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Microsoft word - dcs___test_list_d_h_v29.doc

Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Plasma – 1.0 mL. Specimen for this test must
be collected, processed, aliquoted and frozen within 30 minutes of collection. If unable to meet these requirements, patients must be referred to a GDML patient service center for collection. Collect 1 light blue top tube, D-DIMER LIGHT
centrifuge and aliquot the top 2/3 of plasma
with a pipette into a transport tube being careful
not to disturb cell layer. Centrifuge plasma
aliquot and transfer to 2nd transport tube,
staying clear of the cell button at the bottom of
the tube. Freeze immediately.
Serum – 2.0 mL. Specimen must be collected,
processed, aliquoted and frozen within 30 min D-LACTATE SST
of collection. Patient must be referred to a Gamma-Dynacare Patient Service Centre for DEHYDROEPIANDROSTERONE –
Serum – 1.0 mL
SULPHATE (DHEAS)
Serum – 1.0 mL. Centrifuge and aliquot into
transfer tube. Protect from light. Freeze upon 7-DEHYDROCHOLESTEROL SST
receipt in main lab. Heparinized plasma is also
acceptable sample.
Urine - 24 h – 50.0 mL. Collected in 25 mL 6
DELTA AMINOLEVULNIC ACID
container.
Serum – 10.0 mL. Acute and convalescent
samples are required only if relevant clinical
information is present (ie. Fever, rash, travel). DENGUE AB
If testing is for screening only, a single Page 1 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Serum – 2.0 mL. Specimen may be collected
in Dr’s office and submitted as per routine samples but must arrive at GDML laboratory within 24 hrs of collection. Samples will be DEOXYCORTISOL – 11
frozen upon receipt in a GDML main lab facility. Centrifuge and aliquot serum into transfer tube. Plasma from lavender top tube also acceptable. Urine – 10.0 mL. No preservative required.
DEOXYPYRIDINOLINE (DPD)
next 2hr interval. 24hr timed collection is also acceptable. DEPAKENE ( VALPROIC ACID)
DERMATOPATHOLOGY /
HISTOPATHOLOGY
ROYAL BLUE
Serum – 2.0 mL. Centrifuge and aliquot into
DESIPRAMINE
HEPARINIZED
DHEA – S
ROYAL BLUE
Serum – 3.0 mL. Centrifuge and separate into
DIAZEPAM
Heparinized)
DIFFERENTIAL
Serum - 2.0 mL aliquoted to transfer tube. No
gel separators. Hemolysed specimens are not Serum – 3.0 mL Not OHIP billable.
Centrifuge, aliquot and freeze within 30 DIHYDROTESTOSTERONE SST
minutes of collection. Collect in GDML PSC only. Page 2 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
DILANTIN (PHENYTOIN)
Serum – 2.0 mL. Centrifuge and aliquot into
measurements timing should be consistent. Draw trough specimen prior to next dose. Serum – 1.0 mL. Not OHIP billable.
DILANTIN FREE
Centrifuge and aliquot into transfer tube. No DIPHTHERIA ANTI-TOXIN LEVELS
shipped immediately and refrigerated. GDML Throat Swab – completed PHL requisition
required. Indicate site on sample. Specimen DIPHTHERIA CULTURE
must be handled immediately on receipt in sample by the physician or Patient Service Center submitting the specimen. DIRECT ANTI-HUMAN GLOBULIN
Plasma - 1.0 mL. Centrifuge and aliquot into
DISOPYRAMIDE GREEN
ROYAL BLUE
Serum – 2.0 mL. Centrifuge and aliquot into
HEPARINIZED
DRUGS OF ABUSE (URINE)
Urine – Random 20.0 mL.
ECHINOCOCCUS GRANULOSIS
Serum– 10.0 mL. Completed Public Health
ANTIBODY
Page 3 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Swab – Acceptable samples for this test are throat
swab, faeces and CSF. If collecting a throat swab follow instructions in the Virus culture kit. If collecting faeces follow instructions in the virus TM ECHO VIRUS SWABS
kit and be aware that culture on faeces is performed from April 15th to December 14th. Electron microscopy is performed from December 15th to April 14th only. CSF is to be collected in a sterile container. Completed PHL requisition is required. ENDOMYSIAL ANTIBODY
Serum – 2.0 mL
Stool – Collect 1 g. of stool in a sterile urine
ENTAMOEBA HISTOLITICA –
container. Completed PHL form is required. Container
Results of any previous positive Entamoeba histolitica should accompany samples. EPINEPHRINE (URINE)
Serum– 10.0 mL. Completed Public Health
EPSTEIN BARR VIRUS AB
Serum – 2.0 mL. Not OHIP billable. Sample will
ERYTHROPOIETIN SST
ESTRADIOL (ESTROGENS NON-
Serum – 2.0 mL
PREGNANT)
ESTRIOL (ESTROGENS PREGNANT)
Serum – 1.0 mL
Page 4 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Serum – 1.0 mL. Specimen may be collected in
Dr’s office and submitted as per routine samples but must arrive at GDML laboratory within 24 hrs of ESTRONE SST
collection. Samples will be frozen upon receipt in GDML main lab facility. Centrifuge and aliquot ETHANOL (URINE)
Urine – Random 10.0 mL.
ETHCHLORVYNOL -
ETHOSUXIMIDE (ZARONTIN)
Serum – 1.0 mL Centrifuge
comparative therapeutic measurements timing should be consistent. Urine – 30.0 mL collected in a sterile urine
ETHYL GLUCURONIDE
ETHYLENE GLYCOL
Plasma – 2.0 mL. Not OHIP billable.
Plasma – 2.0 mL. Specimen for this test must be
collected, processed, aliquoted and frozen within 30 minutes of collection. If unable to meet these requirements, patients must be referred to a GDML patient service centre for collection. Collect 1 light blue top tube centrifuge and remove top 2/3 of FACTOR II ASSAY
LIGHT BLUE
plasma with a plastic transfer pipette into a transport tube to 2nd transport tube, staying clear of the cell
button at the bottom of the tube. Freeze
immediately. NOTE: if the light blue top tube is
the first vacutainer to be drawn, collect a small
amount of blood in a discard tube before proceeding
with the rest of the collection.
Page 5 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Plasma – 2.0 mL. Collect 1 full light blue top tube
and mix immediately. Centrifuge and aliquot plasma to a transfer tube within 30 minutes of FACTOR IX ASSAY
LIGHT BLUE
collection. Note: if light blue top tube is the first/only tube to be drawn, collect a small amount of blood in a discard tube before collecting the tube for this analysis. Collect in GDML PSC only. Central and Western Ontario - Plasma – 4.0 mL.
Collect 1 full Lavender top tube and mix LIGHT BLUE
Eastern Ontario – Plasma and Whole Blood – 2.0
FACTOR V LEIDEN
LAVENDER
mL Plasma and 4.0 mL whole blood. Collect 1 light (LOCATION
blue top tube and 1- 4.0mL Lavender tube. DEPENDENT)
Centrifuge light blue top tube and aliquot plasma into a transfer tube and freeze. Do Not spin or Plasma – 2.0 mL. Specimen for this test must be
collected, processed, aliquoted and frozen within 30 minutes of collection. If unable to meet these requirements, patients must be referred to a GDML patient service centre for collection. Colect 1 light blue top tube centrifuge and remove tiop 2/3 of FACTOR V ASSAY
LIGHT BLUE
plasma with a plastic transfer pipette into a transport tube to 2nd transport tube, staying clear of the cell
button at the bottom of the tube. Freeze
immediately. NOTE: if the light blue top tube is
the first vacutainer to be drawn, collect a small
amount of blood in a discard tube before proceeding
with the rest of the collection.
FACTOR V MUTATION
Page 6 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Plasma – 2.0 mL. Specimen for this test must be
collected, processed, aliquoted and frozen within 30 minutes of collection. If unable to meet these requirements, patients must be referred to a GDML patient service centre for collection. Collect 1 light blue top tube centrifuge and remove top 2/3 of FACTOR VII ASSAY
LIGHT BLUE
plasma with a plastic transfer pipette into a transport tube to 2nd transport tube, staying clear of the cell
button at the bottom of the tube. Freeze
immediately. NOTE: if the light blue top tube is
the first vacutainer to be drawn, collect a small
amount of blood in a discard tube before proceeding
with the rest of the collection.
Plasma – 2.0 mL. Specimen for this test must be
collected, processed, aliquoted and frozen within 30 minutes of collection. If unable to meet these requirements, patients must be referred to a GDML patient service centre for collection. Collect 1 light blue top tube centrifuge and remove top 2/3 of FACTOR VIII (RELATED ANTIGEN)
LIGHT BLUE
plasma with a plastic transfer pipette into a transport tube to 2nd transport tube, staying clear of the cell
button at the bottom of the tube. Freeze
immediately. NOTE: if the light blue top tube is
the first vacutainer to be drawn, collect a small
amount of blood in a discard tube before proceeding
with the rest of the collection.
Plasma – 2.0 mL. Specimen for this test must be
collected, processed, aliquoted and frozen within 30 minutes of collection. If unable to meet these requirements, patients must be referred to a GDML patient service centre for collection. Collect 1 light FACTOR VIII (RISTOCETIN
blue top tube centrifuge and remove top 2/3 of plasma LIGHT BLUE
COFACTOR)
with a plastic transfer pipette into a transport tube to
2nd transport tube, staying clear of the cell button at
the bottom of the tube. Freeze immediately. NOTE:
if the light blue top tube is the first vacutainer to be
drawn, collect a small amount of blood in a discard
tube before proceeding with the rest of the collection.
Page 7 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Plasma – 2.0 mL. Specimen for this test must be
collected, processed, aliquoted and frozen within 30 minutes of collection. If unable to meet these requirements, patients must be referred to a GDML patient service centre for collection. Collect 1 light blue top tube centrifuge and remove top 2/3 of plasma FACTOR VIII ASSAY
LIGHT BLUE
with a plastic transfer pipette into a transport tube to
2nd transport tube, staying clear of the cell button at
the bottom of the tube. Freeze immediately. NOTE:
if the light blue top tube is the first vacutainer to be
drawn, collect a small amount of blood in a discard
tube before proceeding with the rest of the collection.
Plasma – 2.0 mL. Centrifuge, separate and freeze
FACTOR VIII COFACTOR
LIGHT BLUE
within 30 minutes. Collect in GDML PSC only Plasma – 2.0 mL. Specimen for this test must be
collected, processed, aliquoted and frozen within 30 minutes of collection. If unable to meet these requirements, patients must be referred to a GDML patient service centre for collection. Collect 1 light blue top tube centrifuge and remove top 2/3 of plasma FACTOR VIII INHIBITOR
LIGHT BLUE
with a plastic transfer pipette into a transport tube to
2nd transport tube, staying clear of the cell button at
the bottom of the tube. Freeze immediately. NOTE:
if the light blue top tube is the first vacutainer to be
drawn, collect a small amount of blood in a discard
tube before proceeding with the rest of the collection.
Plasma – 2.0 mL. Specimen for this test must be
collected, processed, aliquoted and frozen within 30 minutes of collection. If unable to meet these requirements, patients must be referred to a GDML patient service centre for collection. Collect 1 light blue top tube centrifuge and remove top 2/3 of plasma FACTOR X ASSAY
LIGHT BLUE
with a plastic transfer pipette into a transport tube to
2nd transport tube, staying clear of the cell button at
the bottom of the tube. Freeze immediately. NOTE:
if the light blue top tube is the first vacutainer to be
drawn, collect a small amount of blood in a discard
tube before proceeding with the rest of the collection.
Page 8 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Plasma – 2.0 mL. Specimen for this test must be
collected, processed, aliquoted and frozen within 30 minutes of collection. If unable to meet these requirements, patients must be referred to a GDML patient service centre for collection. Collect 1 light blue top tube centrifuge and remove top 2/3 of plasma FACTOR XI ASSAY
LIGHT BLUE
with a plastic transfer pipette into a transport tube to
2nd transport tube, staying clear of the cell button at the
bottom of the tube. Freeze immediately. NOTE: if
the light blue top tube is the first vacutainer to be
drawn, collect a small amount of blood in a discard
tube before proceeding with the rest of the collection.
Plasma – 2.0 mL. Specimen for this test must be
collected, processed, aliquoted and frozen within 30 minutes of collection. If unable to meet these requirements, patients must be referred to a GDML patient service centre for collection. Collect 1 light blue top tube centrifuge and remove top 2/3 of plasma FACTOR XII ASSAY
LIGHT BLUE
with a plastic transfer pipette into a transport tube to
2nd transport tube, staying clear of the cell button at the
bottom of the tube. Freeze immediately. NOTE: if
the light blue top tube is the first vacutainer to be
drawn, collect a small amount of blood in a discard
tube before proceeding with the rest of the collection.
Plasma – 2.0 mL. Specimen for this test must be
collected, processed, aliquoted and frozen within 30 minutes of collection. If unable to meet these requirements, patients must be referred to a GDML patient service centre for collection. Collect 1 light blue top tube centrifuge and remove top 2/3 of plasma FACTOR XIII ASSAY
with a plastic transfer pipette into a transport tube to
2nd transport tube, staying clear of the cell button at the
bottom of the tube. Freeze immediately. NOTE: if
the light blue top tube is the first vacutainer to be
drawn, collect a small amount of blood in a discard
tube before proceeding with the rest of the collection.
FARMERS LUNG TEST
Page 9 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Serum – 2.0 mL. Collect, process, aliquot and freeze
FATTY ACIDS – FREE
within 30 minutes of collection. Patient must be Serum – 2.0 mL. Centrifuge and separate. Sample
FATTY ACIDS (Long Chain)
will be frozen upon receipt in the laboratory within 24 FECAL FAT – TOTAL
FERRITIN SST
Serum – 1.0 mL
Plasma – 5.0 mL. Sample should be refrigerated as
FIBRINOGEN LIGHT
soon as possible. If transport is delayed sample should be centrifuged and plasma aliquoted and frozen. FK506 (Testing will be referred by
Whole Blood – 5.0 mL. Mix well by inversion.
LAVENDERS
Plasma – 2.0 mL. Due to specimen integrity, patient
FLETCHER FACTOR
LIGHT BLUE
MUST be referred to main lab for collection. Separate plasma and freeze within 30 min. Not OHIP billable. FLUORESCENT TREPONEMA
Serum – 10.0 mL. Completed PHL test requisition
ANTIBODY (SYPHILLUS
CONFIRMATION)
Serum – 2.0 mL. Centrifuge & aliquot serum to
transfer tube. Avoid contact with the rubber stopper of FLUORIDE (SERUM)
the collection tube. Plasma from EDTA tube also
acceptable.
Urine – 24 h and Random – 50.0 mL. Not OHIP
FLUORIDE (URINE)
Plasma – 2.0 mL. Collect sample in a 10.0 mL green
FLUOXETINE (PROZAC,
or royal blue top tube. Do NOT use serum separators. NORFLUOXETINE)
Centrifuge and aliquot plasma into a transfer tube. (K2EDTA)
Page 10 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
FLURAZEPAM -
Serum– 2.0 mL. Do NOT use gel separators. If
collected in a GDML PSC specimen should be frozen FLUVOXAMINE RED
and remain frozen during transit. If collected in physicians office ship to main lab to arrive within 24 FOLATE – RBC
LAVENDER
Whole Blood – 3.0 mL
Serum – 1.0 mL. Centrifuge and aliquot into a transfer
FOOD IGG SCREEN, 120
tube. If required upgrade to 200 screen is possible as an add-on at additional cost.
Serum – 1.0 mL. Centrifuge and aliquot into a transfer
FOOD IGG SCREEN, 200
tube. This screen screens for 80 additional foods Serum – 1.0 mL. Centrifuge and aliquot into a transfer
FOOD IGG SCREEN, VEGETARIAN
Whole Blood –10.0 mL. DO NOT separate plasma
from the cells. Label with full patient name, a second unique identifier and date of birth and collection. LAVENDERS
Completed Molecular Genetics requisition must accompany the specimens. For Toronto and London FRAGILE X
www.path.queensu.ca/DNA Diagnostics –95851.html. For Ottawa clients an MOH “Requisition for DNA
Testing” must be completed. Specimens collected at
Main lab only before noon Mon-Thurs.
Serum – 10.0 mL. Completed PHL form required.
FRANCISELLA TULARENSIS AB
Contact local PHL to determine eligibility. Acute and FREE LIGHT CHAINS
Serum – 1.0 mL. Centrifuge. Ratio may also be
(KAPPA/LAMBDA)
Serum - 1.0 mL
Serum - 1.0 mL
Serum – 1.0 mL. Centrifuge & separate. Not OHIP
FRUCTOSAMINE SST
Page 11 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Semen – 1.0 mL collected in sterile container using
FRUCTOSE (SEMEN)
aseptic technique. Freeze within 30 min of collection. FRUCTOSE (STOOL)
Stool – Random 5.0 g collected in sterile container.
FRUCTOSE (URINE)
Urine – Random 10.0 mL
FSH (FOLLICLE STIMULATING
Serum – 1.0 mL
HORMONE FOLLITROPIN)
Fungal kit– Variable specimens including hair, nail
FUNGAL CULTURE and KOH
GABAPENTIN RED
Serum – 1.0 mL. Do NOT use gel Separators.
GAMMA-GLUTAMYL
Serum – 1.0 mL
TRANSFERASE (GGTP)
GAMMOPATHY SCREEN
Serum – 5.0 mL
GAMMOPATHY SCREEN (URINE)
Urine – 24 h or Random – 50.0 mL
Serum – 2.0 mL. Separate & freeze within 30 min of
GASTRIN SST
Swab – Vaginal or vaginal/rectal in transport media.
Indicate GBS on req and swab. If detection of GBS (GROUP B STREPTOCOCCUS)
Trichomonas, yeast or BV required second vaginal swab to be submitted. Use Chlamydia Aptima swab specimen transport tube GC/CHLAMYDIA SWAB (PHL)
to collect specimen. Instructions are included in the Random Urine – Collect first 20-30 mL urine in a
sterile urine container. Seal securely and submit to the (may be order in combination with
laboratory. Sample must be received within 24 hrs and Chlamydia urine)
will be transferred to Aptima Urine collection tube GENTAMICIN SST
Serum – 1.0 mL
Page 12 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
GLIADIN ANTIBODIES PANEL
Serum – 1.0 mL. Centrifuge and aliquot serum to a
(INCLUDE IGA AND IGG)
Serum – 1.0 mL. Centrifuge and aliquot serum to a
GLIADIN IGA ANTIBODY
Serum – 1.0 mL. Centrifuge and aliquot serum to a
GLIADIN IGG ANTIBODY
Serum – 1.0 mL (Calculated if requested from Total
GLOBULIN SST
GLUCOSE 6 – PHOSPHATE
DEHYDROGENASE SCREEN (G-6-
LAVENDER
Whole Blood - 3.0 mL. One dedicated tube required
Synovial fluid – 1.0 mL. Collect in grey top tube to
GLUCOSE FLUID
prevent clotting and preserve glucose. Fluid collected in Green top tube also acceptable.
Serum or Plasma – 7.0 mL. Administer 50g
GLUCOSE CHALLENGE
Glucodex to patient and collect blood 1h after (GESTATIONAL SCREEN)
Plasma – 2.0 mL. Test available in Ottawa on serum
GLUCOSE PLASMA
GLUCOSE QUALITATIVE (URINE)
Urine – Random – 10.0 mL
GLUCOSE QUANTITATIVE (URINE)
Urine – 24 h – 50.0 mL
GLUCOSE SERUM
Serum – 1.0 mL. Centrifuge within 4 h of collection.
Plasma – 4.0 mL. Patient must make an appointment
GLUCOSE TOLERANCE
and follow instructions for fasting. 75 g Glucodex load.
Plasma – 4.0 mL. Patient must make an appointment
GLUCOSE TOLERANCE
and follow instructions for fasting. 75 g Glucodex (GESTATIONAL)
load.
Serum – 2.0 mL. Specimen must be collected,
processed, aliquoted and frozen within 30 minutes of GLYBURIDE SST
collection. Patient must be referred to GDML PSC for collection. Centrifuge, aliquot and freeze serum. Page 13 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Serum – 2.0 mL. Collect blood aseptically without
clot activators or separators. Centrifuge and separate into 2 X 1.0 mL aliquots. Freeze within 30 min of GM1 GANGLIOSIDE AB
collection. Grossly hemolysed, lipemic or microbially
contaminated specimens are not acceptable for
analysis. Collect in GDML PSC only.
Serum – 3.0 mL. Centrifuge and transfer to aliquot
tube. May also be performed on 24H urine. GOLD (URINE)
Slide – Air-dry. Do not spray with fixative.
GRAM STAIN
Note: Microscopy of stool specimens for WBC is not performed due to low sensitivity of this test. Serum – 1.0 mL. Centrifuge and aliquot. Sample will
GROWTH HORMONE
be frozen upon receipt in the laboratory within 24 hrs Serum– 1.0 mL. To monitor therapy, collect through
level just prior to next dose. Do not use serum HALOPERIDOL (HALDOL)
separator. Separate immediately. Sample will be ADDITIVE)
frozen within 24 hrs of collection upon receipt in the Serum – 10.0 mL. Completed PHL requisition
HANTAVIRUS SEROLOGY
HAPTOGLOBIN SST
Serum – 0.5 mL
Serum – 2.5 mL. Separate within 30 min of collection
into tightly sealed transfer tube. Label tube with full HBV-DNA SST
patient name and date of birth. Copy of PHL requisition must accompany specimen. Collect in HDL CHOLESTEROL
Serum – 1.0 mL
Test is no longer available. Recommended HEINZ BODIES
Page 14 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Serum – 2.0 mL. Completed Reference Bacteriology
HELICOBACTOR PYLORI AB
(including water) 4 hours prior to test. Not suitable for children under 6 years. Medication Restrictions Breath – 2 samples collected. First sample is taken
HELICOBACTOR PYLORI (BREATH
followed by dosing with urea. Wait 30 min and then second sample is collected. See detailed instructions in Receptors Antagonists 1 day prior to test. No antibiotics 4 weeks prior to test. No Bismuth Preparations 2 weeks prior to test. HEMATOCRIT
Whole Blood – 8.0 mL. Collect 2 lavender tops.
Sample is stable 5 days at room temperature. For London and Toronto area clients - Include with the samples a completed KGH DNA requisition or a HEMOCHROMATOSIS
LAVENDERS
photocopy of the original completed OHIP requisition with physician signature visible. For Ottawa area clients a completed MOH Requisition for DNA Testing HEMOGLOBIN
Plasma – 3.0 mL. Centrifuge at 2000 rpm to minimize
HEMOGLOBIN (PLASMA)
HEMOGLOBIN – A2
LAVENDER
Whole Blood – 3.0 mL
Whole Blood – 4.0 mL. Collect a dedicated lavender
HEMOGLOBIN – FETAL
LAVENDER
Whole Blood – 3.0 mL. Collect one full dedicated
HEMOGLOBIN A1C
LAVENDER
HEMOGLOBIN
LAVENDER
Whole Blood – 3.0 mL. Mix well by inversion.
ELECTROPHORESIS
Page 15 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Serum – 3.0 mL. Not OHIP billable. Also
HEMOPEXIN SST
acceptable is 3.0 mL whole blood collected in testing lab within 48 hrs of collection. Store and ship HEMOSIDERIN (URINE)
Urine Random- 8.0 mL
Plasma – 1.0 mL. Not OHIP billable. Please
instruct patient to have blood collected at a Gamma-Dynacare main lab facility. Specimen HEPARIN LIGHT
must be centrifuged, separated and frozen
within 30 minutes at –70 degrees C. Platelet
poor plasma is required.
Plasma – 3.0 mL. Separate plasma and freeze
HEPARIN DEPENDENT PLATELET
LIGHT BLUE
within 30 minutes of collection. Not OHIP ANTIBODY
HEPATITIS A IgM ANTIBODY
Serum – 1.0 mL. Dedicated tube required
(ANTI-HAV IgM)
HEPATITIS A TOTAL ANTIBODY
Serum – 1.0 mL. Dedicated tube required
(ANTI-HAV)
HEPATITIS B (DNA)
HEPATITIS B CORE ANTIBODY
Serum – 1.0 mL. Dedicated tube required
(ANTI-HBc)
HEPATITIS B CORE IgM ANTIBODY
Serum – 1.0 mL. Dedicated tube required
(ANTI-HBc IgM)
HEPATITIS B SURFACE ANTIBODY
Serum – 1.0 mL. Dedicated tube required
(ANTI-HBs)
HEPATITIS B SURFACE ANTIGEN
Serum – 1.0 mL. Dedicated tube required
HEPATITIS BE ANTIBODY
Serum – 1.0 mL. Dedicated tube required
(ANTI-Hbe)
HEPATITIS BE ANTIGEN (Hbe Ag)
Serum – 1.0 mL. Dedicated tube required
HEPATITIS C (HVC, HBC)
Serum – 1.0 mL. Dedicated tube required
Page 16 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Serum – 1.5 mL. Contact PHL before
collection. Centriguge and aliquot into transfer HEPATITIS C VIRUS AB RNA
tube with tight fitting lid and freeze within 30 min of collection. Collect in a GDML PSC Serum – 2.0 mL. Completed Viral Study form
HEPATITIS D AB
Serum – 10.0 mL. Completed PHL form
HEPATITIS E VIRUS AB
Serum – 1.0 mL. Dedicated tube for PHL
HEPATITIS - PRENATAL
Urine – Random - 20.0 mL. Must be ordered
HEROIN (URINE)
Serum – 3.0 mL. Test is performed to
HERPES SIMPLEX VIRUS AB IGG/IGM
determine acute/diagnostic viral status. – DIAGNOSIS/IMMUNITY
Centrifuge. Results are reported directly to the HERPES SIMPLEX VIRUS DETECTION
Kit – Collect in virus collection kit following
COLLECTION
(CULTURE)
Serum – 10.0 mL. Completed PHL form
HERPES VIRUS TYPE 6 AB
required.
Plasma – 1.0 mL. Collect in pre-chilled tube
and place immediately on ice. Centrifuge, HISTAMINE
LAVENDER
aliquot into 2 tubes and freeze plasma within 30 minutes. Avoid hemolysis. Collect in GDML Tissue – Collect in 30 mL formalin. Please
HISTOLOGY –
DERMATOPATHOLOGY – SURGICAL
preservative. See Collection Instructions for PATHOLOGY
details on optional containers available. Completed Histopathology requisition required. Page 17 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Tissue must be received in designated transport HISTOLOGY –
Histology department. Please call Brampton or IMMUNOFLUORESCENT STAINING
OF TISSUE
HISTOPLASMA CAPSULATION
ANTIBODY
Serum –10.0 mL. Completed PHL Requisition
HISTOPLASMA AB
PHL HIV KIT – Collect samples and complete
Public Health Laboratories requisition included temperature. Mon-Thurs collection only. Do not Whole Blood – 3.0 mL. Do NOT centrifuge or
2 LAVENDER
weekend. Must arrive at lab within 24 h of collection & by 3 p.m. Test is no longer available. Please contact us HLA TYPING
HOLTER MONITOR
Call Main laboratory to book an appointment. Plasma – 1.0 mL. Centrifuge without gel
separator and aliquot within 1 h after collection. HOMOCYSTEINE LAVENDER
Avoid buffy coat contamination. Not OHIP billable.
Random Urine – 20.0 mL. Collect and freeze
HOMOCYSTEINE, RANDOM URINE
within 30 minutes of collection. Collect in Urine - 24 hr or Random – 50.0 mL aliquot
for 24 h urine. Preserve 24 hr urine with 25.0 HOMOVANILLIC ACID
mL of 6 N HCL. For random urine preserve by freezing specimen within 24 hrs. Sample will be frozen upon receipt in the laboratory. Page 18 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Urine - Random - 10.0 mL FRESH URINE.
HOMOGENISTIC ACID
Collect and freeze urine within 30 min of collection. Collect in GDML PSC only.
See instructions under Special Collection
HUMAN PAPILLOMAVIRUS (HPV)
Instructions. Not OHIP billable.
Serum – 10.0 mL. Use VIRUS kit from Public
HUMAN T CELL VIRUS (HTLV I, HTLV
Health Laboratories. Request test on completed II, HTLV III)
PHL form.
Serum – 10.0 mL. Collect dedicated SST and
HUMAN IMMUNODEFICIENCY HTL3
HYDROCHLOROTHIAZIDE (URINE)
Urine –Random or 24 hr – 50.0 mL aliquot of
a 24 hr urine. Collect 24 hr urine in a container with 25 mL 6 N HCL and aliquot. Urine is to HYDROXYINDOLACETIC ACID – 5
be aliquoted into two vials if possible and HIAA (URINE)
frozen upon receipt at the main lab. Keep away from heat or direct sunlight. Avoid freeze thaw chocolate, eggplant, fruit and juices, hypertensive drugs (especially ALDOMET), pineapple, plums, Tylenol (acetaminophen), walnuts. HYDROXYPROGESTERONE 17 (17-OH
Serum - 1.0 mL. Centrifuge and aliquot serum
PROGESTERONE)
Serum – 1.0 mL. Centrifuge and aliquot serum
HYDROXYPROGESTERONE 17 OH –
into transfer tube. Specimens on infants less than 6 months of age are sent to a reference lab. Page 19 of 20
Test Name
Tube Type
Specimen Requirements and
Patient Preparation Specimen Storage
Clinical
Additional Information
& Collection
and Transport
Information
Required
Urine – 24 hr or Random – 50 mL aliquot.
HYDROXYPROLINE FREE (URINE)
Collect urine in a urine container without 1 day prior to and during collection. Eggs and milk are not prohibited. A controlled diet free of Urine – 24 hr or Random – 50 mL aliquot.
HYDROXYPROLINE TOTAL (URINE)
Collect urine in a urine container without 1 day prior to and during collection. Eggs and milk are not prohibited. HYPERSENSITIVITY PNEUMONITIS
Serum - 10.0 mL. Completed Public Health
(Aspergillus Ab)
Page 20 of 20

Source: http://www.gamma-dynacare.ca/Files/Content/Tests%20D-H%20%5BPDF%5D.pdf

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