act pathology test list

ACT Pathology Test list

Welcome to the ACT Pathology test list.

The tests are grouped within departments, alphabetically.

Press the Search button-magnify icon in top left-hand corner or enter Ctrl +F. Enter the name of the test. If your search is unsuccessful, reduce the number of characters in the search string or try a different synonym (keyword) for the test.

If you cannot find the test you are looking for in the test list, please contact our Customer Services Team for assistance. The team is available from 9am to 5pm, Monday to Friday:

• Phone +61 0262443367 • Email: [email protected]

The Tube Guide below is a list of the Vacutainer collection tubes used for tests and the order of draw in which they should be collected to avoid contamination.

Tube Guide including recommended order of draw

Order of Draw

Volume Anticoagulant/ Tube content Lid colour Abbreviated name of tube

Instructions

1st 2.7 ml Sodium citrate Blue citrate Tube must be filled to line. Mix samples gently

2nd 9 ml ACD Yellow ACD Mix sample gently

3rd 5.0 ml /8.5 ml No anticoagulant/gel separator Gold Serum

4th 9.0 ml Lithium Heparin Dark green LiHep non gel Mix samples gently

4.5 ml Lithium heparin/ gel separator Light green LiHep Mix samples gently

5th 4.0 ml EDTA Pink EDTA Mix sample gently 8-10 times

6th 10 ml EDTA Purple 10ml EDTA Mix sample gently 8-10 times

7th 6 ml Fluoride Heparin Royal Blue Trace element Mix sample gently

8th 2 ml Sodium Fluoride Grey Fluoride for Glucose , lactate

Test List

Abbreviations: RT=Room temperature; Paed = paediatric; PB=Peripheral blood; BM=Bone Marrow; BC=Blood culture; TB=Tuberculosis

Test name Keywords Sample required Transport conditions

Additional details Department Performed at

Acid Base Blood Gas Blood Gas Urgent Part of blood gas panel. Can collect Arterial or Venous. See Blood Gas for details.

Routine Chem

ACT Pathology

Alanine Aminotransferase

Alanine Transaminase; ALT LiHep/Serum RT Available 24/7. Part of several profiles (eg LFT, CICP etc)

Routine Chem

ACT Pathology

Albumin Alb LiHep/Serum RT is included in several profiles (LFT, RUP, NICP, CICP, Calcium)

Routine Chem

ACT Pathology

Alkaline Phosphatase

ALP, SAP, Alk Phos LiHep/Serum RT is included in several profiles (LFT, RUP, NICP, CICP)

Routine Chem

ACT Pathology

Amikacin AMK LiHep/Serum RT Routine Chem

ACT Pathology - TCH only

Ammonia NH3 LiHep Only, On Ice special conditions apply-separate and freeze within 15 mins

Note: Haemolysed samples UNSUITABLE (Ha > 0.5). Notify TCH ext 42809 or Calvary 62016706 when sending as must be separated within 15 minutes of collection to avoid erroneous results. Send by RTS (TCH) or on ice. Cannot be done from serum.

Routine Chem


Amphetamines Random Urine RT Part of urine drug screen Routine Chem

ACT Pathology

Anion Gap AG LiHep/Serum RT A calculated parameter from EUC. Anion Gap = Na + K - (Cl + HCO3)

Routine Chem

ACT Pathology

Aspartate Aminotransferase

AST, SGOT LiHep/Serum RT Not part of routine LFT, must be requested separately.

Routine Chem


Aspirin Salicylate; Aspirin; Aspro; Acetylsalicylic Acid; Salicylic Acid; Disprin

LiHep/Serum RT Another name for Salicylate. See Salicylate for details.

Routine Chem

ACT Pathology

Autopsy Fluids (Chemistry)

Vitreous Fluid (Chemistry) Various RT as requested, Routine Chem

ACT Pathology

Bicarbonate Bicarbonate; HCO3; Bicarb; Total CO2; TCO2; Carbon Dioxide

LiHep/Serum/Blood Gas RT See CO2 for details Routine Chem

ACT Pathology

Bilirubin Bilirubin - Total; Total Bilirubin; BiliT; SBR; Unconjugated Bilirubin; Neonatal Bilirubin

LiHep/Serum RT Bilirubin is light sensitive so neonatal specimens requesting SBR must be protected from light.

Routine Chem


Bilirubin (Urinary) Bilirubin (random urine); Random Urine RT Must be protected from light.

Routine Chem

ACT Pathology

Blood Alcohol Level

Alcohol; Ethanol; BAL LiHep/Serum RT Routine Chem

ACT Pathology

Blood Gas BG Heparin Syringe RT, Urgent TREAT AS URGENT - send to lab as quickly as possible. If only for ionised Calcium, a venous gas is suitable.

Routine Chem

ACT Pathology

Blood Oximetry BG, COOX Heparin Syringe RT, Urgent Minimum sample 0.5ml blood in heparinised syringe. Includes - Carboxyhaemoglobin, Methaemoglobin, Oxyhaemoglobin, Reduced Haemoglobin. Draw before commencing Oxygen therapy

Routine Chem

ACT Pathology

C Reactive Protein- Ultrasensitive

High Sensitivity C-Reactive Protein; hsCRP; High Sensitivity CRP; Micro CRP; Ultra Low CRP

LiHep/Serum RT Routine Chem

ACT Pathology

Calcium Calcium Panel; Ca; Calcium Studies; corrected calcium; CA studies; Ca++; Ca2+;

LiHep /Serum RT Prolonged stasis during venepuncture, and haemolysis, will give false high values. Albumin is

Routine Chem


automatically measured in conjunction with calcium to provide a corrected calcium value.

Calcium (Urine - spot)

Calcium (random urine); Ca; Ca+; Ca++; Ca2+; Urine Calcium; Urinary Calcium; Urine Ca; Urinary Ca; Urine Ca+; Urinary Ca+; Urine Ca2+; Urinary Ca2+; Ca Urine

Random urine RT Routine Chem


Calcium (Urine - timed)

Calcium (timed urine); Ca; Ca+; Ca++; Ca2+; Urine Calcium; Urinary Calcium; Urine Ca; Urinary Ca; Urine Ca+; Urinary Ca+; Urine Ca2+; Urinary Ca2+; Ca Urine

24 Hr urine (plain bottle)

RT Routine Chem

ACT Pathology

Calcium Ionized Ionized Calcium Heparin Syringe RT, Urgent Ionized calcium is measured on blood gas samples. See Blood gas for collection details. Can be collected in a paediatric lithium heparin tube, this must be FULL (minimal air space). Whole blood must be delivered directly into the lab.

Routine Chem

ACT Pathology

Cannabinoids THC, Cannabis Random Urine RT Part of urine drug screen Routine Chem

ACT Pathology

Carbamazepine Tegretol LiHep/Serum RT Routine Chem

ACT Pathology

Carbon Dioxide CO2 LiHep/Serum RT Routine Chem

ACT Pathology

Carboxy Haemoglobin

COHB LiHep Syringe RT Performed as part of a blood gas analysis. See blood gas for collection details

Routine Chem

ACT Pathology

Cardiac Enzymes Cardiac Troponin I; TnI; cTnI; c Troponin I; Troponin; CE


ACT Pathology

Chloride Cl; Plasma Chloride LiHep/Serum RT Routine Chem

ACT Pathology

Chloride (Urine) Chloride (random urine); Urine Cl; Urinary Cl; Urine Chloride; Urinary Chloride

Random urine RT Routine Chem


Cholesterol Cholesterol and Triglycerides; HDL-Cholesterol; Cholesterol; Triglycerides; Chol; Trigs; Fats; Lipids; HDL; LDL (calculated); TC

LiHep/Serum RT Included in Lipids. A non-fasting sample is recommended.

Routine Chem

Act Pathology

Cholinesterase Cholinesterase-serum; Pseudocholinesterase, false cholinesterase; Plasma Cholinesterase

LiHep RT Lithium heparin plasma preferred (serum ok)

Routine Chem

ACT Pathology

CMP Calcium/Magnesium/Phosphate; CPM


Act Pathology

Cocaine Random Urine RT Part of urine drug screen Routine Chem

ACT Pathology

Conjugated/ Unconjugated Bilirubin

Direct/Indirect Bilirubin LiHep/Serum RT Can be performed on either adult specimens or as a neonatal bilirubin. Specimen should be protected from light until analysed.

Routine Chem

ACT Pathology

Creatine Kinase Creatine Phosphokinase; CPK; CK; Muscle Enzymes


ACT Pathology

Creatinine Creat; CRE LiHep/Serum RT Part of EUC Routine Chem


Creatinine (Urine) Urinary Creatinine; Cre; CRETU; Urine Creatinine; Urine Creat; Urinary Creat; Urine Cre; Urinary Cre;

Random Or 24HrUrine (plain bottle)

RT Available on spot or 24hr urines. 24hr urines should be collected in a plain bottle. Also run as part of UAC and UPC tests.

Routine Chem


Creatinine Clearance

Creatinine Clearance (timed urine; overnight collection); Creat Cl

24hr timed urine (plain bottle) & Heparin/Serum

RT The urine collection must be accurately timed with starting and stopping times clearly indicated. A serum creatinine must be collected within the urinary collection 24 hours.

Routine Chem

ACT Pathology

CSF Lactate Lactic Acid- CSF Fluoride only RT Require 100ul for testing. MUST be collected into a fluoride tube.

Routine Chem

ACT Pathology

Digoxin Lanoxin; Sigmaxin; Dig; Digitalin; Digitalis

LiHep/Serum RT Specimens should be collected at least 6 hours after oral dose.

Routine Chem

ACT Pathology

Drug Screen (Serum)

Serum Drug screen LiHep/Serum RT If serum drug screen is requested only paracetamol will be done. Drug screen for unknown drugs MUST be urine. If other drug tests on serum are required, they must be specifically requested.

Routine Chem

ACT Pathology

Drug Screen (Urine)

Urine Drug Screen Random Urine RT Cannot do court ordered/legal testing - not accredited. For ACTGAL turnaround time of approx. 2-3 weeks.

Routine Chem

ACT Pathology

Epilim Valproate; Sodium Valproate; Valpro; Valproic Acid

LiHep/Serum RT For routine monitoring, collect just before next dose. For suspected toxicity, collect at least 6hrs after previous dose.

Routine Chem

ACT Pathology

Estimated Glomerular Filtration Rate

eGFR LiHep/Serum RT This is a calculated parameter. All requests (for patients >18yo) which include creatinine will automatically include eGFR.

Routine Chem

ACT Pathology

EUC Urea and Electrolytes; U&E; El and U; Kidney Function Test; Renal Function Test; UEC


ACT Pathology

False Cholinesterase

LiHep RT See Cholinesterase. Routine Chem

ACT Pathology

Free Calcium Calcium Ionized; Free Calcium; CALI; Ionized Calcium; ICa; Ionised CA; Ion ca

Blood gas/LiHep (Paed only)

RT, urgent Run on blood gas samples. See Blood Gas for collection details.

Routine Chem

ACT Pathology

Gamma Glutamyl Transferase

GGT LiHep/Serum RT Also included in LFT test set. Routine Chem

ACT Pathology

General Chemistry LiHep/Serum RT Routine Chem

ACT Pathology

Gentamicin Garamycin; GENT LiHep/Serum RT Collection - Should be 6-8hrs post dose

Routine Chem

ACT Pathology

Globulins LiHep/Serum RT Routine Chem

ACT Pathology

Glucose Glu; Glucose; BSL; Blood Sugar Level; Dextrose; D-Glucose

LiHep/Serum/Fluoride RT Can be performed on blood, body fluid, CSF or urine (in micro as part of U panel). Body fluid samples must be tested within 2 hours of collection. Cannot be added on to samples >24 hours old.

Routine Chem

ACT Pathology

Glucose (Urine) Urine Glucose, Glucose Urine, Urinary Glucose

Random Urine RT Performed in micro (Dipstick)

Routine Chem

ACT Pathology

GTT Glucose Tolerance Test; Oral Glucose Tolerance Test; oGTT; Diabetes Test; Gestational Diabetes Test; GDM Test

Fluoride x 3 at hourly intervals

RT Must be booked in for collection. Run when received. Fluoride samples to be collected at 0, 60, 120 minutes.

Routine Chem

ACT Pathology

High Density Lipoprotein

HDL; HDL-Cholesterol LiHep/Serum RT Routine Chem

ACT Pathology

Intensive Care Profile

ICP LiHep/Serum RT ICP includes NA, K, CL, Co2, urea, Crea, glucose.

Routine Chem

Act Pathology

Intensive Care Profile

CICP LiHep/Serum RT For TCH ICU only. Test included are Na, K, Cl, CO2. Agp, Glu, Tbil, ALT, ALKP, GGT, Alb, Ca, PO4, Mg, Osmo, Urea, Crea.

Routine Chem

ACT Pathology

Lactate Fluoride RT Must be received within 4 hrs of collection

Routine Chem

ACT Pathology

Lactate CSF Fluoride only RT Require 100ul for testing. MUST be collected into a fluoride tube.

Routine Chem

ACT Pathology

LDH Lactate Dehydrogenase; LD LiHep/Serum RT Not included in LFT. Cannot be added on if the sample is more than 72 hours old.

Routine Chem

ACT Pathology

Lipase Pancreatic Lipase; Pancreatic enzymes


ACT Pathology

Lipids Cholesterol and Triglycerides; HDL-Cholesterol; Cholesterol; Triglycerides; Chol; Trigs; Fats; Lipids; HDL; LDL (calculated); TC


ACT Pathology

Lithium Li Serum Only RT Must be a serum sample Routine Chem

ACT Pathology

Liver Function Test LFT LiHep/Serum RT Routine Chem

ACT Pathology

Low Density Lipoprotein

LDL LiHep/Serum RT Routine Chem

ACT Pathology

Magnesium Mg; Serum Magnesium Heparin/Serum RT Routine Chem

ACT Pathology

Magnesium (Urine) Magnesium (random urine); Magnesium (timed urine); Timed Mg;

Random or 24hr Urine (Plain)

RT Routine Chem

Act Pathology

Methaemoglobin Met Hb Blood gas RT Performed as part of a blood gas analysis. See blood gas for collection details

Routine Chem

ACT Pathology

Methotrexate Non-Gel Heparin/Serum RT Routine Chem

ACT Pathology

Multiple Biochemical Analysis

LiHep/Serum RT Cannot be requested for hospital patients.

Routine Chem

ACT Pathology

Neonatal Liver Function Test

LiHep/Serum RT Only for infants <4weeks old. Includes ALT, ALKP, GGT, Alb and SBR (conj/unconj)

Routine Chem

ACT Pathology

Osmolality blood osmolality; faecal osmolality

LiHep/Serum/Faeces RT Can be done from urine, faeces, serum or lithium heparin plasma.

Routine Chem

Act Pathology @ TCH only

Osmolality (Urine) Urine Osmolality Random urine RT Routine Chem

ACT Pathology

Paracetamol Para; Acetaminophen; ACTM; Panadol; Panadeine; Tylenol

LiHep/Serum RT Should be collected 4 hours post dose (tablets) or 2 hours post dose (linctus) if possible. It is useful for the estimated time of ingestion to be provided on the request form)

Routine Chem

ACT Pathology

PET Peritoneal Equilibrium Test Various RT PET stands for Peritoneal Equilibrium Test. Specimens are usually several large bags of dialysate fluid, 24hr urine, and serum tubes.

Routine Chem

ACT Pathology

pH Body Fluid Body Fluid RT Must be tested with 30mins of collection. Should be separate specimen if possible.

Routine Chem

ACT Pathology

Ph Urine Collection Urine RT Please contact lab on x42809 to advise of collection. Sample must be in lab within 30 minutes of collection. Only performed at TCH. If M/C/S requested, it is preferable to have a 2nd urine collection for this test. For investigation of Renal tubular acidosis.

Routine Chem

ACT Pathology

Phenobarbitone Level

LiHep/Serum RT Daily Routine Chem

ACT Pathology

Phenytoin Dilantin LiHep/Serum RT Sample Time: Should be collected immediately pre dose or at least 6 hours post dose. Can be collected at any time.

Routine Chem

Act Pathology

Phosphate PO4 LiHep/Serum RT Routine Chem

ACT Pathology

Phosphate (Urine) Urine Phosphate Random or 24hr Urine (Plain)

RT Routine Chem

ACT Pathology

Potassium K+ LiHep/Serum RT Routine Chem

ACT Pathology

Potassium (urine) Urine electrolytes, Urine Potassium


RT Routine Chem

ACT Pathology

Proteins-blood Protein; Total Protein; Prot; Protein Studies; TP; Globulins; Albumin


ACT Pathology

Renal Unit Profile RUP LiHep/Serum RT Should only be requested on patients from renal outpatients or renal ward.

Routine Chem

ACT Pathology

Serum Ascites Albumin Gradient

SAAG Body Fluid & Heparin/Serum

RT Requires an ascitic fluid sample and ideally a paired serum/heparin.

Routine Chem

ACT Pathology

Sodium Na LiHep/Serum RT Routine Chem

Act Pathology

Sodium (urine) Urine electrolytes, Urine Sodium Random or 24hr Urine (Plain)

RT Routine Chem

ACT Pathology

Specific Gravity Urine RT Routine Chem

ACT Pathology

Sweat Test Sweat Chloride; Sweat Sodium; Sweat Electrolyte; Cystic Fibrosis Testing;

Sweat RT Test performed Mon-Fri 7.30am - 3.30pm in the outpatient’s department. Patient must make appointment by phoning 62442816. Test takes one hour to perform. Babies should be over 2 weeks (corrected age). Test should not be performed on inpatients. Relevant factsheet should be read before having test.

Routine Chem

ACT Pathology

Theophylline Nuelin; Aminophylline; Elixophyllin; Quibron; Theodur; 1,3-Dimethylxanthine


ACT Pathology

Tobramycin Tobramycin - Post Dose; Nebcin - Post Dose; Tobrex - Post Dose;Tobramycin - Pre Dose ;

LiHep/Serum RT Provide dosing time details Routine Chem

ACT Pathology

Nebcin - Pre Dose; Tobrex - Pre Dose; Tobramycin trough level; Random

Transferrin LiHep/Serum RT Part of Iron Studies Routine Chem

ACT Pathology

Triglyceride Trig LiHep/Serum RT Non fasting specimen recommended.

Routine Chem

ACT Pathology

Troponin Cardiac Troponin I; TnI; cTnI; c Troponin I; Cardiac Enzymes; CE; CKMB


ACT Pathology

Uec And Lft EUC and LFT LiHep/Serum RT Routine Chem

ACT Pathology

Urea Urea and Electrolytes; U&E; El and U; Kidney Function Test; Renal Function Test; EUC; UEC; BUN


ACT Pathology

Urea (Urine) urea -timed urine, urea-random urine


RT Routine Chem

ACT Pathology

Urea Reduction Rate

URR LiHep/Serum RT Routine Chem

ACT Pathology

Uric Acid urate; UA LiHep/Serum RT Routine Chem

ACT Pathology

Uric Acid (Urine) Urinary Uric acid Random or 24hr Urine(Plain)

RT Routine Chem

ACT Pathology

Vancomycin LiHep/Serum RT Routine Chem

ACT Pathology

Vitreous Fluid (Chemistry)

Autopsy fluid Fluid RT See Autopsy fluid for details. Routine Chem

ACT Pathology

Water Deprivation Test

LiHep/Serum/Urine RT Routine Chem

ACT Pathology

Xanthochromia CSF RT Protect from light immediately. Must be received in the lab within 1 hour. Paired serum/heparin preferred but not required, if received enter TBIL and TP)

Routine Chem

ACT Pathology

Albumin (urine) Albumin (random urine); Albumin/Creatinine Ratio;

Random Urine RT Routine Chem

ACT Pathology

Microalbumin; ACR; AER; Alb/Cr; Albumin Clearance; Albuminuria Screen; UAC

Albumin Excretion Rate

Albumin (timed urine); Albumin/Creatinine Ratio; Microalbumin; ACR; AER; Alb/Cr; Albuminuria Screen; Albumin Clearance; Albumin Excretion Rate; ALBTU

Timed Urine - Minimum 8-hour collection

RT Factsheet available. Routine Chem

ACT Pathology

Protein - Urine Protein (random urine); PCR; Pr/Cr; P/Cr; Prot/CrProtein Excretion; Protein Studies; Protein Creatinine Ratio; Urine Protein; urinary protein; urine PCR; Urinary PCR; Urine Protein Creat Ratio; Urinary protein creat ratio

24 Hour Urine- nil preservative/Random

RT Routine Chem

Act Pathology

5HIAA

Serotonin (timed urine); 5-HT;

5-OH Tryptamine; 5-OHT; 5-

Hydroxytryptamine;

Enteramine; 5-

Hydroxyindoleacetate; 5-HIAA;

5-Hydroxyindole Acetic Acid;

24Hr Urine in acid

preservative bottle,

special diet. RT

Weekly. Certain foods should

be avoided in the 24 hrs

prior to the collection and

during the collection - there

is an ACT Pathology Fact

Sheet giving details.

Special

Chem

ACT

Pathology

Calprotectin Calprotectin (faeces); Faecal

Calprotectin Faeces 4℃

Weekly. Please advise

patient to return faecal

specimen on day of

collection. If this is not

possible the sample may be

stored at 2-4C for 48 hrs.

Special

Chem

ACT

Pathology

Cortisol (urine)

Cortisol -24 hr urine; UFC;

Urinary Free Cortisol; Free

Cortisol

Urine 24 Hour (plain

bottle) RT

Special

Chem

ACT

Pathology

Cortisol/Creatinine

Ratio Cortisol spot urine Spot Urine RT

Special

Chem

ACT

Pathology

Dopamine see Catecholamine

24Hr Urine in acid


special diet. RT See catecholamines

Special

Chem

Faecal Occult

Blood

Faecal Haemoglobin; Occult

Blood (faeces); Haemoccult;

FOB; FOBT; Occult

Haemoglobin; Faeces 4℃

As required. Prefer three

specimens collected on

consecutive days. Should be

stored in fridge if unable to

bring straight in. Diet

factsheet available

Special

Chem

ACT

Pathology

Hydroxymethoxy

Mandelic Acid HMMA

24Hr Urine in acid


special diet. RT

Special

Chem

ACT

Pathology

Urinary Neuro-

Blastoma Screen

Catecholamines, 5HIAA, VMA

(HMMA), HVA

Spot Urine, for children

less than 7 years old.

Sample

must be

sent to lab

within 2

hours of

collection

for

acidification

(pH < 3)

Weekly. Specimen must be

handled within 2 hours - give

to lab staff. Only performed

on children generally <7

years old.

Special

Chem

ACT

Pathology

Noradrenaline see Catecholamine

24Hr Urine in acid



Special

Chem

ACT

Pathology

Porphobilinogen

(Urine) PBG

Fresh early morning

urine specimen,

protected from light. RT

As required. Requires fresh

early morning urine

specimen, protected from

light. Min spec 5ml. Please

do not request microbiology

or other tests on same

specimen. 24hr specimen

not suitable. If collected

outside of normal

Special

Chem

ACT

Pathology

hours/weekends, protect

from light and freeze

sample.

Reducing

Substances

Lactose intolerance,

Gallactosemia Faeces/Urine

freeze

within

30mins of

collection

Test can be done from fresh

random urine or faeces.

Needs to be sent to lab

urgently on ice. Sample

needs to be frozen within

1/2hr of collection. Patient

can freeze sample at home

and bring frozen sample to

outpatient centre.

Special

Chem

ACT

Pathology

Renal Stone

renal calculi, renal stone,

ureteric stone

Renal, ureteric, Bladder

and Parotid gland stone RT

Testing as required. Clean

dry stone required.

Special

Chem

ACT

Pathology

Urobilinogen see Porphobilinogen

Fresh early morning

urine specimen,

protected from light.

Protect

from light

As required. Requires fresh

early morning specimen,

protected from light. See

porphobilinogen for further

details.

Special

Chem

ACT

Pathology

Catecholamines Adrenaline, Noradrenaline,

Dopamine, UNBS

24Hr Urine in acid


special diet. RT

Weekly. 3x 24 hr collections

advised if index of suspicion

high. Drug history must be

supplied. For children where

a 24hr collection is too

difficult see Neuroblastoma

screen.

Special

Chem

ACT

Pathology

HbA1C

Haemoglobin A1C; A1C;

Glycohaemoglobin; Glycated

Haemoglobin; Glycosylated Hb 4ml EDTA Blood RT

Assay performed daily on

weekends. Specimens must

be in the lab by the

preceding afternoon. For

add-ons, specimen must not

be older than 7 days.

Special

Chem

ACT

Pathology

Urine Acidification

Test

Furosemide Test, Acid base

Titration

On site, 5 urine

collections at 1-hour

intervals for 4 hours RT

As required. Available Mon-

Fri only. Patient MUST make

an appointment for this test.

Liaise with clinical chemistry

prior to booking patient in.

Patient must be informed

that test will start at 0800

and finish at 1200, and they

will need to have the

frusemide/fludrocortisone

tablets with them.

Special

Chem

ACT

Pathology

Adrenaline Catecholamines

24Hr Urine in acid



Special

Chem

ACT

Pathology

Clozapine /

Norclozapine Clozapine; Closyn; Clozaril;

Norclozapine

non gel serum (red top)

/non gel heparin (dark

green) ONLY RT

Put time of last dosage taken

and time blood taken on

request form. Ideal time for

blood collection is 12hrs post

dose.

Special

Chem

ACT

Pathology

Metanephrines

(urine)

Metadrenaline (timed urine);

Metanephrine;

Normetadrenaline;

Normetanephrine;

Catecholamine Metabolites;

Mets;

24Hr Urine in acid


special diet. Spot urine

for children RT

Batched weekly. Adult 24hr

urine collected in acid bottle.

Children - spot urine 5ml

min. Lab staff to acidify

within 1hr (pH<3)

Special

Chem

ACT

Pathology

Adreno Cortico Tropic Hormone

ACTH EDTA Frozen Performed Mon, Wed, Fri. Minimum collection for baby 0.5ml, otherwise collect 4ml EDTA. This cannot be a shared specimen. Transport to lab on ice, separate and freeze within 20 minutes of collection.

Endocrinology ACT Pathology

Alpha Feto Protein

Alpha Fetoprotein - Tumour Marker; AFP; A-Fetoprotein - Tumour Marker

Serum/LiHep/ Body or pleural fluids (not amniotic)

RT Daily Endocrinology ACT Pathology

Aldosterone (Blood)

Aldosterone; ALDO; Serum RT Daily Mon - Fri. Minimum volume - 0.5ml. If renin-aldosterone ratio is requested an EDTA is required for renin analysis.


Beta HCG Beta-Human Chorionic Gonadotrophin - Pregnancy; Human Chorionic Gonadotrophin - Pregnancy; B-HCG - Pregnancy; HCG - Pregnancy; Pregnancy Test; BHCG

Serum/LiHep RT BHCG (pregnancy) 7 days/week


Beta HCG-Tumour marker

Beta-Human Chorionic Gonadotrophin - Tumor Marker; Human Chorionic Gonadotrophan - Tumor Marker; B-HCG - Tumor Marker; HCG - Tumor Marker; Germ Cell Tumours; Gestational Trophoblastic Disease; Hydatidiform Mole; Choriocarcinoma; BHCG; Beta HCG; Beta Human Chorionic Gonadotrophan

Serum/LiHep RT Mon - Fri Endocrinology ACT Pathology

C Peptide C-Peptide; CPEP Serum/LiHep RT Mon- Fri. Add on available only 4 hours after time of collection for room temperature sample and 24hrs for 4C sample and 30 days if there is a frozen aliquot.


C Telopeptide (CTX)

BCTx; C-Telopeptide; Crosslaps; bone turnover markers; CTX;

Serum/LiHep RT Mon-Fri. Fasting sample required. Add on not possible if sample is >1 day old.


CA125 Carcinoma Antigen CA 12-5; Cancer Antigen 125; CA125; Ovary Cancer Screen; Ovarian Cancer Tumour Screen; OMMA

Serum/LiHep RT Daily Endocrinology ACT Pathology

CA15.3 Carcinoma Antigen CA 15-3; Cancer Antigen 15.3;


CA19.9 Carcinoma Antigen CA 19-9; Cancer Antigen 19.9; Gastrointestinal Cancer Antigen

Serum/LiHep RT Daily Endocrinology Act Pathology

CEA Carcinoembryonic Antigen Serum/LiHep RT Daily Endocrinology ACT Pathology

Cortisol Cortisol AM; morning cortisol Serum/LiHep RT Daily. Recommended collection time 8:00am - 10:00am as this is the peak/high (requested as morning cortisol). Collection 17:00-19:00 is the low cortisol collection.


Cyclosporin CSA Cyclosporine A; CSA, Cyclosporin; Neoral

EDTA RT Tested Monday and Thursday (before noon). Collection for 2hr post dose MUST be performed within 5 minutes (either way) of two-hour post dosage.


Free Androgen Index

Free Androgen Index; FAI; Calculated Free Testosterone

Serum/LiHep RT Monday to Friday. Used for female patient’s testosterone requests. Includes SHBG and Testosterone.


Ferritin Iron studies Serum/LiHep RT Daily. Included in FE (iron studies)


Iron Studies Fe; Ferritin; Transferrin; Transferrin Saturation; Fe studies; TIBC; iron

Serum/LiHep RT Performed daily on request. This includes iron,


ferritin, transferrin and %saturation.

Folate Folic Acid; Serum Folate Serum/LiHep RT Daily Endocrinology ACT Pathology

Red Cell Folate Red Cell Folate; Folate Red Cell; Folate RBC; RC Folate; RCF; RCFOL; Red Cell Folic Acid

Edta RT Tuesday and Friday Endocrinology ACT Pathology

Follicle Stimulating Hormone

FSH; FS Hormone Serum/LiHep RT Daily Endocrinology ACT Pathology

Free PSA Free to Total PSA Ratio; FPSA Serum RT Daily. Free PSA will not be done if PSA is <2.3. Min volume 0.5ml serum.


Free T3 FT3; Free Triiodothyronine; T3 Serum/LiHep RT Daily. Endocrinology ACT Pathology

Free T4 FT4; Free Thyroxine; T4 Serum/LiHep RT 24hrs/7days Endocrinology ACT Pathology

Growth Hormone

Human Growth Hormone; HGH; GH;

Serum RT Mon-Fri Serum only Endocrinology ACT Pathology

HOMA HOMA; Homeostatic Model Assessment

Fluoride + LiHep/Serum RT Mon-Fri. HOMA Index is the same as Insulin Resistance Test. If HOMA requested without GTT - collect 1X fluoride + 1 X LiHep plasma/serum. If requested with GTT, perform as normal GTT with the collections at 0, +60, +120 minutes, enter as IGTT


Homocysteine Homocysteine Blood Serum/LiHep RT Daily. Must be spun within 2hrs of collection. Serum is preferred specimen but can be done from LiHep. Min specimen 0.5ml


Insulin Like Growth Factor

Insulin-like Growth Factor I; IGF-1; Serum RT Mon-Fri Endocrinology ACT Pathology

Insulin Insulin Serum/LiHep RT Daily. Add on - Only same day of collection unless there is a frozen aliquot.


Luteinising Hormone

LH; Luteinizing Hormone Serum/LiHep RT Daily Endocrinology ACT Pathology

Macroprolactin Macroprolactin; MPRL; MacroPRL; Serum/LiHep RT As required. Usually done as add on by Endocrinology to evaluate high prolactin but can be ordered by clinicians.


Methadone (Urine)

Methadone Urine Random Urine RT 24hrs/7days Endocrinology ACT Pathology

NT-ProBNP Brain Natriuretic Peptide (NT ProBNP), B type Natriuretic Peptide, N-Terminal B-type natriuretic peptide, BNP

Serum/LiHep RT Pending business case Endocrinology TCH

Oestradiol E2; Estradiol; Oestrogen Serum/LiHep RT Daily Endocrinology ACT Pathology

Opiates (Urine) Opiate Random Urine RT Daily Endocrinology ACT Pathology

P1NP Procollagen Type I N-Terminal Peptide; Procollagen Type I; N-Terminal Propeptide;

Serum/Hep RT Mon-Fri. Add on not possible if sample is >5 days old.


Progesterone Prog, p4 Serum/LiHep RT Daily Endocrinology ACT Pathology

Prolactin PRL; Prol Serum/LiHep RT Daily Endocrinology ACT Pathology

PSA Prostate Specific Antigen; PSA; Total PSA; tPSA

Serum RT Tested Daily Endocrinology ACT Pathology

Parathyroid Hormone PTH

PTH; Parathyroid hormone; Serum/LiHep RT Daily. Minimum sample 200ul serum/plasma (0.5ml whole blood). Do not add on test if collection more than 48 hours old. Full name - Intact PTH.


Renin Direct Renin; PRA; Plasma renin activity

Edta RT Mon, Wed, Fri. Collect anytime. Minimum sample


600uL of Edta plasma after centrifugation. Fasting samples preferred. Record patients’ posture: Supine (>30mins lying down) or Upright (>30mins). Must be kept at room temp prior to separation.

Sex Hormone Binding Glob

SHBG Serum/LiHep RT Mon- Fri. Add on - up to 3 days with 4C storage. To be ordered for male patients only.

Endocrinology Act Pathology

Tacrolimus Tacrolimus; FK506; Prograf; Tacro; Tcl

EDTA RT Mon and Thurs (before noon). Collect Trough specimen (just before next dose). Whole blood required. Absolute minimum 0.5ml for infants, but a result is not guaranteed if technical problems occur. Keep refrigerated, stable to 7 days at 2-8 degrees. If frozen don't thaw until testing.


Testosterone Total Testosterone; Testo Serum/LiHep RT Mon-Fri Endocrinology ACT Pathology

Thyroglobulin Thyroglobulin; Tg; Thyro; Serum/LiHep RT Mon-Fri Endocrinology ACT Pathology

Thyroid Antibodies

Anti-Thyroid Antibodies; Thyroglobulin Antibodies; TGAB; TPO; Thyroid Peroxidase Antibodies; Thyroid Autoantibodies; Anti TG abs; Anti Thyroglobulin; Anti Thyroid Microsomal Antibody; Anti Thyroid Microsomes; Anti Peroxidase

Serum/LiHep RT Mon- Fri. Includes Antithyroglobulin, Anti Microsomal ab, Antiperoxidase Abs.


Antibody; Anti TPO; Thyroid auto antibodies;

Thyroid Function Test

TFT; TSH Serum/LiHep RT Endocrinology ACT Pathology

Thyroid Receptor Antibodies

TRAB; Thyrotropin Receptor Antibodies; TSH Receptor Antibodies; TSHRAB; Anti TSH Receptor Antibodies; Thyroid Stimulating Antibodies; LATS Test; TSAb; Anti TSH Receptor; Thyroid receptor antibodies; Thyroid Stimulating Immunoglobulins

Serum RT Mon-Fri Endocrinology ACT Pathology

Troponin T Trop T; LiHep/Serum RT Lab initiated test only Endocrinology Act Pathology

TSH Thyroid Stimulating Hormone; TFT; Thyroid Function test

Serum/LiHep RT Daily. Included in TFT Endocrinology ACT Pathology

Vitamin D 25-Hydroxy-Vitamin D; Vitamin D; Vit D; 25-OHCholecalciferol; 25-Hydroxycholecalciferol; Calcifediol; Vitamin D3; Vit D3; VITD; 25 OH VITD

Serum Tube Only RT Mon-Fri. Fasting preferred but not required. Min volume 0.2ml serum after centrifugation.

Endocrinology Act Pathology

Vitamin B12 B12; Vit B12; Cyanocobalamin; Cobalamin, Cbl


Amphetamine (Urine)

Amph Urine RT Part of urine drug screen Endocrinology ACT Pathology

Amphetamine (UDS panel)

Urine drug screen; Drugs of Abuse Screen; Includes Benzodiazepine, Cannabis, Cocaine, Opiates

Urine RT See Drug screen (urine) Endocrinology ACT Pathology

Benzodiazepine (Urine)

Benz; Benzo Urine RT Part of urine drug screen Endocrinology ACT Pathology

Benzodiazepine (UDS panel)

Urine drug screen; Drugs of Abuse Screen; Includes Amphetamines, Cannabis, Cocaine, Opiates

Urine RT Endocrinology ACT Pathology

Cannabis (Urine)

Cann; THC; Tetrahydrocannabinol; Cannabinoids

Urine RT Part of urine drug screen Endocrinology ACT Pathology

Cannabis (UDS panel)

Urine drug screen; Drugs of Abuse Screen; Includes Amphetamines, Benzodiazepine, Cocaine, Opiates

Urine RT Part of urine drug screen Endocrinology ACT Pathology

Cocaine (Urine) Coc; Urine RT Endocrinology ACT Pathology

Cocaine (UDS panel)

Urine drug screen; Drugs of Abuse Screen; Includes Amphetamines, Benzodiazepine, Cannabis, Opiates


Methadone (UDSAD panel)

Methadone Urine RT Endocrinology ACT Pathology

Opiates (UDS panel)

Urine drug screen; Drugs of Abuse Screen; Includes Amphetamines, Benzodiazepine, Cannabis, Cocaine


Adrenal Vein Sampling

AVS Timed samples: Serum RT Mon -Fri Endocrinology ACT Pathology

Dexamethasone Suppression Test

DEX; Timed samples: Serum RT Daily. Organised by Endo OP, private endo or ward. Patient takes 1 mg Dex at 11pm the night before the test. Collect cortisol sample at POP only between 8:00-9:00am. Patient factsheet available.


Inferior Petrosal Sinus Sampling

IPSS Timed samples: Serum & EDTA

RT Mon-Fri. Endocrinology ACT Pathology

Arginine Stimulation Test

Growth Hormone Stimulation Test; GHST

Timed samples: Serum & Fluoride

RT Mon- Fri Endocrinology ACT Pathology

Clonidine Stimulation Test

Growth Hormone Stimulation Test. GHST


RT Endocrinology ACT Pathology

Clonidine Suppression Test

Clonidine Suppression of Catecholamines

Timed samples: Heparin RT Endocrinology ACT Pathology

Short Synacthen Test

SST; Short Synacthen Stimulation Test

Timed samples: Serum & EDTA

RT By appointment, phone Endocrinology Dept ext 43794, 42228 or 42794. Calvary outpatients should be referred to TCH Endocrinology. Requests for Calvary inpatients are


not organised by ACT Pathology but referring doctor in hospital.

Glucagon Stimulation Test

Glucagon Stimulation of Growth Hormone; GHST


RT


Growth Hormone Suppression Test

GTT with Growth Hormone; Glucose Tolerance Test with Growth Hormone; GHST


RT


Insulin Tolerance Test

Insulin Stress Test for Growth Hormone and Cortisol; GHST


RT


Glucose Tolerance Test

GTT Timed samples: Fluoride RT Must be booked in for collection. Run when received. Fluoride samples to be collected at 0, 60, 120 minutes.


Glucose Tolerance Test with Insulin

GTT with insulin Timed samples: Serum & Fluoride


Glucose Tolerance Test with Insulin and C peptide

GTT with insulin and C peptide Timed samples: Serum & Fluoride


GNRH Stimulation Test

LHRH; Lucrin Stimulation Test; Gonadotrophin Releasing Hormone Stimulation Test;

Timed samples: Serum RT Refer patient to Endocrinology OP for collection x44032


Saline Suppression Test

Saline Infusion Test Serum RT Endocrinology ACT Pathology

AFP (fluid) AFP body fluid Body fluid RT Endocrinology ACT Pathology

CEA (fluid) CEA body fluid Body fluid RT Endocrinology ACT Pathology

CA 125 (fluid) CA 125 body fluid Body fluid RT Endocrinology ACT Pathology


Apolipoprotein A1 & B

Apolipoprotein A1 (serum); APO-A; APO-A1; Apolipoprotein B (serum); APO-B;

Serum cool non- Medicare $22 Chemical Pathology

Royal Brisbane

Vitamin C Ascorbic Acid Serum frozen

Chemical Pathology

QHPS Enzyme Lab

Zika Serology (Pregnant)

Zika Serum cool

Immunoassay - Microbiology

NSW Health Pathology- ICPMR

Parvovirus Ab Parvo B19 Antibodies IgM; Parvo B19; Parvovirus Antibodies; Parvovirus Serology, Human Parvovirus

Serum cool


ACT Pathology

Quantiferon Quantiferon TB Gold Plus Test; TB Gamma Interferon; Interferon-gamma release assay [IGRA]; QFT; QFTG; LTBI; QTFTB; Tuberculosis serology.

Special Tubes ring lab only performed Mon- Thursday and not day before a public holiday; non-Medicare $49.50


ACT Pathology

Anti-Streptolysin O Streptococcus Group A Antibodies; Anti Streptolysin O Antibodies; ASOT; Rheumatic Fever Serology; Strep; Streptococcus Serology; Streptococcal Serology;

Serum frozen


ACT Pathology


Thyroglobulin (fluid)

THYG body fluid Body fluid RT Endocrinology ACT Pathology

Heterophile Antibodies

Hetero antibodies; hetero; HAA; HAMA

Serum/LiHep RT Testing as required Endocrinology ACT Pathology

Prolactin Timed PRL3 Timed samples: Serum/LiHep


Aldosterone Renin Ratio

Renin, Aldosterone Serum & Edta see renin & aldo


PSA- For Females Only

Prostate Specific Antigen Serum RT Routine testing Endocrinology ACT Pathology

Streptolysin O Antibodies; ADB; ADBEI; Anti-DNase B; DNase; DNase B; Strep titre

Avian Precipitins Influenza Serology; Influenza Antibodies; Influenza Type A & B Antibodies; Flu A; Flu B; Avian Flu, Avian Influenza; H5N1; Swine Flu, Swine Influenza; H1N1;

Serum cool


QHPS

Dengue Fever Dengue Virus Antibodies IgM; Flavivirus Serology; Dengue Fever IgM; Dengue Serology; Dengue Fever Serology

Serum cool include recent travel history


ACT Pathology

Varicella Zoster IgM

Serum cool


QHPS

Yersinia Serology

Serum cool


QHPS - RBH

Amoebic Serology Entamoeba Histolytica Antibodies; Amoeba Serology; Amoebiasis; Amoebic Antibodies

Serum frozen


ACT Pathology

Arbovirus Screen Arbovirus Serology; Flavivirus; alphavirus

Serum Tube cool


QHPS and/or QFFS

Barmah Forest Ab Barmah Forest Virus Antibodies IgM; Barmah Forest Serology; BF IgM; BF Serology; BFV; BFV IgM

Serum Tube cool


QHPS

Bordetella Pertussis (Serology)

Bordetella pertussis Toxins; Bordetella pertussis IgG; Whooping Cough Serology IgG

Serum cool Only IgG toxin performed Immunoassay - Microbiology

ACT Pathology

Brucella Serology Brucella Antibodies IgG and IgM; B.Abortus; Brucella Abortus Screen; Brucella Antibodies; Brucellosis; Brucella Serology

Serum Only cool


ACT Pathology

Chlamydia Pneumoniae serology

Chlamydia Antibodies IgA and IgG; Chlamydophila Antibodies; Total Chlamydia Serology; Lymphogranuloma Venereum (LGV) Serology; C. pneumoniae Serology; Ornithosis Serology; Parrot Disease; Parrot Fever; C.

Serum Only cool requires testing of paired specimen 10-14 days apart.


ACT Pathology

psittaci; Chlamydia Psittacosis Serology; Chlamydia IgA and IgG; Chlamydia Serology; Chlamydia Trachomatis.

CMV cytomegalovirus; Cytomegalovirus Antibody (IgG and IgM); CMV serology

Serum (gold top) cool


ACT Pathology

Epstein Barr Virus Epstein Barr Virus [EBV] Antibodies IgG and IgM; EBV; Glandular Fever Screen; Mononucleosis Serology; IM Serology; EBV Serology, Epstein-Barr Virus Screen

Serum Only cool


ACT Pathology

Herpes Serology Herpes Simplex Virus Type 1 and 2 Antibodies IgG; HSV Serology; Human Herpes Virus 1 and 2 Serology; Herpes Simplex Antibodies

Serum cool


ACT Pathology

HIV antibodies; HIV 1 & 2 Serum/Li Hep cool


ACT Pathology

Measles IgG Measles Immunity; Serum cool


ACT Pathology

Measles IgM Measles Virus Antibodies IgM; measles current infection

Serum cool


ACT Pathology

Mumps IgG Mumps Antibodies IgG; Mumps Immune Status;

Serum cool


ACT Pathology

Mumps IgM Mumps Antibodies IgM Serum cool


QHPS

Mycoplasma Serology

Mycoplasma pneumoniae Antibodies; Mycoplasma IgG & IgM serology; M pneumoniae

Serum Only cool


ACT Pathology

Pertussis Ab Bordetella Pertussis Antibodies; Pertussis; B.Pertussis; Whooping Cough Serology; Pertussis serology;

Serum cool


ACT Pathology

Pseudomonas Pseudomallei Serology Serum


Townsville Gen Hosp Serology

Rubella Rubella IgG; Rubella IgM; Rubella IgM and IgG; Rubella immunity

Serum cool


ACT Pathology

Syphilis Serology Treponema pallidum Antibodies; Rapid Plasma Reagin; RPR; TPGE; Treponemal Ab; Wassermann Reaction

Serum


ACT Pathology

Toxoplasma Toxoplasma IgG; Toxoplasma IgM; Toxoplasma gondii Antibodies IgG and IgM; Tox; Toxo; Toxoplasma Serology; T.gondii; Toxoplasmosis Serology; TORCH serology;

Serum cool


ACT Pathology

Varicella Zoster IgG

Zoster Serum


ACT Pathology

VDRL

Serum


ACT Pathology

Viral Resistance Testing (HIV)

Edta/ACD


VIDRL

Viral Screen

Serum


ACT Pathology

West Nile Virus Serology

Serum


ICPMR Virology

Whooping Cough

Serum


ACT Pathology

Wucheraria Bancrofti

Serum


Westmead ICPMR Parasitology

Yellow Fever Virus Serology

Serum


QLD Forensic & Scientific Serv

Zika Serology

Serum/CSF


QLD Forensic & scientific Serv

Alpha 1 Anti-Trypsin

Alpha-1-Antitrypsin; AAT; A1AT; Alpha-1-AT; alpha 1 antitrypsin; alpha 1 AT

Serum cool

Immunopathology ACT Pathology

Alpha 1 Anti Trypsin Phenotype

Alpha-1-Antitrypsin Genotype; AAT Genotype; AAT PCR

Serum Freeze within 1

Immunopathology RPAH Biochem

Protein

hour of collection

Anticardiolipin Antibody

Anti-Cardiolipin Antibodies IgG; ACL; Cardiolipin Antibodies; ACLA; anti-ACL

Serum cool


Acetylcholine Receptor Abs

Anti-Cholinesterase Receptor Antibodies tests for Myasthenia Gravis

serum frozen

Immunopathology Concord Hospital

Tissue antibodies Anti-Mitochondrial Antibodies; AMA; Mitochondrial Antibodies; Anti Smooth Muscle Antibodies; SMA; ASMA; Smooth Muscle Antibody; ASM; anti-actin antibodies; AGPC; Gastric Parietal Cell Ab; anti-Actin Ab;GPC

Serum cool


Adrenal Antibody Anti-Adrenal Antibodies; Anti 21-OH Dehydroxylase Antibody; Adrenal Antibodies; 21-Hydroxylase Antibodies; Testicular Antibodies

Serum frozen non-Medicare $34.80 Immunopathology RPA

Allergy Testing (General)

RAST; IgE RAST; Allergen-Specific IgE; Specific IgE; IgE to specific allergens

Serum frozen


Anti-Nuclear Antibody

ANA; ANF; LE Cells; anti-lupus antibody; auto antibodies

Serum cool


Anti-Neutrophil Cytoplasmic Ab

Anti-Neutrophil Cytoplasmic Antibodies; ANCA; pANCA; cANCA; Cytoplasmic Antibodies; atypical ANCA; Neutrophil Cytoplasm Antibodies; Vasculitic Screen; Vasculitis Screen

Serum frozen


Anti-Topoisomerase 1 Antibody

Scl-70 antibody, Scleroderma Serum frozen


Anti-Phospholipid Antibodies

Anti-Cardiolipin Antibodies IgG; ACL; CLA; CDL; Cardiolipin Antibodies; ACLA; anti-aCL;APLA

Serum frozen


Aspergillus Specific IgE

Aspergillus IgE; Allergen-Specific IgE; Aspergillus RAST,

Serum frozen


Aspergillus Precipitins

Aspergillus precipitins; Aspergillus serology; A.fumigatus; Aspergillus Antibodies;

Serum cool

Immunopathology QHPS

Beta 2 glycoprotein I IgG ab

Anti-Beta 2 Glycoprotein 1 Antibodies; Anti-Beta 2 Glycoprotein Antibody; Beta 2 Glycoprotein Antibody; B2GP1; AB2G; anti B2 glycoprotein; anti-b2gp1; b2gp1; B2 glycoprotein

Serum Only frozen

Immunopathology Act Pathology

Beta 2 Microglobulin

B2MG Serum/LiHep/Urine cool


Bence Jones Protein

Protein Electrophoresis (random urine); Bence Jones Protein; BJP; UEPP; Urine Paraprotein Investigations; Urine Electrophoresis; Urine Free Light Chains

24hr plain urine/random urine

cool


C Reactive Protein CRP LiHep/Serum cool


C1 Esterase Inhibitor (FN & AG)

faeces OCP; Faeces C&S; Serum separate and freeze within 2 hrs

Special Handling required Immunopathology QHPS Protein Lab

C2 Complement Complement C2; Serum spun and frozen within 1 hr

Immunopathology Sutherland

Hospital

C3C4 Complement Complement C3 and C4; Complement Levels; Complement Studies; C34; C3C4

Serum cool


Total Haemolytic Complement

CH50; Classical Complement Pathway; CH100; THC

Serum separate and freeze within 20 mins

Special handling requirements

Immunopathology QHPS

C5 Complement Complement C5 Serum separate and freeze within 2 hrs

Immunopathology Sutherland

Pathology

Coeliac Serology Anti-Tissue Transglutaminase Antibodies IgA; TTG; IgA TTG;

Serum Only frozen


Tissue Transglutaminase; Anti TTG; Coeliac Antibodies; IgA Tissue Transglutamine Antibodies; Transglutaminase Antibodies; Coeliac screen; DGP; anti-Gliadin antibodies; AGA

C Reactive Protein CRP; C-Reactive Protein Serum/LiHep cool


Cryofibrinogen

3 x Citrate tubes @37deg

keep at 37C until clotted & separated

Note special collection Immunopathology ACT Pathology

Cryoglobulin Cryoglobulin Screen; Cryoproteins;

2 x non gel Serum (red top) @ 37Deg

keep at 37C until clotted & separated

Note special collection Immunopathology ACT Pathology MON-FRI ONLY

CSF Protein Protein- CSF Black top CSF tube cool Must be tested within 30mins of collection


Double Stranded DNA - See DNA

Anti dsDNA Antibodies; Anti double-stranded DNA; Anti Double Stranded DNA Antibodies; ds-DNA; DNA Binding; DNA; DNA Antibodies; anti-DNA; DNA

Serum cool


Anti ENA Antibody Extractable Nuclear Antigen Antibodies; ENA Screen; Nuclear Antigens; Anti ENA; SSA/Ro; SSB/La; SSA Antibodies; Sjogrens Syndrome antibodies; SSB Antibodies; Anti Ro Antibodies; Anti La Antibodies; Anti Topoisomerase; Anti Smith Antibodies; anti Sm; RNP, anti RNP; anti U1RNP; U1RNP; U1 RNP; U1-RNP; Anti JO1 Antibodies; JO1 Antibodies; PMI Antibodies; Anti MI2; Anti Histidyl Transfer RNA Synthetase; Anti PCNA; Anti PM/Scl Antibody;

Serum cool


Anti Ribosomal-P Antibody; Anti Ribonucleoprotein Antibody; Anti RNP Antibody; Scl70; Anti Scl70; Pmscl; anti pmscl; Topoisomerase I; Pm-Scl overlap; anti pm1; anti SSA; anti SSB; MI-2; anti-SRP; SRP antibodies; anti-EJ; anti-OJ; EJ/OJ; EJ; OJ; pl-7; pl7; pl-12; pl12; anti-pl7; anti-pl12

Immuno Electrophoresis

EPG; EPP; Protein Electrophoresis; Immunoglobulin electrophoresis; Immunofixation; Monoclonal Banding; Myeloma Screen; Paraproteins; Protein Fractions; sEPP; Serum Paraprotein; Serum Protein Electrophoresis; SPE; EPG; IEPG ;IEPP

Serum /random Urine cool


Free Light Chains Kappa Light Chains; Lambda Light Chains; FLC; Light Chains; Light Chain disease

Serum/Urine cool


Anti-Glomerular Basement Membrane Antibodies

Anti GBM; GBM; Glomerular Basement Membrane; Anti Glomerular Basement Membrane antibodies

Serum cool


Intrinsic Factor Antibody

IFA; Anti Intrinsic Factor; Anti IF; IFA

Serum cool

Immunopathology QHPS Megaloblastics

Immunoglobulins Immunoglobulin IgG; Immunoglobulin IgA; Immunoglobulin IgM; Ig; GAM; Gamma Globulins; Globulins; Ig Quantitation; IG studies; IGS; serum Ig;

Serum/LiHep cool


Immunoglobulin IgD

IgD Serum cool

Immunopathology RPAH Immunology

Immunoglobulin IgE

IgE Serum/Heparin frozen


Oligoclonal Studies CSF IgG/Alb ratio, CSF Index; CSF Oligoclonal bands; CSF Protein

CSF (in sterile black top tube) + Serum/Heparin

cool


Rheumatoid Factor

RF; RFN; RhF; RA Screen Serum Only cool


Tetanus Antibodies

Tetanus Abs; Tetanus Serology; Tetanus Toxoid Antibodies

Serum frozen


Tryptase Tryptase Serum frozen sample collect preferably between 30mins and 3 hrs after the anaphylactic episode. Note time of reaction and time of collection


Vasculitis Screen ANCA Serum frozen


Blood Culture - adult set BC

8-10 ml of blood into aerobic (blue top) and then anaerobic bottle (purple top).

Room temperature

At least two sets of blood cultures are recommended for investigation of sepsis. An aerobic blood culture bottle can also be used for culture of sterile site fluids, such as joint fluid. Microbiology

ACT Pathology

Blood Culture - paediatric bottle BC

3-5ml of blood into the paediatric bottle (pink top).

Room temperature Microbiology

ACT Pathology

Blood Culture - Mycobacterium and Fungi TB

3-5ml of blood or bone marrow into the Mycolytic F bottle (red top).

Room temperature

Bottles are available on request from the laboratory on x42514 Microbiology

ACT Pathology

Sputum - Mycobacterium

tuberculosis, TB, AFB, ZN, MAC, avium

Sputum (not saliva) in yellow top container.

Room temperature or refrigerate if greater than 24hrs

Three early morning specimens on consecutive days is recommended. Microbiology

ACT Pathology

Urine - Mycobacterium

tuberculosis, TB, AFB, ZN, MAC, avium, BCG

Complete morning urine collections in 2L collection container.

Room temperature or

Three collections on different days are recommended. Please Microbiology

ACT Pathology

refrigerate if greater than 24hrs

contact the Collection Centre on 5124 2816 to supply the 2L collection container.

Tissue - Mycobacterium

tuberculosis, TB, AFB, ZN, MAC, avium, ulcerans, BCG

FRESH tissue in sterile container.

Room temperature or refrigerate if greater than 24hrs Microbiology

ACT Pathology

Fluid - Mycobacterium tuberculosis, TB, AFB, ZN, MAC, avium

At least 10ml of fluid in sterile container.


ACT Pathology

CSF - Mycobacterium tuberculosis, TB, AFB, ZN, MAC, avium

A least 10ml of CSF in black top container. Microbiology

ACT Pathology

Swab - Mycobacterium

tuberculosis, TB, AFB, ZN, MAC, avium, ulcerans, buruli, Bairnsdale

Swabs specimens are generally not accepted for Mycobacterial culture due to poor sensitivity. Please provide a tissue or fluid sample or discuss with the on-call Microbiologist regarding testing options.


ACT Pathology

Gastric Lavage - Mycobacterium

tuberculosis, TB, AFB, ZN, MAC, avium

50 ml of saline returned via NG tube in sterile container.

Transport to Microbiology Laboratory ASAP for testing.

Recommend an 8am morning specimen. Please notify the microbiology laboratory of likely arrival time, as the specimen requires urgent processing to neutralise the gastric acid. Microbiology

ACT Pathology

Mycobacterium tuberculosis - PCR TB, AFB

Mycobacterium tuberculosis PCR is only routinely performed on smear positive respiratory specimens. For all other specimens please discuss testing with the on-call Microbiologist.


ACT Pathology

Mycobacterium ulcerans - PCR buruli, ulcer, bairnsdale

FRESH tissue specimen in a sterile container for routine MCS, Mycobacterial culture and M. ulcerans PCR is recommended. In the absence of a tissue specimen, a dry flocked swab or green viral swab is suitable for PCR.


Referral approved by the on-call Microbiologist on basis of clinical details provided. Microbiology

Pathology Queensland

Mycobacterium leprae - PCR Leprosy

FRESH tissue specimen in a sterile container for routine MCS, Mycobacterial culture and M. leprae PCR is recommended.


Referral approved by the on-call Microbiologist on basis of clinical details provided. A formalin fixed specimen for histological examination for leprosy is also required. Microbiology


Cerebrospinal fluid - MCS

meningitis, encephalitis, meningococcus, pneumococcus, meningitis, streptococcus, pneumoniae, listeria, GBS, Group B, herpes, simplex, HSV, CMV, VZV, varicella, Black Top CSF tube x 1-4.


Glucose and protein performed routinely on CSF specimens. Microbiology

ACT Pathology

enterovirus, EV, parechovirus

Cerebrospinal fluid - Multiplex PCR

encephalitis, meningococcus, pneumococcus, meningitis, streptococcus, pneumoniae, listeria, GBS, Group B, herpes, simplex, HSV, CMV, VZV, varicella, enterovirus, EV, parechovirus

Black Top CSF tube x 3-4. Testing is not performed in the setting of normal CSF white cell count and absence of significant clinical history. Please discuss further testing options with the on-call Microbiologist.


Testing is not performed in the setting of normal CSF white cell count and absence of significant clinical history. If required, please discuss further testing options with the on-call Microbiologist. Organisms included on panel: Streptococcus pneumoniae, Neisseria meningitidis, Listeria monocytogenes, Streptococcus agalactiae, Haemophilus influenzae b, HSV1, HSV2, VZV, CMV, enterovirus and parechovirus. Microbiology

ACT Pathology

Cerebrospinal fluid - 14-3-3 protein CJD Black Top CSF tube x 3-4.


Testing is only available for specimens with <10 red cells and <500 white cells and must be approved by the on-call Microbiologist. Microbiology

Florey Institute, Melbourne

Faeces - Adenovirus Brown top container.


ACT Pathology

Faeces - MCS

Campylobacter, Salmonella, Shigella, vibrio, cholera, yersinia Brown top container.

Room temperature or refrigerate if

Microscopy and culture for common enteric pathogens such as Salmonella, Shigella and Microbiology

ACT Pathology

greater than 24hrs

Campylobacter. Please include on request form if other bacterial pathogens are suspected.

Faeces - Clostridium difficile CD Brown top container.


Repeat testing is not routinely performed within 7 days of a negative test and 30 days of a positive test. Microbiology

ACT Pathology

Faeces - Giardia/Cryptosporidium Brown top container.


ACT Pathology

Faeces - Shiga toxin E coli STEC, hus, EHEC Brown top container.



NSW Health Pathology

Faeces - Norovirus Brown top container.


Testing restricted to specific indications. Please contact the on-call Microbiologist if necessary, to discuss diagnostic options. Microbiology

ACT Pathology

Faeces - Rotavirus Brown top container.


ACT Pathology

Faeces - OCP

amoeba, entamoeba, strongyloides, hookworm, ova, cyst,

Brown top container. 2-3 specimen collected on alternate days.

Room temperature or

Only performed when clinical details of travel and/or parasite of Microbiology

ACT Pathology

parasite, pinworm, whipworm, enterobius


interest is provided and excludes testing for Giardia/Cryptosporidium which are diagnosed using alternate techniques.

Faeces - Shistosomiasis bilharzia

Brown top container. 2-3 specimens collected on alternate days.


Provide specific travel details to assist with speciation. Microbiology

ACT Pathology

Faeces - Enterovirus polio, flaccid paralysis Brown top container.



VIDRL, Victoria

Faeces - Helicobacter pylori antigen Brown top container.


ACT Pathology

Faeces - Fat globules Brown top container.


ACT Pathology

Faeces - Multiplex PCR Brown top container.




Faeces - Entamoeba histolytica PCR Brown top container.



NSW Pathology (Westmead)

Faeces - Strongyloides Culture Harada Brown top container.



NSW Pathology (Concord)

Urine - MCS

Midstream urine in yellow top container. Other specimens include suprapubic taps, in/out catheters and urine collected during surgery or insertion of a nephrostomy. Specimens collected via an existing indwelling catheter, nephrostomy tube or ileal conduit are often contaminated or colonised with bacteria/fungi.


ACT Pathology

Urine - Dysmorphic Red Cells sediment

Midstream urine in yellow top container. Other specimens include suprapubic taps, in/out catheters and urine collected during surgery or insertion of a nephrostomy. Specimens collected via an existing indwelling catheter, nephrostomy


Specimens received in the laboratory between 7pm-6am are not suitable as must be processed within 5 hours of collection. Microbiology

ACT Pathology

tube or ileal conduit are often contaminated or colonised with bacteria/fungi.

Urine - Casts sediment

Midstream urine in yellow top container. Other specimens include suprapubic taps, in/out catheters and urine collected during surgery or insertion of a nephrostomy. Specimens collected via an existing indwelling catheter, nephrostomy tube or ileal conduit are often contaminated or colonised with bacteria/fungi.


Specimens received in the laboratory between 7pm-6am are not suitable as must be processed within 5 hours of collection. Microbiology

ACT Pathology

Urine - Schistosomiasis bilharzia

Terminal urine collected between noon-3pm in yellow top container.


For detection of S. haematobium. Due to low level egg release, recommend three specimens on different days. Microbiology

ACT Pathology

Urine - Gonorrhoea culture gonococcal

First pass urine in yellow top container.


Ensure that gonococcal culture is specifically requested. A bacterial urethral swab is preferred for culture; however, urine may be an alternative if collection of a swab is not possible. Specimens for PCR are also recommended. Microbiology

ACT Pathology

Urine - Legionella antigen

Urine in yellow top container.

Room temperature

Testing restricted to specific indications. Microbiology

ACT Pathology

or refrigerate if greater than 24hrs

Please contact the on-call Microbiologist if necessary, to discuss diagnostic options.

Urine - Pneumococcal antigen streptococcus



Testing restricted to specific indications. Please contact the on-call Microbiologist if necessary, to discuss diagnostic options. Microbiology

ACT Pathology

Urine - Crystals uric, cysteine, urate, cholesterol



ACT Pathology

Urine - Eosinophils Urine in yellow top container.


ACT Pathology

Urine - fat globules Urine in yellow top container.


ACT Pathology

Swab (general) - MCS wound, ulcer, pus

Blue top swab for bacterial and yeast culture only.


For sterile sites, fluid and/or tissue specimens are preferred, particularly for atypical organisms such as mould and mycobacterium. For dermatophytes collect skin scrapings. Microbiology

ACT Pathology

Swab (throat) - CS Blue top swab for bacterial culture only.


Please include in the clinical history if atypical organisms such as diphtheria or gonococcus (also collect a yellow top swab for PCR) are suspected. If viruses (eg HSV) or syphilis are suspected collect a green top viral swab for PCR. Microbiology

ACT Pathology

Swab (ear) - MCS

Blue top swab for bacterial and yeast/mould culture only.


ACT Pathology

Swab (eye) - MCS

Blue top swab for bacterial and yeast culture only.


If Chlamydia or gonococcus are suspected also collect a yellow top swab for PCR. Microbiology

ACT Pathology

Swab (genital) - MCS

cervical, vaginal, BV, vaginosis, thrush, candidiasis, trichomonas

Blue top swab for bacterial and yeast culture.


Cervical swab preferred for gonococcal culture. If Chlamydia or gonococcus are suspected also collect a yellow top swab for PCR. Microbiology

ACT Pathology

Swab - Gonococcal culture

gonorrhoea, throat, anal, urethral, cervical Blue top swab.


If not already performed, also collect a yellow top swab for gonococcal PCR. Microbiology

ACT Pathology

Group B Streptococcus screen GBS, swab

For routine screening a combined vaginal/rectal blue top swab is

Room temperature or Microbiology

ACT Pathology

recommended from 35 weeks.


Fluid (general) - MCS

Sterile container (at least 5ml). If additional fluid available 3-5ml in paediatric blood culture bottle.


ACT Pathology

Fluid (joint) - MCS & crystals

gout, pseudogout, CPP, calcium pyrophosphate, uric acid, urate, arthritis

Sterile container (at least 1ml). If additional fluid available 3-5ml in paediatric blood culture bottle and 1-3ml in EDTA tube (to avoid clotting to allow more accurate cell count).


ACT Pathology

Fluid (CAPD) - MCS peritoneal

2x50ml sterile falcon tubes (or 3x30ml sterile containers) and 8-10ml in adult aerobic and anaerobic blood culture bottles.

Room temperature or refrigerate if greater than 24hrs (blood culture bottles keep at RT Microbiology

ACT Pathology

Fine needle aspirate - MCS FNA Sterile container.


Cultured routinely for bacterial and yeast. Please indicate on request form if atypical bacteria, such as Mycobacterium, or fungi are suspected. For further information on testing contact the on-call Microbiologist. Microbiology

ACT Pathology

Bone marrow aspirate - CS TB, fungi, Mycobacterium

For routine bacteria use a paediatric blood

Room temperature Microbiology

ACT Pathology

culture bottle or adult aerobic bottle. For Mycobacterium or fungi use the Mycolytic-F blood culture bottle available from the Microbiology laboratory.

Tissue - MCS FRESH tissue in sterile container.


Cultured routinely for bacterial and yeast. Please indicate on request form if atypical bacteria, such as Mycobacterium, or fungi are suspected. For further information on testing contact the on-call Microbiologist. Microbiology

ACT Pathology

Tissue - Helicobacter pylori CS

FRESH tissue in yellow top container.


ACT Pathology

Corneal scrape - MCS

Collection kits are provided by the Microbiology laboratory to the Ophthalmology Department


Collection kits are provided by the Microbiology laboratory to the Ophthalmology Department. Please provide relevant exposure history (eg foreign body, contact lens, corneal surgery) to inform appropriate testing. Microbiology

ACT Pathology

Acanthamoeba PCR

Corneal scrape in normal saline or contact lens fluid. Cerebrospinal fluid is also able to be tested

Transport to Microbiology Laboratory

Referral approved by the on-call Microbiologist on basis Microbiology

NSW Pathology (SEALS)

in suspected meningoencephalitis.

ASAP for testing.

of clinical details provided.

Intravascular catheter tips - CS PICC, CVC, PIVC, IVC Yellow top container.

Room Temperature

Other types of tips (eg urinary catheter, intercostal catheter) are not routinely cultured. Please contact the on-call Microbiologist to discuss diagnostic options. Microbiology

ACT Pathology

Implanted devices - CS

porta Cath, PJI, metalwork, prosthesis, graft

Sterile container. For orthopaedic devices, collection kits are available within the theatre complex.

Room Temperature Microbiology

ACT Pathology

Skin scrapings - fungal microscopy/culture Yellow top container.

Room Temperature

Use a sterile scalpel blade to scrape the edge of the lesion and collect the skin scrapes this into a yellow top container. Microbiology

ACT Pathology

Nail clippings - fungal microscopy/culture Yellow top container.

Room Temperature

If possible, collect the subungual debris in addition to nail clippings. Sample the discoloured, dystrophic or brittle parts of the nail only, sampling as far back as possible from the distal part of the nail. Microbiology

ACT Pathology

Hair - fungal microscopy/culture Yellow top container.

Room Temperature

Pluck hairs from the affected area with forceps (infected hairs come out easily) and scrape the scalp with a scalpel. Preferably, the sample should include hair roots, the contents Microbiology

ACT Pathology

of plugged follicles and skin scales. Hair cut with a scissors is unsatisfactory as the focus of infection is usually below or near the surface of the scalp.

Parasite identification Yellow top container. Room Temperature

Please provide relevant travel/exposure history. May require referral to the Entomology Department at NSW Pathology (Westmead) Microbiology

ACT Pathology

Sputum - MCS Yellow top container.


Cultured for routine bacteria and fungi. Please indicate if atypical bacteria (eg Mycobacterium, Nocardia, Legionella) or fungi (eg Cryptococcus) are suspected or if the patient has cystic fibrosis. Microbiology

ACT Pathology

Bronchial wash/lavage - MCS Yellow top container.



ACT Pathology

Endotracheal aspirate - MCS Yellow top container.

Room temperature or refrigerate if

Cultured for routine bacteria and fungi. Please indicate if atypical bacteria (eg Mycobacterium, Microbiology

ACT Pathology

greater than 24hrs

Nocardia, Legionella) or fungi (eg Cryptococcus) are suspected or if the patient has cystic fibrosis.

Nasopharyngeal aspirate - MCS

NPA collection container with TRANSPORT lid to avoid specimen leakage during transport.



ACT Pathology

MRO screen - MRSA

One blue top swab of groin and one blue top swab of anterior nares.


Refer to infection prevention and control procedures with regards to circumstance where additional specimens are indicated eg SPC site. Microbiology

ACT Pathology

Pre-op MSSA/MRSA screen

One blue top swab of groin and one blue top swab of anterior nares.


Recommended pre-op cardiac surgery, orthopaedic surgery involving insertion of prostheses and vascular surgery involving insertion of vascular grafts. Operative history must be provided. Microbiology

ACT Pathology

MRO screen - VRE One blue top swab of rectum/perianal area.


Refer to infection prevention and control procedures with regards to circumstance where additional specimens Microbiology

ACT Pathology

are indicated eg SPC site.

MRO screen - Candida auris

One blue top swab of combined bilateral axillae and groin and one blue top swab of anterior nares.



ACT Pathology

MRO screen - CRE One blue top swab of rectum.



ACT Pathology

MRO screen - Gram negatives

One blue top swab of rectum.


Include details of previously isolated MRO. Refer to infection prevention and control procedures with regards to circumstance where additional specimens are indicated eg SPC site. Microbiology

ACT Pathology

Viral culture

Viral culture is not routinely performed in most laboratories as molecular techniques have replaced most indications. N/A

For further advice on diagnostic options please contact the on-call Microbiologist. Microbiology N/A

16s RNA PCR and DNA Sequencing on Specimen

Only specimens from sterile sites which are culture negative. Please discuss specimen types with the on-call Microbiologist. N/A



Aspergillus PCR

Bronchial wash, fine needle aspirate or sterile tissue/fluid.


Only specimens from haematology or other severely immunocompromised patients with suspected invasive Aspergillosis. Referral approved by the on-call Microbiologist on basis of clinical details provided. Microbiology


Panfungal PCR

Only specimens from sterile sites which are culture negative. Please discuss specimen types with the on-call Microbiologist.




Typing - Mycobacterium tuberculosis

Culture isolates of Mycobacterium tuberculosis are routinely referred for whole genome sequencing for public health purposes. N/A Microbiology


Typing - Invasive Streptococcus pneumoniae

Culture isolates of invasive Streptococcus pneumoniae are routinely referred for serotyping for public health purposes. N/A Microbiology


Typing - Invasive Haemophilus influenzae B

Culture isolates of invasive Haemophilus influenzae are routinely tested for serotype b. N/A Microbiology

ACT Pathology

Typing - Listeria monocytogenes

Culture isolates of Listeria monocytogenes are routinely referred for whole genome N/A Microbiology

Melbourne Diagnostic Unit

sequencing for public health purposes.

Typing - Salmonella species

Culture isolates of Salmonella are routinely referred for typing for public health purposes. N/A Microbiology


Typing - Shigella species

Culture isolates of Shigella are routinely referred for typing for public health purposes. N/A Microbiology


Typing - Burkholderia cepacia complex

Culture isolates of Burkholderia cepacia complex in cystic fibrosis patients are routinely referred for typing. N/A

Molecular Microbiology


Typing - Neisseria meningitidis

Neisseria meningitidis PCR detected/culture negative specimens are routinely referred for genotyping for public health purposes. N/A


NSW Pathology (Liverpool)

Typing - Enterovirus

Enterovirus PCR detected specimens are routinely referred for genotyping for national surveillance purposes. N/A


VIDRL, Victoria

Adenosine Deaminase-Red Cell

red cell enzymes EDTA cool Minimum volume 1 ml EDTA. Blood film required. Collect normal control at the same time. Send Monday to Thursday.

Haematology Children's Hospital, Westmead

Babesia Babesia microti, babesia divergens,

EDTA cool Thick and Thin films Haematology Haematology

Blood Film Examination film, film review, PBF EDTA cool Can be added on within 8 hours of collection

Haematology ACT Pathology

Bone marrow BM; bone marrow aspirate; bone marrow biopsy

bone marrow cool Booked in by Haematology clinic. Available Monday to Friday


Full Blood Count FBC, White Cell Count, WCC, WBC, Eosinophils, Red Cell Count, RCC, RBC indices, Haemoglobin, Hgb, Hb, Haematocrit, Hct, Packed Cell Volume, PCV, Platelet Count, Plt, FBE, CBE, Complete Blood Examination, CBC, differential, white cell differential

EDTA cool 4ml EDTA preferred but difficult collections or children use paediatric EDTA ESR and CD34, if required, can share same 4ml sample Process within 8 hrs of collection


G6PD Abnormal for Confirmation

G6PD assay, EDTA cool Ordered by Haematology staff only Sample less than 7 days old

Haematology New Children’s Westmead

G6PD Screening Test Glucose-6-Phosphate Dehydrogenase, G6PA, Dehydrogenase Deficiency Assay

EDTA cool Can be stored up to 7 days at 2-8 degrees Requires samples to NOT be underfilled


Haemoglobin only Hb EDTA cool 4ml EDTA preferred but difficult collections or children use paediatric EDTA


Haemoglobin studies HbA2, HbF, HbH, HbEPP, Haemoglobin Studies, Thalassaemia Screen, Alpha Thalassaemia Screen, Beta Thalassaemia Screen, HbEPG, HbA, HbS, Hb Electrophoresis, Unstable Haemoglobin Studies; Haemoglobinopathy Investigations, Sickle Cell

Edta/ Serum/LiHep

cool Batched - usually run once a week Add on - EDTA must be less than 12 hours old. Must have Serum/Heparin for add on iron studies Paed EDTA - minimum of 500uL Test includes FBC, Retic,


Anaemia, Sickle Cell Disease

HbEpp, HbA2, HbF, HbH and any abnormal Hb.

Haemolytic screen haemolysis This is not an individual test. Testing may include FBC, retic, haptoglobin, LDH, Bilirubin, DCT

Haematology Biochemistry

ACT Pathology

Haemosiderin - Urinary

urine cool As required Haematology ACT Pathology

Hb F only HbF EDTA cool Add on - within 7 days of collection

Haematology Act Pathology

HbS only

EDTA cool Add on - within 7 days of collection

Haematology Act Pathology

Heinz Bodies

EDTA cool Must be booked in. Can share with FBC sample


Hexokinase RBC hexokinase RBC films EDTA cool Must be booked in. Can share with FBC sample

Haematology NCH Westmead

Infectious Mononucleosis Test

IM Screen, Monospot, Mono, Paul-Bunnell Antibodies

EDTA Serum Heparin

cool Must be performed within 8 hours of EDTA collection Up to 3 days for Serum/Plasma kept at 2-8 degrees


Instability Test unstable haemoglobin EDTA cool, on ice brick

minimum volume 3 ml EDTA

Haematology RPAH Haem Special

Malarial Parasite Invest. ID

P.Falciparum, P.Vivax, P Malariae, P Ovale, P. Knowelsi; Thick & Thin films for malaria, malaria screen, malarial species

EDTA cool Add on - up to 8 hours from collection


Malarial-Species Referral

Malaria species identification confirmation

HSEND cool Laboratory initiated Haematology Westmead ICPMR Haematology

Mean Sphered Cell Volume

V For View cool Ordered by

Haematology staff only Haematology Act

Pathology

Microfilariae Babesia, Microfilariae EDTA cool Thick and Thin films Haematology Haematology

Non-Patient FBC Cord Hb, Foetal Hb, Pleural fluid Hb

EDTA cool Ordered when FBC, Hb, WCC, diff requested on fluids such as foetal samples, knee fluids and pleural fluids. ** If requested on unborn child - enter under mother’s demographics **


Platelet Count Platelets, PLT, Thrombocytes

EDTA cool Part of FBC but can be requested separately


Pyrimidine 5 Nucleotidase Screen

red cell enzymes Edta Or LiHep Within 7 days of collection

Haematology Children's Hospital, Westmead

Pyruvate Kinase red cell enzymes V For View cool Adult - 2-3mls EDTA. Paed - 1 mL EDTA. Needs Control Collect Monday - Thursday only. Send whole blood at 4 degrees. Send 4 fresh films, FBC and retic report. Sample must be less than 7 days old.

Haematology NCH Haematology

Reticulocyte Count Retic Count, Retics, Reticulocytes

EDTA cool Add on - up to 12 hours from collection


Sickle Cell Screen HbS V - For View cool Requires approval of Haematologist.


Urinary Haemosiderin Haemosiderin Spot Urine cool "Haemosiderin laden macrophages" done by Cytology


Urine Haemoglobin Urine Hb Urine or other Fluids cool Only analysed if no clots/aggregates


Viscosity-Plasma Plasma Viscosity 2 full EDTA cool Collect a 3rd EDTA if FBC required


White Blood Cells WBC, WCC EDTA Part of FBC but can be requested separately


Activated Partial Thromboplastin Time

APTT; PTT; Activated Partial Thrombin Time

Citrate must be in the laboratory within 2 hours of collection

As requested, 24 hours a day. APTT is used for monitoring unfractionated heparin and as part of a full coagulation profile.

Coagulation ACT Pathology

Activated Protein C Resistance

APCR Citrate Must be in the laboratory within 4 hours of collection. Specimens that are not sent to the main laboratory within 4 hours should be double spun, separated and frozen before transporting

Batched weekly. Coagulation ACT Pathology

ADAMTS 13 ADAMTS 13; TTP 2 x Citrate Must be in the laboratory within 4 hours of collection. Specimens that are not sent to the main laboratory within 4 hours should be double spun, separated and frozen before transporting.

Send away test. ADAMTS 13 activity and ADAMTS13 antibodies may also be requested.

Coagulation John Hunter Pathology

Anti-Factor 10A Anti Xa Activity; Factor 10a Antibodies; Anti Factor Xa; Xa Antibodies; F-Xa Antibodies; F-Xa; F-10a; F10a; Clexane (Enoxaparin); Fragmin (Dalteparin); Unfractionated Heparin; UFH; Uhep; Low Molecular Weight


As requested, Test may be used for monitoring low molecular weight heparin or unfractionated heparin. Specimen should be collected 4 hours post infusion of low molecular weight heparin. Note anti-Xa may also be requested for measuring DOACs.


Heparin;APIX;Apixaban; Rivaraoxaban; Orgaran

Refer to Apixaban and Rivaroxaban.

Antithrombin III Antithrombin 3; AT-3; AT-III, Antithrombin

Citrate Must be in the laboratory within 4 hours of collection. Specimens that are not sent to the main laboratory within 4 hours should be double spun, separated and frozen before transporting.

Batched weekly. Test should not be requested while patient is on anti- Xa DOAC therapy (Rivaroxaban and Apixaban).


Apixaban Level/ Eliquis level

Eliquis; anti- Xa; Apix Citrate must be in the laboratory within 4 hours of collection

As requested, for peak levels specimen should be collected 2-3 hours post dose.


APTT Mixing Test mixing test; AM; mixing studies


As requested, 24 hours a day


Dabigatran Pradaxa; dilute thrombin time; DTT

citrate must be in the laboratory within 4 hours of collection


Coagulation Act Pathology

D-Dimer Or XDP XDP; DIMER; D Dimer; FDP Citrate must be in the laboratory within 4 hours of collection



DIC screen DIC; disseminated intravascular haemolysis



Drug induced thrombocytopenia

drug induced platelet antibodies; quinine antibodies


Test must be booked in through the laboratory. Contact Ph.51242834


Factor II Factor 2; F2; FII; Coagulation Factor 2; Coagulation Factor II; Prothrombin


As requested, if urgent otherwise batched weekly.


Factor IX Factor 9; F IX; F-IX; F-9; F9; ; IX; Coagulation Factor 9; Coagulation Factor IX; Christmas Factor; Christmas Disease Screen;




Factor IX Inhibitor Factor 9 Inhibitor; F-IX Inhibitor; IX Inhibitor; F-9 Inhibitor; F-9Ab; Factor 9 Autoantibodies; Coagulation Factor 9I; Anti F9 Antibodies;Factor Inhibitor Assays

2 x Citrate Must be in the laboratory within 4 hours of collection. Specimens that are not sent to the main laboratory within 4 hours should be double spun, separated and frozen before transporting.



Factor V Factor 5; F5; FV; F-V; V; Coagulation Factor 5; Coagulation Factor V; Proaccelerin; Labile Factor

citrate Must be in the laboratory within 4 hours of collection. Specimens that are not sent to the main laboratory within 4 hours should be double spun,



separated and frozen before transporting.

Factor VII Factor 7; F-VII; F7; VII; Coagulation Factor 7; Coagulation Factor VII; Stable Factor;




Factor VIII Factor 8; F-8; F 8; F8; VIII; Coagulation Factor 8; Coagulation Factor VIII; Antihaemophilic Factor; Antihaemophilic Globulin; AHF




Factor VIII Inhibitor Factor 8 Inhibitor; F-VIII Inhibitor; F-8Ab; Factor 8 Autoantibodies; Coagulation Factor 8I; VIII Inhibitor; Anti F8 antibodies; F8 inhibitor; Factor Inhibitor Assays; F8I




Factor X Factor 10; F X; FX; F10; F 10; X; Coagulation Factor X; Coagulation Factor 10; Stuart Factor; Stuart-Prower Factor




Factor XI Factor 11; F11; F-XI; FXI; XI; Factor XI; Factor XI; Coagulation Factor 11; Coagulation Factor XI; Haemophilia C Screen




Factor XII Factor 12; F-XII; F12; XII; Coagulation Factor 12; Coagulation Factor XII; Hageman Factor




Factor XIII Factor XIII; factor 13; F13 Citrate Must be in the laboratory within 4 hours of collection. Specimens that are not sent to the main laboratory within 4 hours should be double spun,

Send away test. Coagulation John Hunter Pathology


Fibrinogen FIB Citrate must be in the laboratory within 4 hours of collection



Fibrinogen - Immunological

Fib Immuno Edta must be in the laboratory within 4 hours of collection

Send away test. Coagulation QHPS

Full Coagulation Profile FCP; PT; INR; APTT; coag; coagulation screen




Heparin Dependent Platelet Abs

HITS; Heparin Induced Ab Screen; HITTS; HIT; Heparin Induced Thrombocytopenia Screen; heparin antibody


As requested, Coagulation ACT Pathology

HMW kininogen 2 x citrate Must be in the laboratory within 4 hours of collection. Specimens that are not sent to the main laboratory within 4 hours should be double spun, separated and frozen before transporting.

Send away test. Screening test may be performed by laboratory.


INR International Normalized Ratio; FCP




Lupus Anticoagulant LUPA; LA; LAC; PTT-LA; Lupus Coagulation Inhibitor; Dilute Russell Viper Venom; DRVVT; KCT; Anti Lupus Antibody; Russell Viper Venom; Lupus Inhibitor.

2 x Citrate Must be in the laboratory within 4 hours of collection. Specimens that are not sent to the main laboratory within 4 hours should be double spun,

Batched weekly. Test should not be requested while patient is on DOAC therapy.



Mixing studies correction studies; APTT mix; PT mix



Non-Patient FCP NPFCP Citrate must be in the laboratory within 4 hours of collection

As requested, 24 hours a day. This test is performed on cell salvage specimens. NPFCP includes, PT, INR, APTT and fibrinogen.


Orgaran/ Danaparoid level

Org Citrate must be in the laboratory within 4 hours of collection


PFA PFA 100; PFA 200; platelet function test; platelet function assay

2 x citrate must be in the laboratory within 4 hours of collection

SPECIMENS MUST NOT BE CENTRIFUGED. Specimen must have an appropriate label added and be placed in a plastic bag. The laboratory must be notified that a PFA has been collected. Test should not be collected after 3:00pm.


Plasminogen Plasminogen Citrate must be in the laboratory within 4 hours of collection

Send away test. Coagulation Monash

Platelet Aggregation Studies

Platelet Ag; Plt Agg; PAGG special tubes



Prekallikrein 2 x citrate Must be in the laboratory within 4 hours of collection. Specimens that are not sent to the main laboratory within 4 hours should be

Send away test. Screening test may be performed by laboratory.

Coagulation Monash

double spun, separated and frozen before transporting.

Protein C Prot C citrate Must be in the laboratory within 4 hours of collection. Specimens that are not sent to the main laboratory within 4 hours should be double spun, separated and frozen before transporting.


Protein S Prot S citrate Must be in the laboratory within 4 hours of collection. Specimens that are not sent to the main laboratory within 4 hours should be double spun, separated and frozen before transporting.

Batched weekly. Coagulation ACT pathology

Prothrombin Time PT; FCP Citrate must be in the laboratory within 4 hours of collection



PT Mixing Test PM; mixing test; mixing studies




Quinine Antibodies Quinine Ab Citrate must be in the laboratory within 4 hours of collection



Reptilase Time Reptilase Citrate must be in the laboratory within 4 hours of collection

As requested, Coagulation Act Pathology

Rivaroxaban/Xarelto Level

Riv; Anti- Xa Citrate must be in the laboratory within 4 hours of collection



Snake venom detection kit/ test

SVDK swab or material from wound site in urine container

Must be in laboratory as soon as possible.


Thrombin clotting time Thrombin Clotting Time; Thrombin Time; TCT; TT



Thrombophilia screen Thrombophilia; prothrombotic screen

This is not a Medicare approved test. Tests that are part of a thrombophilia screen must be requested individually. Tests that may be part of a thrombophilia screen include Anti thrombin, Protein C, Protein S, Lupus anticoagulant, APCR, Factor V Leiden, ACA


Tissue Plasminogen Activator/ Inhibitor

PAI; TPA; TPAI Citrate must be in the laboratory within 4 hours of collection

Send away test. Coagulation Act Pathology

Von Willebrand Multimer Study

multimers; FVIII multimers 2 X citrate Must be in the laboratory within 4 hours of collection. Specimens that are not sent to the main laboratory within 4 hours should be double spun, separated and frozen before transporting.

Send away test. Coagulation Westmead

von Willebrand studies Factor VIII Study; Factor VIII studies; Ristocetin Cofactor; von Willebrand's disease; Factor VIII antigen; von Willebrand factor antigen; collagen binding assay; CBA



Warfarin Level EDTA Send away test. Minimum of 2 mls EDTA plasma required

Coagulation St Vincent’s Syd Clinical Pharmacology

Antibody Screen ABS, Antibodies EDTA Includes a group Transfusion

ACT Pathology

Anti-c Quantitation Anti C Antibody level, Quant c

10ml non gel Serum AND 2 x EDTA

All samples to Transfusion lab Transfusion

Sydney Red Cross Ref Lab

Anti-D Quantitation Anti D Antibody level, Quant D

10ml Non-Gel serum AND 2 x EDTA

All samples to Transfusion lab Transfusion

Sydney Red Cross Ref Lab

Cold Agglutinin Titre Cold Agglutinins, Cags, Cold Aggs

Non-Gel Serum

Outpatients: Collect only at Calvary or at TCH. All other sites call 5124 2918. Calvary - keep at 37°C. Once clotted, spin and separate serum. Send both serum aliquot and primary tubes to TCH Transfusion lab. Note time of separation on request form. TCH/POP: Keep at 37°C and hand deliver

Only to be collected at Calvary and TCH collection centres by ACT Pathology staff.

Transfusion ACT Pathology

to Transfusion Lab at TCH.

DCT Direct Antiglobulin Test, DAT, Direct Coombs Test, Coomb's Test

EDTA Must be tested within 3 days

Transfusion

ACT Pathology

Blood Group Isohaemagglutins EDTA For Blood Group only requests. Use ABS if antibody screen also required.

Transfusion

ACT Pathology

Group and Hold Group and Screen, G&S, G&H EDTA Transfusion

ACT Pathology

Red Cell Crossmatch XM, Crossmatch EDTA Transfusion

ACT Pathology

Antibody Titre

EDTA Transfusion

ACT Pathology

DAT See DCT see DCT Transfusion

ACT Pathology

Direct Coombs test See DCT see DCT Transfusion

ACT Pathology

Coombs See DCT see DCT Transfusion

ACT Pathology

Cord Cord Blood Group and DCT Serum EDTA

Sample must be from umbilical cord. If heel prick or venous collection, then enter Gr & DCT


Isohaemagglutins See GR see GR Transfusion

ACT Pathology

NAIT-Bsend Neonatal Alloimmune Thrombocytopenia

Contact Transfusion Laboratory

Room Temperature Must reach ARCBS within 24hrs of collection Only collect Monday -

Must be approved by Haematologist and ARCBS BEFORE collection. Confirm with Transfusion Lab before collecting.

Transfusion ARCBS - NSW

Thursday before 12:00

Platelets/HLA-Bsend Platelet crossmatching, Platelet refractoriness, Platelet antibody investigation, HLA testing

Contact Transfusion laboratory

Room Temperature Must reach ARCBS within 24hrs of collection

Must be approved by Haematologist BEFORE collection. Organise with ARCBS Plt lab and Transfusion lab BEFORE collection.


Cryoprecipitate Whole Blood Cyroprecipitate, Apheresis Cyroprecipitate

Must have Blood group for patient to issue product. Contact laboratory to order product Transfusion

ACT Pathology

Fresh Frozen Plasma FFP, plasma, frozen plasma

Must have Blood group of patients to issue product. Contact laboratory to order product Transfusion

ACT Pathology

Crossmatch Compatible Platelet

HLA matched Platelets

Contact Transfusion Laboratory before testing, Specific Request form and collection times required for testing


Routine Platelet Crossmatch

Pooled Platelets, Apheresis Platelets Ordered by lab staff only Transfusion

ACT Pathology

Donath Landsteiner Paroxysmal cold haemoglobin

Non-Gel Serum (Red Top)

TCH/POP: Keep at 37°C and hand deliver to Transfusion Lab at TCH.

Approval by Haematologist or Haem Registrar required


Kleihauer Kleihauer-Betke EDTA

Add on: Contact transfusion lab first Transfusion

ACT Pathology

Post Natal Anti D PND, Post Natal Anti-D Titre

EDTA

If Anti D Titre requested, enter ABS If Anti D Quantification requested, enter ABS and ADQ Transfusion

ACT Pathology

Paroxysmal cold haemoglobin

see Donath Landsteiner

Transfusion

ACT Pathology

Neonatal Thrombocytopenia

See BSEND platelets/HLA Transfusion ARCBS - NSW

HLA Tissue Match See BSEND platelets/HLA Transfusion ARCBS - NSW

HLA-DR3 Not a Transfusion test -Direct send to Red Cross via sendaways

ACD Send same day as collected - Room temperature ONLY collect Monday - Wednesday before 12:00

Must be booked in with ARCBS. Call TCH Transfusion lab. Must have clinical notes on request form.


HLA-DR4 Not a Transfusion test -Direct send to Red Cross via sendaways

ACD HLA-DR3 and 4 often collected together

Must be booked in with ARCBS. Call TCH Transfusion lab. Must have clinical notes on request form.


Antibody Quantitation D Quantitation or c Quantitation

Discuss with TCH Transfusion Lab Transfusion

ACT Pathology

Red Cell Phenotyping Red Cell Antigen Typing, Kell Typing EDTA Transfusion

ACT Pathology

Red Cell Genotyping

EDTA

Tx Lab initiated, used only when unable to Phenotype patient. Transfusion ARBS-QLD

NIPA For Foetal RhD NIPT for Foetal RhD Contact Transfusion laboratory

For Foetal RhD determination only Transfusion ARCBS-QLD

Haemolytic Screen see DCT EDTA Includes a group Transfusion

ACT Pathology

White cell Antigen Testing

See Bsend platelets/HLA.

Test name

Keywords Sample required

Transport conditions Additional details Department Performed at

BCR-ABL PCR (p210)

20ml EDTA

Test within 24hrs, do not collect on Friday, Sat Diagnostic Genomics ACT Pathology

BRAF mutation studies

FFPE SLIDES Diagnostic Genomics ACT Pathology

CLL FISH

Whole Blood Diagnostic Genomics ACT Pathology

C-Myc FISH

Tissue, Blood Diagnostic Genomics ACT Pathology

Cyclin D1 Rearrangement

Bm Or Pb Diagnostic Genomics ACT Pathology

Dna Extraction and Storage

EDTA 10ml Non-Medicare $106.10 Diagnostic Genomics ACT Pathology

Factor Va Leiden Mutation Pcr

Leiden mutation; factor V mutation; Factor V Leiden mutation EDTA 4-10mL 4°C Diagnostic Genomics ACT Pathology

Fibroblast Culture

Fresh Tissue Diagnostic Genomics ACT Pathology

FISH - Non-Haematology

EDTA or LiHep

Specimens should be sent to lab ASAP Diagnostic Genomics ACT Pathology

FISH- Haematology BLOOD/MARROW Diagnostic Genomics ACT Pathology

Hereditary Haemochromatosis

C282Y, HFE gene study, chromatosis gene study Edta 10ml RT Diagnostic Genomics ACT Pathology

HLA B27 HLA-B27 PCR; B27PCR EDTA 10ml 4°C -Do not Spin Diagnostic Genomics ACT Pathology

Karyotype - Fresh Tissue


Prothrombin Mutation Prothrombin 20210G-A; G20210A; P20210G; Factor II PCR; F-II PCR; F-2 PCR; Prothrombin Gene Mutation; Prothrombin Variant EDTA 4-10ml 4°C Diagnostic Genomics ACT Pathology

RAS (KRAS/NRAS) mutation studies

FFPE SLIDES

Subtelomere/FISH

LiHep Diagnostic Genomics ACT Pathology

T Cell Gamma Gene Rearrangement

Edta/Tissue/BM Diagnostic Genomics ACT Pathology

Tissue Cytogenetics

Tissue Diagnostic Genomics ACT Pathology

BCRABL Depth Of Response

Blood Or BMA Diagnostic Genomics ACT pathology or ICPMR

EGFR mutation studies

FFPE SLIDES Diagnostic Genomics ACT Pathology

Karyotype - Bone marrow

Bone Marrow Diagnostic Genomics ACT Pathology

Karyotype - Fresh tissue


SNP Microarray

Products of Conception

Chimerism FISH

Blood or Bone marrow

Incontentia Pigmenti

EDTA Diagnostic Genomics Adelaide Women & Children’s Hospital

Pml-Rar Alpha Mutation Analysis.

Edta Blood Or BM Diagnostic Genomics BM-RPAH, PB-PeterMac

Jag1 (Alagille Syndrome)

Edta Blood Diagnostic Genomics Children's Hospital Westmead

Osteogenesis Imperfecta Type 4

Edta Blood Diagnostic Genomics Children's Hospital, Westmead

Prader Willi Syndrome UPD

LiHep Diagnostic Genomics Children's Hospital, Westmead

Uniparental

Edta Blood Diagnostic Genomics Children's Hospital, Westmead

Friedrichs Ataxia Pcr

Edta Blood Diagnostic Genomics Concord Hospital

Hereditary Spastic Paraplegia

10mL Edta Blood Diagnostic Genomics Concord Hospital

Myotonic Dystrophy Screen

EDTA 10-20ml Diagnostic Genomics Concord Hospital

Spinocerebellar Ataxia Type 3

EDTA 5-10ml Diagnostic Genomics Concord Hospital

Cadasil (Genetic Test)

Edta 10ml Diagnostic Genomics Genomics Research Centre, QLD

Spinocerebellar Ataxia Type 6

Edta Blood Diagnostic Genomics Grc, Qld

MYD88 Gene Mutation

Edta Blood Diagnostic Genomics Haem Trans. Research Unit, TCH

Peutz-Jeghers Syndrome STR11

EDTA & LIHEP Diagnostic Genomics HAPS

HNPCC

EDTA 2 X 10ml Diagnostic Genomics HAPS

HLA-B5701

Edta Diagnostic Genomics ICPMR (Westmead)

Bcr-Abl Mutation Analysis

Pb Or Bm Diagnostic Genomics ICPMR (Westmead)

Bcr-Abl Pcr (All Transcripts)

Edta Bm or PB Diagnostic Genomics ICPMR Westmead

TPMT Genotype

Edta Blood 10ml Diagnostic Genomics ICPMR, Westmead

Msh 2 Genetic Testing

Edta Blood Diagnostic Genomics HAPS

Msh-6 Mutation

Edta Diagnostic Genomics HAPS

Maturity Onset Diabetes Of The

Edta X 3 Diagnostic Genomics Mater Hospital Brisbane

Noonan Syndrome

Edta Or DNA Diagnostic Genomics Mater Hospital Brisbane

Y deletion studies

Edta Blood 10ml Diagnostic Genomics Monash IVF Laboratory

Haemophilia A PCR (Intron 22)

Edta 10ml Diagnostic Genomics Monash Medical Centre VIC

Alpha Thalassaemia DNA Studies

refer to Alpha DNA studies Edta 10 ml Diagnostic Genomics

Monash Medical Centre VIC

Ewings Sarcoma

FFPE tissue Diagnostic Genomics Monash Medical Centre VIC

MLH1/MLH2 Genotyping

Edta Blood 10ml Diagnostic Genomics Myriad Gen. Lab., USA

Marfan Syndrome

Edta 10-20 ml Diagnostic Genomics Children’s Hospital, Westmead

Rett Syndrome (MECP2)

10Ml EDTA Diagnostic Genomics Children’s Hospital, Westmead

Cystic Fibrosis Genetic Test

Cystic fibrosis PCR; DNA Cystic Fibrosis Genes; DF508; F508 EDTA 4-10 ml

non -Medicare for DF508-$250 Diagnostic Genomics

Children’s Hospital, Westmead

Breakage Studies - Chromosomes

LiHep Non-Gel 10ml Diagnostic Genomics


Fanconi Anaemia

LiHep 10ml Diagnostic Genomics

Pathology Queensland Royal Bis

Neurofibromatosis Type 1

EDTA 10 ml Diagnostic Genomics Pathwest

Core Binding Factor - MYH11

Bone Marrow Diagnostic Genomics Peter MacCallum Cancer Centre

FLT3 Mutation Analysis

EDTA Diagnostic Genomics Peter MacCallum Cancer Centre

Myeloid Gene Panel

Bm/Blood Diagnostic Genomics Peter MacCallum Cancer Centre

Next Generation Sequencing - Haematology

BM/Blood

TP53 mutation studies in CLL

Edta Blood/ Bm Diagnostic Genomics Peter MacCallum Cancer Centre

C-Kit Mutation

PB Or BM Diagnostic Genomics Peter MacCallum Cancer Centre

Brca 1&2 Gene Test

Edta Blood Diagnostic Genomics Peter MacCallum Cancer Centre

Calreticulin Gene


IGHV Mutation


Myeloproliferative Neoplasm -


MYH11-CBF Pcr

Bm Or Pb Diagnostic Genomics Peter MacCallum Cancer Centre

NPM1 MRD


Survivor Motor Neurone Gene

5mL EDTA Diagnostic Genomics Prince of Wales Randwick

Cord Blood - Cytogenetics

No Gel Li Hep Diagnostic Genomics Prince of Wales Randwick

FGFR3 Mutation

Edta Blood Diagnostic Genomics Prince of Wales Randwick

Karyotype - BLOOD

Various Diagnostic Genomics Prince of Wales Randwick

Jak2 Exon 12 Mutation

Blood/B.Marrow Diagnostic Genomics Princess Alexandra, Brisbane

Polycystic Kidney Disease

EDTA 10ml Non-Medicare Diagnostic Genomics QHPS

HLA Testing for Narcolepsy

ACD 20Mls Diagnostic Genomics Red Cross, Sydney

HLA A29 Testing

2 x 10mL ACD Diagnostic Genomics Red Cross, Sydney

HLA B1502

2x 10ml ACD Diagnostic Genomics Red Cross, Sydney

HLA Dr B1 0407

ACD Diagnostic Genomics Red Cross, Sydney

Neurofibromatosis Type 2

Tissue & EDTA Diagnostic Genomics Royal Children’s Hosp, Vic

Haemophilia B Genetic Testing

EDTA Diagnostic Genomics Royal Prince Alfred Hospital

HNPP

EDTA/Heparin Diagnostic Genomics Royal Prince Alfred Hospital

Beta Thalassaemia DNA Studies

Beta Thalassaemia Gene Testing; Molecular studies for Beta Thalassaemia EDTA 10ml 4°C non-Medicare $400 Diagnostic Genomics

Royal Prince Alfred Hospital

FIP1L1-PDGFRA Rearrangement

EDTA Bm Or Pb Diagnostic Genomics Royal Prince Alfred Hospital

Haemophilia A Genetic Testing

EDTA PB Diagnostic Genomics SA Pathology

Tay Sachs Genetic Screen

EDTA + Serum Diagnostic Genomics SA Pathology

Spinal Muscular Atrophy

smn1 EDTA Blood Diagnostic Genomics

Prince of Wales Randwick

Duchenne's Muscular Dystrophy

EDTA 10ml Diagnostic Genomics Prince of Wales Randwick

Chromosomal Microarray

EDTA Blood/Saliva

Blood must be uncontaminated ie cannot share with another test. Diagnostic Genomics VCGS

Fragile X DNA Analysis EDTA 4-10ml Diagnostic Genomics VCGS

Microarray and Fragile X

EDTA Blood/Saliva

Blood must be uncontaminated ie cannot share with another test. Diagnostic Genomics VCGS

Percept NIPT

Kit Diagnostic Genomics VCGS

Prenatal Microarray

Prenatal Diagnostic Genomics VCGS

Prepair Carrier Screening

4ml EDTA Blood Diagnostic Genomics VCGS

Mitochondrial DNA Mutations

Blood Or Urine Diagnostic Genomics VCGS

Huntington’s Disease

EDTA X 2 Diagnostic Genomics VCGS

Chimerism Studies

EDTA 10ml Diagnostic Genomics Children's Hospital Westmead

Test name Keywords Sample required Transport conditions Additional details Department Performed at

Adenovirus PCR conjunctivitis

Orange top flocked swab in viral transport media, green top viral swab

Room Temperature.

Please contact the on-call Microbiologist if testing on other specimen types other than those listed is required.

Molecular - Microbiology ACT Pathology

Bordetella pertussis PCR whooping cough

Nasopharyngeal aspirate in NPA collection container or orange flocked nasopharyngeal swab placed into viral transport medium

Room Temperature.


Chlamydia trachomatis PCR CT

First catch urine in yellow top container, yellow top (Roche) swab, fluid in sterile container, Thin Prep Vial

Room Temperature.

One specimen from the same site can be used for both Chlamydia and gonococcus testing if required.


CMV Viral Load (Quantitative) Cytomegalovirus

10ml blood in EDTA tube (purple top)

Room temperature


CMV PCR (Qualitative) Cytomegalovirus

Urine in yellow top container, tissue or amniotic fluid in sterile container or 10ml blood in EDTA tube (purple)

Room temperature

CSF testing is routinely performed using the multiplex PCR assay. Please contact the on-call Microbiologist if testing on other specimen types other than those listed is required. Quantitative CMV PCR (viral load) will be tested if this result is positive.


Neisseria gonorrhoeae PCR NG, gono

First catch urine in yellow top container, yellow top (Roche) swab, fluid in sterile container, Thin Prep Vial

Room temperature

If symptomatic also send a blue top bacterial swab for culture and antibiotic sensitivities. One specimen from the same site can be used for both Chlamydia and gonococcus testing if required.


Herpes Simplex 1/2 PCR HSV Green top viral swab Room Temperature.

CSF testing is routinely performed using the multiplex PCR assay. Please contact the on-call Microbiologist if testing on other specimen types other than those listed is required.


Measles PCR

Urine in yellow top container AND orange flocked swab or green viral swab of throat

Room Temperature.

Testing requires telephone approval by the on-call Microbiologist. CSF testing is routinely performed using the multiplex PCR assay.


Respiratory Panel PCR

Influenza, RSV, Adenovirus, Rhinovirus, Enterovirus, Parainfluenza, hPIV, flu, metapneumovirus, hmpv

Orange flocked nasopharyngeal swab in viral transport medium, nasopharyngeal aspirate in NPA collection container (with transport lid attached), endotracheal aspirates/bronchial

Room Temperature.

Organisms included on panel: Influenza A/B, RSV, enterovirus/rhinovirus, parainfluenza viruses 1-4, adenovirus, human metapneumovirus, and Bordetella pertussis. During influenza season testing for hospital


washes in yellow top container

patients is routinely performed using the Influenza A/B & RSV PCR assay.

Varicella Zoster PCR chickenpox, shingles, VZV Green top viral swab

Room temperature



HIV Viral Load (Quantitative)

10ml Blood in EDTA tube (purple top)

Room Temperature.

This test is for monitoring known HIV positive patients only. For diagnosis please order HIV serology.


Influenza A/B & RSV PCR flu

Orange flocked nasopharyngeal swab in viral transport medium, nasopharyngeal aspirate in NPA collection container (with transport lid attached), endotracheal aspirates/bronchial washes in yellow top container

Room Temperature.

Outside of influenza season testing is routinely performed on the Respiratory PCR Panel.


Hepatitis B Viral Load (Quantitative) HBV


Room temperature

This test is for monitoring known Hepatitis B positive patients. For initial diagnosis please order Hepatitis B sAg, sAb and cAb.


Hepatitis C PCR (Qualitative) HCV


Room temperature

This test is for assessing known Hepatitis C antibody positive patients. For initial diagnosis please order Hepatitis C antibody.


Hepatitis C genotype HCV 10ml Blood in EDTA tube (purple top)

Room temperature

This test is for assessing known Hepatitis C antibody positive patients. For initial diagnosis please order Hepatitis C antibody. Hepatitis C genotyping should only be repeated if new Hepatitis C infection is suspected.


Hepatitis C Viral Load (Quantitative) HCV


Room temperature

This test is indicated for monitoring therapy of known hepatitis C positive patients. For initial diagnosis please order Hepatitis C antibody. For detection of active hepatitis C infection, please order Hepatitis C PCR (Qualitative).


Neisseria meningitidis PCR meningococcus


Room temperature

Testing requires telephone approval by the on-call Microbiologist. CSF testing is routinely performed using the multiplex PCR assay.


Enterovirus PCR

polio, flaccid paralysis, coxsachie virus, hand foot mouth

Nasopharyngeal aspirate in NPA collection container, orange flocked nasopharyngeal swab placed into viral transport medium, bronchial wash in yellow top container, green top viral swab of throat or skin lesions

Room temperature



Cervical screening - HPV PCR

human papilloma virus

Cervical specimen collected into Thin Prep Vial

Room temperature

Screening test for asymptomatic patients.


HPV PCR human papilloma virus

Cervical specimen collected into Thin Prep Vial, cervical tissue

Room temperature

Testing of symptomatic and/or those identified at risk. Please contact the on-call Microbiologist if testing on other specimen types other than those listed is required.


Pneumocystis jirovecci PJP, PCP

Induced sputum, mouth wash, endotracheal aspirate or bronchial wash in yellow top container

Room temperature

Testing is approved by the on-call Microbiologist on basis of clinical details provided.


Trichomonas vaginalis PCR TV

First catch urine in yellow top container, orange flocked swab in viral transport media or green viral swab of urethral discharge or vaginal

Room temperature

Testing is approved by the on-call Microbiologist on basis of clinical details provided. Routinely tested when referred from CSHC.


Mycoplasma genitalium PCR MG

First catch urine in yellow top container, orange flocked swab in viral transport media or green viral swab of urethral discharge or vaginal

Room temperature

Testing is approved by the on-call Microbiologist on basis of clinical details provided. Routinely tested when referred from CSHC.


Whipples Disease PCR Troperyma whipplei

Cerebrospinal fluid or 10ml EDTA blood (purple top)

Room temperature

Referral for testing is approved by the on-call Microbiologist on basis of clinical details provided.

Molecular - Microbiology PathWest, WA

Zika Virus PCR

10ml blood in EDTA tube (purple top) and/or urine in yellow top container.

Room temperature


Molecular - Microbiology

Pathology Queensland (Forensic & Scientific Services)

BK Virus PCR Polyomavirus

10ml blood in EDTA tube (purple top) and/or urine in yellow top container.

Room temperature

Routinely referred for testing for renal transplant patients. For other indications or specimen types, referral is approved by the on-call Microbiologist on basis of clinical details provided.



Epstein Barr Virus PCR EBV, glandular fever

10ml blood in EDTA tube (purple top), green top viral throat swab

Room temperature

Referral for testing is approved by the on-call Microbiologist on basis of clinical details provided. For routine diagnosis of EBV infection please request EBV antibody testing.



Hepatitis B YMDD Motif Mutation

10ml blood in EDTA tube (purple top)

Room temperature

Referral for testing is approved by the on-call Microbiologist on basis of clinical details provided. Not for routine diagnostic or monitoring purposes.

Molecular - Microbiology VIDRL, Victoria

Parvovirus PCR

10ml blood in EDTA tube (purple top) or amniotic fluid

Room temperature

Referral approved by the on-call Microbiologist on basis of clinical details provided. To discuss diagnostic options and testing on other specimen types contact the on-call Microbiologist.



Cervical screening - HPV PCR self-collection

human papilloma virus

Self-collected vaginal flocked swab

Room temperature

Clinician collected cervical specimen in Thin Prep Vial preferred when possible. Please contact the Molecular Laboratory


Victorian Cytology Service

HIV Proviral DNA 10ml Blood in EDTA tube (purple top)

Room Temperature.

Not indicated for routine HIV diagnostic testing. Referral is approved by the on-call Microbiologist on


St Vincent’s Sydney

basis of clinical details provided.

HIV Viral Genotypic Resistance


Room Temperature.

Not indicated for routine HIV diagnostic testing. Please order HIV serology.


Aspergillus PCR - blood 10ml Blood in EDTA tube (purple top)

Room Temperature.

Only specimens from haematology or other severely immunocompromised patients with suspected invasive Aspergillosis. Referral approved by the on-call Microbiologist on basis of clinical details provided.



Hepatitis C Resistance Testing HCV


Room Temperature.

Referral for testing is approved by the on-call Microbiologist on basis of clinical details provided. For routine diagnosis of Hepatitis C infection please request Hepatitis C antibody (unknown or previously negative) or Hepatitis C PCR (positive Hepatitis C antibody).



Parechovirus PCR 5ml Blood in EDTA tube (pink top)

Room temperature

CSF testing is routinely performed using the multiplex PCR assy. Referral is approved by the on-call Microbiologist on basis of clinical details provided.



Hepatitis A PCR HAV

10ml Blood in EDTA tube (purple top), faeces in brown top container

Room temperature

Referral for testing is usually performed for public health indications following serological diagnosis. For routine diagnosis of Hepatitis A infection please request Hepatitis A IgG and IgM.



Hepatitis E PCR HEV 10ml Blood in EDTA tube (purple top)

Room temperature

Referral for testing is approved by the on-call Microbiologist on basis of clinical details provided. For routine diagnosis of Hepatitis E infection please request Hepatitis E antibody.


Lymphogranuloma venereum PCR

Yellow top (Roche) swab, green top viral swab or orange top flocked swab

Room temperature

Consider in patient with Chlamydia proctitis or classical bubos.



Rubella PCR

10ml Blood in EDTA tube (purple top), green top viral swab of throat, urine in yellow top container, amniotic fluid in sterile container

Room temperature

Referral for testing is approved by the on-call Microbiologist on basis of clinical details provided. For routine diagnosis of Rubella infection please request Rubella IgM/IgG.



Streptococcal pneumoniae PCR


Room temperature

CSF testing is routinely performed using the multiplex PCR assay. Please contact the on-call Microbiologist if



testing blood if required.

Toxoplasma gondii PCR

CSF or vitreous or amniotic fluid in sterile container

Room temperature




Dengue fever PCR 10ml Blood in EDTA tube (purple top)

Room temperature

Serology is recommended for initial diagnostic testing for Dengue.



Flavivirus Pcr

Murray valley; Japanese encephalitis; yellow fever

10ml Blood in EDTA tube (purple top) and CSF

Room temperature

Referral for testing is approved by the on-call Microbiologist on basis of clinical details provided, including travel history.



Human Herpes Virus 6 & 7 PCR

10ml Blood in EDTA tube (purple top) and CSF

Room temperature

Testing mainly indicated in the setting of severe immunosuppression. Referral for testing is approved by the on-call Microbiologist on basis of clinical details provided.


JC Virus - PCR

10ml Blood in EDTA tube (purple top), CSF and urine in yellow top container.

Room temperature

Testing mainly indicated in the setting of severe immunosuppression. Referral for testing is approved by the on-call Microbiologist on basis of clinical details provided.



Mumps PCR

10ml Blood in EDTA tube (purple top), green top viral swab of throat/saliva, and urine in yellow top container

Room temperature

Referral for testing is approved by the on-call Microbiologist on basis of clinical details provided. For routine diagnosis of Mumps infection please request Mumps IgM/IgG.



Q Fever PCR 10ML EDTA Room temperature


Australian Rickettsial Reference Laboratory

Syphilis PCR

Green top viral swab or orange flocked swab of the skin or mucosal lesion, and tissue in sterile container.

Room temperature

Serum for syphilis antibody testing and RPR also recommended.



Mycoplasma pneumoniae PCR

Induced sputum, endotracheal aspirate or bronchial wash in yellow top container

Room temperature


Ureaplasma urealyticum Pcr

Viral Swab (Green Top), First Catch Urine Molecular Path

Royal Women's Hospital, Melb

Yersinia Pcr Tissue Molecular Path See Notes Viral Load HIV (Branched DNA)

2 X EDTA Blood for Plasma Molecular Path RPAH Immuno

Vitreous Fluid for Cytology

Fluid

Anat Path Cytology Lab

CSF Cytology Black top CSF tube

Cytology ACT Pathology

Urine Cytology Urine mid-morning specimen Cytology ACT Pathology

Ascitic Fluid Cytology Ascitic Fluid Yellow top or drain Cytology ACT Pathology

Bile Duct Aspirate Cytology

Aspirate Yellow top or Thin Prep vial Cytology ACT Pathology

Bronchial Brush Cytology

Brushings Thin Prep vial Cytology ACT Pathology

Bronchial Wash Cytology

Washings yellow top or white top Cytology ACT Pathology

Cyst Fluid (Cytology) Fluid yellow top Cytology ACT Pathology

Cysts FNA Cyst Fluid slides + yellow top Cytology Act Pathology

Decoy Cells (Urine) Urine yellow top urine Cytology ACT Pathology

Fine Needle Aspirate Various slides + HAMS /RPMI/yellow top Cytology ACT Pathology

Fine Needle Aspirate Cysts

Cyst Fluid yellow top Cytology Act Pathology

Gastric Brush Cytology Brushings Thin Prep vial Cytology ACT Pathology

Haemosiderin Laden Macrophages

V For View Yellow top Cytology ACT Pathology

HPV DNA Test - Cervical Spec

ThinPrep vial


Joint Effusion Cytology Effusion yellow top Cytology ACT Pathology

Non-Gynaecological Cytology

Various

Cytology ACT pathology

Nipple Discharge Cytology

Discharge slides +/- yellow top or HAMS Cytology ACT Pathology

Pleural Fluid Cytology Fluid yellow top, drain Cytology ACT Pathology

Pouch of Douglas Fluid Cyto

Fluid yellow top Cytology ACT Pathology

Pap Smear Slide vaginal vault smear only Cytology ACT Pathology

Pericardial Fluid Cytology

Fluid yellow top, drain Cytology ACT Pathology

Peritoneal Fluid Cytology

Fluid yellow top, drain Cytology ACT Pathology

Sperm Count - Semen Analysis

Semen 2mls

Cytology Capital Pathology

Sputum Cytology Sputum yellow top Cytology ACT Pathology

ThinPrep Pap Test ThinPrep Vial


Broncho Alveolar Lavage

BAL Fluid yellow top Cytology ACT Pathology

Programmed Death Ligand 1 Exp

PD-L1 FFPE tissue, Washing

Histo ACT Path

Bone Biopsy

Bone Biopsy

Histology St George Hospital

Coroners Case, Postmortem

CPM V For View

Histology ACT Pathology

Histology Histo FFPE Tissue

Histology

Immunohistochemistry IHC FFPE tissue


Immunofluorescence - Histology

DIF Fresh Tissue/Hams Solution

Keep refrigerated


Liver Biopsy Liver Liver Biopsy


Renal Biopsy for EM and Histo

Renal Fresh Tissue in Hams Solution

AP ACT Pathology

Egfr Mutation EGFR Tissue

Anatomical Path

IMVS

act pathology test list

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