TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

TEST SPECIFICATION GUIDE
The Test Specification Guide will be available to CML HealthCare CCC’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: 14.0 17-Aug-2015
DOI: Sept/2005
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

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

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

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

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

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

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

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

Abbreviation
BAGL
CENTO

Testing Facility
Bay Area Genetic Laboratory
Centogene AG

CML

CML HealthCare

CVH

Credit Valley Hospital

DYN

Dynacare

HLRC

Hamilton Lab Reference Center

HOSP

Designated Hospital

HRL

Hemostasis Reference Laboratory

KGH

Kingston General Hospital

LHSC

London Health Services Center

LL

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

905-521-2100 x 42667

519-685-8500 ext.77736

Life Labs

1-877-404-0637

LLG

LifeLabs Genetics

1-844-363-4357

MSH

Mount Sinai Hospital

MUMC
NAT
NYGH

McMaster University Medical Centre
Natera Inc
North York General Hospital

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

OGH

Oshawa General Hospital

PHL

Public Health Labs

416-235-5952

PLSI

Phenomenome Lab Services Inc.

306-202-8378

Quest Diagnostics Inc.

201-393-5300

SBH

Sunnybrook Health Science Centre

416-480-4652

SKH

Hospital for Sick Kids

416-813-1500

SMH

St. 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

QUEST

1-877-677-5463

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

LOC

103-407 DOWNEY ROAD. OSHAWA L1G 2B9 85 CREDIT VALLEY HOSPITAL 2200 EGLINTON AVE. MISSISSAUGA L5M 2N1 86 SUNNYBROOK HEALTH SCIENCE CENTRE 2075 BAYVIEW AVENUE.. TORONTO M9W 6J6 94 HAMILTON LAB REFERENCE CENTRE 50 CHARLTON AVE. MISSISSAUGA L5T 2X4 70 MOUNT SINAI HOSPITAL 600 UNIVERSITY AVENUE. SIR WILLIAM OSLER BLDG. USA 96 98 66219 TSG GENERAL INFORMATION Page 4 of 6 CML HealthCare Inc Test Specification Guide 16954 Version: 14. W. 400 -201 INDUSTRIAL ROAD. 99 . CA 94070 97 NORTH YORK GENERAL HOSPITAL 4001 LESLIE STREET. TORONTO M5G 1X5 82 UNIVERSITY HEALTH NETWORK (TORONTO GENERAL SITE) 190 ELIZABETH AVENUE. – LENEXA SCHILLINGALLEE 68. KS. E. LONDON N6A 1P4 92 ST MICHEAL’S HOSPITAL 30 BOND ST. SAN CARLOS. The electronic copy must be used as the current version. LENEXA. SASKATOON. GERMANY 10101 RENNER BLVD.. TORONTO M4N 3M5 87 PUBLIC HEALTH LAB – TORONTO BRANCH 81 RESOURCE ROAD. TORONTO M9P 3T1 90 DYNACARE 245 PALL MALL STREET.TEST NAME CODE SPECIMEN REQUIREMENT VACUTAINER BILL LOC LOCATION INDEX ON REPORTS LOCATION NAME FACILITY CODE ADDRESS CML HEALTHCARE – MAIN LABORATORY 6560 KENNEDY ROAD. 18057 ROSTOCK. HAMILTON L8N 4A6 95 HEMOSTASIS REFERENCE LABORATORY 711 CONCESSION ST.0 17-Aug-2015 DOI: Sept/2005 This document hardcopy must be used for reference only.. 2ND FL L8V 1C3 70 PHENOMENOME LABORATORY SERVICE INC. ONT M5B 1W8 93 LIFE LABS 100 INTERNATIONAL BLVD. TORONTO M5G 2C4 83 NATERA INC. HAMILTON L9C 7N4 CENTOGENE AG QUEST DIAGNOSTICS INC. TORONTO M2K 1E1 84 LAKERIDGE HEALTH CORPORATION 1 HOSPITAL COURT. TORONTO. 15(H) WING. SASKATCHEWAN S7N 4L8 BAY AREA GENETIC LABORATORY 205B-565 SANATORIUM ROAD.

LOC . parasites) Strep B rapid screen IMMUNOHEMATOLOGY - Antibody Identification – Incomplete antibody Antibody screen Blood group – ABO and Rho (D) Direct Anti-human globulin test Direct Anti-human globulin test TSG GENERAL INFORMATION Page 5 of 6 CML HealthCare Inc Test Specification Guide 16954 Version: 14.TEST NAME CODE SPECIMEN REQUIREMENT VACUTAINER BILL LIST OF TESTS MIDWIVES ARE PERMITTED TO ORDER (TESTS FOR MOTHERS): CHEMISTRY/RIA - Glucose Glucose Challenge. agglutination or ELISA technique (toxoplasmosis) HTLVIII/LAV antibody screen by ELISA technique (HIV Antibody) Culture – Urine Virus Isolation Wet preparation (for fungus. 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. The electronic copy must be used as the current version. tricomonas. Vaginal (includes G.C) Culture – Other swabs or pus IMMUNOLOGY - - Pregnancy test Virus antibodies – hemagglutination inhibition or ELISA technique Non-cultural.C differential count (includes R.C Morphology and platelet estimate) W.B.B. indirect antibody or antigen assays by fluorescence.C (lkc count.0 17-Aug-2015 DOI: Sept/2005 This document hardcopy must be used for reference only. Gestational Screen Urinalysis – Routine Chemical Urinalysis – Microscopic examination Estriol HCG Hepatitis associated antigen or antibody immunoassay Alphafetoprotein Screen Albumin Quantitative Serum Ferritin Serum Folate HEMATOLOGY - - W.B.

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. The electronic copy must be used as the current version. trichomonas. .Blood group – ABO and Rho (D) IMMUNOLOGY - HTLVIII/LAV antibody screen by ELISA technique (HIV Antibody) TSG GENERAL INFORMATION Page 6 of 6 CML HealthCare Inc Test Specification Guide 16954 Version: 14.C (lkc count.C differential count (includes R. 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.0 17-Aug-2015 DOI: Sept/2005 This document hardcopy must be used for reference only. parasites) Sickle cell solubility test (screen) Blood group per antigen IMMUNOHEMATOLOGY .B.B.C Morphology and platelet estimate) Platelet count W.B.

ANTIGENS C. UNINSURED HLRC . TAT – 1 day ACETYLCHOLINE RECEPTOR ANTIBODY 9144 Serum Centrifuge only GOLD SST TAT – 30 days TEST SPECIFICATION GUIDE .0 11-May-2015 This document hardcopy must be used for reference only.G.TEST NAME CODE SPECIMEN REQUIREMENT 3A/G RATIO Refer to ALBUMIN/GLOBULIN RATIO A1C Refer to HEMOGLOBIN A1C ABO. QUALITATIVE (KETONES QUALITATIVE) 254–5 Urine 10 mL random urine Submit in a YELLOW cap conical tube. GENOTYPE Refer to BLOOD GROUP PHENOTYPE (ALBUMIN/ GLOBULIN RATIO) (GLYCOSYLATED HEMOGLOBIN) (HbA1C) (HEMOGLOBIN A1C) (ABO & TYPE) (BLOOD GROUP & RhD) (BLOOD GROUP) (Rh TYPING) (BLOOD GROUP. RhD Refer to BLOOD GROUP ABO.SECTION A Page 1 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29. E. c. OHIP HLRC OHIP DYN OHIP CML TAT – 5 days ACETONE (KETONES) 002 Serum Centrifuge only. GOLD SST TAT – 8 days ACETONE. e ABO & ANTIBODY SCREEN Refer to BLOOD GROUP and Refer to ANTIBODY SCREEN ACE Refer to ANGIOTENSIN CONVERTING ENZYME (ABO & SCREEN) (PRENATAL SCREEN) (TYPE & SCREEN) (BLOOD GROUP PRENATAL ANTIBODY) (ANGIOTENSIN CONVERTING ENZYME) ACETAMINOPHEN (TYLENOL) 079A Serum PLAIN RED Minimum Volume required: 2 mL Record time in hours that have elapsed between last dose and specimen collection. Rh(D). Do not open tube Refrigerate during storage and transport. The electronic copy must be used as the current version. Rh(D) & GENOTYPE) VACUTAINER BILL LOC (GENOTYPE) E.

PROSTATIC TEST NO LONGER AVAILABLE ACID PHOSPHATASE TOTAL TEST NO LONGER AVAILABLE ACTH Refer to CORTICOTROPIN (AFB) (MYCOBACTERIA TUBERCULOSIS DETECTION) (T. UNINSURED HLRC .SECTION A Page 2 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29. T & B CELLS ACUTE RUBELLA Refer to RUBELLA VIRUS ANTIBODY. T & B CELLS) (LYMPHOPROLIFERATIVE DISEASE PHENOTYPING) (RUBELLA VIRUS ANTIBODY. separate into transfer tube GREEN and freeze immediately.TEST NAME CODE ACETYL CHOLINESTERASE 057R (RBC CHOLINESTERASE) SPECIMEN REQUIREMENT VACUTAINER BILL Red cells 2 LAVENDER Centrifuge tubes within 1-hour of collection Aliquot and discard plasma from lavender tubes Send red cells only Keep tubes together with an elastic Store and transport refrigerated OHIP LOC DYN TAT – 7 days Refer to SALICYLATE ACETYLSALICYLIC ACID (ASA) (ASPIRIN) (SALICYLATE) ACYLCARNITINE (FRACTIONATION) 9341 Centrifuge.0 11-May-2015 This document hardcopy must be used for reference only. Store and send frozen UNINSURED HLRC TAT – 15 days ACID FAST BACILLUS Refer to MYCOBACTERIA TUBERCULOSIS DETECTION ACID PHOSPHATASE. CULTURE) (TUBERCULOSIS CULTURE) (ADRENOCORTICOTROPIC HORMONE) (CORTICOTROPIN) ACTIVATED PROTEIN C RESISTANCE 9901 (APCR) Plasma Minimum Volume required: 2 mL Patient should not be on anticoagulant therapy LIGHT BLUE FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines TAT – 25 days ACUTE LEUKEMIA PHENOTYPING Refer to LYMPHOCYTE MARKERS. IgM (LYMPHOCYTE MARKERS.B. IGM) TEST SPECIFICATION GUIDE . The electronic copy must be used as the current version.

13 9535 (THROMBOTIC THROMBOCYTOPENIC PURPURA) SPECIMEN REQUIREMENT VACUTAINER Both Red and Blue vacutainers are required. Store and ship refrigerated. aliquot into transfer tube. Spin and separate. The electronic copy must be used as the current version.0 11-May-2015 This document hardcopy must be used for reference only. (See also Ministry of Health guidelines) UNINSURED SKH FORM AVAILABLE ON CML WEBSITE ADIPONECTIN 99999 Serum Patient must be fasting for min of 8 hours Allow 30 mins for sample clot.B. separate serum and plasma AND LIGHT BLUE into separate transfer tubes and freeze both ASAP.SECTION A Page 3 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29.TEST NAME CODE ADAMTS . CULTURE) (TUBERCULOSIS CULTURE) (COLD AGGLUTININS SCREEN) (HIV) (HIV 1 & 2 ANTIBODY SCREEN) (HIV SEROLOGY) (ANTI–GLIADIN ANTIBODY) (GLIADIN ANTIBODIES) TEST SPECIFICATION GUIDE . GOLD SST UNINSURED LL TAT – 14 days. FORM AVAILABLE ON CML WEBSITE ADH Refer to VASOPRESSIN (ANTI–DIURETIC HORMONE) (ADH VASOPRESSIN) (VASOPRESSIN) ADRENAL ANTIBODIES 9904 Serum Centrifuge only GOLD SST TAT – 15 days ADRENOCORTICOTROPIC HORMONE Refer to CORTICOTROPIN AFB Refer to MYCOBACTERIA TUBERCULOSIS DETECTION AGGLUTINATION REACTION SCREEN Refer to COLD AGGLUTININS SCREEN AIDS Refer to HIV 1 & 2 ANTIBODY SCREEN AGA Refer to GLIADIN ANTIBODIES (ACTH) (CORTICOTROPIN) (ACID FAST BACILLUS) (MYCOBACTERIA TUBERCULOSIS DETECTION) (T. OHIP HLRC . BILL N/C LOC MUMC FORM AVAILABLE ON CML WEBSITE ADENOVIRUS ANTIBODY ADENOVIRUS PCR SEROLOGY NO LONGER AVAILABLE 9068 Specimen must be sent on dry ice. Store and send frozen. LAVENDER A completed molecular microbiology requisition must be sent with specimen. PLAIN RED Centrifuge.

TAT – 2 days ALBUMIN/GLOBULIN RATIO TEST NO LONGER AVAILABLE (A/G RATIO) ALCOHOLS (GC) 9242 Whole Blood GRAY Includes Methanol. URINE  24-HOUR 005U (ALBUMIN. TAT – 2 days ALBUMIN. Use iodine swab to cleanse venepuncture site. URINE  RANDOM 005RU (ALBUMIN. Retain a duplicate 90 mL sample in the fridge until test is reported. OHIP HRLC . QUANTITATIVE URINE) (MICROALBUMIN. RANDOM) Urine CLEAR 6 mL random urine Submit in a clear cap vacutainer Label tube– MICROALBUMIN Submit a separate sample for other urine tests.0 11-May-2015 This document hardcopy must be used for reference only. This test is only for use at Kennedy Road for hospital patients TAT – 4 days TEST SPECIFICATION GUIDE . The electronic copy must be used as the current version. Isopropanol Do not open tube.SECTION A Page 4 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29. TOTAL QUALITATIVE) Urine 10 mL random urine Submit in a YELLOW cap conical tube.TEST NAME CODE ALA 223 (ALT) (SGPT) ALBUMIN VACUTAINER BILL LOC Refer to PROPHYRIN PRECURSORS (AMINOLEVULINATE) (AMINO LEVULINIC ACID) ALANINE AMINO TRANSAMINASE SPECIMEN REQUIREMENT Serum Centrifuge only GOLD SST OHIP CML GOLD SST OHIP CML OHIP CML OHIP CML OHIP CML TAT – 1 day 005 Serum Centrifuge only TAT – 1 day ALBUMIN. QUANTITATIVE URINE) (MICROALBUMIN. Ethanol. on the specimen container and in “Notes and Instructions”. This test is not available for CCC use. Do not separate. QUALITATIVE 254– 3 (PROTEIN. Acetone. TAT – 2 days ALBUMIN. 24-HOUR) 24-Hour Urine CLEAR 1 x 6 mL aliquot Submit in a clear cap vacutainer Label tube – MICROALBUMIN No preservative Submit a separate sample for other urine tests. State total 24-hour volume on the OHIP requisition.

Collect blood in Lavender (EDTA) tube.SECTION A Page 5 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29. The electronic copy must be used as the current version. State total 24-hour volume on the OHIP Requisition. Ship frozen GOLD SST OHIP LAVENDER OHIP HLRC TAT – 24 days ALDOSTERONE – UPRIGHT 2616 Plasma Minimum Volume Required: 1.0 11-May-2015 This document hardcopy must be used for reference only. have them sit for 5-10 minutes before collection.5hrs) Minimum time before collection in UPRIGHT position (standing. o Store and ship frozen at -20 C TAT – 1 week ALDOSTERONE – URINE 300U 24-Hour Urine OHIP 50 mL aliquot – submit in a 90 mL white cap container No preservative Patient must be on normal sodium intake and not receiving diuretics for one week before urine sample is collected. DYN .ETHYL Refer to ETHANOL ALCOHOL. If patient has been standing or walking.** Serum Centrifuge only and aliquot to transfer tube.METHYL Refer to METHANOL ALDOLASE TEST NO LONGER AVAILABLE (ETHANOL) (ISOPROPANOL) (METHANOL ALDOSTERONE – HOSPITAL ONLY 300 VACUTAINER BILL LOC **This test is for hospital clients only. Centrifuge immediately and transfer an aliquot of o plasma to a labeled tube.TEST NAME CODE SPECIMEN REQUIREMENT ALCOHOL. walking or sitting) is 2 hours. Mix thoroughly by gentle inversion.ISOPROPYL Refer to ISOPROPANOL ALCOHOL. CCC staff should not use this code. FREEZE URINE AND SEND FROZEN Refer to the General Information Pages for Specimen Processing & Transport Guidelines TAT – 14 days TEST SPECIFICATION GUIDE . Retain a duplicate 50 mL sample in the freezer until test is reported. cap tightly and FREEZE at -20 C.0 mL LL Collect in the morning before 10:00am Record on requisition Time Upright – number of hours since the patient arose (to the nearest 0. on the specimen container and in “Notes & Instructions”.

Faeni and T Vulgaris.TEST NAME ALKALINE PHOSPHATASE CODE SPECIMEN REQUIREMENT 191 Serum Centrifuge only (PHOSPHATASE ALKALINE) (ALP) ALKALINE PHOSPHATASE FRACTIONATION BILL LOC GOLD SST OHIP CML 2 GOLD SST OHIP CML OHIP HLRC TAT – 1 day 191 192 Serum Label 1 SST autoChem Label 1 SST Alk. Centrifuge only (ALKALINE PHOSPHATASE ISOENZYME) (PHOSPHATASE ALKALINE ISOENZYMES) ALLERGIC ALVEOLITIS VACUTAINER Testing Includes Total Alkaline Phosphase TAT – 4 days 9036 Serum Centrifuge only Store and send frozen. Be specific when free texting allergen name. To order Allergic Lung Serology please order both Farmer’s Lung Precipitins (SFAR) AND Aspergillus Precipitins (SASPP) TAT – 30 days ALLERGY TESTING (ASIA) (SERUM ALLERGEN TEST) (ALLERGEN SPECIFIC IGE ANTIBODY TEST) (RAST) (ALLERGEN SPECIFIC IMMUNOASSAY) See chart Serum GOLD SST Min Volume Required: 1ml Centrifuge and aliquot.0 11-May-2015 This document hardcopy must be used for reference only. Phos. . Fract. UNINSURED HRL TAT – 5 days NOTE: TAT for unlisted allergens is 4-6 weeks. Store and ship refrigerated.SECTION A Page 6 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29. Research allergens are not available. Uncommon/unlisted allergens should be followed up by contacting the Pre-Analytical Department to ensure that testing can be done prior to accessioning. 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 . The electronic copy must be used as the current version. Ensure the requested allergen is for diagnostic use. (ALLERGIC LUNG) (FARMERS LUNG) GOLD SST Do not confuse with Avian Precipitins Includes M. Can enter up to nine allergens on one accession.

Mix 4 353-4 555 Serum Centrifuge only GOLD SST OHIP CML GOLD SST UNINSURED HLRC 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. The electronic copy must be used as the current version.TEST NAME ALLERGY TESTING MIX CODE SPECIMEN REQUIREMENT See Chart VACUTAINER Serum GOLD SST Centrifuge and aliquot Store and ship refrigerated Can enter up to four allergen mixes on one accession. 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.SECTION A Page 7 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29.Mix 1 353-1 Allergy Testing. OHIP HLRC . GOLD SST TAT – 15 days TEST SPECIFICATION GUIDE .0 11-May-2015 This document hardcopy must be used for reference only.Mix 2 353-2 Allergy Testing. Food mix. Eg: Tree mix.5 g/L or patient is first-degree relative or spouse of known individual.Mix 3 353-3 Allergy Testing. Grass mix BILL LOC UNINSURED HRL TAT – 5 days Test Name ALPHA 1-ANTITRYPSIN Test Code Allergy Testing.

The electronic copy must be used as the current version.TEST NAME ALPHA 2-MACROGLOBULIN CODE 556 SPECIMEN REQUIREMENT VACUTAINER Serum Centrifuge Only. PREGNANCY 691–P (AFP-PREGNANCY) Serum Centrifuge only For risk assessment of open neural tube defects Testing is recommended at 16 weeks gestation Completed "Maternal Serum Screen Form” must be provided by ordering Physician. ROYAL BLUE K2 EDTA TAT – 15 days TEST SPECIFICATION GUIDE . UNINSURED HLRC . Freeze immediately. Indicate on the form "AFP ONLY" Results will be reported directly to the requesting Physician by the testing location. BILL LOC GOLD SST OHIP LIGHT BLUE UNINSURED HLRC GOLD SST OHIP CML GOLD SST OHIP VTF HLRC TAT – 20 days ALPHA 2 PLASMIN INHIBITOR 9258 (ALPHA 2 ANTIPLASMIN) Plasma Centrifuge and aliquot Platelet Poor Plasma To transfer tube. Separate and refrigerate As soon as possible. TAT – 5 days ALT Refer to ALANINE AMINO TRANSAMINASE (ALANINE AMINO TRANSAMINASE) (SGPT) ALUMINUM 9355 Plasma Centrifuge and aliquot plasma into Aliquot tube. ONCOLOGY 691–C (AFP-ONCOLOGY) Serum Centrifuge only Specify if testing is tumor related Diagnosis must be indicated TAT – 1 day ALPHA FETOPROTEIN. Store and ship frozen TAT – 25 days ALPHA FETOPROTEIN.SECTION A Page 8 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29.0 11-May-2015 This document hardcopy must be used for reference only.

coffee. Refrigerate during storage and transport. fruits.0 11-May-2015 This document hardcopy must be used for reference only. beer. Store and ship refrigerated LL TAT – 1-2 weeks ALZ-ID 4105 (ALZHEIMER’S DISEASE) (ALZID) Serum Minimum volume: 1. teas and antactids for containing aluminium 24 hours PRIOR to and during collection of 24 hour urine. Transfer an aliquot of serum to a labelled tube.TEST NAME CODE SPECIMEN REQUIREMENT VACUTAINER BILL LOC ALUMINUM – 24HR URINE 99999 24hr urine ACID WASHED CONTAINER UNINSURED Patient must avoid chocolate.RANDOM 304AR Serum Minimum Volume required: 1 mL Specimens submitted as peak or trough are preferred. random orders should be avoided whenever possible.SECTION A Page 9 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29. 24 hour urine MUST be collected in ACID WASHED container Record total volume and transfer 20 ml of measured 24hr urine into A labelled sterile urine container and cap tightly Store and ship refrigerated. TAT – 15 days AMIKACIN . The electronic copy must be used as the current version. TAT – 5 days LL ALUMINUM RANDOM URINE 99999 Random Urine ACID WASHED CONTAINER UNINSURED Minimum voume: 10mL Patient must avoid gadolinium-based Contrast media 48 hours prior to collection Collect urine in a labelled sterile 90ml container and Transfer WITHOUT DELAY into a labelled ACID WASHED container. PLAIN RED Store and ship refrigerated TAT – 15 days TEST SPECIFICATION GUIDE . .0mL PLAIN RED UNINSURED PLSI Allow blood to clot at room temperature for 30 minutes and separate by centrifugation. juice. cap tightly o Store and ship refrigerated at 2-8 C TAT – 1-2 weeks AMINOLEVULINATE Refer to PORPHYRIN PRECURSORS AMETHOPTERIN Refer to METHOTREXATE AMIKACIN Serum PLAIN RED Minimum Volume required: 1 mL Collect 'peak' specimen 30 minutes after IV infusion or 1-2 hours after IM injection by physician (METHOTREXATE)  PEAK 304AP  TROUGH 304AT OHIP HLRC OHIP HLRC Trough before IV / IM injection by physician Record time in hours that have elapsed between last dose and specimen collection.

Refrigerate during storage and transport. Gentamycin or Tobramycin. AMINOPHYLLINE Refer to THEOPHYLLINE (THEOPHYLLINE) (UNIPHYL) AMIODARONE 9417 Plasma Minimum Volume required: 3 mL Draw 1-hour prior to next dose GREEN – with Heparin UNINSURED HLRC TAT –20 days AMITRIPTYLINE 079AM (ELAVIL) Serum ROYAL BLUE Minimum Volume required: 2 mL . .SECTION A Page 10 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29. See individual listings. (date of birth).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. and clinical diagnosis State if patient is on a special diet (METABOLIC SCREEN) (AMINO ACID FRACTIONATION) (PHENYLALANINE) BILL OHIP LOC HLRC FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. TAT – 30 days AMINO ACIDS-QUANTITATIVE 013U REFER TO METABOLIC SCREEN AMINOGLYCOSIDES Amikacin. OHIP DYN OHIP HLRC Testing Includes Nortriptyline TAT – 14 days AMMONIA TESTING NO LONGER AVAILABLE (NH3) AMOBARBITAL (AMYTAL) 9411 Serum Minimum Volume required: 3 mL PLAIN RED TAT – 15 days TEST SPECIFICATION GUIDE . The electronic copy must be used as the current version.with Heparin Fasting specimen preferred State age of patient.0 11-May-2015 This document hardcopy must be used for reference only.TEST NAME CODE SPECIMEN REQUIREMENT VACUTAINER AMINO ACIDS Refer to METABOLIC SCREEN AMINO ACIDS-QUANTITATIVE 013 Plasma GREEN Minimum Volume required: 1 mL .

TAT – 2 day AMYLASE (DIASTASE) 018RU Urine 10 mL random urine Submit in a white cap conical tube. Testing includes urine creatinine and total volume. on the specimen container and in “Notes & Instructions”. . HISTOLYTICA) Stool Collect two stool samples st 1 in ova and parasite container nd 2 in 90 mL container with orange lid ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days AMOXAPINE AMPHETAMINE Serum .TEST NAME AMOBARBITAL CODE 9412 (AMYTAL) SPECIMEN REQUIREMENT VACUTAINER Urine Minimum Volume required: 10 mL random urine Submit in a 90 mL orange cap container BILL LOC OHIP HLRC N/C PHL N/C PHL OHIP CML OHIP CML OHIP CML OHIP CML TAT – 15 days AMOEBIC ANTIBODY 9078 (E. TAT – 2 days TEST SPECIFICATION GUIDE . The electronic copy must be used as the current version.0 11-May-2015 This document hardcopy must be used for reference only.SECTION A Page 11 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29.NO LONGER AVAILABLE 078AM Urine 10 mL random urine Submit in a blue cap conical tube TAT – 3 days AMYLASE 018 (DIASTASE) Serum Centrifuge only GOLD SST TAT – 1 day AMYLASE (DIASTASE) 018U 24-Hour Urine 10 mL aliquot – submit in a white cap conical tube No preservative State total 24-hour volume on the OHIP Requisition. 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. Retain a duplicate 90 mL sample in the fridge until test is reported.

. separate and freeze Store and ship FROZEN TAT – 21 days ANDROSTERONE NO LONGER AVAILABLE ANF Refer to NUCLEAR ANTIBODIES (ANA) (ANTI-NUCLEAR ANTIBODY) (CENTROMERE ANTIBODY) (NUCLEAR ANTIBODIES) (SLE ANTIBODIES) ANGIOTENSIN CONVERTING ENZYME (ACE) 9245 Serum GOLD SST Centrifuge only Assay cannot be performed on a lipemic specimen Refrigerate during storage and transport.TEST NAME AMYLASE FLUID CODE 018FL SPECIMEN REQUIREMENT VACUTAINER Fluid PLAIN RED Minimum volume required: 1 ml This test is NOT available for CCC use. The electronic copy must be used as the current version.P ANDROGEN TESTICULAR Refer to TESTOSTERONE (AMOBARBITAL) (ANF) (ANTI–NUCLEAR ANTIBODY) (CENTROMERE ANTIBODY) (NUCLEAR ANTIBODIES) (SLE ANTIBODIES) (CLOMIPRAMINE) (ANTI–NEUTROPHIL CYTOPLASMIC ANTIBODY–C) (NEUTROPHIL CYTOPLASMIC ANTIBODIES) (ANTI–NEUTROPHIL CYTOPLASMIC ANTIBODIES–P) (TESTOSTERONE) ANDROSTENEDIONE 305 Serum PLAIN RED OHIP SKH UNINSURED HLRC Spin.0 11-May-2015 This document hardcopy must be used for reference only. This test is only available at Kennedy Lab for hospital patients.SECTION A Page 12 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29. BILL LOC CONTRACT HLRC TAT – 10 days AMYLASE FRACTIONATION (AMYLASE ISOENZYME) 018I Serum Centrifuge only Indicate clinical problem requiring analysis.C ANCA–p (PERINUCLEAR) Refer to NEUTROPHIL CYTOPLASMIC ANTIBODIES . TAT – 15 days TEST SPECIFICATION GUIDE . GOLD SST UNINSURED HLRC TAT – 45 to 60 days AMYTAL Refer to AMOBARBITAL ANA Refer to NUCLEAR ANTIBODIES ANAFRANIL Refer to CLOMIPRAMINE ANCA–C (CYTOPLASMIC) Refer to NEUTROPHIL CYTOPLASMIC ANTIBODIES .

TEST NAME CODE ANION GAP SPECIMEN REQUIREMENT 053 061 204 226 Serum Centrifuge only VACUTAINER BILL LOC GOLD SST OHIP CML 3 LAVENDERS OHIP CML LAVENDER OHIP CML Hemolyzed specimens are unacceptable TAT – 1 day ANTABUSE ANTIBODY IDENTIFICATION (ANTIBODY ID) NO LONGER AVAILABLE HP15 (BLOOD GROUP ANTIBODY IDENTIFICATION) Blood DO NOT SEPARATE Testing Includes titre if positive TAT – 2 days ANTIBODY SCREEN (INDIRECT COOMBS) 482 (REPEAT PRENATAL ANTIBODY SCREEN) Blood DO NOT SEPARATE TAT – 2 days ANTI–CARDIOLIPIN AB Refer to CARDIOLIPIN ANTOBIDES ANTI-CCP Refer to CYCLIC CITRULLINATED PEPTIDE ANTIBODIES ANTI–dsDNA ANTIBODY Refer to DNA ds ANTIBODIES ANTI–DIURETIC HORMONE Refer to VASOPRESSIN ANTI–ENA Refer to EXTRACTABLE NUCLEAR ANTIBODIES SCREEN ANTI–ENDOMYSIAL ANTIBODY (ENDOMYSIUM ANTIBODIES) Refer to ENDOMYSIUM ANTIBODIES ANTI–EPIDERMAL ANTIBODY Refer to PEMPHIGUS/PEMPHIGOID ANTIBODIES ANTI–GLIADIN ANTIBODY Refer to GLIADIN ANTIBODIES ANTI–GLOMERULAR BASEMENT MEMBRANE Refer to GLOMERULAR BASEMENT MEMBRANE ANTIBODY (ANTI PHOSPHOLIPID) (CARDIOLIPIN ANTOBIDES) (ANTI-DNA) (ANTI DSDNA DOUBLE STRANDED AB) (DNA ds ANTIBODIES) (ADH) (VASOPRESSIN) (ENA ANTIBODY) (EXTRACTABLE NUCLEAR ANTIBODIES SCREEN) (ANTI-SKIN ANTIBODIES) (PEMPHIGUS/PEMPHIGOID ANTIBODIES) (AGA) (GLIADIN ANTIBODIES) (GLOMERULAR BASEMENT MEMBRANE ANTIBODY) TEST SPECIFICATION GUIDE .0 11-May-2015 This document hardcopy must be used for reference only.SECTION A Page 13 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29. The electronic copy must be used as the current version. .

TEST NAME CODE SPECIMEN REQUIREMENT 9233 (ANTI-GAD) Serum Minimum Volume Required: 1ml Centrifuge and aliquot Store and ship frozen TAT . .SECTION A Page 14 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29. For industrial exposure collect at end of work shift. UNINSURED LL (MICROSOMAL ANTIBODIES) (ASMA) (ANTI-SMOOTH MUSCLE ANTIBODIES) (MITOCHONDRIAL ANTIBODIES) (SMA) (SMOOTH MUSCLE ANTIBODY) (AMH) (ANTI OVARIAN HORMONE) (MIS) GOLD SST BILL PLAIN RED TAT – 10 days TEST SPECIFICATION GUIDE .0 11-May-2015 This document hardcopy must be used for reference only. TAT – 10 days UNINSURED LL ANTI-MULLERIAN HORMONE 9590 Serum Minium volume required: 1 mL Centrifuge and aliquot Store and ship frozen.34 days ANTI–HISTONE Refer to HISTONE ANTIBODIES ANTI–HBs Refer to HEPATITIS B VIRUS SURFACE ANTIBODY ANTI–INSULIN Refer to INSULIN ANTIBODIES ANTI–INTRINSIC FACTOR Refer to INTRINSIC FACTOR ANTIBODIES ANTI–JO 1 Refer to EXTRACTABLE NUCLEAR ANTIBODIES ANTI–LA Refer to EXTRACTABLE NUCLEAR ANTIBODIES ANTI-GLUTAMIC ACID DEHYDECARBOXYLASE (HISTONE ANTIBODIES) (HEPATITIS B–IMMUNE STATUS) (HEAPTITIS B VIRUS SURFACE ANTIBODY) (INSULIN ANTIBODIES) (INTRINSIC FACTOR ANTIBODIES) (JO-1 EXTRACTABLE NUCLEAR ANTIBODIES) (SS-B) (SS-B EXTRACTABLE NUCLEAR ANTIBODIES) ANTI-LKM ANTIBODY 9237 VACUTAINER GOLD SST LOC OHIP HLRC OHIP HLRC (LKM ANTIBODY) (ANTI-LIVER KIDNEY MICROSOMAL ANTIBODIES) Serum Centrifuge only Store and ship refrigerated TAT – 14 days ANTI-MICROSOMAL ANTIBODIES Refer to ANTI-THYROID PEROXIDASE ANTI–MITOCHONDRIAL ANTIBODY Refer to MITOCHONDRIAL ANTIBODIES ANTIMONY RANDOM URINE 99999 Urine Min volume: 20ml Ensure hands are washed and free of contamination. The electronic copy must be used as the current version. Store and ship refrigerated.

P ANTI–NUCLEAR ANTIBODY Refer to NUCLEAR ANTIBODIES ANTI–PANCREATIC ISLET CELLS ANTIBODY Refer to PANCREATIC ISLET CELL ANTIBODIES (c-ANCA .C Refer to NEUTROPHIL CYTOPLASMIC ANTIBODIES .C ANTI–NEUTROPHIL CYTOPLASMIC ANTIBODIES . Centrifuge. BILL LOC UNINSURED LL .0 11-May-2015 This document hardcopy must be used for reference only. Store and ship refrigerated.CYTOPLASMIC) (p-ANCA – PERINUCLEAR) (ANA) (ANF) (CENTROMERE ANTIBODIES) (NUCLEAR ANTIBODIES) (SLE ANTIBODIES) (PANCREATIC ISLET CELL ANTIBODIES) ANTI–PARIETAL CELL ANTIBODIES Refer to PARIETAL CELL ANTIBODIES ANTI–PHOSPHOLIPID Refer to CARDIOLIPIN ANTIBODIES ANTI-PLATELET ANTIBODIES Refer to PLATELET ANTIBODY SCREEN ANTI–RETICULIN ANTIBODY Refer to RETICULIN ANTIBODIES ANTI–RNP Refer to EXTRACTABLE NUCLEAR ANTIBODIES ANTI–RO Refer to EXTRACTABLE NUCLEAR ANTIBODIES ANTI–SCL–70 Refer to EXTRACTABLE NUCLEAR ANTIBODIES (PARIETAL CELL ANTIBODIES) (ANTI-CARDIOLIPIN) (CARDIOLIPIN ANTIBODIES) (PLATELET ASSOCIATED ANTIBODIES) (PLATELET ANTIBODY SCREEN) (ANTI-RETICULIN AB) (RETICULIN ANTIBODIES) (SS–A) (Scl-70 ANTIBODIES) (SCLERODERMAL ANTIBODY) TEST SPECIFICATION GUIDE . The electronic copy must be used as the current version.SECTION A Page 15 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29. VACUTAINER GOLD SST TAT – 6 days ANTI–NEUTROPHIL CYTOPLASMIC ANTIBODIES .TEST NAME CODE ANTIMYOCARDIAL ANTIBODY 99999 SPECIMEN REQUIREMENT Serum Allow blood to clot for 30mins at room temp.P Refer to NEUTROPHIL CYTOPLASMIC ANTOBIDIES .

Allow blood to clot at room temperature for 30 mins and separate by centrifugation. OHIP LL . o Store and ship refrigerated at 2-8 C for up to 7 days. Allow blood to clot at room temperature for 30 minutes and separate by centrifugation. The electronic copy must be used as the current version. TAT – 4 days TEST SPECIFICATION GUIDE .SECTION A Page 16 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29.TEST NAME CODE SPECIMEN REQUIREMENT VACUTAINER ANTI–SM Refer to EXTRACTABLE NUCLEAR ANTIBODIES SCREEN ANTI–SMOOTH MUSCLE ANTIBODIES Refer to MITOCHONDRIAL ANTIBODIES ANTI–SPERM ANTIBODIES Refer to SPERM ANTIBODIES ANTI–STREPTOCCAL HYALURONIDASE ANTIBODY TEST NO LONGER AVAILABLE ANTI–STREPTOLYSIN O TITRE Refer to STREPTOLYSIN O ANTIBODY (ANTI–SMITH) (ANTI-MITOCHONDRIAL ANTIBODIES) (ASMA) (MITOCHONDRIAL ANTIBODIES) (SMA) (SMOOTH MUSCLE ANTIBODY) (SPERM ANTIBODIES) BILL LOC (ASH) (ASOT) (STREPTOLYSIN O ANTIBODY) ANTI–THROMBIN III 373 (ANTI-THROMBIN ASSAY) Plasma LIGHT BLUE Minimum Volume required: 1 mL Patient should not be on anticoagulant therapy OHIP HLRC Includes both Functional and Immunological testing FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines TAT – 20 days ANTI-THYROID ANTIBODY HP16A (ATA) (ANTI-THYROID ANTIBODIES) (THYROID ANTIBODY) (THYROID ANTIBODIES) (THYROID AUTOANTIBODIES) (THYROID AUTOANTIBODY) Serum GOLD SST Minimum Volume Required: 2ml Collect blood in SST.0 mL GOLD SST Collect blood in SST tube. OHIP LL This testing includes Anti-Thyroid Peroxidase and Anti-Thyroglobulin This test is NOT the same as Thyroglobulin (9494) TAT – 4 days ANTI–THYROGLOBULIN (ATG) (THYROGLOBULIN ANTIBODIES) 327 Serum Minimum Volume required: 1. Store and ship refrigerated at 2-8 degrees celcius for up to 5 days.0 11-May-2015 This document hardcopy must be used for reference only.

o Store and ship refrigerated at 2-8 C. o Store and ship refrigerated at 2-8 C.0 mL Collect blood in SST tube. TAT – 3 days APOLIPOPROTEIN B (APO B) 1977 Serum Minimum Volume required: 1. Centrifuge and separate within 4 hrs of collection Transfer all the plasma to a labelled tube Store and ship ALL tubes refrigerated. TAT – 4 days APCR Refer to ACTIVATED PROTEIN C RESISTANCE (ACTIVATED PROTEIN C RESISTANCE) APOLIPOPROTEIN A1 (APO A1) 1976 Serum Minimum Volume required: 1. The electronic copy must be used as the current version. Allow blood to clot at room temperature for 30 minutes and separate by centrifugation AS SOON AS POSSIBLE.0mL GOLD SST BILL OHIP LOC LL Collect blood in SST tube. Allow blood to clot at room temperature for 30 minutes and separate by centrifugation AS SOON AS POSSIBLE. Allow blood clot at room temperature for 30 mins and separate by centrifugation. Collect 4 lavender tubes and mix thoroughly. TAT – 20 days TEST SPECIFICATION GUIDE . please key HP16A. Toronto. TAT – 3 days APOLIPOPROTEIN-E (LIPO QUANT) 30374 Plasma LAVENDER Minimum volume required: 7 mL Assay is performed on consultation basis only PHYSICIAN MUST CONTACT DR. o Store and ship refrigerated at 2-8 C for up to 5 days.0 mL GOLD SST UNINSURED LL GOLD SST UNINSURED LL Collect blood in SST tube. UNINSURED SMH . Test is not performed if Triglycerides is normal. (416)-864-6023 It is preferred that the patient fast a minimum of 12 hours.TEST NAME CODE ANTI-THYROID PEROXIDASE 326 (ANTI TPO) (TPO) (ANTI-PEROXIDASE) (ANTI-MICROSOMAL) (MICROSOMAL ANTIBODY) (MICROSOMAL ANTIBODIES) (THYROID PEROXIDASE ANTIBODY) SPECIMEN REQUIREMENT VACUTAINER Serum Min Volumne Required: 1. Michael’s Hospital. NOTE: If physician orders Anti-Thyroid Peroxidase AND Anti-Thyroglobulin together.SECTION A Page 17 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29. CONNELLY At the Lipid Research Lab at St.0 11-May-2015 This document hardcopy must be used for reference only.

2 gm hair required (approximately 2 teaspoons full) Bleaches and dyes may interfere Submit in a 90 mL container UNINSURED HLRC TAT – 45 days ARSENIC. Inorganic arsenic will be performed if total is elevated. ROYAL BLUE (K2EDTA) UNINSURED HLRC TAT – 20 days ARSENIC.TEST NAME CODE APO PROTEIN a VACUTAINER BILL LOC Refer to LIPOPROTEIN a (LIPOPROTEIN a) ARBOVIRUS ANTIBODIES SPECIMEN REQUIREMENT 9080 Do not centrifuge tube PLAIN RED N/C PHL PHL recommends both acute and convalescent samples be taken 2 weeks apart. HLRC . UNINSURED TAT – 30 days TEST SPECIFICATION GUIDE .BLOOD 9279 Whole Blood Do not centrifuge.HAIR 9908 Hair Clip hair close to the nape of the neck from 6-8 different locations – 0. on the specimen container and in “Notes & Instructions” Retain a duplicate 50 mL sample in the fridge until test is reported.RANDOM URINE 9186 Urine 15 mL random urine Submit in a 90 mL orange cap container Avoid seafood consumption 5 days prior to collection. ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days ARSENIC. TAT – 10 to 60 days ARSENIC.NAIL 9909 Nails Clip nails from all fingers Patient must remove nail polish prior to collection Submit in a 90 mL container UNINSURED HLRC TAT – 20 days ARSENIC.SECTION A Page 18 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29. Inorganic arsenic will be performed if total is elevated. UNINSURED HLRC State total 24-hour volume on the OHIP Requisition.0 11-May-2015 This document hardcopy must be used for reference only.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. Send entire tube. The electronic copy must be used as the current version.

The electronic copy must be used as the current version. Store and ship refrigerated. Sample must be analysed within 12 hours of collection. Record total volume and transfer 20ml into 90ml container LL Store and ship refrigerated.INORGANIC TOTAL 24 HOUR URINE CODE 99999 SPECIMEN REQUIREMENT VACUTAINER BILL LOC 24 hour Urine ACID WASHED CONTAINER UNINSURED 24 hour urine must be collected in an ACID WASHED container Avoid seafood consumption 72 hours prior to collection.0 11-May-2015 This document hardcopy must be used for reference only. FREEZE SERUM AND SEND FROZEN Freeze within 30 minutes of collection Refer to the General Information Page for Specimen Processing & Transport Guidelines TAT – 14 days TEST SPECIFICATION GUIDE . 90ml ACID WASHED container is required.TEST NAME ARSENIC.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. Immediately ship directly to HICL before 12:00 pm (noon) on the day of collection. Creatinine level is determined on all 24 hours urines to assess the Completeness of the 24 hour urine collection.SECTION A Page 19 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29. Maintain at room temp. OHIP DYN . TAT – 10 days ARSENIC TOTALRANDOM URINE 99999 Urine ACID WASHED CONTAINER UNINSURED LL 10 mL random urine Submit in a 90 mL orange cap container Patient must avoid gadolinium based contrast media Used for MRI’s 48 hours prior to collection. TAT – 1-2 weeks ARTHROPOD IDENTIFICATION 9028 (BUGS) (LICE) Send entire specimen in container N/C PHL ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days ARYLSULFATASE A – WBC (HOSP ONLY) 9383 Whole Blood GREEN Min volume required: 7ml . For industrial exposure a random urine is recommended. ASA Refer to SALICYLATE (ACETYSALICYLIC ACID) (ASPIRIN) (SALICYLATE) ASCORBATE (ASCORBIC ACID) (VITAMIN C) 019 Serum GOLD SST Minimum Volume required: 2 mL Protect from light by aliquoting into amber tube. CONTRACT HICL Do not separate.

HLRC . canary. The electronic copy must be used as the current version.SECTION A Page 20 of 20 CML HealthCare Inc Test Specification Guide 18356 Version: 29. cockatiel. parrot.0 11-May-2015 This document hardcopy must be used for reference only. separate into transfer tube and refrigerate. turkey must be requested if clinically indicated. duck. Budgie & Pidgeon done routinely: goose. chicken. TAT – 18 days TEST SPECIFICATION GUIDE .TEST NAME CODE SPECIMEN REQUIREMENT ASH TEST NO LONGER AVAILABLE ASMA Refer to MITOCHONDRIAL ANTIBODIES ASOT Refer to STREPTOLYSIN O ANTIBODY (ANTI–STREPTOCCAL HYALURONIDASE AB) (ANTI–SMOOTH MUSCLE ANTIBODY) (ANTI-MITOCHONDRIAL ANTIBODY) (MITOCHONDRIAL ANTIBODIES) (SMA) (SMOOTH MUSCLE ANTIBODY) (ANTI–STREPTOLYSIN O TITRE) (STREPTOLYSIN O ANTIBODY) ASPARTATE AMINO TRANSAMINASE 222 BILL LOC GOLD SST OHIP CML PLAIN RED N/C PHL Centrifuge only (AST) (SGOT) ASPERGILLUS ANTIBODY Serum VACUTAINER TAT – 1 day 9033 Do not centrifuge ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 30 days ASPIRIN Refer to SALICYLATE AST Refer to ASPARTATE AMINO TRANSAMINASE ATA Refer to ANTI-THYROID ANTIBODY ATIVAN Refer to LORAZEPAM AVENTYL Refer to NORTRIPTYLINE (ACETYSALICYLIC ACID) (ASA) (SALICYLATE) (ASPARTATE AMINO TRANSAMINASE) (SGOT) (ANTI-THYROID ANTIBODY) (THYROID ANTIBODIES) (LORAZEPAM) (NORTRIPTYLINE) AVIAN PRECIPITINS (BIRD FANCIER’S DISEASE) 9034 Serum Centrifuge. PLAIN RED UNINSURED Billed per each allergen.

0 11-May-2015 This document hardcopy must be used for reference only. If required store overnight at 4°C TAT – 33 days BENADRYL Refer to DIPHENHYDRAMINE BENCE–JONES PROTEIN Refer to PROTEIN ANALYSIS – BENCE JONES PROTEIN BENZENE (PHENOL) TEST NO LONGER AVAILABLE (DIPHENHYDRAMINE) (IEP – RANDOM URINE) (IMMUNOELECTROPHORESIS) (HEAVY AND LIGHT CHAINS) TEST SPECIFICATION GUIDE . TAT . The electronic copy must be used as the current version. Ship within 24 hours.ca/uploaded/R_MolecularOncology. cap tightly and o FREEZE at -20 C. o Store and ship FROZEN at -20 C. . Download requisition at http://lrc.SECTION B Page 1 of 6 CML HealthCare Inc Test Specification Guide 17525 Version 10.5 days B12 Refer to COBALAMINS B2 MICROGLOBULIN Refer to BETA 2-MICROGLOBULIN (VITAMIN B12) (COBALAMINS) (BETA 2-MICROGLOBULIN) (MICROGLOBULIN) BARBITURATES SCREEN 026U Urine 10 mL random urine Submit in a blue cap conical tube OHIP CML N/C PHL TAT – 2 days BARTONELLA ANTIBODY (CAT SCRATCH DISEASE) 9011 Do not centrifuge tube PLAIN RED ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 3 weeks BCR-ABL (QUANTITATIVE PCR) (BCR/ABL) 9382 Whole Blood LAVENDER CONTRACT HLRC Min volume required: 10ml Test is NOT available for CCC use. Mix thouroughtly by gentle inversion and separate by centrifugation WITHIN 2-4 hours of collection. Transfer an aliquot of plasma to a labelled tube.hrlmp.pdf Form must be completed and submitted along with specimen and req.TEST NAME CODE B–CAROTENE VACUTAINER BILL LOC Refer to CAROTENE (CAROTENE) B-TYPE NATRIURETIC PEPTIDE SPECIMEN REQUIREMENT 1562 (BNP) Plasma Minimum volume required: 1. Test is only for use at Kennedy Lab for Hospital patients.0mL LAVENDER UNINSURED LL Collect blood in Lavender top tube (EDTA).

TAT – 33 days BETA 2 MICROGLOBULIN 9101 (B2 MICROGLOBULIN) (MICROGLOBULIN) Serum Centrifuge only Refrigerate during storage and transport.TEST NAME BENZODIAZEPINE SCREEN CODE 078BE SPECIMEN REQUIREMENT VACUTAINER Urine 10 mL random urine Submit in a blue cap conical tube BILL LOC CML OHIP TAT – 2 days BENZTROPINE MESYLATE 99999 Urine 10 mL random urine Store and ship refrigerated UNINSURED LL TAT – 3 days BERYLLIUM LYMPHOCYTE PROLIFERATION 99999 . DO NOT SHIP ON FRIDAY Do not refrigerate or freeze. Specimen must arrive within 24 hours of collection.SECTION B Page 2 of 6 CML HealthCare Inc Test Specification Guide 17525 Version 10. For Industrial exposure collect specimen at the end of the work shift. then drink a glass of water collect urine for submission one hour later FREEZE URINE AND SEND FROZEN TAT – 25 days TEST SPECIFICATION GUIDE . Store and ship room temp.0 11-May-2015 This document hardcopy must be used for reference only. TAT – 25 days BETA 2 MICROGLOBULIN (B2 MICROGLOBULIN) (MICROGLOBULIN) 9101RU Urine 10 mL random urine – Submit in a 90 mL orange cap container Ask patient to void (discard). UINNSURED HLRC . A random urine test includes creatinine to be performed the the referred testing site. The electronic copy must be used as the current version. Store and ship refrigerated.Hepartinized Collect Mon-Wed only. Whole Blood – 4 tubes GREEN TOP FOR CONTRACT USE ONLY . TAT – 5-10 days BETA 2 GLYCOPROTIEN I IgG 9268 (BETA-2-GP-I IgG Serum PLAIN RED OHIP HLRC GOLD SST UNINSURED HLRC Centrifuge and aliquot to transfer tube. Store and ship frozen. UNINSURED LL Specimens sent by FEDEX to the Celevland Clinic TAT – 2-3 weeks BERYLLIUM – RANDOM URINE 99999 Urine Min volume required: 20ml UNINSURED LL Ensure that hands are washed and clothes are free of contamination.

0 11-May-2015 This document hardcopy must be used for reference only. Indicate source. . The electronic copy must be used as the current version. separate into transfer tube.TEST NAME CODE BETA–hCG (BHCG) (HUMAN CHORIONIC GONADOTROPIN) (CHORIOGONADOTROPIN) BETA HYDROXYBUTYRATE 9248 (BHBA) (3HBA) SPECIMEN REQUIREMENT VACUTAINER BILL LOC Refer to CHORIOGONADOTROPIN Serum Centrifuge. Freeze immediately. GOLD SST UNINSURED HLRC TAT – 6 days BETA TRANSFERRIN 9352 Fluid STERILE CONTAINER Accept any container/tube received. Analysis includes Beta 1 Transferrin and Beta 2 Transferrin UNINSURED HLRC TAT – 14 days BICARBONATE Refer to CARBON DIOXIDE (CO 2) (CARBON DIOXIDE) BILE ACID 9307 Serum Minimum Volume required: 1 mL GOLD SST UNINSURED HLRC GOLD SST OHIP CML GOLD SST OHIP CML 12 hour fast required FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. INDIRECT TEST NO LONGER AVAILABLE (UNCONJUGATED BILIRUBIN) (BILIRUBIN NON-GLUCURONIDATED) BILIRUBIN. Store and send frozen. DIRECT 031 (CONJUGATED BILIRUBIN) (BILIRUBIN GLUCURONIDATED) TAT – 1 day BILIRUBIN.SECTION B Page 3 of 6 CML HealthCare Inc Test Specification Guide 17525 Version 10. TAT – 30 days BIO AVAILABLE TESTOSTERONE Refer to TESTOSTERONE BIO AVAILABLE BILIRUBIN Refer to UROBILINOGEN (TESTOSTERONE BIO AVAILABLE) BILIRUBIN. TOTAL Serum Centrifuge only 030 Serum Centrifuge only TAT – 1 day TEST SPECIFICATION GUIDE . Store and send frozen.

BLOOD BLOOD FILM EXAMINATION Refer to COMPLETE BLOOD COUNT BLOOD GROUP 490 (ABO. For industrial exposure collect specimen at the end of the work shift.TEST NAME CODE SPECIMEN REQUIREMENT BIQUIN Refer to QUINIDINE BIRD FANCIERS’ DISEASE Refer to AVIAN PRECIPITINS (Q-10 METABOLITE) (QUINIDINE) BISMUTH RANDOM URINE 99999 VACUTAINER BILL LOC Urine UNINSURED LL Min volume: 20ml Store and ship refrigerated Ensure hands are washed and clothes are free of contamination.Eg ANTIGEN C.SECTION B Page 4 of 6 CML HealthCare Inc Test Specification Guide 17525 Version 10. c. . (GENOTYPE) (GENOTYPE) . E.0 11-May-2015 This document hardcopy must be used for reference only. Rh(D). Rh(D) (ABO & TYPE) (BLOOD GROUP) (Rh TYPE) TAT – 2 days BLOOD GROUP ANTIBODY IDENTIFICATION BLOOD GROUP PHENOTYPE (ABO. DUKE METHOD TEST NO LONGER AVAILABLE BLEEDING TIME. A random urine test includes creatinine to be performed by the referred out testing site TAT – 5-10 days BLASTOMYCES ANTIBODY (BLASTOMYCOSIS ANTIBODY DERMATITIDIS) 9037 Do not centrifuge tube PLAIN RED N/C PHL N/C PHL LAVENDER OHIP CML LAVENDER OHIP CML ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 30 days BLASTOMYCOSIS CULTURE DERMATITIDIS 9038 Culture Skin scraping ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 30 days BLEEDING TIME. IVY METHOD NO LONGER AVAILABLE BLOOD CULTURE Refer to CULTURE & SENSITIVITY . e Blood DO NOT SEPARATE Refer to ANTIBODY IDENTIFICATION 493 Blood DO NOT SEPARATE TAT – 2 days TEST SPECIFICATION GUIDE . The electronic copy must be used as the current version.

0 11-May-2015 This document hardcopy must be used for reference only.TEST NAME CODE BLOOD GROUP PRENATAL Ab . . Rh(D).SECTION B Page 5 of 6 CML HealthCare Inc Test Specification Guide 17525 Version 10. Duffy.Eg Kell. QUALITATIVE 254–7 Urine 10 mL random urine Submit in a yellow cap conical tube TAT – 1 day BLOOD PRESSURE MONITORING 995 Performed at limited sites UNINSURED CML TAT – 4 days BLOOD TYPE Refer to BLOOD GROUP BNP Refer to B-TYPE NATRIURETIC PEPTIDE BORDETELLA PERTUSSIS ANTIBODY SERUM TESTING NO LONGER AVAILABLE (ABO. The electronic copy must be used as the current version. KIDD VACUTAINER BILL LOC Refer to BLOOD GROUP and Refer to ANTIBODY SCREEN (ABO & Ab SCREEN PRENATAL SCREEN TYPE & SCREEN) BLOOD GROUP ANTIGENS SPECIMEN REQUIREMENT 494 Blood DO NOT SEPARATE LAVENDER OHIP CML OHIP CML TAT – 2 days BLOOD. (ABO & TYPE) (BLOOD GROUP & Rh(D) (Rh TYPE) (NT-PRO) (WHOOPING COUGH) BORDETELLA PERTUSSIS 9047 (WHOOPING COUGH) Swab – State source Use the PHL Kit N/C PHL N/C PHL ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 4 days BORRELIA BURGDORFERI ANTIBODY 9045 (LYME DISEASE) Do not centrifuge tube PLAIN RED Patient’s history and symptoms are mandatory ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT –15 days BROAD SPECTRUM DRUG SCREEN Refer to DRUG SCREEN BROAD SPECTRUM BROMIDE NO LONGER AVAILABLE TEST SPECIFICATION GUIDE .

SECTION B Page 6 of 6 CML HealthCare Inc Test Specification Guide 17525 Version 10. The electronic copy must be used as the current version. .0 11-May-2015 This document hardcopy must be used for reference only.TEST NAME BRUCELLA ANTIBODY CODE 9007 SPECIMEN REQUIREMENT Do not centrifuge tube VACUTAINER BILL PLAIN RED LOC N/C PHL OHIP HLRC ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM  Testing Includes Brucella Abortus and Brucella Melitensis  TAT– 5 days BUGS Refer to ARTHROPOD IDENTIFICATION BUN Refer to UREA (ARTHROPODS) (LICE) (UREA) BUTABARBITAL 9471 Urine 25 mL random urine Submit in a 90 mL orange cap container TAT – 15 days BUTAZOLIDINE (PHENYLBUTAZONE) NO LONGER AVAILABLE TEST SPECIFICATION GUIDE .

TAT – 25 days C2 Refer to COMPLEMENT C2 (COMPLEMENT C2) C3 Refer to COMPLEMENT C3 (COMPLEMENT C3) C4 Refer to COMPLEMENT C4 (COMPLEMENT C4) C5 Refer to COMPLEMENT C5 (COMPLEMENT C5) C6 Refer to COMPLEMENT C6 (COMPLEMENT C6) CD3. 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. FUNCTIONAL 688 (C1Q COMPLEMENT BINDING ACTIVITY) (C1Q IMMUNE COMPLEXES) (COMPLEMENT C1Q) Serum Minimum Volume required: 1 mL Only performed if CH50 is low GOLD SST OHIP HLRC OHIP CML GOLD SST OHIP CML GOLD SST UNINSURED HLRC Separate and freeze within 1-hour of clotting FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. CD4. FUNCTIONAL C1Q IMMUNE COMPLEXES Refer to COMPLEMENT C1 ESTERASE INHIBITIOR.TEST NAME CODE C1 ESTERASE INHIBITOR SPECIMEN REQUIREMENT VACUTAINER BILL LOC Refer to COMPLEMENT C1 ESTERASE INHIBITOR (COMPLEMENT C1) C1 ESTERASE INHIBITOR. Page 1 of 31 Version: 46. TAT – 5 days C–REACTIVE PROTEIN SEE C-REACTIVE PROTEIN HIGH SENSITIVITY (CRP) (C–REACTIVE PROTEIN) C–REACTIVE PROTEIN HIGH SENSIVITY 665HS 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. .0 14-Sep-2015 The electronic copy must be used as the current version. TAT – 20 days TEST SPECIFICATION GUIDE .

Page 2 of 31 Version: 46. o Store and ship frozen at -20 C TAT – 1 week CA 19– 9.TEST NAME CA 125 CODE 9389 (OV 125) (CANCER ANTIGEN 125) SPECIMEN REQUIREMENT VACUTAINER Serum Centrifuge only BILL LOC GOLD SST UNINSURED CML GOLD SST UNINSURED LL GOLD SST UNINSURED LL LAVENDER UNINSURED HLRC Should not to be used as a diagnostic screening test. o Store and ship refrigerated at 2-8 C TAT – 1 week CADMIUM 9680 Blood Do not open tube TAT – 21 days CADMIUM SCREEN 9680U 24 Hour Urine 50 mL aliquot – submit in a white cap 90 mL container UNINSURED HLRC State total 24-hour volume on the OHIP Requisition.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. TAT – 15 days TEST SPECIFICATION GUIDE .0 14-Sep-2015 The electronic copy must be used as the current version.0 mL Collect blood in SST tube. Allow blood to clot at room temperature for 30 minutes and separate by centrifugation. o cap tightly and FREEZE at -20 C. Transfer an aliquot of serum to a labelled tube. on the specimen container and in “Notes & Instructions” . Pancreas 3012 (CANCER ANTIGEN 19-9) (CARBOHYDRATE ANTIGEN 19-9) Serum Minimum Volume required: 1. TAT – 15 days CADMIUM SCREEN 9680R Urine 50 mL aliquot random urine Submit in a white cap 90 mL container UNINSURED HLRC TAT – 21 days CAFFEINE (CAFFEINE. Breast 3011 (CANCER ANTIGEN 15-3) (CARBOHYDRATE ANTIGEN 15-3) Serum Minimum Volume required: 1. TAT – 5 days CA 15 – 3. Allow blood to clot at room temperature for 30 minutes and separate by centrifugation. Retain a duplicate 50 mL sample in the fridge until test is reported.0 mL Collect blood in SST tube. UNINSURED HLRC .QUANTITATIVE) 9129 Serum PLAIN RED Minimum Volume required: 1 mL Collect 10 – 12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection.

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 TEST SPECIFICATION GUIDE . separate. TAT – 14 days CALCITRIOL 528 (VITAMIN D 1-25) (1. Centrifuge. GOLD SST OHIP DYN GOLD SST OHIP LL GOLD SST OHIP CML GOLD SST OHIP CML OHIP CML FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. Allow blood to clot at room temperature for 30 minutes and separate by centrifugation. . Page 3 of 31 Version: 46. 25 DIHYDROXY VITAMIN D) Serum Minimum volume required: 2. the testing bench must receive the specimen in the primary SST tube.0 mL Collect blood in SST tube.TEST NAME CALCIDIOL (UNINSURED) CODE 9802 (25 HYDROXY VITAMIN D) (VITAMIN D) SPECIMEN REQUIREMENT VACUTAINER Serum Minimum volume required: 2 mL BILL LOC GOLD SST UNINSURED CML GOLD SST OHIP Centrifuge SST Store and ship refrigerated No pour-off required TAT – 2 days CALCIDIOL (INSURED) 606 (25 HYDROXY VITAMIN D) (VITAMIN D) Serum Minimum volume required: 2 mL CML Centrifuge SST Store and ship refrigerated No pour-off required Patient must meet eligibility criteria for insurable Calcidiol testing TAT – 2 days CALCITONIN 301 Serum Minimum Volume required: 3 mL Fasting sample required. CORRECTED 045C Serum Centrifuge only Testing includes serum calcium and albumin.0 14-Sep-2015 The electronic copy must be used as the current version. freeze within 30-minutes of clotting. State test in “Notes & Instructions” and on the OHIP requisition.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. TAT – 1 day CALCIUM. o Store and ship refrigerated at 2-8 C. TAT – 1 week CALCIUM 045 Serum Centrifuge only TAT – 1 day CALCIUM. Serum must NOT be aliquoted.

. Pancreas) (CARBOHYDRATE ANTIGEN 19-9) Refer to CA 19-9 CANDIDA TITRE TEST NO LONGER AVAILABLE CANNABINOIDS SCREEN 078M (CANNABIS) (MARIJUANA) (TETRAHYDROCANNABINOIDS) (THC) CARBAMAZEPINE (TEGRETOL) Urine 10 mL random urine Submit in a blue cap conical tube OHIP CML OHIP CML TAT – 2 days 040 Serum PLAIN RED Minimum Volume required: 2 mL Collect specimen 10 – 12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection. sterile. on the specimen container and in “Notes & Instructions”. TAT – 2 days CALCIUM.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. and should not be rejected if received within 5 days of collection TAT.17 days CAMPYLOBACTER Refer to CULTURE & SENSITIVITY . TAT – 30 days CALPROTECTIN. Breast) (CARBOHYDRATE ANTIGEN 15-3) CANCER ANTIGEN 19-9 (CA 19– 9. URINE CODE 045U SPECIMEN REQUIREMENT VACUTAINER BILL LOC OHIP CML OHIP CML OHIP HLRC UNINSURED HLRC 24 Hour Urine 10 mL aliquot – submit in a white cap conical tube State total 24-hour volume on the OHIP Requisition. dry.TEST NAME CALCIUM. Submit unpreserved stone in clean labelled container.STOOL (STOOL CULTURE) CANCER ANTIGEN 15-3 Refer to CA 15-3 (CA 15-3. Testing includes urine creatinine Retain a duplicate 90 mL sample in the fridge until test is reported.0 14-Sep-2015 The electronic copy must be used as the current version. URINE 045RU Urine 10 mL random urine Submit in a white cap conical tube TAT – 2 days CALCULUS ANALYSIS 047 (STONE ANALYSIS) Submit entire specimen Indicate source Transportation: follow irretrievable sample procedure. Page 4 of 31 Version: 46. Do not add fixative or preservative. STOOL 9293 (FECAL CALPROTECTIN) Sterile Container Collect undiluted feces in a clean. TAT – 1 day TEST SPECIFICATION GUIDE . Store and ship FROZEN. Refrigerated specimens are stable for 5 days after collection. leakproof container.

TAT – 1 day CARBOXYHEMOGLOBIN 060 Blood (CARBON MONOXIDE) DO NOT OPEN TUBE Refrigerate during storage and transport. TAT – 15 days TEST SPECIFICATION GUIDE . (CEA) A CEA Requisition Form completed and signed by the physician must accompany sample.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. UNINSURED HLRC . TAT – 14 day CARCINOEMBRYONIC ANTIGEN 690 Serum – Min volume: 1ml CML A CEA Requisition Form completed and signed by the physician must accompany sample. Testing is covered by OHIP for a patient who is: (a) being treated for metastatic breast cancer (b) receiving adjuvant therapy for resected colorectal cancer (c) being treated for metastatic disease FORM AVAILABLE ON CML WEBSITE TAT – 4 days CARCINOEMBRYONIC ANTIGEN 9328 Serum – Min Volume 1ml GOLD SST UNINSURED CML Store and ship refrigerated. FORM AVAILABLE ON CML WEBSITE TAT – 4 days CARDIOLIPIN ANTIBODIES IgG AND IgM (ANTI–CARDIOLIPIN AB) (ANTI PHOSPHOLIPIN) 9109 Serum Minimum volume required: 2 mL PLAIN RED FREEZE SERUM AND SEND FROZEN Includes ACL IgG and ACL IgM Refer to the General Information Page for Specimen Processing & Transport Guidelines. (CEA) KEEP TOGETHER IN A PRIORITY BAG Four weeks (28 days) must elapse between test requests.TEST NAME CODE CARBOHYDRATE ANTIGEN 15-3 SPECIMEN REQUIREMENT VACUTAINER BILL LOC GOLD SST OHIP CML GREEN -with Heparin OHIP LL GOLD SST OHIP Refer to CA 15-3 (CA 15-3. Page 5 of 31 Version: 46. 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. 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.0 14-Sep-2015 The electronic copy must be used as the current version.

Plasma (LAVENDER) Lp-PLA2 (PLAC®) LL Collect lavender and mix by inversion. Specimen should be kept cold and spun in refrigerated centrifuge ASAP. Freeze immediately. clinical history. IMMEDIATELY aliquot plasma into transfer tube. Store and ship refrigerated. TAT – 17 days CARNITINE. it is unsuitable for analysis. within 60 minutes of collection. GOLD SST UNINSURED HLRC GOLD SST OHIP FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. TAT – 20 days CAT SCRATCH FEVER ANTIBODY Refer to BARTONELLA ANTIBODY (BARTONELLA ANTIBODY) CATECHOLAMINES (EPINEPHRINES) (NOREPINEPHRINES) 9527 Plasma LAVENDER Patient must be supine for at least 15 minutes prior to & during specimen collection. Page 6 of 31 Version: 46.0 14-Sep-2015 The electronic copy must be used as the current version. Centrifuge and aliquot plasma.TEST NAME CODE CARDIOVASCULAR INFLAMATION PANEL CVIP SPECIMEN REQUIREMENT VACUTAINER Plasma 2 LAVENDER BILL LOC UNINSURED (CVIP) Myeloperoxidase (MPO) Panel Handling Plasma (LAVENDER) Testing Location LL Minimum Volume Required: 1mL After mixing. Collect after overnight fast (water and noncaffeinated drinks permissable). If the specimen thaws. Provide list of medications.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. OHIP HLRC . TAT – 20 days CAROTENE 049 (B–CAROTENE) Serum Minimum Volume required: 4 mL HLRC FREEZE SERUM AND SEND FROZEN Protect from light by transferring serum into an amber transport tube. gender. Store and send frozen. FREE / TOTAL 9710 Serum Minimum Volume required: 1 mL Provide date of birth. Store and ship refrigerated. TAT – 14 Days TEST SPECIFICATION GUIDE . IMMEDIATELY centrifuge for 10 minutes.

quinidine. ph will be adjusted in Biochemistry Dept. Testing Includes Epinephrine & Norepinephrine.0mL GOLD SST Collect blood in SST tube. TAT – 15 days CELONTIN Refer to METHSUXIMIDE (METHSUXIMIDE) TEST SPECIFICATION GUIDE . tea. They can be requested and billed separately. TOTAL TOTAL NO LONGER AVAILABLE . hypertensive drugs (esp.HOSPITALS ONLY 9951 Serum Centrifuge only GOLD SST UNINSURED HLRC Testing Includes Deamidated Gliadin Peptide IgG And Tissue Transglutaminase IgA Antibodies TAT – 15 days CELIAC DISEASE PANEL (GLUTEN ANTIBODIES) 1728 Serum Minimum volume required: 1. bananas. niacin. Allow blood to clot at room temperature for 30 minutes and separate by centrifugation. UNINSURED LL . walnuts. Refrigerate during storage and transport. Do not use this sample for any other test. erythromycin. o Store and ship at 2-8 C NOTE: this test includes Deamidated Gliadin IgG (1726) and Tissue Transglutaminase IgA (1727). in the fridge until test is reported. Dopamine To be avoided for 48 hours before collection: ASA. FRACTIONATED CODE 051 SPECIMEN REQUIREMENT VACUTAINER 24-Hour Urine 50 mL aliquot – submit in a white cap 90 mL container Do not add acid. on the specimen container and in “Notes & Instructions” .TEST NAME CATECHOLAMINES. chocolate. tetracycline.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. Tylenol (acetaminophen).0 14-Sep-2015 The electronic copy must be used as the current version. FRACTIONATED CBC Refer to COMPLETE BLOOD COUNT CCP ANTIBODY Refer to CYCLIC CITRULLINATED PEPTIDE ANTIBODIES CEA Refer to CARCINOEMBRYONIC ANTIGEN (CARCINOEMBRYONIC ANTIGEN) CELIAC DISEASE PANEL . smoking. dopamine.refer to CATECHOLAMINES. Aldomet). To be avoided for 72 hours before collection: avacados. coffee. methyldopa. BILL LOC OHIP DYN State total 24-hour volume on the OHIP Requisition. cola drinks. Chloralhydrate. eggplant. fruit and juices. vitamin B. phenothiazines. TAT – 14 days CATECHOLAMINES. quinine. Retain a duplicate 50 mL aliquot with preservative. plums. riboflavin. pineapple. Page 7 of 31 Version: 46.

swab. Store and ship at room temperature. Store and ship at room temperature. Mix thoroughly by gentle inversion. Store and ship at room temperature TAT – 7 to 28 days CENTOGENE GENETIC TEST . and guardian has signed the Patient Consent Section of the Requisition. Store and ship at room temperature. and has signed the Patient Consent Section of the Requisition. Ensure full draw. Label tubes with collection labels.REDRAW 4011 Whole Blood 1-2 LAVENDER UNINSURED CENTO Minimum Volume required: 2 or 4 mL Patient must present with completed Genetic Testing Requisition. Collect blood in two Lavender (EDTA) tubes. Date and Time of collection. TAT – 7 to 28 days CENTROMERE ANTIBODIES Refer to NUCLEAR ANTIBODIES (ANA) (ANF) (NUCLEAR ANTIBODIES) (SLE ANTIBODY) TEST SPECIFICATION GUIDE . and has signed the Patient Consent Section of the Requisition. The patient/guardian must have signed the Patient Consent Section on the Requisition. Collect blood in one Pediatric Lavender (EDTA) tube.PED 4008 Whole Blood LAVENDER Minimum Volume required: 2 mL Patient must present with completed Genetic Testing Requisition. Ensure a full draw. Label tube with collection label. Label tubes with collection labels. DOB or Health Card Number.OTHER 4014 All other non-blood specimens (Filter card. Mix thoroughly by gentle inversion. TAT – 7 to 28 days CENTOGENE GENETIC TEST . Page 8 of 31 Version: 46.ADULT 4005 SPECIMEN REQUIREMENT Whole Blood VACUTAINER 2 LAVENDER BILL LOC UNINSURED CENTO Minimum Volume required: 4 mL Patient must present with completed Genetic Testing Requisition. Ensure a full draw. UNINSURED CENTO . fluid. TAT – 7 to 28 days CENTOGENE GENETIC TEST . Mix thoroughly by gentle inversion. other) UNINSURED CENTO Specimen must be received with a completed Genetic Testing Requisition.0 14-Sep-2015 The electronic copy must be used as the current version.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only.TEST NAME CODE CENTOGENE GENETIC TEST . Ensure that specimen is labeled with: Patient's full name. Collect blood in one or two Lavender (EDTA) tubes according to original collection.

3 Panel Handling Collect blood in Lavender top tube (EDTA) Mix thoroughly by gentle inversion and separate by centrifugation WITHIN 2-4 hours of collection.15 Days N/C CML Note: Send sample to PHL ONLY IF specifically requested by the physician. TAT .PHL 9166 VIPER TUBE: 6932 TAT . cap tightly Store and ship FROZEN. Testing Location LL LL Store and send refrigerated. 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. TAT – 14 days CHLAMYDIA – URINE APTIMA URINE .SWAB APTIMA SWAB . 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.0 14-Sep-2015 The electronic copy must be used as the current version. 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. Store and transport at room temperature.PHL 9083 VIPER SWAB: 6930 TAT . TEST SPECIFICATION GUIDE . TAT . .3 Days OHIP CML Patient should not have urinated in the last hour.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. Transfer an aliquot of plasma to a labelled tube. Page 9 of 31 Version: 46.3 Days OHIP CML Swab – state source: cervical/vaginal (for female). REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM.TEST NAME CODE CERULOPLASMIN SPECIMEN REQUIREMENT 052 Serum Centrifuge only VACUTAINER BILL LOC GOLD SST OHIP CML 1 GOLD SST 1 LAVENDER UNINSURED TAT – 1 day CH50 Refer to COMPLEMENT TOTAL CH50 (COMPLEMENT HEMOLYTIC) (HEMOLYTIC COMPLEMENT FIXATION) (COMPLEMENT TOTAL CH50) CHF PANEL CHFP Serum (SST) and Whole Blood (Lavender) (CHRONIC HEART FAILURE) BNP Galectin . CHLAMYDIA . Serum (SST) Minimum Volume required: 1 mL Centrifuge and aliquot serum into transfer tube. REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM. Collect the first part of the urine stream to ensure a high organism count.15 Days N/C CML Note: Send sample to PHL ONLY IF specifically requested by the physician.

FASTING 055F Serum Centrifuge only Patient has fasted for 10 hours or more. URINE 053RU Urine 10 mL random urine Submit in a white cap conical tube TAT – 2 days CHLORIDE. Drop-offs/hubbing – document “Drop-Off” instead of number of hours. Includes urine creatinine and total volume CML SEROLOGY TESTING NO LONGER AVAILABLE. GOLD SST OHIP CML Ask patient: “When did you last have something to eat or drink other than water?” Document number of hours on the requisition. Page 10 of 31 Version: 46.0 14-Sep-2015 The electronic copy must be used as the current version. GOLD SST OHIP Ask patient: “When did you last have something to eat or drink other than water?” Document number of hours on the requisition.TEST NAME CODE CHLAMYDIA PSITTACI ANTIBODY SPECIMEN REQUIREMENT VACUTAINER BILL LOC OHIP CML OHIP CML 24 Hour Urine OHIP 10 mL aliquot – submit in a white cap conical tube No preservative State total 24-hour volume on the OHIP Requisition. Retain a duplicate 50 mL sample in the fridge until test is reported. TAT – 1 day CHOLESTEROL. (PSITTACOSIS ANTIBODY) CHLORDIAZEPOXIDE TEST NO LONGER AVAILABLE (LIBRIUM) CHLORIDE 053 Serum Centrifuge only GOLD SST TAT – 1 day CHLORIDE. on the specimen container and in “Notes & Instructions” .SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. Drop-offs/hubbing – document “Drop-Off” instead of number of hours. RANDOM 055R Serum Centrifuge only Patient has fasted less than 10 hours. 24 HOUR URINE 053U TAT – 2 days CHLORPROMAZINE TEST NO LONGER AVAILABLE (LARGACTIL) CHOLESTEROL. TAT – 1 day TEST SPECIFICATION GUIDE . CML .

PHENOTYPE 058 (DIBUCAINE INHIBITION TEST) (PSEUDO-CHOLINESTERASE) Serum Minimum volume required: 2 mL Centrifuge and aliquot into transfer tube Store and ship frozen. TAT – 11 days CHOLINESTERASE. TAT – 1 day TEST SPECIFICATION GUIDE . CML Ask patient: “When did you last have something to eat or drink other than water?” Document number of hours on the requisition.for ONCOLOGY) Refer to ACETYL CHOLINESTERASE 318–C Serum Centrifuge only Label tube “hCG for Oncology”.TEST NAME CHOLESTEROL.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. TAT – 1 day CHOLINESTERASE. NON-HDL FASTING 3921 Serum Centrifuge only Patient has fasted for 10 hours or more. please wait 24 hours post-surgery before blood collection. HDL (HDL CHOLESTEROL) CODE 117H SPECIMEN REQUIREMENT Serum Centrifuge only Either fasting or random samples are acceptable for testing VACUTAINER BILL GOLD SST OHIP GOLD SST OHIP LOC CML TAT – 1 day CHOLESTEROL. TOTAL 057 Serum Minimum volume required: 2 mL Centrifuge and aliquot into transfer tube Store and ship frozen. Drop-offs/hubbing – document “Drop-Off” instead of number of hours. GOLD SST OHIP HLRC GOLD SST OHIP HLRC GOLD SST OHIP CML If patient has had recent surgery. GOLD SST OHIP CML Ask patient: “When did you last have something to eat or drink other than water?” Document number of hours on the requisition. . Page 11 of 31 Version: 46. TAT – 10 days CHOLINESTERASE. ONCOLOGY (BETA HCG. Drop-offs/hubbing – document “Drop-Off” instead of number of hours. please wait 24 hours post-surgery before blood collection. If patient has had recent surgery.0 14-Sep-2015 The electronic copy must be used as the current version. TAT – 1 day CHOLESTEROL. RBC (ACETYL CHOLINESTERASE) CHORIO GONADOTROPIN. NON-HDL RANDOM 3922 Serum Centrifuge only Patient has fasted less than 10 hours.

pH will be adjusted in Biochemistry Dept. UNINSURED LL TAT – 10 days CHROMIUM 9249 Plasma ROYAL BLUE (K2EDTA) Min volume: 3ml Separate plasma within 30 min into metal-free polypropylene tube.g. Page 12 of 31 Version: 46. State 24-hour volume Retain a duplicate 50 mL sample in the fridge until test is reported. For industrial exposure a random urine is recommended.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. UNINSURED HLRC TAT – 15 days CHROMIUM 99999 24 Hour Urine ACID WASHED CONTAINER 24 hour urine MUST be collected in an ACID WASHED Container. lansoprazole.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 TEST SPECIFICATION GUIDE . HLRC . If the specimen thaws. TAT – 15 days CHROMOSOME ANALYSIS Refer to KARYOTYPING (KARYOTYPING) CIRCULATING ANTICOAGULANT Refer to LUPUS ANTICOAGULANT (LUPUS ANTICOAGULANT) (NON–SPECIFIC COAGULATION INHIBITORS) CITRATE 9323 24-Hour Urine OHIP 2 X 10 mL – submit in white cap conical tubes Do NOT add acid. omeprazole) for two weeks prior to collection. it is unsuitable for analysis.0 14-Sep-2015 The electronic copy must be used as the current version. Store and send frozen. Store and ship refrigerated. UNINSURED HLRC TAT – 20 days CHROMOGRANIN A 9244 Plasma (EDTA) Minimum Volume required: Two 1 mL aliquots LAVENDER UNINSURED HLRC Patient should abstain from proton pump inhibitor medication (e. Creatinine level is determined on all 24 hour urine specimens to assess the completeness of the 24 hr collection. hyperlipidemia or containing fibrin may give inaccurate results. hemolysis.TEST NAME CHORIO GONADOTROPIN. Samples with cloudiness. PREGNANCY CODE 318 SPECIMEN REQUIREMENT Serum Centrifuge only VACUTAINER BILL LOC GOLD SST OHIP CML (BETA HCG. Do not use gel-separator collection tubes.

SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. Collect blood in 1 LIGHT BLUE top tube (Citrated) And 1 LAVENDAR top tube (EDTA). Do not use gel separator tubes. Also includes Desmethyl Clobazam Sodium or Lithium heparinized plasma is acceptable. Promptly centrifuge and separate serum/plasma into a plastic transfer tube separate serum and transfer to plastic tube.0 14-Sep-2015 The electronic copy must be used as the current version. Mix thoroughly by gentle invertion.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. TAT – 1 Day CK Refer to CREATINE KINASE (CPK) (CREATINE PHOSPHOKINASE) (CREATINE KINASE) CK–MB Refer to CREATINE KINASE.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.8 C TAT – 10 days CLOMIPRAMINE (ANAFRANIL) 079E Serum ROYAL BLUE Minimum Volume required: 2 mL . . Elacticize together both LIGHT BLUE and LAVENDAR top tubes and send in a ziplock bag.TEST NAME CODE CITRATED PLATELET COUNT 394 SPECIMEN REQUIREMENT VACUTAINER BILL LOC LIGHT BLUE OHIP CML OHIP HLRC OHIP DYN WHOLE BLOOD (CITRATED PLATELETS) Pre-Test Preparation: Complete Blood Count (CBC Test Code 393) must be collected and ordered with the Citrated Platelet Count. o Store and ship at 4 . Page 13 of 31 Version: 46. ● Includes Desmethyclomipramine ● TAT – 14 days TEST SPECIFICATION GUIDE .

TEST NAME CLONAZEPAM 9536 CODE SPECIMEN REQUIREMENT VACUTAINER BILL LOC N/C PHL OHIP HLRC PLAIN RED Minimum Volume required: 3 mL Centrifuge and aliquot into serum tube Collect trough specimen immediately prior to next dose.0 14-Sep-2015 The electronic copy must be used as the current version. Specify culture and / or toxin studies ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM Specimen storage and transportation at 2-8 °C. Page 14 of 31 Version: 46. If sample will not be sent to PHL within 48 hours. UNINSURED HLRC . TAT – 20 days CMV Refer to CYTOMEGALOVIRUS ANTIBODY (CYTOMEGALOVIRUS ANTIBODY) CMV ISOLATION Refer to CYTOMEGALOVIRUS ISOLATION (CYTOMEGALOVIRUS ISOLATION) CO2 Refer to CARBON DIOXIDE (BICARBONATE) (CARBON DIOXIDE) COBALAMINS 345 (VITAMIN B12) Serum Centrifuge only. CML TAT – 1 day COBALT 9917 Plasma Separate Minimum Volume required: 3 mL. or frozen if time in transit greater than 48 hours. it must be frozen. FREEZE SERUM AND SEND FROZEN Serum (RIVOTRIL) TAT – 10 days CLOSTRIDIUM DIFFICILE CULTURE AND TOXIN STUDIES 9074 Stool Submit approximately 15 mL of stool in sterile 90 mL orange cap container. 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. TAT – 30 days COBALT 9918 Urine 50 mL random urine Submit in a 90 mL orange cap container. LAVENDER OHIP HLRC GOLD SST OHIP ROYAL BLUE K2 EDTA UNINSURED HLRC FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. TAT – 30 days TEST SPECIFICATION GUIDE .

C1Q) TEST SPECIFICATION GUIDE .TEST NAME CODE COBALT 99999 SPECIMEN REQUIREMENT VACUTAINER 24 Hour Urine ACID WASH CONTAINER 24 hour urine MUST be collected in an ACID WASHED CONTAINER Store and ship refrigerated. Page 15 of 31 Version: 46.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. OHIP CML N/C PHL OHIP CML TAT – 2 days COCCIDIOIDES ANTIBODY 9012 Do not centrifuge tube PLAIN RED (VALLEY FEVER) ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days CODEINE Refer to DRUG SCREEN BROAD SPECTRUM COLD AGGLUTININS SCREEN 660 Serum and Clot PLAIN RED (AGGLUTINATION REACTION SCREEN) Blood drawn in a SST is not acceptable o Clot at room temperature (preferable 37 C) Centrifuge immediately upon complete clot formation. TAT – 34 days COMPLEMENT C1Q Refer to C1Q IMMUNE COMPLEXES (C1Q IMMUNE COMPLEXES) (C1Q COMPLEMENT BINDING ACTIVITY) (IMMUNE COMPLEXES. BILL LOC UNINSURED LL TAT – 10 days COCAINE SCREEN 078C Urine 10 mL random urine Submit in a blue cap conical tube.0 14-Sep-2015 The electronic copy must be used as the current version. HLRC . FUNCTIONAL 9707 Plasma Minimum volume required: 2 mL FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. DO NOT REFRIGERATE TAT – 1 day COLOGIC 9280 Serum GOLD SST UNINSURED PLSI GOLD SST OHIP LIGHT BLUE OHIP (GTA-446) Centrifuge and aliquot into serum tube Refrigerate during storage and transport TAT – 10 days COMPLEMENT C1 561 (ESTERASE INHIBITOR) Serum Centrifuge only Refrigerate during storage and transport. Remove serum and transfer into a separation tube and send both serum and clot tube elastized together. DYN TAT – 7 days COMPLEMENT C1 ESTERASE INHIBITOR. For industrial exposure a random urine is recommended.

specimen is unsuitable.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. Avoid multiple freeze/thaw. TAT – 30 days COMPLEMENT.No Additive OHIP DYN TAT – 1 day COMPLEMENT C4 552 (C4) Serum Centrifuge only TAT – 1 day COMPLEMENT C5 9708 (C5) Plasma Minimum Volume required: 2 mL FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. TAT – 20 days TEST SPECIFICATION GUIDE .TEST NAME CODE COMPLEMENT C2 9919 (C2) SPECIMEN REQUIREMENT VACUTAINER Serum Minimum Volume required: 2 mL Collect in pre-chilled tube GOLD SST BILL LOC UNINSURED HLRC Separate within one hour of collection and freeze serum as soon as possibleSubmission of duplicate aliquots is recommended in case of repeat analysis. Page 16 of 31 Version: 46. If thawed. TAT – 30 days COMPLEMENT C6 9709 (C6) Plasma 2 aliquots of 1 mL – keep aliquots together with elastic FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. . FREEZE SERUM AND SEND FROZEN TAT – 30 days COMPLEMENT C3 551 (C3) Serum Centrifuge only GOLD SST OHIP CML GOLD SST OHIP CML LAVENDER OHIP HLRC LAVENDER OHIP HLRC GOLD SST OHIP HLRC LAVENDER OHIP CML ROYAL BLUE .0 14-Sep-2015 The electronic copy must be used as the current version. 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.

 P.RBC 99999 Red Cells ROYAL BLUE K2EDTA UNINSURED LL Mix thoroughly by inversion.  RANDOM 303AP 303PP 303RP Note: AM Collection Range: 6am – 10am Note: PM Collection Range: 3pm – 11pm Note: For specimens collected outside of AM and PM ranges TAT – 3 days TEST SPECIFICATION GUIDE . cap and discard. e.g. OHIP LL OHIP CML SHIP FROZEN Plasma is stable for: o 8 hours at 2-8 C o 4 weeks at -20 C Samples are not stable at room temperature. on the specimen container and in “Notes & Instructions”. o cap tightly and FREEZE at -20 C. Transfer an aliquot of plasma to a labeled tube. Page 17 of 31 Version: 46. Freeze only once.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. Random) – with Heparin  A.0 mL Collect blood in CHILLED LAVENDER top tube. TAT – 14 days COPPER . TAT – 11 days CORTISOL Plasma GREEN Indicate time of collection (AM.STERILE N/C LHSC FORM AVAILABLE ON CML WEBSITE TAT – 13 days COPROPORPHYRINS Refer to PORPHYRINS. Specimen must be processed within 2 hours of collection Using a polypropylene transfer pipette remove the plasma. Mix thoroughly by gentle inversion and place tube in refrigerator until centrifugation. Liver CONTAINER . Keep the RED CELLS in the original ROYAL BLUE top tube.M.TEST NAME CODE COPPER 063U SPECIMEN REQUIREMENT VACUTAINER 24-Hour Urine 50 mL aliquot –submit in a white cap container Refrigerate during storage and transport BILL LOC UNINSURED DYN State total 24-hour volume on the OHIP Requisition. Multiple freeze/thaw cycles must be avoided. TAT – 20 days COPPER 9520 Tissue Please entere specimen source required. buffy coat and a little of the red cells and place into an empty tube. Centrifuge WITHIN 60 minutes of collection. Ensure tube is capped tightly to avoid leakage. Centrifuge tube for 15 minutes. .0 14-Sep-2015 The electronic copy must be used as the current version. PM. Retain a duplicate 50 mL sample in the fridge until test is reported. QUANTITATIVE (PORPHYRINS) (UROPORPHYRINS) CORTICOTROPIN 2618 (ADRENOCORTICOTROPIC HORMONE) (ACTH) Plasma LAVENDER Minimum Volume required: 2.M.

TAT 10 days TEST SPECIFICATION GUIDE . Testing includes Creatinine Random Urine Min urine required: 10ml OHIP CML TAT 12 days CORTISOL  TOTAL TEST NO LONGER AVAILABLE COUMADIN Refer to WARFARIN (WARFARIN) COUNSYL FAMILY PREP SCREEN 1.M. Random)  A.  RANDOM 303AM 303PM 303R BILL LOC OHIP CML OHIP CML Note: AM Collection Range: 6am – 10am Note: PM Collection Range: 3pm – 11pm Note: For specimens collected outside of AM and PM ranges TAT – 3 days CORTISOL  FREE 303UF 24-Hour Urine 10 mL aliquot – submit in a white cap conical tube labelled CREATININE and a 50 mL aliquot – submit in a 90 mL white cap container labelled CORTISOL FREE Testing includes urine creatinine and total volume. o Store specimen refrigerated at 2-8 C until ready to ship Ship at room temperature Specimen is stable 7 days at room temperature. UNINSURED LLG . PM. Retain a duplicate 50 mL sample in the fridge until test is reported.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only.0 14-Sep-2015 The electronic copy must be used as the current version.  P. TAT – 12 days CORTISOL  FREE RANDOM URINE 303RU Random urine Two 10ml random urines submitted in two white cap conical tubes.0 4100 Blood LAVENDER Optimal volume 4 mL Mix thoroughly by gentle inversion.TEST NAME CODE CORTISOL SPECIMEN REQUIREMENT VACUTAINER Serum GOLD SST Centrifuge only Indicate time of collection (AM. This test requires a LifeLabs / Counsyl requisition to be completed by the ordering physician.M. Page 18 of 31 Version: 46. Please use the same test code if Saliva specimen is required. State total 24-hour volume on the OHIP Requisition. on the specimen container and in “Notes & Instructions” .

This test requires a LifeLabs / Counsyl requisition to be completed by the ordering physician. ISOLATION 9008 (HAND.0 14-Sep-2015 The electronic copy must be used as the current version. Page 19 of 31 Version: 46. OHIP CML . FRACTIONATION (CK ELECTROPHORESIS) (CK ISOENZYMES) (CK FRACTIONATION) TEST NO LONGER AVAILABLE TEST SPECIFICATION GUIDE . TAT 14 days COXSACKIE VIRUS.0 CODE 4101 SPECIMEN REQUIREMENT VACUTAINER Blood LAVENDER Optimal volume 4 mL Mix thoroughly by gentle inversion. MOUTH DISEASE) (ENTEROVIRUS) Stool / Rectal Swab / Throat Swab Viral history sheet must be completed.TEST NAME COUNSYL FAMILY PREP SCREEN 2. Please use the same test code if Saliva specimen is required. This test requires a LifeLabs / Counsyl requisition to be completed by the ordering physician. N/C PHL Stool is the preferred specimen ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM ▀ MINISTRY OF HEALTH GUIDELINES Refer to the General Information Page for the MOH Procedure regarding specimen processing & transport. o Store specimen refrigerated at 2-8 C until ready to ship BILL LOC UNINSURED LLG Ship at room temperature Specimen is stable 7 days at room temperature.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. Use appropriate MOH container: Stool– Virus–TM Rectal or Throat Swab– Virus–SW TAT – 15 to 30 days CREATINE CREATINE KINASE (CK) (CPK) TEST NO LONGER AVAILABLE 066 Serum Centrifuge only GOLD SST TAT – 1 day CREATINE KINASE-MB TEST NO LONGER AVAILABLE (CK-2 MB) CREATINE KINASE. FOOT. Please use the same test code if Saliva specimen is required. TAT 14 days COUNSYL FAMILY PREP REDRAW 4102 Blood LAVENDER Optimal volume 4 mL Mix thoroughly by gentle inversion. o Store specimen refrigerated at 2-8 C until ready to ship UNINSURED LLG Ship at room temperature Specimen is stable 7 days at room temperature.

height and weight on the OHIP Requisition. TAT – 1 day CREATININE CLEARANCE 068 State total 24-hour volume.TEST NAME CREATININE CODE 067 (eGFR) (ESTIMATED GFR) SPECIMEN REQUIREMENT VACUTAINER BILL LOC GOLD SST OHIP CML OHIP CML Serum and 24-Hour Urine GOLD SST OHIP centrifuge only and 10 mL urine aliquot – submit in a white cap conical tube No preservative Collect blood specimen at the end of the 24-hour urine collection. Retain a duplicate 50 mL sample in the fridge until test is reported. TAT – 15 days CULTURE FUNGAL Refer to FUNGAL CULTURE TEST SPECIFICATION GUIDE . on the specimen container and in “Notes & Instructions” . Testing Includes serum creatinine. CML Serum Centrifuge only TAT – 1 day CREATININE 067U 24-Hour Urine 10 mL aliquot – submit in a white cap conical tube labelled CREATININE No Preservative State total 24-hour volume on the OHIP Requisition. 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. QUALITATIVE 600 Serum Centrifuge only Fasting specimen preferred. Page 20 of 31 Version: 46.0 14-Sep-2015 The electronic copy must be used as the current version. Retain a duplicate 90 mL sample in the fridge until test is reported. on the specimen container and in “Notes & Instructions”. . 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. urine creatinine.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only.

36.8 . • 1st set (1 aerobic and 1 anaerobic) • 2nd set (1 aerobic and 1 anaerobic) from a different venipuncture site. If the requisition requests Endocarditis then collect 3 sets of blood culture bottles (a total of 6 bottles). then draw any other specimens required Collect at intervals specified by the physician. Page 21 of 31 Version: 46.TEST NAME CULTURE & SENSITIVITY  BLOOD CODE SPECIMEN REQUIREMENT VACUTAINER 624 Blood 624-2 nd 2 set Disinfect the venipuncture site first with 70% isopropyl alcohol.3 kg (> 80 lb) Adolescent (> 12 years) 5 to 10 mL (5 mL per bottle) BacT Alert Bottles 2 BacT Alert Peds collected from same venipuncture site 1 aerobic BacT Alert 20 mL 1 anaerobic BacT Alert (10 mL per bottle) collected from same venipuncture site Collect the blood culture tubes first. .12.7 kg Infant (5 to 28 lb) (1 month to 2 years) 12. If none is given.0 14-Sep-2015 The electronic copy must be used as the current version.3 kg (28 to 80 lb) Children (2 to 12 years) > 36. 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. each set should be collected 30 minutes after the previous pair: • 1st set (1 aerobic and 1 anaerobic) • 2nd set (1 aerobic and 1 anaerobic) from a different venipuncture site • 3rd set (1 aerobic and 1 anaerobic) from a different venipuncture site Child – refer to table below for collections for children and infants Weight Approximate Age Total Volume of Blood < 2 kg (< 5 lb) Neonate (< 1 month) 1 to 2 mL 1 BacT Alert Peds 3 to 5 mL 1 BacT Alert Peds 2.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. Bottles should not be refrigerated Specimen storage and transportation at room temperature TAT – 5-7 days TEST SPECIFICATION GUIDE . 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).1 . then with 10% Povidone Iodine Prep Pad 624-3 rd 3 set BLOOD CULTURE BOTTLES BILL OHIP LOC CML Cleanse the top of the tubes with 70% isopropyl alcohol Adult – collect 2 sets of blood culture bottles (a total of 4 bottles).

TAT – 2 to 3 days  CORD BLOOD TEST NO LONGER AVAILABLE CULTURE & SENSITIVITY 628–4  EAR  EYE / CONJUNCTIVA  NOSE / NARES Swab – state source Place swab in clear transport media Use code 628-44 for a second swab on same patient Specimen storage and transportation at room temperature. 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. 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 – 2 to 3 days CULTURE & SENSITIVITY FEMALE G. Page 22 of 31 Version: 46.C. TAT – 5 to 7 days CULTURE & SENSITIVITY  ANY FLUID. all abscesses. Trichomonas and Bacterial Vaginosis Use code 625-2 for a second swab on same patient Specimen storage and transportation at room temperature. . gonorrhoeae. skin. Yeast. TAT – 2 to 3 days TEST SPECIFICATION GUIDE . gonorrhoeae only Vaginal swabs should not be coded for GC as per Micro. discharge.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. Specimen storage and transportation at room temperature. perianal. eye lid. ONLY  CERVICAL  ENDOCERVICAL  GONORRHOEAE 627 Swab – state source Place swab in charcoal transport media Test is for N. TAT – 3 days CULTURE & SENSITIVITY 625 GENITAL  CERVICAL/VAGINAL  LABIA  PENIS/PENILE  VAGINAL  VAGINAL/ANAL  VAGINAL/RECTAL  VULVA Swab – state source Place swab in charcoal transport media Test is for N. pharynx rectal abscess. mouth. groin. 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.0 14-Sep-2015 The electronic copy must be used as the current version. axilla.TEST NAME CODE CULTURE & SENSITIVITY 628–4  EAR  EYE / CONJUNCTIVA  NOSE / NARES SPECIMEN REQUIREMENT VACUTAINER Swab – state source Place swab in clear transport media BILL LOC OHIP CML OHIP CML OHIP CML OHIP CML Use code 628-44 for a second swab on same patient Specimen storage and transportation at room temperature.

to 4 days TEST SPECIFICATION GUIDE . Specimen storage and transportation at room temperature. TAT – 4 days CULTURE & SENSITIVITY 667-5  RECTAL/ANAL GROUP A STREP Swab – Rectal/Anal Place swab in charcoal transport media.0 14-Sep-2015 The electronic copy must be used as the current version. TAT – 3.TEST NAME CODE CULTURE & SENSITIVITY  RECTAL / ANAL 628–9 SPECIMEN REQUIREMENT VACUTAINER Swab – Rectal Place swab in charcoal transport media. . BILL LOC OHIP CML OHIP CML OHIP CML OHIP CML OHIP CML OHIP CML OHIP CML OHIP CML OHIP CML TAT – 4 days CULTURE & SENSITIVITY 667-1  RECTAL/ANAL ESBL Swab – Rectal/Anal Place swab in charcoal transport media. TAT – 2 to 3 days CULTURE & SENSITIVITY  STOOL 630–1 Stool Place stool in Cary–Blair transport container to the “FILL LINE” Shake to emulsify sample Only one request per requisition will be accepted unless authorized by Dr. This is acceptable. P. Specimen storage and transportation at room temperature. Specimen storage and transportation at room temperature. Specimen storage and ship refrigerated.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. Specimen storage and transportation at room temperature. Specimen storage and transportation at room temperature. TAT – 4 days CULTURE & SENSITIVITY  SEMEN 639S Semen Minimum Volume required: 2 mL Place in sterile container TAT – 3 days CULTURE & SENSITIVITY  SPUTUM 629 Sputum Deep cough specimen in sterile container Use only 1 sample per requisition Specimen storage and transportation at 2-8 °C. TAT – 4 days CULTURE & SENSITIVITY 667-4  RECTAL/ANAL GC Swab – Rectal/Anal Place swab in charcoal transport media. Stuart – then code additional samples 630-2. 630-3. Page 23 of 31 Version: 46. TAT – 4 days CULTURE & SENSITIVITY 667-2  RECTAL/ANAL VRE Swab – Rectal/Anal Place swab in charcoal transport media. Patient may present with a room temperature sample. TAT – 4 days CULTURE & SENSITIVITY 667-3  RECTAL/ANAL CRE Swab – Rectal/Anal Place swab in charcoal transport media. Specimen storage and transportation at room temperature.

Page 24 of 31 Version: 46. If unable to aliquot immediately refrigerate orange cap sample until Aliquot is possible. . State if Sensitivity Test is required in “Notes and Instructions”. TAT – 3 days CULTURE & SENSITIVITY  URINE 634 Urine – Grey Top Urine Vacutainer Collect a minimum of 10 mL of mid–stream urine in a sterile orange cap container. Store and ship at room temperature once aliquotted.0 14-Sep-2015 The electronic copy must be used as the current version. Sensitivity is NOT automatically included in this test.TEST NAME CULTURE  CODE 628 THROAT SPECIMEN REQUIREMENT VACUTAINER Swab – Throat Place swab in clear transport media BILL LOC OHIP CML OHIP CML OHIP CML State if patient is allergic to penicillin in “Notes and Instructions”. TAT – 1 to 3 days TEST SPECIFICATION GUIDE . 628–7 Specimen storage and transportation at room temperature. Transfer IMMEDIATELY into grey top urine C&S tube. TAT – 2 to 3 days CULTURE & SENSITIVITY  THROAT FOR STREP Refer to Culture.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. 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. ALWAYS aliquot urine C&S first if aliquotting multiple tubes. Throat CULTURE & SENSITIVITY  URETHRAL Swab – Urethral – Male or Female Submit swab in charcoal transport media.

GROIN 610-1 URINE 634 MRSA Screen Test.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only.Allergic to penicillin 628 LESION (from any site) 628-5 TONSIL 628-5 MISCELLANEOUS (provide source) 628-5 ULCER (from any site) 628-5 MRSA Screen Test. Vag/Cx. Ear. Nose Throat Miscellaneous Vaginal. 627 RECTAL 628-9 CERVIX/VAGINAL 625 RECTAL ABSCESS 628-5 CONJUNCTIVA 628-4 RECTAL/ANAL *NEW* 628-9 EAR 628-4 RECTAL/ANAL – CRE *NEW* 667-3 EAR LOBE 628-5 RECTAL/ANAL – ESBL *NEW* 667-1 ENDOCERVICAL 627 RECTAL/ANAL – GC *NEW* 667-4 EYE 628-4 RECTAL/ANAL – GROUP A STREP *NEW* 667-5 EYE LID 628-5 RECTAL/ANAL – VRE *NEW* 667-2 FLUID. Vag/Anal MRSA TEST SPECIFICATION GUIDE .MALE or FEMALE 628-7 MRSA Screen Test. MRSA Screen Test 610-1 PENIS / PENILE 625 BLOOD 624 PERIANAL 628-5 CERVICAL 627 PHARYNX 628-5 CERVIX FOR G. MRSA Screen Test 610-1 FORESKIN 628-5 SEMEN 639S GC ( includes THROAT. First Swab Subsequent Swab(s) 628-4 628 628-5 625 610-1 628-44 628-2 628-6 625-2 610-2. RECTAL 610-1 VAGINAL. MRSA Screen Test 610-1 ANAL 628-9 NARES 628-4 AXILLA 628-5 NOSE 628-4 AXILLA. MRSA SCREEN TEST 610-1 SPUTUM 629 GROUP B STREP SCREEN. GROUP B STREP SCREEN 625S MOUTH – Includes yeast/ thrush 628-5 VAGINAL/ ANAL 625 VAGINAL/ CERVICAL 625 VAGINAL/ RECTAL. (All fluids except Semen) 639F RECTAL. EYE. .Allergic to penicillin 628 LABIA 628-5 THROAT FOR STREP . 610-4.C.on same patient Source Eye.0 14-Sep-2015 The electronic copy must be used as the current version. NASAL 610-1 VAGINAL 625 MRSA Screen Test. AXILLA 610-1 URETHRAL. Group B Strep Screen 625S VULVA 625 WOUND VRE (source – STOOL) 628-5 Contact Micro MUTIPLE SWABS . CERVIX when ONLY GC is ordered) GONORRHOEAE (provide source) 627 SKIN (includes FORESKIN) 628-5 627 SLIDE FOR GRAM STAIN 643 GROIN 628-5 SMEAR FOR GRAM STAIN 643 GROIN. 610-5 Page 25 of 31 Version: 46. VAG 625S STOOL 630-1 IUD 628-5 THROAT . 610-3.TEST NAME CODE CULTURE & SENSITIVITY SPECIMEN REQUIREMENT VACUTAINER QUICK REFERENCE CODING LIST For specimen requirements refer to the Individual test specifications SWAB SOURCE CODE SWAB SOURCE BILL LOC OHIP CML CODE ALL ABSESSES 628-5 NASAL.

Keep cold during transport. FREEZE URINE AND SEND FROZEN. Allow bloof to clot at room temperature for 30 minutes and separate by centrifugation.HOSPITALS ONLY 9165 (ANTI-CCP) (CCP ANTIBODY) Serum Minimum volume required: 1 mL Centrifuge only Store and transport refrigerated GOLD UNINSURED HLRC GOLD SST UNINSURED LL LAVENDER OHIP Collect sample Monday – Wednesday only TAT – 15 days CYCLIC CITRULLINATED PEPTIDE ANTIBODIES 3029 Serum Minimum volume required: 0. UNINSURED HLRC . On priority label print `CYCLOSPORINE – TRANSPLANT’ Indicate name of transplant hospital and transplant physician on requisition.TEST NAME CODE CYANIDE 9920 SPECIMEN REQUIREMENT Whole blood Minimum volume required: 7 mL VACUTAINER ROYAL BLUE -with K2 EDTA BILL LOC UNINSURED HLRC DO NOT CENTRIFUGE – SEND ENTIRE TUBE TAT – 29 days CYCLIC CITRULLINATED PEPTIDE ANTIBODIES .SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. TAT – variable CYSTINE (QUANTITATIVE) (CYSTINURIA MONITORING) 069U Random Urine 10 mL aliquot – submit in a 90 mL orange cap container. Page 26 of 31 Version: 46. NON TRANSPLANT 9385 Blood LAVENDER State on the tube and requisition “non–transplant” UNINSURED HLRC Ensure that ALL of the patient information is Complete and clearly indicated – especially date of birth Keep cold during transport. Hospital Form or copy of the OHIP requisition in a ziplock bag with a priority label. TAT – 18 days CYSTINE SCREEN Refer to METABOLIC SCREEN (CYSTINE QUALITATIVE) TEST SPECIFICATION GUIDE . No preservative. TRANSPLANT 9153 Blood HLRC Place specimen.0 14-Sep-2015 The electronic copy must be used as the current version. TAT – variable CYCLOSPORINE.5 mL (ANTI CYCLIC CITRULLINATED PEPTIDE) (ANTI-CCP) (CCP ANTIBODY) (CPP IGG) Collect blood in SST tube. o Store and ship at 2-8 C TAT – 4 days CYCLOSPORINE.

Fix with an equal volume of Cytolyt to sample. click on the link below: http://www. Complete a Cytology Form for sample.asp  ANAL Assign a separate accession number for each body site. TAT – 5 days CYTOLOGY  BUCCAL SMEAR NO LONGER AVAILABLE CYTOLOGY 710  DIRECT SMEAR  LARYNX  NIPPLE DISCHARGE  OPEN LESION  ORAL  VULVAR Slide and/or Aspiration Fluid OHIP CML Complete a Cytology & HPV Testing Requisition for samples.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions. Do not code the Documentation Fee for this test. The physician must provide the patient’s history and clinical diagnosis.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions. For complete specimen collection instructions.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions. click on the link below: http://www. follow irretrievable procedure TAT– 5 days CYTOLOGY 706  BRONCHIAL WASHING OR BRUSHING Washings Optimal volume 5 mL or more OHIP CML Complete a Cytology & HPV Testing Requisition for samples. TAT – 5 days TEST SPECIFICATION GUIDE .asp Do not code the Documentation Fee for this test.lifelabs. Do not code the Documentation Fee for this test.0 14-Sep-2015 The electronic copy must be used as the current version. Assign a separate accession number if a slide or fluid is submitted from different sites. Page 27 of 31 Version: 46.TEST NAME CODE SPECIMEN REQUIREMENT VACUTAINER CYTOLOGY 705  ASPIRATION BIOPSY Slide and / or Aspiration Fluid Optimal volume 1 mL or more Includes all aspirations and or slides from:  ANY TUMOR  LYMPH NODE  MASS  NECK  NODULE Complete a Cytology & HPV Testing Requisition for samples.. Fix with an equal volume of Cytolyt to sample. For complete specimen collection instructions. click on the link below: http://www. BILL LOC OHIP CML For complete specimen collection instructions. Fix with an equal volume of Cytolyt to sample.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only.asp Assign the same accession number if a slide or fluid is submitted from the same site. Or CYST from:  THYROID  LYMPH NODE  SALIVARY GLAND For transportation. .lifelabs.lifelabs.

For complete specimen collection instructions. Fix slide immediately with cytospray. NOTE: Barcode label is in addition to the patient information written on the slide. Fix with an equal volume of Cytolyt to sample. click on the link below: http://www.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions. TAT – 5 days CP70 TEST NO LONGER AVAILABLE (PAPANICOLAOU SMEAR CONVENTIONAL) TEST SPECIFICATION GUIDE . Page 28 of 31 Version: 46.lifelabs. Clinical data requested on requisition must be provided. Complete a Cytology Form & HPV Testing Requisition for samples. (Code as 705):  lymph nodes cyst  thyroid cyst  salivary gland cyst CYTOLOGY.0 14-Sep-2015 The electronic copy must be used as the current version. Apply directly from source or by means of applicator to slide. Place a barcode on the mailer for easier identification. click on the link below: http://www. Assign a separate accession number if s slide or fluid is submitted from different sites. Do not code the Documentation Fee for this test.asp Assign the same accession number if a slide or fluid is submitted from the same site. . (VIRAL INCLUSION) The physician must print the patient's name and another unique identifier (Health Card Number or Date of Birth)on slide with a pencil.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. Fix with an equal volume of cytolyt to sample.asp Do not code the Documentation Fee for this test. EXCLUDING: BRONCHIAL TAT – 5 days CYTOLOGY 711-2  MISCELLANEOUS FLUID OR CYST Includes:     peritoneal fluid pleural fluid synovial fluid cysts from sources other than those listed below Fluid Optimal volume 5 mL or more OHIP CML Complete a Cytology & HPV Testing Requisition for samples.TEST NAME CODE CYTOLOGY 714  DIRECT SMEAR FOR HERPES SPECIMEN REQUIREMENT VACUTAINER Slide BILL LOC OHIP CML The physician must scrape the lesion at the base of the blister and prepare a moderately thick smear of cellular material that displays no evidence of air drying.lifelabs. Excludes.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions. PAP SMEAR Do not code a documentation fee for this test. TAT – 5 days CYTOLOGY 708  WASHINGS/BRUSHINGS  ESOPHAGEAL  GASTRIC OR  ENDOMETRIAL Washings Optimal volume 5 mL or more OHIP CML Complete a Cytology & HPV Testing Requisition for samples. For complete specimen collection instructions.

Fix with an equal volume of Cytolyt to sample.TEST NAME CYTOLOGY. For complete collection instructions.lifelabs.lifelabs. OHIP CML Fix the SurePath Preservative Fluid NOTE: Ensure the head of the collection instrument (broom) is in the vial. click on the link below: http://www. TAT – 20 days CYTOLOGY  SPUTUM 716 Sputum Optimal volume 5 mL OHIP CML Complete a Cytology & HPV Testing Requisition for samples.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions. Fix with equal volume of Cytolyt to sample. TAT – 5 days CYTOLOGY  URINE 711U Urine Optimal volume 15-50mL OHIP CML Complete a Cytology & HPV Testing Requistion for samples.0 14-Sep-2015 The electronic copy must be used as the current version.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions. Page 29 of 31 Version: 46.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM ▀ MINISTRY OF HEALTH GUIDELINES Refer to the General Information Page for the MOH Procedure regarding specimen processing & transport TAT – 25 days TEST SPECIFICATION GUIDE . Collect specimens on 3 consecutive mornings. PAP SMEAR MONOLAYER/THINLAYER CODE ML70 (PAPANICOLAOU SMEAR LIQUID BASED) SPECIMEN REQUIREMENT VACUTAINER BILL LOC 30 mL Monolayer Container (SUREPATH) Complete a Cytology & HPV Testing Requisition for samples.asp Do not code the Documentation Fee for this test. For complete specimen collection instructions. Store and ship at room temperature. click on the like below: http://www. (Do NOT over saturate with alcohol) Collect specimens on 3 consecutive mornings (early morning deep cough samples) For complete specimen collection instructions.asp Note: Specify if voided or cathererized collection Do not code the Documentation Fee for this test Store and ship at room temperature. TAT – 5 days CYTOMEGALOVIRUS ANTIBODY (CMV) 9020 Do not centrifuge tube PLAIN RED Public Health Laboratories recommend the Collection of both acute and convalescent specimens taken two weeks apart. click on the link below: http://www. N/C PHL .lifelabs.asp Do not code the Documentation Fee for this test.

0 14-Sep-2015 The electronic copy must be used as the current version.TEST NAME CYTOMEGALOVIRUS ISOLATION CODE 9065 SPECIMEN REQUIREMENT VACUTAINER Urine/BronchialWashing BILL LOC N/C PHL ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM ▀ MINISTRY OF HEALTH GUIDELINES Refer to the General Information Page for the MOH Procedure regarding specimen processing & transport Refrigerate during storage and transport TAT – 20 days CYTOMEGALOVIRUS QUANTITATIVE PCR 9549 Plasma LAVENDER Collect Mon through Thurs only. N/C HLRC . Store and send frozen. Page 30 of 31 Version: 46. For transplant patients only.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. Centrifuge. separate into transfer tube and freeze immediately. TAT – 4 days TEST SPECIFICATION GUIDE .

TEST NAME CODE SPECIMEN REQUIREMENT VACUTAINER BILL LOC CYTOLOGY WORKSHEETS WORSHEET NAME & NUMBER 703 SPUTUM D/E CODES 716 DESCRIPTION (S) Sputum for Cytology. salivary gland (parotid.SECTION C CML HealthCare Inc Test Specification Guide 18353 This document hardcopy must be used for reference only. 707 BRONCHIAL WASHINGS/BRUSHINGS 706 Bronchial washings or brushings for cytology. . Anal smears. 710 DIRECT SMEARS 711 MISCELLANEOUS FLUIDS 710 711-2 Direct smears from open lesions. lymph node. sub-mandibular) or ovary. 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. (Make sure sputum not saturated in Cytolyt.0 14-Sep-2015 The electronic copy must be used as the current version. (Excludes Bronchial Wash/Brush which is worksheet 707 D/E 706). Cysts from breast. same accession number is given. If slide(s) and fluid(s) received from same site. thyroid. larynx smears. mass. 706 ASPIRATION BIOPSY 705 All aspirations and/or slides from any tumor. Nipple discharges/secretions. Oral. 714 Direct smears for viral inclusions or herpes. vulvar. even if any of the above are collected in a liquid-based media bottle. Cysts from sources other than those mentioned under aspiration biopsy above. Synovial. pleural and peritoneal fluids. 711U Voided or catheterized urines for Cytology. NOTE: Code as direct smear. equal amount only). Esophagus or Endometrium. If more than one bottle is received from the same site. nodule. 712 VIRAL INCLUSION 714 URINE TEST SPECIFICATION GUIDE . Page 31 of 31 Version: 46.

HOSPITALS ONLY 9742 (DGP IgG) (DEAMIDATED GLIADIN PEPTIDE IGG AB) (GLIADIN IGG) (GLIADIN ANTIBODIES) Serum Minimum Volume required: 1. Allow blood to clot at room temperature for 30 minutes and separate by centrifugation. Allow blood to clot at room temperature for 30 minutes and separate by centrifugation. BILL LOC UNINSURED HLRC FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. o Store and ship at 2-8 C TAT – 4 days DEHYDROEPIANDROSTERONE 347 – SULPHATE Serum Centrifuge only (DHEA – S) (DHEA SULPHATE) TAT – 2 days TEST SPECIFICATION GUIDE – SECTION D Page 1 of 5 CML HealthCare Inc Test Specification Guide 18354 Version: 12. The electronic copy must be used as the current version. DIMER Refer to FIBRIN D-DIMER (FIBRIN D-DIMER) DALMANE Refer to FLURAZEPAM (FLURAZEPAM) DARVON Refer to PROPOXYPHENE (PROPOXYPHENE) DEAMIDATED GLIADIN PEPTIDE IGG ANTIBODY .0 28-Jul-2015 This document hardcopy must be used for reference only. CML .0mL Collect blood I SST tube. o Store and ship at 2-8 C TAT – 4 days DEAMIDATED GLIADIN PEPTIDE IGG ANTIBODY 1726 (DGP IgG) (DEAMIDATED GLIADIN PEPTIDE IGG AB) (GLIADIN IGG) (GLIADIN ANTIBODIES) Serum Minimum Volume required: 1.0mL Collect blood I SST tube. Protect vacutainer tube from light after collection By aliquoting into amber tube. TAT – 35 days 11–DEOXYCORTISOL 9141 Serum Minimum Volume required: 1 mL GOLD SST UNINSURED HLRC GOLD SST UNINSURED LL GOLD SST UNINSURED LL GOLD SST OHIP FREEZE SERUM AND SEND FROZEN TAT – 30 days D.TEST NAME CODE 7–DEHYDROCHOLESTEROL 9975 (7DHC) SPECIMEN REQUIREMENT VACUTAINER Serum GOLD SST Minimum Volume required: 1 mL Fasting specimen preferred.

6 hours after last dose PLAIN RED Record time in hours that have elapsed between last dose and specimen collection. The electronic copy must be used as the current version. .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. Hemolysed specimen not acceptable TAT – 1 day TEST SPECIFICATION GUIDE – SECTION D Page 2 of 5 CML HealthCare Inc Test Specification Guide 18354 Version: 12. PHENOTYPE 306 Serum Minimum Volume required: 2 mL Collect specimen 5 .TEST NAME CODE DENGUE ANTIBODY SPECIMEN REQUIREMENT VACUTAINER BILL LOC N/C PHL OHIP DYN OHIP CML Refer to ARBOVIRUS SEROLOGY (ARBOVIRUS SEROLOGY) DEOXYPYRIDINOLINE TEST NO LONGER AVAILABLE (PYRIDINIUM) DEPAKENE Refer to VALPROATE (EPIVAL) (VALPROATE) DERMATOPHYTOSIS 9075 (RINGWORM OF SCALP) Hair Roots Submit only root ends of at least 12 hairs ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 25 days DESIPRAMINE 079D (NORPRAMINE) Serum ROYAL BLUE Minimum Volume required: 2 mL . Refrigerate during storage and transport.0 28-Jul-2015 This document hardcopy must be used for reference only. TAT – 14 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 TEST NO LONGER AVAILABLE (VALIUM) DIBUCAINE INHIBITION TEST DIGOXIN (DIGITALIS) (LANOXIN) Refer to CHOLINESTERASE.

 Testing Includes Total Digoxin  TAT – 15 days DIHYDROTESTOSTERONE 9131 Serum Minimum Volume required: 3 mL RED UNINSURED HLRC FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. FREE (PHENYTOIN.0 28-Jul-2015 This document hardcopy must be used for reference only.TEST NAME DIGOXIN–FREE CODE 9712 SPECIMEN REQUIREMENT VACUTAINER BILL PLAIN RED OHIP Serum Minimum Volume required: 2 mL LOC HLRC Record time in hours that have elapsed between last dose and specimen collection. TAT – 30 days 1. FREE Refer to PHENYTOIN. FREE) DIPHENHYDRAMINE TEST NO LONGER AVAILABLE (BENADRYL) DIRECT ANTI–GLOBULIN TEST 495 Blood LAVENDER DO NOT SEPARATE (COOMBS TEST) (DIRECT ANTI-HUMAN GLOBULIN) (DIRECT COOMBS) TAT – 2 days DIRECT BILIRUBIN Refer to BILIRUBIN. DIRECT (CONJUGATED BILIRUBIN) (BILIRUBIN. OHIP CML . The electronic copy must be used as the current version. DIRECT) DIRECT COOMBS Refer to DIRECT ANTI-GLOBULIN TEST (COOMBS TEST) (DIRECT ANTIHUMAN GLOBULIN) (DIRECT ANTI-GLOBULIN) DISOPYRAMIDE TEST NO LONGER AVAILABLE DIVALPROEX Refer to VALPROATE (DEPAKENE) (EPIVAL) (VALPROATE) (VALPROIC ACID) TEST SPECIFICATION GUIDE – SECTION D Page 3 of 5 CML HealthCare Inc Test Specification Guide 18354 Version: 12.25–DIHYDROXY Refer to CALCITRIOL (VITAMIN D) (CALCITRIOL) DIPHTHERIA ANTITOXIN SEROLOGY TESTING NO LONGER AVAILABLE (CORYNE BACTERIUM DIPHTHERIA TOXIN ANTIBODY) DILANTIN Refer to PHENYTOIN (PHENYTOIN) DILANTIN.

Creatinine TAT – 10 days TEST SPECIFICATION GUIDE – SECTION D Page 4 of 5 CML HealthCare Inc Test Specification Guide 18354 Version: 12. Ranitidine. and Other Drugs as detected TAT – 10 days DRUG SCREEN  WITH CREATININE. Ephedrine/Pseudoephedrin. Cocaine. Phenylpropanolamine. Heroin. pH. pH 078CR Urine 10 mL random urine Submit in a blue cap conical tube NOTE: Testing includes Drug Screen. . Nortriptyline. 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.0 28-Jul-2015 This document hardcopy must be used for reference only. The electronic copy must be used as the current version. Amphetamine.TEST NAME CODE DNA dsANTIBODIES 322 (DOUBLE STRANDED DNA Ab) SPECIMEN REQUIREMENT Serum Centrifuge only VACUTAINER BILL LOC GOLD SST OHIP CML OHIP HLRC OHIP CML OHIP CML TAT – 5 days DNA SEQUENCING FOR HEMOGLOBINOPATHY INVESTIGATION Refer to HEMOGLOBINOPATHY INVESTIGATION DOPAMINE Refer to CATECHOLAMINES FRACTIONATED (CATECHOLAMINES FRACTIONATED) DORIDEN Refer to GLUTETHIMIDE (GLUTETHIMIDE) DOWN'S SYNDROME SCREEN Refer to MATERNAL SCREEN (MSS) (FETAL MARKERS) (TRIPLE MARKER TEST) (MATERNAL SERUM SCREEN) (IPS) DOXEPIN 079X (SINEQUAN) Serum PLAIN RED Minimum Volume required: 2 mL Centrifuge and aliquot into serum tube Collect trough specimen 10– 12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection. Morphine. Diphenhydramine. Includes: Methadone. Oxycodone.

TEST NAME

CODE

DRUG SCREEN
 WITH CREATININE, pH
SODIUM,
CHLORIDE

078RU

SPECIMEN REQUIREMENT

VACUTAINER

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

BILL

LOC

OHIP

CML

OHIP

CML

OHIP

CML

TAT – 10 days
DRUG SCREEN
 WITH ALCOHOL

078A

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

DRUG SCREEN - HAIR

TEST NO LONGER AVAILABLE

DRUG SCREEN - MECONIUM

TEST NO LONGER AVAILABLE

DRUG SCREEN - NEONATE

TEST NO LONGER AVAILABLE

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

078U

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

● Testing Includes: Amphetamines, Benzodiazepine, Cocaine metabolite
Cannabinoids (THC), Methadone Metabolite, Opiates, Oxycodone●
NOTE: Any additional drugs of interest, drug analysis, indicate in “Notes
& Instructions” and on the OHIP Requisition.
TAT – 10 days

TEST SPECIFICATION GUIDE – SECTION D
Page 5 of 5
CML HealthCare Inc Test Specification Guide 18354 Version: 12.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

E1

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to ESTRONE

(ESTRONE)

E2

Refer to ESTRADIOL

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

E 3, PREGNANT

TEST NO LONGER AVAILABLE

(ESTRIOL TOTAL)

EBV

Refer to EPSTEIN-BARR VIRUS, SEROLOGY

(EPSTEIN–BARR VIRUS, SEROLOGY)

ECG

Refer to ELECTROCARDIOGRAM

(ELECTROCARDIOGRAM)

ECHINOCOCCOSUS
ANTIBODY

9088

Do not centrifuge tube

PLAIN RED

N/C

PHL

N/C

PHL

(ECHINOCOCCUS GRANULOSUS ANTIBODY)

▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM

(HYDATID)

TAT – 15 days
ECHOVIRUS ISOLATION

9059

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

–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)

ELASTASE

4103

Random Stool

STOOL

(FECAL ELASTASE)

Minimum Volume Required: 5.0 mL
Collect in a labeled 90 mL orange cap sterile container.
o
Store and ship refrigerated at 2-8 C.
TAT – 21 Days
ELAVIL

Refer to AMITRIPTYLINE

(AMITRIPTYLINE)

TEST SPECIFICATION GUIDE - SECTION E
Page 1 of 6
CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

UNINSURED SKH

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

G310 – Technical Component
G313 – Professional Component
G700 – Documentation Fee
G888 – Technical and professional Component
for ECGs sent to Head Office

ELECTROCARDIOGRAM
(ECG)

BILL

LOC

OHIP

CML

OHIP

SBH

Refer to location protocol for billing codes.

ELECTRON MICROSCOPY

9756

Tissue

(EM)

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

ELECTROPHORESIS

Specify test: protein, immuno, Isoenzyme (alk phos, CK, LD),
lipoprotein, or hemoglobin.
See separate listings.

ENA ANTIBODY

Refer to EXTRACTABLE NUCLEAR ANTIBODIES SCREEN

(ANTI-ENA)
(EXTRACTABLE NUCLEAR ANTIBODIES SCREEN)

ENDOMYSIUM ANTIBODIES

9147

(ANTI-ENDOMYSIAL ANTIBODY)

Serum
Centrifuge only

GOLD SST

UNINSURED HLRC

TAT – 21 days

ENTEROVIRUS PCR

9284

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

UNINSURED HLRC

TAT – 4 day

EOSINOPHIL COUNT

395

Blood

LAVENDER

TAT – 1 day

EOSINOPHIL SMEAR, EYE

TEST NO LONGER AVAILABLE

EOSINOPHIL SMEAR, NASAL

TEST NO LONGER AVAILABLE

EOSINOPHIL SMEAR, SPUTUM

TEST NO LONGER AVAILABLE

TEST SPECIFICATION GUIDE - SECTION E
Page 2 of 6
CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

OHIP

CML

Store and send frozen. TAT – 1 day TEST SPECIFICATION GUIDE . Centrifuge.TEST NAME CODE EPIDERMAL ANTIBODIES SPECIMEN REQUIREMENT VACUTAINER BILL LOC Refer to PEMPHIGUS/PEMPHIGOID ANTIBODIES (ANTI-SKIN ANTIBODIES) (PEMPHIGUS/PEMPHIGOID ANTIBODIES) EPIVAL Refer to VALPROATE (DEPAKENE) (VALPROATE) 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.0 28-Jul-2015 This document hardcopy must be used for reference only.SECTION E Page 3 of 6 CML HealthCare Inc Test Specification Guide 18394 Version: 11. TAT – 10 days EQUANIL Refer to MEPROBAMATE (MEPROBAMATE) (MILTOWN) EQUINE ENCEPHALITIS ANTIBODIES Refer to ARBOVIRUS SEROLOGY (ARBOVIRUS SEROLOGY) ERYTHEMA INFECTIOSUM Refer to PARVO VIRUS (FIFTH’S DISEASE) (PARVO VIRUS ) (PARVO VIRUS B19) ERYTHROCYTE COUNT Refer to COMPLETE BLOOD COUNT (COMPLETE BLOOD COUNT) ERYTHROCYTE SEDIMENTATION 451 RATE (SED RATE) (SEDIMENTATION RATE) Blood LAVENDER Test must be performed within 10 hours of collection. The electronic copy must be used as the current version. For transplant patients only. OHIP CML . separate into transfer tube and freeze immediately. (EBV) ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days EPSTEIN–BARR VIRUS QUANTITATIVE PCR 9573 (EBV VIRAL LOAD) (QUANTITATIVE EBV PCR) Do not centrifuge tube LAVENDER Collect Mon through Thurs only.

TEST NAME

CODE

ERYTHROPOIETIN

9132

SPECIMEN REQUIREMENT

VACUTAINER

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

BILL

LOC

GOLD SST

UNINSURED HLRC

GOLD SST

OHIP

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

ESTRADIOL

310

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

CML

TAT – 1 day

ESTRIOL TOTAL, PREGNANT (E 3)

ESTRIOL

Serum
Centrifuge only

9265

(E 3)

ESTROGEN, NON PREGNANT

TEST NO LONGER AVAILABLE

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

GOLD SST

OHIP

HLRC

Refer to ESTRADIOL

(E 2)
(ESTRADIOL)
(ESTROGEN)

ESTRONE

313

(E 1)

Serum
Minimum volume required: 1 mL

GOLD SST

OHIP

DYN

OHIP

CML

OHIP

CML

FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 12 days

ETHANOL

006

(ALCOHOL- ETHYL)

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

ETHANOL
(ALCOHOL- ETHYL)

006U

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

TEST SPECIFICATION GUIDE - SECTION E
Page 4 of 6
CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

ETHCHLORVYNOL

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

NO LONGER AVAILABLE

(PLACIDYL)

ETHOSUXIMIDE

092

(ZARONTIN)

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

OHIP

DYN

TAT – 6 days

ETHYLBENZENE
EXPOSURE

99999

(MANDELIC ACID)

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

UNINSURED

LL

TAT – 1-2 weeks

ETHYLENE GLYCOL

9133

(ANTIFREEZE)

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

GRAY

UNINSURED

HLRC

URINE

UNINSURED

HLRC

This test is not available for CCC use.
This test is only for use at Kennedy Road
for hospital patients
TAT – 4 days

ETHYL GLUCURONIDE URINE 9667

Random Urine

(ETHYLGLUCONARIDE)

Minimum Volume Required: 5.0 mL
Collect in a labeled 90 mL orange cap sterile container.
Urine to be stored and shipped frozen.
TAT – 12 Days

TEST SPECIFICATION GUIDE - SECTION E
Page 5 of 6
CML HealthCare Inc Test Specification Guide 18394 Version: 11.0 28-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

EXTRACTABLE NUCLEAR
ANTIBODIES SCREEN
- HOSPITALS ONLY

CODE

9593

(ANTI-ENA)
(ENA ANTIBODY)

SPECIMEN REQUIREMENT

VACUTAINER

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

BILL

OHIP

LOC

HLRC

 Includes antibody screen for: dsDNA; Chromatin; Ribosomal Protein; SS-A52
SS-A60; SS-B; Sm; SmRNP; RNP A, RNP 68; Scl-70; Jo-1; Centromere B 
TAT – 30 days

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

1641

Serum

GOLD SST

Minimum volume required: 3.0mL
Collect blood in SST tube. Allow blood to clot
at room temperature for 30 minutes and separate by
centrifugation.
o

Store and ship at 2-8 C
This test screens for Anti-SM, Anti-RNP, Anti-SSA/RO,
Anti-SSB/La, Anti-Scl-70, and Anti-Jo-1
TAT – 10 days

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

OHIP

LL

TAT 10 days FACTOR V ASSAY 9759 Plasma LIGHT BLUE 1 mL sodium citrate platelet poor plasma. TAT 13 days FACTOR VIII: C VON WILLEBRAND Refer to VON WILLIBRAND FACTOR SCREEN (BIOLOGICAL) TEST SPECIFICATION GUIDE – SECTION F Page 1 of 6 CML HealthCare Inc Test Specification Guide 18207 Version: 7. NOTE: NOT THE SAME AS FACTOR V TAT – 40 days FACTOR VII ASSAY 9760 Plasma LIGHT BLUE OHIP HLRC Please used specifically defined test codes Each individual factor assay. TAT – 10 days FACTOR VIII INHIBITOR (FACTOR VIII INHIBITO – HUMAN BETHESDA) 9761 Plasma LIGHT BLUE UNINSURED 1 mL sodium citrate platelet poor plasma. Spin and separate platelet poor plasma immediately. Centrifuge and aliquot to transfer tube immediately. 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. Store and ship frozen. TAT 10 days FACTOR V LEIDEN MUTATION 9149 Blood 1 LAVENDER 1 LIGHT BLUE UNINSURED HLRC ▀ Lavender ▀ Light Blue → Unspun → separate 2 mL plasma. The electronic copy must be used as the current version. Von Willebrand Factor VIII-C result is included as part of the test. Refer to the General Information page for the Specimen Processing & Transport Guidelines.0 23-Jun-2015 This document hardcopy must be used for reference only. send together. Store and ship frozen. Store and ship frozen. Store and ship frozen. Centrifuge and aliquot to transfer tube immediately. Centrifuge and aliquot to transfer tube immediately.TEST NAME CODE FACTOR ASSAY VACUTAINER BILL LOC LIGHT BLUE OHIP HLRC OHIP HLRC NO LONGER AVAILABLE (COAGULATION FACTOR) FACTOR II ASSAY SPECIMEN REQUIREMENT 9758 Plasma 1 mL sodium citrate platelet poor plasma. HLRC .

OHIP HLRC . Send platelet poor plasma in three 1ml aliquots. TAT 10 days FACTOR X ASSAY 9763 Plasma LIGHT BLUE 1 mL sodium citrate platelet poor plasma. Store and ship frozen. TAT 10 days FACTOR XIII Panel 9256 Plasma LIGHT BLUE Draw 2 light blue vacutainers to ensure enough plasma. The electronic copy must be used as the current version. TAT – 7 days TEST SPECIFICATION GUIDE – SECTION F Page 2 of 6 CML HealthCare Inc Test Specification Guide 18207 Version: 7. TAT 10 days FACTOR XI ASSAY 9764 Plasma LIGHT BLUE 1 mL sodium citrate platelet poor plasma. Store and ship frozen. Store and ship frozen. Separate and freeze immediately. Centrifuge and aliquot to transfer tube immediately. Centrifuge and aliquot to transfer tube immediately. TAT 10 days FARMERS LUNG Refer to ALLERGIC ALVEOLITIS FAT AND MEAT FIBRES NO LONGER AVAILABLE (ALLERGIC ALVEOLITIS) (ALLERGIC LUNG) MICROSCOPIC EXAMINATION FAT GLOBULES (FAT SCREEN) (FECAL FAT SCREEN) 9229 1g sample STERILE CONTAINER 1 gram of stool to be submitted in an orange cap urine container. TAT 10 days FACTOR XII ASSAY 9765 Plasma LIGHT BLUE 1 mL sodium citrate platelet poor plasma. Ship frozen. Centrifuge and aliquot to transfer tube immediately. Put an elastic around all aliquots to keep them together. Centrifuge and aliquot to transfer tube immediately. Centrifuge and aliquot to transfer tube immediately. Store and ship frozen. FACTOR XIII SCREEN 9766 (UREA CLOT SOLUBILITY) Plasma LIGHT BLUE 1 mL sodium citrate platelet poor plasma.0 23-Jun-2015 This document hardcopy must be used for reference only. Patient should not be on anticoagulant therapy. TAT – 13 days.TEST NAME FACTOR IX ASSAY (FACTOR 9) CODE 9762 SPECIMEN REQUIREMENT VACUTAINER BILL LIGHT BLUE OHIP HLRC OHIP HLRC OHIP HLRC OHIP HLRC OHIP HLRC OHIP HLRC Plasma LOC 1 mL sodium citrate platelet poor plasma. Store and ship frozen.

free FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines.TEST NAME CODE FATTY ACID. FREE 9418 (FATTY ACIDS. QUANTITATIVE 402 Plasma Fill tube completely Do not centrifuge TAT – 1 day TEST SPECIFICATION GUIDE – SECTION F Page 3 of 6 CML HealthCare Inc Test Specification Guide 18207 Version: 7. VERY LONG CHAIN 9134 Serum Minimum Volume required: 2 mL Note: not the same as Fatty acid. DIMER) Plasma Minimum Volume required: 1 mL Centrifuge within 30 minutes. NONESTERIFIED) SPECIMEN REQUIREMENT VACUTAINER BILL GOLD SST OHIP GOLD SST UNINSURED HLRC Serum Minimum Volume required: 1 mL LOC HLRC Must fast a minimum of 12 hours FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. TAT – 30 days FEBRILE AGGLUTININS NO LONGER AVAILABLE FECAL ELASTASE Refer to ELASTASE STOOL FECAL FAT. TAT – 30 days FATTY ACID. . Please note Whether 48 hour or 72 hour collection OHIP HLRC TAT – 14 days FERRITIN 329 Serum Centrifuge only 3 MICROTAINERS ARE REQUIRED WHEN COLLECTING FROM AN INFANT GOLD SST OHIP CML LIGHT BLUE OHIP CML LIGHT BLUE OHIP CML TAT – 1 day FETAL HEMOGLOBIN Refer to HEMOGLOBIN FRACTIONATION (HEMOGLOBIN A2) (HEMOGLOBIN FRACTIONATION) (HEMOGLOBIN FETAL) FIBRIN D-DIMER 405 (FIBRIN DEGRADATION PRODUCTS) (D. FREEZE PLASMA AND SEND FROZEN TAT – 2 days FIBRINOGEN.0 23-Jun-2015 This document hardcopy must be used for reference only. 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. The electronic copy must be used as the current version.

transfer to a 90 mL white cap container . TOTAL EXAM State source – synovial. differential  TAT – 4 days FLUORESCENT ABSORPTION TEST Refer to SYPHILIS FLUORIDE Serum Minimum Volume required: 2 mL Transfer serum to plastic serum tube (FTA. chemistry. (ERYTHEMA INFECTIOSUM) (PARVO VIRUS ) (PARVO VIRUS B19) (PROGRAF) (TACROLIMUS) (SYNOVIAL FLUID) BILL LOC OHIP CML HP10 a) Uric Acid Crystals & Cells – transfer to a Lavender tube 639F b) Culture . OHIP HLRC . TAT – 20 days FLURAZEPAM (DALMANE) TEST NO LONGER AVAILABLE TEST SPECIFICATION GUIDE – SECTION F Page 4 of 6 CML HealthCare Inc Test Specification Guide 18207 Version: 7.tests are usually protein (208FL) and glucose (111RS) State tests requested in “Notes & Instructions” Submit all fluids in a priority labelled zip-lock bag. The electronic copy must be used as the current version.0 23-Jun-2015 This document hardcopy must be used for reference only. Store and ship refrigerated. ACID WASH Container MUST be used.code test(s) according to serum codes .print FLUID on lid Serum Codes c) Chemistry . LL TAT – 1-2 weeks FLUOXETINE (PROZAC) 9107 Plasma Minimum Volume required: 2 mL GREEN – with Heparin Collect trough sample 10 –12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection. Results may be delayed due to confirmation by Pathologist  Testing Includes LKcs.TEST NAME CODE SPECIMEN REQUIREMENT VACUTAINER FIFTH’S DISEASE Refer to PARVO VIRUS FK – 506 Refer to TACROLIMUS FLUID.TREPONEMAL ANTIBODIES) (TREPONEMAL ANTIBODIES) (SYPHILIS) 9224 PLAIN RED UNINSURED HLRC TAT – 25 days FLUORIDE 99999 Urine ACID WASH CONTAINER UNINSURED Min Volume: 10ml Patient must avoid gadolinium based contrast media Used for MRI’s for 48 hours prior to collection. etc. aspirate.transfer to a plain red tube . knee fluid. crystals.

Methylesters. Store and transport specimen at room temperature Place specimen and form in a test labelled priority labelled zip-lock bag State “FRAGILE X” on the priority label TAT – 30 days FREE HEMOGLOBIN Refer to HEMOGLOBIN PLASMA (PLASMA HEMOGLOBIN) (HEMOGLOBIN PLASMA) FREE KAPPA/LAMBDA RATIO (SERUM FREE LIGHT CHAINS) 9247 Serum Centrifuge and aliquot to transfer tube. Store and ship refrigerated. RBC SPECIMEN REQUIREMENT 309 Blood Note: If routine hematology tests are NOT ordered. Formate Salts.0 23-Jun-2015 This document hardcopy must be used for reference only.Methanol UNINSURED LL TAT – 2-3 weeks FRAGILE X CHROMOSOME 9714 Whole Blood LAVENDER OHIP VTF DO NOT SPIN Collect sample Monday – Wednesday only A form for Molecular Genetic DNA Testing must be completed by the doctor and accompany the specimen Form available from CML Problem Solving Department. The electronic copy must be used as the current version. Formate Esters. Methylalkyl.TEST NAME CODE FLUVOXAMINE VACUTAINER BILL LOC 2 LAVENDER OHIP CML GOLD SST OHIP CML TEST NO LONGER AVAILABLE (LUVOX) FOLATE. GOLD SST TAT – 8 days FREE T3 Refer to TRIIODOTHYRONINE FREE FREE T4 Refer to THYROXINE FREE FREE TESTOSTERONE Refer to TESTOSTERONE FREE (TRIIODOTHYRONINE FREE) (FREE THYROXINE) (THYROXINE FREE) (TESTOSTERONE FREE) TEST SPECIFICATION GUIDE – SECTION F Page 5 of 6 CML HealthCare Inc Test Specification Guide 18207 Version: 7. an additional lavender tube is required for hematocrit  Testing Includes Hematocrit  TAT– 2 days FOLLITROPIN 315 (FOLLICLE STIMULATING HORMONE) (FSH) FORMIC ACID Serum Centrifuge only TAT – 1 day 315 (FORMATE) (FORMALDEHYDE METABOLITE) Plasma GREEN TOP Mix through gentle inversion . UNINSURED HLRC .Heparin Store and ship refrigerated Formic Acid is a metabolite of: Formaldehyde. Heteromethanes.

TAT – 14 days FSH Refer to FOLLITROPIN (FOLLICLE STIMULATING HORMONE) (FOLLITROPIN) FTA Refer to SYPHILIS FTI (FREE THYROXINE INDEX) TEST NO LONGER AVAILABLE (FLUORESCENT ABSORPTION TEST) (FTA. The electronic copy must be used as the current version.TEST NAME CODE SPECIMEN REQUIREMENT VACUTAINER FREE THYROXINE INDEX (FTI) TEST NO LONGER AVAILABLE FREE / TOTAL PSA Refer to PROSTATE SPECIFIC ANTIGEN FREE/TOTAL FRISIUM Refer to CLOBAZAM (PSA FREE AND TOTAL RATIO) (PSA PERCENT %) (PSA FRACTIONATION) (CLOBAZAM) FRUCTOSAMINE 9114 Serum Centrifuge only GOLD SST BILL LOC UNINSURED HLRC TAT – 20 days FRUCTOSE 9211 Semen Minimum Volume required: 1 mL OHIP DYN OHIP CML Freeze within 30 minutes after collection FREEZE SEMEN AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines.0 23-Jun-2015 This document hardcopy must be used for reference only. STORE AND SHIP AT ROOM TEMPERATURE Use code 626-2 for second specimen on same patient.TREPONEMAL ANTIBODIES) (SYPHILIS) FUNGAL CULTURE 626 Skin Scrapings. Nails. N/C PHL . 626-3 for third specimen TAT – 10 to 30 days FUNGAL CULTURE 641-1 Sputum Early morning deep cough specimen Submit specimen in a 90 mL transport container STORE AND SHIP AT ROOM TEMPERATURE ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM – CODE M04 ON PHL REQUISITION TAT – 10 to 30 days FVL (FACTOR V LEIDEN MUTATION) (INCLUDES APCR) Refer to FACTOR V LEIDEN MUTATION TEST SPECIFICATION GUIDE – SECTION F Page 6 of 6 CML HealthCare Inc Test Specification Guide 18207 Version: 7. Hairs State Source Submit specimen in heavy black paper placed in a plastic transport container.

TAT – 10 days GCFT (GONOCOCCAL COMPLEMENT FIXATION TEST) TEST NO LONGER AVAILABLE (GONOCCAL INFECTION) TEST SPECIFICATION GUIDE – SECTION G Page 1 of 4 CML HealthCare Inc Test Specification Guide 18340 Version: 9. OHIP CML . QUANTITATIVE) GAMMA–GLUTAMYL TRANSFERASE 107 (GGT) (GGTP) GOLD SST OHIP CML TAT – 1 day (GAMMA GLUTAMYL TRANSPEPTIDASE) GANGLIOSIDE ANTIBODY Serum Centrifuge only 9715 (GM1 GANGLIOSIDE ANTIBODY) Serum PLAIN RED Minimum Volume required: 2 x 1mL Submit two aliquots kept together with elastic band. (GALACTOSE-1 PUT) 9288 UNINSURED LL TAT – 14 Days GAM Refer to IMMUNOGLOBULIN GAM (IMMUNO GAM) (IMMUNOGLOBULIN. TAT – 30 days GASTRIN 316 Serum PLAIN RED Minimum Volume required: 2 mL Patient must fast minimum of 10 hours prior to collection FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. UNINSURED HLRC FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. OHIP HLRC FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines.0 15-Jun-2015 This document hardcopy must be used for reference only. Store and send refrigerated.TEST NAME CODE G6PD VACUTAINER BILL LOC Refer to GLUCOSE-6-PHOSPHATE DEHYDROGENASE (GLUCOSE–6–PHOSPHATE DEHYDROGENASE ASSAY) GABAPENTIN SPECIMEN REQUIREMENT 9922 (NEURONTIN) Serum PLAIN RED Minimum Volume required: 2 mL Collect trough specimen 10 to 12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection. TAT – 20 days GALACTOSE–1–PHOSPHATE URIDYL TRANSFERASE TEST NO LONGER AVAILABLE GALECTIN-3 Serum GOLD SST Minimum Volume required: 1 mL Centrifuge and aliquot serum into transfer tube. The electronic copy must be used as the current version.

UNINSURED HLRC . The electronic copy must be used as the current version.0 15-Jun-2015 This document hardcopy must be used for reference only. or 1-2 hours after IM injection. TAT – 5 to 10 days GESTATIONAL DIABETES 50g 103S (GESTATIONAL DIABETES SCREEN) Plasma GRAY Do not centrifuge Give patient 50 g glucose drink Collect a gray top tube 1-hour after drink given Record glucose load given TAT – 1 day GESTATIONAL DIABETES 75g 3008 (GESTATIONAL DIABETES 75g SCREEN) (GESTATIONAL DIABETES 75g CONFIRMATION) (GESTATIONAL DIABETES CONFIRMATION) Plasma Collect a fasting gray top tube DO NOT collect a fasting urine sample GRAY Do not centrifuge DO NOT COLLECT A 3 HR SPECIMEN Give patient 75 g glucose drink Collect a gray top tube 1 hr and 2 hrs after drink given Record glucose load given TAT – 1 day GGT Refer to GAMMA GLUTAMYL TRANSFERASE (GGPT) (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 4 CML HealthCare Inc Test Specification Guide 18340 Version: 9. PEAK 304GP (POST) SPECIMEN REQUIREMENT VACUTAINER BILL LOC Refer to BLOOD GROUP PHENOTYPE Serum PLAIN RED Minimum Volume required: 1 mL Collect ½ hour after IV infusion. PLAIN RED FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. Record time in minutes that has elapsed between last dose and specimen collection.TEST NAME CODE GENOTYPE (ABO. Record time in minutes that has elapsed between last dose and specimen collection. Rh(D) AND GENOTYPE) GENTAMICIN. Rh(D). GENOTYPE) (BLOOD GROUP. OHIP HLRC OHIP HLRC OHIP CML OHIP CML FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. TROUGH 304GT (PRE) Serum Minimum Volume required: 1 mL Collect prior to IV infusion or IM injection. TAT – 5 to 10 days GENTAMICIN.

. O’ SULLIVAN SCREEN . The electronic copy must be used as the current version. BILL LOC LAVENDER UNINSURED HRLC GOLD SST UNINSURED HLRC GRAY OHIP CML GOLD SST OHIP CML GRAY OHIP CML OHIP HLRC TAT – 15 days GLOMERULAR BASEMENT MEMBRANE ANTIBODY GLUCOSE    FASTING RANDOM PC 9435 Serum Centrifuge only TAT – 20 days 111F 111R 111PC Plasma Minimum Volume required: 2 mL NOTE: PC is available for 2 hour specimens only TAT – 1 day GLUCOSE   FASTING RANDOM 111FS 111RS GLUCOSE CHALLENGE 75 gm glucose load Serum Centrifuge only TAT – 1 day Plasma Do not centrifuge 3106 3108 FASTING PLASMA 2-HOUR PLASMA AFTER 75gm GLUCOSE LOAD Collect a fasting grey top tube Give patient 75 gm glucose drink Collect a gray top tube 2 hours after drink given Record glucose load given Note: No urine required Testing for non-pregnant females and males.0 15-Jun-2015 This document hardcopy must be used for reference only.50g glucose load TEST NO LONGER AVAILABLE GLUCOSE CHALLENGE GESTATIONAL SCREEN .100g glucose load TEST NO LONGER AVAILABLE GLUCOSE-6-PHOSPHATE DEHYDROGENASE ASSAY (G6PD ASSAY) GLUCOSE–6–PHOSPHATE DEHYDROGENASE SCREEN 9973 Blood Do not open tube LAVENDER TAT – 15 days TEST NO LONGER AVAILABLE (G6PD SCREEN) TEST SPECIFICATION GUIDE – SECTION G Page 3 of 4 CML HealthCare Inc Test Specification Guide 18340 Version: 9. Separate and freeze as soon as possible. Store and send frozen.TEST NAME GLUCAGON CODE 9295 SPECIMEN REQUIREMENT VACUTAINER Plasma (ETDA) Min volume required: 3ml Collect an overnight fasting sample. TAT – 1 day GLUCOSE CHALLENGE.

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 GTA-446 Refer to COLOGIC (HGH) (HUMAN GROWTH HORMONE) (SOMATOTROPIN) TEST SPECIFICATION GUIDE – SECTION G Page 4 of 4 CML HealthCare Inc Test Specification Guide 18340 Version: 9. .0 15-Jun-2015 This document hardcopy must be used for reference only. The electronic copy must be used as the current version. – 75g glucose load Refer to GLUCOSE CHALLENGE GLUTETHIMIDE SERUM TESTING NO LONGER AVAILABLE GLUTETHIMIDE URINE TESTING NO LONGER AVAILABLE GLYCOPROTEIN ALPHA SUBUNIT TEST NO LONGER AVAILABLE (DORIDEN) (DORIDEN) GLYCOSYLATED HEMOGLOBIN Refer to HEMOGLOBIN A1C GM 1 GANGLIOSIDE ANTIBODY Refer to GANGLIOSIDE ANTIBODY GOLD TEST NO LONGER AVAILABLE GONORRHOEAE SWAB Refer to CULTURE AND SENSITIVITY (A1C) (HbA1C) (HEMOGLOBIN A1C) GONORRHOEAE URINE 9166 (GC) Urine 20 .TEST NAME CODE GLUCOSE. Higher volumes of urine will invalidate the test.40 mL Collect the first part of the urine stream to ensure a high organism count. ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM . QUALITATIVE 254–4 SPECIMEN REQUIREMENT VACUTAINER Urine 10 mL random urine Submit in a YELLOW cap conical tube BILL LOC OHIP CML N/C PHL OHIP CML TAT – 1 day GLUCOSE TOLERANCE.

FASTING/LIPID ASSESSMENT.TEST NAME CODE HALCION SPECIMEN REQUIREMENT VACUTAINER BILL LOC TEST NO LONGER AVAILABLE (TRIAZOLAM) HALOPERIDOL 9118 (HALDOL) Plasma GREEN Minimum Volume required: 3 mL – with Heparin Separate immediately Collect trough specimen prior to next dose Record time in hours that have elapsed between last dose and specimen collection. FASTING/LIPID ASSESSMENT. NON FASTING (LDL CHOLESTEROL) (CHOLESTEROL IN LDL) HEAVY & LIGHT CHAINS Refer to IMMUNOELECTROPHORESIS (IMMUNOELECTROPHORESIS) (IMMUNOFIXATION) (GAMMOPATHY TYPING) HEAVY & LIGHT CHAINS Refer to PROTEIN ANALYSIS – BENCE JONES PROTEIN (BENCE JONES PROTEIN) (IEP) (IMMUNOELECTROPHORESIS) TEST SPECIFICATION GUIDE – SECTION H Page 1 of 15 CML HealthCare Inc Test Specification Guide 18228 Version: 20. NON FASTING (CHOLESTEROL IN HDL) HDL/LDL CHOLESTEROL Refer to LIPID ASSESSMENT. The electronic copy must be used as the current version. MOUTH DISEASE Refer to COXSACKIE VIRUS ISOLATION (COXSACKIE VIRUS ISOLATION) HAPTOGLOBIN 120 Serum Centrifuge only Avoid hemolysis GOLD SST OHIP TAT – 1 day HbA1C Refer to HEMOGLOBIN A1C (A1C) (GLYCOSYLATED HEMOGLOBIN) (HEMOGLOBIN A1C) HCG Refer to CHORIOGONADOTROPIN (BHCG) (HUMAN CHORIONIC GONADOTROPIN) HDL CHOLESTEROL Refer to LIPID ASSESSMENT. FOOT.0 18-Feb-2015 This document hardcopy must be used for reference only. CML . UNINSURED HLRC FREEZE PLASMA AND SEND FROZEN TAT – 15 to 25 days HAND.

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. TAT – 1 day HEMOGLOBIN PLASMA Refer to METHEMALBUMIN SCREEN (FREE HEMOGLOBIN) (PLASMA HEMOGLOBIN) TEST SPECIFICATION GUIDE – SECTION H Page 2 of 15 CML HealthCare Inc Test Specification Guide 18228 Version: 20.0 18-Feb-2015 This document hardcopy must be used for reference only. BILL LOC OHIP HLRC OHIP CML TAT –30 days HELICOBACTER PYLORI 683 (H.TEST NAME CODE HEINZ BODIES 9718 SPECIMEN REQUIREMENT VACUTAINER Blood LAVENDER Do not open tube Part of hemolytic investigation – form available from Problem Solving Department at Head Office. PYLORI ANTIBODY) Serum Centrifuge only GOLD SST TAT – 3 days HEMATOCRIT HEMOCHROMATOSIS Refer to COMPLETE BLOOD COUNT 9977 (HFE C282Y. . DO NOT REFRIGERATE TAT – 25 DAYS HEMOGLOBIN HEMOGLOBIN A1C Refer to COMPLETE BLOOD COUNT 093 (A1C) (HbA1C) (GLYCOSYLATED HEMOGLOBIN) HEMOGLOBIN A2 Blood LAVENDER OHIP CML LAVENDER OHIP HLRC LAVENDER OHIP CML TAT – 2 days 9959 QUANTITATION COLUMN Blood Do not open the tube TAT – 15 days HEMOGLOBIN FRACTIONATION (FETAL HEMOGLOBIN) (HEMOGLOBINOPATHY SCREENING) (HEMOGLOBIN ELECTROPHORESIS) 419 Blood Do not open the tube Abnormal results may be delayed due to interpretation by consultant. The electronic copy must be used as the current version. PYLORI) (H. HLRC Transport specimens and Form in a Priority labelled ziplock bag.

PLAIN RED UNINSURED HLRC TAT – 20 days HEMOSIDERIN 424 Urine 10 mL random urine Submit in a 90 mL orange cap container First morning sample OHIP HLRC TAT –20 days HEPARIN ASSAY (XA INHIBITOR) – FONDAPARINUX (ARIXTRA) 9543 Plasma LIGHT BLUE Separate and freeze Minimum Volume required: 1 mL FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for State type of drug patient is on.0 18-Feb-2015 This document hardcopy must be used for reference only. TAT– 4 days TEST SPECIFICATION GUIDE – SECTION H Page 3 of 15 CML HealthCare Inc Test Specification Guide 18228 Version: 20. A hemoglobinopathy investigation form should be completed along with specimen and requisition. (DNA SEQUENCING FOR HEMOGLOBINOPATHY INVESTIGATION) FORM AVAILABLE ON CML WEBSITE TAT – 13 days HEMOLYTIC COMPLEMENT FIXATION Refer to COMPLEMENT TOTAL CH50 (CH50) (COMPLEMENT HEMOLYTIC) HEMOLYTIC INVESTIGATIONS 9253 STAGE 1 Whole Blood Please provide current CBC results Hemolytic investigation form should be Completed and sent with req. If investigating Alpha Thalassemia or a rare HB variant send extra lavender tube. UNINSURED HRLC . The electronic copy must be used as the current version. LAVENDER UNINSURED HLRC FORM AVAILABLE ON CML WEBSITE TAT – 8 days HEMOPEXIN 9925 Serum Minimum Volume required: 2 mL Collect Monday – Wednesday only.TEST NAME HEMOGLOBINOPATHY INVESTIGATION – STAGE 1 CODE 9251 SPECIMEN REQUIREMENT Whole Blood VACUTAINER LAVENDER BILL LOC UNINSURED HLRC Please provide current CBC results.

separate into transfer tube. TAT– 5 days TEST SPECIFICATION GUIDE – SECTION H Page 4 of 15 CML HealthCare Inc Test Specification Guide 18228 Version: 20. TAT– 4 days HEPARIN ASSAYORGARAN 9243 Plasma HRLC Separate and freeze Minimum Volume required: 1 mL FREEZE PLASMA AND SEND FROZEN TAT– 4 days HEPARIN CO FACTOR II 9178 Plasma Separate and freeze Minimum Volume required: 1 mL FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. FORM AVAILABLE ON CML WEBSITE HEPARIN LOW MOLECULAR WEIGHT 9252 Plasma LIGHT BLUE Minimum Volume required: 2 mL Separate platelet poor plasma into 2 x 1 mL aliquots Freeze immediately State on requisition the type of heparin (drug) patient is receiving. Store and send frozen. Send Platelet Immunology Lab requisition. Freeze immediately. The electronic copy must be used as the current version. TAT– 20 days HEPARIN INDUCED THROMBOCYTOPENIA 9353 (HIT) Serum Minimum Volume required: 4 mL Centrifuge.TEST NAME HEPARIN ASSAY (XA INHIBITOR) – UNFRACTIONATED CODE 9537 SPECIMEN REQUIREMENT VACUTAINER Plasma BILL LOC LIGHT BLUE UNINSURED HRLC LIGHT BLUE OHIP LIGHT BLUE UNINSURED HRLC PLAIN RED UNINSURED MUMC Separate and freeze Minimum Volume required: 1 mL FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for State type of drug patient is on. UNINSURED HLRC .0 18-Feb-2015 This document hardcopy must be used for reference only.

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 .0 18-Feb-2015 This document hardcopy must be used for reference only.Acute TAT – 2 days HEPATITIS.EXPOSURE Serum Centrifuge only TAT – 2 days HEPATITIS B 590 IMMUNE STATUS/PREV. CHRONIC 570 Serum Centrifuge only TAT – 2 days HEPATITIS A 580 IMMUNE STATUS/PREV.TEST NAME CODE SPECIMEN REQUIREMENT VACUTAINER BILL LOC HEPATITIS TESTING DETAILS Information pertaining to Hepatitis testing and coding is now displayed with the following set up:  A Quick Reference Coding Sheet which is set up to show: Coding when the Hepatitis request is checked off in the pre-printed section of the OHIP Requisition. 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. The electronic copy must be used as the current version. .EXPOSURE 4037 Serum Centrifuge only TAT – 2 days TEST SPECIFICATION GUIDE – SECTION H Page 5 of 15 CML HealthCare Inc Test Specification Guide 18228 Version: 20. Coding when the Hepatitis request is hand written on the OHIP Requisition.EXPOSURE Serum Centrifuge only TAT – 2 days HEPATITIS C IMMUNE STATUS/PREV.

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 B SURFACE ANTIBODY 4608 (AHBS) (Antibody to Hepatitis B S Ag) (Antibody to Hepatitis B S Antigen) (Anti-HBS) (Anti-HbsAg) (HbsAb) (Hep B Antibodies) (Hep B Surface Ab) (Hep B Surface Ab Titre) (Hep B Surface Antibody) (Hep B Titre) (Post Hepatitis Vaccination) HEPATITIS B SURFACE ANTIGEN (Australian Antigen) (B Surface Antigen) (B. Antigen) (HbsAg) (Hep B S Ag) Serum Centrifuge only All markers only 1 FULL tube needed. TAT – 2 days 4607 Serum Centrifuge only All markers only 1 FULL tube needed TAT – 2 days TEST SPECIFICATION GUIDE – SECTION H Page 6 of 15 CML HealthCare Inc Test Specification Guide 18228 Version: 20. The electronic copy must be used as the current version. 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 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 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.0 18-Feb-2015 This document hardcopy must be used for reference only.

0 18-Feb-2015 This document hardcopy must be used for reference only.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 – 10 days TEST SPECIFICATION GUIDE – SECTION H Page 7 of 15 CML HealthCare Inc Test Specification Guide 18228 Version: 20. 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. The electronic copy must be used as the current version. 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 – 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.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. The electronic copy must be used as the current version. TYPE 1&2 (IMMUNOBLOT) (HSV) 99999 Serum GOLD SST UNINSURED LL All blood to clot at room temp for 30 mins. SEROLOGY IgG 9030 Do not centrifuge tube PLAIN RED ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days HERPES SIMPLEX. . Freeze sample and ship FROZEN It is highly recommended that patients go to a CCC for this service.0 18-Feb-2015 This document hardcopy must be used for reference only. liver functions. current treatment PLAIN RED BILL LOC N/C PHL N/C PHL N/C PHL OHIP CML N/C PHL ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. TAT – 1-2 weeks TEST SPECIFICATION GUIDE – SECTION H Page 8 of 15 CML HealthCare Inc Test Specification Guide 18228 Version: 20. Centrifuge tube and aliqyot into transfer tube.

5-hydroxyindole acetic acid (5-HIAA) and/or other markers is recommended instead of histamine.TEST NAME HERPES SIMPLEX. total tryptase measurement is recommended as alternative to histamine. VIRAL CULTURE CODE 9030C SPECIMEN REQUIREMENT VACUTAINER Swab Use Public Health Virus–SW canister Swab and transport media provided State source BILL LOC N/C PHL ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days HERPES SIMPLEX. . Freeze and ship frozen on dry ice. The electronic copy must be used as the current version. For investigation of neuroendocrine tumours.0 18-Feb-2015 This document hardcopy must be used for reference only. TAT – 4 days HETEROPHILE ANTIBODY 668 (MONO) (MONONUCLEOSIS SCREEN) Serum Centrifuge only GOLD SST OHIP CML TAT – 1 day HGH Refer to SOMATOTROPIN (GROWTH HORMONE) (HUMAN GROWTH HORMONE) (SOMATOTROPIN) 5–HIAA Refer to 5-HYDROXY-INDOLACETATE (5–HYDROXY–INDOL ACETATE) (HYDROXYINDOLE) (SEROTONIN METABOLITE) HIPPURIC ACID (NBENZOYGLYCINE) (TOLUENE EXPOSURE) (BENZYALCOHOL METABOLITE) 99999 Urine Collect in 90ml sterile urine container Store and ship refrigerated UNINSURED LL TAT – 1-2 weeks HISTAMINE TEST NO LONGER AVAILABLE For investigation of anaphylaxis or mastocytosis. TEST SPECIFICATION GUIDE – SECTION H Page 9 of 15 CML HealthCare Inc Test Specification Guide 18228 Version: 20. measurement of chromogranin A. serotonin. VIRUS PCR 9331 Spinal Fluid STERILE CONTAINER UNINSURED HLRC Accept and container/tube received.

lifelabs. Place the requisition and the histology specimen(s) in the Histotology envelope. FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. . TAT – 60 days HISTOPLASMA ANTIBODY 9017 Do not centrifuge tube ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days HISTOPLASMA CULTURE (HISTOPLASMA CAPSULATUM) 9018 Sputum Deep cough specimen in sterile container ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days TEST SPECIFICATION GUIDE – SECTION H Page 10 of 15 CML HealthCare Inc Test Specification Guide 18228 Version: 20. For complete specimen collection instructions. Note: Do not place the patient’s other related specimens (ie. The electronic copy must be used as the current version. Complete the Histology Specimen Log Form. TAT – 10 days HISTONE ANTIBODIES 9703 (ANTI-HISTONE) Serum Minimum Volume required: 2 mL GOLD SST UNINSURED HLRC PLAIN RED N/C PHL N/C PHL Testing includes IgG and IgM antibodies.com/Lifelabs_ON/Health_Care/Specimen-Handling-and-Collection-Instructions.TEST NAME CODE HISTOPATHOLOGY 720-1 (PATHOLOGY) (HISTOLOGY) SPECIMEN REQUIREMENT VACUTAINER Tissue BILL LOC OHIP CML The tissue must be placed into a container of sufficient size containing 10 % Neutral Buffered Formalin.0 18-Feb-2015 This document hardcopy must be used for reference only. click on the link below: http://www. etc. cytology) Within the Histology envelope (Histology samples ONLY).asp All Histology specimens must be accompanied by a completed Surgical Pathology Requisition. Transport specimen with regular pick-up (tote) Do not code the Documentation Fee for this test Use Test Code 720-2 for second specimen. which must equal 10-20 times the volume of the specimen 10 % buffered formalin bottles available from the Purchasing Dept. Microbiology.

TAT – 1 month HIV. PRENATAL 9096P Do not centrifuge tube Use this code when blue PHL prenatal form Has HIV box checked PLAIN RED ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days TEST SPECIFICATION GUIDE – SECTION H Page 11 of 15 CML HealthCare Inc Test Specification Guide 18228 Version: 20. The electronic copy must be used as the current version.0 18-Feb-2015 This document hardcopy must be used for reference only. The physician must directly notify MOH and send the appropriate form to have this test performed.TEST NAME CODE HISTOPLASMA HIV SPECIMEN REQUIREMENT VACUTAINER BILL LOC N/C PHL N/C PHL N/C PHL N/C PHL URINE TESTING NO LONGER AVAILABLE 9096 (AIDS) (HIV ROUTINE) (HIV SEROLOGY) Do not centrifuge tube PLAIN RED ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days HIV GENOTYPING HIV Genotyping can be ordered as a follow up to a positive Viral load result. The 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.

The electronic copy must be used as the current version. This step will have already been taken before it gets to the CCC. Centrifuge sample within 4-hours of collection.TEST NAME CODE HIV VIRAL LOAD SPECIMEN REQUIREMENT VACUTAINER BILL LOC N/C PHL This test is available only to known positive HIV patients The Viral Load form MUST be completed by the physician Collect test Monday to Wednesday only (VIRAL LOAD) 9097 Blood: 2 x 7 mL PPT Tubes PPT TUBES PHL will not test the specimen without a completed Viral Load Requisition Do not collect the specimen until the requisition is available PHL will not process the specimen without the following information: Health Card number CD4 results Patient name Current therapy Collection Information – complete collection information is required ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM Transport specimen in a test labelled Biohazard Transport Container.0 18-Feb-2015 This document hardcopy must be used for reference only. which is available from the Head Office Problem Solving Department must be completed. a copy of the OHIP requisition and the questionnaire in a Priority labelled ziplock bag for transport. TAT – 15 days HLA–B27 583 Blood LAVENDER Collect samples Monday. Wednesday ONLY OHIP HLRC DO NOT REFRIGERATE TAT – 25 days HLA–B27 (PCR) 9196 Blood 3 LAVENDER Minimum volume required: 10mL Collect samples Monday. Wednesday ONLY Form available on CML website. Tuesday. Staff collecting sample must fill out collection time and centrifuge time on PHL Form. donor’s residency (Ontario Y or N) Place samples. DO NOT REFRIGERATE CCC’s: do not contact the Histocompatability Head of Service for approval. Tuesday. UNINSURED HLRC *Only performed when HLA B27 Result is inconclusive DO NOT REFRIGERATE TAT – 30 days HLA– TISSUE TYPING 583T (HLA. Requires clinical information Type of organ transplant. HLRC .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. TAT – 63 days TEST SPECIFICATION GUIDE – SECTION H Page 12 of 15 CML HealthCare Inc Test Specification Guide 18228 Version: 20.

The electronic copy must be used as the current version.TEST NAME CODE HLA–B29 SPECIMEN REQUIREMENT VACUTAINER BILL LOC TEST NO LONGER AVAILABLE HOLTER MONITOR Description Technical (Hook Up) Professional (Reading) 24 Hour Holter G651 G650 48 Hour Holter G682 G658 72 Hour Holter G684 G659 Each code can only be keyed once A combination of each set of codes will be used for each holter dependent upon the requesting physician and the location protocol Refer to the location protocol for the Group Billing Code and Reading Physician code HOMOCYSTEINE 9142 Plasma Minimum Volume required: 2 mL Centrifuge and separate immediately Fasting sample preferred LAVENDER UNINSURED CML FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines.0 18-Feb-2015 This document hardcopy must be used for reference only. pH will be adjusted in Biochemistry Dept. State total 24-hour volume on the OHIP Requisition. PREGNANCY) HUMAN GROWTH HORMONE Refer to SOMATOTROPIN (GROWTH HORMONE) (HGH) TEST SPECIFICATION GUIDE – SECTION H Page 13 of 15 CML HealthCare Inc Test Specification Guide 18228 Version: 20. PYLORI ANTIBODY) (HELICOBACTER PYLORI) HUMAN CHORIONIC GONADOTROPIN Refer to CHORIOGONADOTROPIN (BHCG) (HCG. freeze within 30 minutes of collection Submit in a 90 mL orange cap container OHIP DYN OHIP HLRC FREEZE URINE AND SEND FROZEN TAT – 38 days HOMOVANILLATE (HOMOVANILLIC ACID) (HVA) 101U 24-Hour Urine 50 mL aliquot – submit in a 90 mL white cap container Do NOT add acid. PYLORI Refer to HELICOBACTER PYLORI (H. 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. TAT –5 days HOMOGENTISATE 123 (HOMOGENSTISIC ACID) Urine 25 mL random urine.

on the specimen container and in “Notes and Instructions”.0 18-Feb-2015 This document hardcopy must be used for reference only. The electronic copy must be used as the current version.TEST NAME CODE HUMAN PAPILLOMA VIRUS HPV (HPV) SPECIMEN REQUIREMENT VACUTAINER Digene Kit Surepath kits will be rejected. Retain a duplicate 50 mL sample in the fridge until test is reported. Patient will be invoiced at a later date BILL UNINSURED LOC LL **Physicians are to call Client Services at 1-800-263-0801 x 2 to obtain a Digene HPV kit and LifeLabs requisition.** TAT – 14 days HYDATID Refer to ECHINOCOCCOSUS ANTIBODY (ECHINOCOCCOSUS ANTIBODY) (ECHINOCOCCUS GRANULOSUS ANTIBODY) 25–HYDROXY VITAMIN D Refer to CALCIDIOL (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. Refrigerate during storage and transport TAT – 14 days 17–HYDROXY– PROGESTERONE 333 Serum 1 mL aliquot Submit in plastic transfer tube TAT – 12 days 079H Broad Spectrum Tox Urine Submit in a blue cap conical tube (17 OH PROGESTERONE) (PREGNANETRIOL) HYDROMORPHONE (BROAD SPECTRUM TOXICOLOGY) (CHROMOTOGRAPHY) GOLD SST Note: Only code if broad spectrum mentions “Hydromorphone” Refer to TU-2014-16 “Hydromorphone Drug Screening to Gamma” TAT – 10 days TEST SPECIFICATION GUIDE – SECTION H Page 14 of 15 CML HealthCare Inc Test Specification Guide 18228 Version: 20. pH will be adjusted in Biochemistry Dept. . OHIP DYN OHIP DYN OHIP DYN State total 24-hour volume on the OHIP requisition.

FREE CODE 131U SPECIMEN REQUIREMENT VACUTAINER 24-Hour Urine 50 mL aliquot – submit in a 90 mL white cap container No preservative BILL LOC OHIP DYN OHIP DYN A controlled diet free of gelatin and low in collagen is required. ice cream for 1 day prior to. ice cream for 1 day prior to. Avoid meat. Refrigerate during storage and transport. jam. Avoid meat. Refrigerate during storage and transport. and day of collection. TAT – 35 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: 20. .TEST NAME HYDROXYPROLINE. TOTAL 130U 24-Hour Urine 50 mL aliquot – submit in a 90 mL white cap container No preservative A controlled diet free of gelatin and low in collagen is required. fish. State total 24-hour volume on the OHIP requisition. State total 24-hour volume on the OHIP requisition. jam. fish. on the specimen container and in “Notes and Instructions” Retain a duplicate 50 mL sample in the fridge until test is reported.0 18-Feb-2015 This document hardcopy must be used for reference only. and day of collection. TAT – 35 days HYDROXYPROLINE. The electronic copy must be used as the current version. on the specimen container and in “Notes and Instructions” Retain a duplicate 50 mL sample in the fridge until test is reported.

● Testing Includes Desipramine ● TAT – 14 days IMMUNE COMPLEXES. Spin and Separate IMMEDIATELY after Aliquot sample and FREEZE. Stool BILL 99999 (IGF BINDING PROTEIN 3) Serum Allow blood to clot for 30 mins. C1Q Refer to C1Q IMMUNE COMPLEXES (C1Q COMPLEMENT BINDING ACTIVITY) (C1Q IMMUNE COMPLEXEXES) (COMPLEMENT C1Q) IMMUNOELECTROPHORESIS (HEAVY & LIGHT CHAINS IMMUNO) (IMMUNOFIXATION) (GAMMOPATHY TYPING) 575 Serum Centrifuge only GOLD SST TAT – 5 days TEST SPECIFICATION GUIDE – SECTION I Page 1 of 5 CML HealthCare Inc Test Specification Guide 17530 Version: 14. Serum Centrifuge only Testing Includes Deamidated Gliadin Peptide IgG And Tissue Transglutaminase IgA Antibodies Calprotectin. OHIP DYN OHIP CML Refrigerate during storage and transport.TEST NAME CODE IBD AND CELIAC DISEASE PANEL SPECIMEN REQUIREMENT IBDCP VACUTAINER Serum and Sterile Container Panel Handling Celiac Disease IBUPROFEN Testing Location HLRC HLRC TEST NO LONGER AVAILABLE (MOTRIN) IGF BP3 LOC GOLD SST UNINSURED STERILE CONTAINER Sterile Container Collect undiluted feces in a clean.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. Do not add fixative or preservative. The electronic copy must be used as the current version. leakproof container. Store and ship FROZEN. sterile. dry. PLAIN RED UNINSURED LL TAT 10-15 days IGG SUBCLASSES Refer to IMMUNOGLOBULIN G SUB CLASSES IL28B PANEL TEST NO LONGER AVAILABLE IL28BRS12979860 TEST NO LONGER AVAILABLE (IMMUNOGLOBULIN G SUB CLASSES) (INTERLEUKIN 28B GENOTYPE TOTAL) (HCV RESISTANCE) (HEPATITIS C RESISTANCE) (HEPATITIS C GENOTYPING IL28B) IMIPRAMINE 079I (TOFRANIL) Serum ROYAL BLUE Minimum Volume required: 2 mL .0 29-Jun-2015 This document hardcopy must be used for reference only. . Store and ship frozen.

GAM 550 (IMMUNO GAM) (IMMUNOGLOBULIN. IgG2. IgA 550A Serum Centrifuge only TAT – 2 days IMMUNOGLOBULIN. QUANTITATIVE) Serum Centrifuge only ● Testing Includes IgA. IgE 334 Serum Centrifuge only TAT – 5 days TEST SPECIFICATION GUIDE – SECTION I Page 2 of 5 CML HealthCare Inc Test Specification Guide 17530 Version: 14. The electronic copy must be used as the current version.) Tissue OHIP Send specimen in an IF Transport Kit Kit available from CML Purchasing department This test is sent to and reported by LifeLabs. IgD 550D Serum Minimum volume required: 1ml Centrifuge and aliquot into serum tube TAT – 7 days IMMUNOGLOBULIN. 100 International Blvd LL Complete a Histology Form Send the sample and the form in a Pink Envelope following Irreplaceable Specimen Procedure Place the barcode label in the upper right hand corner of the envelope TAT – 20 days IMMUNOGLOBULIN G SUBCLASSES 9722 (IGG SUBCLASSES) Serum Fasting preferred GOLD SST UNINSURED HLRC FREEZE AND SEND FROZEN ● Testing Includes IgG1.F.TEST NAME CODE IMMUNOELECTROPHORESIS SPECIMEN REQUIREMENT VACUTAINER BILL LOC Urine Refer to PROTEIN ANALYSIS – BENCE JONES PROTEIN (BENCE JONES PROTEIN) (HEAVY & LIGHT CHAINS IMMUNO) (IEP) IMMUNOFIXATION Refer to IMMUNOELECTROPHORESIS (HEAVY & LIGHT CHAINS IMMUNO) (IMMUNOELECTROPHORESIS) IMMUNOFLUORESCENCE 9757 (I. SUBCLASS 9588 (IgG4 SUBCLASS) Serum Fasting preferred GOLD SST UNINSURED HLRC GOLD SST OHIP CML GOLD SST OHIP CML GOLD SST OHIP HLRC GOLD SST OHIP CML FREEZE AND SEND FROZEN TAT – 9 days IMMUNOGLOBULIN. IgG3. & IgM ● TAT – 2 days IMMUNOGLOBULIN. and IgG4● TAT – 9 days IMMUNOGLOBULIN G4.0 29-Jun-2015 This document hardcopy must be used for reference only. . IgG.

MCHC) (UNCONJUGATED BILIRUBIN) (ANTIBODY SCREEN) (REPEAT PRENATAL ANTIBODY SCREEN) INFECTIOUS MONONUCLEOSIS Refer to HETEROPHILE ANTIBODY INFLUENZA VIRUS A & B ANTIBODY SEROLOGY TESTING NO LONGER AVAILABLE INORGANIC PHOSPHATE Refer to PHOSPHATE (MONO) (HETEROPHILE ANTIBODY) (PHOSPHORUS) INR 445 (INTERNATIONAL NORMALIZED RATIO) (PRO TIME) (PROTHROMBIN TIME) (PT) INSULIN Fasting Random 325F 325R Blood LIGHT BLUE OHIP CML Fill tube completely Do not centrifuge Ensure to collect blood at minimum to the vacutainer fill line (1:9 additive to blood) TAT – 1 day Serum GOLD SST Minimum Volume required: 2 mL Patient must fast a minimum of 14 hours for fasting test FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. TAT – 4 days TEST SPECIFICATION GUIDE – SECTION I Page 3 of 5 CML HealthCare Inc Test Specification Guide 17530 Version: 14. IgG 550G SPECIMEN REQUIREMENT VACUTAINER BILL LOC GOLD SST OHIP CML GOLD SST OHIP CML Serum Centrifuge only TAT – 2 days IMMUNOGLOBULIN. RBC Refer to COMPLETE BLOOD COUNT INDIRECT BILIRUBIN Refer to BILIRUBIN.0 29-Jun-2015 This document hardcopy must be used for reference only. The electronic copy must be used as the current version. OHIP CML . MCH. INDIRECT INDIRECT COOMBS Refer to ANTIBODY SCREEN (LYMPHOCYTE MARKERS) (T & B CELLS) (LYMPHOTYPING) (PROPRANOLOL) (MCV.TEST NAME CODE IMMUNOGLOBULIN. IgM 550M Serum Centrifuge only TAT – 2 days IMMUNO PHENOTYPING Refer to LYMPHOCYTE MARKERS INDERAL Refer to PROPRANOLOL INDICANS TEST NO LONGER AVAILABLE INDICES.

Specimens MUST be sun and separated WITHIN 30 mins of collection. 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 – 25 days INSULIN RESPONSE STUDY 325–120 Serum Minimum Volume required: 2 mL Patient must FAST a minimum of 14 hours for test.TEST NAME INSULIN ANTIBODIES CODE 9182 (ANTI-INSULIN) SPECIMEN REQUIREMENT VACUTAINER BILL GOLD SST OHIP GOLD SST UNINSURED HLRC GOLD SST OHIP CML OHIP HLRC Serum Centrifuge only LOC HLRC TAT – 30 days INSULIN-LIKE GROWTH FACTOR 1 9139 (IGF-1) (SOMATOMEDIN-C) Serum Minimum Volume required: 2 mL FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. . UNINSURED LL . TAT – 1-2 weeks TEST SPECIFICATION GUIDE – SECTION I Page 4 of 5 CML HealthCare Inc Test Specification Guide 17530 Version: 14. The electronic copy must be used as the current version.. TAT – 4 days INTEGRATED PRENATAL SCREENING Refer to MATERNAL SCREEN (FIRST or SECOND TRIMESTER SCREENING) (PAPP-A) INTERSTITIAL CELL STIMULATING HORMONE Refer to LUTEINIZING HORMONE (LH) (LUTEINIZING HORMONE) (LUTROPIN) INTRINSIC FACTOR ANTIBODIES 9183 (ANTI-INTRINSIC FACTOR) Serum Centrifuge only GOLD SST Collect Monday – Wednesday only Refrigerate during storage and transport Patient must not have received any vitamin B12 injections within 24 hours of collection TAT – 30 days IODIDE PLASMA NMS LABS 99999 Plasma ROYAL BLUE Mix by gentle inversion. Transfer plasma into new labelled ROYAL BLUE top tube (With or without K2EDTA) Store and ship refrigerated.0 29-Jun-2015 This document hardcopy must be used for reference only.with K2EDTA Centrifuge for 15 mins.

Heparinized Spin. separate. % Saturation and unsaturated iron (UIBC) ● TAT – 1 day IRON. The electronic copy must be used as the current version. on the specimen container and in “Notes and Instructions”. UNINSURED LL . and transfer plasma into aliquot tube. Store and ship refrigerated. TAT – 5 days ISOPROPANOL (ALCOHOL-ISOPROPYL) 006I TEST NO LONGER AVAILABLE TEST SPECIFICATION GUIDE – SECTION I Page 5 of 5 CML HealthCare Inc Test Specification Guide 17530 Version: 14. TIBC. Retain a duplicate 50 mL sample in the fridge until test is reported. 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. TISSUE 9380 Tissue Enter specimen source required Ie: Liver STERILE CONTAINER FORM AVAILABLE ON CML WEBSITE TAT – 23 days ISLET CELL ANTIBODY SCREEN & TITRE 9907 (PANCREATIC ISLET CELL ANTIBODIES) (ANTI-ISLET CELL) Serum GOLD SST Minimum volume required: 2ml FREEZE SERUM AND TRANSPORT FROZEN TAT – 12 days ISONIAZID 99999 (ISONICOTINIC ACID) Plasma GREEN TOP Mix by gentle inversion .TEST NAME IODINE CODE 99999 SPECIMEN REQUIREMENT VACUTAINER 24 Hour Urine No preservative required. TAT – 20 days IRON. BILL LOC UNINSURED LL TAT – 1-2 weeks IRON 139 (IRON BINDING CAPACITY) (IRON SATURATION) (TIBC) (UIBC) (TOTAL IRON BINDING CAPACITY) (TRANSFERRIN SATURATION) Serum Centrifuge only GOLD SST OHIP CML Morning sample preferred ● Testing Includes Iron.0 29-Jun-2015 This document hardcopy must be used for reference only. Stope and ship frozen.

0 15-Dec-2014 This document hardcopy must be used for reference only. Store and ship FROZEN. Ship at room temperature. Aliquot serum to a labelled transfer tube. VACUTAINER BILL LAVENDER OHIP LOC HLRC Collect samples Monday.TEST NAME JAK 2 PCR CODE 9308 (JAK 2 GENE MUTATION) SPECIMEN REQUIREMENT Whole Blood A Molecular Hematology form should be completed and submitted along with specimen and requisition. TAT – 10 days TEST SPECIFICATION GUIDE – SECTION J Page 1 of 1 CML HealthCare Inc Test Specification Guide 18395 Version: 5. Wednesday ONLY FORM AVAILABLE ON CML WEBSITE If patient does not have a health card. Tuesday. UNINSURED CML .00 charge TAT – 13 days JO-1 Refer to EXTRACTABLE NUCLEAR ANTIBODIES (EXTRACTABLE NUCLEAR ANTIBODIES) JOINTSTAT (14-3-3n) (14-3-3 eta) 3971 Serum Minimum Volume required: 0. The electronic copy must be used as the current version. Allow blood to clot at room temperature for 30 minutes and separate by centrifugation ASAP.5 mL GOLD SST Collect blood in SST tube. there is a $75.

Pre package sample with completed Cytogenetics Form in a zip lock bag with priority label. . The electronic copy must be used as the current version.3 8/19/2011 This document hardcopy must be used for reference only.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. DO NOT REFRIGERATE TAT . Follow collection instructions on form.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.

1. TAT – 1 day TEST NO LONGER AVAILABLE LACTATE DEHYDROGENASE. 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. 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. FRACTIONATION (LD ISOENZYMES) (LDH ISOENZYMES) LACTOSE TOLERANCE LAC–3 (LACTOSE ABSORPTION TEST) Blood GRAY Do not separate. 2. 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. 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. TAT – 20 days LANOXIN Refer to DIGOXIN (DIGITALIS) (DIGOXIN) LAP (LEUCINE AMINOPEPTIDASE) Serum and 24-Hour Urine TEST NO LONGER AVAILABLE LAP Refer to LEUKOCYTE ALKALINE PHOSPHATASE (LEUKOCYTE ALKALINE PHOSPHATASE) (NEUTROPHIL ALKALINE PHOSPHATASE) LARGACTIL Refer to CHLORPROMAZINE (CHLORPROMAZINE) TEST SPECIFICATION GUIDE – SECTION L Page 1 of 8 CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014 This document hardcopy must be used for reference only. TAT – 15 days LACTATE DEHYDROGENASE 146 (LD) (LDH) Serum Centrifuge only Hemolyzed specimens are not acceptable. . 1/2. 3 hour samples.

TAT – 14 days TEST SPECIFICATION GUIDE – SECTION L Page 2 of 8 CML HealthCare Inc Test Specification Guide 17531 Version: 15. Retain a duplicate 50 mL sample in the fridge until test is reported.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. CELL PREPARATION 430 Blood Do not remove plasma from cells TAT – 1 day L. on the specimen container and in “Notes and Instructions”. . Refrigerate during storage and transport.E. The electronic copy must be used as the current version.E.1 30-Sep-2014 This document hardcopy must be used for reference only. SCREEN 500LE (LE LATEX) (LUPUS ERYTHEMATOSUS SCREEN) Serum Centrifuge only TAT – 1 day LEAD 148 Whole Blood Do not centrifuge TAT – 8 days LEAD 148U 24-Hour Urine 50 mL aliquot submitted in a white cap container State total 24-hour volume on the OHIP requisition.

Indicate “Random”.1 30-Sep-2014 This document hardcopy must be used for reference only.TEST NAME LEAD CODE 9994 SPECIMEN REQUIREMENT VACUTAINER Random Urine Min volume req’d: 10ml BILL LOC OHIP HLRC Submit in 90ml orange container. URINE NO LONGER AVAILABLE LEUCINE AMINOPEPTIDASE Serum and 24-hour urine NO LONGER AVAILABLE (LAP) LEUKOCYTE ALKALINE PHOSPHATASE NO LONGER AVAILABLE (LAP) (NEUTROPHIL ALKALINE PHOSPHATASE) LEUKOCYTE COUNT Refer to COMPLETE BLOOD COUNT (WBC) LH Refer to LUTEINIZING HORMONE (LUTEINIZING HORMONE) (INTERSTITIAL CELL STIMULATION HORMONE) LIBRIUM Refer to CHLORDIAZEPOXIDE (CHLORDIAZEPOXIDE) LICE Refer to ARTHROPOD IDENTIFICATION (ARTHROPODS) (BUGS) LIGHT CHAINS IMMUNOELECTROPHORESIS Refer to PROTEIN ANALYSIS – BENCE JONES PROTEIN (BENCE JONES PROTEIN) (HEAVY & LIGHT CHAINS IMMUNOELECTROPHORESIS) TEST SPECIFICATION GUIDE – SECTION L Page 3 of 8 CML HealthCare Inc Test Specification Guide 17531 Version: 15. . Provide collection date TAT – 14 days LEGIONELLA DETECTION 9085 Do not centrifuge tube PLAIN RED N/C PHL N/C PHL (LEGIONAIRES DISEASE) ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days LEPTOSPIRA ANTIBODY 9056 (LEPTOSPIROSIS ANTIBODIES) (WEIL’S DISEASE) Do not centrifuge tube PLAIN RED ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days LEPTOSPIROSIS. The electronic copy must be used as the current version.

The electronic copy must be used as the current version. BILL LOC .TEST NAME CODE SPECIMEN REQUIREMENT VACUTAINER (IEP) LIGHT CHAINS IMMUNOELECTROPHORESIS Refer to IMMUNOELECTROPHORESIS (HEAVY & LIGHT CHAINS IMMUNOELECTROPHORESIS) TEST SPECIFICATION GUIDE – SECTION L Page 4 of 8 CML HealthCare Inc Test Specification Guide 17531 Version: 15.1 30-Sep-2014 This document hardcopy must be used for reference only.

Test includes: Cholesterol Fasting Triglycerides HDL-C LDL-C Cholesterol/HDL-C Ratio Non HDL-C TAT – 1 Day 117NF LIPID ASSESSMENT.1 30-Sep-2014 This document hardcopy must be used for reference only. Patient has fasted less than 10 hours.TEST NAME CODE 150 LIPASE SPECIMEN REQUIREMENT VACUTAINER BILL LOC GOLD SST OHIP CML Serum Centrifuge only TAT – 4 days 117F LIPID ASSESSMENT. 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. The electronic copy must be used as the current version. NON FASTING Serum GOLD SST OHIP CML Centrifuge only. UNINSURED HLRC . 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. 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. FASTING Serum GOLD SST OHIP CML Centrifuge only Patient has fasted 10 hours or more. TAT –30 days TEST SPECIFICATION GUIDE – SECTION L Page 5 of 8 CML HealthCare Inc Test Specification Guide 17531 Version: 15. Ask Patient “When did you last have something to eat or drink other than water?” Document number of hours on the requisition.

UNINSURED LL LL . Centrifuge and aliquot plasma. HEPARIN Refer to HEPARIN LOW MOLECULAR WEIGHT LONG ACTING THYROID STIMULATOR Refer to THYROID RECEPTOR ANTIBODIES (LATS) (TB11) (THYROTROPIN BINDING INHIBITING IMMUNOBLOBULIN) (THYROID STIMULATING ANTIBODY) LORAZEPAM 9706 (ATIVAN) Serum PLAIN RED Do not use gel separator tubes. urine (ATIVAN) LP-PLA2 9292 (PLAC) (LIPOPROPROTEIN ASSOCIATED PHOSPHOROUS A2) (LP-PLAC2) (LP-PLAC) Plasma LAVENDER UNINSURED Collect lavender and mix by inversion.M.W. Store and ship to room temp. 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. Store and ship refrigerated TAT-17 days LSD (LYSERGIC ACID DIETHYLAMIDE) 99999 Urine Min volume: 10ml Protect from light.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. The electronic copy must be used as the current version. Store and ship refrigerated. TAT – 1 day L. Separate and aliquot serum ASAP Indicate time and date of specimen collection On both the transport tube and the requisition. TAT – 1-2 weeks TEST SPECIFICATION GUIDE – SECTION L Page 6 of 8 CML HealthCare Inc Test Specification Guide 17531 Version: 15. TAT – 13 days TEST NO LONGER AVAILABLE LORAZEPAM.1 30-Sep-2014 This document hardcopy must be used for reference only.

1 30-Sep-2014 This document hardcopy must be used for reference only. FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. T & B CELLS TAT – 3 days LYMPHOCYTE MARKERS  T & B CELLS (ACUTE LEUKEMIA PHENOTYPING) (LYMPHOPROLIFERATIVE DISEASE PHENOTYPING) 9326 Blood *ONLY BLOOD IS ACCEPTABLE* 2 LAVENDERS OHIP Store and ship room temp Collect specimen Monday – Wednesday only prior to last courier pick up The specimens must be accompanied by: Mount Sinai Hosptial Flow Cytometry Requisition available from Problem Solving Department and a photocopy of a physician signed OHIP requisition requesting Lymphocyte Marker analysis with diagnosis indicated. T CELLS ONLY 2810 Blood LAVENDER Submit the specimen Monday – Wednesday. Specimens other than blood cannot be accepted. Store and Transport at room temperature Complete a CML “Lymphocyte Marker T Cells only Form” (CD3. Specimens MUST be tested within 24-hours. CD8) (T CELL LYMPHOCYTE MARKER ONLY) Specimen must be tested within 24-hours. The electronic copy must be used as the current version.TEST NAME CODE SPECIMEN REQUIREMENT VACUTAINER BILL LOC LIGHT BLUE OHIP HLRC GOLD SST OHIP CML OHIP CML Refer to MAPROTILINE LUDIOMIL (MAPROTILINE) (CIRCULATING ANTICOAGULANT) Plasma Minimum Volume required: 2 mL (NON SPECIFIC COAGULATION INHIBITORS) Separate immediately LUPUS ANTICOAGULANT 9104 Patient should not be on anticoagulant therapy. FOR ALL OTHER MARKERS SEE –LYMPOHCYTE MARKERS. TAT – 20 days TEST SPECIFICATION GUIDE – SECTION L Page 7 of 8 CML HealthCare Inc Test Specification Guide 17531 Version: 15. MSH . CD4. Thursday if Friday is not a statuory holiday. 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 & B CELLS LYMPHOPROLIFERATIVE DISEASE PHENOTYPING (ACUTE LEUKEMIA PHENOTYPING) (LYMPHOCYTE MARKERS.1 30-Sep-2014 This document hardcopy must be used for reference only.TEST NAME LYMPHOCYTIC CHORIOMENINGITIS ANTIBODY CODE 9066 SPECIMEN REQUIREMENT VACUTAINER BILL PLAIN RED N/C PHL N/C PHL Do not centrifuge tube LOC ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM (LCM ANTIBODY) TAT – 15 days LYMPHOGRANULOMA VENEREUM GROUP ANTIBODIES 9014 Do not centrifuge tube PLAIN RED ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM (LGV) TAT – 15 days Refer to LYMPHOCYTE MARKERS. T & B CELLS) LYSOZYME 99999 (MURAMIDASE) Serum Allow blood to clot at room temp for 30 mins. Store and ship FROZEN. Spin and separate serum into aliquot tube. The electronic copy must be used as the current version. UNINSURED LL . PLAIN RED UNINSURED LL TAT – 1-2 weeks LYSOZYME (MURAMIDASE) 99999 Urine Min volume: 25ml Cap 90ml urine container tightly and FREEZE Store and ship FROZEN TAT 1-2 weeks TEST SPECIFICATION GUIDE – SECTION L Page 8 of 8 CML HealthCare Inc Test Specification Guide 17531 Version: 15.

on the specimen container and in “Notes and Instructions”. Retain a duplicate 50 mL sample in the fridge until test is reported. The electronic copy must be used as the current version. TAT – 1 day TEST SPECIFICATION GUIDE – SECTION M Page 1 of 10 CML HealthCare Inc Test Specification Guide 18162 Version: 23.TEST NAME MACROAMYLASE CODE 9135 SPECIMEN REQUIREMENT Serum Centrifuge only VACUTAINER GOLD SST BILL LOC UNINSURED HLRC TAT – 20 days MACROGLOBULIN. OHIP HLRC GOLD SST OHIP CML GREEN – with Heparin UNINSURED HLRC TAT – 25 days MAGNESIUM 165 Serum Centrifuge only TAT – 1 day MAGNESIUM. RBC 165R Blood TAT – 20 days MAGNESIUM 24 HOUR URINE 165U 24-Hour Urine 50 mL aliquot – submit in a 90 mL white cap container No preservative OHIP DYN OHIP HLRC OHIP CML Refrigerate during storage and transport. TAT – 6 days MAGNESIUM RANDOM URINE 165RU Random Urine 10 mL aliquot – submit in a 90 mL orange cap container TAT – 8 days MALARIA (PLASMODIUM SCREEN) (MALARIA SMEAR) 432 Blood LAVENDER If test is ordered on a child. 2015 Malaria Testing must be collected in a dedicated Lavender Top Vacutainer PRIORITY SPECIMEN – Must be processed within 1 hour of receipt at laboratory. State total 24-hour volume on the OHIP requisition. may substitute finger prick blood. . ALPHA 2 MACROPROLACTIN Refer to ALPHA-2 MACROGLOBULIN 9236 Serum GOLD SST Minimum volume required: 2ml Store and send refrigerated Must be collected in separate SST tube from prolactin test.0 8-Sep-2015 This document hardcopy must be used for reference only. – 3 thin smears are required for finger pricks on children Note: Effective March 2.

MCH. Store the name of the test and the testing hospital on the outside Of the ziplock bag. Testing includes hCG.Ottawa TAT – 15 days MCV. Separate plasma within 30min into Metal-free polypropylene tube.0 8-Sep-2015 This document hardcopy must be used for reference only. ROYAL BLUE K2 EDTA BILL LOC UNINSURED HLRC TAT – 14 days MANGANESE 9931 Urine 25 mL random urine Submit in a 90 mL orange cap container UNINSURED HLRC TAT – 20 days MAPROTILINE 079M (LUDIOMIL) Plasma Minimum Volume required: 3 mL GREEN . Refrigerate during storage and transport. RBC) TEST SPECIFICATION GUIDE – SECTION M Page 2 of 10 CML HealthCare Inc Test Specification Guide 18162 Version: 23.with Heparin OHIP DYN Centrifuge and aliquot into serum tube Collect specimen 10 – 12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection. 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 . Results will be reported directly to the physician.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. Do not Use gel-seperator collection tubes. TAT – 13 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. AFP. The electronic copy must be used as the current version. NYGH MSH CVH LHSC CHEO . MCHC Refer to COMPLETE BLOOD COUNT (INDICES.

0 mL UNINSURED QUEST Inquiries for pricing are to be directed to Specialty & Contract Services. TAT – 4-8 Days MEDICAL LEGAL ALCOHOL URINE 787 (DOA UR ETHANOL) Urine Minimum Volume Required: 25. (416-213-4725 or 1-877-990-1575). (416-213-4725 or 1-877-990-1575).0 mL UNINSURED QUEST Inquiries for pricing are to be directed to Specialty & Contract Services.0 mL UNINSURED QUEST Inquiries for pricing are to be directed to Specialty & Contract Services. (416-213-4725 or 1-877-990-1575). TAT – 4-8 Days MEDICAL LEGAL OXYCODONE (DOA UR OXYCODONE) 1602 Urine Minimum Volume Required: 30. . TAT – 4-8 Days MEDICAL LEGAL DOA U 10 PANEL 790 (DOA-10). TAT – 4-8 Days MEDICAL LEGAL REPORT REVIEW FEE 30497 None UNINSURED N/A UNINSURED N/A Inquiries for pricing are to be directed to Specialty & Contract Services. (416-213-4725 or 1-877-990-1575). Refer to SOP for Medical Legal Urine Collection for Drug Analysis.0 mL UNINSURED QUEST Inquiries for pricing are to be directed to Specialty & Contract Services. TAT – 4-8 Days MEDICAL LEGAL DOA HAIR (DOA HAIR) 1558 Hair UNINSURED QUEST Inquiries for pricing are to be directed to Specialty & Contract Services.0 8-Sep-2015 This document hardcopy must be used for reference only. TAT – 4-8 Days MEDICAL LEGAL DOA NO SHOW FEE 1097 None Inquiries for pricing are to be directed to Specialty & Contract Services. Refer to SOP for Medical Legal Urine Collection for Drug Analysis. TAT – 4-8 Days TEST SPECIFICATION GUIDE – SECTION M Page 3 of 10 CML HealthCare Inc Test Specification Guide 18162 Version: 23. (DRUGS OF ABUSE UR 10 PANEL) Urine Minimum Volume Required: 45. (416-213-4725 or 1-877-990-1575). (416-213-4725 or 1-877-990-1575). The electronic copy must be used as the current version. Refer to SOP for Medical Legal Urine Collection for Drug Analysis. Refer to SOP for Medical Legal Urine Collection for Drug Analysis. (DRUGS OF ABUSE UR 5 PANEL) 785 Urine Minimum Volume Required: 45. Refer to SOP for Medical Legal Urine Collection for Drug Analysis. (416-213-4725 or 1-877-990-1575).TEST NAME CODE MEASLES VIRUS ANTIBODY 9010 (MEASLES – RED) (RUBEOLA) SPECIMEN REQUIREMENT Do not centrifuge tube VACUTAINER BILL PLAIN RED N/C LOC PHL ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 25 days MEDICAL LEGAL DOA U 5 PANEL (DOA-5).

MELISA – PANEL 2 4384 (IMPLANTS PANEL) Whole Blood – 4 Tubes YELLOW ACD Min Volume: 34ml Collect on Tues. ACD tubes are last in order of draw. UNINSURED CML Must be transported to Kennedy within 24-48 hours Store and ship room temp.0 8-Sep-2015 This document hardcopy must be used for reference only. Wed. ACD tubes are last in order of draw. take an extra tube to compensate for volume. . 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 Page 4 of 10 CML HealthCare Inc Test Specification Guide 18162 Version: 23. ACD tubes are last in order of draw. and Thurs ONLY Do NOT collect on Thurs before a Good Friday. TAT – 4-8 Days MEDICAL LEGAL DOA COLLECTION FEE W/O TESTING 1096 None Inquiries for pricing are to be directed to Specialty & Contract Services. take an extra tube to compensate for volume. If patient comes in with other blood work.TEST NAME CODE MEDICAL LEGAL DOA 786 COLLECTION FEE WITH TESTING SPECIMEN REQUIREMENT VACUTAINER None BILL LOC UNINSURED N/A UNINSURED N/A Inquiries for pricing are to be directed to Specialty & Contract Services. and Thurs ONLY Do NOT collect on Thurs before a Good Friday. If a tube only fills half way. (416-213-4725 or 1-877-990-1575). If patient comes in with other blood work. MELISA – PANEL 3 4385 (AUTOIMMUNE/DENTAL/FERTILITY PANEL) Whole Blood – 6 Tubes YELLOW ACD Min Volume: 51ml Collect on Tues. The electronic copy must be used as the current version. (416-213-4725 or 1-877-990-1575). TAT – 4-8 Days MELISA – PANEL 1 4383 (MERCURY AND AMALGAM PANEL) Whole Blood – 4 Tubes YELLOW ACD Min Volume: 34ml Collect on Tues. If a tube only fills half way. and Thurs ONLY Do NOT collect on Thurs before a Good Friday. If patient comes in with other blood work. If a tube only fills half way. Wed. take an extra tube to compensate for volume. Wed. UNINSURED CML Must be transported to Kennedy within 24-48 hours Store and ship room temp. UNINSURED CML Must be transported to Kennedy within 24-48 hours Store and ship room temp.

reducing substances. FREEZE URINE AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. TAT – 12 days MERCURY – 24 HOUR URINE 168U 24-Hour Urine 50 mL aliquot – submit in a 90 mL white cap container No preservative State total 24-hour volume on the OHIP requisition. TAT – 14 days TEST SPECIFICATION GUIDE – SECTION M Page 5 of 10 CML HealthCare Inc Test Specification Guide 18162 Version: 23. TAT –15 days METANEPHRINES. Fractionation and Cystine Quantitation will be performed if indicated. The electronic copy must be used as the current version. OHIP HLRC . on the specimen container. Retain a duplicate 50 mL sample in the fridge until test is reported. other chemical tests.TEST NAME MERCURY – WHOLE BLOOD CODE 168 SPECIMEN REQUIREMENT VACUTAINER BILL ROYAL BLUE K2 EDTA OHIP DYN OHIP DYN OHIP HLRC Whole Blood Do not centrifuge LOC Note: urine is the specimen of choice. If specimen thaws. PLASMA 9269 Plasma LAVENDER Min volume: 3ml Collect fasting sample. Avoid seafood Consumption for 3 days prior to collection. and in “Notes and Instructions”. it is unsuitable for analysis. Patient must abstain from smoking for at least 4 hours prior to collection. Refrigerate during storage and transport. TAT – 14 days MERCURY – RANDOM URINE 9358 Random Urine Min Volume: 13ml Collect and transfer into metal-free container Indicate “Random” Provide collection date.0 8-Sep-2015 This document hardcopy must be used for reference only. Includes: Amino Acid Screen. Store and ship frozen. TAT – 14 days METABOLIC SCREEN 9932 Urine 10 mL random urine Submit in a 90 mL white cap container UNINSURED HLRC State Date of Birth and clinical diagnosis.

tetracycline. chocolate. pineapple. walnuts. To be avoided for 72 hours before collection: avacados. haptoglobin. Aliquot into amber tube Collect specimen 10 – 12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection. Refrigerate during storage and transport. tea. vitamin B. TAT – 15 days METHOTRIMEPRAZINE TEST NO LONGER AVAILABLE (NOZINAN) TEST SPECIFICATION GUIDE – SECTION M Page 6 of 10 CML HealthCare Inc Test Specification Guide 18162 Version: 23. hypertensive drugs (esp. plums. eggplant. Retain a duplicate 50 mL sample in the fridge until test is reported. quinidine. To be avoided for 48 hours before collection: ASA. (HAPTOGLOBIN SCREEN) (HEMPEXIN SCREEN) (FREE Hb) (PLASMA HEMOGLOBIN) Testing consists of free hb. Aldomet). Chloralhydrate. bananas. Tylenol (acetaminophen). Indicate high dose or low dose therapy. on the specimen container and in “Notes and Instructions”. TAT – 8 days METHEMOGLOBIN METHOTREXATE (AMETHOPTERIN) By appointment only at local hospital 9729 Serum PLAIN RED Minimum Volume required: 2 mL Protect from light. coffee. hemopexin-heme complex and methemalbumin. niacin. phenothiazines. TAT – 14 days METANEPHRINES. OHIP HLRC . 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.0 8-Sep-2015 This document hardcopy must be used for reference only. TOTAL METHADONE TEST NO LONGER AVAILABLE 078ME Urine 10 mL random urine Submit in a blue cap conical tube OHIP CML TAT – 3 days METHANOL TEST NO LONGER AVAILABLE (ALCOHOL-METHYL) METHAQUALONE METHEMALBUMIN SCREEN TEST NO LONGER AVAILABLE 9267 Serum or Plasma GOLD SST OHIP HLRC Specimen must be received by testing lab within 48 hours of collection. smoking. cola drinks. riboflavin. methyldopa. The electronic copy must be used as the current version. erythromycin. quinine.TEST NAME METANEPHRINES. fruit and juices. State total 24-hour volume on the OHIP requisition. dopamine. pH will be adjusted in Biochemistry Dept.

URINE – RANDOM URINE 3650 24-Hour Urine CLEAR 1 x 6 mL aliquot – submit in clear cap vacutainer Label tube – MICROALBUMIN RATIO No preservative (ALBUMIN. Retain a duplicate 90 mL sample in the fridge until test is reported. RANDOM URINE) MICROALBUMIN/ CREATININE RATIO  24-HOUR URINE State total 24-hour volume on the OHIP requisition. on the specimen container and in “Notes and Instructions”. TAT – 35 days METHYLPHENIDATE 9817 (RITALIN) Urine Random urine Submit in a 90 mL orange cap container OHIP DYN TAT – 12 days METHYPRYLON 9815 (NOLUDAR) Serum Minimum Volume required: 3 mL PLAIN RED OHIP HLRC TAT – 15 days METHSUXIMIDE TEST NO LONGER AVAILABLE (CELONTIN) MEXILETINE MICROALBUMIN  24-HOUR URINE TEST NO LONGER AVAILABLE 005U Refer to ALBUMIN. 24-HR) MICROALBUMIN  RANDOM URINE (ALBUMIN.TEST NAME CODE METHYLENE CHLOROANLINE 99999 (MOCA) SPECIMEN REQUIREMENT VACUTAINER BILL Urine Min volume: 30ml Add three drops of Concentrated Hydrochloric Acid cap tightly and FREEZE LOC UNINSURED LL FREEZE URINE AND SEND FROZEN TAT – 2 weeks METHYLMALONATE 9730 (METHYLMALONIC ACID) Urine 10 mL random urine Submit in a 90 mL orange cap container UNINSURED HLRC Early morning specimen preferred. QUANTITATIVE URINE) (ALBUMIN. FREEZE URINE AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. URINE – 24-HOUR URINE 005RU Refer to ALBUMIN.0 8-Sep-2015 This document hardcopy must be used for reference only. QUANTITATIVE URINE) (ALBUMIN. TAT – 2 days TEST SPECIFICATION GUIDE – SECTION M Page 7 of 10 CML HealthCare Inc Test Specification Guide 18162 Version: 23. OHIP CML . The electronic copy must be used as the current version. URINE.

TEST NAME MICROALBUMIN/ CREATININE RATIO  RANDOM URINE CODE 3670 SPECIMEN REQUIREMENT VACUTAINER Urine 1 x 6 mL random urine Submit in clear cap vacutainer Label tube – MICROALBUMIN RATIO Testing includes albumin and creatinine BILL LOC CLEAR OHIP CML GOLD SST OHIP CML N/C PHL Submit a separate sample for other urine tests.0 8-Sep-2015 This document hardcopy must be used for reference only. Measles and Rubella Do not code 679 for Rubella. The electronic copy must be used as the current version. . TAT – 15 days MOGADON Refer to NITRAZEPAM (NITRAZEPAM) MONONUCLEOSIS SCREEN Refer to HETEROPHILE ANTIBODY (MONO) (HETEROPHILE ANTIBODY) MORPHINE Refer to DRUG SCREEN – BROAD SPECTRUM (DRUG SCREEN) MOTRIN Refer to IBUPROFEN (IBUPROFEN) TEST SPECIFICATION GUIDE – SECTION M Page 8 of 10 CML HealthCare Inc Test Specification Guide 18162 Version: 23. PLAIN RED ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM ● Testing includes Mumps. TAT – 2 days MICROGLOBULIN Refer to BETA-2 MICROGLOBULIN (B2 MICROGLOBULIN) (BETA 2 MICROGLOBULIN) MICROSOMAL THYROID ANTIBODIES Refer to ANTI-THYROID PEROXIDASE (MICROSOMAL ANTIBODIES) MILTOWN Refer to MEPROBAMATE (EQUANIL) (MEPROBAMATE) MITOCHONDRIAL ANTIBODIES HP18 (ANTI-MITOCHONDRIAL ANTIBODIES) (ANTI-SMOOTH MUSCLE ANTIBODY) Positive results may be delayed due to interpretation by Consultant. (ASMA) (SMA) (SMOOTH MUSCLE ANTIBODY) MMR Serum Centrifuge only TAT – 2 days 9167 Do not centrifuge tube.

TAT – 40 days MULTIMER .(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) MUCONIC ACID MUCOPOLYSACCHARIDES TEST NO LONGER AVAILABLE 9732 Urine OHIP HLRC N/C PHL N/C PHL Minimum volume required: 10 mL random urine Submit in a 90 mL orange cap container Avoid first morning collection Provide clinical history FREEZE URINE AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines.B. CULTURE) (TUBERCULOSIS CULTURE) 631 Sputum First morning specimen – submit in a tightly sealed sterile container. .VWF Refer to VON WILLEBRAND FACTOR (VON WILLEBRAND FACTOR) MUMPS VIRUS ANTIBODY 9035 Do not centrifuge tube PLAIN RED ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 5 days MURAMIDASE Refer to LYSOZYME (LYSOZYME) MYCOBACTERIUM TUBERCULOSIS DETECTION (ACID FAST BACILLUS) (AFB) (T.0 8-Sep-2015 This document hardcopy must be used for reference only. etc. ▀ 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: 23. The electronic copy must be used as the current version.TEST NAME CODE MRSA SCREEN TEST 610-1 (METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS)     SPECIMEN REQUIREMENT VACUTAINER Swab.state source BILL OHIP LOC CML Place swab in charcoal transport media AXILLA GROIN NASAL RECTAL Use 610-2 for second specimen #2.

Specimen is unsuitable for testing if it thaws. Place swab from vagina. 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: 23. or tissue in special Mycoplasma Transport Media.0 8-Sep-2015 This document hardcopy must be used for reference only. Store and ship refrigerated. Urine is to be sent in a sterile container and shipped refrigerated. Break off applicator and replace transport tube cap tightly. Wednesday only. sediment from centrifuged other fluid. cervix or urethra. NO KIT IS NECESSARY FOR URINE. OHIP HLRC UNINSURED HLRC TAT – 6 days MYOGLOBIN SERUM 9552 Serum Min volume required: 1ml Centrifuge and aliquot to transfer tube. Refer to the General Information Page for Specimen Processing & Transport Guidelines. Swab/Urine/Fluid/Tissue/Semen. UNINSURED LL TAT – 6 days MYOGLOBIN RANDOM URINE 174 Random urine Min volume required: 10ml Adjust PH of urine to 8-9 and freeze immediately. tracheal aspirate. Tuesday. The electronic copy must be used as the current version. IMMEDIATELY aliquot plasma into transfer tube Store and ship refrigerated. auger suction.TEST NAME CODE MYCOPLASMA PNEUMONIAE CULTURE 9015C (RESPIRATORY CULTURE) SPECIMEN REQUIREMENT VACUTAINER State source. . bronchial washing. Store and ship refrigerated. BILL LOC N/C PHL UNINSURED DYN ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days MYCOPLASMA ISOLATION 9122 (UREAPLASMA UREALYTICUM) State source. respiratory tract specimens. Do not use swabs with wooden shaft Send Monday. TAT – 12 days MYELOPEROXIDASE PLASMA 9592 (MPO) Plasma LAVENDER Min volume required: 1 mL After mixing IMMEDIATELY centrifuge for 10 minutes. Special Mycoplasma transport media available from PHL. Nasopharyngeal swab.

. Hemolysed and lipemic specimens are not suitable for testing.1 30-Sep-2014 This document hardcopy must be used for reference only. TAT – 24 days NEURONTIN (GABAPENTIN) Refer to GABAPENTIN NEUTROPHIL ALKALINE PHOSPHATASE Refer to LEUKOCYTE ALKALINE PHOSPHATASE (LAP) (LEUKOCYTE ALKALINE PHOSPHATASE) NEUTROPHIL CYTOPLASMIC ANTIBODIES .TEST NAME CODE SPECIMEN REQUIREMENT 5’ NUCLEOTIDASE NO LONGER AVAILABLE NAPROXEN NO LONGER AVAILABLE NARCOTIC SCREEN Refer to DRUGS OF ABUSE VACUTAINER BILL LOC (DRUG OF ABUSE) (DRUG SCREEN) (STREET DRUGS) (URINE TOXICOLOGY) NEIRHAUS Refer to KLEIHAUER STAIN (KLEIHAUER STAIN) NEUROMYELITIS OPTIC ANTIBODY (IgG) 9553 Serum GOLD SST UNINSURED HLRC Min Volume: 1ml Centrifuge and aliquot into transfer tube. Store and ship frozen.C 9112 Serum Centrifuge only GOLD SST UNINSURED HLRC GOLD SST UNINSURED HLRC (c-ANCA) TAT – 15 days NEUTROPHIL CYTOPLASMIC 9148 ANTIBODIES .PERINUCLEAR Serum Centrifuge only (p-ANCA) TAT – 15 days NH 3 Refer to AMMONIA (AMMONIA) TEST SPECIFICATION GUIDE – SECTION N Page 1 of 3 CML HealthCare Inc Test Specification Guide 17533 Version: 5. The electronic copy must be used as the current version.

TEST NAME NICKEL CODE 9934 SPECIMEN REQUIREMENT VACUTAINER Plasma Centrifuge and pour off into aliquot tube ROYAL BLUE K2 EDTA BILL LOC UNINSURED HLRC TAT – 30 days NICKEL 9217 Urine 10 mL random urine Submit in a 90 mL orange cap container UNINSURED HLRC Indicate “Random”. TAT – 15 days NITROGEN NO LONGER AVAILABLE NOLUDAR Refer to METHYPRYLON NON–SPECIFIC COAGULATION INHIBITORS Refer to LUPUS ANTICOAGULANT (CIRCULATING ANTICOAGULANT) (LUPUS ANTICOAGULANT) TEST SPECIFICATION GUIDE – SECTION N Page 2 of 3 CML HealthCare Inc Test Specification Guide 17533 Version: 5. OHIP HLRC . Store and ship refrigerated. The electronic copy must be used as the current version. Centrifuge.1 30-Sep-2014 This document hardcopy must be used for reference only. Test includes Nicotine and Nicotine Metabolite (Cotinine) TAT – 1-2 weeks NITRAZEPAM (MOGADON) 9126 Serum PLAIN RED Minimum Volume required: 3 mL not SST Centrifuge and aliquot into serum tube Collect trough specimen 10 – 12 hours after last dose FREEZE SERUM AND SEND FROZEN Record time in hours that have elapsed between last dose and specimen collection. TAT – 14 days NICKEL 99999 24 hour Urine Store and ship refrigerated ACID WASHED CONTAINER UNINSURED LL TAT –10 days NICOTINE 9238 Urine 10 mL random urine Submit in a 90 mL orange cap container UNINSURED HLRC TAT – 15 days NICOTINE 99999 Serum PLAIN RED UNINSURED LL (COTININE) Allow blood to clot at room temp for 30 mins. Provide collection date.

1 30-Sep-2014 This document hardcopy must be used for reference only. Refrigerate immediately. 416-675-4530 x 2614 Collect random urine specimen between midnight and noon into a Sterile 90ml urine container and IMMEDIATELY transfer 10ml Into a labelled NMP-22 stabilizer container.TEST NAME CODE NOREPINEPHRINE SPECIMEN REQUIREMENT VACUTAINER BILL LOC OHIP DYN OHIP CML Refer to CATECHOLAMINES. FRACTIONATED (METANEPHRINES – FRACTIONATED) NORPACE Refer to DISOPYRAMIDE (DISOPYRAMIDE) NORPRAMINE Refer to DESIPRAMINE (DESIPRAMINE) NORTRYPTYLINE 079N (AVENTYL) Serum ROYAL BLUE Minimum Volume required: 2 mL . . Please call LifeLabs Data Sort (CDS) 100 International Blvd. TAT – 14 days NOZINAN Refer to METHOTRIMEPRAZINE (METHOTRIMEPRAZINE) NT-PRO-BNP NUCLEAR ANTIBODIES Refer to N-TERMINAL PRO BRAIN NATRIURETIC PEPTIDE HP17 (ANA) (ANF) (CENTROMERE ANTIBODY) (SLE ANTIBODIES) Serum Centrifuge only GOLD SST Positive results may be delayed due to interpretation by Consultant TAT – 2 days NUCLEAR MATRIX PROTEIN-22 99999 Urine NMP CONTAINER UNINSURED LL (NMP-22) NMP Stabilizer containers are required and supplied by LifeLabs. Refrigerate during storage and transport. TAT – 2-3 weeks TEST SPECIFICATION GUIDE – SECTION N Page 3 of 3 CML HealthCare Inc Test Specification Guide 17533 Version: 5. FRACTIONATED (CATECHOLAMINES – FRACTIONATED or FREE) NORMETANEPHRINE Refer to METANEPHRINES. Store and ship refrigerated. The electronic copy must be used as the current version.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.

TEST NAME

CODE

17-OH STEROIDS

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to 17-HYDROXY CORTICOSTEROIDS

(17-HYDROXY CORTICOSTEROIDS)

17-OH PROGESTERONE

Refer to 17-HYDROXY PROGESTERONE

(PREGNANETRIOL)
(17-HYDROXY PROGESTERONE)

OCCULT BLOOD

181–1

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

OHIP

CML

OHIP

CML

OHIP

HLRC

Use code 181-2 for second specimen
Use code 181-3 for third specimen
TAT – 3 days

OCCULT BLOOD
CANCER CHECK
PROGRAMME

179-1

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

OLANZAPINE, SERUM

9957

(ZYPREXA)

Serum
1 mL Collect trough sample

PLAIN RED

FREEZE SERUM AND SEND FROZEN
TAT – 14 days
OLIGOCLONAL BANDING
OLIGOSACCHARIDES

Refer to PROTEIN FRACTIONATION, CSF
9936

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

UNINSURED HLRC

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

99999

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

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

TEST NAME

OPIATES SCREEN

CODE

078OP

SPECIMEN REQUIREMENT

VACUTAINER

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

BILL

LOC

OHIP

CML

OHIP

HLRC

OHIP

HLRC

OHIP

HLRC

OHIP

HLRC

TAT – 10 days

ORGANIC ACIDS

9937

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

OSMOLALITY

183

Serum
Centrifuge only

GOLD SST

TAT – 15 days
OSMOLALITY

183U

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

OSMOTIC FRAGILITY

450

Blood

LAVENDER

Collect specimen before last courier, Monday to Wednesday
Keep refrigerated
Must be tested within 24-hours
TAT – 20 days
OSTEOCALCIN

9938

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

GOLD SST

FREEZE SERUM AND SEND FROZEN
Refer to the General Information Page for
Specimen Processing & Transport Guidelines.
TAT – 25 days
O’SULLIVAN SCREEN
GLUCOSE CHALLENGE

TEST NO LONGER AVAILABLE

(GLUCOSE CHALLENGE
O’ SULLIVAN)

50g glucose load

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

UNINSURED HLRC

TEST NAME

CODE

OV 125

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to CA125

(CA 125)

OVA AND PARASITES
IDENTIFICATION

MP66

Stool
Place approximately 1 tablespoon of stool in preservative

OHIP

CML

OHIP

HLRC

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

TAT – 5 days
OVARY ANTIBODIES

TESTING CURRENTLY NOT AVAILABLE

(OVARIAN ANTIBODIES)

OXALATE

184U

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

OXAZEPAM

TEST NO LONGER AVAILABLE

(SERAX)

OXYGEN AFFINITY OF
HEMOGLOBIN
(P50)

9266

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

TEST SPECIFICATION GUIDE – SECTION O
CML HealthCare Inc Test Specification Guide 17759
This document hardcopy must be used for reference only.

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

UNINSURED HLRC

Panorama Kit UNINSURED NAT TAT – 15 days PANORAMA (NIPT) 2093 Blood Patient MUST have a completed Panorama Test requisition with physician signature And patient signature in “Patient Consent” Section. Store and Ship at room temperature. Collect Monday-Saturday ONLY. Store and Ship at room temperature. Collect Monday-Saturday ONLY. Panorama Kit UNINSURED NAT TAT – 15 days PANORAMA MICRODELETION 3071 PANEL Blood Panorama Kit UNINSURED NAT Patient MUST have a completed Panorama Test requisition with physician signature And patient signature in “Patient Consent” Section. TAT – 15 days PANORAMA .TEST NAME CODE P– 24. Collect Monday-Saturday ONLY. Collect on Monday-Saturday ONLY. Store and Ship at room temperature. HIV SPECIMEN REQUIREMENT VACUTAINER BILL LOC Refer to HIV (AIDS) (HIV SEROLOGY) PANORAMA 22q11.0 21-Jul-2015 This document hardcopy must be used for reference only.MOH COVERED 4010 Blood Panorama Kit UNINSURED NAT **Only use this code for pre-approved MOH funding with Approval** Patient MUST have a completed Panorama Test Requisition with physician signature and Patient signature in Patient Consent Section. Store and Ship at room temperature. Store and ship at room temp. . TAT – 15 days PANCREATIC ISLET CELL ANTIBODIES Refer to ISLET CELL ANTIBODY TEST SPECIFICATION GUIDE – SECTION P Page 1 of 15 CML HealthCare Inc Test Specification Guide 18355 Version: 22. Collect Monday-Saturday ONLY. Panorama Kit UNINSURED NAT TAT – 15 days PANORAMA (NIPT) REDRAW 3000 Blood Patient MUST have a completed Panorama Test requisition with physician signature And patient signature in “Patient Consent” Section.2 DELETION 3037 Blood Patient MUST have a completed Panorama Test requisition with physician signature And patient signature in “Patient Consent” Section. The electronic copy must be used as the current version.

OHIP CML OHIP DYN FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. unstained slide and latest CBC/diff results. SERUM 9277 Serum GOLD SST UNINSURED HLRC Minimum Volume required: 1 mL Store and ship at 4-8C TAT – 17 days PARANEOPLASTIC AUTOANTIBODY PANEL. The electronic copy must be used as the current version.TEST NAME CODE PAPP-A SPECIMEN REQUIREMENT VACUTAINER BILL LOC Refer to MATERNAL SCREEN (FIRST or SECOND TRIMESTER SCREENING) (INTEGRATED PRENATAL SCREENING) PAP SMEAR Refer to CYTOLOGY. Specimen must be less than 48 hours old upon receipt. completed immunophenotyping form is required. GOLD SST TAT – 8 days PAROXETINE TEST NO LONGER AVAILABLE (PAXIL) PAROXYSMAL NOCTURNAL HEMOGLOBINURIA 9278 Whole Blood LAVENDER 2 x 5ml lavender top tubes required Requires a lavender tube. FORM AVAILABLE ON CML WEBSITE TAT – 3 days TEST SPECIFICATION GUIDE – SECTION P Page 2 of 15 CML HealthCare Inc Test Specification Guide 18355 Version: 22. PAP SMEAR PARAINFLUENZA VIRUS ANTIBODIES TEST NO LONGER AVAILABLE PARANEOPLASTIC AUTOANTIBODY PANEL. SPINAL FLUID 9285 Spinal Fluid Accept any container received.0 21-Jul-2015 This document hardcopy must be used for reference only. UNINSURED HLRC TAT – 17 days PARASITE SEROLOGY TEST PARATHYROID HORMONE Information regarding requests for specific tests available through CML Consultants 330 (PTH) (PARATHYRIN) Serum PLAIN RED Minimum Volume required: 3 mL Separate within 30 minutes Specimen collected in a SST tube is not acceptable. TAT – 5 days PARIETAL CELL ANTIBODIES 9205 Serum Centrifuge only Refrigerate during storage and transport. Minimum Volume required: 1 mL Store and ship at 4-8C. UNINSURED HLRC .

Centrifuge and aliquot Store and ship refrigerated TAT – 5 days TEST SPECIFICATION GUIDE – SECTION P Page 3 of 15 CML HealthCare Inc Test Specification Guide 18355 Version: 22. TAT – 2 days 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 9024 (TULAREMIA) (FRANCISELLA TULARENSIS ANTIBODY) Do not centrifuge tube PLAIN RED ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 25 days PATERNITY TESTING TEST NO LONGER AVAILABLE PATHOLOGY Refer to HISTOPATHOLOGY (HISTOLOGY) PAXIL Refer to PAROXETINE (PAROXETINE) PBG Refer to PORPHYRIN PRECURSORS (PORPHOBILINOGEN SCREEN) PCB PANEL 99999 (POLYCHLORINATED BIPENYLS PANEL) Serum Allow blood to clot for 30mns at room temp Spin and separate.TEST NAME CODE PARTIAL THROMBOPLASTIN TIME 462 (PTT) (COAGULATION SURFACE INDUCED) SPECIMEN REQUIREMENT VACUTAINER BILL LOC Plasma Fill tube completely . PLAIN RED UNINSURED LL GOLD SST UNINSURED HRL TAT 1-2 weeks PCP Refer to PHENCYCLIDINE SCREEN (PHENCYCLIDINE. SST tubes are UNACCEPTABLE Store and ship refrigerated.0 21-Jul-2015 This document hardcopy must be used for reference only. The electronic copy must be used as the current version. . Transfer to aliquot tube within 2 hours of collection.Centrifuge LIGHT BLUE OHIP CML PLAIN RED N/C PHL N/C PHL FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. Includes all peanut components. SCREEN) (ANGEL DUST) PEANUT COMPONENT PANEL 352 Serum 1 SST Required for entire panel.

BILL LOC UNINSURED HRL If 5 components ordered use test code 352 (Peanut Compontent Panel) TAT – 5 days Test Name Peanut Component First Component Peanut Component Second Component Peanut Component Third Component Peanut Component Fourth Component PEMPHIGUS/PEMPHIGOID ANTIBODIES 9391 Serum Centrifuge only Test Code 351-1 351-2 351-3 351-4 GOLD SST OHIP HLRC (ANTI-SKIN ANTIBODIES) (EPIDERMAL ANTIBODIES) (SKIN ANTIBODIES) TAT – 25 days PERCHLOROETHYLENE 99999 (TETRACHLOROTHELENE) Serum PLAIN RED For Industrial exposure collect specimen In an area that is removed from the use of this solvent. OHIP CML . TAT – 1-2 weeks PENTOBARBITAL TEST NO LONGER AVAILABLE PH. Store and ship refrigerated. Peanut rAra h3 Can have up to 4 components on one accession. Collect prior to the last workshift of work week. DO NOT USE SST TUBES.“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.0 21-Jul-2015 This document hardcopy must be used for reference only. The electronic copy must be used as the current version. UNINSURED LL All blood to clot for 30mins at room temp and spin sample. TAT – 1 day PHENOL TEST NO LONGER AVAILABLE (BENZENE) TEST SPECIFICATION GUIDE – SECTION P Page 4 of 15 CML HealthCare Inc Test Specification Guide 18355 Version: 22. STOOL TEST NO LONGER AVAILABLE PHENCYCLIDINE SCREEN 078PH (PCP) (ANGEL DUST) Urine 10 mL random urine Submit in a blue top conical tube OHIP CML Indicate in “Notes and Instructions” .TEST NAME PEANUT COMPONENT TESTING CODE See chart SPECIMEN REQUIREMENT VACUTAINER Serum GOLD SST Centrifuge and aliquot Store and ship refrigerated Please free text requested componemt Eg: Peanut rAra h1.

TAT – 2 days TEST SPECIFICATION GUIDE – SECTION P Page 5 of 15 CML HealthCare Inc Test Specification Guide 18355 Version: 22. OHIP CML OHIP HLRC N/C PHL OHIP CML OHIP CML TAT – 1 day PHENYTOIN. PROSTATIC TEST NO LONGER AVAILABLE PHOSPHATASE ACID. on the specimen container and in “Notes & Instructions” Retain a duplicate 90 mL sample in the fridge until test is reported. FREE) Serum PLAIN RED Minimum Volume required: 2 mL Collect trough specimen 10 – 12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection.TEST NAME CODE PHENOTHIAZINES SCREEN 9259 SPECIMEN REQUIREMENT VACUTAINER Urine Min volume required: 10ml random sample BILL OHIP LOC HLRC TAT – 5 days PHENYLALANINE PHENYTOIN REFER TO AMINO ACIDS . TAT – 15 days PHL TEST NOT ON FILE 9580 SPECIMEN TYPE WILL VARY VARIES TEST MUST BE SPECIFIED Use this test for PHL tests that are not on file DO NOT use 99999 for not-on-file PHL tests PHOSPHATASE ACID. . The electronic copy must be used as the current version. TOTAL TEST NO LONGER AVAILABLE PHOSPHATASE ALKALINE Refer to ALKALINE PHOSPHATASE (ALKALINE PHOSPHATASE) (ALP) PHOSPHATASE ALKALINE ISOENZYME Refer to ALKALINE PHOSPHATASE FRACTIONATION (ALKALINE PHOSPHATASE ISOENZYME) (ALKALINE PHOSPHATASE FRACTIONATION) PHOSPHATE 194 (PHOSPHORUS) (INORGANIC PHOSPHATE) Serum Centrifuge only GOLD SST TAT – 1 day PHOSPHATE (PHOSPHORUS) 194U 24-Hour Urine 10 mL aliquot – submit in a white cap conical tube No preservative State total 24-hour volume on the OHIP Requisition.QUANTITAVIVE 324 (DILANTIN) Serum PLAIN RED Minimum Volume required: 2 mL Collect trough specimen 10 – 12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection. FREE 9169 (DILANTIN.0 21-Jul-2015 This document hardcopy must be used for reference only.

. 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.TEST NAME CODE PHOSPHOLIPIDS PHOSPHORUS. CITRATE SAMPLE Refer to CITRATED PLATELET COUNT TEST SPECIFICATION GUIDE – SECTION P Page 6 of 15 CML HealthCare Inc Test Specification Guide 18355 Version: 22. OHIP CML OHIP HLRC Use code MP81 for a second specimen Use code MP82 for a third specimen TAT – 2 days PK SCREEN Refer to PYRUVATE KINASE (PYRUVATE KINASE) PKU (PHENYLKETONURIA) TEST NO LONGER AVAILABLE send patient to hospital PLACIDYL TEST NO LONGER AVAILABLE (ETHCHLORVYNOL) PLASMA HEMOGLOBIN Refer to HEMOGLOBIN PLASMA (FREE HEMOGLOBIN) PLASMINOGEN 9735 Plasma Minimum Volume required: 1 mL LIGHT BLUE FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. TAT – 15 days PLASMODIUM SCREEN Refer to MALARIA PLATELET COUNT Refer to COMPLETE BLOOD CONT (THROMBOCYTE) PLATELET COUNT.0 21-Jul-2015 This document hardcopy must be used for reference only. The electronic copy must be used as the current version. URINE SPECIMEN REQUIREMENT VACUTAINER BILL LOC TEST NO LONGER AVAILABLE 194RU (PHOSPHATE RANDOM URINE) Urine 10 mL random urine Submit in a white cap conical tube OHIP CML TAT – 2 days PHYTANATE 9734 (PHYTANIC ACID) Plasma Minimum Volume required: 2 mL Fasting sample preferred GREEN – with Heparin UNINSURED HLRC FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines.

RANDOM URINE 197 Urine OHIP HLRC 25 mL random urine Protect from light by wrapping with aluminium foil. Place another label with barcode on top of foil overwrap. The electronic copy must be used as the current version. Label container with one barcode.TEST NAME CODE PLATELET ANTIBODY SCREEN SPECIMEN REQUIREMENT VACUTAINER BILL LOC TEST NO LONGER AVAILABLE (ANTI-PLATELET ANTIBODY) (PLATELET ASSOCIATED IGG) PLATELET FUNCTION TEST POLIO ANTIBODY NEUTRALIZATION. UNINSURED HLRC TAT – 14 days PORPHYRIN PRECURSORS. 24 HOUR URINE 9702 24-Hour Urine OHIP 50 mL aliquot – submit in a 90 mL white cap container Protect from light by wrapping with aluminium foil. OCCUPATIONAL IMMUNE STATUS (CONTRACT) By appointment only at hospital 99999 Serum Store and ship frozen. Retain a duplicate 50 mL sample in the fridge until test is reported. Do not freeze. Testing Includes: Porphobilinogen Screen (PBG). Provide haematocrit result for calculation of results. Aminolevulinic Acid (ALA) TAT – 15 days PORPHYRIN PRECURSORS. Store and send refrigerated. FREEZE URINE AND SEND FROZEN Testing Includes: Porphobilinogen Screen (PBG).0 21-Jul-2015 This document hardcopy must be used for reference only. Aminolevulinic Acid (ALA) TAT – 15 days TEST SPECIFICATION GUIDE – SECTION P Page 7 of 15 CML HealthCare Inc Test Specification Guide 18355 Version: 22. State total 24-hour volume on the OHIP Requisition. HLRC . Test is for CONTRACT use only GOLD SST UNINSURED LL TAT 1-2 weeks POLIO VIRUS Stool/ Throat Swab/ Rectal Swab Viral history sheet must be completed Stool is the preferred sample 9026 9031 9031 N/C PHL Use the correct transport media Stool – VIRUS – TM Throat Swab – VIRUS – SW Rectal Swab – VIRUS – SW ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 to 30 days PORPHOBILINOGEN DEAMINASE 9525 Whole Blood GREEN Min Volume: 7ml . Label container with one barcode. wrap container with foil. Place another label with barcode on top of foil overwrap. on the specimen container and in “Notes & Instructions” . wrap container with foil.Heparinized SST tube not acceptable.

TAT – 18 days PORPHYRINS. TAT – 2 days POTASSIUM. POST VASECTOMY) (SEMEN POST VAS) POTASSIUM. QUANTITATIVE 203 Stool 50 g (approximately ½ tablespoon) random stool. 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. ½ tablespoon) random stool specimen Protect from light by wrapping with aluminium foil. Retain a duplicate 50 mL sample in the fridge until test is reported. Sample Sorting Department to freeze urine and send frozen. POST VASECTOMY (SEMEN ANALYSIS. BLOOD PORPHYRINS. FREEZE STOOL AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. The electronic copy must be used as the current version.0 21-Jul-2015 This document hardcopy must be used for reference only. State total 24-hour volume on the OHIP Requisition. and in “Notes & Instructions” . QUALITATIVE SPECIMEN REQUIREMENT VACUTAINER BILL LOC Refer to PROTOPORPHYRIN 200S Stool 50 g (app. TAT – 18 days POST VAS Refer to SEMEN ANALYSIS. RANDOM URINE 204RU Urine 10 ml random urine Submit in a white cap conical tube TAT – 2 days TEST SPECIFICATION GUIDE – SECTION P Page 8 of 15 CML HealthCare Inc Test Specification Guide 18355 Version: 22. OHIP DYN OHIP DYN FREEZE STOOL AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. UNINSURED DYN Preservative: sodium carbonate to be added by Biochemistry Dept. . Protect from light by wrapping in aluminium foil Note: Quantitation performed only if qualitative screen is positive. on the specimen container and in “Notes & Instructions” . 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.TEST NAME CODE PORPHYRINS. SERUM 204 Serum Centrifuge only Hemolyzed specimens are not acceptable GOLD SST OHIP CML OHIP CML OHIP CML TAT – 1 day POTASSIUM. TAT – 18 days PORPHYRINS. on the specimen container. Retain a duplicate 50 mL sample in the fridge until test is reported.

The electronic copy must be used as the current version.TEST NAME CODE POTASSIUM PREALBUMIN SPECIMEN REQUIREMENT VACUTAINER BILL LOC TEST NO LONGER AVAILABLE 9291 Serum Minimum volume required: 1ml Centrifuge and aliquot Store and ship refrigerated GOLD SST UNINSURED HRLC TAT – 10 days PREGNANCY TEST 655 (CHORIOGONADOTROPIN SCREEN) Urine 10 mL random urine Submit in a 90 mL white cap container First morning specimen preferred OHIP CML N/C PHL N/C PHL OHIP DYN TAT – 1 day PREGNANEDIOL Refer to PROGESTERONE (PROGESTERONE) PREGNANETRIOL Refer to 17-HYDROXYPROGESTERONE (17– HYDROXYPROGESTERONE) (17 OH PROGESTERONE) PRE NATAL SCREEN Refer to BLOOD GROUP and Refer to ANTIBODY SCREEN (ABO & Ab SCREEN) (ABO & SCREEN) (TYPE & SCREEN) PRE NATAL SCREEN WITH HIV FOR PHL 9001P Do not centrifuge tube PLAIN RED ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM Complete Prenatal form must be attached Group test includes: Hepatitis B Prenatal Rubella Antibody Prenatal HIV Prenatal PHL Prenatal VDRL TAT – 15 days PRE NATAL SCREEN WITHOUT HIV FOR PHL 9002P Do not centrifuge tube PLAIN RED ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM Complete Prenatal form must be attached Group test includes: Hepatitis B Prenatal Rubella Antibody Prenatal PHL Prenatal VDRL TAT – 15 days PRIMIDONE (MYSOLINE) 211 Serum PLAIN RED Minimum volume required: 1ml Collect trough specimen 10 – 12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection.0 21-Jul-2015 This document hardcopy must be used for reference only. TAT – 6 days TEST SPECIFICATION GUIDE – SECTION P Page 9 of 15 CML HealthCare Inc Test Specification Guide 18355 Version: 22. .

OHIP CML . Store and send frozen. TAT – 24 days PROPAFENONE TEST NO LONGER AVAILABLE (RYTHMOL) PROPOXYPHENE (DARVON) 078PR Urine 10 mL random urine Submit in a blue top conical tube TAT – 7 days PROPRANOLOL TEST NO LONGER AVAILABLE (INDERAL) TEST SPECIFICATION GUIDE – SECTION P Page 10 of 15 CML HealthCare Inc Test Specification Guide 18355 Version: 22. Store and ship frozen.TEST NAME CODE PROCAINAMIDE SPECIMEN REQUIREMENT VACUTAINER BILL LOC TEST NO LONGER AVAILABLE (PRONESTYL) PROGESTERONE 331 (PREGNANEDIOL) Serum Centrifuge only GOLD SST OHIP CML GOLD SST OHIP CML PLAIN RED OHIP TAT – 1 day PROGRAF Refer to TACROLIMUS (FK–506) (TACROLIMUS) PROLACTIN 332 Serum Centrifuge only TAT – 1 day PRONESTYL Refer to PROCAINAMIDE (PROCAINAMIDE) PROINSULIN 9304 Serum Minimum Volume required: 1 mL HLRC Collect overnight fasting specimen in pre-chilled tube. The electronic copy must be used as the current version. Centrifuge in a refrigerated Centrifuge. Allow blood to fully clot. TAT – 15 days PROLIFERATING CELL NUCLEAR ANTIBODIES 9335 (ANTI – PCNA) Serum GOLD SST UNINSURED HLRC Minimum Volume required: 1 mL Centrifuge.0 21-Jul-2015 This document hardcopy must be used for reference only. separate and freeze serum immediately. separate into transfer tube and freeze immediately.

FREE / TOTAL RATIO) (PSA PERCENT ) SPECIMEN REQUIREMENT VACUTAINER Serum GOLD SST BILL OHIP LOC CML Centrifuge within 2-hours of collection Must be tested within 24-hours after collection.TEST NAME CODE PROSTATE SPECIFIC ANTIGEN. FREE / TOTAL RATIO) (PSA PERCENT ) Serum GOLD SST UNINSURED CML Centrifuge within 2-hours of collection Must be tested within 24-hours after collection. 358 WITH HETEROPHILE BLOCK Serum Centrifuge only GOLD SST (PSA WITH HETEROPHILE BLOCK) Physician may request PSA with heterophile block to confirm positive post-prostatectomy PSA only after consultation with Biochemistry manager. 354 FREE / TOTAL RATIO . TOTAL DISEASE STATE) Patient must meet eligibility criteria for insurable PSA testing TAT – 3 days PROSTATE SPECIFIC ANTIGEN. or freeze for storage and transport. 358 TOTAL– MONITORING Serum Centrifuge only GOLD SST OHIP CML OHIP CML (PSA.0 21-Jul-2015 This document hardcopy must be used for reference only. UNINSURED CML OHIP CML . 9701 TOTAL– SCREENING ONLY Serum Centrifuge only (PSA SCREEN) (PSA TOTAL) TAT – 3 days PROTEIN ANALYSIS BENCE JONES PROTEIN (IMMUNOELECTROPHORESIS HEAVY & LIGHT CHAINS BENCE JONES PROTEIN) 575RU GOLD SST Urine 50 mL random urine Submit in 90 mL white cap container No preservative First morning specimen preferred TAT – 5 days TEST SPECIFICATION GUIDE – SECTION P Page 11 of 15 CML HealthCare Inc Test Specification Guide 18355 Version: 22.MONITORING (PSA. ● Testing Includes Total PSA ● TAT – 3 days PROSTATE SPECIFIC ANTIGEN. or freeze for storage and transport. 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.SCREENING (PSA. The electronic copy must be used as the current version. PROSTATE SPECIFIC ANTIGEN. 9146 FREE / TOTAL RATIO . ● Testing Includes Total PSA ● Patient must meet eligibility criteria for insurable PSA testing TAT – 3 days PROSTATE SPECIFIC ANTIGEN.

Separate plasma immediately.0 21-Jul-2015 This document hardcopy must be used for reference only.CSF) (OLIGOCLONAL BANDING) Serum Minimum Volume required: 1 mL serum. Document the call on the OHIP requisition. FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. and Physician’s name on requisition TAT – 11 days PROTEIN FRACTIONATION (PROTEIN ELECTROPHORESIS) (SPE) 085 Serum Centrifuge only GOLD SST ● Testing Includes Total Protein ● TAT – 2 days TEST SPECIFICATION GUIDE – SECTION P Page 12 of 15 CML HealthCare Inc Test Specification Guide 18355 Version: 22. Include collection date. 5ml CSF RED TUBE UNINSURED AND STERILE CONTAINER HLRC Serum sample MUST accompany CSF. TAT – 15 to 25 days PROTEIN ELECTROPHORESIS. The electronic copy must be used as the current version. OHIP CML . TAT – 5 days PROTEIN C ACTIVITY 9971 (FUNCTIONAL/IMMUNOLOGICAL) Plasma (Citrate) Minimum Volume required: 3 mL LIGHT BLUE UNINSURED HLRC Coumadin should be restricted for 2 weeks prior to the test. Retain a duplicate 50 mL sample in the fridge until test is reported. CSF Refer to PROTEIN FRACTIONATION. collection time. On the specimen and in “Notes and Instructions”. Serum MUST be collected within 24 hrs of CSF collection.TEST NAME CODE PROTEIN ANALYSIS BENCE JONES PROTEIN 575U (BENCE JONES PROTEIN HEAVY & LIGHT CHAINS IMMUNOELECTROPHORESIS) SPECIMEN REQUIREMENT VACUTAINER 24-Hour Urine 10 mL aliquot submitted in white cap conical tube labelled CREATININE and 50 mL aliquot submitted in 90 mL white cap container labelled BENCE JONES No preservative BILL OHIP LOC CML State 24-hours total volume on the OHIP requisition. CSF PROTEIN FRACTIONATION. CSF 9257 (PROTEIN ELECTROPHORESIS . Consult with the patient’s physician before proceeding with the test.

FREE/TOTAL 208FL Fluid – state source Minimum Volume required: 1 mL Submit in plastic transfer tube PLAIN RED OHIP CML GOLD SST OHIP CML OHIP CML OHIP CML TAT – 1 day PROTEIN. Free is low (< 0. TOTAL QUANTITATIVE 208RU Urine CLEAR 6 mL random urine Submit in a clear cap vacutainer labelled “PROTEIN” TAT – 1 day TEST SPECIFICATION GUIDE – SECTION P Page 13 of 15 CML HealthCare Inc Test Specification Guide 18355 Version: 22.62 U/mL). Urine Creatinine ● TAT – 3 days PROTEIN S. 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. ● Testing Includes Total Protein.24 HOUR) (PROTEIN ELECTROPHORESIS) SPECIMEN REQUIREMENT VACUTAINER BILL 24-Hour Urine 10 mL aliquot – submit in a white cap conical tube labelled “CREATININE” and a 50 mL aliquot – submit in a 90 mL white cap container labelled “PEP” No preservative OHIP LOC CML State total 24-hour volume on the OHIP Requisition. TOTAL PROTEIN. TOTAL QUALITATIVE 254– 3 (ALBUMIN. TOTAL – SERUM 208 Serum Centrifuge only TAT – 1 day PROTEIN. TAT – 15 to 25 days PROTEIN S.TEST NAME PROTEIN FRACTIONATION CODE 086 (PEP) (SPE. Retain a duplicate 50 mL sample in the fridge until test is reported. FREE/TOTAL 9479 Plasma Minimum Volume required: 2 mL LIGHT BLUE UNINSURED HLRC FREEZE PLASMA AND SEND FROZEN Note: Total analysis will only be performed if Protein S.0 21-Jul-2015 This document hardcopy must be used for reference only. TOTAL – FLUID Refer to PROTEIN S. QUALITATIVE URINE) Urine 10 mL random urine Submit in a yellow cap conical tube TAT – 2 days PROTEIN. The electronic copy must be used as the current version. . on the specimen container and in “Notes & Instructions”.

no Additives OHIP DYN 24-Hour Urine 2 CLEAR 10 mL aliquot – submit in a clear cap vacutainer labelled “CREATININE” and a 6 mL aliquot – submit in a clear cap vacutainer labelled “ PROTEIN” No preservative State total 24-hour volume on the OHIP Requisition. The electronic copy must be used as the current version. FREE / TOTAL RATIO Refer to PROSTATE SPECIFIC ANTIGEN FREE/TOTAL (PROSTATE SPECIFIC ANTIGEN FREE / TOTAL RATIO) (PSA PERCENT %) (PSA FRACTIONATION) TEST SPECIFICATION GUIDE – SECTION P Page 14 of 15 CML HealthCare Inc Test Specification Guide 18355 Version: 22.TEST NAME PROTEIN. TAT – 18 days PROZAC Refer to FLUOXETINE (FLUOXETINE) PSA. TOTAL 24-HOUR URINE CODE 208U SPECIMEN REQUIREMENT VACUTAINER BILL LOC OHIP CML OHIP HLRC LAVENDER OHIP DYN ROYAL BLUE .0 21-Jul-2015 This document hardcopy must be used for reference only. Testing includes urine creatinine and total volume. TOTAL Refer to PROSTATE SPECIFIC ANTIGEN (PROSTATE SPECIFIC ANTIGEN. on the specimen container and in “Notes & Instructions”. TAT– 30 days PROTHROMBIN TIME Refer to INR (INR) (PRO TIME) (PT) PROTOPORPHYRINS. . TAT – 17 days PROTRIPTYLINE (TRIPTIL) 9433 Serum Minimum Volume required: 3 mL Centrifuge and aliquot into serum tube Collect trough specimen 10 – 12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection. RBC 202 Whole blood Do not centrifuge Protect from light Refrigerate during storage and transport. 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 – 2 days PROTHROMBIN GENE MUTATION 9212 (FACTOR II PROTHROMBIN MUTATION) Blood Collect sample Monday – Wednesday only LAVENDER A form for Molecular Genetic DNA Testing must be completed by the doctor and accompany the specimen. TOTAL– SCREENING ONLY) PSA. Retain a duplicate 50 mL sample in the fridge until test is reported.

TEST NAME CODE SPECIMEN REQUIREMENT VACUTAINER PSEUDOCHOLINESTERASE Refer to CHOLINESTERASE. Transfer plasma into an amber transport tube to protect from light. TAT – 40 days PYRUVATE KINASE (PK SCREEN) 9941 Blood LAVENDER Store and send refrigerated Blood transfusion within the last 3 months will invalidate test results TAT – 25 days TEST SPECIFICATION GUIDE – SECTION P Page 15 of 15 CML HealthCare Inc Test Specification Guide 18355 Version: 22. PHENOTYPE PSITTACOSIS ANTIBODY (Chlamydia– Psittaci) Refer to CHLAMYDIA PSITTACI ANTIBODY PT Refer to INR BILL LOC (INR) (PRO TIME) (PROTHROMBIN TIME) PTH Refer to PARATHYROID HORMONE (PARATHYROID HORMONE) (PARATHYRIN) PTT Refer to PARTIAL THROMBOPLASTIN TIME (PARTIAL THROMBOPLASTIN TIME) PYRIDINIUM PYRIDOXINE Refer to DEOXYPYRIDINOLINE 9379 (PYRIDOXAL PHOASPHATE) (VITAMIN B6) Plasma LAVENDER Minimum Volume required: 2 mL Separate within 1-hour of collection. UNINSURED HLRC FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines.0 21-Jul-2015 This document hardcopy must be used for reference only. OHIP HLRC . The electronic copy must be used as the current version.

Do NOT collect in gel seperater (SST) tube TAT – 12 days QUININE 9468U Urine 25 mL random urine Submit in a 90 mL orange cap container UNINSURED HLRC TAT – 20 days QUINIDINE TEST NO LONGER AVAILABLE (BIQUIN) Q– FEVER ANTIBODY (COXIELLA BURNETTI ANTIBODY) 9027 Do not centrifuge tube PLAIN RED ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days TEST SPECIFICATION GUIDE – SECTION Q Page 1 of 1 CML HealthCare Inc Test Specification Guide 16914 Version: 4. The electronic copy must be used as the current version. Store and ship frozen.0 15-Jun-2015 This document hardcopy must be used for reference only.TEST NAME QUETIAPINE CODE 9569 (SEROQUEL) SPECIMEN REQUIREMENT Serum Minimum Volume required: 1 mL VACUTAINER PLAIN RED BILL LOC UNINSURED HLRC Centrigue and aliquot into transfer tube. Trough specimen required. N/C PHL .

TEST NAME CODE RA VACUTAINER BILL LOC Refer to RHEUMATOID FACTOR (LATEX FIXATION) (RA FACTOR) (RA FIXATION) (RHEUMATOID FACTOR) RABIES VIRUS ANTIBODY SPECIMEN REQUIREMENT 9070 State if post vaccination Do not centrifuge tube PLAIN RED N/C PHL OHIP DYN ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days R. RBC) (RUBEOLA) REDUCING SUBSTANCES 216 Stool 5 g (approx. OHIP HLRC . RBC) (ERYTHROCYTE COUNT. RBC RED BLOOD CELL COUNT Refer to COMPLETE BLOOD COUNT RED MEASLES Refer to MEASLES VIRUS ANTIBODY (RICKETTSIA ANTIBODY) (RMSF) (ROCKY MOUNTAIN SPOTTED FEVER) (TYPHUS MURINE ANTIBODY) (RAPAMYCIN) (SIROLIMUS) (ACETYL CHOLINESTERASE) (MAGNESIUM. The electronic copy must be used as the current version. CCC staff should not use this code.** (ABO & Ab SCREEN) (ABO & SCREEN) (PRENATAL SCREEN) (TYPE & SCREEN) (RENIN DIRECT) 9376 Serum Centrifuge only and aliquot to transfer tube. AKARI Refer to RICKETTSIA ANTIBODY RAPAMUNE Refer to SIROLIMUS RAST Refer to ALLERGEN TESTING RBC CHOLINESTERASE Refer to ACETYL CHOLINESTERASE RBC MAGNESIUM Refer to MAGNESIUM.0 29-Jun-2015 This document hardcopy must be used for reference only. Ship frozen GOLD SST TAT – 24 days TEST SPECIFICATION GUIDE – SECTION R Page 1 of 4 CML HealthCare Inc Test Specification Guide 16915 Version: 10. 1 teaspoon) random stool Freeze stool and send FROZEN TAT – 14 days REDUCING SUBSTANCES TEST NO LONGER AVAILABLE REPEAT PRENATAL ANTIBODIES Refer to ANTIBODY SCREEN RENIN – HOSPITAL ONLY **This test is for hospital clients only.

Collect blood in Lavender (EDTA) tube. RESPIRATORY CULTURE Refer to MYCOPLASMA PNEUMONIAE CULTURE (MYCOPLASMA CULTURE) RETICULIN ANTIBODIES 9942 (ANTI-RETICULIN ANTIBODY) Serum Centrifuge only GOLD SST UNINSURED HLRC LAVENDER OHIP CML GOLD SST OHIP HLRC TAT – 20 days RETICULOCYTE COUNT 398 Blood TAT – 1 day RETINOL 260 (VITAMIN A) Serum Minimum Volume required: 2 mL Avoid hemolysis Protect from light by transferring serum into an amber transport tube Fasting specimen preferred FREEZE SERUM AND SEND FROZEN. The electronic copy must be used as the current version. Centrifuge immediately and transfer an aliquot of o plasma to a labeled tube. Transfer an aliquot of serum to a labelled aliquot tube. o Store and ship frozen at -20 C TAT – 1 week RENIN – SUPINE NOTE: This test is not available for collection or testing at a “CML” branded Customer Care Centre. Mix thoroughly by gentle inversion. Allow blood to clot at room temperature for 30 minutes and separate by centrifugation. Please have patient go to a “LifeLabs” branded Patient Service Centre for collection.0 mL VACUTAINER BILL LOC LAVENDER OHIP LL Collect in the morning before 10:00am Record on requisition Time Upright – the number of hours since the patient arose (to the nearest 0.5hrs) Minimum time before collection in UPRIGHT position (standing. walking or sitting) is 2 hours.TEST NAME RENIN – UPRIGHT CODE 1718 SPECIMEN REQUIREMENT Plasma Minimum Volume Required: 1. UNINSURED LL . cap tightly and FREEZE at -20 C. If patient has been standing or walking. TAT – 15 days REVERSE T3 (RT3) (REVERSE TRIIODOTHYRONINE) (TRIIODOTHYRONINE REVERSE) 9170 Serum PLAIN RED Min Volume Required – 1ml Collect blood in PLAIN RED top tube. have them sit for 5-10 minutes before collection.0 29-Jun-2015 This document hardcopy must be used for reference only. o Store and ship refrigerated at 2-8 C TAT – 17 days TEST SPECIFICATION GUIDE – SECTION R Page 2 of 4 CML HealthCare Inc Test Specification Guide 16915 Version: 10.

TEST NAME CODE RHEUMATOID ARTHRITIS DIAGNOSTIC PANEL RADP SPECIMEN REQUIREMENT VACUTAINER Serum 3 GOLD SST BILL LOC UNINSURED See table below for collection instructions Rh PANEL The following tests will automatically be included ANTI-CCP (9165) JOINT STAT (3971) RHEUMATOID FACTOR (500RA) Panel Handling SERUM – GOLD SST ANTI-CCP (CYCLIC CITRULLINATED PEPTIDE ANTIBODIES) (CCP ANTIBODY) Testing Location HLRC Centrifuge only Collect sample MONDAY – WEDNESDAY only o JOINT STAT Store and ship refrigerated at 2-8 C SERUM – GOLD SST (14-3-3n) (14-3-3eta) Minimum volume 0.5mL CML Collect blood in SST tube Allow to clot at room temperature for 30 minutesand separate by centrifugation immediately.AKARI) (RMSF) (ROCKY MOUNTAIN SPOTTED FEVER) (TYPHUS MURINE ANTIBODY) Public Health Laboratory recommends both acute and convalescent specimens taken two weeks apart Do not centrifuge tube ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 45 days RINGWORM OF SCALP (DERMATOPHYTOSIS) (WOOD LAMPS TEST) Refer to DERMATOPHYTOSIS TEST SPECIFICATION GUIDE – SECTION R Page 3 of 4 CML HealthCare Inc Test Specification Guide 16915 Version: 10. . Aliquot serum to a labeled transfer tube RHEUMATOID FACTOR (LATEX FIXATION) (RA) (RA FACTOR) (RA FIXATION) Store and ship frozen SERUM – GOLD SST CML Centrifuge only TAT – 15 days Rh FACTOR Refer to BLOOD GROUP (ABO & TYPE) (ABO RhD) (BLOOD GROUP & Rh(D)) (BLOOD TYPE) RHEUMATOID FACTOR 500RA (LATEX FIXATION) (RA) (RA FACTOR) (RA FIXATION) RICKETTSIA ANTIBODY Serum Centrifuge only GOLD SST OHIP CML PLAIN RED N/C PHL TAT – 1 day 9044 (R.0 29-Jun-2015 This document hardcopy must be used for reference only. The electronic copy must be used as the current version.

IgM 9077 (ACUTE RUBELLA) (RUBELLA IGM) Collect specimen 1 to 3 weeks after onset of rash PLAIN RED Do not centrifuge tube ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 5 days RUBELLA VIRUS ANTIBODY.0 29-Jun-2015 This document hardcopy must be used for reference only. Freeze serum and send FROZEN Collect just prior to next dose. IgG PRENATAL Serum Centrifuge only TAT – 1 day 679-P Do not centrifuge tube To be sent in conjunction with Prenatal Hepatitis B. The electronic copy must be used as the current version. Serum from gel separator NOTacceptable VACUTAINER PLAIN RED BILL LOC UNINSURED HLRC TAT – 15 days RISTOCETIN CO FACTOR VON WILLEBRAND TEST NO LONGER AVAILABLE RITALIN Refer to METHYLPHENIDATE RIVOTRIL Refer to CLONZAEPAM ROCKY MOUNTAIN SPOTTED FEVER ANTIBODY Refer to RICKETTSIAL ANTIBODY (METHYLPHENIDATE) (CLONAZEPAM) (R. VDRL and Prenatal HIV One tube is required for all the tests ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 10 days RUBEOLA Refer to MEASLES VIRUS ANTIBODY RYTHMOL Refer to PROPAFENONE (RED MEASLES) (PROPAFENONE) TEST SPECIFICATION GUIDE – SECTION R Page 4 of 4 CML HealthCare Inc Test Specification Guide 16915 Version: 10.TEST NAME CODE RISPERIDONE 9738 (RISPERDOL) SPECIMEN REQUIREMENT Serum 2mL Trough specimen.AKARI) (RICKETTSIAL ANTIBODY) (RMSF) (TYPHUS MURINE ANTIBODY) ROHYPNOL 9739 (DATE RAPE) (FLUNITRAZEPAM) Urine 10 mL random urine Submit in a 90 mL orange cap container OHIP HLRC N/C PHL GOLD SST OHIP CML PLAIN RED N/C PHL TAT – 15 days RUBELLA VIRUS ANTIBODY. IgG 679 (RUBELLA ANTIBODY IGG IMMUNE) (RUBELLA IGG) RUBELLA VIRUS ANTIBODY. .

TAT – 14 days ROYAL BLUE . Indicate “Random” Provide collection date. Avoid Mineral spplements for 5 days. Store and ship refrigerated. TAT . UNINSURED HLRC . DO NOT use gel separator collection tubes. Transfer an aliquot of serum to a new labelled ROYAL BLUE top tube (without additive). BILL OHIP LOC HLRC TAT – 15 days SCHILLINGS TEST Refer patient to hospital for testing SCL-70 ANTIBODIES Refer to EXTRACTABLE NUCLEAR ANTIBODIES (SCLERODERMAL ANTIBODY) (ANTI SCL-70) SECOBARBITAL 9434 Serum PLAIN RED Minimum Volume required: 3 mL Collect trough specimen 10 .10 days SELENIUM 9491 Plasma Minimum Volume required: 3 mL Collect blood in contaminant-free Royal Blue Top K2-EDTA Separate plasma within 30 mins Into metal-free polypropylene tube.0 27-Jul-2015 This document hardcopy must be used for reference only. TAT . The electronic copy must be used as the current version.12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection. cap tightly and FREEZE.with K2 EDTA SELENIUM 9944 Urine Random 10 mL random urine Submit in 90 mL orange cap container.14 days UNINSURED HLRC SELENIUM 99999 24 hour urine ACID WASHED CONTAINER 24 hour urine MUST be in an acid washed container Record total volume and transfer 20ml of measured 24 hour urine into a labelled sterile 90ml urine container. TAT . OHIP HLRC TAT – 15 days SEDIMENTATION RATE Refer to ERYTHROCYTE SEDIMENTATION RATE (ESR) (SED RATE) SELENIUM 99999 Serum ROYAL BLUE WITHOUT ADDITIVE UNINSURED LL Allow blood to clot for 30 minutes at room temperature and separate by centrifugation. Store and ship frozen.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.10 days UNINSURED LL TEST SPECIFICATION GUIDE – SECTION S Page 1 of 6 CML HealthCare Inc Test Specification Guide 18396 Version: 10.

TAT – 4 days Results may be delayed due to confirmation by pathologist SEMEN ANALYSIS. . TAT – 4 days Results may be delayed due to confirmation by pathologist SENSITIVE TSH Refer to THYROTROPIN (THYROTROPIN) (TSH) SERAX Refer to OXAZEPAM (OXAZEPAM) SEROTONIN (5– HYDROXYTRYTAMINE) 9716 Serum GOLD SST 2 aliquots of 1 mL – keep aliquots together with elastic UNINSURED HLRC For 48-hours prior to collection. phenacetin. The electronic copy must be used as the current version. coffee.TEST NAME SELENIUM CODE 99999 (SELENIUM – ERYTHROCYTES) SPECIMEN REQUIREMENT VACUTAINER Red Cells ROYAL BLUE Mix thoroughly through gentle inversion . eggplant. patient should abstain from: Avocados. BILL LOC UNINSURED LL Be sure to allow all the blood to drain into the tube. corticotrophins. TAT – 35 days SEROTONIN METABOLITE Refer to 5-HYDROXYINDOL ACETATE (5– HIAA) (HYDROXYINDOLE) (5-HYDROXYINDOLE ACETATE) TEST SPECIFICATION GUIDE – SECTION S Page 2 of 6 CML HealthCare Inc Test Specification Guide 18396 Version: 10. OHIP CML OHIP CML Do not code the Documentation Fee for this test. POST VASECTOMY HP13 (POST VAS) (SEMEN POST VAS) Semen Collection instructions and kits available Do not code the Documentation Fee for this test. Make sure to POUR the remaining RED CELLS into a Labelled polypropylene tube and cap tightly. Patient may call 905-565-0433 to arrange an appointment. Take off the plasma and buffy and a little of the red cells using a Polyethylene transfer pipette and discard this. catecholamines. MAO inhibitors. reserpine.0 27-Jul-2015 This document hardcopy must be used for reference only. bananas. pineapple.K2EDTA Spin specimen for 15 mins. COMPLETE HP12 (FOR FERTILITY) Semen Available only at specific sites by appointment. tomatoes. walnuts. plums. nicotine FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. Mollusks. TAT – 10 days SEMEN ANALYSIS. Store and ship refrigerated. and meds such as aspirin. hickory nuts.

PLASMA SILVER TEST NO LONGER AVAILABLE 99999 24 hour urine ACID WASHED CONTAINER 24 hour urine MUST be in an acid washed container. TAT – 10 days SINEQUAN Refer to DOXEPIN (DOXEPIN) TEST SPECIFICATION GUIDE – SECTION S Page 3 of 6 CML HealthCare Inc Test Specification Guide 18396 Version: 10. UNINSURED LL For industrial exposure. TAT – 10 days SILVER 99999 Urine Min volume: 20ml Store and ship refrigerated. Allow blood to clot at room temperature for 30 minutes and separate by centrifugation. Store and ship refrigerated. TAT – 3 days SGOT Refer to ASPARATE AMINO TRANSAMINASE (AST) (ASPARATE AMINO TRANSAMINASE) SGPT Refer to ALANINE AMINO TRANSAMINASE (ALT) (ALANINE AMINO TRANSAMINASE) SICKLE CELL SCREEN 453 (SICKLE CELL PREP) (SICKLE CELL SOLUBILITY SCREEN) Blood Do not centrifuge LAVENDER OHIP CML TAT – 1 day SILVER. a random urine is recommended.0 27-Jul-2015 This document hardcopy must be used for reference only. UNINSURED LL . The electronic copy must be used as the current version. Creatinine level is determined on all 24 hour urines to assess the completeness of the 24 hour collection. TAT – 25 days SEX HORMONE BINDING GLOBULIN 2019 Serum Minimum Volume required: 1.TEST NAME CODE SERTRALINE 9952 (ZOLOFT) SPECIMEN REQUIREMENT VACUTAINER Serum PLAIN RED Centrifuge Minimum Volume required: 2 mL aliquot Patient should be on the drug 7 days prior to testing Collect trough specimen 10 – 12 hours after last dose BILL OHIP LOC HLRC Record time in hours that have elapsed between last dose and specimen collection.0 mL GOLD SST UNINSURED LL (SHBG) Collect blood in SST tube. o Store and ship refrigerated at 2-8 C.

TAT – 15 days SLE ANTIBODIES Refer to NUCLEAR ANTIBODIES (ANA) (ANF) (ANTI NUCLEAR ANTIBODY) (CENTROMERE ANTIBODY) SMEAR FOR GRAM STAIN Refer to GRAM STAIN SMOOTH MUSCLE ANTIBODIES Refer to MITOCHONDRIAL ANTIBODIES (ANTI-MITOCHONDRIAL ANTIBODIES) (ANTI-SMOOTH MUSCLE ANTIBODY) (ASMA) (MITOCHONDRIAL ANTIBODIES) (SMA) SODIUM. TAT – 2 days SODIUM. URINE 226RU Urine 10 mL random urine Submit in a white cap conical tube TAT – 2 days SOMATOMEDIN C Refer to INSULIN LIKE GROWTH FACTOR 1 (IGF) (INSULIN LIKE GROWTH FACTOR 1) TEST SPECIFICATION GUIDE – SECTION S Page 4 of 6 CML HealthCare Inc Test Specification Guide 18396 Version: 10. 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” . . The electronic copy must be used as the current version.0 27-Jul-2015 This document hardcopy must be used for reference only. Place the specimen and the Hospital Form in a Priority labelled ziplock bag.TEST NAME CODE SIROLIMUS 9161 (RAPAMUNE) (RAPAMYCIN) SPECIMEN REQUIREMENT VACUTAINER Blood – Whole LAVENDER BILL LOC OHIP HLRC OHIP CML OHIP CML OHIP CML Transplant hospital and Transplant physician MUST be provided on the requisition. Retain a duplicate 90 mL sample in the fridge until test is reported.

PH Refer to PH STOOL. Refer to REDUCING SUBSTANCES (REDUCING SUBSTANCES) STREET DRUGS Refer to DRUGS OF ABUSE (DRUGS OF ABUSE) (DRUGS SCREEN) (NARCOTIC SCREEN) (URINE TOXICOLOGY) STREPTOCOCCUS THROAT SCREEN STREPTOLYSIN O ANTIBODY Refer to CULTURE & SENSITIVITY. The electronic copy must be used as the current version.TEST NAME SOMATOTROPIN CODE 317 (HUMAN GROWTH HORMONE) (HGH) SPECIMEN REQUIREMENT VACUTAINER Serum Minimum volume required: 2 mL Separate within 30 minutes BILL LOC GOLD SST OHIP CML GOLD SST OHIP DYN OHIP CML FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines TAT – 10 days SPE Refer to PROTEIN FRACTIONATION (PROTEIN FRACTIONATION) SPERM ANTIBODIES 597 (ANTI-SPERM ANTIBODIES) Serum Centrifuge only Hemolysed samples are NOT acceptable TAT – 12 days SS– A Included in Extractable Nuclear Antibodies Screen (ROSE ANTIBODIES) SS– B Included in Extractable Nuclear Antibodies Screen (LATIMER ANTIBODIES) STONE ANALYSIS Refer to CALCULUS ANALYSIS (CALCULUS ANALYSIS) STOOL.0 27-Jul-2015 This document hardcopy must be used for reference only. . THROAT 659 Serum Centrifuge only GOLD SST (ASOT) TAT – 1 day STREPTOZYME TEST Refer to STREPTOLYSIN O ANTIBODY TEST SPECIFICATION GUIDE – SECTION S Page 5 of 6 CML HealthCare Inc Test Specification Guide 18396 Version: 10.

TEST NAME

CODE

SPECIMEN REQUIREMENT

SUCROSE LYSIS

NO LONGER AVAILABLE

SULFHEMOGLOBIN

NO LONGER AVAILABLE

SULPHONAMIDE

NO LONGER AVAILABLE

VACUTAINER

BILL

LOC

SURGICAL PATHOLOGY
Refer to HISTOPATHOLOGY
_________________________________________________________________________________________________________
SURMONTIL

Refer to TRIMIPRAMINE

(TRIMIPRAMINE)

SYNOVIAL FLUID

Refer to FLUID, TOTAL EXAM

(FLUID, TOTAL EXAM)

SYPHILIS
(VDRL)
(VDRL ROUTINE)
(TPI – TREPONEMAL PALLIDUM
INVESTIGATION)
(FTA – TREPONEMAL ANTIBODIES)

9000

Do not centrifuge tube

PLAIN RED

Syphilis requests can be for Screen, Confirmatory
or Diagnostic purposes
▀ Code S17 on PHL Form
▀ Reactive Syphilis screen test EIA is automatically tested
by confirmatory procedures and RPR
▀ REQUESTING PHYSICIAN MUST PROVIDE
COMPLETED PHL FORM
TAT – 15 days

TEST SPECIFICATION GUIDE – SECTION S
Page 6 of 6
CML HealthCare Inc Test Specification Guide 18396 Version: 10.0 27-Jul-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

N/C

PHL

TEST NAME

CODE

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to LYMPHOCYTE MARKER – T CELLS ONLY

T CELL LYMPHOCYTE
MARKER ONLY
(CD3, CD4, CD8)
(LYMPHOCYTE MARKER- T CELLS ONLY)

T3 RIA

Refer to TRIIODOTHYRONINE, TOTAL

(TOTAL T3)
(TRIIODOTHYRONINE)

T4 TOTAL, THYROXINE
TACROLIMUS

TEST NO LONGER AVAILABLE
9720

(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 8
CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

TEST NAME

CODE

TBG

SPECIMEN REQUIREMENT

VACUTAINER

BILL

LOC

Refer to THYROXINE BINDING GLOBULIN

(THYROXINE BINDING GLOBULIN)

TBII

Refer to THYROID RECEPTOR ANTIBODIES

(LATS)
(LONG ACTING THYROID STIMULATOR)
(THYROTROPIN BINDING INHIBITING
IMMUNOGLOBULIN)
(THYROID RECEPTOR ANTIBODIES)
(TRAB) TSH RECEPTOR ANTIBODY

TEGRETOL

Refer to CARBAMAZEPINE

(CARBAMAZEPINE)

TEST NO LONGER AVAILABLE – Refer to C-TELOPEPTIDE

TELOPEPTIDE - N
TESTOSTERONE,
BIO AVAILABLE

2021

(BIO AVAILABLE TESTOSTERONE)
(BAT)

Serum
Minimum Volume required: 1.5 mL

GOLD SST

UNINSURED LL

GOLD SST

OHIP

LL

GOLD SST

OHIP

CML

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

Store and ship refrigerated at 2-8 C
TAT– 3 days
TESTOSTERONE, FREE

763

(FREE TESTOSTERONE)

Serum
Minimum Volume required: 1.5 mL
Collect blood in SST tube.
Allow blood to clot at room temperature
for 30 minutes and separate by centrifugation
o

Store and ship refrigerated at 2-8 C.
TAT – 3 days
TESTOSTERONE, TOTAL

340

(TESTICULAR ANDROGEN)

Serum
Centrifuge only
State age and sex of patient
TAT – 1 day

TETANUS

SEROLOGY TESTING NO LONGER AVAILABLE

(CLOSTRIDIUM TETANI
ANTIBODY)

THALASSEMIA
(ALPHA THALASSEMIA)
(BETA THALASSEMIA)

9200

Whole Blood- 5 tubes
LAVENDER
N/C
Serum – 1 tube
GOLD SST
Min sample required – 10ml
INCLUDES: CBC, Hemoglobin Electrophoresis and Ferritin
DNA Genetic Testing Form must be completed at 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 8
CML HealthCare Inc Test Specification Guide 17535 Version: 24.0 17-Aug-2015
This document hardcopy must be used for reference only.
The electronic copy must be used as the current version.

HLRC

0 17-Aug-2015 This document hardcopy must be used for reference only.K2EDTA BILL LOC UNINSURED LL TAT – 10 days THALLIUM 99999 Urine Min Volume: 20ml Ensure hands are washed and clothes are free of contamination. Store and ship refrigerated. ROYAL BLUE . TAT – 1 day THIAMINE 9231 (VITAMIN B1) Plasma Minimum Volume required: 2 mL Centrifuge within 1 hour of collection Transfer plasma to amber transport tube LAVENDER UNINSURED HLRC LAVENDER UNINSURED HLRC GOLD SST OHIP FREEZE PLASMA AND SEND FROZEN TAT – 25 days THIOCYANATE THIOPURINE S – METHLTRANSFERASE (TPMT) GENOTYPE TEST NO LONGER AVAILABLE 9311 (TPMT) Whole Blood Must complete form for molecular Hematology testing and submit with Specimen and requisition TAT – 13 days THIORIDAZINE (MELLARIL) 9731 Serum Centrifuge only TAT – 20 days THROMBOCYTE COUNT Refer to COMPLETE BLOOD COUNT (PLATELET COUNT) TEST SPECIFICATION GUIDE – SECTION T Page 3 of 8 CML HealthCare Inc Test Specification Guide 17535 Version: 24. HLRC .TEST NAME THALLIUM CODE 99999 SPECIMEN REQUIREMENT VACUTAINER Whole Blood Mix thoroughly through gentle inversion. UNINSURED LL TAT – 5-10 days THC Refer to CANNABINOIDS SCREEN (CANNABIS) (CANNABINOIDS SCREEN) (MARIJUANA) (TETRAHYDROCANNABINOIDS) THEOPHYLLINE 321 (AMINOPHYLLINE) (UNIPHYL) Serum PLAIN RED Minimum specimen required: 2 mL Collect trough specimen 10 – 12 hours after the last dose OHIP CML Record time in hours that have elapsed between last dose and specimen collection. The electronic copy must be used as the current version. SEND ENTIRE TUBE Store and ship refrigerated.

CML . PARTIAL 99999 (FACTOR V LEIDEN) (FACTOR V VON LEIDEN) (PROTHROMBIN VARIANT) (PROTHROMBIN MUTATION) (PROTHROMBIN 20210A) (MTHFR C677T) Whole blood LAVENDER Mix thoroughly by gentle inversion. TAT – 30 days THROMBOPLASTIN TIME.0 17-Aug-2015 This document hardcopy must be used for reference only. To be received within 5 days Store and ship and room temp. This test includes Prothrombin Variant (mutation) and Factor V Leiden UNINSURED LL TAT – 14-21 days THROMBOSIS GENETIC SCREEN Refer to PARTIAL THROMBOPLASTIN TIME (PTT) THYROGLOBULIN 9494 Serum Centrifuge only GOLD SST OHIP CML Note: Not the same test as Thyroglobulin Antibody (HP16A) TAT – 10 days THYROID RECEPTOR ANTIBODIES 9454 (LATS) Serum Minimum volume required: 2 mL Separate within 1 hour of collection GOLD SST UNINSURED HLRC GOLD SST OHIP (LONG ACTING THYROID STIMULATOR) FREEZE SERUM AND SEND FROZEN (TBII) (THYROPIN BINDING INHIBITOR Requires clinical information: thyroid status.TEST NAME CODE SPECIMEN REQUIREMENT VACUTAINER BILL 9743 Plasma Minimum Volume required: 1 mL LIGHT BLUE OHIP THROMBIN TIME (THROMBIN CLOTTING TIME) (COAGULATION THROMBIN INDUCED) LOC HLRC Must be a clean venipuncture puncture Remove tourniquet when blood starts to flow FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. The electronic copy must be used as the current version. Presence of exophthalmos IMMUNOGLOBULIN) (TRAB) TSH RECEPTOR ANTIBODY TAT – 30 days THYROTROPIN 341 (SENSITIVE TSH) (TSH) Serum Centrifuge only TAT – 1 day 3 MICROTAINERS ARE REQUIRED WHEN COLLECTING FROM AN INFANT THYROTROPIN BINDING INHIBITOR IMMUNOGLOBULIN Refer to THYROID RECEPTOR ANTIBODIES (TBII) (THYROID STIMULATING ANTIBODY) (LATS) (LONG ACTING THYROID STIMULATOR) TRAB) TSH RECEPTOR ANTIBODY TEST SPECIFICATION GUIDE – SECTION T Page 4 of 8 CML HealthCare Inc Test Specification Guide 17535 Version: 24.

TEST NAME CODE THYROXINE BINDING GLOBULIN SPECIMEN REQUIREMENT 342 VACUTAINER Serum Centrifuge only Submit Monday to Wednesday only (TBG) BILL LOC GOLD SST OHIP HLRC GOLD SST OHIP CML GOLD SST UNINSURED HLRC GOLD SST UNINSURED LL TAT – 25 days THYROXINE. TOTAL (T4) TEST NO LONGER AVAILABLE TIBC Refer to IRON (IRON) (IRON BINDING CAPACITY) (IRON SATURATION) (TIBC) (UIBC) (TOTAL IRON BINDING CAPACITY) (TRANSFERRIN SATURATION) TISSUE TRANSGULTAMINASE 9744 IgA ANTIBODY . injection Record time in hours that have elapsed between doses. Refer to General Information Page for Specimen Processing & Transport Guidelines.0mL Collect blood in SST tube. Allow blood to clot at room temperature for 30 minutes and separate by centrifugation.HOSPITALS ONLY Serum Centrifuge only TAT – 20 days TISSUE TRANSGULTAMINASE 1727 IgA ANTIBODY Serum (TISSUE TRANSGLUTAMINASE) (TRANSGLUTAMINATE IGA) (TTIGA) Minimum volume required 1. GOLD SST FREEZE SERUM AND SEND FROZEN. UNINSURED HLRC . The electronic copy must be used as the current version. FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. FREE 339 Serum Centrifuge only (FREE T4) TAT – 1 day 3 MICROTAINERS ARE REQUIRED WHEN COLLECTING FROM AN INFANT THYROXINE. 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.M.0 17-Aug-2015 This document hardcopy must be used for reference only. TAT – 30 days TEST SPECIFICATION GUIDE – SECTION T Page 5 of 8 CML HealthCare Inc Test Specification Guide 17535 Version: 24. o Store and ship at 2-8 C TAT – 4 days TOBRAMYCIN   PEAK 304TP TROUGH 304TT Serum Minimum Volume required: 1 mL PLAIN RED OHIP HLRC Collection of trough (pre) and peak (post)doses must be collected Collect blood prior to and I-hour following I.

cap tightly. .TEST NAME CODE TOFRANIL SPECIMEN REQUIREMENT VACUTAINER BILL LOC Refer to IMIPRAMINE (IMIPRAMINE) TOPIRAMATE 9745 (TOPOMAX) Serum Minimum Volume required: 1 mL PLAIN RED OHIP HLRC PLAIN RED N/C PHL N/C PHL OHIP LL FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. The electronic copy must be used as the current version. Allow blood to clot at room temperature for 30 minutes and separate by centrifugation AS SOON AS POSSIBLE.5 mL GOLD SST Collect blood in SST tube.0 17-Aug-2015 This document hardcopy must be used for reference only. TAT – 3 days TRANSFERRIN SATURATION Refer to IRON (IRON) (IRON BINDING CAPACITY) (IRON SATURATION) (TIBC) (UIBC) (TOTAL IRON BINDING CAPACITY) TEST SPECIFICATION GUIDE – SECTION T Page 6 of 8 CML HealthCare Inc Test Specification Guide 17535 Version: 24. TOTAL (T3 RIA) (TRIIODOTHYRONINE) TOXOPLASMA GONDII ANTIBODY 9025 Do not centrifuge tube PLAIN RED ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days TPO AB Refer to ANTI-THYROID PEROXIDASE (ANTI–THYROID PEROXIDASE) TRANSCOBALAMIN TRANSFERRIN TEST NO LONGER AVAILABLE 461 Serum Minimum Volume required: 0. Rubella. o Store and ship refrigerated at 2-8 C. 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. TAT – 20 days TORCH STUDIES 9061 Do not centrifuge tube ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM ● Testing Includes Toxoplasmosis. Transfer an aliquot of serum to a labelled tube.

Clomipramine. Doxepin. Protriptyline. GENITAL (TRICH) (WET PREPARATION) TRICYCLIC & TETRACYCLIC ANTIDEPRESSANTS See SPECIFIC DRUG SPECIMEN REQUIREMENTS Specify – Amitriptyline. Nortriptyline. Trimipramine TAT – Variable TRIGLYCERIDES 243 Serum Centrifuge only Either fasting or random samples are acceptable for testing GOLD SST OHIP CML Ask patient “When did you last have something to eat or drink other than water?” Document number of hours on the requisition. TOTAL (T3 RIA) (TOTAL T3) See REVERSE T3 336 Serum Centrifuge only TAT – 1 day TEST SPECIFICATION GUIDE – SECTION T Page 7 of 8 CML HealthCare Inc Test Specification Guide 17535 Version: 24.TREPONEMAL ANTIBODIES) (SYPHILIS) TREPONEMA PALLIDUM IMMOBILIZATION Refer to SYPHILIS (TPI) (SYPHILIS) TRIAZOLAM (HALCION) TRICHINELLA ANTIBODY TEST NO LONGER AVAILABLE 9055 Do not centrifuge tube PLAIN RED N/C PHL (TRICHINOSIS IMMOBILIZATION ANTIBODY) ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM (TIA) TAT – 5 days TRICHOMONAS VAGINALIS Refer to CULTURE & SENSITIVITY. Drop-offs/hubbing – Document “Drop-Off” instead of number of hours. Maprotiline. . Desipramine. Imipramine. The electronic copy must be used as the current version. TAT – 1 day TRIIODOTHYRONINE.0 17-Aug-2015 This document hardcopy must be used for reference only. FREE 607 (FREE T3) Serum Centrifuge only GOLD SST OHIP CML GOLD SST OHIP CML TAT – 1 day TRIIODOTHYRONINE REVERSE TRIIODOTHYRONINE.TEST NAME CODE SPECIMEN REQUIREMENT VACUTAINER TRANSGLUTAMINASE IgA TISSUE (TTG) Refer to TISSUE TRANSGLUTAMINASE IgA ANTIBODY TRAZODONE TEST NO LONGER AVAILABLE BILL LOC (DESYREL) TREPONEMAL ANTIBODIES Refer to SYPHILIS (FLUORESCENT ABSORPTION TEST) (FTA.

OHIP DYN Refrigerate during storage and transport. (Possible Heart Attack Patient) TRYPSIN TRYPTASE TEST NO LONGER AVAILABLE 9949 Serum GOLD SST UNINSURED HLRC Minimum Volume required: 2 mL Collect 15 minutes to 3 hours post allergic reaction Separate into 2 x 1ml aliquots and freeze as soon as possible Elasticize aliquots together and send frozen to Pre-Analytical Dept. FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines.TEST NAME CODE TRIIODOTHYRONINE.0 17-Aug-2015 This document hardcopy must be used for reference only. 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.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. The electronic copy must be used as the current version. SENSITIVE Refer to THYROTROPIN (SENSITIVE TSH) (THYROTROPIN) TSH. TAT – 14 days TRIPLE MARKER TEST Refer to MATERNAL SCREEN (DOWNS SYNDROME SCREEN) (IPS.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. Send Patient To Hospital. . TAT – 25 days TSH.AKARI) (RICKETTSIA ANTIBODY) (RMSP) (ROCKY MOUNTAIN SPOTTED FEVER) TYROSINE Refer to PHENYLALANINE TEST SPECIFICATION GUIDE – SECTION T Page 8 of 8 CML HealthCare Inc Test Specification Guide 17535 Version: 24. UPTAKE SPECIMEN REQUIREMENT VACUTAINER BILL LOC TEST NO LONGER AVAILABLE (T3 UPTAKE) TRIMIPRAMINE 079T (SURMONTIL) Plasma GREEN Minimum Volume required: 2 mL .

The electronic copy must be used as the current version. Retain a duplicate 50 mL sample in the fridge until test is reported. TAT – 15 days UREAPLASMA Refer to MYCOPLASMA ISOLATION URIC ACID Refer to URATE (MYCOPLASMA ISOLATION) (URATE) URIC ACID. Testing includes urine creatinine and total volume. on the specimen container and in “Notes & Instructions” . on the specimen container and in “Notes & Instructions” . TAT – 2 days UREA 251 (BLOOD UREA NITROGEN) (BUN) UREA Serum Centrifuge only GOLD SST TAT – 1 day 251U (BUN) 24-Hour Urine 50 mL aliquot – submit in a white cap 90 mL container No preservative State total 24-hour volume on the OHIP Requisition. . Retain a duplicate 50 mL sample in the fridge until test is reported. URINE (URATE RANDOM URINE) 252RU Urine 10 mL random urine Submit in a white cap conical tube TAT – 2 days TEST SPECIFICATION GUIDE – SECTION U Page 1 of 2 CML HealthCare Inc Test Specification Guide 18085 Version: 5.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.0 27-Jul-2015 This document hardcopy must be used for reference only.

Best practice is to add preservative as soon as possible. Clearly label the tube “preservative added”.TEST NAME URINALYSIS. o Specimens should be stored and shipped refrigerated at 2-8 C FIRST MORNING SPECIMEN IS PREFERRED Note: chemical urinalysis can be performed on the same Specimen submitted for urinalysis microscopic. o Specimens should be stored and shipped refrigerated at 2-8 C FIRST MORNING SPECIMEN IS PREFERRED Test includes: Appearance. pH. It cannot be added after 24hrs post collection. OHIP CML . QUANTITATIVE (COPROPORPHYRINS) (PORPHYRINS) TEST SPECIFICATION GUIDE – SECTION U Page 2 of 2 CML HealthCare Inc Test Specification Guide 18085 Version: 5. TAT – 1 day UROBILINOGEN Stool . Note: if adding preservative it must be added within 24hrs of collection.0 27-Jul-2015 This document hardcopy must be used for reference only. If testing will be delayed more than 24 hours post collection IMMEDIATELY add one 50 mg Cargille tablet to 10 mL of urine in the conical tube. Glucose. Note: if adding preservative it must be added within 24hrs of collection. If testing will be delayed more than 24 hours post collection IMMEDIATELY add one 50 mg Cargille tablet to 10 mL of urine in the conical tube. It cannot be added after 24hrs post collection. The electronic copy must be used as the current version. Colour.NO LONGER AVAILABLE UROPORPHYRIN Refer to PORPHYRINS. Store and ship at room temperature for up to 72 hours. MICROSCOPIC 299 (URINALYSIS MICRO) Urine Collect urine in a sterile 90mL urine container Transfer 10-12mL of urine into a urinalysis conical tube OHIP CML If testing is delayed more than two hours post collection. Protein. Blood. TAT – 1 day URINE TOXICOLOGY Refer to DRUGS OF ABUSE SCREEN (DRUGS OF ABUSE) (DRUG SCREEN) (NARCOTIC SCREEN) (STREET DRUGS) UROBILINOGEN 292 Urine 10 mL random urine Protect from light by transferring urine into an amber transport tube. Store and ship refrigerated at 2-8 °C. TAT – 1 day URINALYSIS. Leukocyte Esterase and Specific Gravity Store and ship refrigerated at 2-8 °C. Best practice is to add preservative as soon as possible. Keytone. Clearly label the tube “preservative added”. Store and ship at room temperature for up to 72 hours. Nitrite. CHEMICAL CODE 281 (URINALYSIS ROUTINE) SPECIMEN REQUIREMENT VACUTAINER Urine Collect urine in a sterile 90mL urine container Transfer 10-12mL of urine into a urinalysis conical tube BILL OHIP LOC CML If testing is delayed more than two hours post collection.

TAT – 1 day Refer to DIAZEPAM VALIUM (DIAZEPAM) VANADIUM – NMS LABS 99999 Urine ACID WASHED CONTAINER UNINSURED LL Min volume: 10ml Patient must avoid gadolinium-based contrast media used for MRI’s for 48 hours prior to collection. or 15 minutes following a 60 minute IV infusion. TAT – 5 to 10 days TEST SPECIFICATION GUIDE – SECTION V Page 1 of 5 CML HealthCare Inc Test Specification Guide 18211 Version: 5.TEST NAME CODE VALPROATE 257 (DEPAKENE) (DIVALPROEX) (EPIVAL) (VALPROIC ACID) SPECIMEN REQUIREMENT VACUTAINER Serum PLAIN RED Minimum Volume required: 1 mL Collect trough specimen 10 – 12 hours after last dose BILL LOC OHIP CML Record time in hours that have elapsed between last dose and specimen collection. .0 30-May-2014 This document hardcopy must be used for reference only. TAT – 1-2 weeks VANCOMYCIN. FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. The electronic copy must be used as the current version. or 30 minutes following a 30 minute IV administration. Collect urine in 90ml sterile container and transfer WITHOUT DELAY into a labelled NMS Labs 60ml ACID WASHED container Store and ship refrigerated. FREEZE SERUM AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines. PEAK 9105 Serum PLAIN RED Minimum Volume required: 1 mL Indicate peak specimen (post) Collect the peak specimen one hour following an IM injection. 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. OHIP HLRC OHIP HLRC State the time the IM or IV was administered and the time the specimen was drawn. TAT – 5 to 10 days VANCOMYCIN.

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. fruits. Spin IMMEDIATELY and transfer plasma aliquot to labelled tube Store and ship FROZEN UNINSURED LL TAT – 2-3 weeks VASOPRESSIN (ADH) (ANTIDIURETIC HORMONE) 9903 Plasma Collect in pre-chilled tube Minimum volume required: 3 mL LAVENDER FREEZE PLASMA AND SEND FROZEN TAT – 45 – 60 days VDRL Refer to SYPHILIS (SYPHILIS) (VDRL ROUTINE) TEST SPECIFICATION GUIDE – SECTION V Page 2 of 5 CML HealthCare Inc Test Specification Guide 18211 Version: 5. cola. and in “Notes & Instructions”. (CHICKEN POX) (HERPES ZOSTER) (VARICELLA ANTIBODY) (ZOSTER ANTIBODY) (SHINGLES) ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days VACCINIA VIRUS ANTIBODY 9051 Do not centrifuge tube ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days VASOACTIVE INTESTINAL PEPTIDE 99999 (VIP) Plasma – 2 tubes LAVENDER Collect 2 Lavender top tubes. chocolate & vanilla 48 hours before and during collection. TAT – 14 days VARICELLA ZOSTER VIRUS ANTIBODY 9062 Do not centrifuge tube PLAIN RED N/C PHL PLAIN RED N/C PHL Public Health Laboratory recommends both acute and convalescent specimens taken two weeks apart. Mix thoroughly by gentle inversion. CML Abstain from coffee. tea. pH will be adjusted in Biochemistry Dept. UNINSURED HLRC . State total 24-hour volume on the OHIP Requisition. Testing includes urine creatinine and total volume.0 30-May-2014 This document hardcopy must be used for reference only. The electronic copy must be used as the current version. on the specimen container. Retain a duplicate 50 mL sample in the fridge until test is reported. Note: Report may be delayed for confirmation of abnormal results.

TEST NAME VERY LOW DENSITY LIPOPROTEIN CODE 9747 (VLDL) (ULTRACENTRIFUGATION HDL/LDL) SPECIMEN REQUIREMENT VACUTAINER Serum 3 GOLD SST Minimum Volume required: 7 mL Must be centrifuged within 6 hours of collection Alliquote serum into an empty red top vacutainer BILL LOC OHIP SMH N/C PHL N/C PHL N/C PHL (CHOLESTEROL IN VLDL) ● Testing Includes Cholesterol. this must be recorded on the Form. The electronic copy must be used as the current version. Triglycerides. Public Health Laboratory recommends both acute and convalescent specimens taken two weeks apart. 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.0 30-May-2014 This document hardcopy must be used for reference only. 1 teaspoon) random stool DO NOT USE CARY– BLAIR MEDIA Submit in VIRUS– TM media kit ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 10 days VIRAL STUDIES (VIRUS ISOLATION) 637C Swab – State source Submit in VIRUS– SW media kit ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 25 days TEST SPECIFICATION GUIDE – SECTION V Page 3 of 5 CML HealthCare Inc Test Specification Guide 18211 Version: 5. ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days VIRAL STUDIES 9049 Stool 5 g. (Approx. .

25– DIHYDROXY VITAMIN D) (CALCITRIOL) Refer to CALCIDIOL (UNINSURED) VITAMIN D (UNINSURED) (25– HYDROXYVITAMIN D) (CALCIDIOL) Refer to CALCIDIOL (INSURED) VITAMIN D (INSURED) (25– HYDROXYVITAMIN D) (CALCIDIOL) Refer to TOCOPHEROL VITAMIN E (TOCOPHEROL) Refer to VERY LOW DENSITY LIPOPROTEIN VLDL (VERY LOW DENSITY LIPOPROTEIN) (ULTRACENTRIFUGATION HDL/LDL) Refer to VANILLYMANDELATE VMA (VANILLYMANDELIC ACID) VON WILLEBRAND FACTOR ACTIVITY 9983 Plasma Minimum Volume required: 2ml 1 LIGHT BLUE FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines TAT – 10 Days TEST SPECIFICATION GUIDE – SECTION V Page 4 of 5 CML HealthCare Inc Test Specification Guide 18211 Version: 5.0 30-May-2014 This document hardcopy must be used for reference only. Tuesday. UNINSURED HLRC . The electronic copy must be used as the current version. RELATIVE CODE 9746 QUANTITATIVE SPECIMEN REQUIREMENT VACUTAINER BILL LAVENDER OHIP Whole blood 4 mL LOC HLRC Do NOT centrifuge Store and transport at room temperature Submit Monday.TEST NAME VISCOSITY. Wednesday ONLY TAT – 15 days Refer to RETINOL VITAMIN A (RETINOL) Refer to THIAMINE VITAMIN B1 (THIAMINE) VITAMIN B6 Refer to PYRIDOXINE VITAMIN B12 Refer to COBALAMINS VITAMIN C Refer to ASCORBATE (PYRIDOXAL PHOSPHATE) (PYRIDOXINE) (B12) (COBALAMINS) (ASCORBIC ACID) (ASCORBATE) Refer to CALCITRIOL VITAMIN D (1.

0 30-May-2014 This document hardcopy must be used for reference only. Label all samples. UNINSURED LL . Store and ship refrigerated.TEST NAME VON WILLEBRAND FACTOR ANTIGEN CODE 9982 SPECIMEN REQUIREMENT VACUTAINER Plasma Minimum Volume required: 2ml 1 LIGHT BLUE BILL LOC UNINSURED HLRC FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines TAT – 17 Days NO LONGER AVAILBLE VON WILLEBRAND FACTOR COFACTOR VON WILLEBRAND FACTOR MULTIMERS VON WILLEBRAND FACTOR SCREEN (INCLUDES MULTIMERS) Refer to VON WILLEBRAND FACTOR SCREEN 9980 Plasma 2 LIGHT BLUE Minimum Volume required: 4 aliquots of 1ml Keep together with elastic band. UNINSURED HLRC FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines Screening includes the following or the tests may be ordered separately: 9950 9982 9983 Von Willebrand Factor VIII-C Von Willebrand Factor Antigen Von Willebrand Activity Von Willebrand Multimers – Not offered as individual test UNINSURED UNINSURED UNINSURED TAT – 20 days VON WILLEBRAND FACTOR VIII-C 9950 Plasma Minimum Volume required: 2ml 1 LIGHT BLUE UNINSURED HLRC FREEZE PLASMA AND SEND FROZEN Refer to the General Information Page for Specimen Processing & Transport Guidelines TAT – 10 Days VINYL CHLORIDE 99999 Urine Collect specimen at the end of the workshift Collect random urine in a sterile urine container and cap tightly. TAT – 1-2 weeks TEST SPECIFICATION GUIDE – SECTION V Page 5 of 5 CML HealthCare Inc Test Specification Guide 18211 Version: 5. The electronic copy must be used as the current version.

0 30-May-2014 This document hardcopy must be used for reference only. GENITAL WET PREPARATION (TRICH) (TRICHOMONAS VAGINALIS) Refer to COMPLETE BLOOD COUNT WHITE BLOOD CELL COUNT (LEUKOCYTE COUNT) (WBC) WHOOPING COUGH SEROLOGY NO LONGER AVAILABLE (BORDETELLA PERTUSSIS ANTIBODY) WHOOPING COUGH Refer to BORDETELLA PERTUSSIS WOOD LAMPS TEST Refer to DERMATOPHYTOSIS (DERMATOPHYTOSIS) (RINGWORM OF SCALP) WORM IDENTIFICATION 9090 Stool Submit whole specimen without contamination from other fluids ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days TEST SPECIFICATION GUIDE – SECTION W Page 1 of 2 CML HealthCare Inc. The electronic copy must be used as the current version.with Heparin UNINSURED HLRC PLAIN RED N/C PHL N/C PHL TAT – 15 days Refer to COMPLETE BLOOD COUNT WBC (LEUKOCYTE COUNT) (WHITE BLOOD CELL COUNT) WEIL'S DISEASE Refer to LEPTOSPIRA ANTIBODY (LEPTOSPIRA ANTIBODY) (LEPTOSPIROSIS ANTIBODIES) WEST NILE VIRUS SEROLOGY 9911 Do not centrifuge tube State the patient’s clinical history on the PHL form and indicate acute or convalescent specimen ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 20 days Refer to CULTURE & SENSITIVITY. .TEST NAME WARFARIN CODE SPECIMEN REQUIREMENT 9201 Plasma Minimum Volume required: 3 mL (COUMADIN) VACUTAINER BILL LOC GREEN . Test Specification Guide 16918 Version: 2.

The electronic copy must be used as the current version.TEST NAME WORM IDENTIFICATION CODE 9091 SPECIMEN REQUIREMENT VACUTAINER Worm Submit whole worm without contamination from other fluids ▀ REQUESTING PHYSICIAN MUST PROVIDE COMPLETED PHL FORM TAT – 15 days TEST SPECIFICATION GUIDE – SECTION W Page 2 of 2 CML HealthCare Inc. Test Specification Guide 16918 Version: 2. BILL N/C LOC PHL .0 30-May-2014 This document hardcopy must be used for reference only.

UNINSURED LL .0 24-Nov-2014 This document hardcopy must be used for reference only. TAT – 14 days XYLENE EXPOSURE 99999 Urine (METHYLHIPPURIC ACID) For industrial exposure at the end of the workshift. Collect blood 1 hour after consumption of drink 265P Child Test: 12 years and younger Children 9-12 years old must fast overnight (at least 8 hours) Children younger than 9 years must fast 4-hours before test Must Drink 5g Xylose dissolved in 50 mL of water followed by another 250 mL of water Collect blood 1 hour after consumption of drink.TEST NAME CODE XYLOSE ABSORPTION SPECIMEN REQUIREMENT Blood VACUTAINER GRAY BILL LOC OHIP DYN (XYLOSE TOLERANCE) Code 265 Test Adult Test: Greater than 18 years of age Must fast 8-hours before test Drink 25g Xylose dissolved in 250 mL of water followed by another 250 mL of water Collect blood 2-hours after consumption of drink Enter height and weight in ‘Notes & Instructions’. Collect random urine in labelled container and cap tightly. 265T Child Test: 12-18 years Must fast 8-hours before test Administer 25 g Xylose dissolved in 250 mL water followed by another 250 mL water. TAT 1-2 days TEST SPECIFICATION GUIDE – SECTION X Page 1 of 1 CML HealthCare Inc Test Specification Guide 14728 Version: 3. The electronic copy must be used as the current version. Store and ship refrigerated.

1 7/24/2008 This document hardcopy must be used for reference only. LOC PHL .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. The electronic copy must be used as the current version.

0 18-Feb-2015 This document hardcopy must be used for reference only. TAT – 12 days ZINC PROTOPORPHYRIN 9143 Whole Blood Do not centrifuge ROYAL BLUE K2EDTA Collect Monday to Thursday only TAT – 15 days ZOLOFT Refer to SERTRALINE (SERTRALINE) ZYPREXA Refer to OLANZAPINE (OLANZAPINE) TEST SPECIFICATION GUIDE – SECTION Z Page 1 of 1 CML HealthCare Inc Test Specification Guide 17955 Version: 3.TEST NAME CODE ZARONTIN SPECIMEN REQUIREMENT VACUTAINER BILL LOC ROYAL BLUE . The electronic copy must be used as the current version.no additive OHIP HLRC OHIP DYN Refer to ETHOSUXIMIDE (ETHOSUXIMIDE) ZINC 266 Serum Minimum Volume required: 2 mL Centrifuge Aliquot into an empty plastic transfer tube Refrigerate during storage and transport. State total 24-hour volume on the OHIP Requisition on the specimen container and in “Notes & Instructions”. TAT – 15 days ZINC 266U 24-Hour Urine 50 mL aliquot – submit in a 90 mL white cap container Refrigerate during storage and transport. UNINSURED HLRC .