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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 SCC’s / POCC’s, 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: 6.0 5-Mar-2014
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: 6.0 5-Mar-2014
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
Testing Facility
Testing Facility Phone #
BAGL
Bay Area Genetic Laboratory
905-385-1045
CML
CML HealthCare
905-565-0043
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
MSH
Life Labs
Mount Sinai Hospital
MUMC
McMaster University Medical Centre
NYGH
North York General Hospital
905-813-4335/4214
1-800-265-5946
905-577-1477
905-521-2100 x 42667
519-685-8500 ext.77736
1-877-404-0637
416-586-4800
905-521-2100 x 75022
416-756-6055
OGH
Oshawa General Hospital
1-877-677-5463
PHL
Public Health Labs
416-235-5952
PLSI
Phenomenome LabService Inc
306-244-8233
SBH
Sunnybrook Health Science Centre
416-480-4652
SKH
Hospital for Sick Kids
416-813-1500
SMH
St. Michael’s Hospital
416-360-4000
SJH
St. Joseph’s Hospital
905-521-6036
TGH
Toronto General Hospital
416-586-8510
VTF
Various Testing Facilities
TSG GENERAL INFORMATION
Page 3 of 6
CML HealthCare Inc Test Specification Guide 16954 Version: 6.0 5-Mar-2014
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
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
GAMMA DYNACARE
245 PALL MALL STREET, LONDON
N6A 1P4
92
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
TSG GENERAL INFORMATION
Page 4 of 6
CML HealthCare Inc Test Specification Guide 16954 Version: 6.0 5-Mar-2014
DOI: Sept/2005
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
96
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LIST OF TESTS MIDWIVES ARE PERMITTED TO ORDER (TESTS FOR MOTHERS):
HEMATOLOGY
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
‐
‐
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: 6.0 5-Mar-2014
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: 6.0 5-Mar-2014
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
Refer to ALBUMIN/GLOBULIN RATIO
A/G RATIO
(ALBUMIN/ GLOBULIN RATIO)
Refer to HEMOGLOBIN A1C
A1C
(GLYCOSYLATED HEMOGLOBIN)
(HbA1C)
(HEMOGLOBIN A1C)
Refer to BLOOD GROUP
ABO, RhD
(ABO & TYPE)
(BLOOD GROUP & RhD)
(BLOOD GROUP) (Rh TYPING)
Refer to BLOOD GROUP PHENOTYPE
ABO, Rh(D), GENOTYPE
(BLOOD GROUP, Rh(D) & GENOTYPE)
(GENOTYPE)
E.G. ANTIGENS C, E, c, e
ABO & ANTIBODY SCREEN
(ABO & SCREEN)
(PRENATAL SCREEN)
(TYPE & SCREEN)
(BLOOD GROUP PRENATAL ANTIBODY)
Refer to BLOOD GROUP
and
Refer to ANTIBODY SCREEN
Refer to ANGIOTENSIN CONVERTING ENZYME
ACE
(ANGIOTENSIN CONVERTING ENZYME)
ACETAMINOPHEN
079A
(TYLENOL)
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
002
(KETONES)
Serum
Centrifuge only. Do not open tube
Refrigerate during storage and transport.
GOLD SST
TAT – 14 days
ACETONE, QUALITATIVE
(KETONES QUALITATIVE)
254–5
Urine
10 mL random urine
Submit in a YELLOW cap conical tube.
TAT – 1 day
TEST SPECIFICATION GUIDE - SECTION A
Page 1 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
ACETYLCHOLINE
RECEPTOR ANTIBODY
9144
SPECIMEN REQUIREMENT
Serum
Centrifuge only
VACUTAINER
BILL
GOLD SST
LOC
$130.00
HLRC
OHIP
DYN
OHIP
DYN
TAT – 30 days
ACETYL CHOLINESTERASE
057R
(RBC CHOLINESTERASE)
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
TAT – 15 days
Refer to SALICYLATE
ACETYLSALICYLIC ACID
(ASA)
(ASPIRIN)
(SALICYLATE)
ACETYL CHOLINESTERASE
057R
(RBC CHOLINESTERASE)
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
TAT – 15 days
ACYLCARNITINE
(FRACTIONATION)
9341
Centrifuge, separate into transfer tube
GREEN
and freeze immediately. Store and send frozen
$70.00
TAT – 15 days
ACID FAST BACILLUS
Refer to MYCOBACTERIA TUBERCULOSIS DETECTION
(AFB)
(MYCOBACTERIA TUBERCULOSIS DETECTION)
(T.B. CULTURE)
(TUBERCULOSIS CULTURE)
ACID PHOSPHATASE,
PROSTATIC
TEST NO LONGER AVAILABLE
ACID PHOSPHATASE
TOTAL
TEST NO LONGER AVAILABLE
ACTH
Refer to CORTICOTROPIN
(ADRENOCORTICOTROPIC HORMONE)
(CORTICOTROPIN)
TEST SPECIFICATION GUIDE - SECTION A
Page 2 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
HLRC
TEST NAME
ACTIVATED PROTEIN C
RESISTANCE
CODE
9901
(APCR)
SPECIMEN REQUIREMENT
Plasma
Minimum Volume required: 2 mL
Patient should not be on anticoagulant
therapy
VACUTAINER
LIGHT BLUE
BILL
$60.00
LOC
HLRC
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
(LYMPHOCYTE MARKERS, T & B CELLS)
(LYMPHOPROLIFERATIVE DISEASE
PHENOTYPING)
Refer to RUBELLA VIRUS ANTIBODY, IgM
ACUTE RUBELLA
(RUBELLA VIRUS ANTIBODY, IGM)
ADAMTS - 13
9535
(THROMBOTIC THROMBOCYTOPENIC
PURPURA)
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.
N/C
MUMC
FORM AVAILABLE ON CML WEBSITE
SEROLOGY NO LONGER AVAILABLE
ADENOVIRUS ANTIBODY
ADENOVIRUS PCR
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)
$50.00
SKH
FORM AVAILABLE ON CML WEBSITE
Refer to VASOPRESSIN
ADH
(ANTI–DIURETIC HORMONE)
(ADH VASOPRESSIN)
(VASOPRESSIN)
ADRENAL ANTIBODIES
9904
Serum
Centrifuge only
GOLD SST
TAT – 15 days
ADRENOCORTICOTROPIC
HORMONE
Refer to CORTICOTROPIN
(ACTH)
(CORTICOTROPIN)
TEST SPECIFICATION GUIDE - SECTION A
Page 3 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-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
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
OHIP
CML
Refer to MYCOBACTERIA TUBERCULOSIS DETECTION
AFB
(ACID FAST BACILLUS)
(MYCOBACTERIA TUBERCULOSIS DETECTION)
(T.B. CULTURE)
(TUBERCULOSIS CULTURE)
Refer to COLD AGGLUTININS SCREEN
AGGLUTINATION REACTION
SCREEN
(COLD AGGLUTININS SCREEN)
Refer to HIV 1 & 2 ANTIBODY SCREEN
AIDS
(HIV)
(HIV 1 & 2 ANTIBODY SCREEN)
(HIV SEROLOGY)
Refer to GLIADIN ANTIBODIES
AGA
(ANTI–GLIADIN ANTIBODY)
(GLIADIN ANTIBODIES)
Refer to DELTA-AMINOLEVULINATE
ALA
(DELTA–AMINOLEVULINATE)
ALANINE AMINO
TRANSAMINASE
223
(ALT)
(SGPT)
ALBUMIN
Serum
Centrifuge only
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
Refer to MICROALBUMIN
ALBUMIN QUANTITATIVE
(MICROALBUMIN)
TEST NO LONGER AVAILABLE
ALBUMIN/GLOBULIN RATIO
(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 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-2014
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
VACUTAINER
BILL
LOC
Refer to ETHANOL
ALCOHOL- ETHYL
(ETHANOL)
Refer to ISOPROPANOL
ALCOHOL- ISOPROPYL
(ISOPROPANOL)
Refer to METHANOL
ALCOHOL- METHYL
(METHANOL
TEST NO LONGER AVAILABLE
ALDOLASE
ALDOSTERONE
300
Serum
Centrifuge only and aliquot
to transfer tube.
Ship frozen
TAT – 24 days
GOLD SST
OHIP
ALDOSTERONE
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.
HLRC
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 freezer until test is reported.
FREEZE URINE AND SEND FROZEN
Refer to the General Information Pages for
Specimen Processing & Transport Guidelines
TAT – 20 days
ALKALINE PHOSPHATASE
191
(PHOSPHATASE ALKALINE)
(ALP)
Serum
Centrifuge only
GOLD SST
OHIP
CML
2 GOLD SST
OHIP
CML
TAT – 1 day
ALKALINE PHOSPHATASE
FRACTIONATION
191
192
(ALKALINE PHOSPHATASE
ISOENZYME)
(PHOSPHATASE ALKALINE ISOENZYMES)
ALLERGIC ALVEOLITIS
(ALLERGIC LUNG)
(FARMERS LUNG)
9036
Serum
Label 1 SST autoChem
Label 1 SST Alk. Phos. Fract.
Centrifuge only
 Testing Includes Total Alkaline Phosphase 
TAT – 4 days
Serum
GOLD SST
OHIP
Centrifuge only
 Do not confuse with Avian Precipitins 
Includes M. Faeni and T Vulgaris. To order Allergic Lung
Serology please order both Farmer’s Lung Precipitins (SFAR) AND
Aspergillus Precipitins (SASPP)
TAT – 30 days
TEST SPECIFICATION GUIDE - SECTION A
Page 5 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
HLRC
TEST NAME
ALLERGY TESTING
CODE
SPECIMEN REQUIREMENT
See chart
(ASIA)
(SERUM ALLERGEN TEST)
(ALLERGEN SPECIFIC IGE
ANTIBODY TEST)
(RAST)
(ALLERGEN SPECIFIC
IMMUNOASSAY)
VACUTAINER
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.
TAT – 5 days
NOTE: TAT for unlisted allergens is 4-6 weeks.
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 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
BILL
$23.00
LOC
HRL
TEST NAME
ALLERGY TESTING MIX
CODE
See Chart
SPECIMEN REQUIREMENT
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
$23.00
HRL
GOLD SST
OHIP
CML
GOLD SST
$105.00
HLRC
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
TAT – 2 days
ALPHA–1 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
ALPHA–1 ACID
GLYCOPROTIEN
9923
Serum
Centrifuge and aliquot to transfer tube.
GOLD SST
TAT – 15 days
TEST SPECIFICATION GUIDE - SECTION A
Page 7 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-2014
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
Serum
Centrifuge Only.
VACUTAINER
BILL
LOC
GOLD SST
OHIP
HLRC
LIGHT BLUE
$50.00
HLRC
GOLD SST
OHIP
CML
GOLD SST
OHIP
VTF
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
691–C
Serum
Centrifuge only
(AFP-ONCOLOGY)
Specify if testing is tumor related
Diagnosis must be indicated
TAT – 1 day
ALPHA FETOPROTEIN,
PREGNANCY
691–P
Serum
Centrifuge only
(AFP-PREGNANCY)
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
Refer to ALANINE AMINO TRANSAMINASE
ALT
(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
AMETHOPTERIN
Refer to METHOTREXATE
(METHOTREXATE)
TEST SPECIFICATION GUIDE - SECTION A
Page 8 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
$40.00
HLRC
TEST NAME
CODE
AMIKACIN

PEAK
304AP

TROUGH
304AT
SPECIMEN REQUIREMENT
VACUTAINER
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
BILL
LOC
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
$45.00
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
Refer to METABOLIC SCREEN
AMINO ACIDS
(METABOLIC SCREEN)
AMINO ACIDS-QUANTITATIVE 013
(AMINO ACID FRACTIONATION)
(PHENYLALANINE)
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
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
TAT –20 days
TEST SPECIFICATION GUIDE - SECTION A
Page 9 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
AMITRIPTYLINE
CODE
079AM
(ELAVIL)
SPECIMEN REQUIREMENT
VACUTAINER
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 has elapsed
between last dose and specimen collection.
Refrigerate during storage and transport.
BILL
LOC
OHIP
DYN
OHIP
HLRC
OHIP
HLRC
N/C
PHL
N/C
PHL
OHIP
CML
 Testing Includes Nortriptyline 
TAT – 15 days
TESTING NO LONGER AVAILABLE
AMMONIA
(NH3)
AMOBARBITAL
9411
(AMYTAL)
Serum
Minimum Volume required: 3 mL
PLAIN RED
TAT – 15 days
AMOBARBITAL
9412
(AMYTAL)
Urine
Minimum Volume required: 10 mL random urine
Submit in a 90 mL orange cap container
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
1st in ova and parasite container
nd
2 in 90 mL container with orange lid
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
Serum - NO LONGER AVAILABLE
AMOXAPINE
AMPHETAMINE
078AM
Urine
10 mL random urine
Submit in a blue cap conical tube
TAT – 3 days
TEST SPECIFICATION GUIDE - SECTION A
Page 10 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
AMYLASE
CODE
018
(DIASTASE)
SPECIMEN REQUIREMENT
Serum
Centrifuge only
VACUTAINER
GOLD SST
BILL
LOC
OHIP
CML
OHIP
CML
OHIP
CML
TAT – 1 day
AMYLASE
018U
(DIASTASE)
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
018RU
(DIASTASE)
Urine
10 mL random urine
Submit in a white cap conical tube.
TAT – 2 days
AMYLASE FLUID
018FL
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.
CONTRACT HLRC
TAT – 10 days
AMYLASE FRACTIONATION
018I
(AMYLASE ISOENZYME)
Serum
Centrifuge only
Indicate clinical problem requiring analysis.
GOLD SST
TAT – 45 to 60 days
AMYTAL
Refer to AMOBARBITAL
(AMOBARBITAL)
ANA
Refer to NUCLEAR ANTIBODIES
(ANF)
(ANTI–NUCLEAR ANTIBODY)
(CENTROMERE ANTIBODY)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODIES)
ANAFRANIL
Refer to CLOMIPRAMINE
(CLOMIPRAMINE)
ANCA–C (CYTOPLASMIC)
Refer to NEUTROPHIL CYTOPLASMIC ANTIBODIES - C
(ANTI–NEUTROPHIL
CYTOPLASMIC ANTIBODY–C)
(NEUTROPHIL CYTOPLASMIC ANTIBODIES)
TEST SPECIFICATION GUIDE - SECTION A
Page 11 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
$60.00
HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
SKH
$35.00
HLRC
GOLD SST
OHIP
CML
3 LAVENDERS
OHIP
CML
LAVENDER
OHIP
CML
Refer to NEUTROPHIL CYTOPLASMIC ANTIBODIES - P
ANCA–p (PERINUCLEAR)
(ANTI–NEUTROPHIL
CYTOPLASMIC ANTIBODIES–P)
Refer to TESTOSTERONE
ANDROGEN TESTICULAR
(TESTOSTERONE)
ANDROSTENEDIONE
305
Serum
PLAIN RED
Spin, separate and freeze
Store and ship FROZEN
TAT – 8 days
ANDROSTERONE
NO LONGER AVAILABLE
ANF
Refer to NUCLEAR ANTIBODIES
(ANA)
(ANTI-NUCLEAR ANTIBODY)
(CENTROMERE ANTIBODY)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODIES)
ANGIOTENSIN CONVERTING
ENZYME
9245
(ACE)
Serum
GOLD SST
Centrifuge only
Assay cannot be performed on a lipemic specimen
Refrigerate during storage and transport.
TAT – 15 days
ANION GAP
053
061
204
226
Serum
Centrifuge only
Hemolyzed specimens are unacceptable
TAT – 1 day
NO LONGER AVAILABLE
ANTABUSE
ANTIBODY IDENTIFICATION
HP15
Blood
(ANTIBODY ID)
(BLOOD GROUP ANTIBODY IDENTIFICATION)
DO NOT SEPARATE
 Testing Includes titre if positive 
TAT – 2 days
ANTIBODY SCREEN
482
Blood
(INDIRECT COOMBS)
(REPEAT PRENATAL ANTIBODY SCREEN)
DO NOT SEPARATE
TAT – 2 days
TEST SPECIFICATION GUIDE - SECTION A
Page 12 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-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
Refer to CARDIOLIPIN ANTOBIDES
ANTI–CARDIOLIPIN AB
(ANTI PHOSPHOLIPID)
(CARDIOLIPIN ANTOBIDES)
ANTI-CCP
Refer to CYCLIC CITRULLINATED PEPTIDE ANTIBODIES
ANTI–dsDNA ANTIBODY
Refer to DNA ds ANTIBODIES
(ANTI-DNA)
(ANTI DSDNA DOUBLE STRANDED AB)
(DNA ds ANTIBODIES)
Refer to VASOPRESSIN
ANTI–DIURETIC HORMONE
(ADH)
(VASOPRESSIN)
Refer to EXTRACTABLE NUCLEAR ANTIBODIES SCREEN
ANTI–ENA
(ENA ANTIBODY)
(EXTRACTABLE NUCLEAR ANTIBODIES SCREEN)
ANTI–ENDOMYSIAL ANTIBODY
(ENDOMYSIUM ANTIBODIES)
Refer to ENDOMYSIUM ANTIBODIES
ANTI–EPIDERMAL ANTIBODY
Refer to PEMPHIGUS/PEMPHIGOID ANTIBODIES
(ANTI-SKIN ANTIBODIES)
(PEMPHIGUS/PEMPHIGOID ANTIBODIES)
Refer to GLIADIN ANTIBODIES
ANTI–GLIADIN ANTIBODY
(AGA)
(GLIADIN ANTIBODIES)
Refer to GLOMERULAR BASEMENT MEMBRANE ANTIBODY
ANTI–GLOMERULAR
BASEMENT MEMBRANE
(GLOMERULAR BASEMENT MEMBRANE ANTIBODY)
(ANTI-GAD)
Serum
Minimum Volume Required: 1ml
Centrifuge and aliquot
Store and ship frozen
TAT - 25 days
ANTI–HISTONE
Refer to HISTONE ANTIBODIES
ANTI-GLUTAMIC ACID
DEHYDECARBOXYLASE
9233
GOLD SST
(HISTONE ANTIBODIES)
ANTI–HBs
Refer to HEPATITIS B VIRUS SURFACE ANTIBODY
(HEPATITIS B–IMMUNE STATUS)
(HEAPTITIS B VIRUS SURFACE ANTIBODY)
TEST SPECIFICATION GUIDE - SECTION A
Page 13 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-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
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to INSULIN ANTIBODIES
ANTI–INSULIN
(INSULIN ANTIBODIES)
Refer to INTRINSIC FACTOR ANTIBODIES
ANTI–INTRINSIC FACTOR
(INTRINSIC FACTOR ANTIBODIES)
Refer to EXTRACTABLE NUCLEAR ANTIBODIES
ANTI–JO 1
(JO-1 EXTRACTABLE NUCLEAR ANTIBODIES)
Refer to EXTRACTABLE NUCLEAR ANTIBODIES
ANTI–LA
(SS-B)
(SS-B EXTRACTABLE NUCLEAR ANTIBODIES)
(LKM ANTIBODY)
(ANTI-LIVER KIDNEY MICROSOMAL
ANTIBODIES)
Serum
Centrifuge only
Store and ship refrigerated
TAT – 14 days
ANTI-MICROSOMAL ANTIBODIES
Refer to THYROID MICROSOMAL ANTIBODIES
ANTI-LKM ANTIBODY
9237
GOLD SST
OHIP
HLRC
(ATA) (ATMA)
(ANTI-THYROID ANTIBODY)
(MICROSOMAL ANTIBODIES)
(MICROSOMAL THYROID ANTIBODIES)
(THYROGLOBULIN ANTIBODIES)
(THYROID ANTIBODIES)
ANTI–MITOCHONDRIAL ANTIBODY
Refer to MITOCHONDRIAL ANTIBODIES
(ASMA)
(ANTI-SMOOTH MUSCLE ANTIBODIES)
(MITOCHONDRIAL ANTIBODIES)
(SMA)
(SMOOTH MUSCLE ANTIBODY)
ANTI-MULLERIAN HORMONE
9590
(AMH)
(ANTI OVARIAN HORMONE)
(MIS)
Serum
Minium volume required: 1 mL
Centrifuge and aliquot
Store and ship frozen.
PLAIN RED
TAT – 6 days
ANTI–NEUTROPHIL CYTOPLASMIC
ANTIBODIES - C
Refer to NEUTROPHIL CYTOPLASMIC ANTIBODIES - C
(c-ANCA - CYTOPLASMIC)
ANTI–NEUTROPHIL CYTOPLASMIC
ANTIBODIES - P
Refer to NEUTROPHIL CYTOPLASMIC ANTOBIDIES - P
(p-ANCA – PERINUCLEAR)
ANTI–NUCLEAR ANTIBODY
Refer to NUCLEAR ANTIBODIES
(ANA)
(ANF)
(CENTROMERE ANTIBODIES)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODIES)
TEST SPECIFICATION GUIDE - SECTION A
Page 14 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
$62.00
LL
TEST NAME
CODE
ANTI–PANCREATIC
ISLET CELLS ANTIBODY
SPECIMEN REQUIREMENT
VACUTAINER
Refer to PANCREATIC ISLET CELL ANTIBODIES
(PANCREATIC ISLET CELL ANTIBODIES)
ANTI–PARIETAL CELL
ANTIBODIES
Refer to PARIETAL CELL ANTIBODIES
(PARIETAL CELL ANTIBODIES)
ANTI–PHOSPHOLIPID
Refer to CARDIOLIPIN ANTIBODIES
(ANTI-CARDIOLIPIN)
(CARDIOLIPIN ANTIBODIES)
ANTI-PLATELET ANTIBODIES
Refer to PLATELET ANTIBODY SCREEN
(PLATELET ASSOCIATED ANTIBODIES)
(PLATELET ANTIBODY SCREEN)
ANTI–RETICULIN ANTIBODY
Refer to RETICULIN ANTIBODIES
(ANTI-RETICULIN AB)
(RETICULIN ANTIBODIES)
ANTI–RNP
Refer to EXTRACTABLE NUCLEAR ANTIBODIES
ANTI–RO
Refer to EXTRACTABLE NUCLEAR ANTIBODIES
(SS–A)
ANTI–SCL–70
Refer to EXTRACTABLE NUCLEAR ANTIBODIES
(Scl-70 ANTIBODIES)
(SCLERODERMAL ANTIBODY)
ANTI–SM
Refer to EXTRACTABLE NUCLEAR ANTIBODIES SCREEN
(ANTI–SMITH)
ANTI–SMOOTH MUSCLE ANTIBODIES
Refer to MITOCHONDRIAL ANTIBODIES
(ANTI-MITOCHONDRIAL ANTIBODIES)
(ASMA) (MITOCHONDRIAL ANTIBODIES)
(SMA) (SMOOTH MUSCLE ANTIBODY)
ANTI–SPERM ANTIBODIES
Refer to SPERM ANTIBODIES
(SPERM ANTIBODIES)
ANTI–STREPTOCCAL
HYALURONIDASE ANTIBODY
TEST NO LONGER AVAILABLE
(ASH)
ANTI–STREPTOLYSIN O TITRE
Refer to STREPTOLYSIN O ANTIBODY
(ASOT)
(STREPTOLYSIN O ANTIBODY)
TEST SPECIFICATION GUIDE - SECTION A
Page 15 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-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
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to THYROID MICROSOMAL ANTIBODIES
ANTI-THYROID ANTIBODY
(ATA) (ATMA)
(ANTI-THYROID ANTIBODY)
(MICROSOMAL ANTIBODIES)
(THYROID MICROSOMAL ANTIBODIES)
(THYROGLOBULIN ANTIBODIES)
(THYROID ANTIBODIES)
ANTI–THROMBIN III
373
(ANTI-THROMBIN ASSAY)
Plasma
LIGHT BLUE
Minimum Volume required: 1 mL
Specify if for functional or immunological testing
Patient should not be on anticoagulant therapy
OHIP
HLRC
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT – 20 days
Refer to THYROID PEROXIDASE ANTIBODY
ANTI-THYROID PEROXIDASE
(TPO AB)
(THYROID PEROXIDASE ANTIBODY)
Refer to ACTIVATED PROTEIN C RESISTANCE
APCR
(ACTIVATED PROTEIN C RESISTANCE)
Serum
Submit Monday – Wednesday ONLY
Patient must fast 12 hours
Separate serum from red cells within 4 hours
APOLIPOPROTEIN
9857
9858
PLAIN RED
Specify:
A1 – 1 mL
B – 1 mL
C2 ACTIVATION – NO LONGER AVAILABLE
HLRC
$35.00
$35.00
Refrigerate during storage and transport.
TAT – 30 days
APOLIPOPROTEIN-E
(-E GENOTYPE)
9862
Whole Blood
Submit Monday – Wednesday ONLY
Store and send refrigerated
LAVENDER
TAT – 30 days
APO PROTEIN a
Refer to LIPOPROTEIN a
(LIPOPROTEIN a)
TEST SPECIFICATION GUIDE - SECTION A
Page 16 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
$55.00
HLRC
TEST NAME
ARBOVIRUS ANTIBODIES
CODE
9080
SPECIMEN REQUIREMENT
VACUTAINER
Do not centrifuge tube
PLAIN RED
BILL
N/C
LOC
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)
$70.00
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
$70.00
HLRC
$70.00
HLRC
$70.00
HLRC
$70.00
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
TAT – 45 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.
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.
TAT – 30 days
TEST SPECIFICATION GUIDE - SECTION A
Page 17 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
ARTHROPOD IDENTIFICATION 9028
(BUGS)
(LICE)
SPECIMEN REQUIREMENT
VACUTAINER
Send entire specimen in container
BILL
N/C
LOC
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.
Refer to SALICYLATE
ASA
(ACETYSALICYLIC ACID)
(ASPIRIN)
(SALICYLATE)
ASCORBATE
019
(ASCORBIC ACID)
(VITAMIN C)
Serum
GOLD SST
Minimum Volume required: 2 mL
Protect from light by aliquoting into amber tube.
OHIP
DYN
OHIP
CML
FREEZE SERUM AND SEND FROZEN
Freeze within 30 minutes of collection
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT – 15 days
TEST NO LONGER AVAILABLE
ASH
(ANTI–STREPTOCCAL HYALURONIDASE AB)
Refer to MITOCHONDRIAL ANTIBODIES
ASMA
(ANTI–SMOOTH MUSCLE ANTIBODY)
(ANTI-MITOCHONDRIAL ANTIBODY)
(MITOCHONDRIAL ANTIBODIES)
(SMA) (SMOOTH MUSCLE ANTIBODY)
Refer to STREPTOLYSIN O ANTIBODY
ASOT
(ANTI–STREPTOLYSIN O TITRE)
(STREPTOLYSIN O ANTIBODY)
ASPARTATE AMINO
TRANSAMINASE
(AST)
(SGOT)
222
Serum
GOLD SST
Centrifuge only
TAT – 1 day
TEST SPECIFICATION GUIDE - SECTION A
Page 18 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
ASPERGILLUS ANTIBODY
CODE
9033
SPECIMEN REQUIREMENT
Do not centrifuge
VACUTAINER
PLAIN RED
BILL
N/C
LOC
PHL
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 30 days
Refer to SALICYLATE
ASPIRIN
(ACETYSALICYLIC ACID)
(ASA)
(SALICYLATE)
Refer to ASPARTATE AMINO TRANSAMINASE
AST
(ASPARTATE AMINO TRANSAMINASE)
(SGOT)
Refer to THYROID MICROSOMAL ANTOBIDIES
ATA
(ATMA)
(ANTI-THYROID ANTIBODY)
(MICROSOMAL ANTIBODIES)
(THYROGLOBULIN ANTIBODIES)
(THYROID MICROSOMAL ANTIBODIES)
(THYROID ANTIBODIES)
Refer to LORAZEPAM
ATIVAN
(LORAZEPAM)
Refer to NORTRIPTYLINE
AVENTYL
(NORTRIPTYLINE)
AVIAN PRECIPITINS
(BIRD FANCIER’S DISEASE)
9034
Serum
Centrifuge, separate into transfer
tube and refrigerate.
PLAIN RED
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 19 of 19
CML HealthCare Inc Test Specification Guide 18356 Version: 15.0
21-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
$35.00
HLRC
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to CAROTENE
B–CAROTENE
(CAROTENE)
B-TYPE NATRIURETIC PEPTIDE
Refer to N-TERMINAL PROBRAIN NATRIURETIC PEPTIDE
B12
Refer to COBALAMINS
(VITAMIN B12)
(COBALAMINS)
Refer to BETA 2-MICROGLOBULIN
B2 MICROGLOBULIN
(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
9011
Do not centrifuge tube
PLAIN RED
(CAT SCRATCH DISEASE)
▀ 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 4°C
TAT – 33 days
BENADRYL
Refer to DIPHENHYDRAMINE
(DIPHENHYDRAMINE)
BENCE–JONES PROTEIN
Refer to PROTEIN ANALYSIS – BENCE JONES PROTEIN
(IEP – RANDOM URINE)
(IMMUNOELECTROPHORESIS)
(HEAVY AND LIGHT CHAINS)
BENZENE (PHENOL)
TEST NO LONGER AVAILABLE
TEST SPECIFICATION GUIDE - SECTION B
Page 1 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 5.0 2-Apr-2014
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
OHIP
LOC
CML
TAT – 2 days
BETA 2 GLYCOPROTIEN I IgG 9268
Serum
PLAIN RED
OHIP
HLRC
GOLD SST
$50.00
HLRC
(BETA-2-GP-I IgG
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
9101RU
(B2 MICROGLOBULIN)
(MICROGLOBULIN)
Urine
10 mL random urine – Submit in a 90 mL orange cap container
$50.00
HLRC
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
Refer to CHORIOGONADOTROPIN
BETA–hCG
(BHCG)
(HUMAN CHORIONIC GONADOTROPIN)
(CHORIOGONADOTROPIN)
BETA HYDROXYBUTYRATE
9248
(BHBA)
(3HBA)
Serum
Centrifuge, separate into transfer tube.
Freeze immediately. Store and send frozen.
GOLD SST
OHIP
HLRC
OHIP
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
TAT – 14 days
BICARBONATE
Refer to CARBON DIOXIDE
(CO 2)
(CARBON DIOXIDE)
TEST SPECIFICATION GUIDE - SECTION B
Page 2 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 5.0 2-Apr-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
9307
Serum
Minimum Volume required: 1 mL
BILE ACID
VACUTAINER
GOLD SST
BILL
LOC
$40.00
HLRC
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
PLAIN RED
N/C
PHL
12 hour fast required
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
Refer to TESTOSTERONE BIO AVAILABLE
BIO AVAILABLE
TESTOSTERONE
(TESTOSTERONE BIO AVAILABLE)
BILIRUBIN
254–6
(BILE)
Urine
10 mL random urine
Submit in a yellow cap conical tube
TAT – 1 day
BILIRUBIN, DIRECT
031
(CONJUGATED BILIRUBIN)
(BILIRUBIN GLUCURONIDATED)
Serum
Centrifuge only
TAT – 1 day
BILIRUBIN, INDIRECT
(UNCONJUGATED BILIRUBIN)
(BILIRUBIN NON-GLUCURONIDATED)
030
031
Serum
Centrifuge only
State test in “Notes & Instructions”.
TAT – 1 day
BILIRUBIN, TOTAL
030
Serum
Centrifuge only
TAT – 1 day
Refer to QUINIDINE
BIQUIN
(Q-10 METABOLITE)
(QUINIDINE)
Refer to AVIAN PRECIPITINS
BIRD FANCIERS’ DISEASE
BLASTOMYCES ANTIBODY
(BLASTOMYCOSIS ANTIBODY
DERMATITIDIS)
9037
Do not centrifuge tube
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 30 days
TEST SPECIFICATION GUIDE - SECTION B
Page 3 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 5.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
BLASTOMYCOSIS
CULTURE DERMATITIDIS
CODE
9038
SPECIMEN REQUIREMENT
VACUTAINER
Culture
Skin scraping
BILL
LOC
N/C
PHL
LAVENDER
OHIP
CML
LAVENDER
OHIP
CML
LAVENDER
OHIP
CML
OHIP
CML
▀ 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)
Blood
DO NOT SEPARATE
TAT – 2 days
Refer to ANTIBODY IDENTIFICATION
BLOOD GROUP ANTIBODY
IDENTIFICATION
BLOOD GROUP PHENOTYPE
493
(ABO, Rh(D), (GENOTYPE)
(GENOTYPE)
- Eg ANTIGEN C, E, c, e
TAT – 2 days
Refer to BLOOD GROUP
and
Refer to ANTIBODY SCREEN
BLOOD GROUP
PRENATAL Ab
(ABO & Ab SCREEN
PRENATAL SCREEN
TYPE & SCREEN)
BLOOD GROUP ANTIGENS
Blood
DO NOT SEPARATE
494
- Eg Kell, Duffy, KIDD
Blood
DO NOT SEPARATE
TAT – 2 days
BLOOD, QUALITATIVE
254–7
Urine
10 mL random urine
Submit in a yellow cap conical tube
TAT – 1 day
TEST SPECIFICATION GUIDE - SECTION B
Page 4 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 5.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
BLOOD PRESSURE
MONITORING
CODE
995
SPECIMEN REQUIREMENT
VACUTAINER
Performed at limited sites
BILL
LOC
$75.00
CML
N/C
PHL
N/C
PHL
N/C
PHL
TAT – 4 days
Refer to BLOOD GROUP
BLOOD TYPE
(ABO, Rh(D), (ABO & TYPE)
(BLOOD GROUP & Rh(D)
(Rh TYPE)
Refer to N-TERMINAL PROBRAIN NATRIURETIC PEPTIDE
BNP
(NT-PRO)
SERUM TESTING NO LONGER AVAILABLE
BORDETELLA PERTUSSIS
ANTIBODY
(WHOOPING COUGH)
BORDETELLA PERTUSSIS
9047
(WHOOPING COUGH)
Swab – State source
Use the PHL Kit
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 4 days
BORRELIA BURGDORFERI
ANTIBODY
9045
Do not centrifuge tube
PLAIN RED
Patient’s history and symptoms are mandatory
(LYME DISEASE)
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT –15 days
BROAD SPECTRUM DRUG SCREEN
Refer to DRUG SCREEN BROAD SPECTRUM
BROMIDE
NO LONGER AVAILABLE
BRUCELLA ANTIBODY
9007
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
 Testing Includes Brucella Abortus and Brucella Melitensis 
TAT– 5 days
BUGS
Refer to ARTHROPOD IDENTIFICATION
(ARTHROPODS)
(LICE)
BUN
Refer to UREA
(UREA)
TEST SPECIFICATION GUIDE - SECTION B
Page 5 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 5.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
BUTABARBITAL
CODE
9471
SPECIMEN REQUIREMENT
VACUTAINER
Urine
25 mL random urine
Submit in a 90 mL orange cap container
TAT – 15 days
BUTAZOLIDINE
NO LONGER AVAILABLE
(PHENYLBUTAZONE)
TEST SPECIFICATION GUIDE - SECTION B
Page 6 of 6
CML HealthCare Inc Test Specification Guide 17525 Version 5.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
BILL
OHIP
LOC
HLRC
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
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)
Refer to COMPLEMENT C5
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)
C–PEPTIDE
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
C–REACTIVE PROTEIN
(CRP)
(C–REACTIVE PROTEIN)
SEE C-REACTIVE PROTEIN HIGH SENSITIVITY
TEST SPECIFICATION GUIDE - SECTION C
Page 1 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
C–REACTIVE PROTEIN
HIGH SENSIVITY
CODE
665HS
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
GOLD SST
$60.00
HLRC
GOLD SST
$35.00
CML
GOLD SST
$35.00
HLRC
PLAIN RED
$55.00
HLRC
LAVENDER
$40.00
HLRC
$40.00
HLRC
$40.00
HLRC
Serum
Centrifuge only
(CRP HIGH SENSIVITY)
TAT – 1 day
C–TELOPEPTIDE
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
CA 125
9389
(OV 125)
(CANCER ANTIGEN 125)
Serum
Centrifuge only
Should not to be used as a diagnostic
screening test.
TAT – 5 days
CA 15 – 3, Breast
9912
(CANCER ANTIGEN 15-3)
(CARBOHYDRATE ANTIGEN 15-3)
Serum
Centrifuge and aliquot to transfer tube.
Freeze serum and send frozen
TAT – 10 days
CA 19– 9, Pancreas
9913
(CANCER ANTIGEN 19-9)
(CARBOHYDRATE ANTIGEN 19-9)
Serum
Centrifuge and aliquot to transfer tube.
Store and ship refrigerated.
TAT – 4 days
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
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
TAT – 21 days
TEST SPECIFICATION GUIDE - SECTION C
Page 2 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CAFFEINE
CODE
9129
(CAFFEINE- QUANTITATIVE)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
$60.00
HLRC
GOLD SST
$50.00
CML
GOLD SST
OHIP
CML
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
CALCIDIOL (UNINSURED)
9802
(25 HYDROXY VITAMIN D)
(VITAMIN D)
Serum
Minimum volume required: 2 mL
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
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
HLRC
GOLD SST
OHIP
CML
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
CALCITRIOL
605
(VITAMIN D)
(1,25 DIHYDROXY VITAMIN D)
Serum
Minimum volume required: 2 mL
Centrifuge and pour-off
Store and send refrigerated
TAT – 14 days
CALCIUM
045
Serum
Centrifuge only
TAT – 1 day
TEST SPECIFICATION GUIDE - SECTION C
Page 3 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CALCIUM, CORRECTED
CODE
045C
SPECIMEN REQUIREMENT
VACUTAINER
Serum
GOLD SST
Centrifuge only
Testing includes serum calcium and albumin.
BILL
LOC
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
State test in “Notes & Instructions” and on the OHIP requisition.
TAT – 1 day
CALCIUM, IONIZED
046–1
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
CALCIUM, URINE
045U
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
Submit entire specimen
Indicate source
Transportation: follow irretrievable sample procedure.
Submit unpreserved stone in clean labelled container.
TAT – 30 days
OHIP
HLRC
9293
Sterile Container
Collect undiluted feces in a clean, dry, sterile, leakproof
container. Do not add fixative or preservative.
Store and ship frozen.
$110.00
LL
(STONE ANALYSIS)
CALPROTECTIN, STOOL
(FECAL CALPROTECTIN)
TAT- 15 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)
TEST SPECIFICATION GUIDE - SECTION C
Page 4 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-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
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
VACUTAINER
BILL
LOC
OHIP
CML
OHIP
CML
GOLD SST
OHIP
CML
GREEN
-with Heparin
OHIP
LL
Urine
10 mL random urine
Submit in a blue cap conical tube
TAT – 2 days
040
(TEGRETOL)
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
CARBOHYDRATE
ANTIGEN 15-3
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
TEST SPECIFICATION GUIDE - SECTION C
Page 5 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CARCINOEMBRYONIC
ANTIGEN
CODE
690
SPECIMEN REQUIREMENT
VACUTAINER
BILL
GOLD SST
OHIP
CML
$35.00
CML
Serum – Min volume: 1ml
Centrifuge and aliquot to transfer tube.
LOC
(CEA)
A CEA Requisition Form completed and signed
by the physician must accompany sample.
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
(CEA)
Serum – Min Volume 1ml
Centrifuge and aliquot into transfer tube.
Store and ship refrigerated.
GOLD SST
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
9109
(ANTI–CARDIOLIPIN AB)
(ANTI PHOSPHOLIPIN)
Serum
Minimum volume required: 2 mL
PLAIN RED
$55.00
HLRC
GOLD SST
$60.00
HLRC
GOLD SST
OHIP
HLRC
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
CARNITINE, FREE / TOTAL
9710
Serum
Minimum Volume required: 1 mL
Provide date of birth, gender, clinical history.
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 20 days
CAROTENE
(B–CAROTENE)
049
Serum
Minimum Volume required: 4 mL
FREEZE SERUM AND SEND FROZEN
Protect from light by transferring serum into an amber transport tube.
TAT – 20 days
TEST SPECIFICATION GUIDE - SECTION C
Page 6 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
CAT SCRATCH FEVER ANTIBODY
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LAVENDER
OHIP
LOC
Refer to BARTONELLA ANTIBODY
(BARTONELLA ANTIBODY)
CATECHOLAMINES
9527
(EPINEPHRINES)
(NOREPINEPHRINES)
CATECHOLAMINES,
FRACTIONATED
Plasma
HLRC
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
051
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.
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 – 30 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)
TEST SPECIFICATION GUIDE - SECTION C
Page 7 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
CELIAC DISEASE PANEL
9951
SPECIMEN REQUIREMENT
Serum
Centrifuge only
VACUTAINER
GOLD SST
BILL
LOC
$120.00
HLRC
OHIP
CML
 Testing Includes Deamidated Gliadin Peptide IgG
And Tissue Transglutaminase IgA Antibodies 
TAT – 15 days
CELONTIN
Refer to METHSUXIMIDE
(METHSUXIMIDE)
CENTROMERE ANTIBODIES
Refer to NUCLEAR ANTIBODIES
(ANA)
(ANF)
(NUCLEAR ANTIBODIES)
(SLE ANTIBODY)
CERULOPLASMIN
052
Serum
Centrifuge only
GOLD SST
TAT – 1 day
CH50
Refer to COMPLEMENT TOTAL CH50
(COMPLEMENT HEMOLYTIC)
(HEMOLYTIC COMPLEMENT FIXATION)
(COMPLEMENT TOTAL CH50)
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 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. VIPER SWAB: 6930 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
Page 8 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
CHLAMYDIA PSITTACI
ANTIBODY
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
SEROLOGY TESTING NO LONGER AVAILABLE.
(PSITTACOSIS ANTIBODY)
CHLORDIAZEPOXIDE
9467
Serum
RED TOP
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 – 15 days
OHIP
HLRC
053
Serum
Centrifuge only
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
(LIBRIUM)
CHLORIDE
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
(LARGACTIL)
9496
Serum
PLAIN RED
Minimum Volume required: 2 mL
Collect trough specimen prior to next dose.
Record time in hours that have elapsed between
last dose and specimen collection.
OHIP
TAT – 15 days
CHOLESTEROL, FASTING
Refer to LIPID ASSESSMENT, FASTING
CHOLESTEROL, RANDOM
Refer to LIPID ASSESSMENT, FASTING
CHOLESTEROL IN HDL
Refer to LIPID ASSESSMENT, FASTING/LIPID ASSESSMENT, NON FASTING
CHOLESTEROL IN LDL
(LDL CHOLESTEROL)
Refer to LIPID ASSESSMENT, FASTING/LIPID ASSESSMENT, NON FASTING
TEST SPECIFICATION GUIDE - SECTION C
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This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
HLRC
TEST NAME
CHOLINESTERASE, TOTAL
CODE
057
SPECIMEN REQUIREMENT
Serum
Minimum volume required: 2 mL
Centrifuge and aliquot into transfer tube
Store and ship frozen.
VACUTAINER
BILL
LOC
GOLD SST
OHIP
HLRC
GOLD SST
OHIP
HLRC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
$60.00
HLRC
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
Refer to ACETYL CHOLINESTERASE
318–C
(BETA HCG- for ONCOLOGY)
Serum
Centrifuge only
Label tube “hCG for Oncology”.
TAT – 1 day
CHORIO GONADOTROPIN,
PREGNANCY
318
Serum
Centrifuge only
(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.
TAT – 15 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.
$60.00
HLRC
TAT – 20 days
CHROMOGRANIN A
9244
Plasma (EDTA)
2 x 1ml aliquots
Store and ship frozen
LAVENDER
TAT – 15 days
TEST SPECIFICATION GUIDE - SECTION C
Page 10 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
$90.00
HLRC
TEST NAME
CODE
CHROMOSOME ANALYSIS
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
HLRC
OHIP
HLRC
OHIP
DYN
Refer to KARYOTYPING
(KARYOTYPING)
CIRCULATING ANTICOAGULANT
Refer to LUPUS ANTICOAGULANT
(LUPUS ANTICOAGULANT)
(NON–SPECIFIC COAGULATION INHIBITORS)
CITRATE
9323
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 24-hour volume
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 15 days
CK
Refer to CREATINE KINASE
(CPK)
(CREATINE PHOSPHOKINASE)
(CREATINE KINASE)
CK–MB
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 10–12 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 – 20 days
TEST SPECIFICATION GUIDE - SECTION C
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CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CLONAZEPAM
CODE
9536
(RIVOTRIL)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
PLAIN RED
OHIP
HLRC
N/C
PHL
Serum
Minimum Volume required: 3 mL
Centrifuge and aliquot into serum tube
Collect trough specimen immediately
prior to next dose.
FREEZE SERUM AND SEND FROZEN
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
GOLD SST
OHIP
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
(VITAMIN B12)
345
Serum
Centrifuge only.
TAT – 1 day
TEST SPECIFICATION GUIDE - SECTION C
Page 12 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
CML
TEST NAME
CODE
COBALT
9917
SPECIMEN REQUIREMENT
Plasma
Separate
Minimum Volume required: 3 mL.
VACUTAINER
ROYAL BLUE
K2 EDTA
BILL
LOC
$60.00
HLRC
$60.00
HLRC
OHIP
CML
N/C
PHL
OHIP
CML
TAT – 30 days
COBALT
9918
Urine
50 mL random urine
Submit in a 90 mL orange cap container.
TAT – 30 days
COCAINE SCREEN
078C
Urine
10 mL random urine
Submit in a blue cap conical tube.
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
Clot at room temperature (preferable 37o 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
$75.00
GOLD SST
OHIP
PLSI
(GTA-446)
Centrifuge and aliquot into serum tube
Refrigerate during storage and transport
TAT – 10 days
COMPLEMENT C1
(ESTERASE INHIBITOR)
561
Serum
Centrifuge only
Refrigerate during storage and transport.
TAT – 15 days
TEST SPECIFICATION GUIDE - SECTION C
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CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
DYN
TEST NAME
CODE
COMPLEMENT C1
ESTERASE INHIBITOR,
FUNCTIONAL
9707
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
LIGHT BLUE
$80.00
HLRC
GOLD SST
OHIP
HLRC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
HLRC
Plasma
Minimum volume required: 2 mL
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
COMPLEMENT C1Q
Refer to C1Q IMMUNE COMPLEXES
(C1Q IMMUNE COMPLEXES)
(C1Q COMPLEMENT BINDING ACTIVITY)
(IMMUNE COMPLEXES, C1Q)
COMPLEMENT C2
9919
(C2)
Serum
Minimum Volume required: 2 mL
Collect in pre-chilled tube
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
TAT – 1 day
COMPLEMENT C4
552
(C4)
Serum
Centrifuge only
TAT – 1 day
COMPLEMENT C5
(C5)
9708
Serum
Minimum Volume required: 2 mL
Only performed if CH50 is low
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
TEST SPECIFICATION GUIDE - SECTION C
Page 14 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
COMPLEMENT C6
9709
(C6)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GOLD SST
OHIP
HLRC
GOLD SST
OHIP
HLRC
LAVENDER
OHIP
CML
ROYAL BLUE
- No Additive
OHIP
DYN
OHIP
DYN
Serum
2 aliquots of 1 mL – keep aliquots
together with elastic
Only performed if CH50 is low
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 ANTI–HUMAN GLOBULIN)
COPPER
063
Serum
Minimum Volume required: 3 mL
Centrifuge and aliquot into serum tube
Refrigerate during storage and transport.
TAT – 20 days
COPPER
063U
24-Hour Urine
50 mL aliquot –submit in a 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”.
Retain a duplicate 50 mL sample in the fridge until test is reported.
TAT – 20 days
COPPER
9520
Tissue
Please entere specimen source
required, e.g. Liver
CONTAINER - STERILE
FORM AVAILABLE ON CML WEBSITE
TAT – 13 days
TEST SPECIFICATION GUIDE - SECTION C
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CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
N/C
LHSC
TEST NAME
CODE
COPROPORPHYRINS
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LAVENDER
OHIP
LOC
Refer to PORPHYRINS, QUANTITATIVE
(PORPHYRINS)
(UROPORPHYRINS)
CORTICOTROPIN
307
(ADRENOCORTICOTROPIC HORMONE)
(ACTH)
Plasma
Minimum Volume required: 2 mL
Collect specimen in the morning
Fasting specimen preferred
Collect in a chilled lavender vacutainer tube
Mix well
Place on ice while waiting for centrifugation
Centrifuge within 30 minutes of collection
DYN
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 15 days
CORTISOL
Plasma
GREEN
Indicate time of collection (AM, PM, Random) – with Heparin
 A.M.
 P.M.
 RANDOM
303AP
303PP
303RP
CORTISOL
303AM
303PM
303R
 FREE
303UF
CORTISOL
CML
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
Serum
GOLD SST
Centrifuge only
Indicate time of collection (AM, PM, Random)
 A.M.
 P.M.
 RANDOM
OHIP
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
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
TAT 12 days
TEST SPECIFICATION GUIDE - SECTION C
Page 16 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
CML
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
N/C
PHL
CORTISOL
 TOTAL
303UT
COUMADIN
TEST NO LONGER AVAILABLE
Refer to WARFARIN
(WARFARIN)
COXSACKIE VIRUS,
ISOLATION
9008
(HAND, FOOT, MOUTH DISEASE)
(ENTEROVIRUS)
Stool / Rectal Swab / Throat Swab
Viral history sheet must be completed.
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– Virus–TM
Rectal or Throat Swab– Virus–SW
TAT – 15 to 30 days
CREATINE
CREATINE KINASE
TEST NO LONGER AVAILABLE
066
(CK)
(CPK)
Serum
Centrifuge only
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
OHIP
CML
TAT – 1 day
CREATINE KINASE-MB
TEST NO LONGER AVAILABLE
(CK-2 MB)
CREATINE KINASE,
FRACTIONATION
TEST NO LONGER AVAILABLE
(CK ELECTROPHORESIS)
(CK ISOENZYMES)
(CK FRACTIONATION)
CREATININE
067
(eGFR)
(ESTIMATED GFR)
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
TEST SPECIFICATION GUIDE - SECTION C
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CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CREATININE CLEARANCE
CODE
068
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
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
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
(C–REACTIVE PROTEIN)
CRP-HIGH SENSIVITY
Refer to C-REACTIVE PROTEIN HIGH SENSITIVITY
(C–REACTIVE 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
Page 18 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
CULTURE & SENSITIVITY
 BLOOD
624
SPECIMEN REQUIREMENT
Blood
Disinfect the venipuncture site first with
70% isopropyl alcohol, then with
10% Povidone Iodine Prep Pad
VACUTAINER
BLOOD
CULTURE
BOTTLES
BILL
LOC
OHIP
CML
Cleanse the top of the tubes with 70% isopropyl alcohol
Adult – take anaerobic and aerobic culture bottles
Child – take aerobic culture bottle
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 patient’s accessibility
To a collection centre)
STATE THE DATE AND TIME OF COLLECTION ON THE BOTTLES
State on the OHIP requisition: the patient’s home telephone number and
the full information about the ordering physician .
Bottles should not be refrigerated
Specimen storage and transportation at room temperature.
CULTURE & SENSITIVITY
628–4
 EAR
 EYE / CONJUNCTIVA
 NOSE / NARES
Swab – state source
Place swab in clear transport media
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
628–4
 EAR
 EYE / CONJUNCTIVA
 NOSE / NARES
CULTURE & SENSITIVITY
FEMALE G.C. ONLY
 CERVICAL
 ENDOCERVICAL
 GONORRHOEAE
627
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
Swab – state source
Place swab in charcoal transport media
Test is for N. gonorrhoeae only
Specimen storage and transportation at room temperature.
TAT – 3 days
TEST SPECIFICATION GUIDE - SECTION C
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CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
CULTURE & SENSITIVITY
625
GENITAL
 CERVICAL/VAGINAL
 LABIA
 PENIS/PENILE
 VAGINAL
 VAGINAL/ANAL
 VAGINAL/RECTAL
 VULVA
SPECIMEN REQUIREMENT
VACUTAINER
Swab – state source
Place swab in charcoal transport media
BILL
LOC
OHIP
CML
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
628–5
 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
CULTURE & SENSITIVITY
 RECTAL / ANAL
628–9
Swab – Rectal
Place swab in charcoal transport media.
Specimen storage and transportation at room temperature.
TAT – 3 days
OHIP
CML
CULTURE & SENSITIVITY
 SEMEN
639S
Semen
Minimum Volume required: 2 mL
Place in sterile container
TAT – 3 days
OHIP
CML
CULTURE & SENSITIVITY
 SPUTUM
629
Sputum
Deep cough specimen in sterile container
Use only 1 sample per requisition
OHIP
CML
Specimen storage and transportation at 2-8 °C.
TAT – 2 to 3 days
TEST SPECIFICATION GUIDE - SECTION C
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CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CULTURE & SENSITIVITY
 STOOL
CODE
630–1
SPECIMEN REQUIREMENT
VACUTAINER
Stool
Place stool in Cary–Blair transport container to the “FILL LINE”
Shake to emulsify sample
BILL
LOC
OHIP
CML
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
CULTURE & SENSITIVITY
 THROAT
628
Swab – Throat
Place swab in clear transport media
OHIP
CML
OHIP
CML
OHIP
CML
State if patient is allergic to penicillin in “Notes and Instructions”.
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 & Sensitivity, Throat
CULTURE & SENSITIVITY
 URETHRAL
Swab – Urethral – Male or Female
Submit swab in charcoal transport media.
628–7
Specimen storage and transportation at room temperature.
TAT – 3 days
CULTURE & SENSITIVITY
 URINE
634
Urine
Collect a minimum of 10 mL of mid–stream urine
in a sterile orange cap container
Specimen storage and transportation at 2-8 °C.
TAT – 1 to 3 days
TEST SPECIFICATION GUIDE - SECTION C
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CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
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
ALL ABSESSES
CODE
BILL
LOC
OHIP
CML
SWAB SOURCE
628-5
NASAL, MRSA Screen Test
CODE
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, MRSA Screen Test
610-1
EAR
628-4
SEMEN
639S
EAR LOBE
628-5
SKIN (includes FORESKIN)
628-5
ENDOCERVICAL
627
SLIDE FOR GRAM STAIN
643
EYE
628-4
SMEAR FOR GRAM STAIN
643
EYE LID
628-5
SPUTUM
629
FLUID, (All fluids except Semen)
639F
STOOL
630-1
FORESKIN
628-5
GC ( includes URETHRA, THROAT, EYE,
CERVIX when ONLY GC is ordered)
627
GONORRHOEAE (provide source)
627
THROAT - Allergic to penicillin
628
THROAT FOR STREP - Allergic to penicillin
628
TONSIL
628-5
ULCER (from any site)
628-5
GROIN
628-5
URETHRAL- MALE or FEMALE
628-7
GROIN, MRSA SCREEN TEST
610-1
URINE
634
GROUP B STREP SCREEN, VAG
625S
VAGINAL
625
IUD
628-5
VAGINAL, GROUP B STREP SCREEN
625S
LABIA
628-5
VAGINAL/ ANAL
625
LESION (from any site)
628-5
VAGINAL/ CERVICAL
625
MISCELLANEOUS (provide source)
628-5
VAGINAL/ RECTAL, Group B Strep Screen
625S
MRSA Screen Test, AXILLA
610-1
VULVA
628-5
MRSA Screen Test, GROIN
610-1
WOUND
628-5
MRSA Screen Test, NASAL
610-1
VRE (source - RECTAL)
628-9
MRSA Screen Test, RECTAL
610-1
VRE (source – STOOL)
MOUTH- Includes yeast/ thrush
628-5
Contact
Micro
MUTIPLE SWABS - on same patient
Source
First Swab
Subsequent Swab(s)
Eye, Ear, Nose
628-4
628-44
Throat
628
628-2
Miscellaneous
628-5
628-6
Vaginal, Vag/Cx, Vag/Anal
625
625-2
MRSA
610-1
610-2, 610-3, 610-4, 610-5
TEST SPECIFICATION GUIDE - SECTION C
Page 22 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CYANIDE
CODE
9920
SPECIMEN REQUIREMENT
Whole blood
Minimum volume required: 7 mL
VACUTAINER
BILL
LOC
$60.00
HLRC
GOLD
$50.00
HLRC
LAVENDER
OHIP
HLRC
ROYAL BLUE
-with K2 EDTA
DO NOT CENTRIFUGE – SEND ENTIRE TUBE
TAT – 29 days
CYCLIC CITRULLINATED
PEPTIDE ANTIBODIES
(anti-CCP)
(CCP antibody)
9165
Serum
Minimum volume required: 1 mL
Centrifuge only
Store and transport refrigerated
Collect sample Monday – Wednesday only
TAT – 15 days
CYCLOSPORINE,
TRANSPLANT
9153
Blood
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 “non–transplant”
OHIP
HLRC
OHIP
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
Page 23 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-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
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
The physician must print the patient's name on slide with a pencil.
Apply directly from source or by means of applicator to slide.
Fix slide immediately with cytospray.
BILL
LOC
OHIP
CML
NOTE: If the sample is from thyroid, please include an additional
clearly labelled air-dried slide, is possible.
For fluid place sample in a labelled container, with name and source
Fix with an equal volume of 50% ethanol to sample.
Or CYST from:
 BREAST
 LYMPH NODE
 SALIVARY GLAND
 THYROID
 OVARIES
Complete a Cytology Form for samples.
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.
Place a barcode on the mailer for easier identification. (NOTE: Bar code labels are
in addition to the patient identification written directly on the slide).
The physician must provide the patient’s history and clinical diagnosis e.g.:

Single/ multi nodular, hot /cold lesion, anterior/ posterior/ midline neck,
parotid/ submandibular/ thyroid

Known previous or present malignancies, history of radiation

Breast feeding
NOTE: It is important to state if the lump disappears after aspiration
Do not code the Documentation Fee for this test.
For transporation, follow irretrievable procedure
TAT– 5 days
CYTOLOGY
706
 BRONCHIAL WASHING
OR BRUSHING
Washings
Optimal volume 5 mL or more
OHIP
Place specimen in labelled container.
Fix washing with an equal volume of 50% ethanol to sample.
Complete a Cytology Form for sample.
The physician must provide the patient’s history and clinical diagnosis.
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
TEST SPECIFICATION GUIDE - SECTION C
Page 24 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
CML
TEST NAME
CODE
CYTOLOGY
710
 DIRECT SMEAR
 LARYNX
 NIPPLE DISCHARGE
 OPEN LESION
 ORAL
 VULVAR
SPECIMEN REQUIREMENT
VACUTAINER
Slide
BILL
LOC
OHIP
CML
DO NOT CONFUSE WITH ASPIRATION BIOPSY
Refer to aspiration biopsy for source specification to ensure correct coding/processing
The physician must collect and prepare a moderately thick smear
of cellular material that displays no evidence of air drying.
 ANAL
The physician must print the patient's name on slide with a pencil.
Apply directly from source or by means of applicator to slide.
Fix slide immediately with cytospray.
The physician must provide the patient’s history and clinical diagnosis e.g.:

Obvious lesions

Known previous or present malignancies

Breast feeding
Complete a Cytology Form for each sample.
Assign a separate accession number for each body site.
Place a barcode on the mailer for easier identification.
NOTES:
·
·
Barcode label is in addition to the patient information written on the slide.
Samples collected and received in liquid-based
media are still considered a direct smear
Do not code the Documentation Fee for this test.
TAT – 5 days
CYTOLOGY
714
 DIRECT SMEAR FOR HERPES
(VIRAL INCLUSION)
Slide
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.
The physician must print the patient's name 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 for sample.
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
TEST SPECIFICATION GUIDE - SECTION C
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CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
CML
TEST NAME
CODE
CYTOLOGY
708
 WASHINGS/BRUSHINGS
 ESOPHAGEAL
 GASTRIC OR
 ENDOMETRIAL
SPECIMEN REQUIREMENT
VACUTAINER
Washings
Optimal volume 5 mL or more
Place specimen in labelled container
Fix washing with an equal volume of 50% ethanol to sample
BILL
LOC
OHIP
CML
Complete a Cytology Form for sample.
The physician must provide the patient’s history and clinical diagnosis e.g.:

Known previous or present malignancies

Menstrual history (if endometrial wash)
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
For fluid sample place in a labelled container, fix with an equal volume
of 50% ethanol to sample
OR two slides are recommended
Apply directly from source or by means of applicator to slide
Fix slide immediately with cytospray
The physician must print the patient’s name on the slides with a pencil.
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):
 breast cyst
 lymph nodes cyst
 thyroid cyst
 salivary gland cyst
 ovarian cyst
Complete a Cytology Form for samples
The physician must provide the patient’s history and clinical diagnosis e.g.:

Gout/ pseudo gout

Septic joint

Known previous or present malignancies, history of radiation
NOTE- It is important to state if the lump disappears after aspiration
Do not code the Documentation Fee for this test
TAT – 5 days
CYTOLOGY, PAP SMEAR
CP70
TEST NO LONGER AVAILABLE
(PAPANICOLAOU SMEAR
CONVENTIONAL)
TEST SPECIFICATION GUIDE - SECTION C
Page 26 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CYTOLOGY, PAP SMEAR
MONOLAYER/THINLAYER
CODE
ML70
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
30 mL Monolayer Container (SUREPATH)
OHIP
State source of the specimen: cervical, vaginal, endocervical, combined
CML
(PAPANICOLAOU SMEAR LIQUID BASED)
NOTE: Ensure the head of the collection instrument (broom) is in the vial.
NOTE: A maximum of 2 collection instrument heads per vial.
(e.g. spaptula and brush)
NOTE: Ensure the lid of the vial is screwed on tightly to avoid leakage or
loss of the material.
The physician must print the patient's name on the container.
Complete a Cytology Form for sample.
The physician must provide the patient’s history and clinical diagnosis e.g.:







Pregnant, post partum, hysterectomy
LMP date
Date smear was taken
Patient’s date of birth
Previous abnormal history
Visible lesions
Abnormal bleeding
Place a barcode label on the vial for identification making sure not to cover
Patient’s written name . DO NOT place barcode on the lid.
Do not code the Documentation Fee for this test.
TAT – 20 days
CYTOLOGY
 SPUTUM
716
Sputum
Optimal volume 1-5 mL
OHIP
Place specimen in labelled container
Fix washing with an equal volume of 50% ethanol to sample
(Do NOT over saturate with alcohol)
Collect specimens on 3 consecutive mornings
(early morning deep cough samples)
Samples should arrive at CCC no later than 12 hours after collection.
Complete a Cytology Form for each sample
The physician must provide the patient’s history and clinical diagnosis e.g.:




Smoker/non smoker, shortness of breath, pulmonary infections
Hemoptysis
Known previous or present malignancies
Chest X ray results (if known)
Assign a separate accession number for each specimen.
Do not code the Documentation Fee for this test.
TAT – 5 days
TEST SPECIFICATION GUIDE - SECTION C
Page 27 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
CML
TEST NAME
CYTOLOGY
 URINE
CODE
711U
SPECIMEN REQUIREMENT
VACUTAINER
Urine
Optimal volume 25-100 mL
State if voided or catheterized urine collection
BILL
LOC
OHIP
CML
Instruct the patient to drink approximately 5 glasses or more of water
during a 2 hour period prior to do the test.
Patient may urinate during this 2-hour period and discard urine.
At the end of the 2 hour period, when the next urge to urinate arises,
add a portion of this void to an equal volume of 50% ethanol.
Suggest specimens be collected on 3 consecutive days.
Samples should arrive at CCC no later than 12 hours after collection.
Complete a Cytology Form for each sample.
The physician must provide the patient’s history and clinical diagnosis e.g.:

History of radiation treatment

Known previous or present malignancies
Assign a separate accession number for each specimen
Note: Specify if voided or cathererized collection
Do not code the Documentation Fee for this test
TAT – 5 days
CYTOMEGALOVIRUS
ANTIBODY
9020
Do not centrifuge tube
PLAIN RED
N/C
PHL
N/C
PHL
Public Health Laboratories recommend the
Collection of both acute and convalescent
specimens taken two weeks apart.
(CMV)
▀ 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
CYTOMEGALOVIRUS
ISOLATION
9065
Urine/BronchialWashing
▀ 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
TEST SPECIFICATION GUIDE - SECTION C
Page 28 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CYTOMEGALOVIRUS
QUANTITATIVE PCR
CODE
9549
SPECIMEN REQUIREMENT
Plasma
VACUTAINER
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
Page 29 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
BILL
N/C
LOC
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 alcohol, 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
714
Direct smears for viral inclusions or herpes.
711U
Voided or catheterized urines for Cytology.
TEST SPECIFICATION GUIDE - SECTION C
Page 30 of 30
CML HealthCare Inc Test Specification Guide 18353 Version: 24.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
7–DEHYDROCHOLESTEROL
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
$95.00
HLRC
GOLD SST
$40.00
HLRC
GOLD SST
$60.00
HLRC
Serum
GOLD SST
OHIP
OHIP
HLRC
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 35 days
11–DEOXYCORTISOL
9141
Serum
Minimum Volume required: 1 mL
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
9742
(DGP IgG)
(DEAMIDATED GLIADIN PEPTIDE IGG AB)
Serum
Minimum Volume required: 1mL
Centrifuge only
TAT – 10 days
DEHYDROEPIANDROSTERONE
– SULPHATE
347
CML
Centrifuge only
(DHEA – S)
(DHEA SULPHATE)
TAT – 2 days
DELTA–AMINOLEVULINATE
(ALA)
9702
24-Hour Urine
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.
TAT – 15 days
DENGUE ANTIBODY
Refer to ARBOVIRUS SEROLOGY
(ARBOVIRUS SEROLOGY)
TEST SPECIFICATION GUIDE – SECTION D
Page 1 of 6
CML HealthCare Inc Test Specification Guide 18354 Version: 5.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
DEOXYPYRIDINOLINE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
N/C
PHL
OHIP
DYN
OHIP
HLRC
TESTING 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 – 20 days
DESYREL
Refer to TRAZODONE
(TRAZ0DONE)
DGP IGG
Refer to DEAMIDATED GLIADIN PEPTIDE IgG Ab
(DEAMIDATED GLIADIN PEPTIDE IGG AB)
DHEA–S
Refer to DEHYDROEPIANDROSTERONE SULPHATE
(DHEA SULPHATE)
(DEHYDROEPIANDROSTERONE – SULPHATE)
DIASTASE
Refer to AMYLASE
(AMYLASE)
DIAZEPAM
(VALIUM)
074
Serum
RED
Minimum Volume required: 3 mL
Collect trough specimen 10 – 12 hours after last dose
or immediately prior to next dose.
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 15 days
DIBUCAINE INHIBITION TEST
Refer to CHOLINESTERASE, PHENOTYPE
TEST SPECIFICATION GUIDE – SECTION D
Page 2 of 6
CML HealthCare Inc Test Specification Guide 18354 Version: 5.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
DIGOXIN
CODE
306
(DIGITALIS)
(LANOXIN)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
PLAIN RED
OHIP
CML
OHIP
HLRC
$60.00
HLRC
OHIP
HLRC
Serum
Minimum Volume required: 2 mL
Collect specimen 5 - 6 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
Hemolysed specimen not acceptable
TAT – 1 day
DIGOXIN–FREE
9712
Serum
Minimum Volume required: 2 mL
PLAIN RED
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
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
Refer to CALCITRIOL
1,25–DIHYDROXY
(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
(BENADRYL)
9409
Serum
Minimum Volume required: 3 mL
PLAIN RED
TAT – 15 days
TEST SPECIFICATION GUIDE – SECTION D
Page 3 of 6
CML HealthCare Inc Test Specification Guide 18354 Version: 5.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
DIRECT ANTI–GLOBULIN
TEST
495
SPECIMEN REQUIREMENT
Blood
(COOMBS TEST)
(DIRECT ANTI-HUMAN GLOBULIN)
(DIRECT COOMBS)
DO NOT SEPARATE
DIRECT BILIRUBIN
Refer to BILIRUBIN, DIRECT
VACUTAINER
BILL
LOC
LAVENDER
OHIP
CML
GREEN
- with Heparin
OHIP
HLRC
GOLD SST
OHIP
CML
TAT – 2 days
(CONJUGATED BILIRUBIN)
(BILIRUBIN, DIRECT)
DIRECT COOMBS
Refer to DIRECT ANTI-GLOBULIN TEST
(COOMBS TEST)
(DIRECT ANTIHUMAN GLOBULIN)
(DIRECT ANTI-GLOBULIN)
DISOPYRAMIDE
076
(NORPACE)
Plasma
Sodium or Lithium heparinized plasma is
acceptable.
Centrifuge and separate plasma
Minimum Volume required: 2 mL
TAT – 15 days
DIVALPROEX
Refer to VALPROATE
(DEPAKENE)
(EPIVAL)
(VALPROATE)
(VALPROIC ACID)
DNA dsANTIBODIES
(DOUBLE STRANDED DNA Ab)
322
Serum
Centrifuge only
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)
TEST SPECIFICATION GUIDE – SECTION D
Page 4 of 6
CML HealthCare Inc Test Specification Guide 18354 Version: 5.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
DOXEPIN
CODE
079X
(SINEQUAN)
SPECIMEN REQUIREMENT
VACUTAINER
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.
BILL
LOC
OHIP
HLRC
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
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
DRUG SCREEN
 WITH CREATININE, pH
SODIUM,
CHLORIDE
078RU
Urine
10 mL random urine
Submit in a blue cap conical tube
NOTE: Testing includes Drug Screen, Ph, Creatinine, Sodium,
Chloride
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
TEST SPECIFICATION GUIDE – SECTION D
Page 5 of 6
CML HealthCare Inc Test Specification Guide 18354 Version: 5.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
DRUG SCREEN - HAIR
9540
SPECIMEN REQUIREMENT
VACUTAINER
Hair
BILL
LOC
$300.00
SKH
$300.00
SKH
$300.00
SKH
OHIP
CML
Approx 20 strands (10mg) of hair required.
Cut as close to the scalp as possible. (2-4mm)
Place in small envelope/sterile container.
This test is not available for CCC use.
This test is only for use at Kennedy Road
for hospital patients.
Completed Sick Kids requisition is required.
TAT – 18 days
DRUG SCREEN - MECONIUM
9539
Meconium/feces
15 ml
Submit in sterile container
This test is not available for CCC use.
This test is only for use at Kennedy Road
for hospital patients.
Completed Sick Kids requisition is required.
TAT – 18 days
DRUG SCREEN - NEONATE
9541
Urine
1.0 ml random urine
Submit in sterile container
This test is not available for CCC use.
This test is only for use at Kennedy Road
for hospital patients.
Completed Sick Kids requisition is required.
TAT – 4 days
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
Page 6 of 6
CML HealthCare Inc Test Specification Guide 18354 Version: 5.0 2-Apr-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
Refer to ESTRONE
E1
(ESTRONE)
Refer to ESTRADIOL
E2
(ESTROGEN)
(ESTRADIOL)
(ESTROGEN- NON PREGNANT)
TEST NO LONGER AVAILABLE
E 3, PREGNANT
(ESTRIOL TOTAL)
Refer to EPSTEIN-BARR VIRUS, SEROLOGY
EBV
(EPSTEIN–BARR VIRUS, SEROLOGY)
Refer to ELECTROCARDIOGRAM
ECG
(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
–VIRUS–TM
–VIRUS–SW
–VIRUS–SW
▀ 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)
ELAVIL
Refer to AMITRIPTYLINE
(AMITRIPTYLINE)
TEST SPECIFICATION GUIDE - SECTION E
Page 1 of 5
CML HealthCare Inc Test Specification Guide 18394 Version: 4.0 2-Dec-13
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
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
Specify test: protein, immuno, Isoenzyme (alk phos, CK, LD),
lipoprotein, or hemoglobin.
ELECTROPHORESIS
See separate listings.
Refer to EXTRACTABLE NUCLEAR ANTIBODIES SCREEN
ENA ANTIBODY
(ANTI-ENA)
(EXTRACTABLE NUCLEAR ANTIBODIES SCREEN)
ENDOMYSIUM ANTIBODIES
9147
(ANTI-ENDOMYSIAL ANTIBODY)
Serum
Centrifuge only
GOLD SST
$55.00
HLRC
$30.00
HLRC
TAT – 21 days
ENTEROVIRUS PCR
9284
Cerebral Spinal Fluid
STERILE CONTAINER
Accept any container/tube received
Store and ship frozen
TAT – 4 day
EOSINOPHIL COUNT
395
Blood
LAVENDER
TAT – 1 day
EOSINOPHIL SMEAR, EYE
TEST NO LONGER AVAILABLE
TEST SPECIFICATION GUIDE - SECTION E
Page 2 of 5
CML HealthCare Inc Test Specification Guide 18394 Version: 4.0 2-Dec-13
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
CML
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
EOSINOPHIL SMEAR, NASAL
TEST NO LONGER AVAILABLE
EOSINOPHIL SMEAR, SPUTUM
TEST NO LONGER AVAILABLE
EPIDERMAL ANTIBODIES
Refer to PEMPHIGUS/PEMPHIGOID ANTIBODIES
BILL
LOC
(ANTI-SKIN ANTIBODIES)
(PEMPHIGUS/PEMPHIGOID ANTIBODIES)
Refer to VALPROATE
EPIVAL
(DEPAKENE)
(VALPROATE)
EPSTEIN–BARR 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
EPSTEIN–BARR VIRUS
QUANTITATIVE PCR
(EBV VIRAL LOAD)
(QUANTITATIVE EBV PCR)
9573
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)
TEST SPECIFICATION GUIDE - SECTION E
Page 3 of 5
CML HealthCare Inc Test Specification Guide 18394 Version: 4.0 2-Dec-13
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
LAVENDER
OHIP
CML
GOLD SST
$70.00
HLRC
GOLD SST
OHIP
CML
Refer to PARVO VIRUS
ERYTHEMA INFECTIOSUM
(FIFTH’S DISEASE)
(PARVO VIRUS )
(PARVO VIRUS B19)
Refer to COMPLETE BLOOD COUNT
ERYTHROCYTE COUNT
(COMPLETE BLOOD COUNT)
ERYTHROCYTE SEDIMENTATION 451
RATE
(SED RATE)
(SEDIMENTATION RATE)
Blood
Test must be performed within 10 hours
of collection.
TAT – 1 day
ERYTHROPOIETIN
9132
Serum
Minimum Volume required: 2 x 1 mL
Keep aliquots together with elastic band.
Avoid hemolysis
Separate ASAP
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
ESTRADIOL
310
Serum
Centrifuge only
(E 2)
(ESTROGEN)
(ESTROGEN-NON PREGNANT)
TAT – 1 day
ESTRIOL TOTAL, PREGNANT (E 3)
TEST NO LONGER AVAILABLE
ESTRIOL
9265
(E 3)
Serum
Centrifuge and aliquot into transfer tube.
Store and ship refrigerated.
TAT – 11 days
GOLD SST
OHIP
HLRC
Refer to ESTRADIOL
ESTROGEN, NON PREGNANT
(E 2)
(ESTRADIOL)
(ESTROGEN)
ESTRONE
(E 1)
313
Serum
Minimum volume required: 1 mL
GOLD SST
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 20 days
TEST SPECIFICATION GUIDE - SECTION E
Page 4 of 5
CML HealthCare Inc Test Specification Guide 18394 Version: 4.0 2-Dec-13
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
DYN
TEST NAME
ETHANOL
CODE
006
(ALCOHOL- ETHYL)
SPECIMEN REQUIREMENT
VACUTAINER
Blood
GRAY
Keep vacutainer tube sealed with minimum air space
Use an iodine swab to cleanse venipuncture site
BILL
LOC
OHIP
CML
OHIP
CML
OHIP
DYN
TAT – 2 days
ETHANOL
006U
(ALCOHOL- ETHYL)
Urine
10 mL random urine
Submit in a blue cap conical tube
Keep container closed with minimum air space.
TAT – 2 days
NO LONGER AVAILABLE
ETHCHLORVYNOL
(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.
TAT – 3 days
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
$40.00
HLRC
This test is not available for CCC use.
This test is only for use at Kennedy Road
for hospital patients
TAT – 4 days
EXTRACTABLE NUCLEAR
ANTIBODIES SCREEN
(ANTI-ENA)
(ENA ANTIBODY)
9593
Serum
GOLD SST
Centrifuge only
Positive results may be delayed for confirmation
Note: Specific antigens reported only when screen is positive
OHIP
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
TEST SPECIFICATION GUIDE - SECTION E
Page 5 of 5
CML HealthCare Inc Test Specification Guide 18394 Version: 4.0 2-Dec-13
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
LIGHT BLUE
OHIP
HLRC
OHIP
HLRC
NO LONGER AVAILABLE
FACTOR ASSAY
(COAGULATION FACTOR)
FACTOR II ASSAY
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
$75.00
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
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
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
TEST SPECIFICATION GUIDE – SECTION F Page 1 of 7
CML HealthCare Inc Test Specification Guide 18207 Version: 5.0 22-Apr-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
Refer to VON WILLIBRAND FACTOR SCREEN
FACTOR VIII: C
VON WILLEBRAND
(BIOLOGICAL)
FACTOR IX ASSAY
9762
Plasma
LIGHT BLUE
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
(FACTOR 9)
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
(UREA CLOT SOLUBILITY)
9766
Plasma
LIGHT BLUE
1 mL sodium citrate platelet poor plasma.
Centrifuge and aliquot to transfer tube immediately.
Store and ship frozen.
TAT 10 days
TEST SPECIFICATION GUIDE – SECTION F Page 2 of 7
CML HealthCare Inc Test Specification Guide 18207 Version: 5.0 22-Apr-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
Refer to ALLERGIC ALVEOLITIS
FARMERS LUNG
(ALLERGIC ALVEOLITIS)
(ALLERGIC LUNG)
NO LONGER AVAILABLE
FAT AND MEAT FIBRES
MICROSCOPIC EXAMINATION
FAT GLOBULES
9229
(FAT SCREEN)
(FECAL FAT SCREEN)
1g sample
STERILE CONTAINER
OHIP
HLRC
GOLD SST
OHIP
HLRC
GOLD SST
$60.00
HLRC
1 gram of stool to be submitted
in an orange cap urine container.
TAT – 7 days
FATTY ACID, FREE
9418
(FATTY ACIDS, NONESTERIFIED)
Serum
Minimum Volume required: 1 mL
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
NO LONGER AVAILABLE
FEBRILE AGGLUTININS
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
TAT – 1 day
GOLD SST
TEST SPECIFICATION GUIDE – SECTION F Page 3 of 7
CML HealthCare Inc Test Specification Guide 18207 Version: 5.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
CML
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
LIGHT BLUE
OHIP
CML
LIGHT BLUE
OHIP
CML
OHIP
CML
Refer to HEMOGLOBIN FRACTIONATION
FETAL HEMOGLOBIN
(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
Refer to PARVO VIRUS
FIFTH’S DISEASE
(ERYTHEMA INFECTIOSUM)
(PARVO VIRUS )
(PARVO VIRUS B19)
Refer to TACROLIMUS
FK – 506
(PROGRAF)
(TACROLIMUS)
State source – synovial, knee fluid, aspirate, etc.
FLUID, TOTAL EXAM
(SYNOVIAL FLUID)
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
(FTA- TREPONEMAL ANTIBODIES)
(TREPONEMAL ANTIBODIES)
(SYPHILIS)
TEST SPECIFICATION GUIDE – SECTION F Page 4 of 7
CML HealthCare Inc Test Specification Guide 18207 Version: 5.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
FLUORIDE
CODE
9224
SPECIMEN REQUIREMENT
Serum
Minimum Volume required: 2 mL
Transfer serum to plastic serum tube
VACUTAINER
BILL
LOC
PLAIN RED
$40.00
HLRC
GREEN
– with Heparin
OHIP
HLRC
2 LAVENDER
OHIP
CML
GOLD SST
OHIP
CML
LAVENDER
OHIP
VTF
TAT – 25 days
URINE TESTING NO LONGER AVAILABLE
FLUORIDE
FLUOXETINE
9107
(PROZAC)
Plasma
Minimum Volume required: 2 mL
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
TEST NO LONGER AVAILABLE
FLURAZEPAM
(DALMANE)
TEST NO LONGER AVAILABLE
FLUVOXAMINE
(LUVOX)
FOLATE, RBC
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)
Serum
Centrifuge only
(FSH)
TAT – 1 day
FRAGILE X CHROMOSOME
9714
Whole Blood
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
TEST SPECIFICATION GUIDE – SECTION F Page 5 of 7
CML HealthCare Inc Test Specification Guide 18207 Version: 5.0 22-Apr-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
GOLD SST
$45.00
LOC
Refer to HEMOGLOBIN PLASMA
FREE HEMOGLOBIN
(PLASMA HEMOGLOBIN)
(HEMOGLOBIN PLASMA)
FREE KAPPA/LAMBDA
RATIO
9247
(SERUM FREE LIGHT CHAINS)
Serum
Centrifuge and aliquot to transfer tube.
Store and ship refrigerated.
HLRC
TAT – 8 days
Refer to TRIIODOTHYRONINE FREE
FREE T3
(TRIIODOTHYRONINE FREE)
Refer to THYROXINE FREE
FREE T4
(FREE THYROXINE)
(THYROXINE FREE)
Refer to TESTOSTERONE FREE
FREE TESTOSTERONE
(TESTOSTERONE FREE)
FREE THYROXINE INDEX (FTI)
TEST NO LONGER AVAILABLE
FREE / TOTAL PSA
Refer to PROSTATE SPECIFIC ANTIGEN FREE/TOTAL
(PSA FREE AND TOTAL RATIO)
(PSA PERCENT %)
(PSA FRACTIONATION)
Refer to CLOBAZAM
FRISIUM
(CLOBAZAM)
FRUCTOSAMINE
9114
Serum
Centrifuge only
GOLD SST
$30.00
HLRC
OHIP
DYN
TAT – 20 days
FRUCTOSE
9211
Semen
Minimum Volume required: 1 mL
Freeze within 30 minutes after collection
FREEZE SEMEN AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 20 days
TEST SPECIFICATION GUIDE – SECTION F Page 6 of 7
CML HealthCare Inc Test Specification Guide 18207 Version: 5.0 22-Apr-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
OHIP
CML
Refer to FOLLITROPIN
FSH
(FOLLICLE STIMULATING HORMONE)
(FOLLITROPIN)
Refer to SYPHILIS
FTA
(FLUORESCENT ABSORPTION TEST)
(FTA- TREPONEMAL ANTIBODIES)
(SYPHILIS)
TEST NO LONGER AVAILABLE
FTI (FREE THYROXINE INDEX)
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
Refer to FACTOR V LEIDEN MUTATION
(FACTOR V LEIDEN MUTATION)
(INCLUDES APCR)
TEST SPECIFICATION GUIDE – SECTION F Page 7 of 7
CML HealthCare Inc Test Specification Guide 18207 Version: 5.0 22-Apr-2014
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 GLUCOSE-6-PHOSPHATE DEHYDROGENASE
G6PD
(GLUCOSE–6–PHOSPHATE
DEHYDROGENASE ASSAY)
9922
GABAPENTIN
(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
TESTING NO LONGER AVAILABLE
GALACTOSE–1–PHOSPHATE
URIDYL TRANSFERASE
(GALACTOSE-1 PUT)
GALECTIN-3
9288
Serum
GOLD SST
Minimum Volume required: 1 mL
Centrifuge and aliquot serum into transfer tube.
Store and send refrigerated.
$78.00
LL
TAT – 14 Days
Refer to IMMUNOGLOBULIN GAM
GAM
(IMMUNO GAM)
(IMMUNOGLOBULIN, QUANTITATIVE)
GAMMA–GLUTAMYL
TRANSFERASE
107
Serum
Centrifuge only
GOLD SST
OHIP
CML
Serum
PLAIN RED
Minimum Volume required: 2 x 1mL
Submit two aliquots kept together with elastic band.
OHIP
HLRC
(GGT)
(GGTP)
TAT – 1 day
(GAMMA GLUTAMYL TRANSPEPTIDASE)
GANGLIOSIDE ANTIBODY
(GM1 GANGLIOSIDE ANTIBODY)
9715
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
TEST SPECIFICATION GUIDE – SECTION G Page 1 of 5
CML HealthCare Inc Test Specification Guide 18340 Version: 5.0 20-Feb-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
GASTRIN
CODE
316
SPECIMEN REQUIREMENT
VACUTAINER
Serum
PLAIN RED
Minimum Volume required: 2 mL
Patient must fast minimum of 10 hours prior to collection
BILL
LOC
OHIP
CML
OHIP
HLRC
OHIP
HLRC
$90.00
HLRC
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 10 days
TEST NO LONGER AVAILABLE
GCFT
(GONOCOCCAL COMPLEMENT FIXATION TEST)
(GONOCCAL INFECTION)
Refer to BLOOD GROUP PHENOTYPE
GENOTYPE
(ABO, Rh(D), GENOTYPE)
(BLOOD GROUP, Rh(D) AND GENOTYPE)
GENTAMICIN, PEAK
304GP
(POST)
Serum
PLAIN RED
Minimum Volume required: 1 mL
Collect ½ hour after IV infusion, or 1-2 hours after IM injection.
Record time in minutes that has elapsed
between last dose and specimen collection.
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
Refer to GAMMA GLUTAMYL TRANSFERASE
GGT
(GGPT)
(GAMMA–GLUTAMYL TRANSPEPTIDASE)
(GAMMA GLUTAMYL TRANSFERASE)
GLIADIN ANTIBODIES
(AGA)
(ANTI–GLIADIN)
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 5
CML HealthCare Inc Test Specification Guide 18340 Version: 5.0 20-Feb-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
9295
GLUCAGON
SPECIMEN REQUIREMENT
VACUTAINER
Plasma
LAVENDER
Collect fasting specimen in pre-chilled tube.
After draw, chill whole blood on ice for min. 10 minutes
then spin down in refrigerated centrifuge.
Separate and freeze as soon as possible.
Store and send frozen. If thaws unsuitable for analysis.
BILL
LOC
$70.00
HRLC
TAT – 14 days
GLOMERULAR
BASEMENT MEMBRANE
ANTIBODY
9435
Serum
Centrifuge only
GOLD SST
OHIP
HLRC
GRAY
OHIP
CML
GOLD SST
OHIP
CML
GRAY
OHIP
CML
OHIP
CML
TAT – 20 days
GLUCOSE



FASTING
RANDOM
PC
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
Serum
Centrifuge only
TAT – 1 day
Plasma
Do not centrifuge
GLUCOSE CHALLENGE
75 gm glucose load
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,
GESTATIONAL SCREEN
- 50g glucose load
103S
Plasma
Do not centrifuge
GRAY
Give patient 50 g glucose drink
Collect a gray top tube 1-hour after drink given
Record glucose load given
TAT – 1 day
TEST SPECIFICATION GUIDE – SECTION G Page 3 of 5
CML HealthCare Inc Test Specification Guide 18340 Version: 5.0 20-Feb-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
GLUCOSE CHALLENGE,
O’ SULLIVAN SCREEN
- 50g glucose load
CODE
111F
103S
SPECIMEN REQUIREMENT
VACUTAINER
Plasma
Do not centrifuge
Collect a fasting gray top tube
BILL
LOC
GRAY
OHIP
CML
GRAY
OHIP
CML
OHIP
CML
Give patient 50 g glucose drink
Collect a gray top tube 1 hr after drink given
Record glucose load given
TAT – 1 day
GLUCOSE CHALLENGE
GESTATIONAL SCREEN
- 75g glucose load
3008
Plasma
Do not centrifuge
Collect a fasting gray top tube
DO NOT collect a fasting urine sample
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
GLUCOSE CHALLENGE
GESTATIONAL SCREEN
- 100g glucose load
103
Plasma / Urine
Do not centrifuge
Collect a fasting urine sample
Collect a fasting grey top tube
GRAY
Give patient 100 g glucose drink
Collect a gray top tube 1hr, 2hr, and 3 hrs after drink given
Record glucose load given
NOTE: If fasting urine is not collected record in “Notes & Instructions”
and on the OHIP requisition.
TAT – 1 day
GLUCOSE-6-PHOSPHATE
DEHYDROGENASE ASSAY
9973
Blood
Do not open tube
LAVENDER
OHIP
HLRC
OHIP
CML
(G6PD ASSAY)
TAT – 15 days
TEST NO LONGER AVAILABLE
GLUCOSE–6–PHOSPHATE
DEHYDROGENASE SCREEN
(G6PD SCREEN)
GLUCOSE,
QUALITATIVE
254–4
Urine
10 mL random urine
Submit in a YELLOW cap conical tube
TAT – 1 day
TEST SPECIFICATION GUIDE – SECTION G Page 4 of 5
CML HealthCare Inc Test Specification Guide 18340 Version: 5.0 20-Feb-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
GLUCOSE TOLERANCE,
– 75g glucose load
Refer to GLUCOSE CHALLENGE
GLUTETHIMIDE
SERUM TESTING NO LONGER AVAILABLE
BILL
LOC
(DORIDEN)
URINE TESTING NO LONGER AVAILABLE
GLUTETHIMIDE
(DORIDEN)
GLYCOPROTEIN
ALPHA SUBUNIT
NO LONGER AVAILABLE
Refer to HEMOGLOBIN A1C
GLYCOSYLATED
HEMOGLOBIN
(A1C) (HbA1C) (HEMOGLOBIN A1C)
GM 1 GANGLIOSIDE ANTIBODY
Refer to GANGLIOSIDE ANTIBODY
GOLD
NO LONGER AVAILABLE
GONORRHOEAE SWAB
Refer to CULTURE AND SENSITIVITY
GONORRHOEAE URINE
9166
(GC)
Urine
20 - 40 mL
N/C
PHL
OHIP
CML
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
TAT–15 days
GRAM STAIN
643
Smear – state source
Label frosted end of prepared slide
TAT – 1 day
GROWTH HORMONE
Refer to SOMATOTROPIN
(HGH)
(HUMAN GROWTH HORMONE)
(SOMATOTROPIN)
GTA-446
Refer to COLOGIC
TEST SPECIFICATION GUIDE – SECTION G Page 5 of 5
CML HealthCare Inc Test Specification Guide 18340 Version: 5.0 20-Feb-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
TEST NO LONGER AVAILABLE
HALCION
(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.
OHIP
HLRC
OHIP
CML
FREEZE PLASMA AND SEND FROZEN
TAT – 15 to 25 days
Refer to COXSACKIE VIRUS ISOLATION
HAND, FOOT, MOUTH DISEASE
(COXSACKIE VIRUS ISOLATION)
HAPTOGLOBIN
120
Serum
Centrifuge only
Avoid hemolysis
GOLD SST
TAT – 1 day
HbA1C
Refer to HEMOGLOBIN A1C
HCG
Refer to CHORIOGONADOTROPIN
(A1C)
(GLYCOSYLATED HEMOGLOBIN)
(HEMOGLOBIN A1C)
(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)
TEST SPECIFICATION GUIDE – SECTION H Page 1 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 14.0 2-Apr-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
Refer to PROTEIN ANALYSIS – BENCE JONES PROTEIN
HEAVY & LIGHT CHAINS
(BENCE JONES PROTEIN)
(IEP)
(IMMUNOELECTROPHORESIS)
HEINZ BODIES
9718
Blood
LAVENDER
Do not open tube
Part of hemolytic investigation – form available
from Problem Solving Department at Head Office.
OHIP
HLRC
OHIP
CML
TAT –30 days
HELICOBACTER PYLORI
683
(H. PYLORI)
(H. PYLORI ANTIBODY)
Serum
Centrifuge only
GOLD SST
TAT – 3 days
Refer to COMPLETE BLOOD COUNT
HEMATOCRIT
HEMOCHROMATOSIS
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
Refer to COMPLETE BLOOD COUNT
HEMOGLOBIN
HEMOGLOBIN A1C
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
TEST SPECIFICATION GUIDE – SECTION H Page 2 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 14.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
HEMOGLOBIN
PLASMA
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LAVENDER
$60.00
LOC
Refer to METHEMALBUMIN SCREEN
(FREE HEMOGLOBIN)
(PLASMA HEMOGLOBIN)
HEMOGLOBINOPATHY
INVESTIGATION – STAGE 1
9251
Whole Blood
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
Refer to COMPLEMENT TOTAL CH50
HEMOLYTIC COMPLEMENT
FIXATION
(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
$60.00
HLRC
PLAIN RED
$60.00
HLRC
OHIP
HLRC
$50.00
HRLC
FORM AVAILABLE ON CML WEBSITE
TAT – 8 days
HEMOPEXIN
9925
Serum
Minimum Volume required: 2 mL
Collect Monday – Wednesday only.
TAT – 20 days
HEMOSIDERIN
424
Urine
10 mL random urine
Submit in a 90 mL orange cap container
First morning sample
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: 14.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
HEPARIN ASSAY
(XA INHIBITOR) –
UNFRACTIONATED
CODE
9537
SPECIMEN REQUIREMENT
VACUTAINER
Plasma
BILL
LOC
LIGHT BLUE
$29.00
HRLC
LIGHT BLUE
OHIP
HRLC
LIGHT BLUE
$35.00
HRLC
PLAIN RED
OHIP
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
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.
MUMC
FORM AVAILABLE ON CML WEBSITE
TAT– TBD
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: 14.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
$60.00
HLRC
TEST NAME
CODE
**NEW**
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: 14.0 2-Apr-2014
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: 14.0 2-Apr-2014
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
319–P
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 Anti–HCV)
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: 14.0 2-Apr-2014
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
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,
VIRAL CULTURE
9030C
Swab
Use Public Health Virus–SW canister
Swab and transport media provided
State source
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
TEST SPECIFICATION GUIDE – SECTION H Page 8 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 14.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
HERPES SIMPLEX,
VIRUS PCR
CODE
9331
SPECIMEN REQUIREMENT
Spinal Fluid
VACUTAINER
STERILE CONTAINER
BILL
LOC
$160.00 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
LAVENDER
OHIP
HLRC
TAT – 1 day
Refer to SOMATOTROPIN
HGH
(GROWTH HORMONE)
(HUMAN GROWTH HORMONE)
(SOMATOTROPIN)
Refer to 5-HYDROXY-INDOLACETATE
5–HIAA
(5–HYDROXY–INDOL ACETATE)
(HYDROXYINDOLE)
(SEROTONIN METABOLITE)
HISTAMINE
9719
Plasma
2 aliquots of 1mL
Collect in pre-chilled tubes
Avoid hemolysis.
Dietary restrictions within 5-hours of collection:
Cheese, wine, red meat, spinach, tomatoes.
Antihistamine drugs should not be taken within
48-hours prior to collection.
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 to 60 days
TEST SPECIFICATION GUIDE – SECTION H Page 9 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 14.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
HISTOPATHOLOGY
CODE
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.
Specimen container must indicate patient name and source of specimen, and
one other unique identifier.
All Histology specimens must be accompanied by a
completed Histopathology Requisition indicating
the specimen (organ) site and any relevant clinical information .
Follow Irreplaceable Specimen Procedure
▀ LOCATIONS THAT ACCESSION
 Place the Form and the specimen in the Histology envelope
 Complete the Histology Specimen Log Form
▀ LOCATIONS THAT DO NOT ACCESSION
 Place the Histology specimen and the patient’s other related specimens,
the OHIP requisition and the Histopathology Requisition in the Histology envelope
 Complete the Histology Specimen Log Form
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
OHIP
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: 14.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
VACUTAINER
BILL
LOC
N/C
PHL
N/C
PHL
N/C
PHL
N/C
PHL
URINE TESTING NO LONGER AVAILABLE
HISTOPLASMA
HIV
SPECIMEN REQUIREMENT
9096
(AIDS)
(HIV ROUTINE)
(HIV SEROLOGY)
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
HIV Genotyping can be ordered as a follow up to a positive
Viral load result.
HIV GENOTYPING
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 HIV–PCR STAT
DO NOT REFRIGERATE
Label lavender tube – HIV–PCR
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: 14.0 2-Apr-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
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
HIV VIRAL LOAD
(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
583
HLA–B27
Blood
LAVENDER
Collect samples Monday, Tuesday, Wednesday ONLY
OHIP
HLRC
$150.00
HLRC
DO NOT REFRIGERATE
TAT – 25 days
HLA–B27 (PCR)
9196
Blood
3 LAVENDER
Minimum volume required: 10mL
Collect samples Monday, Tuesday, Wednesday ONLY
Form available on CML website.
*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, donor’s 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
TAT – 63 days
TEST SPECIFICATION GUIDE – SECTION H Page 12 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 14.0 2-Apr-2014
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
LOC
TEST NO LONGER AVAILABLE
HLA–B29
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
$65.00
CML
OHIP
DYN
OHIP
HLRC
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
FREEZE URINE AND SEND FROZEN
TAT – 20 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: 14.0 2-Apr-2014
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
BILL
LOC
OHIP
DYN
OHIP
DYN
OHIP
DYN
HPV testing has been suspended.
Testing using the Surepath collection
method is not currently available.
Refer to TU-2014-01 for further information
**Physicians are to call Client Services at 1-800-263-0801 x 2
to obtain a Digene HPV kit and LifeLabs requisition.**
Refer to ECHINOCOCCOSUS ANTIBODY
HYDATID
(ECHINOCOCCOSUS ANTIBODY)
(ECHINOCOCCUS GRANULOSUS ANTIBODY)
Refer to CALCIDIOL
25–HYDROXY VITAMIN D
(25-HYDROXYVITAMIN D)
(VITAMIN D)
(CALCIDIOL)
TEST NO LONGER AVAILABLE
17–HYDROXYCORTICOSTEROIDS
(17–OH STEROIDS)
5–HYDROXY–INDOLE 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.
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 – 30 days
17–HYDROXY– PROGESTERONE
333
Serum
1 mL aliquot
Submit in plastic transfer tube
TAT – 25 days
131U
24-Hour Urine
50 mL aliquot – submit in a 90 mL white cap container
No preservative
(17 OH PROGESTERONE)
(PREGNANETRIOL)
HYDROXYPROLINE, FREE
GOLD SST
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 – 20 days
TEST SPECIFICATION GUIDE – SECTION H Page 14 of 15
CML HealthCare Inc Test Specification Guide 18228 Version: 14.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
HYDROXYPROLINE, TOTAL
CODE
130U
SPECIMEN REQUIREMENT
VACUTAINER
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 – 20 days
5–HYDROXYTRYTAMINE
Refer to SEROTONIN
(SEROTONIN)
25–HYDROXY 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: 14.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
BILL
LOC
OHIP
DYN
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
9929
Plasma
Minimum Volume required: 3 mL
GREEN
– with Heparin
$60.00
IBUPROFEN
(MOTRIN)
LOC
HLRC
TAT – 15 days
IGG SUBCLASSES
Refer to IMMUNOGLOBULIN G SUB CLASSES
(IMMUNOGLOBULIN G SUB CLASSES)
IL28B PANEL
9289
(INTERLEUKIN 28B GENOTYPE
TOTAL)
(HCV RESISTANCE)
(HEPATITIS C RESISTANCE)
(HEPATITIS C GENOTYPING IL28B)
Whole Blood - EDTA
Minimum Volume required: 5 mL
Store and ship refrigerated
LAVENDER
$200.00
BAGL
LAVENDER
$160.00
BAGL
Test Includes variants:
RS12979860
RS8099917
RS12980275
TAT – 14 days
IL28BRS12979860
9290
Whole Blood - EDTA
Minimum Volume required: 5 mL
Store and ship refrigerated.
This test if for single variant RS12979868
TAT – 14 days
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 – 20 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
IMMUNOELECTROPHORESIS
Urine Refer to PROTEIN ANALYSIS – BENCE JONES PROTEIN
(BENCE JONES PROTEIN)
(HEAVY & LIGHT CHAINS IMMUNO)
(IEP)
TEST SPECIFICATION GUIDE – SECTION I
Page 1 of 6
CML HealthCare Inc Test Specification Guide 17530 Version: 6.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
IMMUNOFIXATION
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
SBH
Refer to IMMUNOELECTROPHORESIS
(HEAVY & LIGHT CHAINS IMMUNO)
(IMMUNOELECTROPHORESIS)
IMMUNOFLUORESCENCE
9757
(I.F.)
Tissue
Send specimen in an IF Transport Kit
Kit available from CML Purchasing department
This test is sent to and reported by Sunnybrook Hospital.
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
State Sunnybrook Hospital on the envelope
TAT – 20 days
IMMUNOGLOBULIN G
9722
SUBCLASSES
Serum
Fasting preferred
GOLD SST
$200.00
HLRC
(IGG SUBCLASSES)
FREEZE AND SEND FROZEN
● Testing Includes IgG1, IgG2, IgG3, and IgG4●
TAT – 9 days
IMMUNOGLOBULIN G4,
SUBCLASS
9588
Serum
Fasting preferred
GOLD SST
$50.00
HLRC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
HLRC
(IgG4 SUBCLASS)
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
TEST SPECIFICATION GUIDE – SECTION I
Page 2 of 6
CML HealthCare Inc Test Specification Guide 17530 Version: 6.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
IMMUNOGLOBULIN, IgE
CODE
334
SPECIMEN REQUIREMENT
Serum
Centrifuge only
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
TAT – 5 days
IMMUNOGLOBULIN, IgG
550G
Serum
Centrifuge only
TAT – 2 days
IMMUNOGLOBULIN, IgM
550M
Serum
Centrifuge only
TAT – 2 days
IMMUNO PHENOTYPING
Refer to LYMPHOCYTE MARKERS
(LYMPHOCYTE MARKERS)
(T & B CELLS)
(LYMPHOTYPING)
INDERAL
Refer to PROPRANOLOL
(PROPRANOLOL)
INDICANS
TEST NO LONGER AVAILABLE
INDICES, RBC
Refer to COMPLETE BLOOD COUNT
(MCV, MCH, MCHC)
INDIRECT BILIRUBIN
Refer to BILIRUBIN, INDIRECT
(UNCONJUGATED BILIRUBIN)
INDIRECT COOMBS
Refer to ANTIBODY SCREEN
(ANTIBODY SCREEN)
(REPEAT PRENATAL ANTIBODY SCREEN)
INFECTIOUS MONONUCLEOSIS
Refer to HETEROPHILE ANTIBODY
(MONO)
(HETEROPHILE ANTIBODY)
INFLUENZA VIRUS
A & B ANTIBODY
SEROLOGY TESTING NO LONGER AVAILABLE
INORGANIC PHOSPHATE
Refer to PHOSPHATE
(PHOSPHORUS)
TEST SPECIFICATION GUIDE – SECTION I
Page 3 of 6
CML HealthCare Inc Test Specification Guide 17530 Version: 6.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
INR
445
(INTERNATIONAL NORMALIZED RATIO)
(PRO TIME)
(PROTHROMBIN TIME)
(PT)
SPECIMEN REQUIREMENT
VACUTAINER
Blood
Fill tube completely
Do not centrifuge
BILL
LOC
OHIP
CML
OHIP
CML
GOLD SST
OHIP
HLRC
GOLD SST
$80.00
HLRC
GOLD SST
OHIP
CML
LIGHT BLUE
TAT – 1 day
INSULIN
Fasting
Random
325F
325R
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
INSULIN ANTIBODIES
9182
(ANTI-INSULIN)
Serum
Centrifuge only
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
325–120 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)
TEST SPECIFICATION GUIDE – SECTION I
Page 4 of 6
CML HealthCare Inc Test Specification Guide 17530 Version: 6.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
INTERSTITIAL CELL
STIMULATING HORMONE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GOLD SST
OHIP
HLRC
OHIP
CML
Refer to LUTEINIZING HORMONE
(LH)
(LUTEINIZING HORMONE)
(LUTROPIN)
INTRINSIC FACTOR
ANTIBODIES
9183
Serum
Centrifuge only
(ANTI-INTRINSIC FACTOR)
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
IODINE
IRON
TEST NO LONGER AVAILABLE
139
(IRON BINDING CAPACITY)
(IRON SATURATION)
(TIBC) (UIBC)
(TOTAL IRON BINDING CAPACITY)
(TRANSFERRIN SATURATION)
Serum
Centrifuge only
GOLD SST
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
(PANCREATIC ISLET CELL
ANTIBODIES)
(ANTI-ISLET CELL)
9907
Serum
GOLD SST
Minimum volume required: 2ml
FREEZE SERUM AND TRANSPORT FROZEN
TAT – 12 days
ISONIAZID
TEST NO LONGER AVAILABLE
TEST SPECIFICATION GUIDE – SECTION I
Page 5 of 6
CML HealthCare Inc Test Specification Guide 17530 Version: 6.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
ISOPROPANOL
CODE
SPECIMEN REQUIREMENT
006I
TEST NO LONGER AVAILABLE
VACUTAINER
(ALCOHOL-ISOPROPYL)
TEST SPECIFICATION GUIDE – SECTION I
Page 6 of 6
CML HealthCare Inc Test Specification Guide 17530 Version: 6.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
BILL
LOC
TEST NAME
JAK 2 PCR
(JAK 2 GENE MUTATION)
CODE
9308
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
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)
TEST SPECIFICATION GUIDE – SECTION J
Page 1 of 1
CML HealthCare Inc Test Specification Guide
18395 Version: 4.0 2-Nov-13
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
LOC
HLRC
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
(17–KGS)
17 KETOSTEROIDS
TEST NO LONGER AVAILABLE
(17–KS)
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
LAC–3
(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
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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
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 – 14 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 – 20 days
TEST SPECIFICATION GUIDE – SECTION L
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CML HealthCare Inc Test Specification Guide 17531 Version: 11.0 5-Mar-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
LEGIONELLA DETECTION
CODE
9085
SPECIMEN REQUIREMENT
Do not centrifuge tube
VACUTAINER
BILL
LOC
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)
(WEIL’S 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)
(IEP)
LIGHT CHAINS IMMUNOELECTROPHORESIS
Refer to IMMUNOELECTROPHORESIS
(HEAVY & LIGHT CHAINS
IMMUNOELECTROPHORESIS)
TEST SPECIFICATION GUIDE – SECTION L
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CML HealthCare Inc Test Specification Guide 17531 Version: 11.0 5-Mar-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
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
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CML HealthCare Inc Test Specification Guide 17531 Version: 11.0 5-Mar-2014
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The electronic copy must be used as the current version.
$35.00
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
Minimum Volume required: 1 mL
Collect specimen 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
FREEZE AND SEND FROZEN
TAT – 20 days
TEST NO LONGER AVAILABLE
LORAZEPAM, urine
(ATIVAN)
LP-PLA2
(PLAC)
(LIPOPROPROTEIN ASSOCIATED
PHOSPHOROUS A2)
(LP-PLAC2)
(LP-PLAC)
9292
Plasma
LAVENDER
Collect lavender and mix by inversion.
Centrifuge and aliquot plasma.
Store and ship refrigerated
TAT-17 days
LUDIOMIL
Refer to MAPROTILINE
(MAPROTILINE)
TEST SPECIFICATION GUIDE – SECTION L
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CML HealthCare Inc Test Specification Guide 17531 Version: 11.0 5-Mar-2014
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The electronic copy must be used as the current version.
$75.00
LL
TEST NAME
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
9104
Plasma
Minimum Volume required: 2 mL
LIGHT BLUE
OHIP
HLRC
(CIRCULATING ANTICOAGULANT)
(NON SPECIFIC COAGULATION
INHIBITORS)
Separate immediately
GOLD SST
OHIP
CML
OHIP
CML
LUPUS ANTICOAGULANT
LOC
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
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.
TAT – 20 days
TEST SPECIFICATION GUIDE – SECTION L
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CML HealthCare Inc Test Specification Guide 17531 Version: 11.0 5-Mar-2014
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
Do not centrifuge tube
VACUTAINER
BILL
LOC
PLAIN RED
N/C
PHL
N/C
PHL
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
(LCM ANTIBODY)
TAT – 15 days
LYMPHOGRANULOMA
VENEREUM GROUP
ANTIBODIES
9014
(LGV)
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
LYMPHOPROLIFERATIVE
DISEASE PHENOTYPING
Refer to LYMPHOCYTE MARKERS, T & B CELLS
(ACUTE LEUKEMIA PHENOTYPING)
(LYMPHOCYTE MARKERS, T & B CELLS)
TEST SPECIFICATION GUIDE – SECTION L
Page 7 of 7
CML HealthCare Inc Test Specification Guide 17531 Version: 11.0 5-Mar-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
MACROAMYLASE
CODE
9135
SPECIMEN REQUIREMENT
Serum
Centrifuge only
VACUTAINER
GOLD SST
BILL
LOC
$60.00
HLRC
TAT – 20 days
MACROGLOBULIN,
ALPHA 2
Refer to ALPHA-2 MACROGLOBULIN
MACROPROLACTIN
9236
Serum
GOLD SST
Minimum volume required: 2ml
Store and send refrigerated
Must be collected in separate SST tube from prolactin test.
TAT – 25 days
OHIP
HLRC
MAGNESIUM
165
Serum
Centrifuge only
GOLD SST
OHIP
CML
GREEN
– with Heparin
$30.00
HLRC
OHIP
DYN
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
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 – 20 days
MAGNESIUM
RANDOM URINE
165RU
Random Urine
10 mL aliquot – submit in a 90 mL orange cap container
TAT – 8 days
OHIP
HLRC
MALARIA
432
Blood
OHIP
CML
LAVENDER
(PLASMODIUM SCREEN)
If test is ordered on a child, may substitute
finger prick blood.
Prepare 3 thin smears
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: 16.0 22-Apr-2014
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 req’d: 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
$60.00
HLRC
$60.00
HLRC
OHIP
DYN
TAT – 14 days
MANGANESE
9931
Urine
25 mL random urine
Submit in a 90 mL orange cap container
TAT – 20 days
MAPROTILINE
(LUDIOMIL)
079M
Plasma
Minimum Volume required: 3 mL
GREEN
- with Heparin
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 – 20 days
MARIJUANA
Refer to CANNABINOIDS SCREEN
(CANNABINOIDS SCREEN)
(CANNABIS)
(TETRAHYDROCANNOBINOIDS)
(THC)
MATERNAL SCREEN
(DOWN’S 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 Children’s Hospital of Easrn Ontario - Ottawa
TAT – 15 days
TEST SPECIFICATION GUIDE – SECTION M
Page 2 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 16.0 22-Apr-2014
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The electronic copy must be used as the current version.
NYGH
MSH
CVH
LHSC
CHEO
TEST NAME
CODE
MCV, MCH, MCHC
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
PLAIN RED
N/C
PHL
$450.00
CML
Refer to COMPLETE BLOOD COUNT
(INDICES, RBC)
MEASLES VIRUS ANTIBODY
9010
(MEASLES – RED)
(RUBEOLA)
Do not centrifuge tube
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 25 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.
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.
$450.00
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.
$700.00
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: 16.0 22-Apr-2014
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The electronic copy must be used as the current version.
TEST NAME
MERCURY – WHOLE BLOOD
CODE
168
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
ROYAL BLUE
K2 EDTA
OHIP
DYN
OHIP
DYN
OHIP
HLRC
Whole Blood
Do not centrifuge
Note: urine is the specimen of choice.
Refrigerate during storage and transport.
TAT – 25 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 – 25 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
$60.00
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: 16.0 22-Apr-2014
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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 – 30 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
006M
TEST NO LONGER AVAILABLE
(ALCOHOL-METHYL)
METHAQUALONE
METHEMALBUMIN SCREEN
(HAPTOGLOBIN SCREEN)
(HEMPEXIN SCREEN)
(FREE Hb)
(PLASMA HEMOGLOBIN)
TEST NO LONGER AVAILABLE
9267
Serum or Plasma
GOLD SST
Specimen must be received by
testing lab within 48 hours
of collection.
Testing consists of free hb, haptoglobin,
hemopexin-heme complex and methemalbumin.
TAT – 8 days
METHEMOGLOBIN
By appointment only at local hospital
TEST SPECIFICATION GUIDE – SECTION M
Page 5 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 16.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
HLRC
TEST NAME
METHOTREXATE
CODE
9729
(AMETHOPTERIN)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
PLAIN RED
Minimum Volume required: 2 mL
Protect from light. Aliquot into amber tube
Collect specimen 10 – 12 hours after last dose
BILL
LOC
OHIP
HLRC
OHIP
HLRC
$105.00
HLRC
OHIP
DYN
Record time in hours that have elapsed between
last dose and specimen collection. Indicate high
dose or low dose therapy.
TAT – 15 days
METHOTRIMEPRAZINE
9163
(NOZINAN)
Serum
PLAIN RED
Minimum Volume required: 3 mL
Collect specimen 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 15 days
METHYLMALONATE
9730
(METHYLMALONIC ACID)
Urine
10 mL random urine
Submit in a 90 mL orange cap container
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
TAT – 15 days
METHYPRYLON
9815
(NOLUDAR)
Serum
Minimum Volume required: 3 mL
PLAIN RED
OHIP
HLRC
TAT – 15 days
METHSUXIMIDE
(CELONTIN)
9711
Plasma
GREEN
Minimum Volume required: 2 mL
- with Heparin
Collect trough specimen 10 – 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 20 days
MEXILETINE
NO LONGER AVAILABLE
TEST SPECIFICATION GUIDE – SECTION M
Page 6 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 16.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
HLRC
TEST NAME
MICROALBUMIN
CODE
005U
(ALBUMIN, QUANTITATIVE URINE)
SPECIMEN REQUIREMENT
VACUTAINER
24-Hour Urine
CLEAR
1 x 6 mL aliquot – submit in clear cap vacutainer
Label tube – MICROALBUMIN
No preservative
BILL
LOC
OHIP
CML
OHIP
CML
OHIP
CML
OHIP
CML
State total 24-hour volume on the OHIP requisition,
on the specimen container and in “Notes and Instructions”.
Retain a duplicate 90 mL sample in the fridge until test is reported.
TAT – 2 days
MICROALBUMIN
005RU
(ALBUMIN, QUANTITATIVE URINE)
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
MICROALBUMIN/
CREATININE RATIO
 24-HOUR URINE
3650
24-Hour Urine
CLEAR
1 x 6 mL aliquot – submit in clear cap vacutainer
Label tube – MICROALBUMIN RATIO
No preservative
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
MICROALBUMIN/
CREATININE RATIO
 RANDOM URINE
3670
Urine
1 x 6 mL random urine
Submit in clear cap vacutainer
Label tube – MICROALBUMIN RATIO
Testing includes albumin and creatinine
CLEAR
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 THYROID MICROSOMAL ANTIBODIES
(ATA) (ATMA)
(ANTI-THYROID ANTIBODY)
(MICROSOMAL ANTIBODIES)
(THYROGLOBULIN ANTIBODIES)
(THYROID ANTIBODIES)
TEST SPECIFICATION GUIDE – SECTION M
Page 7 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 16.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
MILTOWN
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
N/C
PHL
OHIP
CML
Refer to MEPROBAMATE
(EQUANIL)
(MEPROBAMATE)
MITOCHONDRIAL
ANTIBODIES
HP18
(ANTI-MITOCHONDRIAL ANTIBODIES)
(ANTI-SMOOTH MUSCLE ANTIBODY)
Serum
Centrifuge only
Positive results may be delayed due to interpretation
by Consultant.
(ASMA)
(SMA)
(SMOOTH MUSCLE ANTIBODY)
TAT – 2 days
MMR
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)
MRSA SCREEN TEST
(METHICILLIN RESISTANT
STAPHYLOCOCCUS AUREUS)




AXILLA
GROIN
NASAL
RECTAL
610-1
Swab- state source
Place swab in charcoal transport media
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)
(DOWN’S SYNDROME SCREEN)
(TRIPLE MARKER SCREEN)
TEST SPECIFICATION GUIDE – SECTION M
Page 8 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 16.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
MUCONIC ACID
MUCOPOLYSACCHARIDES
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
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
TEST NO LONGER AVAILABLE
(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
Page 9 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 16.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
MYCOPLASMA PNEUMONIAE
CULTURE
CODE
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
OHIP
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 – 10 days
MYELOPEROXIDASE PLASMA 9592
(MPO)
Plasma
Min volume required: 1 mL
LAVENDER
$75.00
LL
OHIP
HLRC
TBD
HLRC
After mixing IMMEDIATELY centrifuge for
10 minutes. IMMEDIATELY aliquot plasma into
transfer tube
Store and ship refrigerated.
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.
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
Page 10 of 10
CML HealthCare Inc Test Specification Guide 18162 Version: 16.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
5’ NUCLEOTIDASE
N-TERMINAL PROBRAIN
NATRIURETIC PEPTIDE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
NO LONGER AVAILABLE
9177
(BNP)
(NT-PRO)
Serum
Minimum volume required: 1 mL
Centrifuge only
GOLD SST
$80.00
HLRC
Collect Monday – Wednesday only
TAT – 15 days
NAPROXEN
NO LONGER AVAILABLE
NARCOTIC SCREEN
Refer to DRUGS OF ABUSE
(DRUG OF ABUSE)
(DRUG SCREEN)
(STREET DRUGS)
(URINE TOXICOLOGY)
NEIRHAUS
Refer to KLEIHAUER STAIN
(KLEIHAUER STAIN)
NEUROMYELITIS
OPTIC ANTIBODY (IgG)
9553
Serum
GOLD SST
Min Volume: 1ml
Centrifuge and aliquot into transfer tube.
Store and ship frozen.
Hemolysed and lipemic specimens are not suitable for testing.
TBD
HLRC
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
$75.00
HLRC
GOLD SST
$75.00
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: 2.0 30-Aug-2013
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
$60.00
HLRC
$60.00
HLRC
$60.00
HLRC
OHIP
HLRC
TAT – 30 days
NICKEL
9217
Urine
50 mL random urine
Submit in a 90 mL orange cap container
TAT – 30 days
NICOTINE
9238
Urine
10 mL random urine
Submit in a 90 mL orange cap container
TAT – 15 days
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
NON–SPECIFIC
COAGULATION INHIBITORS
Refer to LUPUS ANTICOAGULANT
(CIRCULATING ANTICOAGULANT)
(LUPUS ANTICOAGULANT)
NOREPINEPHRINE
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)
TEST SPECIFICATION GUIDE – SECTION N
Page 2 of 3
CML HealthCare Inc Test Specification Guide 17533 Version: 2.0 30-Aug-2013
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
NORTRYPTYLINE
CODE
079N
(AVENTYL)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
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.
OHIP
DYN
OHIP
CML
Refrigerate during storage and transport.
TAT – 20 days
NOZINAN
Refer to METHOTRIMEPRAZINE
(METHOTRIMEPRAZINE)
NT-PRO-BNP
NUCLEAR ANTIBODIES
(ANA)
(ANF)
(CENTROMERE ANTIBODY)
(SLE ANTIBODIES)
Refer to N-TERMINAL PRO BRAIN NATRIURETIC PEPTIDE
HP17
Serum
Centrifuge only
GOLD SST
Positive results may be delayed due to
interpretation by Consultant
TAT – 2 days
TEST SPECIFICATION GUIDE – SECTION N
Page 3 of 3
CML HealthCare Inc Test Specification Guide 17533 Version: 2.0 30-Aug-2013
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
OHIP
CML
OHIP
CML
OHIP
HLRC
$60.00
HLRC
OHIP
CML
Refer to 17-HYDROXY CORTICOSTEROIDS
(17-HYDROXY CORTICOSTEROIDS)
17-OH PROGESTERONE
Refer to 17-HYDROXY PROGESTERONE
(PREGNANETRIOL)
(17-HYDROXY PROGESTERONE)
OCCULT BLOOD
181–1
Stool
Random specimen
Instructions for the patient are in the red kit.
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.
FREEZE URINE AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 40 days
OPIATES SCREEN
078OP
Urine
10 mL random urine
Submit in a blue cap conical tube
TAT – 10 days
TEST SPECIFICATION GUIDE – SECTION O
Page 1 of 3
CML HealthCare Inc Test Specification Guide 17759 Version: 4.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
ORGANIC ACIDS
CODE
9937
SPECIMEN REQUIREMENT
VACUTAINER
Urine
10 mL random urine – early morning sample preferred
Submit in a 90 mL orange cap container
State age of patient and clinical diagnosis
BILL
LOC
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
OHIP
HLRC
$60.00
HLRC
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
O’SULLIVAN SCREEN
GLUCOSE CHALLENGE
Refer to GLUCOSE CHALLENGE
(GLUCOSE CHALLENGE
O’ SULLIVAN)

50g glucose load
OV 125
Refer to CA125
(CA 125)
TEST SPECIFICATION GUIDE – SECTION O
Page 2 of 3
CML HealthCare Inc Test Specification Guide 17759 Version: 4.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
OVA AND PARASITES
IDENTIFICATION
CODE
MP66
SPECIMEN REQUIREMENT
VACUTAINER
Stool
Place approximately 1 tablespoon of stool in preservative
BILL
LOC
OHIP
CML
OHIP
HLRC
OHIP
HLRC
OHIP
CML
$60.00
HLRC
(O&P)
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
9733
(SERAX)
Serum
Minimum Volume required: 3 mL
PLAIN RED
TAT – 15 days
OXYCODONE
3195
(PERCODAN)
Urine
10 mL random urine
Submit in a 10 mL blue top conical tube
TAT – 5 days
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
Page 3 of 3
CML HealthCare Inc Test Specification Guide 17759 Version: 4.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
P– 24, HIV
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
$145.00
HLRC
Refer to HIV
(AIDS)
(HIV SEROLOGY)
PANCREATIC ISLET CELL
ANTIBODIES
Refer to ISLET CELL ANTIBODY
PAPP-A
Refer to MATERNAL SCREEN
(FIRST or SECOND TRIMESTER
SCREENING)
(INTEGRATED PRENATAL SCREENING)
PAP SMEAR
Refer to CYTOLOGY, PAP SMEAR
PARAINFLUENZA VIRUS
ANTIBODIES
NO LONGER AVAILABLE
PARANEOPLASTIC
AUTOANTIBODY PANEL,
SERUM
9277
Serum
GOLD SST
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.
TBD
HLRC
TAT – 17 days
PARASITE SEROLOGY TEST
PARATHYROID
HORMONE
(PTH)
(PARATHYRIN)
Information regarding requests for specific tests available through CML Consultants
330
Serum
PLAIN RED
Minimum Volume required: 3 mL
Separate within 30 minutes
Specimen collected in a SST tube is not acceptable.
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 5 days
TEST SPECIFICATION GUIDE – SECTION P
Page 1 of 16
CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
OHIP
CML
TEST NAME
CODE
PARIETAL CELL ANTIBODIES 9205
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Centrifuge only
Refrigerate during storage and transport.
BILL
LOC
GOLD SST
OHIP
DYN
GREEN
– with heparin
OHIP
HLRC
$145.00
HLRC
LIGHT BLUE
OHIP
CML
PLAIN RED
N/C
PHL
N/C
PHL
TAT – 25 days
PAROXETINE
9940
(PAXIL)
Plasma
Minimum Volume required: 2 mL
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 20 days
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
PARTIAL THROMBOPLASTIN
TIME
462
(PTT)
(COAGULATION SURFACE INDUCED)
Plasma
Fill tube completely - Centrifuge
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 2 day2
PARVO VIRUS
9001
(ERYTHEMA INFECTIOSUM)
(FIFTH’S 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
(TULAREMIA)
(FRANCISELLA TULARENSIS
ANTIBODY)
9024
Do not centrifuge tube
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 25 days
PATERNITY TESTING
NO LONGER AVAILABLE
TEST SPECIFICATION GUIDE – SECTION P
Page 2 of 16
CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
PATHOLOGY
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to HISTOPATHOLOGY
(HISTOLOGY)
PAXIL
Refer to PAROXETINE
(PAROXETINE)
PBG
Refer to PORPHOBILINOGEN SCREEN
(PORPHOBILINOGEN SCREEN)
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
GOLD SST
$215.00
HRL
$45.00
HRL
TAT – 5 days
PEANUT COMPONENT
TESTING
See chart
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.
If 5 components ordered use test code 352 (Peanut Compontent Panel)
TAT – 5 days
Test Name Test Code Peanut Component‐First Component Peanut Component‐Second Component Peanut Component‐Third Component Peanut Component‐Fourth Component 351‐1 351‐2 351‐3 351‐4 TEST SPECIFICATION GUIDE – SECTION P
Page 3 of 16
CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
PEMPHIGUS/PEMPHIGOID
ANTIBODIES
CODE
9391
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Centrifuge only
GOLD SST
BILL
LOC
OHIP
HLRC
OHIP
CML
(ANTI-SKIN ANTIBODIES)
(EPIDERMAL ANTIBODIES)
(SKIN ANTIBODIES)
TAT – 25 days
PENTOBARBITAL
NO LONGER AVAILABLE
PH, STOOL
NO LONGER AVAILABLE
PHENCYCLIDINE SCREEN
078PH
(PCP)
(ANGEL DUST)
Urine
10 mL random urine
Submit in a blue top conical tube
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.
OHIP
CML
TAT – 1 day
PHENOL
NO LONGER AVAILABLE
(BENZENE)
PHENOTHIAZINES SCREEN
9259
PHENYLALANINE
PHENYTOIN
(DILANTIN, FREE)
OHIP
HLRC
REFER TO AMINO ACIDS - QUANTITAVIVE
324
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 – 1 day
OHIP
CML
9169
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
HLRC
(DILANTIN)
PHENYTOIN, FREE
Urine
Min volume required: 10ml random sample
TAT – 5 days
TAT – 15 days
TEST SPECIFICATION GUIDE – SECTION P
Page 4 of 16
CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
PHL TEST NOT ON FILE
CODE
9580
SPECIMEN REQUIREMENT
VACUTAINER
SPECIMEN TYPE WILL VARY
VARIES
BILL
LOC
N/C
PHL
OHIP
CML
OHIP
CML
OHIP
CML
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
NO LONGER AVAILABLE
PHOSPHATASE ACID,
TOTAL
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
194U
(PHOSPHORUS)
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
PHOSPHOLIPIDS
PHOSPHORUS, URINE
(PHOSPHATE RANDOM URINE)
NO LONGER AVAILABLE
194RU
Urine
10 mL random urine
Submit in a white cap conical tube
TAT – 2 days
TEST SPECIFICATION GUIDE – SECTION P
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CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
PHYTANATE
CODE
SPECIMEN REQUIREMENT
9734
Plasma
Minimum Volume required: 2 mL
Fasting sample preferred
(PHYTANIC ACID)
VACUTAINER
GREEN
– with Heparin
BILL
LOC
$60.00
HLRC
OHIP
CML
OHIP
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.
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)
NO LONGER AVAILABLE
send patient to hospital
PLACIDYL
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)
TEST SPECIFICATION GUIDE – SECTION P
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CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
PLATELET COUNT,
CITRATE SAMPLE
CODE
393
SPECIMEN REQUIREMENT
VACUTAINER
Blood
LIGHT BLUE &
Label both samples– platelet count
LAVENDER
Elasticise the two tubes together for transport.
BILL
LOC
OHIP
CML
N/C
PHL
$25.00
HLRC
OHIP
HLRC
OHIP
DYN
TAT – 1 day
PLATELET ANTIBODY
SCREEN
TESTING NO LONGER AVAILABLE
(ANTI-PLATELET ANTIBODY)
(PLATELET ASSOCIATED IGG)
PLATELET FUNCTION TEST
By appointment only at hospital
POLIO VIRUS
Stool/ Throat Swab/ Rectal Swab
Viral history sheet must be completed
Stool is the preferred sample
9026
9031
9031
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.
TAT – 14 days
PORPHOBILINOGEN SCREEN 197
(PBG)
Urine
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
TAT – 30 days
PORPHYRINS, BLOOD
PORPHYRINS, QUALITATIVE
Refer to PROTOPORPHYRIN
200S
Stool
50 g (app. ½ tablespoon) random stool specimen
Protect from light by wrapping with aluminium foil.
FREEZE STOOL AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 30 days
TEST SPECIFICATION GUIDE – SECTION P
Page 7 of 16
CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
PORPHYRINS, QUANTITATIVE 203
SPECIMEN REQUIREMENT
VACUTAINER
Stool
50 g (approximately ½ tablespoon) random stool.
Protect from light by wrapping in aluminium foil
BILL
LOC
OHIP
DYN
OHIP
DYN
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 – 30 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.
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 – 30 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
POTASSIUM
TEST NO LONGER AVAILABLE
TEST SPECIFICATION GUIDE – SECTION P
Page 8 of 16
CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
PREALBUMIN
9291
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Minimum volume required: 1ml
Centrifuge and aliquot
Store and ship refrigerated
GOLD SST
BILL
LOC
$20.00
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
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
TEST SPECIFICATION GUIDE – SECTION P
Page 9 of 16
CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
PRIMIDONE
CODE
211
(MYSOLINE)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
DYN
OHIP
HLRC
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
LAVENDER
OHIP
HLRC
$13.00
HLRC
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 – 5 days
PROCAINAMIDE
212
(PRONESTYL)
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 – 5 days
PROGESTERONE
331
(PREGNANEDIOL)
Serum
Centrifuge only
TAT – 1 day
PROGRAF
Refer to TACROLIMUS
(FK–506)
(TACROLIMUS)
PROLACTIN
332
Serum
Centrifuge only
TAT – 1 day
PRONESTYL
Refer to PROCAINAMIDE
(PROCAINAMIDE)
PROINSULIN
9304
Plasma
Minimum Volume required: 2 mL
Collect fasting specimen in pre-chilled tube.
Chill the whole blood on ice for at least 10 min.
Spin down in a refrigerated centrifuge if available.
Separate and freeze plasma immediately.
TAT – 14 days
PROLIFERATING CELL
NUCLEAR ANTIBODIES
(ANTI – PCNA)
9335
Serum
GOLD SST
Minimum Volume required: 1 mL
Centrifuge, separate into transfer tube and freeze immediately.
Store and send frozen.
TAT – 24 days
TEST SPECIFICATION GUIDE – SECTION P
Page 10 of 16
CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
PROPAFENONE
CODE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
9943
Plasma
Minimum Volume required: 2 mL
GREEN
– with heparin
OHIP
HLRC
OHIP
CML
(RYTHMOL)
LOC
Collect specimen 10 – 12 hours after the last dose
Record in hours the time that have elapsed between
last dose and specimen collection.
Patient should be taking this medication for 3 days
prior to testing.
Collect Monday – Wednesday only
TAT – 15 days
PROPOXYPHENE
078PR
(DARVON)
PROPRANOLOL
Urine
10 mL random urine
Submit in a blue top conical tube
TAT – 7 days
NO LONGER AVAILABLE
(INDERAL)
PROSTATE SPECIFIC ANTIGEN, 354
FREE / TOTAL RATIO
- MONITORING
(PSA, FREE / TOTAL RATIO)
(PSA PERCENT )
Serum
GOLD SST
OHIP
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
$50.00
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
(PSA, TOTAL DISEASE STATE)
Patient must meet eligibility criteria for insurable PSA testing
TAT – 3 days
TEST SPECIFICATION GUIDE – SECTION P
Page 11 of 16
CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
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, 358
WITH HETEROPHILE BLOCK
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Centrifuge only
GOLD SST
BILL
LOC
OHIP
CML
(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
575RU
(IMMUNOELECTROPHORESIS
HEAVY & LIGHT CHAINS
BENCE JONES PROTEIN)
GOLD SST
Urine
50 mL random urine
Submit in 90 mL white cap container
No preservative
First morning specimen preferred
$30.00
CML
OHIP
CML
OHIP
CML
TAT – 5 days
PROTEIN ANALYSIS
BENCE JONES PROTEIN
575U
(BENCE JONES PROTEIN
HEAVY & LIGHT CHAINS
IMMUNOELECTROPHORESIS)
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
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
(FUNCTIONAL/IMMUNOLOGICAL)
9971
Plasma (Citrate)
Minimum Volume required: 3 mL
LIGHT BLUE
Coumadin should be restricted for 2 weeks prior
to the test. Consult with the patient’s 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
TEST SPECIFICATION GUIDE – SECTION P
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CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
$75.00
HLRC
TEST NAME
CODE
PROTEIN ELECTROPHORESIS,
CSF
PROTEIN FRACTIONATION,
CSF
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to PROTEIN FRACTIONATION, CSF
9257
(PROTEIN ELECTROPHORESIS - CSF)
(OLIGOCLONAL BANDING)
Serum
Minimum Volume required: 1 mL serum,
5ml CSF
RED TUBE
OHIP
HLRC
AND STERILE CONTAINER
Serum sample MUST accompany CSF.
Serum MUST be collected within 24 hrs of CSF collection.
Include collection date, collection time, and
Physician’s name on requisition
TAT – 11 days
PROTEIN FRACTIONATION
085
(PROTEIN ELECTROPHORESIS)
(SPE)
Serum
Centrifuge only
GOLD SST
OHIP
CML
OHIP
CML
$60.00
HLRC
● Testing Includes Total Protein ●
TAT – 2 days
PROTEIN FRACTIONATION
086
(PEP)
(SPE- 24 HOUR)
(PROTEIN ELECTROPHORESIS)
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
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
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
Refer to PROTEIN S, FREE/TOTAL
TEST SPECIFICATION GUIDE – SECTION P
Page 13 of 16
CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
PROTEIN, TOTAL – FLUID
CODE
208FL
SPECIMEN REQUIREMENT
Fluid – state source
Minimum Volume required: 1 mL
Submit in plastic transfer tube
VACUTAINER
BILL
LOC
PLAIN RED
OHIP
CML
GOLD SST
OHIP
CML
TAT – 1 day
PROTEIN, TOTAL – SERUM
208
Serum
Centrifuge only
TAT – 1 day
PROTEIN, TOTAL
QUALITATIVE
254– 3
Urine
10 mL random urine
Submit in a yellow cap conical tube
TAT – 2 days
OHIP
CML
208RU
Urine
CLEAR
6 mL random urine
Submit in a clear cap vacutainer labelled “PROTEIN”
OHIP
CML
OHIP
CML
OHIP
HLRC
(ALBUMIN, QUALITATIVE URINE)
PROTEIN, TOTAL
QUANTITATIVE
TAT – 1 day
PROTEIN, TOTAL
24-HOUR URINE
208U
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
(FACTOR II PROTHROMBIN
MUTATION)
9212
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)
TEST SPECIFICATION GUIDE – SECTION P
Page 14 of 16
CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
PROTOPORPHYRINS, RBC
CODE
202
SPECIMEN REQUIREMENT
VACUTAINER
Whole blood
Do not centrifuge
Protect from light
BILL
LOC
LAVENDER
OHIP
DYN
ROYAL BLUE
- no Additives
OHIP
DYN
Refrigerate during storage and transport.
TAT – 30 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 – 20 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)
PSEUDOCHOLINESTERASE
Refer to CHOLINESTERASE, PHENOTYPE
PSITTACOSIS ANTIBODY
(Chlamydia– Psittaci)
Refer to CHLAMYDIA PSITTACI ANTIBODY
PT
Refer to INR
(INR)
(PRO TIME)
(PROTHROMBIN TIME)
PTH
Refer to PARATHYROID HORMONE
(PARATHYROID HORMONE)
(PARATHYRIN)
PTT
Refer to PARTIAL THROMBOPLASTIN TIME
(PARTIAL THROMBOPLASTIN TIME)
PYRIDINIUM
Refer to DEOXYPYRIDINOLINE
TEST SPECIFICATION GUIDE – SECTION P
Page 15 of 16
CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
PYRIDOXINE
CODE
9379
(PYRIDOXAL PHOASPHATE)
(VITAMIN B6)
SPECIMEN REQUIREMENT
VACUTAINER
Plasma
LAVENDER
Minimum Volume required: 2 mL
Separate within 1-hour of collection.
Transfer plasma into an amber transport tube
to protect from light.
BILL
LOC
$65.00
HLRC
OHIP
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 16 of 16
CML HealthCare Inc Test Specification Guide 18355 Version: 12.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
QUETIAPINE
CODE
9569
(SEROQUEL)
SPECIMEN REQUIREMENT
VACUTAINER
Serum
Minimum Volume required: 1 mL
PLAIN RED
BILL
LOC
TBD
HLRC
$35.00
HLRC
OHIP
HLRC
N/C
PHL
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
TAT – 20 days
QUINIDINE
215
(BIQUIN)
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 – 3 days
Q– FEVER ANTIBODY
9027
Do not centrifuge tube
PLAIN RED
(COXIELLA BURNETTI ANTIBODY)
▀ 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: 2.0 30-Aug-2013
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
Refer to RHEUMATOID FACTOR
RA
(LATEX FIXATION)
(RA FACTOR) (RA FIXATION)
(RHEUMATOID FACTOR)
RABIES VIRUS ANTIBODY
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
Refer to RICKETTSIA ANTIBODY
R. AKARI
(RICKETTSIA ANTIBODY)
(RMSF)
(ROCKY MOUNTAIN SPOTTED FEVER)
(TYPHUS MURINE ANTIBODY)
Refer to SIROLIMUS
RAPAMUNE
(RAPAMYCIN)
(SIROLIMUS)
RAST
Refer to ALLERGEN TESTING
RBC CHOLINESTERASE
Refer to ACETYL CHOLINESTERASE
(ACETYL CHOLINESTERASE)
Refer to MAGNESIUM, RBC
RBC MAGNESIUM
(MAGNESIUM, RBC)
Refer to COMPLETE BLOOD COUNT
RED BLOOD CELL COUNT
(ERYTHROCYTE COUNT, RBC)
Refer to MEASLES VIRUS ANTIBODY
RED MEASLES
(RUBEOLA)
REDUCING SUBSTANCES
216
Stool
5 g (approx. 1 teaspoon) random stool
Freeze stool and send FROZEN
TAT – 15 days
REDUCING SUBSTANCES
TEST NO LONGER AVAILABLE
REPEAT PRENATAL ANTIBODIES
Refer to ANTIBODY SCREEN
(ABO & Ab SCREEN)
(ABO & SCREEN)
(PRENATAL SCREEN)
(TYPE & SCREEN)
TEST SPECIFICATION GUIDE – SECTION R Page 1 of 4
CML HealthCare Inc Test Specification Guide 16915 Version: 4.0 5-Mar-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
RENIN
CODE
9376
(RENIN DIRECT)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Plasma
LAVENDER
Minimum Volume required: 1 mL
Collect at room temperature.
Process sample at room temperature.
Centrifuge sample in regular centrifuge.
Separate as soon as possible after centrifugation.
OHIP
HLRC
GOLD SST
$60.00
HLRC
LAVENDER
OHIP
CML
GOLD SST
OHIP
HLRC
GOLD SST
OHIP
CML
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 25 days
Refer to MYCOPLASMA PNEUMONIAE CULTURE
RESPIRATORY CULTURE
(MYCOPLASMA CULTURE)
RETICULIN ANTIBODIES
9942
(ANTI-RETICULIN ANTIBODY)
Serum
Centrifuge only
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
Refer to TRIIODOTHYRONINE REVERSE
Rh FACTOR
Refer to BLOOD GROUP
(TRIIODOTHYRONINE
REVERSE)
(ABO & TYPE)
(ABO RhD)
(BLOOD GROUP & Rh(D))
(BLOOD TYPE)
RHEUMATOID FACTOR
(LATEX FIXATION)
(RA) (RA FACTOR)
(RA FIXATION)
500RA
Serum
Centrifuge only
TAT – 1 day
TEST SPECIFICATION GUIDE – SECTION R Page 2 of 4
CML HealthCare Inc Test Specification Guide 16915 Version: 4.0 5-Mar-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
RICKETTSIA ANTIBODY
CODE
9044
(R.AKARI)
(RMSF)
(ROCKY MOUNTAIN SPOTTED FEVER)
(TYPHUS MURINE ANTIBODY)
SPECIMEN REQUIREMENT
Public Health Laboratory recommends
both acute and convalescent specimens
taken two weeks apart
Do not centrifuge tube
VACUTAINER
PLAIN RED
BILL
LOC
N/C
PHL
OHIP
HLRC
OHIP
HLRC
N/C
PHL
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 45 days
Refer to DERMATOPHYTOSIS
RINGWORM OF SCALP
(DERMATOPHYTOSIS)
(WOOD LAMPS TEST)
RISPERIDONE
9738
(RISPERDOL)
Serum 2mL
Trough specimen.
Freeze serum and send FROZEN
Collect just prior to next dose.
Serum from gel separator NOTacceptable
PLAIN RED
TAT – 15 days
RISTOCETIN CO FACTOR
VON WILLEBRAND
TEST NO LONGER AVAILABLE
RITALIN
Refer to METHYLPHENIDATE
(METHYLPHENIDATE)
Refer to CLONZAEPAM
RIVOTRIL
(CLONAZEPAM)
Refer to RICKETTSIAL ANTIBODY
ROCKY MOUNTAIN
SPOTTED FEVER ANTIBODY
(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
TAT – 15 days
IgM
Collect specimen 1 to 3 weeks
after onset of rash
(ACUTE RUBELLA)
(RUBELLA IGM)
Do not centrifuge tube
RUBELLA VIRUS ANTIBODY,
9077
PLAIN RED
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 5 days
TEST SPECIFICATION GUIDE – SECTION R Page 3 of 4
CML HealthCare Inc Test Specification Guide 16915 Version: 4.0 5-Mar-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
RUBELLA VIRUS
ANTIBODY, IgG
679
(RUBELLA ANTIBODY IGG IMMUNE)
(RUBELLA IGG)
RUBELLA VIRUS
ANTIBODY, IgG PRENATAL
SPECIMEN REQUIREMENT
Serum
Centrifuge only
VACUTAINER
BILL
LOC
GOLD SST
OHIP
CML
PLAIN RED
N/C
PHL
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
(RED MEASLES)
RYTHMOL
Refer to PROPAFENONE
(PROPAFENONE)
TEST SPECIFICATION GUIDE – SECTION R Page 4 of 4
CML HealthCare Inc Test Specification Guide 16915 Version: 4.0 5-Mar-2014
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
LOC
OHIP
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
$45.00
HLRC
$60.00
HLRC
OHIP
CML
OHIP
CML
TAT – 15 days
Refer to ERYTHROCYTE SEDIMENTATION RATE
SEDIMENTATION RATE
(ESR)
(SED RATE)
SELENIUM
9491
Plasma
Minimum Volume required: 3 mL
Separate plasma as soon as possible
ROYAL BLUE
- with K2 EDTA
TAT – 25 days
SELENIUM
9944
Urine Random
50 mL random urine
Submit in 90 mL orange cap container
TAT - 25 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.
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
(POST VAS)
(SEMEN POST VAS)
HP13
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
TEST SPECIFICATION GUIDE – SECTION S
Page 1 of 5
CML HealthCare Inc Test Specification Guide 18396 Version: 3.0 20-Feb-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
Refer to THYROTROPIN
SENSITIVE TSH
(THYROTROPIN)
(TSH)
Refer to OXAZEPAM
SERAX
(OXAZEPAM)
SEROTONIN
9716
(5– HYDROXYTRYTAMINE)
Serum
GOLD SST
2 aliquots of 1 mL – keep aliquots together with elastic
OHIP
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
Refer to 5-HYDROXYINDOL ACETATE
SEROTONIN METABOLITE
(5– HIAA)
(HYDROXYINDOLE)
(5-HYDROXYINDOLE ACETATE)
SERTRALINE
9952
(ZOLOFT)
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
OHIP
HLRC
$45.00
HLRC
OHIP
CML
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 25 days
SEX HORMONE
BINDING GLOBULIN
9138
Serum
Centrifuge only
GOLD SST
TAT –25 days
Refer to ASPARATE AMINO TRANSAMINASE
SGOT
(AST)
(ASPARATE AMINO TRANSAMINASE)
Refer to ALANINE AMINO TRANSAMINASE
SGPT
(ALT)
(ALANINE AMINO TRANSAMINASE)
SICKLE CELL SCREEN
(SICKLE CELL PREP)
(SICKLE CELL SOLUBILITY SCREEN)
453
Blood
Do not centrifuge
LAVENDER
TAT – 1 day
TEST SPECIFICATION GUIDE – SECTION S
Page 2 of 5
CML HealthCare Inc Test Specification Guide 18396 Version: 3.0 20-Feb-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
SILVER, PLASMA
TEST NO LONGER AVAILABLE
SILVER
TEST NO LONGER AVAILABLE
SINEQUAN
Refer to DOXEPIN
VACUTAINER
BILL
LOC
(DOXEPIN)
SIROLIMUS
9161
(RAPAMUNE)
(RAPAMYCIN)
Blood – Whole
LAVENDER
OHIP
HLRC
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
Refer to NUCLEAR ANTIBODIES
SLE 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
TEST SPECIFICATION GUIDE – SECTION S
Page 3 of 5
CML HealthCare Inc Test Specification Guide 18396 Version: 3.0 20-Feb-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
SODIUM, URINE
226RU
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
CML
GOLD SST
OHIP
CML
GOLD SST
OHIP
DYN
Urine
10 mL random urine
Submit in a white cap conical tube
TAT – 2 days
Refer to INSULIN LIKE GROWTH FACTOR 1
SOMATOMEDIN C
(IGF)
(INSULIN LIKE GROWTH FACTOR 1)
SOMATOTROPIN
317
(HUMAN GROWTH HORMONE)
(HGH)
Serum
Minimum volume required: 2 mL
Separate within 30 minutes
FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT – 10 days
Refer to PROTEIN FRACTIONATION
SPE
(PROTEIN FRACTIONATION)
SPERM ANTIBODIES
(ANTI-SPERM ANTIBODIES)
597
Serum
Centrifuge only
Hemolysed samples are NOT acceptable
TAT – 30 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)
TEST SPECIFICATION GUIDE – SECTION S
Page 4 of 5
CML HealthCare Inc Test Specification Guide 18396 Version: 3.0 20-Feb-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
VACUTAINER
BILL
LOC
OHIP
CML
Refer to CULTURE & SENSITIVITY, THROAT
STREPTOCOCCUS
THROAT SCREEN
STREPTOLYSIN O
ANTIBODY
SPECIMEN REQUIREMENT
659
Serum
Centrifuge only
GOLD SST
(ASOT)
TAT – 1 day
STREPTOZYME TEST
Refer to STREPTOLYSIN O ANTIBODY
SUCROSE LYSIS
NO LONGER AVAILABLE
SULFHEMOGLOBIN
NO LONGER AVAILABLE
SULPHONAMIDE
NO LONGER AVAILABLE
SURGICAL PATHOLOGY
Refer to HISTOPATHOLOGY
_________________________________________________________________________________________________________
Refer to TRIMIPRAMINE
SURMONTIL
(TRIMIPRAMINE)
Refer to FLUID, TOTAL EXAM
SYNOVIAL FLUID
(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
Page 5 of 5
CML HealthCare Inc Test Specification Guide 18396 Version: 3.0 20-Feb-2014
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
T CELL LYMPHOCYTE
MARKER ONLY
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to LYMPHOCYTE MARKER – T CELLS ONLY
(CD3, CD4, CD8)
(LYMPHOCYTE MARKER- T CELLS ONLY)
T3 RIA
Refer to TRIIODOTHYRONINE, TOTAL
T4 TOTAL, THYROXINE
NO LONGER AVAILABLE
(TOTAL T3)
(TRIIODOTHYRONINE)
TACROLIMUS
9720
(FK–506)
(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
Page 1 of 9
CML HealthCare Inc Test Specification Guide 17535 Version: 10.0 22-Apr-2014
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)
TELOPEPTIDE - N
TESTOSTERONE,
BIO AVAILABLE
NO LONGER AVAILABLE – Refer to C-TELOPEPTIDE
9234
(BIO AVAILABLE TESTOSTERONE)
Serum
Minimum Volume required: 2 mL
Centrifuge and aliquot to transfer tube.
Store and ship refrigerated.
GOLD SST
$60.00
HLRC
Test includes: Total Testosterone,
Sex Hormone Binding Globulin,
Albumin, and Calculated Bioavailable Testosterone
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT– 10 days
TESTOSTERONE, FREE
608
Serum
Centrifuge only
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
State age and sex of patient
TAT – 4 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- 3 tubes
LAVENDER
N/C
Min sample required – 10ml
INCLUDES: CBC, Hemoglobin Electrophoresis and Ferritin
DNA Genetic Testing Form must be completed at Dr’s 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
Page 2 of 9
CML HealthCare Inc Test Specification Guide 17535 Version: 10.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
HLRC
TEST NAME
CODE
THC
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
CML
LAVENDER
$70.00
HLRC
PLAIN RED
OHIP
HLRC
LAVENDER
$150.00
GOLD SST
OHIP
HLRC
LIGHT BLUE
OHIP
HLRC
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
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
FREEZE PLASMA AND SEND FROZEN
TAT – 25 days
THIOCYANATE
9947
Serum
Minimum Volume required: 3 mL
TAT – 10 days
THIOPURINE
S – METHLTRANSFERASE
(TPMT) GENOTYPE
9311
(TPMT)
Whole Blood
Must complete form for molecular
Hematology testing and submit with
Specimen and requisition
HLRC
TAT – 13 days
THIORIDAZINE
9731
(MELLARIL)
Serum
Centrifuge only
TAT – 20 days
THROMBOCYTE COUNT
Refer to COMPLETE BLOOD COUNT
(PLATELET COUNT)
THROMBIN TIME
9743
(THROMBIN CLOTTING TIME)
(COAGULATION THROMBIN INDUCED)
Plasma
Minimum Volume required: 1 mL
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
TEST SPECIFICATION GUIDE – SECTION T
Page 3 of 9
CML HealthCare Inc Test Specification Guide 17535 Version: 10.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
THROMBOPLASTIN TIME,
PARTIAL
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
OHIP
CML
GOLD SST
$1000.00
HLRC
GOLD SST
OHIP
CML
GOLD SST
OHIP
HLRC
GOLD SST
$90.00
HLRC
GOLD SST
OHIP
CML
Refer to PARTIAL THROMBOPLASTIN TIME
(PTT)
THYROGLOBULIN
9494
Serum
Centrifuge only
GOLD SST
Note: Not the same test as Thyroglobulin Antibody (HP16)
TAT – 10 days
THYROGLOBULIN ANTIBODY, 9571
QUANTITATIVE
Serum
Centrifuge and aliquot
(TgAb QUANT)
(QUANTITATIVE THYROGLOBULIN ANTIBODY)
Store and ship refrigerated
This test is not available for CCC use.
This test is only for use at Kennedy Road
for hospital patients
TAT – 8 days
THYROID MICROSOMAL
ANTIBODIES
HP16
(ATA)
(ANTI-THYROID ANTIBODY)
(MICROSOMAL ANTIBODIES)
(MICROSOMAL THYROID ANTIBODIES)
(THYROID ANTIBODIES)
(THYROGLOBULIN ANTIBODIES)
Serum
Centrifuge only
Positive results may be delayed due to interpretation
by consultant.
Note: Not the same test as Thyroglobulin (9494)
TAT –2 days
THYROID PEROXIDASE
ANTIBODY
9953
Serum
Centrifuge only
(TPO AB)
TAT –25 days
THYROID RECEPTOR
ANTIBODIES
9454
(LATS)
Serum
Minimum volume required: 2 mL
Separate within 1 hour of collection
(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
(SENSITIVE TSH)
(TSH)
341
Serum
Centrifuge only
TAT – 1 day
3 MICROTAINERS ARE REQUIRED
WHEN COLLECTING FROM AN INFANT
TEST SPECIFICATION GUIDE – SECTION T
Page 4 of 9
CML HealthCare Inc Test Specification Guide 17535 Version: 10.0 22-Apr-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
THYROTROPIN BINDING
INHIBITOR IMMUNOGLOBULIN
VACUTAINER
BILL
LOC
Refer to THYROID RECEPTOR ANTIBODIES
(TBII) (THYROID STIMULATING ANTIBODY)
(LATS) (LONG ACTING THYROID STIMULATOR)
TRAB) TSH RECEPTOR ANTIBODY
THYROXINE BINDING
GLOBULIN
342
Serum
Centrifuge only
Submit Monday to Wednesday only
(TBG)
GOLD SST
OHIP
HLRC
GOLD SST
OHIP
CML
GOLD SST
$60.00
HLRC
PLAIN RED
OHIP
HLRC
$50.00
HLRC
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)
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
Serum
Centrifuge only
TAT – 20 days
TOBRAMYCIN


PEAK
304TP
TROUGH 304TT
Serum
Minimum Volume required: 1 mL
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 9
CML HealthCare Inc Test Specification Guide 17535 Version: 10.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
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
DYN
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 THYROID PEROXIDASE ANTIBODY
(ANTI–THYROID PEROXIDASE)
TRANSCOBALAMIN
TRANSFERRIN
NO LONGER AVAILABLE
554
Serum
Centrifuge only
Refrigerate during storage and transport
GOLD SST
TAT – 15 days
TEST SPECIFICATION GUIDE – SECTION T
Page 6 of 9
CML HealthCare Inc Test Specification Guide 17535 Version: 10.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
TRANSFERRIN SATURATION
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to IRON
(IRON)
(IRON BINDING CAPACITY)
(IRON SATURATION)
(TIBC) (UIBC)
(TOTAL IRON BINDING CAPACITY)
TRANSGLUTAMINASE
IgA TISSUE (TTG)
TRAZODONE
Refer to TISSUE TRANSGLUTAMINASE IgA ANTIBODY
9422
(DESYREL)
Plasma
Minimum Volume required: 3 mL
GREEN
- with Heparin
OHIP
HLRC
N/C
PHL
Collect specimen 10– 12 hours after last dose
Record time in hours that have elapsed between
last dose and specimen collection.
Separate as soon as possible
TAT – 20 days
TREPONEMAL ANTIBODIES
Refer to SYPHILIS
(FLUORESCENT ABSORPTION TEST)
(FTA- TREPONEMAL ANTIBODIES)
(SYPHILIS)
TREPONEMA PALLIDUM
IMMOBILIZATION
Refer to SYPHILIS
(TPI)
(SYPHILIS)
TRIAZOLAM (HALCION)
TRICHINELLA ANTIBODY
NO LONGER AVAILABLE
9055
Do not centrifuge tube
PLAIN RED
(TRICHINOSIS IMMOBILIZATION
ANTIBODY)
(TIA)
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
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
TEST SPECIFICATION GUIDE – SECTION T
Page 7 of 9
CML HealthCare Inc Test Specification Guide 17535 Version: 10.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
TRIGLYCERIDE
TRIIODOTHYRONINE, FREE
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to LIPID ASSESSMENT, FASTING/LIPID ASSESSMENT, NON FASTING
607
(FREE T3)
Serum
Centrifuge only
GOLD SST
OHIP
CML
GOLD SST
OHIP
CML
OHIP
DYN
TAT – 1 day
TRIIODOTHYRONINE
REVERSE
TESTING NO LONGER AVAILABLE
(REVERSE T3)
TRIIODOTHYRONINE, TOTAL
336
(T3 RIA)
(TOTAL T3)
Serum
Centrifuge only
TAT – 1 day
TRIIODOTHYRONINE, UPTAKE
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.
Refrigerate during storage and transport.
TAT – 20 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
NO LONGER AVAILABLE
TEST SPECIFICATION GUIDE – SECTION T
Page 8 of 9
CML HealthCare Inc Test Specification Guide 17535 Version: 10.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
TRYPTASE
9949
SPECIMEN REQUIREMENT
VACUTAINER
Serum
GOLD SST
$65.00
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
BILL
Refer to PHENYLALANINE
TEST SPECIFICATION GUIDE – SECTION T
Page 9 of 9
CML HealthCare Inc Test Specification Guide 17535 Version: 10.0 22-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
LOC
HLRC
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)
Serum
Centrifuge only
GOLD SST
TAT – 1 day
UREA
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
(MYCOPLASMA ISOLATION)
URIC ACID
Refer to URATE
(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: 2.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
URINALYSIS, CHEMICAL
CODE
5050
(URINALYSIS ROUTINE)
SPECIMEN REQUIREMENT
VACUTAINER
Urine
10 mL random urine
BILL
LOC
OHIP
CML
OHIP
CML
OHIP
CML
Submit in a YELLOW cap conical tube
Test includes: Appearance, Colour, pH, Protein,
Glucose, Keytone, Blood, Nitrite, Leukocyte Esterase
and Specific Gravity
TAT – 1 day
URINALYSIS, MICROSCOPIC
5000
(URINALYSIS MICRO)
Urine
10 mL random urine
Submit in a RED cap conical tube
Note: chemical urinalysis can be performed on the same
Specimen submitted for urinalysis microscopic.
TAT – 1 day
URINE TOXICOLOGY
Refer to DRUGS OF ABUSE SCREEN
(DRUGS OF ABUSE)
(DRUG SCREEN)
(NARCOTIC SCREEN)
(STREET DRUGS)
UROBILINOGEN
254– 8
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: 2.0 2-Apr-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
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
OHIP
HLRC
OHIP
HLRC
Record time in hours that have elapsed between
last dose and specimen collection.
TAT – 1 day
VALIUM
Refer to DIAZEPAM
(DIAZEPAM)
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.
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: 4.0 7-Jan-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
$75.00
HLRC
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
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: 4.0 7-Jan-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
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
OHIP
HLRC
(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
637C
(VIRUS ISOLATION)
Swab – State source
Submit in VIRUS– SW media kit
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 25 days
VISCOSITY, RELATIVE
QUANTITATIVE
9746
Whole blood
4 mL
LAVENDER
Do NOT centrifuge
Store and transport at room temperature
Submit Monday, Tuesday, Wednesday ONLY
TAT – 15 days
TEST SPECIFICATION GUIDE – SECTION V Page 3 of 5
CML HealthCare Inc Test Specification Guide 18211 Version: 4.0 7-Jan-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
VITAMIN A
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
Refer to RETINOL
(RETINOL)
VITAMIN B1
Refer to THIAMINE
VITAMIN B6
Refer to PYRIDOXINE
VITAMIN B12
Refer to COBALAMINS
VITAMIN C
Refer to ASCORBATE
(THIAMINE)
(PYRIDOXAL PHOSPHATE)
(PYRIDOXINE)
(B12)
(COBALAMINS)
(ASCORBIC ACID)
(ASCORBATE)
VITAMIN D
Refer to CALCITRIOL
(1,25– DIHYDROXY VITAMIN D)
(CALCITRIOL)
VITAMIN D (UNINSURED)
Refer to CALCIDIOL (UNINSURED)
(25– HYDROXYVITAMIN D)
(CALCIDIOL)
VITAMIN D (INSURED)
Refer to CALCIDIOL (INSURED)
(25– HYDROXYVITAMIN D)
(CALCIDIOL)
VITAMIN E
Refer to TOCOPHEROL
(TOCOPHEROL)
VLDL
Refer to VERY LOW DENSITY LIPOPROTEIN
(VERY LOW DENSITY LIPOPROTEIN)
(ULTRACENTRIFUGATION HDL/LDL)
VMA
Refer to VANILLYMANDELATE
(VANILLYMANDELIC ACID)
VON WILLEBRAND FACTOR
ACTIVITY
9983
Plasma
Minimum Volume required: 2ml
1 LIGHT BLUE
$60.00
HLRC
1 LIGHT BLUE
$60.00
HLRC
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT – 10 Days
VON WILLEBRAND FACTOR
ANTIGEN
9982
Plasma
Minimum Volume required: 2ml
FREEZE PLASMA AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines
TAT – 17 Days
VON WILLEBRAND FACTOR
COFACTOR
NO LONGER AVAILBLE
TEST SPECIFICATION GUIDE – SECTION V Page 4 of 5
CML HealthCare Inc Test Specification Guide 18211 Version: 4.0 7-Jan-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
CODE
VON WILLEBRAND FACTOR
MULTIMERS
VON WILLEBRAND FACTOR
SCREEN
(INCLUDES MULTIMERS)
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
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.
$140.00
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
$ 60.00
$ 60.00
$ 60.00
TAT – 20 days
VON WILLEBRAND FACTOR
VIII-C
9950
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 5 of 5
CML HealthCare Inc Test Specification Guide 18211 Version: 4.0 7-Jan-2014
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
$60.00
HLRC
TEST NAME
WARFARIN
CODE
SPECIMEN REQUIREMENT
9201
Plasma
Minimum Volume required: 3 mL
(COUMADIN)
VACUTAINER
BILL
LOC
GREEN
- with Heparin
$45.00
HLRC
PLAIN RED
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 patient’s clinical history on the PHL form
and indicate acute or convalescent specimen
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 20 days
WET PREPARATION
Refer to CULTURE & SENSITIVITY, GENITAL
(TRICH)
(TRICHOMONAS VAGINALIS)
WHITE BLOOD CELL COUNT
Refer to COMPLETE BLOOD 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)
TEST SPECIFICATION GUIDE – SECTION W Page 1 of 2
CML HealthCare Inc. Test Specification Guide 16918 Version: 1.3 3/25/2009
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
WORM IDENTIFICATION
CODE
9090
SPECIMEN REQUIREMENT
VACUTAINER
Stool
Submit whole specimen without contamination from other fluids
BILL
LOC
N/C
PHL
N/C
PHL
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days
WORM IDENTIFICATION
9091
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: 1.3 3/25/2009
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.
TEST NAME
XYLOSE ABSORPTION
CODE
265
SPECIMEN REQUIREMENT
Blood
VACUTAINER
GRAY
(XYLOSE TOLERANCE)
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’.
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.
Child test: 12 years old and younger
Chlidren 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.
TEST SPECIFICATION GUIDE – SECTION X Page 1 of 1
CML HealthCare Inc Test Specification Guide 14728 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.
BILL
LOC
OHIP
DYN
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
SPECIMEN REQUIREMENT
VACUTAINER
BILL
LOC
ROYAL BLUE
- no additive
OHIP
HLRC
OHIP
DYN
$60.00
HLRC
Refer to ETHOSUXIMIDE
ZARONTIN
(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 – 15 days
ZINC PROTOPORPHYRIN
9143
Whole Blood
Do not centrifuge
Collect Monday to Thursday only
LAVENDER
▀ REQUESTING PHYSICIAN MUST COMPLETE
FORM AVAILABLE FROM PROBLEM SOLVING DEPT.
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: 1.5 8/19/2011
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

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