|
TEST |
CODE |
SPECIMEN REQUIREMENT |
VACUTAINER |
BILLING |
LOC |
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FACIOSCAPULOHUMERAL MUSCULAR DYSTROPHY (FSHMD) See MOLECULAR GENETICS (III) |
RCHEO |
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FACTOR ASSAY (COAGULATION FACTOR) |
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TEST NO LONGER AVAILABLE |
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FACTOR II ASSAY (FACTOR ll ACTIVITY) |
RCML |
Plasma, 2 mL Partially fill a discard tube first. Collect a Light Blue top tube. Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells). Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube). Immediately freeze aliqout. Store and transport frozen. TAT—2-3 days |
LIGHT BLUE |
OHIP |
LL |
|
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FACTOR II MUTATION (PROTHROMBIN MUTATION) |
RCHEO |
Whole blood, 3-10 mL Store and transport at room temperature Samples cannot be >5 days old A form for Molecular Genetic DNA Testing must be completed by the doctor and accompany the specimen TAT– 8-10 weeks |
LAVENDER |
OHIP |
CHEO |
|
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FACTOR V ASSAY (FACTOR V ACTIVITY) |
RCML |
Plasma, 2 mL Partially fill a discard tube first. Collect a Light Blue top tube. Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells). Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube). Immediately freeze aliqout. Store and transport frozen. TAT— 2-3 days |
LIGHT BLUE |
OHIP |
LL |
|
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FACTOR V LEIDEN MUTATION (FVL) (INCLUDES APCR) See THROMBOSIS GENETIC SCREEN |
RCML |
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FACTOR VII ASSAY (FACTOR VII ACTIVITY) |
RCML |
Plasma, 2 mL Partially fill a discard tube first. Collect a Light Blue top tube. Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells). Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube). Immediately freeze aliqout. Store and transport frozen. TAT— 2-3 days |
LIGHT BLUE |
OHIP |
LL |
|
|
FACTOR VIII (FACTOR VIII ACTIVITY) (HEMOPHILIA A) |
RCML |
Plasma, 2 mL Partially fill a discard tube first. Collect a Light Blue top tube. Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells). Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube). Immediately freeze aliqout. Store and transport frozen TAT – 2-3 days |
LIGHT BLUE |
OHIP |
LL |
|
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FACTOR VIII INHIBITOR (FACTOR INHIBITOR (HUMAN)) (BETHESDA UNITS) (BETHESDA INHIBITOR) |
RCML |
Plasma, 2 mL Record type of factor inhibitor suspected. Also record if patient has a known inhibitor (such as lupus-like inhibitor)
Partially fill a discard tube first. Collect 2 Light Blue top tube. Immediately centrifuge. Aliquot plasma from both tubes into one pour off tube (do not aliquot any buffy coat layer or red blood cells). Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube). Immediately freeze aliqout. Store and transport frozen.
TAT—13 days |
2 LIGHT BLUE |
$110.00 |
LL |
|
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FACTOR IX ASSAY (FACTOR 9) (FACTOR IX ACTIVITY) (HEMOPHILIA B)
|
RCML |
Plasma, 2 mL Partially fill a discard tube first. Collect a Light Blue top tube. Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells). Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube). Immediately freeze aliqout. Store and transport frozen. TAT— 2-3 days |
LIGHT BLUE |
OHIP |
LL |
|
|
FACTOR X ASSAY (FACTOR X ACTIVITY) |
RCML |
Plasma, 2 mL Partially fill a discard tube first. Collect a Light Blue top tube. Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells). Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube) Immediately freeze aliqout. Store and transport frozen. TAT— 2-3 days |
LIGHT BLUE |
OHIP |
LL |
|
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FACTOR XI ASSAY (FACTOR XI ACTIVITY) |
RCML |
Plasma, 2 mL Partially fill a discard tube first. Collect a Light Blue top tube. Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells). Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube) Immediately freeze aliqout. Store and transport frozen. TAT— 2-3 days |
LIGHT BLUE |
OHIP |
LL |
|
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FACTOR XII ASSAY (FACTOR XII ACTIVITY) |
RCML |
Plasma, 2 mL Partially fill a discard tube first. Collect a Light Blue top tube. Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells) Immediately centrifuge this plasma. Aliquot the platelet poor plasma into another pour-off tube (do not transfer any cells at the bottom of the tube) Immediately freeze aliqout. Store and transport frozen. TAT— 2-3 days |
LIGHT BLUE | OHIP | LL | |
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FARMERS LUNG (ALLERGIC LUNG) See ALLERGIC ALVEOLITIS |
RCML |
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FAT AND MEAT FIBRES MICROSCOPIC EXAMINATION |
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TEST NO LONGER AVAILABLE |
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FAT GLOBULES (FAT SCREEN) (FECAL FAT SCREEN) |
RCML |
Stool, 1g sample Submit in a sterile container TAT – 7 days |
|
OHIP |
LL |
|
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FATTY ACID, FREE |
RCML |
Serum,1 mL Must fast a minimum of 12 hours Centrifuge and separate Store and transport frozen TAT – 30 days |
YELLOW SST |
OHIP |
LL |
|
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FATTY ACID, LONG CHAIN |
FALC |
Serum, 2 mL Centrifuge and separate Store and transport frozen Note: not the same as Fatty acid, free TAT – 30 days |
YELLOW SST |
$65.00 |
LL |
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FEBRILE AGGLUTININS |
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TEST NO LONGER AVAILABLE |
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FERRITIN |
FERR |
Serum Centrifuge only TAT – 1 day |
YELLOW SST |
OHIP |
BTL |
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FERROUS SULPHATE |
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TEST NO LONGER AVAILABLE |
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FETAL HEMOGLOBIN (HEMOGLOBIN F, Hgb F) (Foetal Hgb) See HEMOGLOBIN ELECTROPHORESIS |
HBEL |
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FETAL KELL See MOLECULAR GENETICS (IV) |
RCHEO |
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FETAL PLATELET ANTIGEN (PLA) See MOLECULAR GENETICS (IV) |
RCHEO |
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FETAL RhD See MOLECULAR GENETICS (IV) |
RCHEO |
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FIBRIN DEGRADATION PRODUCTS See D.DIMER |
DDIM |
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FIBRINOGEN, QUANTITATIVE |
FIBRI |
Plasma, 2 mL Partially fill a discard tube first. Collect a Light Blue top tube. Immediately centrifuge. Aliquot plasma (do not aliquot any buffy coat layer or red blood cells). Immediately centrifuge this plasma. Aliquot the platelet poor plasma into a 12x75mm opaque polypropylene pour-off tube (do not transfer any cells at the bottom of the tube) Immediately. *Collection tube and Aliquot tube must be shipped at room temperature to testing site. TAT – 1 day |
LIGHT BLUE |
OHIP |
LL |
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FIFTH DISEASE (PARVO VIRUS) (PARVO VIRUS B19) See ERYTHEMA INFECTIOSUM |
PARVO |
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FIRST or SECOND TRIMESTER SCREENING (INTEGRATED PRENATAL SCREENING) (IPS) (PAPP-A) (FTS) |
IPS1 IPS2
RCML for FTS |
Serum—2 mL Centrifuge and separate. Store and transport refrigerated. DO NOT FREEZE Label all tubes with minimum 2 patient identifiers
A multiple marker screening requisition form for MSS and IPS must be completed by the physician and indicated whether the test is first or second trimester 1ST sample 11-13 weeks gestation 2nd sample 15-18 weeks gestation
Pre-package sample(s) with completed Molecular Genetics/Prenatal Screening Form from Mount Sinai Hospital (MSH) and a copy of the OHIP requistion.
Sample sent to LifeLabs and forwarded from there to Mount Sinai for testing.
For IPS #1 ***Covered for Ontario patients ONLY, all others must pay $150.00*** ***WE CANNOT ACCEPT CASH*** For IPS #2 No charge if IPS #1 paid
TAT – 3 days after 2nd sample |
YELLOW SST |
OHIP |
LL (MSH) |
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FISH (FLUORESCENT IN-SITU HYBRIDIZATION) See CYTOGENETICS TESTING |
RCML |
Specify probes |
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FK-506 (PROGRAF) (TACROLIMUS) |
RCML |
Whole Blood Collect sample prior to next dose (Trough) Collect specimen Monday to Thursday only Send a copy of the OHIP requisition with the following information: type of transplant, name of Transplant centre/hospital, date & time of last dose, and date & time of collection (print “non-transplant” if indicated.) Store and ship refrigerated. TAT– variable |
LAVENDER |
OHIP |
LL |
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FLUID, TOTAL EXAM (JOINT FLUID) (SYNOVIAL FLUID) |
SYNF
ASP
OTHER
RCML |
State source – synovial, knee fluid, aspirate, etc.
a) Crystals & Cells – transfer to a LAVENDER tube b) Culture – transfer to an orange or white cap container c) Chemistry – transfer to a plain RED tube code test according to serum codes (tests are usually protein, uric acid, glucose)
Results may be delayed due to confirmation by Pathologist
TAT – 4 days |
|
OHIP |
LL
LL
BTL
LL |
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FLUORESCENT ABSORPTION TEST (FTA- TREPONEMAL ANTIBODIES) (TREPONEMAL ANTIBODIES) (SYPHILLIS) See VDRL, CONFIRMATION |
FTA |
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FLUORIDE |
FLUOR |
Serum, 2 mL Centrifuge and separate Store and ship refrigerated. *Plasma--LavenderEDTA--is also acceptable for testing TAT – 21 days |
YELLOW SST |
OHIP |
LL |
|
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FLUORIDE |
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URINE TEST NO LONGER AVAILABLE |
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FLUOXETINE (PROZAC) |
PROZ |
Plasma, 2 mL Collect sample 10 –12 hours after last dose Record time in hours that have elapsed between last dose and specimen collection TAT – 20 days |
GREEN with Heparin |
OHIP |
LL |
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FLURAZEPAM (DALMANE) |
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TEST NO LONGER AVAILABLE |
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FLUVOXAMINE (LUVOX) |
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TEST NO LONGER AVAILABLE |
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FOLATE, RBC
IF A QUEBEC INSURED PATIENT THEN USE THIS CODE |
RBCFI (insured)
RBCFU (uninsured)
RMFT
|
Blood Note: If CBC is NOT ordered, an additional lavender tube is required (2 tubes total) Must specify RBC/red cell folate on requisition, otherwise Serum Folate will be tested. Send-out instructions: Indicate hematocrit (hct) value on manifest. If no hct value, send 2 LAV tubes to reference lab for testing.
For Quebec Insured patients - Freeze 2mL of whole blood and store and sent to Montfort frozen. If hematocrit is unavailable, also submit 1mL refrigerated whole blood. TAT– 2 days |
1 LAVENDER (2 LAVENDER if CBC not ordered) |
OHIP
$35.00
OHI[ |
LL
MFT |
|
| FOLATE, SERUM |
FOLI (insured)
FOLU (uninsured) |
Serum Centrifuge only Store and ship refrigerated *Serum Folate will be tested if nothing specified on the requisition (Eg. RBC, red cell) |
YELLOW SST |
OHIP
$20.00 |
LL | |
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FOLLITROPIN (FOLLICLE STIMULATING HORMONE) (FSH) |
FSH |
Serum Centrifuge only TAT – 1 day |
YELLOW SST |
OHIP |
LL |
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FORMIC ACID (FORMATE) (FORMALDEHYDE METABOLITE) |
RCML |
Plasma Centrifuge and separate Store and ship refrigerated TAT – 2-3 weeks |
GREEN with Heparin |
$125.00 |
LL |
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FRAGILE X See MOLECULAR GENETICS (I) |
RCHEO |
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FREE CALCIUM (Ca ²+, Ca++) See CALCIUM, IONIZED |
RCML |
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FREE HEMOGLOBIN (PLASMA HEMOGLOBIN) See METHEMALBUMIN SCREEN |
RCML |
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FREE KAPPA/LAMBDA RATIO (SERUM FREE LIGHT CHAINS) |
RCML |
Serum Centrifuge and separate Store and transport frozen TAT – 8 days |
PLAIN RED |
$50.00 |
LL |
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FREE T3 (TRIIODOTHYRONINE, FREE) |
FT3 |
Serum Centrifuge only TAT – 1 day |
YELLOW SST |
OHIP |
LL |
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FREE T4 (THYROXINE, FREE) |
FT4 |
Serum Centrifuge only TAT – 1 day |
YELLOW SST |
OHIP |
LL |
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FREE TESTOSTERONE |
FTES |
Serum Centrifuge only State age and sex of patient TAT – 4 days |
YELLOW SST |
OHIP |
LL |
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FREE THYROXINE INDEX (FTI) |
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TEST NO LONGER AVAILABLE |
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FREE / TOTAL PSA (PSA FREE AND TOTAL RATIO) |
FPSAU |
Serum Centrifuge only If sample cannot be transported within 24 hours of collection, store and transport serum frozen
TAT – 3 days |
YELLOW SST |
$50.00 |
LL |
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FRISIUM See CLOBAZAM |
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FRUCTOSAMINE (GLYCATED ALBUMIN) |
FRUCT |
Serum, 1 mL Centrifuge only Store annd ship refrigerated. TAT – 3 days |
YELLOW SST |
$35.00 |
LL |
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FRUCTOSE |
FRUC |
Semen, 1 mL Freeze semen within 30 minutes of collection, and transport frozen. TAT – 20 days |
|
OHIP |
LL |
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FSH (FOLLICLE STIMULATING HORMONE) (FOLLITRIOPIN) See FOLLITROPIN |
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FTA (FTA- TREPONEMAL ANTIBODIES) See VDRL, CONFIRMATION |
FTA |
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FUNGAL CULTURE, BLOOD |
MYCO |
Blood, 6-10 mL Samples should be collected at the time of febrile episodes Store and transport at room temperature. TAT—28 days |
GREEN with Heparin |
N/C |
PHL |
|
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FUNGAL CULTURE, FLUID |
MYCO |
Body fluids or secretions, pus from lesions, abscess aspirates Submit 2 mL of specimen in an orange or white cap container Store and transport refrigerated, within 24 hours of collection TAT—28 days |
|
N/C |
PHL |
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FUNGAL CULTURE, RESPIRATORY |
MYCO |
Sputum Submit specimen in an orange or white cap container Store and transport refrigerated, within 24 hours of collection TAT – 28 days |
|
N/C |
PHL |
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FUNGAL CULTURE, SUPERFICIAL |
MYCO |
Skin Scrapings, Nails, Hairs State Source Submit specimen in heavy black paper placed in a plastic transport container Store and transport at room temperature, up to 24-48 hours after collection TAT – 10 to 30 days |
|
OHIP |
LL |
|
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FUNGAL CULTURE, Subcutaneous infections/ Tissues |
MYCO |
Tissues Submit specimen in an orange or white cap container Store and transport at room temperature, within 24 hours of collection TAT—28 days |
|
N/C |
PHL |
|
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FUNGAL SEROLOGY (Histoplasma capsulatum) (Blastomyces dermatitidis) (Coccidioides immitis) (Aspergillus) |
RPHL |
Serum, 1 mL Centrifuge only Store and transport at room temperature An acute serum (early after the onset of symptoms) and a convalescent (collected 2-3 weeks later) may be required for laboratory diagnosis. Haemolysed, icteric, lipemic or microbially contaminated samples are not recommended for testing. ● Testing includes identification of: H. capsulatum, B. dermatitidis, C. immitis and Aspergillus species |
YELLOW SST |
N/C |
PHL |
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FVL (INCLUDES APCR) See THROMBOSIS GENETIC SCREEN |
RCML |
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