigerated at 2-8 C
FIRST MORNING SPECIMEN IS PREFERRED
Note: chemical urinalysis can be performed on the same
Specimen submitted for urinalysis microscopic.
Store and ship refrigerated at 2-8 C. If testing will be delayed
more than 24 hours post collection IMMEDIATELY add one 50 mg
Cargille tablet to 10 mL of urine in the conical tube. Clearly label
the tube preservative added.
Store and ship at room temperature for up to 72 hours.
Note: if adding preservative it must be added within 24hrs of collection. It cannot be
added after 24hrs post collection. Best practice is to add preservative as soon as
possible.
TAT 1 day
URINE TOXICOLOGY

Refer to DRUGS OF ABUSE SCREEN

(DRUGS OF ABUSE)
(DRUG SCREEN)
(NARCOTIC SCREEN)
(STREET DRUGS)

UROBILINOGEN

292

Urine
10 mL random urine
Protect from light by transferring urine
into an amber transport tube.
TAT 1 day

UROBILINOGEN

Stool - NO LONGER AVAILABLE

UROPORPHYRIN

Refer to PORPHYRINS, QUANTITATIVE

(COPROPORPHYRINS)
(PORPHYRINS)

TEST SPECIFICATION GUIDE SECTION U Page 2 of 2


CML HealthCare Inc Test Specification Guide 18085 Version: 5.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

CML

TEST NAME

CODE

VALPROATE

257

(DEPAKENE)
(DIVALPROEX)
(EPIVAL)
(VALPROIC ACID)

SPECIMEN REQUIREMENT

VACUTAINER

Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect trough specimen 10 12 hours after last dose

BILL

LOC

OHIP

CML

Record time in hours that have elapsed between


last dose and specimen collection.
TAT 1 day
Refer to DIAZEPAM

VALIUM
(DIAZEPAM)

VANADIUM NMS LABS

99999

Urine
ACID WASHED CONTAINER UNINSURED LL
Min volume: 10ml
Patient must avoid gadolinium-based contrast media
used for MRIs for 48 hours prior to collection.
Collect urine in 90ml sterile container and transfer
WITHOUT DELAY into a labelled NMS Labs 60ml ACID WASHED container
Store and ship refrigerated.
TAT 1-2 weeks

VANCOMYCIN, PEAK

9105

Serum
PLAIN RED
Minimum Volume required: 1 mL
Indicate peak specimen (post)
Collect the peak specimen one hour following an IM injection,
or 15 minutes following a 60 minute IV infusion,
or 30 minutes following a 30 minute IV administration.

OHIP

HLRC

OHIP

HLRC

State the time the IM or IV was administered


and the time the specimen was drawn.
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 5 to 10 days
VANCOMYCIN, TROUGH

9106

Serum
Minimum Volume required: 1 mL
Indicate trough specimen (pre)
Collect the trough specimen immediately
before the IM injection or IV infusion.

PLAIN RED

State the time the specimen was drawn and


the time the IM or IV was administered.
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT 5 to 10 days

TEST SPECIFICATION GUIDE SECTION V Page 1 of 5


CML HealthCare Inc Test Specification Guide 18211 Version: 5.0 30-May-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

VANILLYMANDELATE

CODE
261

(VMA)

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

24-Hour Urine
OHIP
10 mL aliquot submit in a white cap conical tube
labelled CREATININE and a
50 mL aliquot submit in a 90 mL white cap container labelled VMA
Do NOT add acid; pH will be adjusted in Biochemistry Dept.

CML

Abstain from coffee, tea, cola, fruits, chocolate & vanilla


48 hours before and during collection.
Note: Report may be delayed for confirmation of abnormal results.
State total 24-hour volume on the OHIP Requisition, on the specimen
container, and in Notes & Instructions.
Testing includes urine creatinine and total volume.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT 14 days
VARICELLA ZOSTER VIRUS
ANTIBODY

9062

Do not centrifuge tube

PLAIN RED

N/C

PHL

PLAIN RED

N/C

PHL

Public Health Laboratory recommends


both acute and convalescent specimens
taken two weeks apart.

(CHICKEN POX) (HERPES ZOSTER)


(VARICELLA ANTIBODY)
(ZOSTER ANTIBODY) (SHINGLES)

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days
VACCINIA VIRUS
ANTIBODY

9051

Do not centrifuge tube

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days
VASOACTIVE INTESTINAL
PEPTIDE

99999

(VIP)

Plasma 2 tubes
LAVENDER
Collect 2 Lavender top tubes.
Mix thoroughly by gentle inversion.
Spin IMMEDIATELY and transfer plasma aliquot to
labelled tube
Store and ship FROZEN

UNINSURED LL

TAT 2-3 weeks


VASOPRESSIN
(ADH)
(ANTIDIURETIC HORMONE)

9903

Plasma
Collect in pre-chilled tube
Minimum volume required: 3 mL

LAVENDER

FREEZE PLASMA AND SEND FROZEN


TAT 45 60 days
VDRL

Refer to SYPHILIS

(SYPHILIS)
(VDRL ROUTINE)

TEST SPECIFICATION GUIDE SECTION V Page 2 of 5


CML HealthCare Inc Test Specification Guide 18211 Version: 5.0 30-May-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED HLRC

TEST NAME

VERY LOW DENSITY


LIPOPROTEIN

CODE

9747

(VLDL)
(ULTRACENTRIFUGATION HDL/LDL)

SPECIMEN REQUIREMENT

VACUTAINER

Serum
3 GOLD SST
Minimum Volume required: 7 mL
Must be centrifuged within 6 hours of collection
Alliquote serum into an empty red top vacutainer

BILL

LOC

OHIP

SMH

N/C

PHL

N/C

PHL

N/C

PHL

(CHOLESTEROL IN VLDL)

Testing Includes Cholesterol, Triglycerides, HDL/LDL


TAT 15 days
VINCENT'S ORGANISMS

Refer to GRAM STAIN

VIRAL LOAD

Refer to HIV VIRAL LOAD

(HIV VIRAL LOAD)

VIRAL STUDIES

9005

Do not centrifuge tube

PLAIN RED

Virus History Form must be completed


If the virus is requested by name, this
must be recorded on the Form.
Public Health Laboratory recommends both acute
and convalescent specimens taken two weeks apart.
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 15 days
VIRAL STUDIES

9049

Stool
5 g. (Approx. 1 teaspoon) random stool
DO NOT USE CARY BLAIR MEDIA
Submit in VIRUS TM media kit
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 10 days

VIRAL STUDIES
(VIRUS ISOLATION)

637C

Swab State source


Submit in VIRUS SW media kit
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 25 days

TEST SPECIFICATION GUIDE SECTION V Page 3 of 5


CML HealthCare Inc Test Specification Guide 18211 Version: 5.0 30-May-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

VISCOSITY, RELATIVE

CODE

9746

QUANTITATIVE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LAVENDER

OHIP

Whole blood
4 mL

LOC

HLRC

Do NOT centrifuge
Store and transport at room temperature
Submit Monday, Tuesday, Wednesday ONLY
TAT 15 days
Refer to RETINOL

VITAMIN A
(RETINOL)

Refer to THIAMINE

VITAMIN B1
(THIAMINE)

VITAMIN B6

Refer to PYRIDOXINE

VITAMIN B12

Refer to COBALAMINS

VITAMIN C

Refer to ASCORBATE

(PYRIDOXAL PHOSPHATE)
(PYRIDOXINE)
(B12)
(COBALAMINS)
(ASCORBIC ACID)
(ASCORBATE)

Refer to CALCITRIOL

VITAMIN D
(1,25 DIHYDROXY VITAMIN D)
(CALCITRIOL)

Refer to CALCIDIOL (UNINSURED)

VITAMIN D (UNINSURED)
(25 HYDROXYVITAMIN D)
(CALCIDIOL)

Refer to CALCIDIOL (INSURED)

VITAMIN D (INSURED)
(25 HYDROXYVITAMIN D)
(CALCIDIOL)

Refer to TOCOPHEROL

VITAMIN E
(TOCOPHEROL)

Refer to VERY LOW DENSITY LIPOPROTEIN

VLDL
(VERY LOW DENSITY LIPOPROTEIN)
(ULTRACENTRIFUGATION HDL/LDL)

Refer to VANILLYMANDELATE

VMA
(VANILLYMANDELIC ACID)

VON WILLEBRAND FACTOR


ACTIVITY

9983

Plasma
Minimum Volume required: 2ml

1 LIGHT BLUE

FREEZE PLASMA AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT 10 Days

TEST SPECIFICATION GUIDE SECTION V Page 4 of 5


CML HealthCare Inc Test Specification Guide 18211 Version: 5.0 30-May-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED HLRC

TEST NAME

VON WILLEBRAND FACTOR


ANTIGEN

CODE

9982

SPECIMEN REQUIREMENT

VACUTAINER

Plasma
Minimum Volume required: 2ml

1 LIGHT BLUE

BILL

LOC

UNINSURED HLRC

FREEZE PLASMA AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT 17 Days
NO LONGER AVAILBLE

VON WILLEBRAND FACTOR


COFACTOR

VON WILLEBRAND FACTOR


MULTIMERS

VON WILLEBRAND FACTOR


SCREEN
(INCLUDES MULTIMERS)

Refer to VON WILLEBRAND FACTOR SCREEN

9980

Plasma
2 LIGHT BLUE
Minimum Volume required: 4 aliquots of 1ml
Keep together with elastic band. Label all samples.

UNINSURED HLRC

FREEZE PLASMA AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines
Screening includes the following or the tests may be ordered separately:
9950
9982
9983

Von Willebrand Factor VIII-C


Von Willebrand Factor Antigen
Von Willebrand Activity
Von Willebrand Multimers Not offered as individual test

UNINSURED
UNINSURED
UNINSURED

TAT 20 days

VON WILLEBRAND FACTOR


VIII-C

9950

Plasma
Minimum Volume required: 2ml

1 LIGHT BLUE

UNINSURED HLRC

FREEZE PLASMA AND SEND FROZEN


Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT 10 Days

VINYL CHLORIDE

99999

Urine
Collect specimen at the end of the workshift
Collect random urine in a sterile urine container and cap tightly.
Store and ship refrigerated.
TAT 1-2 weeks

TEST SPECIFICATION GUIDE SECTION V Page 5 of 5


CML HealthCare Inc Test Specification Guide 18211 Version: 5.0 30-May-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED LL

TEST NAME

WARFARIN

CODE

SPECIMEN REQUIREMENT

9201

Plasma
Minimum Volume required: 3 mL

(COUMADIN)

VACUTAINER

BILL

LOC

GREEN
- with Heparin

UNINSURED HLRC

PLAIN RED

N/C

PHL

N/C

PHL

TAT 15 days
Refer to COMPLETE BLOOD COUNT

WBC
(LEUKOCYTE COUNT)
(WHITE BLOOD CELL COUNT)

WEIL'S DISEASE

Refer to LEPTOSPIRA ANTIBODY

(LEPTOSPIRA ANTIBODY)
(LEPTOSPIROSIS ANTIBODIES)

WEST NILE VIRUS


SEROLOGY

9911

Do not centrifuge tube

State the patients clinical history on the PHL form


and indicate acute or convalescent specimen
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 20 days
Refer to CULTURE & SENSITIVITY, GENITAL

WET PREPARATION
(TRICH)
(TRICHOMONAS VAGINALIS)

Refer to COMPLETE BLOOD COUNT

WHITE BLOOD CELL COUNT


(LEUKOCYTE COUNT)
(WBC)

WHOOPING COUGH SEROLOGY

NO LONGER AVAILABLE

(BORDETELLA PERTUSSIS
ANTIBODY)

WHOOPING COUGH

Refer to BORDETELLA PERTUSSIS

WOOD LAMPS TEST

Refer to DERMATOPHYTOSIS

(DERMATOPHYTOSIS)
(RINGWORM OF SCALP)

WORM IDENTIFICATION

9090

Stool
Submit whole specimen without contamination from other fluids
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 15 days

TEST SPECIFICATION GUIDE SECTION W Page 1 of 2


CML HealthCare Inc. Test Specification Guide 16918 Version: 2.0 30-May-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

WORM IDENTIFICATION

CODE

9091

SPECIMEN REQUIREMENT

VACUTAINER

Worm
Submit whole worm without contamination from other fluids
REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT 15 days

TEST SPECIFICATION GUIDE SECTION W Page 2 of 2


CML HealthCare Inc. Test Specification Guide 16918 Version: 2.0 30-May-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

BILL

N/C

LOC

PHL

TEST NAME

CODE

XYLOSE ABSORPTION

SPECIMEN REQUIREMENT

Blood

VACUTAINER

GRAY

BILL

LOC

OHIP

DYN

(XYLOSE TOLERANCE)

Code
265

Test
Adult Test: Greater than 18 years of age
Must fast 8-hours before test
Drink 25g Xylose dissolved in 250 mL of water
followed by another 250 mL of water
Collect blood 2-hours after consumption of drink
Enter height and weight in Notes & Instructions.

265T

Child Test: 12-18 years


Must fast 8-hours before test
Administer 25 g Xylose dissolved in 250 mL water
followed by another 250 mL water.
Collect blood 1 hour after consumption of drink

265P

Child Test: 12 years and younger


Children 9-12 years old must fast overnight (at least 8 hours)
Children younger than 9 years must fast 4-hours before test
Must Drink 5g Xylose dissolved in 50 mL of water
followed by another 250 mL of water
Collect blood 1 hour after consumption of drink.

TAT 14 days

XYLENE EXPOSURE

99999

Urine

(METHYLHIPPURIC ACID)

For industrial exposure at the end of the workshift.


Collect random urine in labelled container and cap tightly.
Store and ship refrigerated.
TAT 1-2 days

TEST SPECIFICATION GUIDE SECTION X Page 1 of 1


CML HealthCare Inc Test Specification Guide 14728 Version: 3.0 24-Nov-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED LL

TEST NAME

YERSINIA ANTIBODIES

CODE
9073

SPECIMEN REQUIREMENT

VACUTAINER

BILL

Do not centrifuge tube

PLAIN RED

N/C

REQUESTING PHYSICIAN MUST PROVIDE


COMPLETED PHL FORM
TAT 15 days

TEST SPECIFICATION GUIDE SECTION Y Page 1 of 1


CML HealthCare Inc Test Specification Guide 14729 Version: 1.1 7/24/2008
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

LOC
PHL

TEST NAME

CODE

ZARONTIN

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

ROYAL BLUE
- no additive

OHIP

HLRC

OHIP

DYN

Refer to ETHOSUXIMIDE

(ETHOSUXIMIDE)

ZINC

266

Serum
Minimum Volume required: 2 mL
Centrifuge
Aliquot into an empty plastic transfer tube
Refrigerate during storage and transport.
TAT 15 days

ZINC

266U

24-Hour Urine
50 mL aliquot submit in a 90 mL white cap container
Refrigerate during storage and transport.
State total 24-hour volume on the OHIP Requisition
on the specimen container and in Notes & Instructions.
TAT 12 days

ZINC PROTOPORPHYRIN

9143

Whole Blood
Do not centrifuge

ROYAL BLUE
K2EDTA

Collect Monday to Thursday only


TAT 15 days
ZOLOFT

Refer to SERTRALINE

(SERTRALINE)

ZYPREXA

Refer to OLANZAPINE

(OLANZAPINE)

TEST SPECIFICATION GUIDE SECTION Z


Page 1 of 1
CML HealthCare Inc Test Specification Guide 17955 Version: 3.0 18-Feb-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED HLRC

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