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Authorised: Lab Manager July 2016 p:\leanne\timaru\2016 collection guide.doc

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Distribution List

1) Timaru Laboratory Specimen Reception Bench

2) Timaru Data Entry (3 copies)

3) Timaru Patient Services – hospital (3 copies); Dee Street (3 copies); Temuka (1 copy)


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Test Alternative Names Specimen

Special Requirements Dept Test

Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

ABO See Blood group

PINK BB TIM

GRP LAVENDER

ACA (Anticentromere Ab)

See ANA

ACE Angiotensin converting enzyme SACE

SST

On ice

Do NOT contaminate with

EDTA – Deliver immediately

to the Lab or separate and

Freeze

BIO CHL

SAC Separate and freeze 0 days GREEN Red (NOT EDTA) 0.1 mL of serum

Acetone See Ketones – BLOOD

Acteoacetic acid See Ketones - BLOOD

Acetominophen See Paracetamol SST BIO TIM

PAR

Acetone Acetoacetic Acid

See Ketones

Acetylcholine receptor antibodies

SST IMM CHL

ARA Separate 7 days 0.4 of serum

Acetylcholinesterase See Cholinesterase (red cell)

Acid Fast Bacilli (AFB)

See TB MIC DUN

TBC

Acid phosphatase ACP

Phosphatase (acid or prostatic) Prostatic acid phosphatase

SST Do NOT collect post-prostate massage Transport to laboratory on ice

Test superseded by PSA

BIO CHL

ACP

ACR See Albumin/Creatinine ratio

ACTH Corticotrophin Adrenocorticotrophic hormone

LAVENDER

On ice – urgent Tube cannot be used for any other test

Patient should be unstressed

Deliver immediately to

Laboratory

(Time of collection and

drugs taken should be

stated)

BIO CHL

ACT

Separate and freeze

ASAP (try for within

1 hour)

0.5 mL plasma Serum is acceptable if frozen within 1 hour

Activated partial thromoplastic time

See APTT

Activated protein C resistance

APC resistance APCR

BLUE - fill to line Deliver to Laboratory within

2 hours

HAE CHL

APC

Separate and freeze within 4 hours DOUBLE SPIN

Copy of form to

Haem, DO NOT

send until

confirmation from

Haematology


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Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Acute phase protein Specify tests required See individual tests

Adenovirus antigen Faeces MIC DND

EAD

Adenovirus serology See Respiratory Virus PCR.

No longer available.

ADH Anti-diuretic hormone Arginine vasopressin AVP / Vasopressin

2 x LAVENDER

Patient should be unstressed BIO CHL

ADH

Separate and freeze

0.6 mL plasma

Adiponectin LAVENDER on ice BIO CHL

ADN Separate and freeze

0 day 0.2 mL plasma

Adrenal Androgens Androgen profile SST Includes Prolactin, testosterone, SHBG, FAI, FSH, LH

BIO CHL BIO DND

FAI FSH LH PRL

Separate

CHL - testosterone, SHBG, FAI

Biochem – Prol, FSH, LH

Refer individual tests

Adrenal antibody screen

SST IMM CHL

ADA

Separate 7 days 0.1 mL serum Red

Adrenaline - BLOOD See Catecholamines – BLOOD

Adrenaline - URINE See Catecholamines – URINE

Adrenocorticotrophic hormone

See ACTH

AFP Alpha fetoprotein

FP

SST Indicate if sample is for a tumour marker / neural tube defect.

BIO DND

FET Separate 0.2 mL of serum

AGA See Coeliac Screen

Albumin - BLOOD

ALB SST Part of liver functions BIO TIM

ALB

7 days GREEN Red 0.1 mL serum

Albumin excretion rate

AER Urine – 12 hour overnight collection - PLAIN BOTTLES - 8 pm to 8 am

BIO TIM

AER Aliquoit to Bio Record volume & collection times on form

0.1 mL urine

Alcohol Ethanol / EtOH / C2H5OH

SST – full tube Do NOT swab site with alcohol

(Methanol must be specified

separately otherwise will not

be tested)

BIO TIM

ACH 0 days Red GREEN 0.2 mL whole blood

Alcohol - URINE

Random collection BIO OTG

ALC

1 day


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Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Aldolase

SST Deliver to laboratory without

delay.

BIO CHL

ALS

Separate ASAP Must NOT be haemolysed Do NOT freeze

0.3 mL serum

Red

Aldosterone - BLOOD

LAVENDER

Urgent – on ice

Collect between 7 - 10 am if possible. Note posture, sodium intake, drug therapy on form


Laboratory, within

30 minutes

BIO CHL

ALD Separate immediately and freeze Ensure completely frozen before sending to CHL.

0 day 0.25 mL plasma

Aldosterone - URINE

No longer available

Alk phos Alkaline phosphatase

See ALP

Alkaline phosphatase isoenzymes

See ALP isoenzymes

Allergy Test Skin allergy test Refer patient to

Laboratory

An appointment is

required

Only available at Timaru Hospital site

PS TIM

Scan request and result sheet.

ALP Alk phos Alkaline phosphatase Phosphatase (alkaline)

SST Part of liver functions BIO TIM

AP 7days GREEN RED 0.1 mL serum

ALP isoenzymes Alkaline phosphatase isoenzymes

SST Total ALP must be >150 U/L

For bone specific ALP - refer

to “Bone Specific Alkaline

Phosphatase”

BIO CHL

API Separate Write total ALP result if available on sendaway sticker

7days GREEN RED 0.5 mL serum

Alpha-1-antitrypsin 1AT / A1AT Antitrypsin, A-1-AT

-1-AT

SST Phenotype is reported with this test

BIO DUN

ATR Separate 7days LAVENDER, GREEN

RED 0.2 mL serum

Alpha-feto-protein See AFP SST BIO DUN

FET Separate 0.2 mL of serum

Alpha globulin gene deletion/sequencing

LAVENDER Monday-Thursday Only Must be at Timaru Lab before 3pm.

HAE CHL

AGG Send whole same day

Do not centrifuge

Alpha subunit gonadatrophin

LAVENDER On ice BIO CHL

MSE 0 day RED


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Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Alpha thalassaemia mutation analysis

Alpha thal Haemaglobinopathy

LAVENDER

Monday-Thursday Only Must be at Timaru Lab before 3pm.

HAE CHL

HGB Send whole. Make sure a CBC printout goes with the blood to CHL

0.5 – 1.0 mL whole blood

ALT Alanine transaminase

ALAT / GPT / SGPT SST Part of liver functions BIO TIM

ALT 7days GREEN RED 0.1 mL serum

Aluminium - BLOOD

Al - BLOOD 6 mL Royal BLUE Trace metal tube

Deliver to laboratory within

3 hours of collection Tube must be at least half full

BIO CHL

ALU Separate within 4 hours of collection into Aluminium free tube (kits available from CHL)

0.5 mL

Aluminium - URINE

Al - URINE URINE - random collection

Occupational monitoring only - collect at end of shift

BIO CHL

AUU

Send separate aliquot for creatinine

2 mL

AMH Anti Mullerian Hormone SST

Monday -

Thursday if

possible

BIO CHL

AMH Store 2-8 deg up to 24 hours otherwise separate off the Gel. See transport instructions in sendaway room

Amikacin Not Gel RED Note dose, time of collection and last dose.

BIO DND

AMK 7days

Amino acids - BLOOD

Glycine – BLOOD SST Deliver to Laboratory on ice BIO CHL

SAA

Separate and freeze off the Gel

GREEN, LAVENDER

RED 0.25 mL

Amino acids - URINE

See Metabolic Profile - Urine

UAA

Aminophylline See Theophylline

Amiodarone Aratac Corderone Desethylamiodarone

RED

Collect

immediately prior

to next dose

Note dose, time of collection, and last dose

NOT Gel Tubes

BIO CHL

AMI Separate Note dose, dose time, and collection time on sendaway sticker

7days

GREEN, LAVENDER >1 mL serum

Amitriptyline Laroxyl Tryptanol

Heparin or RED

Minimum full 10

mL or 2 x 5 mL

tubes

Collect 18-hours

post-dose


BIO CHL

AMT Separate Note dose, dose time, and collection time on sendaway sticker

7days GREEN RED 3 mL serum


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Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Ammonia NH3 LAVENDER

Refer patient to

laboratory

(preferred) Adults – fasting 6-hours prior to test

Avoid fist clenching

Place on ice and deliver

immediately to laboratory

- within 15-minutes Notify laboratory when sending.

BIO CHL

AMM

Spin 10-minutes at 4000 rpm

Separate urgently

- within 30-minutes Freeze

3hrs at 4c 24hrs at -18c

Aminotic Fluid Bilirubin

Aminotic fluid Protect from light CHL MSE

Aminotic Fluid Screen

Aminotic fluid NOT cytogenetics CHL MSE

Amoeba serology See Entamoeba histolytica - Blood

Amoxapine Asendin No longer available

Amphetamine See Metamphetamine Urine BIO DUN

AMP

Amylase - BLOOD

Pancreatic amylase SST BIO TIM

AMY

7days GREEN 0.1 mL serum

Amylase - URINE

Diastase

URINE – Random or 24 hour collection - PLAIN BOTTLES

BIO TIM

UAM Measure and record volume if 24 hr spec. Aliquot

2 mL urine

Amylase isoenzymes

SST BIO CHL

PAI Separate and freeze off Gel

GREEN >0.5 mL serum

Amylbarbitone SST BIO CHL

MSE GREEN 1 mL serum

ANA

ANF Anti-centromere antibodies Antinuclear antibodies / factor LE cells / SLE screen

SST IMM DND

ANA

Separate 7days RED 0.1 mL serum

Anafranil See Clomipramine

ANCA Anti-neutrophil cytoplasmic antibodies / CANCA pANCA, anti MPO, anti PR3

SST IMM DND

ANC


Androgen profile See Adrenal Androgens

Androstenedione SST BIO CHL

AND Separate 7days GREEN, LAVENDER

RED 0.5 mL serum


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Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

ANF

See ANA

Angelman Syndrome

Prader willi 3 x GREEN Referral reason required

Ensure tubes within expiry

Mon to Thurs Only

Must be received at Lab

before 3pm

Do NOT refigerate

BIO Sent to WLT

MSE Done at Wellington Cytogenetics Services 0508364436 Send at room temperature Full tube, must be within expiry

Angiotensin converting enzyme

Angiotensin converting enzyme SACE

SST

On ice

Do NOT contaminate with

EDTA – Deliver immediately

to the Lab or separate and

Freeze

BIO CHL

SAC Separate and freeze 0 days GREEN Red (NOT EDTA) 0.1 mL of serum

Ankylosing spondylitis

B 27, HAL27 Ankylosing spondylitis

LAVENDER Keep at room temperature BIO CHL

HLA Send whole tube Do NOT refrigerate

GREEN, BLUE 1 mL whole blood

ANP Atrial Natriuretic Peptide BNP tested in first instance.

ONLY by

arrangement with

CHL

LAVENDER

On ice - urgent

Needs to be separated within 15-minutes

*Research only*

BIO CHL

ANP Separate within 15 –minutes and freeze Research only Send on Dry Ice

2.2 mL

Antenatal - FIRST

2 x LAVENDER

2 x SST

Label with full name and

DOB

Will NOT accept unlabelled

specimens or specimens

with any errors.

HAE TIM BB BIO IMM DND

=ANT1 LAVENDER - CBC

LAVENDER - group and antibody screen(I)

SST - HBsAg, HIV (M)

SST - Rubella, TPHA (R)

5 days Refer individual tests Do not separate red tube.

Antenatal - SECOND

2 x LAVENDER


DOB



with any errors.

HAE TIM BB

=ANT2 LAVENDER - CBC

LAVENDER - antibody screen (I)

5 days Refer individual tests

Antibody titre

1 x PINK crossmatch tube


DOB



with any errors.

NZBS Via CHL

AS Send whole tube

Write on yellow

sticker “Please

send copy of report

to TIMARU Hospital

Bloodbank

FAX 03 688 9958”

1 mL whole blood


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Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Antibody Screen (non antenatal screen)

1 x PINK crossmatch tube


DOB



with any errors.

BB TIM

AS 1 mL whole blood

Anticardiolipin antibodies

Anti-phospholipid antibodies Cardiolipin antibodies

SST IMM DND

CRD

Separate RED 0.2 mL serum

Anti CCP Antibodies Anti Cyclic Citrulinated Peptide

SST BIO DND

CPI Separate RED 0.1 mL serum

Anticentromere antibodies

See ANA

Anti-D titre 1 x PINK crossmatch tube


DOB



with any errors.

NZBS via CHL

AS Send whole tube

Write on yellow

sticker “Please

send copy of report

to TIMARU Hospital

Bloodbank

FAX 03 688 9958”

Anti-DNA See dsDNA SST Part of autoantibodies IMM DND

DNA


Anti-DNAseB See Streptococcal Antibiodies/serology

Anti-endomysial antibodies

See Coeliac screen

Anti-E titre 1 x PINK crossmatch tube


DOB



with any errors.

NZBS via CHL

AS Send whole tube

Write on yellow

sticker “Please

send copy of report

to TIMARU Hospital

Bloodbank

FAX 03 688 9958”

RED

Anti Freeze See Ethylene Glycol

Anti-GAD

GAD antibodies / Glutamic acid decarboxylase antibodies

SST IMM CHL

GAD Separate and refrigerate

RED 0.1 mL serum

Anti-GBM See Glomerular Basement membrane

GBM

Anti-gliadin antibodies

See Coeliac screen

TGA


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Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Anti-glomerular basement membrane

See Glomerula Basement membrane

GBM

Anti-glutamic acid decarboxylase

See Anti-GAD GAD

Anti-gluten antibodies

See Coeliac screen

TGA

Anti-HBc

See HBcAb

HBC

Anti-HBe

See HBeAb

AHB

Anti-HBs

See HBsAb

HEB

Anti-HCV See HCV

HCV

Anti-HDV See HDV

HED

Anti Hu Antibody Hu Antibody, anti Yo Neuronal Antibodies

SST IMM CHL

ANN Separate 7days RED 0.2 mL serum

Anti-I / i See Cold Agglutinins

Anti-10a levels

Anti-a


2 hours.

HAE CHL

AXA Double spin and

freeze within 4 hours.

0.2 mL platelet poor plasma

Anti-Jo1 antibodies See ENA

ENA

Anti K (Kel) Antibodies

See Kell Antibodies

Anti-myeloperoxidase

See MPO-ANCA

ANC

Anti-microsomal antibodies

See Thyroid Antibodies TAB

Anti-mitochondrial antibodies

See Autoantibody Screen

AUT

Anti Mullerian Hormone

See AMH AMH

Anti-neutrophil cytoplasmic antibodies

See ANCA

ANC

Anti-nuclear factor / antibody

See ANA

ANA

Anti-ovarian antibodies

Ovarian antibodies SST IMM CHL

OVA Separate 7days RED GREEN

LAVENDER 0.2 mL serum

Anti-parietal cell antibodies


AUT


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Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Anti-phospholipid antibodies

See Anti-cardiolipin antibody

CRD LUP

Anti-platelet antibodies

See Platelet Antibody

PLA

Anti-reticulin Antibodies

See Reticulin Antibodies

Anti-Ro / La antibodies

See ENA ENA

Anti-smooth muscle antibody


AUT

Anti-SSA (Ro) See ENA

ENA

Antistreptolysin-O titre

See Streptococcal antibodies

SS

Anti-thrombin III BLUE - fill to line

Deliver to Laboratory within

2 hours

HAE DND

AT3 DOUBLE SPIN & Separate and freeze Within 4 hours

14 days at -18

Refer to Coaggulation specimen preparartion protocol.

Anti-TPO Antibodies See Thyroid Antibodies

TAB

Anti-a levels See Anti – 10a Levels

APC resistance APCR

See Activated Protein C resistance

Apolipoprotein (A, A1, B) Apoprotein

Lipoprotein (A, A1, B) SST BIO CHL

APO (LPA)

Send whole (if written as “Lipoprotein (a)” code = LPA

GREEN, RED 0.5 mL plasma

Apo E phenotype / genotype

LAVENDER Monday to Thursday Only Arrive to lab before 3pm.

BIO CHL

APG Send whole tube - do not centrifuge

7days

APTT Activated partial thromoplastic time

BLUE - fill to line Deliver to lab within 2 hrs if on heparin

HAE TIM

APT

BLUE tube must be filled to line

Aratac See Amiodarone

Arginine Vasopressin (ADH)

See ADH

Arsenic URINE – random collection

Industrial - collect at end of shift at end of working week

BIO CHL

ARS

Send whole pottle 2 mL

Arthritis Screen SST Inculdes :Streptplysin-O titre, rheumatoid factor, ANA and CRP

BIO TIM DND IMM DND

CRP RFT ANA SS

7days RED

Ascorbic acid See Vitamin C


12 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Asendin Amoxapine No longer available.

ASCA Anti Saccharomyces Cerevisiae anibodies

1 x SST CHL SCA

ASMA (Anti Smooth Muscle Antibody)


AUT

Aspirin See Salicylate / salicylic acid

SAL

ASOT See Streptococcal antibodies

SS

Aspergillus precipitins - BLOOD

SST x 2 Onset date of illness is desirable

IMM CHL

ASG Separate 7days RED 0.1 mL serum (Prefer aliquot of 5mL serum)

Aspergillus precipitins - SPUTUM

Sputum MIC CHL

ASG

AST Aspartate transaminase

ASAT / GOT / SGOT SST Part of liver functions BIO TIM

AST


Atrial Natriuretic Peptide

See ANP

Atypical lymphocytes

LAVENDER Part of CBC. Please specify on form if you wish film to be looked at.

HAE TIM

CBC

Whole blood 0 days 0.5 mL whole blood

Atypical pneumonia serology

SST x 2 Includes Mycoplasma pneumonia,Legionella, Chlamydia pneumonia Onset date of illness desireable

IMM CHL

MYC LGS CHB

Separate RED

Aurorix See Moclobemide

Autoantibody screen Tissue autoantibodies Autoimmune antibodies

SST Includes mitochondrial, smooth muscle and parietal cell antibodies

IMM DND

AUT

Separate 7days 0.1 mL serum

Autoclave Spore strips / Strips No longer available - as per

Dr Doehring

Autoimmune Hepatitis Investigation

SST x 2 Smooth muscle antibodies, mitochondrial antibodies, LKM, ANA and ANCA.

IMM CHL + DUN

LKM + AUT ANA ANC

One tube for LKM sent to CHL, other tube for Dunedin Immunology.

Avian Antibodies Avian Precipitus Ab’s Precipitins (bird) Bird Fanciers Lung

SST IMM CHL

AVA

Separate RED 0.1 mL of serum


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Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Avian Precipitus antibodies

See Avian Antibodies

AVP See ADH

Azathiprine level Metabolites measured are 6-TGN and 6-MMP

LAVENDER - Full Pre-dose, note time, date and dose

BIO CHL

AZA

Send whole Refrigerate Must be <4days old

Write both 6TGN

and 6MMP on

sticker

3 mL whole blood

B2GP1 See Beta 2 glycoprotein antibodies

B2M

-2 microglobulin

See Beta 2 microglobulin

B2M

-Carotene See Beta - Carotene

-CTX See CTX

-hydroxybutyrate See Ketone

B. pertussis See Bordetella pertussis serology

PER

B pertussis culture See Bordetella pertussis culture

NP

B. pertussis LCR See Bordetella pertussis PCR

BPD

-transferrin See Tau transferrin

Barbituates Part of / See Drug Screen - Urine

Same specimen and Registration Code

Bartonella henselae serology

Cat scratch disease Rochalimaea Henselae serology

SST and 2nd specimen 2 weeks later

Onset date of illness desirable IMM CHL

CSD Separate 7days RED 0.1 mL of serum

Basement membrane AB

See Glomerular basement membrane

GBM

BCR/ABL/P210 Q-PCR for BCR-ABL 4 x LAVENDER Mon – Thurs ONLY Deliver to Laboratory before 3pm. Must arrive at CHL within 24 hrs of collection.

BIO CHL

P21 MGR

Room temp Full tube, Must be within expiiry

Whole Blood

BCR ABL Multiplex or 190

4 x LAVENDER

Bence Jones protein See BJP

Benzodiazepines Part of / See Drug Screen – Urine

Same specimen and Registration Code


14 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Beta-carotene See Carotene

Beta 2 microglobulin B2M

2 microglobulin

SST BIO CHL

B2M


Beta 2 glycoprotein antibodies

B2GP1 SST BIO CHL

B2G Separate RED 0.5 mL serum

Bicarbonate HCO3

Total CO2 Blood gas syringe


Laboratory and centrifuge

within 30 minutes of

collection

BIO TIM

HCO

Do NOT open

GREEN – full , DO NOT OPEN

Bile pigments See Urobilinogen

Bile Salts SST Prefer fasting or >1.5-hours

post meal Deliver to laboratory immediately

BIO CHL

SBS Separate and freeze off Gel.

0 days LAVENDER, RED 0.5 mL

Bilharzia - BLOOD

See Schistosomes - BLOOD

Bilharzia - FAECES

See Schistosomes - FAECES

Bilharzia - URINE

See Schistosomes - URINE

Bilirubin - BLOOD

See Uncongugated Bilirubin

- ADULT - PAEDIATRIC

0 days

Bilirubin - URINE

See Urobilinogen

0 days

Bird Fanciers Lung See Avian Antibodies

AVA

BJP Bence Jones protein Urine electrophoresis

URINE – Random or 24-hour collection - PLAIN BOTTLES

BIO DND

BJP

Aliquoit for Urine Protien & 2 aliquoits for the freezer

BK Virus Polyoma Virus PCR 1 x LAVENDER Take at start of working week VIR CHL

MSE Send whole Refrigerate

Blood Culture Blood culture bottles

MIC TIM

B

Blood Film Film, morphology LAVENDER If requiring Film to be looked at, Please specify clearly on form.

HAE TIM

CBC

Mark top of tube &write film on side of tube.

Blood Gases Blood gas syringe

Send laboratory immediately. BIO TIM

BG GREEN – full , DO NOT OPEN


15 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Blood Group ABO Rh phenotype or genotype Rhesus Status

1 x PINK

crossmatch tube


DOB


specimens

BB TIM

GRP

Send whole tube 5 days LAVENDER 1 mL whole blood

Blood Pigments See Methaemoglobin

BNP Brain natriuretic peptide / N-BNP / Pro-BNP

SST BIO TIM

BNP 6 days LAVENDER, GREEN

RED

Bone specific alkaline phosphatase

Superceded by/See Procollagen Type I (P1NP)

Bone Specific alkaline

phosphatase orderable only

by prior arrangement with

CHL

CHL BAP See CHL website for Bone ALP criteria if testing is arranged.

Bone Donor RED PRO BDS (=BONE1 or =BONE2)

Send whole tube to NZBS

Bone Marrow aspirate/ trephine/examination

Smears and/or

LAVENDER,

and/or GREEN and/or Histology

HAE HIS CHL

BM HIS CHR

Panel depend on samples recieved

Bordetella pertussis - Culture

B pertussis culture, Pertussis culture, Whooping cough culture

Nasopharyngeal (fine wire) swab in charcoal transport media

Needs to be delivered to Micro for culturing - not urgent but avoid delays

MIC TIM

NP

Bordetella pertussis - PCR

Pertussis PCR Nasopharyngeal/Perinasal swab in

RED top tube, ie. no transport media Nasopharyngeal Asp. VTM

Onset date of illness desirable Keep at room temp.

MIC CHL

BPD Request must be approved by Microbiologist or a public health physician request.

Bordetella pertussis - Serology

B. pertussis, Pertussis serology, Whooping cough serology

SST Onset date of illness desirable IMM DND

PER Separate 7days 0.1 mL serum

Borrelia serology Lyme disease SST x 2 Onset date of illness desirable IMM CHL

LME

Separate 7days RED 0.5 mL serum Prefer 5mL serum


16 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

BRCA 1 and 2 Breast Cancer Screening

GP to fax referral letter

to Genetic Services

Wellington on 04 385

5822

3 x LAVENDER Mon-Thurs Only Must be received to Laboratory before 3pm

Request must be on Genetic

Services Form. DO NOT CENTRIFUGE

BIO Sent to WLT

MGR BBG

Done at Wellington Cytogenetics Services 0508 364 436 Send at room temperature Full tube, must be within expiry

Send whole blood

Brain natriuretic peptide

See BNP BNP

Breath Test

See H. pylori Breath Test

Bromide K2EDTA Royal

BLUE Trace metal tube (blue label)

BIO CHL

BRO Separate GREEN 0.5mL plasma

Bronchial BRUSHING

BRUSHINGS MIC TIM

SMR

Bronchial WASHING WASHINGS MIC TIM

S Site code required

Brucella abortus / Brucellosis

SST and 2nd specimen two weeks later

Requires relevant clinical details including overseas travel

IMM DND

BR


BSL (Blood Sugar Level)

See Glucose

Buprenophine Temgesic URINE - random collection

20 mL required BIO CHL

BUP Send whole pottle 1 mL

Butrylcholinesterase genotype

LAVENDER x 2 DO NOT REFRIDGERATE BIO CHL

BCH Send whole

BZP Benzylpiperazine Urine – random colection

BIO CHL

BZP

C1 esterase inhibitor C1 inhibitor

CIN SST BIO CHL

CIN Separate 7days RED 0.1 mL serum

C1 q binding assay See Immune complexes

C3 and C4 See Complement

Ca / Crn Ratio See Calcium / Creatinine Ratio

Ca 125 - OVARIAN

Carbohydrate antigen 125

SST BIO DND

CAN Separate 5 days RED GREEN 0.2 mL serum

Ca 15-3 - BREAST

Carbohydrate antigen 15-3

SST BIO CHL

C15 Separate and freeze off Gel

0 days RED GREEN



17 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Ca 19-9 (Gastrointestinal)

Carbohydrate antigen 19-9 19-9

SST BIO DND

C19 Separate and freeze off Gel

1 day RED GREEN


Ca 72-4 (gastro)

Carbohydrate antigen 72-4 72-4

SST BIO CHL

CA7 Separate and freeze off Gel

0 day RED GREEN


Ca - BLOOD

See Calcium - BLOOD CA

Ca - URINE

See Calcium - URINE UCA

Calculated creatinine clearance

eGFR SST BIO TIM

CRE centrifuge 6days RED GREEN

Cadmium - BLOOD

Cd - BLOOD K2EDTA Royal


State smoker / non smoker. Lead can be done on same specimen.

BIO CHL

BCD Send UNOPENED whole tube Do NOT CENTRIFUGE

1mL whole blood.

Cadmium - URINE

Cd - URINE 20 mL URINE - random collection

Yellow top containers are not recommended due to cadmuim sulphide yellow pigment contamination

BIO CHL

UCD Send whole pottle 2 mL urine

Calcitonin RED - On ice –

urgent Fasting preferred Needs own tube


immediately to Laboratory

within 30 mins.

BIO CHL

CAL Separate and freeze within 30 minutes (CHL sends to LabPlus)

0 day SST 0.6 mL serum

Calcitriol 1,25 dihydroxy Vit D 1,25 dihydroxy cholecaliferol

RED Protect from light. Do not

confuse with Vit D.

Very few clinical reasons to

request this test.

BIO CHL

DVD Separate and freeze

Protect from light (CHL sends to LabPlus)


Calcium - BLOOD

Ca – Blood

SST BIO TIM

CA 7days GREEN RED 0.1 mL serum

Calcium - URINE

Ca – Urine

URINE – 24 hour collection - ACID BOTTLES

Warn patient about acid in

bottles

BIO TIM

UCA Measure and record volume Aliquot

4 days

Calcium/Creatinine ratio

Ca/Crn Ratio Urine – random or 24-hour collection - ACID BOTTLES


bottles for 24 hour

collections.

BIO TIM

CCR Measure and record volume if 24 hours Aliquot

4 days

Calculi See Renal stone

Calprotectin Faeces Separate sample if needed for other laboratory test

DUN FCS Not Frozen 2-3 grams

CANCA See ANCA

ANC

Cannabinoids THC Marijuana

URINE - random collection

Part of Drug Screen BIO CHL

DRU Send whole pottle

5 days 20 mL urine


18 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Cannabinoids – self referred


Cost of test $12.00 BIO DUN

CNB Send whole pottle

10 mL urine

Carbamazepine Tegretol SST Collect pre-

dose


BIO TIM

CBZ . 7 days LAVENDER RED

GREEN 0.2 mL

Carbohydrate deficient transferrin

See CDT

Carboxy haemoglobin

Carbon monoxide CoHB, CO

Blood gas syringe Tube should be full

Deliver to Laboratory ASAP

BIO TIM

CAH Blood gas machine 0 day GREEN 5 mL whole blood

Carcino embryonic antigen

See CEA CEA

Carcinoid screen See 5HIAA

Cardiac enzymes See Troponin

HTN

Cardiolipin antibodies

See Anticardiolipin antibodies

ACA

Carnitine - BLOOD

RED BIO CHL

OMSE Separate and freeze 0 day GREEN, LAVENDER

SST 0.5 mL serum

Carnitine - URINE


BIO CHL

CRN Freeze. Send 2 aliquots to CHL (1 for Creatinine)

>1 mL urine

Carotene B-carotene Beta - Carotene

SST - full Protect from light BIO CHL

CAR Separate Protect from light

0 day GREEN, LAVENDER

RED 1.0 mL serum

Catecholamines - BLOOD

Adrenaline – BLOOD Noradrenaline – BLOOD Epinephrine – BLOOD Norepinephrine – BLOOD

LAVENDER

SPECIAL COLLECTION

REQUIREMENTS

BIO CHL

PCA Separate plasma & freeze.

0 day 1.0 mL

Catecholamines - URINE

Adrenaline – URINE Noradrenaline – URINE Epinephrine – URINE Norepinephrine – URINE Phaechomocytoma

Adult: URINE – 24 hour collection -ACID BOTTELS

Child: URINE - random or 6hr collection


bottles

Random samples (for children) must be acidified by

the Laboratory ASAP

BIO CHL

CTM 10 mL conc HCL / 2.5L urine or 200µl HCL to 50 mL pottle Record volume – send pottle and store second pottle

5 mL urine Random samples should be acidified to pH 1.5 – 3.5

Cat scratch disease See Bartonella henselae

CSD

CBG See Cortisol Binding Globulin

CBG


19 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

CCL See Creatinine clearance

C. difficle Clostridum difficle Faeces

Refrigerate until delivered to Laboratory Freeze if >24 hour delay

MIC TIM

FCD

1 day

CD4 : CD8 ratio See Lymphocyte cell markers

CDT Carbohydrate deficient transferrin

SST BIO CHL

CBT Separate 7days RED 0.2 mL serum

CEA

Carcino embryonic antigen

SST BIO DND

CEA Separate

7days GREEN, LAVENDER

RED 0.2 mL serum

Ceruloplasmin Caeruloplasmin SST BIO CHL

CER Separate 7days GREEN, LAVENDER

RED 0.1 mL serum

CF mutation analysis

See Cystic fibrosis gene testing

CHL CFM

CH50 Total Haemolytic complement

SST


laboratory

IMM CHL

CH Separate within 1 hour of collection and send to CHL frozen

0 day RED 0.2 mL serum

Chemo Profile SST Includes ELE, Creat, Alb, Bil, ALP, GGT, ALT, AST, Ca, Glu, UA, CAP

BIO TIM

Chicken pox serology

See Varicella zoster

Chlamydia Pneumoniae

Atypical Pneumoniae SST and 2nd specimen 2 weeks later


CHB Separate

7days RED 2 mL serum

Chlamydia psittacii Serology

Psittacosis Antibody SST and 2nd specimen 2 weeks later


PSI Separate

2 mL serum

Chlamydia swab LCX / LCR Aptima Swab Follow instructions on packaging.

MIC DND

CHA

Chlamydia urine LCX / LCR URINE - first catch collection

Collected at least 1 hour after last urination

MIC DND

CHA

Chloride Cl SST BIO TIM

CL 7days GREEN RED

Chlorpromazine Largactil RED Minimum full

10 mL or 2 x 5 mL

tubes Collect 18-

hours post-dose


Protect from light.

NOT GEL

BIO CHL

CHP Separate 3 mL Note dose, dose time, and collection time on sendaway sticker

Protect from light

GREEN RED 3 mL serum


20 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

C2 H5 OH See Alcohol

Cholecalciferol See Vitamin D

Cholesterol SST - Preferable

to be fasting

Note fasting status Part of lipids

BIO TIM

CHL or LIP

7days GREEN RED

Cholinesterase (Plasma)

Plasma cholinesterase LAVENDER Details of Organophosphate exposure should be provided.

DO NOT CENTRIFUGE

BIO CHL

CHO Send whole tube NB if both Plasma and RBC are requested only use CHO code once.

1 mL whole blood

Cholinesterase (Red cell)

Acetylcholinesterase Organophosphate Pseudocholinesterase Red cell cholinesterase

LAVENDER Details of Organophosphate exposure should be provided.

DO NOT CENTRIFUGE

BIO CHL

CHO Send whole tube NB. if both Plasma and RBC are requested only use CHO code once.

1 mL whole blood

Cholinesterase phenotype

Dibucaine and Fluoride inhibition

LAVENDER DO NOT CENTRIFUGE OR

REFRIDGERATE

BIO CHL

CHG Send whole tube 1 mL whole blood

Chromium -Plasma

Cr -Plasma

6 mL Royal BLUE Trace metal tube

Plasma Chromium is NOT suitable for Occupational monitoring. See Urine Chromium.

BIO CHL

PCH

Separate 2mL plasma

Chromium -Urine

Cr -Urine

URINE - 20mL random collection

Industrial testing - collect at end of shift / end of working week

BIO CHL

UCH Send whole pottle

2 mL urine

Chromogranin A SST BIO CHL

CMG

Separate and Freeze Must have >1mL as per CHL database

Chromosome studies

GREEN &

LAVENDER

Do NOT refrigerate Ensure tube has not expired Mon to Thurs Only

BIO Sent to WLT

CHR Done at Wellington Cytogenetics Services 0508364436 Send at room temperature Full tube, must be within expiry

0 days SEND WHOLE BLOOD OR Fluid

Chymotrypsin Faeces BIO CHL

CHY 1 gm

CIN See C1 esterase inhibitor/C1 inhibitor

0 days

Citrate - BLOOD

LAVENDER BIO CHL

MSE Separate and freeze GREEN 1 mL plasma

Citrate - URINE

URINE – 24 hour collection – ACID PREFERRED

Deliver to laboratory as

soon as complete

BIO CHL

UCT Measure and record volume. Freeze. Keep a frozen aliquot here.

10 mL urine


21 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

CK CPK / Creatine kinase Creatine phosphokinase

SST BIO TIM

CK


CK fraction / CK isoenzymes

CKMB/CKMM Myocardial isoenzymes

SST BIO CHL

CKM Separate and Freeze GREEN 0.5 mL serum Frozen

CK isoenzyme electrophoresis

SST BIO CHL

CKE Separate Freeze

GREEN Frozen 0.2 mL serum

CKMB / CKMM See CK fraction / CK isoenzymes

Cl See Chloride

Class I + II Tissue Typing

See Tissue Typing - Class I

- Class II

Clinical trials Free text

Clobazam

Frisium

GREEN

Collect pre-dose


BIO CHL

CZM Separate Note dose, dose time, and collection time on sendaway sticker

1 mL plasma

Clomipramine (Clopress)

Anafranil

RED Minimum full

10 mL or 2 x 5 mL

tubes


Collect 18-hours post-dose

NOT GEL

BIO CHL

CLP Separate - 3 mL Note dose, dose time, and collection time on sendaway sticker


Clonazepam

Rivotril GREEN

Collect pre-dose


BIO CHL

CLO Separate Note dose, dose time, and collection time

1 mL plasma

Clostridum difficle See C. difficle

CDT

Clotting screen See Coagulation screen

COA

Clozapine Clozaril

Leponex RED

Collect pre-dose,

or at least 10-15

hours post-dose


BIO CHL

CLZ

Separate. Note dose, dose time, and collection time on sendaway sticker

CMV Cytomegalovirus SST BIO DND

CMV

Separate – do not use haemolysed sample.

LAVENDER RED

GREEN 0.2 mL serum


22 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

CMV PCR / DNA amplification/viral load

CMV viral load LAVENDER Cannot share Lavender tube with any other tests.

Monday to Thursday only

DND CVL Centrifuge at 3500rpm for 20 mins. Separate and freeze

5 days Plasma is stable up to 5 days at 2-8 degC once separated.

Co -Plasma

See Cobalt -Plasma

Co -Urine

See Cobalt -Urine

Coagulation factor assays

V,VII, VIII, IX, X, XI & XII 2x BLUE – per

factor - fill to line


Laboratory

HAE

CFA PT, APT

Refer to Coagulation speciemen protocol

BLUE tube must be filled to line

II CFA (CHL)

XIII MSC (Lab+)

Coagulation screen Clotting screen Haemostasis screen

1 x BLUE - fill to

line

HAEM

COA CBC

Centrifuge 10 minutes (COA includes PT, APTT & FIB)

3hrs BLUE tube must be filled to line

Cobalamin See Vitamin B12

Cobalt -Plasma

Co -Plasma


BIO CHL

PCO Separate 2 mL plasma

Cobalt -Urine

Co -Urine

URINE – 20 mL random collection

For occupational exposure, collect at end of working shift.

BIO CHL

COB Send whole pottle 10 mL urine

Cocaine See Drug Screen for specimen requirements

If only for Cocaine – please specify this on form.

Coccidia Coccidioidomycosis SST x 2 IMM CHL

CFP Separate (Done in Australia)

7days RED 0.5 mL serum Prefer 5 mL serum

Coeliac gene testing See HLA DQ

Coeliac screen Gliaden antibodies Gluten antibodies AGA / EMA Anti gliadin antibodies Anti gluten antibodies Endomysial antibodies Anti endomysial antibodies

SST Must NOT be on a gluten free diet

IMM DND

TGA Separate 7days RED 0.5 mL serum

Coenzyme Q10 GREEN Protect from light CHL Q10 Separate plasma & freeze. Protect from light.

0 day 0.3mL


23 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

CoHB See Carboxy haemoglobin

Cold agglutinins Anti-I / i 1 x PINK crossmatch tube

1 x SST

No need to maintain at 37c

Maintain at 37c until clot

retracted & spin.

BIO TIM

CAB (CAS)

Forward to NZBS LAVENDER & RED

Community acquired pneumonia

See Atypical pneumonia serology

Complement C3 and C4 SST IMM DND

COM Separate RED GREEN or


Conjugated bilirubin Direct Bilirubin D.Bil

SST Protect from light BIO TIM

DBI

4hrs GREEN RED 0.1 mL serum

Coombs test See DAT/DCT

Copper - BLOOD

Cu - BLOOD 6 mL Royal BLUE Trace metal tube

BIO CHL

CU Separate. N.B. this

code includes Zinc

if requested same

time

2 mL

Copper - URINE

Cu - URINE URINE – 24 hour collection - ACID WASHED BOTTLES

Special ACID WASHED bottles preferred Contact Biochemistry for bottles Note - these are different from Acid Bottles with HCL perservative

BIO CHL

UCU Measure and record volume, note volume and acid washed status on sendaway sticker Send one pottle and keep second Bottles obtained from CHL

2 mL urine

Coproporphyrin See Porphyrin

Corderone See Amiodarone

Corticotrophin See ACTH

Cortisol - BLOOD

May be part of Synacthen test or Dexamethasone test

SST Collect between 7am and 9am unless otherwise requested

BIO DND

COR

Separate 5 days RED GREEN 0.5 mL serum

Cortisol - URINE

Urine – random or 24-hour collection - PLAIN BOTTLES

BIO CHL

UCC

Measure and record volume, note on sendaway sticker Send one aliquot of urine and store second

5 mL urine


24 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Cortisol - SALIVARY Saliva CHL

SCO

Cortisol Binding Globulin

CBG SST BIO CHL

CBG Separate GREEN

0.1 mL

Coxiella Burnetti Q Fever SST and 2nd specimen 2 weeks later

Clinical information required. Onset date of illness desirable. Please state if pre-vaccination

IMM CHL

QFE Separate 7days RED 0.5 mL serum

Coxsackie serology No Longer Available

C-peptide - BLOOD

LAVENDER Patient should be fasting overnight Measurement of simultaneous glucose is useful.

BIO CHL

PEP

Separate Write glucose result on yellow CHL sticker if available. Freeze if haemolysed as per CHL database

Freeze if Haemolised

EDTA Plasma

C-peptide - URINE

URINE – 24 hour collection - PLAIN BOTTLES

BIO CHL

UCP Measure and record volume, note on sendaway sticker Send one pottle of urine. Freeze if >24 hours delay

0.5 mL urine Freeze stored pottle kept at TIM.

CPT2 mutation LAVENDER Do not refrigerate BIO CHL

MGR Send whole blood

Craniosynostosis FGFR LAVENDER Do not refrigerate BIO WEL

MGR Send whole blood

Creatinine - BLOOD

CRN SST Adults automatically get a eGFR.

BIO TIM

CRE


Creatinine - URINE

URINE – 24 hour collection - PLAIN or ACID BOTTLES

BIO TIM

UCR

Measure and record 24hr urine volume.

6 days Random urine Acid or Plain bottles

Creatinine / albumin ratio

See Microalbumin

Creatinine clearance CCL URINE – 24 hour collection - PLAIN or ACID BOTTLES

and SST for blood creatinine

Blood sample must be taken within 2 days either side of urine collection

BIO TIM

CRC

Plain or Acid bottles

RED

Creatinine / hydroxyproline ratio

See Hydroxyproline / Creatinine ratio

Creatine kinase / Creatine phosphokinase

See CK

C-reactive protein See CRP


25 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Cr / OH proline ratio See Hydroxyproline / Creatinine ratio

Crosslaps See CTX

Crossmatch

PINK – 6 mL tube

NOTE - do NOT

use preprinted

labels Must have NZBS request form

Label with full name, DOB,

date, and time of collection

Will NOT accept unlabeled

specimens

Collector to sign tube AND

form

BB TIM

CRO

CRP C-reactive protein SST For high sensitivity – refer to “High Sensitivity CRP”

BIO TIM

CRP

7days GREEN, LAVENDER

RED 0.1 mL serum

Cryoproteins - Cryoglobulin - Cryofibrinogen

RED or SST

LAVENDER – both tubes

prewarmed to 37C

Keep specimen at 37C

RED/ SST – Cryoglobulin

LAVENDER - Cryofibrinogen

BIO

CRY Keep sample at 37C for 4 hrs or until there

is good gravitational separation of the sample. Do NOT centrifuge. Separate

at 37C

7days When separated.

Label aliquot as – Separated at 37 deg C

Cryptococcal serology

SST x 2 Onset date of illness desirable IMM CHL

CNF Separate 7days RED 0.5 mL serum 5mL preferred

Cryptosporidium Crypto Faeces MIC TIM

FMP

Crystals Fluid Urgent to Microbiology MIC TIM

CRS If culture also required use panel A

?CSF See Tau Transferrin

C-terminal peptide / CTX

-CTX / Telopeptide Crosslaps

SST Collect fasting specimen at 8-10am. Repeat tests should be performed at same time of day.

BIO CHL

CTX Separate. Freeze only if sample haemolysed.

LAVENDER >0.5 mL plasma

Cu - BLOOD See Copper - BLOOD

Cu - URINE

See Copper - URINE

Cyanide GREY On Ice BIO CHL

CYA Freeze whole tube.

Do not Unstopper.

Cyclosporin A LAVENDER

TROUGH levels

Note dose, time of collection

and last dose

BIO DND

CYC DO NOT CENTRIFUGE

0.6 mL whole blood


26 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Cystatin C SST BIO CHL

CTT Separate serum/plasma & freeze

GREEN, RED 0.2mL

Cystic fibrosis gene testing

CF mutation Delta F508

2 x LAVENDER Referral reason and family history required. Tubes must be within expiry date Monday - Thursday Only

Do NOT refigerate

BIO CHL

CYS Send whole tube 0.5 mL whole blood

Cytomegalovirus See CMV

D.Bil See Conjugated Bilirubin

DAT/DCT Direct coombs test Direct antiglobulin test Coombs test

LAVENDER DO NOT REFRIGERATE BB TIM

DCT Keep at room temperature

GREEN, RED 0.25 mL whole blood

D-dimer XDP’s, FDP Simply Red Fibrin Degredation Products DDP Simplify

BLUE – fill to line Deliver to laboratory within 3 hours of collection.

HAE TIM

DDP Mark top of tube 4 hrs

DDT Cost - $500+ SST 50 mL Test performed by ESR

BIO Requires 20 mL serum

Deamidated gliadin peptide IgA/IgG

SST DUN DGP Immunology Dunedin will decide if it is a valid request.

Dehydro-epiandrosterone

No longer available. See DHEA-S instead

Dehydro-epiandrosterone sulphate

See DHEA-S

Delta F508 See Cystic fibrosis gene testing

Delta virus See HDV

Dengue fever No longer done by itself. Part of Arbovirus group

2 x SST Onset date of illness desirable 2nd specimen 2 weeks later

IMM CHL

DEN Separate RED 0.5 mL serum Prefer 5 mL serum

11, Deoxycortisol test

Metyrapone test SST If Metyrapone test - state if pre or post sample

BIO CHL

11D Separate Protocol on CHL Website

GREEN,

LAVENDER, RED 0.5 mL serum

Desethylamiodarone See Amiodarone

Desipramine SST

Minimum full 10

mL or 2 x 5 mL

tubes



BIO CHL

DES Separate – 3 mL Note dose, dose time, and collection time on sendaway sticker

GREEN 3 mL serum


27 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Dexamethasone suppression test

SST 1 mg Dexamethasone orally at midnight, 8am bloods for cortisol. State on form if Dexamethasone Suppression test.

BIO DND

DEX Separate and send to Dunedin for cortisol

5 days RED GREEN 0.5 mL serum

DHEA No longer available. See DHEA-S instead

DHEA-S Dehydro-epiandrosterone sulphate / Epi AoS

SST BIO CHL

DHS Separate 7days GREEN, LAVENDER

RED 0.5 mL serum

DHT See Dihydrotestosterone

DGP SST DND DGP

Diastase See Amylase – Urine

Diazapam Valium SST BIO CHL

DIA Separate - 2 mL


Dibucaine and fluoride inhibition

See Cholinesterase phenotyping

DIC screen DIC Haemostasis screen

1 x BLUE - fill to

line

1 x LAVENDER


Laboratory – mark top of

tubes

HAE TIM

CBC and COA

4hrs BLUE tube must be filled to line

LAVENDER – 1 mL

Digoxin Lanoxin SST

Collect 6 hours

post-dose


BIO TIM

DIG

2days LAVENDER GREEN

RED 0.2 mL serum

Dihydrotestosterone

DHT SST Note collection time as this is required for interpretation

BIO CHL

DIH Separate and freeze O days GREEN, LAVENDER

RED 0.5 mL serum

Dilantin See Phenytoin

Dioxin Cost $2,500 approx unless criteria met. See MOH website for more information

See MOH website for more information on collection and handling

Diptheria Antibodies Diptheria Vaccination SST IMM CHL

DVL Separate 7days GREEN, LAVENDER

BLUE 0.5 mL serum

Direct antiglobulin test

See DAT/DCT

Direct bilirubin See Conjugated bilirubin

Direct coombs test See DAT/DCT


28 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Dissaccharides Biopsy (duodenal) Must be Kept Frozen HIS CHL

DIS SEND FROZEN TO CHL

0day

DNAseB See Streptococcal serology/Ab

Dopamine - BLOOD

Contact

Laboratory

Procedure unavailable at

SCL

Refer to EndoLab Handbook

Dopamine - URINE

See Catecholamines - Urine

Dothiepin Prothiaden GREEN

Minimum full 10

mL or 2 x 5 mL

tubes

Note dose, time of collection, and last dose Includes Desmethyldothiepin.


BIO CHL

DOT Separate Note dose, dose time, and collection time on sendaway sticker

GREEN 3 mL serum

Doxepin GREEN

or 2 x 5 mL tubes

Note dose, time of collection, and last dose Includes Desmethyldoxepin.


BIO CHL

DOX Separate - 3 mL Note dose, dose time, and collection time on sendaway sticker

RED 3 mL minimum serum or plasma

DQ2/DQ8 See HLA DQ2/DQ8 HLA DQ

Drug Screen - CADS Narcotic screen Urine Drug Screen

Urine - random collection

40 mL required. Please specify on form if only require certain drugs to be tested.

BIO DND

AB Send whole pottle

30 mL urine

Drug Screen - Evidential

ESR drug testing kit. Refer

to Patient services- Patient

Charge

PRO COL Forward to ESR

ds DNA Anti DNA SST Part of autoantibodies IMM DND

DNA


Duodenal dissacharidases

Biopsy specimen HIST CHL

DIS Keep frozen

Dysmorphic red blood cells (RBC’s)


Must be examined within 1 hour of collection

MIC TIM

RCM

EAST See RAST

EBNA antibodies See EBV for sample type

EBV Epstein Barr virus SST IMM DND

EBV

Separate 0.1 mL serum

EBV DNA/PCR

Do not confuse with EBV serology (above)

2 x LAVENDER

Dedicated tubes

cannot be used

for other tests.

Not routinely requested. Full clinical details essential. Deliver to laboratory within 15hrs.

VIR CHL

MSE Send whole Room Temp

Echinococcus granulosis serology

See Hydatids

Echovirus See Enterovirus


29 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

E.Coli E.Coli 0157, Enterotoxogenic E.Coli

Faeces Please specify on form if looking for E.coli 0157

TIM MIC

FEC Faeces Culture

Ectoparasites MIC TIM

ECT

eGFR (Glomerular Filtration Rate) GFR

SST Part of Creatinine BIO TIM

CRE 7days RED GREEN

Elastase Faecal or Pancreatic elastase

Faeces BIO CHL

PEL Freeze 2gm

Electrolytes - BLOOD

Sodium (NA) / Potassium (K)

SST


4 hours of collection

Do NOT refrigerate

BIO TIM

ELE

Separate off Gel if not analysed within 5 hours (Exception if it is in Green tube)

7days If separeted

GREEN RED

Plasma Potassium

= Green top PST

tube

Electrolytes - FAECAL

Faecal electrolytes Liquid faeces only Formed stools NOT analysed BIO CHL

FEL Send whole pottle 0.5 mL

Electrolytes - URINE

Sodium (NA) / Potassium (K) - Urine

Random Urine or 24 hour collection - PLAIN BOTTLES

NOT ACID collection

BIO TIM

UNK

Measure & record volume if 24hr collect. Centrifuge.

Random urine NOT ACID

Electrophoresis See Protein Electrophoresis

ENA Extractable nuclear antigen Sjorgens syndrome

SST Includes Jo-1, RNP, Scl 70, Sm, SSA (Ro), SSB(La)

IMM DND

ENA Separate 7days RED 0.1 mL serum

Endomysial antibodies

See Coeliac antibodies

English Measles

See Measles

Entamoeba histolytica – Blood

Amoeba serology SST x 2 IMM CHL

ENT RED 0.2 mL serum Prefer 5 mL serum

Entamoeba histolytica – Faeces

Faeces MIC DND

FP Sent to Micro first who onsend to DND

Enterovirus Echovirus Coxsackie

Swab

Faeces

Serology no longer available

MIC CHL

EVM MUST BE

APPROVED by

MICROBIOLOGIST

Epi Aos See DHEA-S

Epilim See Valproate Valproic acid

EPO screen See Erythropoetin

Epstein Barr virus See EBV


30 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Erythrocyte sedimentation rate

See ESR

Erythropoetin EPO screen SST Send to laboratory within 1

hour of collection

HAE CHL

ERP Separate and freeze (CHL sends to Waikato)

0days RED 1 mL serum

ESBL Extended spectrum B-lactamase

Rectal Swab in

Transport media

Rectal swab required for screen

MIC TIM

EB

ESR Erythrocyte sedimentation rate

LAVENDER or

BLACK ESR tube

HAE TIM

ESR

Whole tube 1.5 mL whole blood

Estrogen Estradiol

See Oestrogen

Ethanol See Alcohol

Ethosuximide Zarontin. No gel RED Note dose, time of collection and last dose

BIO CHL

ZAR Separate - 2 mL Note dose, time of collection and last dose

GREEN 2 mL serum

Ethylene glycol Anti Freeze GREEN BIO CHL

ETG Separate SST 0.5 mL

ETOH

See Alcohol

Extractable nuclear antigens

See ENA

F508 See Cystic fibrosis gene testing

Factor V BLUE – fill to line Urgent


laboratory

HAE CHL

CFA Separate and freeze within 2 hours

Factor V leiden LAVENDER HAE DND

TMG Send whole tube Copy of form to

Haem. DO NOT

send until

confirmed.

Factor VIII and IX BLUE – fill to line

Urgent


Laboratory

HAE CHL


Factor VIII binding Refer to

Haematologist

Factor VIII inhibitor 2xBLUE - fill to

line


Laboratory

HAE TIM DND

PT APT CFA

Refer to coagulation specimen protocol

Factor Xa, Anti BLUE - fill to line Deliver immediately to

Laboratory

HAE CHL

AXA Refer to coagulation specimen protocol

Factor X BLUE - fill to line Urgent


Laboratory

HAE CHL


FAD See Vitamin B2


31 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Faecal Albumin See Occult Blood

Faeces Culture Faeces MIC TIM

FEC

Faecal elastase See Elastase

Faecal electrolytes See Electrolytes - Faecal

Faecal fat

No Longer Available See Steatocrit

Faecal fat stain/ globules / crystals

Faeces (Random)

MIC CHL

FAT Refrigerate

Faecal H. pylori Helicobacter pylori antigen See H. pylori antigen HpFAg(EIA)

Faeces MIC DND

FHA

Faecal parasites ‘Ova, cysts and Parasites’

Faeces - PVA State if Travelled Overseas MIC TIM

FMP . FMP and FP if been overseas. FMP only if not stated.

Faecal reducing substances

See Reducing substances

Faecal trypsin See Trypsin

FAI

Free androgen index SST Includes testosterone and SHBG

BIO CHL

FAI Separate

RED GREEN,


Familial hyperaldosteronism Type 1

LAVENDER Monday to Thursday only.

Must arrive before 3pm.

BIO CHL

MSE Send whole

Farmers Lung SST IMM CHL

Separate CHL send to LabPlus

RED 0.2ml serum

Fat globules / Fat stain

See Faecal Fat Stain

FBC CBC Haemoglobin

LAVENDER HAE TIM

CBC

1 day 0.5 mL whole blood

FDP

See D-dimer

Fentanyl See Drug Screen for specimen requirements

Please specify on form if only this drug is required.

Ferritin SST BIO TIM

FER

5 days RED GREEN,



32 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Fertility Hormones LH, FSH, Prolactin, Oestradiol, Progesterone

SST BIO TIM DND

LH, FSH PRL, OES, PRO

0.5 mL serum

Fibrin degradation products

See D-dimer

Fibrinogen BLUE - fill to line HAE TIM

FIB BLUE tube must be filled to line

Fibrinogen Antigenic Refer enquires to Dunedin

Fibrinogen Gene Studies

4x BLUE

1x LAVENDER

HAE CHL

MGR DO NOT Refrgerate

Fibronectin Contact Dunedin Biochem BIO DND

FFN

Filaria antibodies Microfilaria antibodies SST x 2 IMM CHL

MSE Separate 0.5 mL serum Prefer 5 mL

Filaria morphology Microfilaria morphology LAVENDER HAE TIM

FIL

Copy of form to Haem 0.5 mL whole blood

FISH Fluorescence in situ hybridisation

GREEN - 5 mL Check expiry

BEFORE collection

Full tube, clinical details MUST be supplied Recommend to do both chromosome analysis and FISH studies Monday - Thursday Only

Do NOT refigerate

BIO Send to WLT


5 mL whole blood

FK506 See Tacrolimus

Flavine adenine dinucleotide

See Vitamin B2

Flecanide Tambocor GREEN NOT GEL TUBE BIO CHL

FLE

Separate GREEN RED 1 mL serum

Fluid Albumin Fluid

To BIOCHEM

BIO TIM

FAL Site Code required

Fluid Amylase FAM

Fluid Bilirubin FBI

Fluid Choride FCL

Fluid Cholesterol FCH

Fluid Creatinine FCR

Fluid Electrolytes FLN

Fluid Glucose FLG

Fluid Lactate FLL

Fluid LDH FLD

Fluid Osmolality FLO


33 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Fluid pH FPH

Fluid Phosphate FFO

Fluid Protien FLP

Fluid Triglyceride FLT

Fluid Urea FUE

Fluid Uric Acid FUR

Flucloxacillin SST BIO CHL


Fluoride - BLOOD

SST x 2 BIO CHL

MSE Separate - 2-4 mL

RED 2 mL serum

Fluoride - URINE


Collect at end of shift at end of working week.

BIO CHL

MSE 2 mL urine

Fluoride and Dibucaine inhibition

See Cholinesterase phenotyping

Fluoxetine Prozac SST BIO CHL

FLX Separate RED 1 mL serum

Fluorescence in situ hybridisation

See FISH

Fluorescent treponemal antibodies

See Syphilis

Foetal red cells See Kleihauer

Folate - RED CELL

RCF No longer available

Folate - SERUM

Folic Acid SST BIO TIM

BFO

Separate 2days RED GREEN

Fragile X LAVENDER Referral reason required


Mon to Thurs Only

Do NOT refrigerate Check funding source, Genetic Counselling Service consent form may be required.

BIO Sent to WLT


3 mL whole blood

Free androgen index See FAI

Free Insulin See Insulin

Free light chains Light Chain Assay SST N.B Mod to Marked Lipaemia may interfere with analysis

BIO CHL

FLC Separate RED 0.5 mL serum

Free PSA SST Do not collect post prostate massage

BIO DUN

FPS Separate and freeze RED GREEN,



34 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Free T3

See FT3

Free T4

See FT4

Free Testosterone SST BIO CHL

FAI RED GREEN

Free thyroxine index FTI SST We test TSH unless otherwise notified

BIO TIM

TSH 0.5 mL serum

Frisium See Clobazam

Fructosamine (no longer routinely available)

Superseded by / See HbA1c

Please contact laboratory for tube type if Fructosamine is definitely required.

BIO NPL

SNT Freetext

If GP insists on Fru – send serum with form to Northland Pathology via DND

7days Let Northland know it is coming.

Fructose Fresh seminal fluid

Deliver to

Laboratory

immediately

Collect specimen after 3 days abstinence from intercourse

MIC CHL

FRS

Check with Microbiology first Measure (write total volume on form) Freeze

0.1 mL semen

FSH SST BIO TIM

FSH

RED GREEN 0.25 mL serum

FT3 Tri-iodothyronine Free T3

SST Note if on Thyroxine BIO TIM

FT3


FT4 Free T4 Thyroxine

SST Note if on Thyroxine BIO TIM

FT4


FTA See Syphilis

FTI See Free thyroxine index

Fungi Skin scraping Mycology

Skin scrapping MIC DND

FU

G6PD Glucose-6-phospate dehydrogenase

LAVENDER DO NOT CENTRIFUGE BIO DUN

G6P

Send whole tube

0.5 mL whole blood

GAD antibodies See Anti-GAD

Galactose Guthrie Card Send to: National Testing

Centre. PO Box 872

Shortland Street

Auckland

AKD MSE

Galactose-1-phosphate

Guthrie card

Send to: National Testing

Centre. PO Box 872

Shortland Street

Auckland

AKD MSE


35 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Gamma glutamyl transferase

See GGT

Gastrin

SST

On ice

Fasting overnight

-

>10 hours

Place on ice and deliver to

Laboratory ASAP

BIO CHL

GAS Separate within 1 hour and freeze off Gel

RED >1.0 mL serum

GBM See Glomerular basement membrane

Gentamicin SST Note dose, time of collection, and last dose

BIO TIM

GDM 1 day RED GREEN 0.1 mL serum

German Measles See Rubella

GFR See eGFR (Glomerular Filtration Rate)

GGT

(-GT, GGTP)

Gamma glutamyl transferase


GGT

7days RED GREEN 0.1 mL serum

Giardia specific antigen

GAT Faeces MIC TIM

FMP

Gilbert Syndrome Mutation Analysis

LAVENDER Referral reason required


Mon to Thurs Only

Do NOT refigerate

BIO Sent to WLT

ATTN

See

NB


NB Dr Selderbeek

requests go to CHL

not Wellington. (/MTA)

GLHB See HbA1C

Gliadin antibodies See Coeliac antibodies

Glomerular basement membrane

GBM, Anti-Glomerular Basement membrane, Basement membrane antibodies

SST IMM CHL

GBM Separate 7days RED GREEN,


Glucagon LAVENDER Collect on ice BIO CHL

GLG Separate and freeze promptly

0 day 1 mL plasma

Glucose - BLOOD

BSL (Blood sugar Level) GREY

Note fasting status BIO TIM

FGL or GLU

RED GREEN, SST if separated within 4 hours

Glucose - URINE


MIC TIM

UGL


36 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Glucose-6-phosphate dehydrogenase

See G6PD

Glucose tolerance testing - 50 gm CHALLENGE

Polycose 50 gm GTT

GREY

Collect 1 hour after 50 gm load

Screening for gestational diabetes in pregnancy (Drink should be consumed within 3-5 minutes)

BIO TIM

PGL or PFG

RED GREEN, SST if separated within 2 hours 0.1 mL serum

Glucose tolerance testing - 75 gm GLUCOSE TOLERANCE TEST

75gm GTT 2 x GREY Collect fasting specimen then 2 hours post 75 gm load

Performed to confirm gestational diabetes or diabetes when HbA1c cannot be used (Drink should be consumed within 3-5 minutes)

BIO TIM

GTT

Write time of collection on both tubes.

RED GREEN, SST if separated within 2 hours 0.1 mL serum each

Glutamic Acid Decarboxylase antibodies

See Anti-GAD

Gluten antibodies See Coeliac antibodies

Glycated haemoglobin

See HbA1C

Glycine – Blood See Amino Acids – Blood

Glycine – Urine

See Metabolic Profile – Urine

Gonadotropins Includes FSH & LH

SST

Note date of last menstrual period.

BIO TIM

FSH LH

7days RED, GREEN 0.25 mL serum

GOT

See AST

GPT

See ALT

Group and Hold Group & Rh

PINK - 6 mL tube

NOTE - do NOT

use preprinted

labels Must have NZBS request form

Label with full name, DOB,

date, and time of collection

Will NOT accept unlabeled

specimens

Collector to sign tube and

form. Tubes must be in date

BB TIM

CRO

Growth hormone HGH Somatotrophin

LAVENDER Preferable to be fasting, at rest for 1hr before and unstressed before collection

BIO CHL

GRO Whole blood

50 gm GTT See Glucose tolerance testing - 50 gm Challenge

75 gm GTT See Glucose tolerance testing - 75 gm Challenge


37 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Guthrie Card See Phenylalanine

5HIAA

5-hydroxy indole acetic acid Carcinoid screen Indoles

URINE – 24 hour or random collection Acid or plain acceptable

Warn patient about Acid in bottles.

BIO CHL

CTM Measure and record volume, note on sendaway sticker Send one aliquot of urine and store second

2 mL urine

5HT See Serotonin

For Urine 5HT – See 5HIAA

5-hydroxy indole acetic acid

See 5HIAA

17 hydroxy progesterone

See 17-OH progesterone

5 hydroxy tryptamine

See Serotonin

25-hydroxy vitaminD See Vitamin D

Haemochromatosis gene

HLA-H HFE gene

LAVENDER BIO DND

HHM Send whole tube 7days

Haemoglobin See FBC

Haemoglobin breakdown products

See Haemoglobin pigments

Haemoglobin electrophoresis

See Haemoglobinopathy screen

Haemoglobin pigments

Haemoglobin breakdown products

URINE - fresh random collection

PROTECT FROM LIGHT BIO CHL

HPB PROTECT FROM

LIGHT

0 day 2 mL urine

Haemoglobinopathy screen

Thalassaemia Haemoglobin electrophoresis

2xLAVENDER

HAE CHL

HGB LAVENDER Send whole tube

7days

Haemophilus influenza

H. influenza SST and 2nd specimen 2 weeks later

Onset date of illness desirable. Please note if only sending one off specimen.

IMM CHL

HIB Separate – note on sendaway sticker if one off specimen

7days RED GREEN,


Haemosiderin URINE - early morning (preferred) or random collection

30 mL Urine HAE DND

HSD

10 mL

Haemostasis screen See Coagulation screen

Haldol Haloperidol

Serenace GREEN

collect

immediately pre-

dose


BIO CHL

HSD

Separate Note dose, dose time, and collection time on sendaway sticker

1 mL serum


38 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Hams acid serum test

See PNH Screen

Haptoglobin SST BIO DND

HAP Separate 7days RED GREEN 0.2 mL serum

HAV See Hepatitis A

HbA1c GLHB Glycated haemoglobin

LAVENDER BIO DND

GLY

Send Whole tube 7days GREEN, GREY 0.1 mL whole blood

HBcAb Anti-HBc Hepatitis B core antibody

SST BIO DND

HBC

Separate 7days RED GREEN,


HBeAb HBe

Anti-Hbe Hepatitis B e antibody

SST IMM CHL

AHB Separate 7days RED GREEN,


HBeAg Hepatitis B e antigen SST BIO DND

HEE

Separate 7days RED GREEN,


HBsAb Anti-HBs Hepatits B surface antibody

SST Do not use lithium heparin gel tubes

BIO DND

HEB

6days RED, LAVENDER 0.25 mL serum

HBsAg Hepatitis B surface antigen

SST Do not use lithium heparin gel tubes

BIO DND

HEG

5days RED, LAVENDER 0.2 mL serum

HBV See HbsAg and HbsAb

HBV-DNA See Hepatits B PCR

HCG - Female -HCG Quantitative HCG RIA Pregnancy test Pregancy test

SST Note date of last menstrual period

BIO TIM

HCG


HCG – Male or Tumour Marker

-HCG Male SST BIO

TCG Separate 3days GREEN RED 0.5 mL serum

HCO3 See Bicarbonate

HCV Hepatitis C Hepatitis C antibody Anti-HCV

SST BIO DND

HCV

Separate RED GREEN,


HCV Genotype HCV viral type Hepatitis C genotype

LAVENDER 2 x 5 mL Cannot be used for other tests

NOTE - separate tube required, cannot be used for other tests Monday - Thursday only. Received before 3.30pm (NOT Friday,Saturday,Sunday)

IMM DUN

HCL Refer to back of Manual for separation and transport instructions

SEPARATE & FREEZE


39 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

HCV PCR / RNA PCR – HCV Hepatitis C PCR



IMM DND


FREEZE

HCV Viral Load / Titre

Hepatitis C viral load / titre Viral load – HCV



IMM DND


FREEZE

HCV viral type See HCV Genotype

HDL cholesterol See Lipid

HDV Delta virus Hepatitis D virus Anti – HDV

SST NOTE - a separate tube is required that cannot be used for other tests

IMM CHL

HED Send UNOPENED whole tube

RED 0.5 mL

Heavy metal screen URINE - 24-hour collection

Special acid washed bottles

maybe required Contact

biochemistry or see

individual tests.

BIO CHL

MSE

Contact surgery to determine what metal analysis is required Measure and record volume, note on sendaway sticker Send one pottle of urine and store second

Heinz bodies LAVENDER HAE CHL

MSE Whole tube 0.5 mL whole blood

Helicobacter pylori antibodies

See H. pylori

Helicobacter pylori antigen

See H. pylori antigen

Helicobacter pylori breath test

See H.pylori Breath Test

Henselae serology See Bartonella Henselae serology

Heparin BLUE - fill to line Deliver to Laboratory within

3 hours of collection

HAE TIM

APT

Hepatitis A - IgG Hepatitis A SST NOTE: Marker for HAV immunity

BIO DND

HAI

Separate Immunology will add HGM if required.

RED, GREEN,



40 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Hepatitis A - IgM SST NOTE: Marker for acute HAV infection

BIO DND

HGM

Separate RED, GREEN,


Hepatitis B virus See HBsAg and HBsAb

Hepatitis B core antibody

See HBcAb

Hepatitis B - DNA See Hepatitis B PCR

Hepatitis B e antibody

See HbeAb

Hepatitis B e antigen See HBeAg

Hepatitis B markers Includes: HBsAg, HBsAb and HBcAb

Hepatitis B PCR Hepatitis B DNA HBV DNA



IMM DND

HEV Refer to back of Manual for separation and transport instructions

FREEZE

Hepatitis B surface antibody

See HBsAb

Hepatitis B surface antigen

See HBsAg

Hepatitis B viral load See Hepatitis B PCR for specimen type and criteria

Hepatitis B virus – YMDD mutation

2 x LAVENDER Place immediately on ice

and deliver to Laboratory

within

3 hours

BIO CHL

MSE Send whole

Hepatitis C Hepatitis C antibody

See HCV

Hepatitis C genotype See HCV Genotype

Hepatitis C RNA / PCR

See HCV – PCR / RNA

Hepatitis C Viral Load / Titre

See HCV viral load / titre

Hepatitis D virus See HDV


41 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Hepatitis E SST Provide appropriate clinical details

IMM CHL

HPE Separate. Do not open. Transfer clinical information to sendaway sticker (Sent to Australia)

RED

Herpes simplex culture

HSV culture GREEN swab MOL DUN

V

Herpes simplex serology

HSV serology Herpes simplex type 1&2

SST Onset date of illness desirable

IMM DUN

HVA Separate RED 0.2 mL serum

Herpes zoster serology

See Varicella zoster

HFE gene See Hamochromatosis gene

Hg - BLOOD

See Mercury - BLOOD

Hg - URINE

See Mercury - URINE

hGH See Growth hormone

H. Influenza See Haemophilus influenza

5HIAA

5-hydroxy indole acetic acid Indoles Carcinoid Screen

URINE – 24 hour or random collection ACID or PLAIN acceptable

BIO CHL

CTM Measure and record volume, note on sendaway sticker

5 mL urine

High sensitivity CRP

hs CRP, Sensitive CRP us CRP, Ultrasensitive CRP

SST BIO DUN

SCR Separate GREEN, LAVENDER

RED 0.2 mL

HIV HIV-1 / HIV-2

SST Unlabeled specimens will not be accepted

BIO DND

HIV

Separate 7days GREEN, LAVENDER

RED 0.25 mL serum

HIV Titre HIV Viral load

Viral Load – HIV



IMM DUN

VRL Refer to back of manual for separation and transport instructions

HLA - A HLA - B HLA - C HLA - DRB1,3,4,5

See Tissue Typing - Class I

- Class II

HLA-B27 B 27 Ankylosing spondylitis

LAVENDER Keep at room temperature BIO DND

HLA Send whole tube Do NOT refrigerate

GREEN, BLUE 1 mL whole blood


42 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

HLA – DQ HLA – DQ2/DQ8

D typing for coeliac disease DQ2/DQ8

LAVENDER

Keep at room temperature Turnaround time + 2 weeks

BIO CHL

HDQ Send whole on same day DO NOT refrigerate

7days

HLA-H

See Haemachromatosis gene

HMMA Part of catecholamines

Hydroxy methoxy mandelic acid

Adult: URINE – 24 hour collection - ACID BOTTLES

Child: URINE - random or 6-hour collection

Avoid foods containing vanilla for 3-days prior to collection

Warn patients about acid

BIO CHL

CTM

10 mL conc HCL / 2.5L urine or 200µl HCL to 50 mL pottle Record volume

5 mL urine

Homocysteine - BLOOD

LAVENDER

On ice - urgent Fasting

Place immediately on ice

and deliver to Laboratory

within

3 hours

BIO CHL

HCY Must be kept on ice until separated Separate within 4 hours and freeze

0days 0.5 mL plasma

Homocysteine - URINE

Contact Laboratory before collection

Superseded by plasma Homocysteine

BIO CHL

UMP Contact Christine Lever, Specialist Chemistry, CHL before collection

Homogenistic acid See Metabolic Profile - Urine

Homovanillic acid HVA Adult: URINE - 24 hour collection - ACID BOTTLES

Child: Urine - random or 6-hour collection

Test available by

arrangement with CHL only.

Contact Laboratory. Not

routinely available. Avoid foods containing vanilla for 3 days prior to collection

Warn patients about acid

BIO CHL

CTM 10 mL conc HCL / 2.5L urine or 200µl HCL to 50 mL pottle Record volume

10 mL urine

Test discontinued

for routine

requests. By

arrangement with

CHL only.

Hormone Levels SST Includes Prolactin,

Oestradiol, FSH, LH and

Progesterone.

BIO DND TIM

PRL OES FSH LH PRO

HPA 1a Antibodies See Platelet antibodies

HpFAg (EIA) See H. pylori antigen

HPV Papillomavirus Warts

Swab in viral transport media

Up to 4-weeks for results

MOL DUN

PVC Can also be done

on Cervical Smears

in High Risk

Patients

H. pylori H. pylori antibodies

Helicobacter pylori antibodies

SST IMM DUN

HPY Separate RED 0.1 mL serum


43 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

H. pylori antigen Helicobacter pylori antigen Faecal H.pylori HpFAg(EIA)

Faeces MIC DUN

FHA Freeze if >24 hour delay to CHL

H.Pylori Breath Test Urea Breath Test Breath Test Helicobacter Pylori Breath Test

Refer to special procedure

hs CRP See High sensitivity CRP

HSP 70 antibodies Inner ear antigen test SST Up to 4 weeks for results IMM CHL

HSP Separate 7days RED 0.2 mL serum

HSV serology See Herpes simplex serology

HSV or Genital culture

See Herpes simplex culture

5HT See Serotonin

For Urine 5HT See 5HIAA

HTLV -1 / HTLV-2 SST

Onset of illness is desirable IMM CHL

HTL Unlabelled specimen will NOT be accepted. Separate

RED 0.25 mL serum

Hu Antibody See Anti Hu Antibody

Human T cell Lympho Virus I + II

See HTLV -1/HTLV-2

Huntington’s gene test

3 x LAVENDER Referral reason required


Mon to Thurs Only

Do NOT refrigerate

BIO Sent to WLT


Consent for required

HVA See Homovanillic acid

Hydatids Echinacoccus granulosis serology

2 x SST Onset of illness desirable IMM CHL

HYD Separate RED 0.2 mL serum Prefer 5 mL serum

Hydroxybutyrate See Ketones

5-hydroxy indole acetic acid

See 5HIAA


44 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Hydroxy methoxymandelic acid

See HMMA Part of catecholamines


See 17-OH progesterone

Hydroxyproline OH-proline URINE – 24 hour collection - PLAIN BOTTLES

Refer to CHL protocol BIO CHL

HPR Measure and record volume, note on sendaway sticker

2 mL urine

Hydroxyproline / creatinine ratio

OH-Prol / Crn ratio URINE Refer to CHL protocol BIO CHL

HPR Send whole pottle

2 mL urine

5-hydroxy tryptamine See Serotonin

For Urine 5HT See 5HIAA

25-hydroxy vitaminD See Vitamin D

IA2 antibodies SST IMM CHL

IA2 Separate and refrigerate

7days RED 0.1 mL serum

IAA Insulin autoantibody

Test no longer available

ICA See Islet cell antibodies

IF antibodies See Intrinsic factor antibodies

IgA SST Part of immunoglobulins BIO DND

IGA

Separate 7days RED GREEN 0.2 mL serum

IgD SST BIO CHL

Separate RED 0.2mL serum

IgE SST BIO DND

IGE Separate 7days RED GREEN,


IGF-1 Insulin-like growth factor-1 Somatomedin-C

SST BIO CHL

IGF Separate RED LAVENDER

GREEN 0.2 mL plasma

IGF-BP3 (IGBP-3)

Insulin-like growth factor binding protein3

SST BIO CHL

IGF Separate 3days 0.2 mL

IgG SST Part of immunoglobulins BIO DND

IMM

Separate GREEN, RED 0.2 mL serum

IgG subclasses SST BIO CHL

IGG Separate RED 0.6 mL serum

IgM SST Part of immunoglobulins BIO DND

IMM

Separate GREEN, RED 0.2 mL serum

Ig’s See Immunoglobulins


45 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

IL28B Interleukin 28B LAVENDER Hep C Genotype must be known before sending IL28B request.

BIO CHL

IL2 Send whole

IM

See Infectious mononucleosis

Imipramine

RED

Minimum full 10

mL or 2 x 5 mL

tubes

Collect 18-hours

post-dose


BIO CHL

IMI Separate - 3 mL Note dose, dose time, and collection time on sendaway sticker

GREEN 3 mL serum

Immune complexes C1q binding assay SST IMM CHL

ICM Separate

RED LAVENDER,

GREEN 0.2 mL serum

Immuno electrophoresis

EPP,SPE

SST Includes immunoglobulins and SPE

BIO DND

IMM EPP

Separate Local lab to test TP & ALB

7days RED 0.3 mL serum

Immunofixation SST BIO DND

IMF


Immunoglobulins Ig’s SST Includes IgG, IgA, IgM BIO DND

IMM


Indoles

See 5HIAA

Infectious mononucleosis

IM Paul Bunnell / PB

SST EBV serology recommended over PB screen.

BIO IM

PB

RED GREEN,


Influenza virus serology

See Respiratory Virus PCR

Serology no longer available.

Inner ear antigen test

See HSP 70 antibodies

INR

BLUE - fill to line HAE TIM

PR or PT

PR if on warfarin 24hrs BLUE tube must be filled to line

Insulin Free Insulin LAVENDER

GREY

Patient should be

fasting

Place LAVENDER on ice

Deliver to Laboratory same

day of collection Simultaneous glucose levels are needed to interpret results.

BIO CHL

INS FGL

Separate

immediately and

freeze within 8-

hours

NOT HAEMOLYSED Write glucose result on yellow CHL sticker.

0days RED 0.3 mL plasma

Insulin antibody Not to be confused with insulin autoantibodies

SST BIO CHL

PIA Separate 7days RED GREEN,



46 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Insulin autoantibody IAA

Test no longer available

Insulin-like growth factor-1

See IGF-1

Insulin-like growth factor binding protein3

See IGF-BP3

Interleukin 28B See IL28B

Intrinsic factor antibodies

IF antibodies SST IMM DUM

IFA Separate 7days RED GREEN,


Iodine – URINE URINE – timed or random collection – PLAIN BOTTLES

If collecting a timed urine –

note time ie 12 or 24 hour

BIO CHL

UIO Measure & record volume Refigerate

0.5 mL

Ionised calcium I Ca Bloodgas syringe

Urgent send to lab

immediately

BIO TIM

CAI 0days GREEN

Iron studies Fe studies SST Includes iron, transferrin, ferritin, and % saturation

BIO TIM

STU

7days RED GREEN, 0.2 mL serum

Islet cell antibodies ICA SST IMM CHL

ICA Separate RED GREEN,


Isoniazid Rifinah 2x GREEN BIO CHL

ISN Separate – 2 mL 2 mL plasma

JAK 2 PCR Janus Kinase 2

LAVENDER Monday – Wednesday ONLY Deliver to Laboratory before 3pm

HAE CHL

JK2 Send whole blood DO NOT refridgerate

Jo 1 antibodies See ENA

K+

-BLOOD See Electrolytes - BLOOD

K+

-URINE See Electrolytes - URINE

Kaolin clotting time KCT No longer performed as part of Lupus Screen. Please contact Haematology for advice.

Karyotype 5 mL GREEN

plus LAVENDER

Referral reason required


Monday to Thursday Only

Do NOT refigerate

To Lab before 3pm.

BIO Sent to WLT


0days Or Fluid


47 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

KCT Kaolin clotting time No longer performed as part of Lupus Screen. Please contact Haematology for advice.

Kell antibodies Anti K (Kel) Antibodies 1 x PINK crossmatch tube

BB TIM

AS RED LAVENDER

Not SST

Ketones - BLOOD

SST

Give to Biochem ASAP BIO TIM

SKT 0days GREEN RED GREY

Ketone - URINE


MIC TIM

UKT

Kidney Microsomal AB’s

See LKM antibodies

Kleihauer Foetal red cells Foetal cell count

LAVENDER Mark Top of tubes Babys blood maybe received as a control.

HAE TIM

FCC Add to Mothers GGG file

Kleinfelters (chromosome studies)

GREEN

Referral reason required



Do NOT refrigerate Consent form required.

BIO Sent to WLT


1 mL whole blood

Lactase Insufficiency 5mL LAVENDER Room Temperature BIO CHL

MTA Send Whole

Lactate Blood gas Syringe BIO TIM

LAC 0days

Lactate dehydrogenase isoenzymes

LD isoenzymes SST BIO CHL

LDI Separate GREEN 0.3 mL serum

Lactose intolerances See Reducing substance

Lamictal Lamotrigine

GREEN Should be a trough sample BIO CHL

LAM Separate 0.5 mL plasma

Lanoxin See Digoxin

LAP Leucocyte alkaline phosphatase

No longer available

Largactil See Chlorpromazine

Laroxyl See Amitriptyline

LD / LDH

Lactate dehydrogenase SST BIO TIM

LDH

1day GREEN RED 0.1 mL serum


48 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

LDL cholesterol Part of / See Lipid Note fasting status. Calculated result, please state clearly if measured LDL is required.

If Measured LDL required. Send to CHL for result. (/MSE)

Lead -BLOOD

Pb - BLOOD


BIO CHL

LEA Send whole tube 1 mL whole blood

Lead -URINE

Pb - URINE

URINE – 24 hour collection - ACID WASHED BOTTLES

Special ACID WASHED bottles preferred Contact Biochemistry for bottles Note - these are different from Acid Bottles with HCL perservative

BIO CHL

ULE Contact CHL to

arrange for more

bottles. Measure and record volume, keep pottle for storage

1 mL

LE cells See ANA

Legionella - LOWER RESPIRATORY

Sputum sample Do NOT refrigerate MIC CHL

LGC

Do NOT refrigerate Aspirates, Tissue

Legionella - SEROLOGY



LGS Separate 0.5 mL serum

Legionella - URINE


MIC CHL

LUA 10 mL urine

Leptin LAVENDER BIO CHL

LTN Separate and freeze

SST, RED 0.25 mL plasma

Leptospira - BLOOD



LEP Separate 0.1 mL serum

Leptospira - PCR URINE

URINE - early morning collection preferred. 20 mL

Due to intermittent excretion of Leptospira from urine, a repeat sample should be submitted if there is a high clinical suspicion and initial urine PCR is neg.

BIO CHL

LED 20 mL urine

Leucocyte alkaline phosphatase

LAP No longer available

LFT Liver functions SST BIO TIM

LFT

GREEN 0.2 mL serum

LH Luteinising hormone SST Note LMP BIO TIM

LH

0.2 mL serum

Li Li carbonate LiCO3

See Lithium

Light Chain assay See Free Light Chains


49 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Lipase GREEN BIO DND

LPS Separate RED 0.2 mL

Lipid

SST Preferable to be fasting

Note fasting status. Includes cholesterol, HDL cholesterol, LDL chol (calc), triglycerides

BIO TIM

LIP

GREEN 0.1 mL serum

Lipid electrophoresis LAVENDER BIO CHL

LPE Separate GREEN, 0.5 mL

Lipid Ultracentrifugation

Ultracentrifugation Lipoprotein

2 x LAVENDER Patient must have fasted

>14 hours

BIO CHL

LPU Separate 4 mL plasma

Lipoprotein (A, A1, B)

See Apolipoprotein

Listeria Febrile patient

Blood cultures

Serology unavailable MIC TIM

B

Lithium Li carbonate LiCO3

Li

SST

Collect pre-dose


BIO TIM

LIT

RED 0.3 mL serum

Liver antibodies

See LKM antibodies

Liver function tests See LFT’s

LKM antibodies (Liver Kidney Microsomal Ab’s)

Liver antibodies Kidney Microsomal antibodies

SST IMM DND

LKM Separate 0.1 mL serum

LPA See Lipoprotein (a)

Lupus antibodies See ANA

Lupus anticoagulant / inhibitor

3 x BLUE - fill to

line


2 hours

HAE DND

LUP Double spin, separate, and freeze

2 mL plasma

Luteinising hormone See LH

Lymes disease See Borrelia serology

Lymphocyte cell markers

Cell markers CD4/CD8 T-cells Surface Markers

2 x LAVENDER Do NOT refrigerate Mon-Thurs Only Must be received to Laboratory before 3.00pm

HAE DND

PBM

Do NOT refrigerate

Make sure CBC

printout and film go

with blood

0.5 mL whole blood Must go same day

SCAN CBC and film

printout

Lysozyme Muramidase SST 2-3 months for results HAE CHL

MSE Separate and freeze

1 mL serum

6-MMP See Azathiprine

Magnesium - BLOOD

Mg Mg2+

SST BIO TIM

MG GREEN 0.2 mL serum


50 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Magnesium - INTRACELLULAR

RBC Magnesium Red Cell Magnesium

GREEN BIO CHL

RMG Send whole 1 mL whole blood

Magnesium - URINE


BIO CHL

UMG Measure and record volume, note on sendaway sticker Send one pottle of urine and store second

1 mL urine May be estimation errors if Plain bottles are used.

Malarial parasites

LAVENDER Deliver to laboratory within

2-hours

HAE TIM

MAP

Advise Haematology in HB, Haem to send films to DND

MALB See Microalbumin

Manganese Mn 6 mL Royal BLUE Trace metal tube

Avoid Haemolysis Tube must be at least half full

BIO CHL

MNG

Separate Not Haemolysed specimens

0.5 mL

NOT SST

Marfans syndrome 2 x LAVENDER Referral reason required


Mon to Thurs Only

Do NOT refigerate

BIO Sent to WLT


Marijuana See Cannabinoids

Maternal serum testing/screening

Triple test SST

BIO CHL

MAS Freeze if longer

than 24hours of

getting to CHL

ME

Tapanui ‘flu No longer available

Measles

IMMUNITY

Morbilli, Rubeolla English measles


Onset date of illness desirable BIO

DND

MOR Separate 0.2 mL serum

Measles

INFECTION

Morbilli, Rubeolla English measles

SST Onset date of illness desirable BIO

CHL

MOR Separate 0.2 mL serum

Measles Viral Swabs Nasopharyngeal

swab in UTM Viral

Transport Medium

Collection Kit

Snip Nasopharyngeal Swab into the Red top UTM (Universal Transport Medium) tube supplied with UTM kit. Secure cap tightly.

VIR CHL

MEA

Melanin Melanogen

URINE - fresh random collection

Protect from light BIO CHL

Send whole pottle

Protect from light

10 mL urine


51 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

MEN2 2 x LAVENDER Referral reason Ensure tubes are within expiry Mon-Thurs only DO NOT refrigerate

BIO Sent to WLT

MSE Done at Wellington Cytogenetics Sevices 0508 364 436 Send at room temperature Full tube, within expiry date

2 mL minimum

Meningococcal PCR LAVENDER CANNOT SHARE WITH ANY OTHER TESTS

IMM CHL

MSE Send whole tube Room Temp

Menopausal hormones

SST Includes FSH, LH Note LMP

BIO TIM

FSH, LH

0.30 mL serum

Mercury - BLOOD

Hg - BLOOD


Tube must be full BIO CHL

MER Send whole tube 5 mL whole blood

Mercury - URINE

Hg - URINE

URINE - random or 24 hour collection

Random Urine should be frozen ASAP otherwise special preservative is required for 24hr collections. Contact Biochemistry.

BIO CHL

UME Preservative: potassium persulphate

2 g – 24 hour urine

Measure and record volume, note vol on sendaway sticker

10 mL Send one pottle of urine and store second. Freeze random Urine immediately

Metabolic profile - URINE

Includes organic acids and amino acids



3 hours

BIO CHL

UMP Freeze within 4 hours of collection

6 mL urine

Metadrenaline URINE – 24 hour collection - ACID BOTTLES

BIO CHL

CTM

Metamphetamine Amphetamine URINE - random collection


DRU Send whole pottle 10 mL

Metanephrines - PLASMA

Normetanephrine 2 x LAVENDER BIO CHL

PCA Separate Freeze

2 mL Plasma

Metanephrines - URINE


BIO CHL

CTM

Methadone GREEN

Collect

immediately pre-

dose

BIO CHL

MTD Separate GREEN 1 mL serum

Methaemalbumin 2 x RED BIO CHL

MSE Separate Send within 72 hours

LAVENDER 2 mL serum


52 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Methaemoglobin Refer patient to

laboratory

GREEN (not PST) Tube MUST be full

Urgent

BIO TIM

HPI Full tube (any size)

Methanol SST FULL TUBE REQUIRED BIO CHL

Send whole tube DO NOT OPEN

GREEN 2 mL serum

Methylenetetra Hydrofolate Reductase

See MTHFR

Methotrexate SST BIO DND

MET Send whole tube GREEN 2 mL serum

Methylbromide 2 x GREEN BIO CHL

BRO Separate = Must have >2mls plasma

2 mL plasma

Methylmalonic acid - BLOOD

MMA SST BIO CHL

MMA Separate >2 mL serum

GREEN, LAVENDER 0.5 mL serum

Methylmercatopurine See Azathiprine

Metyrapone test See 11, Deoxycortisol

Mexiletine Mexitil

SST

Minimum full 10

mL or 2 x 5 mL

tubes

Urgent


Laboratory

BIO CHL

MEX Separate immediately

GREEN 3 mL serum

Mg Mg2+

See Magnesium

Mianserin Tolvon 4 x GREEN Note dose, dose time and time of collection Note any other antidepressants

BIO CHL

Separate 5 mL plasma Note dose, dose time and time of collection on sticker

RED 5 mL plasma

Microalbumin ACR / MALB / UALB Albumin / creatinine ratio Creat/Alb ratio Urine Creat/Alb ratio Albumin – urine

URINE - random or 24 hour collection - Plain Bottles

BIO TIM

MAL

Label barcoded tube If 24 hour, measure and record volume, keep pottle for storage

0.1 mL urine

Microarray testing 1 x LAVENDER

1 x GREEN

Whole Blood not on a Friday WTG MCA Room temp. Forms in Sendaway manual.

Microfilaria antibodies

See Filaria antibodies

Microfilaria morphology

See Filaria - Morphology


53 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Microsomal antibodies

See Thyroid antibodies

Mitochondrial antibodies


MMA See Methylmalonic acid - BLOOD

MMP See Azathiprine

Mn See Manganese

Moclobemide Aurorix 2 x RED

Note Dose, time of collection and last dose

BIO CHL

MOC Separate 2 mL

GREEN 2 mL serum

Morbilli

See Measles

Morphine - BLOOD

GREEN

Do NOT use SST tubes

BIO CHL

MSE Separate and freeze

1mL plasma

RED

Morphine - URINE


Specifically request morphine BIO CHL


MPO – ANCA Myeloperoxidase antibodies

Anti myeloperoxidase

SST IMM CHL

MYE Separate 0.2 mL serum

MRSA 2 swabs required

Both Nostrils (1 swab)

Perineum (1 swab)

MIC TIM

MR

MTHFR Methylenetetra Hydrofolate Reductase

LAVENDER Must be received same day – before 3pm

Not on a Friday

BIO CHL

MSE Overnight same day to CHL Send Whole

Mumps SST Onset date of illness desirable IMM DND

MUM Separate 0.1 mL serum

Muramidase See Lysozyme

Muscle enzymes

SST Includes CK and LD BIO TIM

CK LDH

GREEN 0.1 mL serum

Mycophenolic Acid Mycopholate

Cellcept GREEN BIO CHL

MPA Separate 2 mL plasma

Mycoplasma antibodies

SST Onset date of illness desirable IMM DND

MYC Separate 0.1 mL serum

Myeloperoxidase antibodies

See MPO ANCA

Myocardial enzymes

See Troponin


54 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Myocardial Isoenzymes

See CK Fraction/Isoenzymes

Myoglobin - BLOOD

SST Grossly Haemolysed specimens unacceptable

BIO CHL

MIM Separate (Freeze if >72 hour delay) Not haemolysed

GREEN 0.25 mL serum

Myoglobin - URINE


BIO CHL

MYG 2 mL urine

Mysoline See Phenobarbitone

Na+

- Blood See Electrolytes - Blood

Na+

- Urine See Electrolytes - Urine

NAP Neutrophil alkaline phosphate

No longer Available

Narcotic screen See Drug screen

N-BNP See BNP

Nebcin See Tobramycin

Neuronal antibodies See Anti-Hu Antibodies

NH3 See Ammonia

Niacin Not available in New Zealand

Nicotine Urine - random collection

Specifically request nicotine BIO CHL


Noradrenaline - BLOOD

See Catecholamines – BLOOD

Noradrenaline - URINE

See Catecholamines – URINE

Normetanephrine -URINE



bottles

BIO CHL

CTM 1 mL urine

Norovirus Faeces Public Health Unit MUST authourise request. PHU Case number must be submitted with request

ESR Wgt

MSE Notify Microbiology – They will forward to ESR with correct documentation

Norpress Nortriptyline

3 x RED Collect 18 hours post-dose


NOT GEL tube

BIO CHL

NOR Separate - 3 mL Note dose, dose time, and collection time on sendaway sticker

GREEN 3 mL minimum serum or plasma


55 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Norwalk virus

Small round virus SRSV’s

Faeces Store at 4OC

MIC CHL

NWK 4OC

N-telopeptide Telopeptide - N terminal

Urine Collected from second void of the day

BIO CHL

NTP Send whole pottle (CHL sends to LabPlus)

2 mL urine

Nuelin See Theophylline

17 oestradiol See Oestradiol

Occult blood Faecal Albumin Faeces

3 samples from 3 separate (consecutive) days

MIC TIM

OB

Oestradiol Oestrogen

Estradiol / Estrogen

17 oestradiol

SST BIO TIM

OES

0.2 mL serum

Oestrogen -SALIVA

Salivary oestrogen

Saliva sample 1-2 mL

Before teeth cleaning and on lipstick

BIO CHL

SOE 1-2 mL

Oestrone-3- glucuronide

See Ovulation profile

OH-proline See Hydroxyproline

OH-Prol / Crn ratio See Hydroxyproline / creatinine ratio

17-OH Progesterone OH prog


SST Please note - this is different to the progesterone done at SCL HB

BIO CHL

HYP Separate (also under ‘P’)


25-OH vitamin D See Vitamin D

Olanzapine SST BIO CHL

OLZ

Separate - 2 mL GREEN 2 mL serum

Organic acids See Metabolic Profile - Urine

Organophosphates See Cholinesterase (red cell)

Osmolality - BLOOD

Osm Osmol

SST BIO TIM

OSB GREEN 0.3 mL serum

Osmolality - FAECAL

Needs to be liquid BIO TIM

MSE Send aliquot 0.3 mL

Osmolality - URINE

URINE – 24 hour or random collection

BIO TIM

OSM Measure and record volume, note on form

1 mL

Osmotic fragility Red cell fragility Send patient to Hospital Villa 6 for collection


56 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Ostase Superceded by/See Procollagen Type I (P1NP)

Ostase (Bone ALP)

orderable only by prior

arrangement with CHL.

See CHL website for Ostase (Bone ALP) criteria if testing is arranged.

Osteocalcin SST Up to 4 months for results Research only – for clinical use, request Procollagen Type 1 (P1NP)

BIO CHL

MSE Separate and freeze LAVENDER 0.5 mL serum

‘Ova, cysts and Parasites’

See Faecal parasites

Ovarian antibodies See Anti-ovarian Ab’s

Ovulation profile Pregnandiol Oestrone-3-glucuronide

URINE - early Morning collection x 8

Collection kits available from chemistry at CHL

BIO CHL

PRD

Oxalate URINE – 24 hour

collection - ACID

BOTTLES

ESSENTIAL

Warn patients about acid in

bottles

BIO CHL

OXL Measure and record volume, note on sendaway sticker Send one pottle of urine and store second

4 mL

Oxycodone

Urine >10 mL Please specify Oxycodone on the form.

BIO CHL

MSE 2 mL Urine

Oxypurinol 2 x LAVENDER Send Ambiant BIO CHL

MSE Separate

P1NP See Procollagen Type I

P3NP See Procollagen Type III

PAA quinine/quinidine

See Platelet antibodies

Pancreatic amylase See Amylase - Blood

Pancreatic elastase See Faecal elastaseElastase

Papillomavirus See HPV / Warts

Paracetamol Acetominophen SST

For overdose, collect 4 hours post-ingestion

BIO TIM

PAR GREEN, LAVENDER

RED 0.1 mL serum

Paraprotein See Protein electrophoresis


57 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Paraquat Contact Toxicology at CHL

BIO CHL

PRQ

Parathyroid hormone

PTH LAVENDER

Must be separated within

2 hours

BIO CHL

PTH Separate Serum is acceptable as long as it is separated and frozen immediately

0.3 mL serum

Parietal cell antibodies


Paroxetine SST x 2 Take specimen 18 hrs post dose.

BIO CHL

PXT Separate 1 mL GREEN 3 mL serum

Parvovirus Slap cheek virus SST Onset date of illness desirable IMM DND

PAV Separate 0.5 mL serum

Paternity DNA Refer to Laboratory Special procedure

Refer to Patient

Services Procedure

Paul Bunnell See Infectious mononucleousis

Pb - BLOOD

See Lead - Blood

Pb - URINE

See Lead - Urine

PB See Infectious mononucleousis

PBG See Porphyrins -URINE

PCO PCOS Screen

Polycystic Ovarian Syndrome

2 x SST Includes SHBG, Free

Testosterone, FAI, Prolactin

BIO CHL and DND

FAI PRL

Separate 0.2 mL serum each test

PCR RT-PCR NOTE- This is not

a test on its own

We need to know which

virus (most commonly HCV)

N.B Sometimes

meant

Protein/Creat Ratio

PCR - HCV See HCV PCR/RNA

Pemphigoid antibody or Pemphigus antibody

See Skin antibodies

Perchlorethylene See Trichloroacetic acid

Perhexilene Pexid Pexsig

GREEN

Trough – collect pre dose. BIO CHL

PEH Separate 0.5 mL plasma

Pertussis serology See Bordetella pertussis serology


58 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Pertussis culture See Bordetella pertussis culture

Pertussis PCR See Bordetella pertussis PCR

PET Screen Pre Eclamptic Toxaemia

1 x LAVENDER

1 x SST and URINE – random collection

Includes FBC, Creatinine, Uric Acid, LFT and Urine for Protein

HAE BIO TIM

CBC CRE UA LFT UPC

See individual tests. See individual tests

Pexid Pexsig

See Perhexilene

PFA Platelet Function analysis

Not available in Hawkes Bay. Patient must travel to another region.

pH - URINE


MIC TIM

PH

Phaechromocytoma See Catecholamines -– Urine

Phenobarbitone Mysoline Primidone

RED

Collect pre-dose


BIO DND

PHE

Send whole tube


Phenyalanine Guthrie Card Guthrie card Send to: National Testing Centre Auckland

BIO ALK

PHY Send to: National Testing Centre Auckland

Phenytoin Dilantin SST

Collect pre-dose


BIO TIM

DIL

Send whole. SST may be used if serum is removed off Gel for transport.

LAVENDER RED 0.2 mL

Phenytoin -FREE SST

Collect pre-dose


BIO CHL

MSE

Send both Total and Free Phenytoin to CHL

LAVENDER RED 0.4 mL

Philadelphia chromosome

2 x 5 mL GREEN Referral reason required


Mon to Thurs Only

Do NOT refigerate

BIO Sent to WGT


Phosphatase (acid or prostatic)

See Acid phosphatase

Phosphatase (alkaline)

See ALP


59 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Phosphate - BLOOD

PO4 - BLOOD SST BIO TIM

PO4

Separate off Gel if analysis is to be delayed

Phosphate - URINE

PO4 - URINE URINE – 24 hour collection - ACID BOTTLES


bottles

BIO TIM

UPH

Aliquot into barcoded tube Measure and record volume

Random urine

Phytanic acid Refsums LAVENDER Test done in Australia. Up to 6 weeks TAT.

BIO CHL

MSE Separate and freeze 0.5 mL plasma

PLA 1 AB See Platelet antibodies

Plasma cholinesterase

See Cholinesterase (Plasma)

Plasma Viscocity See Viscosity -Plasma

Platelets (Part of) See FBC

Platelet aggregation studies

By arrangement with DND Hosp Haematology Department

Platelet antibodies PLA 1 AB HPA 1a AB PAA quinine/quinidine Anti-platelet antibodies

Refer patient to

SCL collection

centre 6 x 6 mL CPDA

4 x 4 mL SST

Do NOT refrigerate Monday – Thursday ONLY Laboratory before 3pm

HAE AKL NZBS

PLA Send whole Do NOT refrigerate NZBS National Tissue Typing Lab, 71 Great South Road, Epsom, Auckland

RED

Platelet Function analysis

PFA Not available in Timaru. Patient must travel to Dunedin.

Pneumococcal Ab’s SST IMM CHL

PNA Separate 0.25 mL serum

Pneumovax

Polysaccaride antibody SST and 2nd specimen 2-3 weeks post-vaccination

Up to 4 weeks for results

IMM CHL

P23 Separate

LAVENDER, BLUE,

GREEN 0.2 mL serum

PNH screen Hams acid serum test LAVENDER x2

Do not

refridgerate

Indicate if patient has received RBC transfusion in last 3

month. Mon-Thurs Only.

Arrive at lab before 3pm.

HAE CHL

MSE Send whole tube Must arrive at CHL within 24hrs of collect.

1 mL whole blood

PO4 - BLOOD

See Phosphate - BLOOD

PO4

- URINE See Phosphate - URINE


60 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Poliovirus SST and 2nd specimen 2 weeks later

Free testing only available for diagnosis of Flacid Paralysis and notification to MOH. Immune status will incur charge to patient. Contact lab for $$.

IMM CHL

POL Separate 0.1 mL serum

Polycose challenge

See Glucose tolerance testing - 50 gm Challenge

Polycystic Ovarian Syndrome

See PCO

Polyoma Virus PCR See BK Virus

Polysaccaride Antibody

See Pneumovax

Porphyrins - BLOOD

Protoporphyrin Coproporphyrin

GREEN Protect from light BIO CHL

POR Send whole tube

Protect from light LAVENDER

0.2 mL whole blood

Porphyrins - URINE

PBG Porphobilinogen



POR Send whole pottle Protect from light

10 mL

Porphyrins - FAECES

Faeces


POR Send whole pottle

Protect from light

1 g

Potassium - Blood

See Electrolytes - Blood

Potassium - Urine

See Electrolytes - Urine

PR3 Ab PR3 - ANCA

Proteinase 3 Ab SST IMM CHL

PR3 Separate 0.2 mL serum

PRA See Renin

Prader Willi 3 x GREEN Referral reason required



Do NOT refigerate

BIO Sent to WGT


Precipitins (Bird) See Avian antibodies

Pre Eclamptic Toxaemia

See PET Screen

Pregnancy test - BLOOD

See HCG

Pregnancy test - URINE

Not done – see blood HCG


61 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Pregandiol See Ovulation profile

Primidone See Phenobarbitone

Pro-BNP See BNP

Procollagen Type I N-terminal Peptide

P1NP SST BIO CHL

P1N

Separate and Freeze Off the Gel

GREEN, LAVENDER 0.3 mL

Procollagen Type III P3NP SST Deliver to Laboratory within

1 hour

BIO CHL

PCL

Separate within 1-2 hours. 4OC up to 5 days or Frozen

LAVENDER GREEN 0.51 mL

serum/plasma

Progesterone SST Note - different from 17-OH Progesterone

BIO TIM

PRO

0.2 mL serum

Progesterone - SALIVA

Salivary Progesterone Saliva 1-2 mL

Before teeth cleaning and no lipstick. Collect 24 hrs following last dose.

BIO CHL

SPR Send whole pottle 1-2 mL in sterile container

17-OH Progesterone

SST Note - different from

Progesterone done at TIM

BIO CHL

HYP Separate (also under ‘O’)


Prolactin SST BIO DND

PRL

0.1 mL serum

Prostate specific antigen

See PSA

Prostatic acid phosphatase

See Acid phosphatase

Protein - BLOOD

See Total protein

Protein - URINE

See Urine Protein

Protein/Creatinine Ratio

UPC Urine Protein/Creatinine Ratio

URINE – random collection

BIO TIM

UPC

Proteinase 3 Ab See PR3 Ab

Protein C

BLUE - fill to line


3 hours

HAE CHL

PRC Separate and freeze, within 4 hours

Copy of form to

Haem. DO NOT

send until

confirmed.

Protein electorphoresis

Electrophoresis SPE / Paraprotein

SST BIO DND

EPP

Separate TP/ALB sample to BIO If not alredy requested.

0.2 mL serum


62 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Protein S


3 hours

HAE CHL

PCR Separate and freeze, within 4 hours

Copy of form to

Haem. DO NOT

send until

confirmed.

Prothiaden See Dothiepin

Prothrombin BLUE - fill to line

HAE TIM

COA If PT and APTT requested together code is still COA.

Prothrombin 20210 gene mutation

LAVENDER HAE CHL

TMG Send whole tube Copy of form to

Haem. DO NOT

send until

confirmed.

Protoporphyrin See Porphyrins – BLOOD

Prozac See Fluoxetine

PSA Prostate specific antigen SST Do not collect post prostatic massage

BIO TIM

PSA

0.2 mL serum

Pseudo-cholinesterase

See Cholinesterase (red cell)

Psittacosis antibody See Chlamydia psittacii Serology

PTH See Parathyroid hormone

Pyridoxal-5-phosphate Pyridoxine

See Vitamin B6

Pyruvate Refer patient to Hospital Villa 6 for sample collection

Pyruvate kinase screen

LAVENDER HAE CHL

PYK Send whole tube 2 mL whole blood

Q10 (Co-enzyme) GREEN - 5 mL Protect from light BIO CHL

Q10 Separate/freeze Protect from light

0.4 mL

Q Fever See Coxiella Burnetti

Q-PCR for BCR-ABL See BCR-ABL

Quantiferon Tb Gold Obtain tubes from Dunedin IMM

DND IMM

QFG As per SCL protocol

Quantitative HCG See HCG

Quinidine SST BIO CHL

QND Separate

GREEN 2 mL serum


63 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Rabies – Immune Status

SST If travel related, test is not covered by Health Benefits

IMM CHL

RAB Separate

1 mL serum

RAST EAST SST Not affected by antihistamines Specify allergens required Refer to back of this manual for list

IMM DND

EAS Separate Specify allergens on form

GREEN,

LAVENDER, BLUE 0.1 mL per allergen

RBC Magnesium See Magnesium - INTRACELLULAR

RCF Red cell folate

See Folate - RED CELL

Red cell cholinesterase

See Cholinesterase (Red cell)

Red cell fragility See Osmotic fragility

Red cell Magnesium See Magnesium -INTRACELLULAR

Red cell morphology URINE - fresh random collection

MIC TIM

RCM

Reducing substances

Unfunded test commend code is ‘COMRS

Refsums See Phytanic acid

Renal function tests

SST Deliver to laboratory within

4-hours of collection

Do NOT refrigerate

Includes creatinine,

electrolytes only.

BIO TIM

CRE ELE

Separate if > 5 hours to testing and not in a SST tube

GREEN 0.2 mL serum

Renal stones Calculi Renal stone BIO CHL

CCA

Renin PRA

LAVENDER Urgent


laboratory, within 30

minutes

BIO CHL

REN Separate immediately and freeze

1 mL plasma

Resp. syncytial virus serology

See Respiratory Virus PCR

No longer available.

Respiratory Virus PCR

Replaces: RSV serology, Adenovirus serology and Influenza serology

Nasophayngeal

Swab in Virus Transport Medium (VTM)

Nasal Wash

Sputum

Samples should be taken as early as possible within first 3-5 days of onset of symptoms.

BIO DND

REM

Retics See Reticulocyte count

Reticulin antibodies Anti-reticulin Ab’s SST IMM CHL

RET Separate 0.2 mL serum


64 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Reticulocyte count Retics LAVENDER HA TIM

RET

Cross top of tube going to Haem and “RET” on neck.

0.5 mL whole blood

Retinol Retinoic Acid

See Vitamin A

Reverse transcriptase PCR

RT-PCR PCR

NOTE- This is not a test on its own



RF or RFT May be

rheumatoid factor or

renal function tests

SST Please clarify IMM DND BIO TIM

RFT Or ELE CRE

If RhF – send to DND If renal function – goes to BIochem

0.3 mL serum for RhF 0.2 mL serum for renal function

Rhesus Status See Blood Group

Rheumatoid factor RhF

Rose Waaler SST BIO DND

RFT


Rh phenotype or genotype

See Blood Group

RIA pregnancy test See HCG

Riboflavin See Vitamin B2

Ribonuclear protein Part of / See ENA

Rickettsial Ab Rickettsiae SST Onset of illness, clinical history and travel details desirable.

IMM CHL


Risperidone

Not available

Ritalin URINE - random collection

BIO CHL

RTL 1 mL

Rivortil See Clonazepam

RNP Part of / See ENA

Rochalimaea

See Bartonella henselae serology

Ro / La antibodies Part of / See ENA

Rose Waaler See Rheumatoid factor

Ross river serology SST IMM CHL

ROS Separate (Sent to ESR)

0.2 mL

RPR See Syphillis


65 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

RSV serology See Respiratory Virus PCR

Serology no longer available.

RSV PCR See Respiratory Virus PCR

RT-PCR Reverse Transcriptase PCR PCR

NOTE- This is not

a test on its own



Rubella IgG-Immune SST BIO DND

RUB Separate


Rubella IgM-Acute SST Only in suspected Acute infection.

BIO DND

RBM Separate


Rubeolla See Measles

Sabapentin

Not available in New Zealand

Sabril Test not available

SACE See ACE

Salazopyrin See Sulphasalazine

Salicylate acid/ Salicylic acid

Aspirin SST BIO TIM

SAL GREEN, LAVENDER 1 mL serum

Salivary duct antibody

Salivary gland Ab SST IMM CHL

SGA Separate

Salivary oestrogen

See Oestrogen -SALIVA

Salivary progesterone

See Progesterone -SALIVA

Salivary testosterone

See Testosterone - SALIVA

Salmonella serology Typhoid serology Widal

No Longer Performed

SBR See Uncongugated Bilirubin - PAEDIATRIC

Schistosomes - BLOOD

Bilharzia - Blood SST NOTE - takes at least 3-months post-exposure to become positive

IMM CHL

SCH


Schistosomes - FAECES

Bilharzia - Faeces Faeces MIC DND

FP

Send faeces to Micro HBL first

Schistosomes - URINE

Bilharzia - Urine URINE - random collection

Collected between 1200 and 1500 hours

MIC TIM

USC


66 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

SCL 70 Part of / See ENA

Scleroderma Antiboides

Part of / See ENA

Secretory IgA Saliva IMM CHL

MSE

Selenium - BLOOD


BIO CHL

SEL Separate 1 mL serum

Selenium - URINE


Collect post shift for occupational monitoring

BIO CHL

MSE Send 2 aliquots to CHL

2 mL

Seminal fluid - FERTILITY

Seminal fluid

Urgent Deliver to Laboratory

immediately

Do NOT refrigerate

Monday – Friday ONLY

(7:30am – 4pm)

MIC TIM

SFF

Notify microbiology on arrival – keep at 37OC

ANY ABNORMAL

FORMS ARE SENT

TO DUNEDIN

Seminal fluid - POST VASECTOMY

Seminal fluid Ensure it is not a reversal for fertility

MIC TIM

PV

Notify microbiology on arrival

Sensitive CRP See High sentitivity CRP

Serotonin 5 hydroxy tryptamine 5HT

LAVENDER

For diagnosis of Carcinoid Syndrome. Not indicated in “low moods”

BIO CHL

SER Freeze WHOLE blood Do not separate

3 mL whole blood

Serum platelet antibodies

See Platelet Antibodies

Sex hormone binding globulin

See SHBG

SHBG Sex hormone binding globulin

SST BIO CHL

SHB Separate N.B. if

SHBG and Testos

requested register

as SHT.


Shingles See Varicella zoster

Sickle cell LAVENDER HA CHL

HGB Send whole tube Copy of form to

Haem. DO NOT

send until

confirmed.

Simply red See D-dimer

Sirolimus LAVENDER

(On Ice)

Sent to CHL Christchurch unless specified to send to LabPlus on on form.

BIO CHL

MSE Send whole tube (on ice pack).


67 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Sjorgens syndrome See ENA

Skin antibodies Pemphigoid antibody Pemphigus antibody

SST IMM CHL

SAT Separate GREEN,

LAVENDER, BLUE 0.2 mL serum

Skin scrapings See Fungi

Slap cheek virus See Parvovirus

SLE screen See ANA

Small round virus See Norwalk virus

Sm antibodies (Smith Antibodies)

Part of / See ENA

Smooth muscle antibody


Sodium - BLOOD

See Electrolytes - Blood

Sodium - URINE

See Electrolytes - Urine

Soluble Liver Antigen

SLA CHL SLA

Soluble transferrin receptors

See Transferrin receptors

Somatomedin-C See IGF-1

Somatotrophin See Growth hormone

SPA See Platelet Antibodies

SPE / Paraprotein

See Protein electorphoresis

Specific gravity URINE - random collection

MIC TIM

SG

2 mL

Sperm antibodies - FEMALE

Sperm antibodies - indirect

No longer available

Sperm antibodies - MALE

Sperm antibodies - direct

Unavailable to TIM

patients unless

patient travels to

another centre

Specimen must arrive at testing laboratory within 2-hours

Spore strips Autoclave Strips

No longer available as per

Dr Doehring


68 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

SRSV’s See Norwalk virus

SSa / SSb See ENA

Staphylococcal Ab SST IMM CHL

Separate

0.25 mL serum

Steatocrit

Faeces – random collection

Reasonable correlation between Steatocrit and 72 hour faecal fat test

BIO CHL

FFE Refrigerate Send to LabPlus

STfR See Transferrin receptors

Streptococcal Antibodies/Serology

Streptolysin-O titre, ASOT, Antistreptolysin-O titre, DNAse B, Anti DNAse B

SST IMM DND

SS

Separate Use Labtests stickers

0.5 mL serum Dunedin send to LTA

Streptolysin-O titre See Streptococcal antibodies/serology

Strips (autoclave) Autoclave Spore strips

No longer available as per

Dr Doehring

Strongyloidies Serology

SST IMM CHL

STR Separate >0.2 mL

Sulphasalazine

Salazopyrin 3 x SST Note dose, dose time and time of collection

BIO CHL

SZP Separate - 3 mL

GREEN 3 mL serum

Sulphapyridine 3 x SST Not dose, dose time and time of collection

BIO CHL

SUL Separate - 3 mL

GREEN 3 mL serum

Sulphite test URINE - random collection


3 hours

BIO CHL

MSE Freeze within 4 hours

Surface markers See Lymphocyte cell markers

Synacthen test 2 x SST

pre-dose SST at 10am

give injection

post-dose SST 1- hour later at 11am

Injection must be done at medical centre. Injection not available at SCL collection sites Clearly mark pre and post samples.

BIO DND

SYN

Pre and post samples (for cortisol) should stay on same number Label clearly with times

0.2 mL serum

Syphillis Wasserman (WR), Treponema RPR / TPHA / VDRL

SST BIO DND

SY

Separate GREEN, LAVENDER 0.1 mL serum

T3 See FT3

T4 See FT4


69 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Tacrolimus FK506 LAVENDER

Collect pre-dose


BIO DND

TAC Send whole tube

Tambocor See Flecanide

Targocid Teicoplanin

Not available

Tau transferrin -transferrin ?CSF

Nasal or ear secretions

BIO CHL

TAU

Separate blood (if sent) and send with secretions

0.25 mL serum

Tay Sachs 2 x LAVENDER Keep at room temperature Monday-Thursday Only Receive to Laboratory before 3pm

BIO CHL

MSE CHL forward to Australia.

8 mL LAVENDER

TB - SPUTUM

Sputum MIC DND

TBC Send whole pottle

TB - URINE

URINE - 3 consecutive early morning collections

Store in fridge and deliver on third day

MICRO DND

TBC Send whole pottle

TCC cells ( Tumour Cancer Cells)

See Urine Ccytology

T-cells See Lymphocyte cell markers

T-cell receptor gene 3 x LAVENDER Keep at room temperature HAE CHL

MSE Send whole 10 mL whole blood

Tegretol See Carbamazepine

Teicoplanin

Targocid Test not available

Telopeptide - C-TERMINAL

See C-Terminal peptide

Telopeptide - N-TERMINAL

See N-telopeptide

Temgesic See Buprenorphine

Testicular tumour markers

2 x SST Includes FP, HCG LDH BIO DND BIO TIM

FET LDH TCG

Separate 1 mL to DND 0.4 mL to Bio

Testosterone - FREE

SST BIO CHL

CHL will do BOTH free and total

Testosterone - FEMALES - MALES <18 yo

SST BIO CHL

TES Separate If SHBG also requested see FAI



70 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Testosterone - MALES >18 yo

SST BIO DND

TTS Separate If SHBG also requested see FAI

0.5ml serum

Testosterone - SALIVA

Salivary Testosterone Saliva sample 1-2 mL

Before teeth cleaning and no lipstick

BIO CHL

STS Send whole pottle 1-2 mL

Tetanus SST IMM CHL

TET

Separate GREEN 0.2 mL serum

TFT See TSH

TG May be

triglycerides, or

transglutaminase

SST Please Clarify

TGL See TTG

6TGN level See Azathiprine

T. gondii See Toxoplasma

Thalassaemia See Haemoglobinopathy screen for sample type

THC See Cannabinoids

Theo-dur Theophylline

Aminophylline Neulin

SST

Collect pre-dose


BIO DND

THE Must be separated not sitting on gel

Thiamine Thiamine pyrophosphate

See Vitamin B1

Thiocyanate - BLOOD

GREEN BIO CHL

MIO Separate RED SST 1 mL serum

Thiocyanate - URINE



MIO Send whole pottle 5 mL

6 Thioguanuine nucleotide

See Azathiprine

Thiopurine methyl transferase

See TPMT

Thrombophillia screen/ Thrombosis screen

1 x LAVENDER

4 x BLUE – fill to

line

See Appendix for

“Application for Thrombotic

Screen”.


Laboratory - within 3 hours

HAE CHL and HAE TIM

TMB + CBC COA

x 1 LAVENDER -Haem

x 1 BLUE - Haem

x 3 BLUE - freeze 3 aliquots for CHL

5 mL plasma

Copy of form to

Haem. DO NOT

send until

confirmed.

Thyroglobulin (Not to be confused with thyroglobulin antibodies)

RED NOTE - similar test name below

Avoid haemolysis

Deliver to Laboratory same

day

BIO CHL

THY

Separate and freeze Within 8 hours

0.5 mL serum


71 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Thyroid antibodies Anti-thyroid antibodies Thyroglobulin antibodies

SST Includes microsomal and thyroglobulin antibodies

BIO DND

TAB


Thyroid Function Test

See TSH

Thyroid Peroxidase antibodies

See Thyroid Antibodies

Thyroid stimulating antibodies/ immunoglobulin

TSI TSH receptor Antibodies

SST IMM CHL

TSI


Thyroid stimulating hormone

See TSH

Thyroxine See FT4

Tissue autoantibodies

See Autoantibody screen

Tissue (IgA) transglutaminase

See TTG

Tissue Typing - Class I - Class II

HLA – A,B,C HLA - DRB1,3,4,5 Class I + II Tissue Typing

Refer patient to

SCL collection

centre 4 x CPDA

2 x RED OR SST

1 x LAVENDER


HAE AKL NZBS

MSE Send whole Do NOT refrigerate NZBS National Tissue Typing Lab, 71 Great South Road, Epsom, Auckland

Tissue typing for organ / bone marrow transplant

Refer patient to

SCL collection

centre 4 x CPDA

2 x RED OR SST

1 x LAVENDER


HAE AKL NZBS

MSE Send whole Do NOT refrigerate NZBS National Tissue Typing Lab, 71 Great South Road, Epsom, Auckland

TNI / TNT SeeTroponin

Tobramycin Nebcin SST


BIO CHL

TOB Note dose, dose

time, and collection

time on sendaway

sticker

0.2 mL serum

Tocopherol See Vitamin E

Tolvon See Mianserin

Topiramate GREEN Note dose and time BIO CHL

TOP Separate, but send original tube with aliquot

RED SST 0.2 mL serum


72 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

TORCH screen

2 x SST Includes

Toxoplasma

Rub IgG & IgM

CMV

Herpes

IMM CHL BIO DND

HER + RUB RBM CMV TOX

Separate 1ST aliquot to DUN 2nd aliquot to CHL for Herpes

Total CO2 See Bicarbonate

Total Haemolytic complement

See CH50

Total protein Protein TP


TP


Toxaemia screen See PET Screen

Toxocara serology SST IMM CHL

TOC Separate 0.5 mL serum

Toxoplasma Toxo T. gondii

SST BIO DND

TOX

Separate GREEN, LAVENDER 0.2 mL serum

Toxoplasma DNA Contact Virology, CHL before collection

IMM CHL

Send whole Do not refrigerate

TP See Total Protein

TPO (Thyroid Peroxidase antibodies

See Thyroid Antibodies

TPHA See Syphillis

TPMT Thiopurine methyl transferase

2 x LAVENDER BIO CHL

TPM Send whole 5 mL EDTA

TPP See Vitamin B1

Trachomotis See Chlamydia

Transaminases See ALT/AST

Transferrin Part of Iron Studies

Transferrin receptors STfR Soluble transferrin receptors

SST BIO CHL

TRA Separate and freeze GREEN, BLUE 0.1 mL serum

Transglutaminase

See TTG

Transketolase See Vitamin B1


73 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Transplant tray 3 x SST

Avoid collection during

weekend or on Friday, and

deliver to laboratory

promptly Must be in Auckland by the 20th of Month

HAE AKL NZBS

MSE Send whole, store at 4 deg up to 4 days. Deliver to: NZBS National Tissue Typing Lab, 71 Great South Road, Epsom, Auckland

Treponema See Syphillis

Trichloroacetic acid Trichloroethylene

Perchlorethylene URINE - random collection

Collect after exposure BIO CHL

TCA Send whole pottle 10 mL

Triglycerides

See Lipids

Triiodothyronine See FT3,

Trimipramine

RED

Minimum - full 10

mL or 2 x 5 mL

tubes

Collect 18-hours

post-dose


BIO CHL

TRM Separate - 3 mL Note dose, dose time, and collection time on sendaway sticker

GREEN 3 mL serum

Triple test See Maternal serum testing/ screening

Troponin TNI/TNT SST BIO TIM

0.2 mL serum

Trypsin Faecal Trypsin Faeces

On ice - urgent Place on ice and deliver to

Laboratory within 2 hours

BIO CHL

FTR Freeze within 3 hours 1 gm

Tryptanol See Amitriptyline

Tryptase SST

Collect 1-2 hours post-

anaphylactic reaction with

2nd specimen 24 hours post

reaction

IMM CHL

TRY Separate 0.2 mL serum

Tryptophan LAVENDER

For Research/Study only BIO CHL

Freeze whole blood Notify Specialist Laboratory, CHL of specimen

3 mL whole blood

TSH Thyroid stimulating hormone

SST Note if on thyroxine BIO TIM

TSH


TSH receptor Ab TSI

See Thyroid stimulating antibodies / Immunoglobulin

TTG TGL Tissue transglutaminase Transglutaminase

SST Patient must NOT be on a gluten free diet

IMM DND

TGA Separate GREEN,

LAVENDER, 0.2 mL serum


74 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Tumour marker – HCG

See HCG – Tumour marker

Typhoid serology Widal Salmonella Serology

No longer Available

UA - BLOOD

See Uric acid - BLOOD

UA - URINE

See Uric acid - URINE

UALB See Microalbumin

Ultracentrifugation Lipoprotein

See Lipid Ultracentrifugation

Ultrasensitive CRP See High Sensitivity CRP

Unconjugated bilirubin - ADULT

Bilirubin – BLOOD

SST Part of Liver Function Tests BIO TIM

BIL


Unconjugated bilirubin - PAEDIATRIC

Bilirubin – BLOOD SBR

SST or Heel prick into Hep microcollect tube

Protect from light BIO TIM

NBI GREEN 0.1 mL serum

UPC See Protein/Creatinine Ratio

Urate - BLOOD

See Uric Acid - BLOOD

Urate - URINE

See Uric acid - URINE

Urea - BLOOD

SST BIO TIM

URE


Urea - URINE


BIO TIM

URA

Aliquot into barcoded tube Measure and record volume.

Random urine 0.1 mL

Urea Breath Test See H. Pylori Breath Test

Uric acid - BLOOD

UA - BLOOD Urate - BLOOD

SST BIO TIM

UA


Uric acid - URINE

UA - URINE Urate - URINE


BIO TIM

UUR

Aliquot into barcoded tube. Measure and record volume

Random urine 0.1 mL

Urine aldosterone

No longer available

Urine bile pigments Urine bilirubin

See Urobilinogen


75 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Urine cannabinoids See Cannabinoids

Urine cytology TCC cells Tumour Cancer Cells

Urine - second of the day (first urine not accepted)

Suggest 3 urines on 3 consecutive days

CYT DND

NON

See Specimen Processing Manual for instructions. Send whole pottle

Urine creatinine/ albumin ratio

See Microalbumin

Urine drug screen See Drug Screen

Urine electrophoresis

See BJP

Urine ketones See Ketones - Urine

Urine Metabolic profile

See Metabolic Profile - Urine

Urine Protein Protein - Urine Random Urine or 24-hour collection - PLAIN BOTTLES

BIO TIM

UPR (24) Or UPC random

Label barcoded tube If 24 hour, measure and record volume, keep pottle for storage

Random urine 0.2 mL

Urine Protein/Creatinine Ratio

See Protein/Creatinine Ratio

Urobilinogen Urine bile pigments, bile pigments, urine bilirubin


Protect from light MIC TIM

UDC

Send to Microbiology

us CRP See High sensitivity CRP

Valium See Diazapam

Valproate Valproic acid

Epilium SST

Collect pre-dose


BIO TIM

VAL

LAVENDER RED 0.2 mL

Vanadium URINE - random collection

Industrial samples collect on 4th day of working week.

BIO CHL

UVA Send whole pottle 6 mL

Vancomycin SST

Refer to

Laboratory for

timing of post-

dose specimens

Note dose, time of collection, and last dose, interval and length of time of infusion

BIO TIM

VAN RED 0.2 mL serum

Vanillymandellic acid See VMA


76 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Varicella zoster serology

Chicken pox serology Herpes zoster serology Shingles/Zoster serology

SST Refer to appendix for

appropriate sample

collection

IMM DND

VZA Separate 0.2 mL serum

Vasoactive intestinal polypeptide

See VIP

Vasopressin See ADH

VCA IgG VCA IgM

Part of / See EBV

VDRL See Syphillis

VIP Vasoactive intestinal polypeptide

LAVENDER On ice - urgent



BIO CHL

VIP Separate immediately

Transport to CHL

frozen

1 mL plasma

Viral Culture - FAECES

Faeces MIC CHL

VIF Transport ASAP

Viral culture -SWAB

Viral Swabs GREEN swab Serous fluid and cells required for increased isolation

MIC CHL

V

Viral load – HCV See HCV – Viral load/titre

Viral load -HIV See HIV viral load

Viral serology Specify what tests required

Viral swabs See Viral Culture

Viscocity - PLASMA

Plasma Viscosity LAVENDER NOT on Friday, Sat or Sun Do NOT refrigerate+

HAE CHL

VIS 2 mL plasma

Viscosity - WHOLE BLOOD

LAVENDER NOT on Friday, Sat or Sun Do NOT refrigerate

HAE CHL

HBV Send whole tube to CHL within 36 hours

2 mL whole blood

Vitamin A

Retinol Retinoic Acid

SST Protect from light

BIO CHL

VA Separate and freeze

Protect from light GREEN, LAVENDER

0.5 mL serum

Vitamin B1

Thiamine Thiamine pyrophosphate Vitamin B1 Transketolase TPP

GREEN

Deliver to laboratory within

3-hours

BIO CHL

THI Refer to CHL

website for

preparation Do Not send whole – must be processed. Once processed, send to CHL frozen.

2 mL prepared haemolysate


77 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

Vitamin B2

FAD Flavine adenine dinucleotide Riboflavin

LAVENDER Protect from light BIO CHL

VB2 Freeze whole blood

Protect from light

0.5 mL whole blood

Vitamin B6

Pyridoxal 5 phosphate Pyroxidine

LAVENDER Protect from light BIO CHL

VB6 Freeze WHOLE blood

Protect from light

0.5 mL whole blood

Vitamin B12 B12 Cobalamin

SST BIO TIM

BFO

Separate

0.5 mL serum

Vitamin C Ascorbic acid 2 x 5 mL GREEN

Urgent

Protect from light.



-within 30 minutes

-do not collect after 2pm

BIO CHL

VC Protect from light

Refer to CHL

website for

preparation Do Not send whole – must be processed by Biochemistry first

Vitamin D

Cholecalciferol 25-hydroxy vitaminD 25-OH vitamin D

SST BIO DUN

VIT

GREEN, LAVENDER 0.5 mL serum Code = VDX if not being processed.

Vitamin E

Tocophreol

SST

Protect from light

BIO CHL

VE Separate and freeze

Protect from light GREEN, LAVENDER

0.5 mL serum

Vitamin K SST x 2

Protect from light

BIO CHL

VTK Separate and freeze

Protect from light

1.5 ml serum

VMA

Vanillymandelic acid

Child: URINE - random or 6 hour collection

Avoid food containing vanilla for 3 days. Only performed on children <15 years of age. I.E not adults.

BIO CHL

CTM

200µl HCL to 50 mL pottle Record volume – send aliquot.

20 mL urine

Von Hippelindau DNA studies

3 x LAVENDER IMM DND

MGR Send whole Do Not Centrifuge

Von Willebrand VWF studies 2 x BLUE - fill to

line


2 hours

HAE DUN

VON Separate and freeze BLUE tube must be filled to line

Warfarin LAVENDER 3 days for results Do not confuse with INR

HAE AKL

MSE Send whole to Chemical Pathology LabPlus

Warts See HPV

Wasserman (WR)

See Syphillis

Whooping cough - Culture

See Bordetella pertussis -Culture

Whooping cough - Serology

See Bordetella pertussis - Serology

Widal Typhoid serology Salmonella Serology

No Longer Performed


78 of 80



Code

Separation

Requirements

Stability at

4c

Other Specimens

/ Comments

XDP’s See D-dimer

Yersinia SST Onset date of illness desirable IMM CHL

YER Separate 0.1 mL serum

Zarontin See Ethosuxamide

Zinc ZN

ZN K2EDTA Royal



2 hours Tube must be at least half full

BIO CHL

ZN Separate within 2 - 4 hours

0.2 mL

Zinc protoporphyrin ZPP

GREEN Protect from light HAEM CHL

ZPP Send whole tube

Protect from light

0.2 mL whole blood

LAVENDER

Zoster serology See Varicella zoster

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Specimen Special Requirements Dept Test

Code

Separation

requirements

Other Acceptable

Specimens /

Minimum Vol.

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