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Western Diagnostic Pathology Copyright - Copying is Not Permitted Title: Revision: 2 Document Number: Page 1 of 3 Authorisation: Specimen Collection Manual Issue 19 FRM-COLL-71 Customer Experience Manager SPECIMEN COLLECTION MANUAL ISSUE 19 Copy Number: Collection Centre Name:

SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

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Page 1: SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

Western Diagnostic Pathology Copyright - Copying is Not Permitted

Title: Revision: 2 Document Number: Page 1 of 3 Authorisation:

Specimen Collection Manual Issue 19 FRM-COLL-71 Customer Experience Manager

SPECIMEN COLLECTION MANUAL

ISSUE 19

Copy Number: Collection Centre Name:

Page 2: SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

Western Diagnostic Pathology Copyright - Copying is Not Permitted

Title: Revision: 2 Document Number: Page 2 of 3 Authorisation:

Specimen Collection Manual Issue 19 FRM-COLL-71 Customer Experience Manager

Specimen Collection Manual Table of Contents

Document Number Document Name Revision

FRM-COLL-71 Cover Page, Table of Contents and Condition of Issue 2

Guides

FRM-COLL-47 Order of Draw and Tube Guide 3

FRM-COLL-109 Specimen Bag Guide 1

FRM-COLL-110 Collection Sticker Guide 1

FRM-COLL-86 Coagulation Collection Guide 5

FRM-COLL-108 24 Hour Urine Guide 3

FRM-COLL-81 Swab Collection Guide 4

FRM-COLL-80 Urine and Genital Swab Collection Guide 5

FRM-COLL-90 Helicobacter Restricted Medication List 2

Out of Pocket (OOP) Fees

FRM-COLL-104 Out of Pocket Guide 5

Work Instructions (WI)

WI-COLL-49 Quantiferon Gold Test for TB Immunity 5

WI-COLL-83 Eye Swab - Collection Instruction 6

Collection Manual A- Z

Page 3: SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

Western Diagnostic Pathology Copyright - Copying is Not Permitted

Title: Revision: 2 Document Number: Page 3 of 3 Authorisation:

Specimen Collection Manual Issue 19 FRM-COLL-71 Customer Experience Manager

Conditions of Issue • The Specimen Collection Manual is a controlled manual under the Western Diagnostic

Pathology (WDP) Management System.

• This manual is not to be removed from its designated location. If it is moved from its

designated location, it is considered an uncontrolled manual.

• Uncontrolled manuals will not receive updates. The information in an uncontrolled manual

cannot be relied upon as current or accurate.

• Copying or partial copying of this manual is prohibited and in breach of Copyright and NATA

regulations.

• This manual is issued by WDP for use by staff, affiliated phlebotomists and clients. It always

remains the property of WDP.

• This manual is not to be marked or amended in any manner except when instructed by the

Document Controller. This includes using post-it notes for any reason except as a page

indicator.

• If you notice any incorrect or inconsistent information, please contact your supervisor or the

Customer Experience Manger (phone 08 9317 0999) as soon as possible.

• The manual is to be updated in a timely manner when a notification of change memo is

received.

• In the event of the manual being lost, damaged or destroyed the Document Controller is to

be notified as soon as possible. A further copy may be issued at the discretion of WDP.

• If this manual is found, please return it to the designated location on the front cover or the

Customer Experience Manger at Western Diagnostic Pathology, 74 McCoy St, Myaree WA

6154.

Page 4: SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

Title: Draw Order and Tube Guide Revision:3 Document Number: FRM-COLL-47 Page 1 of 1 Authorisation: Customer Experience Manager

Order of Draw & Tube Guide

Tube Tube Name Instruction Adult Paediatric

Blood Culture Refer to Blood Culture Collection (WI-COLL-74)

10mL

Streck Tube Refer to Generation NIPT Blood Collection (WI-COLL-79)

Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49)

2.7mL

1.8mL

Sodium Citrate Tubes must be full draw volume

6mL

ACD

8.5mL

0.6mL

SST Let tube clot for 30 minutes prior to centrifuging

6mL

0.5mL

Plain Tube

or 6mL

2mL

0.4mL

Lithium Heparin (No Gel) PST (with gel)

Tubes must be a full draw volume

6mL

Trace Element Free

4mL

2mL

0.5mL

EDTA If ESR requested tube must be full draw volume

6mL

EDTA 6ml - Pink Tubes and declaration on request form to be signed by collector

6mL

PPT

2mL

0.6mL

Fluoride Oxalate (FLOX)

NOTE: All tubes to be gently Inverted 8-10 times. HAZARD WARNING: Never inject blood into the tube from needle and syringe. Always label tubes legibly – Surname, Given Name, Time and Date of Collection, Date of Birth and Collector’s Signature. Do not transfer blood from tube to tube to prevent contamination of additives.

Page 5: SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

Title: Specimen Bag Guide Revision:1 Document Number: FRM-COLL-109 Page 1 of 1 Authorisation: Customer Experience Manager

Specimen Bag Guide

Specimen Bag

Red

Clear

Purple

Instruction

All Urgent Samples Routine Samples Craigie IVF

Specimen Bag

Green

Blue

Orange

Instruction • Attention Specimen Reception Supervisors

• Unspun specimens • Nursing Homes/Care

facility samples

Non-Urgent Sodium Citrate Samples and other samples collected for the particular patient

Holter Monitor

Page 6: SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

Title: Collection Sticker Guide Revision:1 Document Number: FRM-COLL-110 Page 1 of 1 Authorisation: Customer Experience Manager

Collection Sticker Guide

Sticker Instruction

Specimens are deemed urgent only by the requesting doctor or Specimen Collection Manual. Please ensure that you complete all relevant fields on the sticker, write n/a if the patient is not having operation or chemotherapy. All forms must be scanned/faxed through to the urgent queue +/- phone the testing laboratory or the Laboratory Liaison Officers depending on the urgency of the test as per the Processing Urgent Specimen Protocol (PRC-ADM-1).

Where the Doctor has indicated on the request forms that the results are confidential. Only the Doctor may make this decision.

For indicating samples to be frozen on the tubes and request forms (this assist SRA that frozen sample(s) to follow). Provide the photocopy of the request form when sending frozen samples.

For indicating samples to be kept unspun due to analytical requirements.

For indicating samples to be kept unopened until testing. Test names: • Blood Alcohol • Ionised Calcium • Hep B Viral Load • Hep C Viral Load

Page 7: SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

Title: Coagulation Collection Guide Revision:5 Document Number: FRM-COLL-86 Page 1 of 2 Authorisation: Senior Scientist - Haematology

Coagulation Collection Guide

• If you calculate that you will collect more than 5 citrate tubes, have a platelet aggregation studies

or have any other queries – please ring Coagulation on 9317 0862, 9317 0861 or 9317 0863.

• Please note tests marked as $ incur out of pocket expense – the patient must be informed.

• If the transport time limit cannot be achieved, the samples can be spun and frozen as per the last column. Single or Double spinning is to be performed as per WI-COLL-40. Remember to label the tubes with ‘S/S’ or ‘D/S’ to indicate whether the sample was single or double spun.

• Frozen samples should be transported on dry ice wherever possible. For areas with shorter transit times, alternatives are acceptable so long as the samples remain frozen on receipt at the main laboratory.

Questionnaires: • Patient to complete Coagulation Questionnaire (FRM-COLL-43) for any coagulation testing. Remember

to Lab Number this form & fax it as well as the request form. • If the patient is being tested for Thrombophilia, Prothrombin gene or FV Leiden, the Genetics Tests

Questionnaire (FRM-COLL-31) should also be completed. Remember to Lab Number this form & fax it as well as the request form.

Coagulation Collections Guide Table:

Screen requested

Individually requested tests TUBES Special instructions LIMIT

(HRS) Citrate Spinning

COAGS, CLOTTING PROFILE, COAG SCREEN (includes all tests below) 2 CIT 10 Single spin

INR, PT, Prothrombin Time 1 CIT 24 Single APTT, PTT, PTTK 1 CIT 10 Single Fibrinogen, FIB 1 CIT 10 Single TCT, TT, REPTILASE 1 CIT 10 Single

D-DIMER, DD, FDP 1 CIT Always treat as urgent 4 Single spin

THROMBOPHILIA PROCOAGULANT, PROTHROMBOTIC SCREEN $

(includes all tests below)

4 CIT 1 PPT

2 EDTA 1 SST

PPT - spin within 30 min EDTA x 1 - Molecular Genetics Sticker 1 SST - is for ACL Citrates- if >10hrs, double spin/separate/freeze.

10

Double spin

ATIII (antithrombin) 2 CIT 10 Single

Protein C $ 2 CIT Patient must not be on warfarin 10 Single

Protein S $ 2 CIT Patient must not be on warfarin 10 Single

FVL (factor V Leiden) $ 2 CIT 1 EDTA

1 EDTA - Molecular Genetics Sticker 10 Single

Page 8: SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

Title: Coagulation Collection Guide Revision:5 Document Number: FRM-COLL-86 Page 2 of 2 Authorisation: Senior Scientist - Haematology

***Any combination of ALL tests – MAXIMUM 9 citrates (+/- other tube types) ***

Prothrombin Gene (PGM, G20210A, PT Gene) $ 1 EDTA 1 EDTA - Molecular Genetics

Sticker 10 Single

aPCR (activated protein C resistance) $

2 CIT 1 EDTA

1 EDTA - Molecular Genetics Sticker 10 Single

Lupus anticoagulant (LAC) 2 CIT If >10 hrs, double spin/ separate/ freeze 10 Double

Antiphospholipid Abs (LAC/ACL) 2 CIT 1 SST

1S- for ACL If more than 10 hours, double spin/ separate/ freeze Citrates.

10 Double

Homocysteine (random) 1 PPT PPT- spin within 30 minutes - N/A Anticardiolipin &/or B2GP1 Ab’s 1 SST - N/A

vWF, vWD, CLOTTING FACTORS, FACTOR STUDIES, BLEEDING SCREEN, FVIIIc, HAEMOPHILIA SCREEN (includes tests below)

3 CIT (max)

If more than 10 hours, spin/separate/freeze.

10 Single spin

FVIIIc 3 CIT 10 Single vWF:Ag 3 CIT 10 Single Ristocetin Cofactor (vWF Activity, Ricof) 3 CIT 10 Single

CBA 1 CIT 10 Single FIX, FXI, FXII 2 CIT 10 Single

PFA-100, PFA-200, PLATELET FUNCTION, BLEEDING TIME 2 CIT DO NOT SPIN stickers;

Keep at Room temp. 4 DO NOT SPIN

***Any combination of tests above – MAXIMUM 5 citrates (+/- other tube types)***

PLATELET AGGREGATION, PAG +/- mepacrine staining 5 CIT

Phone MYA Coags BEFORE collection. DO NOT SPIN stickers; Room temp. Collect before 3pm M-F To Myaree within 1 HOUR

1 DO NOT SPIN

OTHER SPECIAL TESTS 4 CIT (max) -

CAT 2 CIT 4 Double Anti-Xa, for Rivaroxaban (Xeralto), Apixaban (Eliquis) or Heparin (Clexane, Fragmin)

1 CIT Record drug name and date/ time of last dose on form. 4 Double

Anti-Platelet antibodies 2 CIT 1 SST

Citrates - DO NOT SPIN stickers; Keep at room temp; To FSH within 36hrs.

36 DO NOT SPIN

HITT Screening 4 CIT 1 PLAIN

To FSH within 4hrs or single spin/ freeze. Must notify FSH before collection. Submit vial of heparin same lot as used.

4 Single

Platelet microparticles/ Zymuphen microparticle activity 1 CIT To FSH within 4hrs or single

spin/ freeze. 4 Single

Factor Inhibitors, Inhibitor Screen, FII, FV, FVII, FX, FXIII, ADAMTS-13, XACT, PAI-1, PF1 & 2, TAT, Plasma phospholipids

1 CIT each, max 3

4 Double

Page 9: SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

Title: 24-hour Urine Guide Revision:3 Document Number: FRM-COLL-108 Page 1 of 1 Authorisation: Chief Scientist – Automated Biochemistry

24 Hour Urine Guide

TEST SAMPLE TYPE

MORE INFORMATION

5 HIAA (Hydroxy Indole Acetic Acid)

WITH ACID

Patient must be on serotonin-free diet two days prior to and during urine collection. Avoid plums, avocado, bananas, pineapple, avocado, kiwi fruit, nuts, chocolate and paracetamol.

Albumin Excretion PLAIN Overnight/timed or 24 hour collection. Note start and finish time on form.

Amylase Clearance PLAIN Calcium Excretion (CAE) WITH ACID Catecholamines/Metanephrines WITH ACID Creatinine Clearance PLAIN SST tube to be collected within 24 hours of the

urine collection e.g. when patient drops off completed sample.

Citrate WITH ACID If citrate/creatinine ratio is requested, collect a spot urine.

Urine Free Cortisol PLAIN If a dexamethasone suppression test is requested at the same time, collect this test first and schedule the dexamethasone suppression test for when the urine is returned to the collection centre.

Cystine PLAIN If cystine screen is requested, collect a spot urine.

Oxalate WITH ACID If oxalate/creatinine ratio is requested, collect a spot urine.

Always collect 24-hour urine for above tests and provide 2 container each for sample type

TEST SAMPLE TYPE

MORE INFORMATION

Bence Jones Protein/ BJP/ IEP * PLAIN

*Collect 24 hour urine only when indicated otherwise collect a spot urine with NO ACID

Calcium* WITH ACID Calcium Creatinine Ratio* PLAIN Chloride PLAIN Creatinine ACID or PLAIN Magnesium* WITH ACID Microalbumin* PLAIN Phosphate* WITH ACID Potassium* PLAIN Protein Creatinine Ratio* PLAIN Sodium* PLAIN Urea* PLAIN Uric Acid* PLAIN Urine electrophoresis* PLAIN

Page 10: SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

Title: Swab Guide Revision: 4 Document Number: FRM-COLL-81 Page 1 of 1 Authorisation: Senior Scientist – Molecular Infectious

Chief Scientist – Microbiology

Swab Collection Guide

TEST SITE DR – Doctor collect PT – Patient collect

SWAB Storage Condition: Keep at room temperate, DO NOT refrigerate

MC & S VRE Screen MRSA Screen CRE Screen

Eye Nasal Throat Wound Genital (DR/PT) Rectal (DR/PT)

Blue Top GEL Swab

MC & S

Male Urethral (DR/PT)

Orange Top GEL Swab

MRSA PCR Screen Any Red Top BD BBL Double-Headed GEL Swab

PCR / NAAT • Chlamydia Trachomatis • Neisseria Gonorrhea • Trichomonas Vaginalis • Mycoplasma Genitalium

Eye Throat Genital (DR/PT) Rectal (DR/PT) Vaginal (DR/PT)

Swab

cobas PCR Media Dual Swab Sample Kit

Instruction: 1. Place swab into transport tube and snap swab at

score line 2. Discard the top of swab 3. Tightly close the lid

Endocervical (DR) Swab

PCR / NAAT • Respiratory Viruses • Bordetella Pertussis • Herpes Viruses • Adenovirus • Ureaplasma • Atypical Respiratory

Any Flocked Dry Swab (NO GEL) or Flexible Dry Swab (NO GEL)

Dry Swab (NO GEL) – wire or wood

Transport Tube

Page 11: SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

FRM

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LL-8

0 U

rine

& G

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ab C

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(mc&

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Rev:

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Urin

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Col

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Not

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peci

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CT/

GC/T

V PC

R sh

ould

be

aliq

uote

d in

to th

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spec

tive

APTI

MA

tran

spor

t tu

be p

rior t

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ansp

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SP

ECIM

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REQ

UIR

ED

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Col

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Blue

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Swab

O

rang

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el

Swab

co

bas

un

isex

swab

kit

URINE MSU - Mid Stream FSU - First Stream

PCR/NAAT - CT/GC/TV

MC&

S ●

PCR/

NAA

T ●

AC

R ●

MC&

S +

PCR/

NAA

T ●

M

C&S

+ PC

R/N

AAT

+ AC

R ●

● ●

M

C&S

+ AC

R ●

PCR/

NAA

T +

ACR

● ●

GENITAL SWAB HVS/ECS/SOLVS

Urethral PCR/NAAT - CT/GC/TV

Fem

ale

MC&

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Mal

e M

C&S

PCR/

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mal

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● ●

Page 12: SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

FRM-COLL-90 Helicobacter Restricted Medications List Rev: 2 Page 1 of 2

EXCLUSION PERIOD TYPE OF MEDICATION

GENERIC# TRADE NAME

During Fasting and During test

Antacids ALU-TAB Andrews Tums Antacid DeWitts Antacid Powder

ENO

Gastrogel Gaviscon Mylanta Rennie Titralac

H2 Antagonists Cimetidine Magicul Tagamet Ranitidine Ausran

Ranital Rani 2 Ranoxyl

Ulcaid Ultac Zantac

Famotidine Ausfam Pamacid Pepzan

Famohexal Pepcidine

Nizatidine Nizac Tazac

Tacidine

For 7 Days Prior to Test

Proton Pump Inhibitors

Lansozaprole Lanzopran Zoton

Zopral

Rabeprazole Parzol Prabez Razit

Pariet Rabzole

Omeprazole Acimax Meprazol Omepral Pemzo

Losec Maxor Omepro-GA Ozmep

Probitor Esomeprazole Nexium Pantoprazole Gastenz

Panthron Panto Pantoloc Pantomac Somac Suvacid

Ozpan Pantofast Pantozol Salpraz Sozol Torzole

For 14 Days Prior to Test

Cytoprotectives Sucralfate Carafate Ulcyte

For 30 Days Prior to Test

Antibiotics Multiple actives Nexium Hp7 Probitor HP7

Vimovo

HELICOBACTER RESTRICTED MEDICATION LIST TRIMED PUBLICATION DATE: DEC 4 2013

Page 13: SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

FRM-COLL-90 Helicobacter Restricted Medications List Rev: 2 Page 2 of 2

For 30 Days Prior to Test . . .cont

Antibiotics Multiple actives Nexium Hp7 Probitor HP7

Amoxycillin (Penicillins)

Abbocillin Amoxil Augmentin Cilamox Fisamox Moxiclav Ranmoxy Yomax

Alphamox Bgramin Clavulin Clamoxyl Clavycillin Curam Maxamox

Ampicillin (Penicillins)

Ampicyn Ibimicyn

Austrapen

Azithromycin (Macrolides)

Azith Zedd

Zithromax Zitrocin

Clarithromycin (Macrolides)

Clarac Clarithro Klacid

Clarihexal Kalixocin

Erythromycin (Macrolides)

EES E-Mycin

Eryc Erythrocin

Roxithromycin (Macrolides)

Biaxsig Roxar

Roximycin Rulide

Tetracyclines: Akamin Doxylin Doryx Doxsig

Doxyhexal Minocycline#

Doxy Frakas Tetracycline#

Minomycin Doxycycline# Vibra-tabs

Cephalexin Keflex Cephatrust Ibilex

Cilex Ialex Rancef

Cefaclor (Cephalosporins)

Ceclor Karlor

Keflor Ozcef

Ciprofloxacin (Quinolones)

C-FloxCiprolProquin

Cifran Ciproxin

Other Anti-infectives:

Metronidazole

Tinidazole Rifaximin Bismuth

Flagyl Metronide Fasigyn Xifaxan Denol

Metrogyl Simplotan

# Apply to all generic brand of the active ingredient listed. Information compiled in this list is based on MIMS MAY/JUNE 2013. The above is NOT the exhausted list especially antibiotics and anti-infective drugs, if you unsure of the classification of the

medication, please consult your doctor or pharmacist. Note: All antibiotics except Vancomycin, Sulfa (Alprim, Bactrim, Resprim, Septrin, etc) and Amphotericin B should be

withheld for at least 4 weeks for maximal accuracy.

Page 14: SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

FRM-COLL-104 Out-of-Pocket Pricing Guide Rev: 5 Page 1 of 4

Out-of-Pocket Payments Guide Western Diagnostic Pathology (WDP) only passes on costs to patients when Medicare does not cover the cost of the test or when your tests are required to be performed by a specialised laboratory.

The prices below are to be used as a ‘guide’ only, as referring laboratories can change pricing at any time. It is the Patients responsibility to contact the referring laboratory for accurate pricing and out-of-pocket expenses.

Refer to WI-COLL-99 for detailed billing instructions • Please remember that you are required to gain consent from all patients that are having tests done

that attract an out-of-pocket fee. • To confirm consent, stamp the request form with the relevant stamp (take care not to obscure other

information on the form), complete details and ask the patient to sign to acknowledge the charge.

Test Name Out of pocket Explanation Referral lab

1, 25 Hydroxy Vitamin D $63.50 Referred test IMVS Pathology (SA)

21 Hydroxylase $34.55 Referred test Royal Prince Alfred Hosp (NSW)

24HR ABPM $100.00 Non-Medicare refundable WDP

68KD Heat Shock Protein $150.00* Referred Test ICPMR (NSW)

6TG + 6MMP $55.00 Referred Test Prince of Wales SEALS (NSW)

Activated Protein C Resistance $95.00 Non-Medicare refundable WDP

ADAMTS 13 Activity $560.00* Referred Test PathWest FSH (WA)

Aldosterone (Urine) $30.50 Referred Test Royal Prince Alfred Hosp (NSW)

Allergen Specific IgE (RAST) $40.00 for non-specialists for >4 allergens; $40.00 per recombinant allergen

Non-Medicare refundable Contact WDP Immunology (08) 9317 0920

Alpha Gal (Allergy Testing) $40.00 Non-Medicare refundable Contact WDP Immunology (08) 9317 0920

Alpha Galactosidase $178.00* Referred Test Adelaide Women’s & Children Hosp (SA)

Anabolic Steroids $440.00* Non-Medicare refundable WDP

Antimony $40.00* Referred Test Royal North Shore Hosp (NSW)

Anti-Mullerian Hormone (AMH) $75.00 Non-Medicare refundable WDP

Anti-sperm antibodies $40.00 Referred Test QML (QLD)

Antithrombin III $95.00 When Medicare criteria not met WDP

APC Resistance (Leiden) $95.00 When Medicare criteria not met WDP

Apolipoprotein E Genotype $50 .00 Referred Test Genomic Diagnostic (VIC)

ASCA $15.65 Referred Test QML (QLD)

Bismuth $30.20 Referred Test Royal North Shore Hosp (NSW)

BNP $55.00* Non-Medicare refundable WDP

BRCA 1 & 2 $399 - $1000 Non-Medicare refundable Genomic Diagnostics (VIC)

Breath Alcohol Test $5.85 Non-Medicare refundable WDP

Page 15: SPECIMEN COLLECTION MANUAL...Refer to Generation NIPT Blood Collection (WI-COLL-79) Quantiferon Gold Set Refer to Quantiferon Gold Test for TB Immunity (WI-COLL-49) 2.7mL 1.8mL Sodium

FRM-COLL-104 Out-of-Pocket Pricing Guide Rev: 5 Page 2 of 4

Test Name Out of pocket Explanation Referral lab

Bromide $40.00* Referred Test Royal North Shore Hosp (NSW)

CA 72.4 / 74 $24.35 Referred Test Royal Prince Alfred Hosp (NSW)

Calprotectin – Faecal Crohn's Disease $85.00* Non-Medicare refundable WDP

Carbapenem Resistant Enterobacteriaceae $86.00* Non-Medicare refundable WDP

CD57 $240.00* Non-Medicare refundable WDP CDT (Carbohydrate Deficient Transferrin)

$60.00 - non-commercial clients Referred Test QML (QLD)

Chromogranin A $50.00 Referred Test QML (QLD)

Codeine (Blood) $40.00 Referred Test QML (QLD)

Cortisol (Saliva) $35.00 When Medicare criteria not met WDP

Cotinine $65.00* Referred Tests Laverty Pathology (NSW)

Cystic Fibrosis Gene Testing $190.00 Non-Medicare refundable Genomic Diagnostics (VIC) Drug Screen (Legal/Employment/Personal) $35.00 Non-Medicare refundable WDP

Drug Screen (Medicare) Nil If unsure if Medicare

funded, contact Toxicology

Contact WDP Toxicology (08) 9317 0849

ECP Assay $75.00* if over 12yo Non-Medicare refundable Royal Prince Alfred Hosp (NSW)

Elastase (Faecal) $157.50** Non-Medicare refundable PathWest FSH (WA)

Ethylbenzene Mandelic Acid $165.00 Referred Test WorkCover (NSW)

Factor V Leiden Gene Mutation $94.00* When Medicare criteria not met Genomic Diagnostics (VIC)

Faecal Calprotectin $85.00* Non-Medicare refundable WDP

Familial Hypercholesterolaemia DNA Studies

(WA) patient is covered via Medicare. NT patient need permission by Dr Sullivan due to cost of $1500. Dr

Sullivan is contactable on (02) 9515 8832. Assayed batch-wise. (Turnaround time is 60 working days - once appropriate Referral

forms received).

Referred Test PathWest FSH (WA)

FNA Cytology $95.00 No out of pocket expense if patient is Pensioner or

Veterans Affairs. WDP

Gaucher Disease Genetic Testing $2,550.00 Referred Test Adelaide Women’s & Children

Hosp (SA)

Generation Non-Invasive Prenatal Testing (NIPT)

$395.00 / $695.00 Generation Plus Non-Medicare refundable WDP

Genetic Carrier Screen $345.00* Referred Test Genomic Diagnostics (VIC)

Genetic Testing TBA Referred Test Genomic Diagnostics (VIC)

Haemochromatosis Gene (HFE) $70.00* When Medicare criteria not met Genomic Diagnostics (VIC)

HE4 $50.00* Referred Test Laverty Pathology (NSW)

Hepascore $83.90* Referred Test PathWest LMWA (WA)

Herbicides $288.00 to $750.00 (depending on type

required) Non-Medicare refundable WorkCover (NSW)

Histamine Blood $44.00 Referred Test Sullivan Nicolaides (QLD)

HIV Western Blot $15.75 + GST Test only to be added by lab WDP

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FRM-COLL-104 Out-of-Pocket Pricing Guide Rev: 5 Page 3 of 4

Test Name Out of pocket Explanation Referral lab

HPV PCR (DNA)

$40.00 (for all samples not covered under the National

Cervical Screening Program)

Referred Test WDP

Hydrogen/ Methane breath test $105.00 per sugar Non-Medicare refundable Gastrolab (VIC)

Hydroxycholecalciferol Contact DM Non-Medicare refundable WDP

Iodine blood $40.00 Referred Test Royal North Shore Hosp (NSW)

Iodine urine $159.00* Referred Test Laverty Pathology (NSW)

Isocyanates urine $300.00 Referred Test WorkCover (NSW)

JAK 2 Mutation $150.00* Non-Medicare refundable Laverty Pathology (NSW)

KIT Gene for Mastocytosis $99.00 Non-Medicare refundable Peter McCallum Cancer Centre (VIC)

LDL Subfractions $170.00 Non-Medicare refundable San Pathology – Sydney Adventist Hospital (NSW)

Leflunomide $34.80* Referred Test Royal Brisbane Hosp (QLD)

LEPTIN $30.70* Referred Test Royal Prince Alfred Hosp (NSW)

Mantoux test - Human $90.00 Non-Medicare refundable WDP

Mesothelin $260.00* Referred Test QML (QLD)

MTHFR gene test $70.00 Referred Test Genomic Diagnostics (VIC)

Naltrexone $250.00* if qualitative $500.00* if quantitative

Referred Test Forensic Science Laboratory Chemistry Centre (WA)

NT-proBNP $55.00* Non-Medicare refundable WDP

Osteocalcin $75.00 Referred Test WDP

Ovulation tracking $100.00 per cycle Non-Medicare refundable WDP

Paternity testing TBA Non-Medicare refundable Genomic Diagnostics (VIC) Patient to call for pricing -

1800 822 999 Pesticides $254.00 Commercial Clients WorkCover (NSW)

PGx MH $147.00 Non-Medicare refundable Genomic Diagnostics (VIC)

PGx Multi $197.00 Non-Medicare refundable Genomic Diagnostics (VIC)

PGx Pain $147.00 Non-Medicare refundable Genomic Diagnostics (VIC) Placenta-like growth factor (PLGF) $55.00 Non-Medicare refundable WDP

Pompes disease $265.00 Referred Test Adelaide Women’s & Children Hosp (SA)

Procollagen Type 3 NT $175.00 Referred Test Sullivan Nicolaides Pathology (QLD)

Prostate health index (PHI) $90.00* Non-Medicare refundable QML (QLD)

Protein C assay $95.00 Non-Medicare refundable WDP

Protein S assay $95.00 Non-Medicare refundable WDP

Prothrombin G20210A mutation $94.00* When Medicare criteria not met Genomic Diagnostics (VIC)

PSA

Medicare will pay a rebate for only one PSA test

performed in any 12-month period in the absence of

previously abnormal results or previously diagnosed

prostatic disease. A non-refundable fee of $50.00* will be charged if not billed

through Medicare

Non-Medicare refundable WDP

PTH related peptide (PTHRP) $100.00 Referred Test WDP

Pyrrole Urine Test $80.00 Referred test Safe Analytica Labs (QLD)

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FRM-COLL-104 Out-of-Pocket Pricing Guide Rev: 5 Page 4 of 4

Test Name Out of pocket Explanation Referral lab QF-PCR - Amniocentesis, CVS, other $120.00 Referred Test WDP

Quantiferon TB gold assay

$70* will be charged unless

immunocompromised. Commercial Clients are charged according to

contracted rates.

Non-Medicare refundable

WDP

RAST

$40.00 for non-specialists for >4 allergens; $40.00

per recombinant allergen. $40.00 per request for

AraH2, Alpha-Gal (Mammalian Meat Allergy),

α-Lactalbumin, β-Lactoglbulin, Casein or

Omega05-Gliadin

Non-Medicare refundable Contact WDP Immunology (08) 9317 0920

Reverse T3 $100.00* Referred Test QML (QLD)

Salbutamol $25.00 Referred Test QML (QLD)

Salivary Hormones

$25.00 per hormone for the first 5 hormones + $30.00 handling fee. $15.00 for

additional hormones

Referred Test Healthscorp Pathology (Incorp APL)

Soluble transferrin receptor $20.30 Non-Medicare refundable Fiona Stanley Hosp (WA)

Specific IgE (RAST) $40.00 for non-specialists for >4 allergens; $40.00 per recombinant allergen

Non-Medicare refundable Contact WDP Immunology (08) 9317 0920

Spinal muscular atrophy $195.00* Non-Medicare refundable Genomic Diagnostics (VIC)

Synthetic cannabinoids $50.00 Non-Medicare refundable WDP

Syphilis confirmation $22.00 Test only to be added by lab WDP

T Cell/T Cell Receptor Gene Rearrangements $70.00 Non-Medicare refundable QML (QLD)

Thrombophilia screen $95.00 unless a pensioner or DVA or relevant clinical

history Non-Medicare refundable WDP

Titanium $30.80 Referred Test Royal North Shore Hosp (NSW)

Vancomycin resistant Enterococci $55.00 Non-Medicare refundable WDP

Very long chain fatty acids $217.00* Referred Test Adelaide Women’s & Children Hosp (SA)

White cell enzymes $462.00 Referred Test WDP *Denotes prices updated 17.01.2019 **Denotes prices updated 26.03.2019

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WI-COLL-49 Quantiferon Gold Test for TB Immunity Revision: 5 Page 1 of 3

RELEVANT OSH & OTHER LEGISLATION, STANDARDS, GUIDELINES: Occupational Safety and Health Act 1984 Occupational Safety and Health Regulations 1996 Work Health and Safety (National Uniform Legislation) Act 2011 Work Health and safety (National Uniform Legislation) Regulations

Purpose To determine TB immunity Scope

• Designated WDP ACC locations • Medicare is only rebateable for immunosuppressed or immunocompromised patients • Quantiferon-TB Gold Plus Data Sheet Patient Questionnaire (FRM-COLL-33) to be completed for ALL

requests (including commercial, pre-placement & Occupational Health) • Commercial testing is Non-Medicare rebateable for Occupational Health, Insurance, Travel, Visa,

Employment purposes eg Medical and Nursing students, etc. An Account will be issued.

When requested on a Medicare form, the patient must be informed that Medicare does not fully cover the cost of this test, and an out of pocket charge will apply. Give the patient a brochure explaining the test and an Out Patient Billing Guide brochure.

Materials: Quantiferon-TB Gold Plus® Tubes (1 set per patient)

• Grey Cap = NIL – negative control tube • Green Cap = TB1 - antigen tube • Yellow Cap = TB2 - antigen tube • Purple Cap = Mitogen – positive control tube

WORK INSTRUCTION Quantiferon Gold Test for TB Immunity

DEPARTMENT Collections

DOCUMENT No WI-COLL-49

AUTHORISATION Customer Experience Manager

Identified Work Health and Safety Risk Personal Protective Equipment Required

Required Additional Control Measures:

Biological hazard Gloves - Nitrile Gowns Goggles Masks Closed in shoes

Immunisation Needlestick/ biohazard pack Training Spill kits Spills procedure 1st aid kit Biohazard / clinical waste bin

Needle stick/sharps exposure Gloves - Nitrile Gowns Goggles Masks Closed in shoes Aprons

Immunisation Needlestick/ biohazard pack Biohazard / clinical waste bin Training Spill kits Spills procedure 1st aid kit Vacutainers Sharps containers No recapping

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WI-COLL-49 Quantiferon Gold Test for TB Immunity Revision: 5 Page 2 of 3

Order of Draw: Blood culture and citrate tubes are the only tube that can precede Quantiferon Gold ® Tubes in the order of draw Quantiferon tube order is Grey, Green, Yellow and Purple (GGYP) Procedure:

4.a.1 Using standard venepuncture technique, collect 1mL into the each of the four (4) Quantiferon-TB Gold Plus® tubes (Each of the tubes MUST be filled within the 1.0 mL black fill range line marked near the bottom of the tube). If blood is not filled appropriately in all 4 tubes, please recollect while patient is still available. Inappropriately filled tubes will NOT be accepted by the laboratory and a recollect will be issued. If using a butterfly needle, prime tubing with a “purge” tube (not supplied)

Figure 1. Example Correctly Filled Quantiferon Tube (for ALL 4 tubes).

b. Collect Quantiferon Gold ® Tubes in strict order of: i. Grey Cap

ii. Green Cap iii. Yellow Cap iv. Purple Cap

d. Quantiferon Gold ® Tubes have a slow draw/fill. Keep the tube on the needle until blood flow has ceased, to ensure correct volume has been drawn/filled.

e. Immediately after filling the tubes, gently invert 10 times, to ensure that the entire inner surface of the tube is coated with blood, to dissolve antigens on tube walls.

NOTE: Excessive shaking may cause incorrect results.

f. Label tubes as per WI-COLL-8 and forward to the laboratory in a specimen bag within 16 hours of collection.

g. DO NOT refrigerate samples.

Billing Information • Commercial forms will have a clearly identified Account Code to whom the account will be sent

• Immediate payment forms will clearly specify the value of the immediate payment required from the patient at the time of collection.

• Pathology Request forms will typically have a Medicare Assignment section

ALL 4 Quantiferon-TB Gold Plus tubes MUST be filled within this black line. Blood must not be above or below this line.

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WI-COLL-49 Quantiferon Gold Test for TB Immunity Revision: 5 Page 3 of 3

FAQs

• ONLY Quantiferon-TB Gold Plus® Tubes can be used for this testing • Uncollected tubes are stored at room temperature. • Expiry date must be checked BEFORE specimen is collected - DO NOT use tubes past the stated expiry

date that is printed on the tube • If a “butterfly needle“ is used to collect the samples, a “purge“ tube must be used to ensure tubing is

filled with blood prior to the filling of the Quantiferon-TB Gold Plus® Tubes.

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Title: Eye Swab Collection Revision: 6 Document Number: WI-COLL-83 Page 1 of 2 Authorisation: Customer Experience Manager

RELEVANT OSH & OTHER LEGISLATION, STANDARDS, GUIDELINES: Occupational Safety and Health Act 1984 Occupational Safety and Health Regulations 1996 Work Health and Safety (National Uniform Legislation) Act 2011 Work Health and safety (National Uniform Legislation) Regulations

Eye Swab

Conjunctivitis is an irritation or inflammation of the conjunctiva, which covers the white part of the eyeball. It can be caused by allergies or a bacterial, viral or chlamydial infection. Conjunctivitis can be extremely contagious and is spread by contact with eye secretions from someone who is infected.

If the patient is taking antibiotics, record the name of the medication on the request form.

Procedure

1. Review the request form and select the appropriate swab and media. • MC&S – Blue top gel swab • Viral PCR – Orange top dry swab • Chlamydia – cobas PCR swab

2. a) Sit the patient with the head well supported. Tilt the patients head back, ask the patient to look upwards to protect the cornea and gently pull down the lower lid exposing the conjunctiva.

b) Very Gently guide the swab tip along the inside of the bottom eye lid from the inner corner to the outer corner of the eye. Take care not to touch the eyelids.

WORK INSTRUCTION Eye Swab – Collection Instructions

DEPARTMENT Collections

DOCUMENT No WI-COLL-83

AUTHORISATION Customer Experience Manager

Identified Health and Safety Risk

Personal Protective Equipment Required:

Required Additional Control Measures:

Biological hazard Gloves - Nitrile Closed in shoes

Immunisation Needlestick/ biohazard pack Training Biohazard / clinical waste bin

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Title: Eye Swab Collection Revision: 6 Document Number: WI-COLL-83 Page 2 of 2 Authorisation: Customer Experience Manager

c) Place the swab immediately into the medium container, capping tightly and label with Patient surname, first name, DOB, time and date of collection.

d) Ask the patient to close the eye for a few seconds, this will ensure the safe technique of swab taking and avoid damage to the cornea.

e) If bilateral swabs are requested, a separate swab is required for each eye and gloves must be changed between each swab to prevent cross contamination between eyes.

NOTE – OBTAINING SWABS FROM CHILDREN (excluding neonates) When it is necessary to take a swab from a small child/baby it is important that the procedure is fully explained to the parents. Let them assist by holding the child on their lap and supporting their head. This will help to minimise fears and anxieties. They will need constant reassurance as the child usually cries a lot and parents often find this distressing. If the collector encounters difficulties where the swab cannot be safely obtained, then the child should be referred to the requesting doctor for a clinician collect.

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Test Name Out of Pocket Specimen Collection Method Min

Vol

1, 25 HYDROXY VITAMIN D Yes 1 x Plain Tube (Red Top) - Spin, Separate & Freeze

Referred to: SA Pathology (Formally known as IMVS Pathology)

1.5mL

17 OH CORTICOSTERONE 1 x Urine Container - random

Referred to: Dorevitch Pathology

17 OHP (17- HYDOROXY PROGESTERONE)

1 x Plain Tube (Red Top) - Spin & Separate

Referred to: PathWest FSH Can be frozen if androstenedione co-requested. If a dexamethasone suppression test is requested at the same time, collect this test on day one and schedule the dexamethasone suppression test for day 2. Call the Duty Biochemist if recollection is required.

1mL

21 HYDROXYLASE Yes 1 x SST spin separate and freeze

Referred to: Royal Prince Alfred Hospital

0.5mL

25 HYDROXY VITAMIN D (25 OHD) Yes 1 x SST Western Diagnostic Pathology will bulk bill when indicated by referring doctor. WDP assume requesting doctor has determined that patient meets requirements as stipulated in the Medicare Benefits Schedule (Item No: 66833) **Request form to be stamped with "Patient Advised of Fee" and signed by the patient acknowledging that an out of pocket payment will be due. See: WI-COLL- 113 Vitamin D Bulk Billing Criteria

2mL

25 HYDROXYCHOLECALCIFEROL Yes 1 x SST Western Diagnostic Pathology will bulk bill when indicated by referring doctor. WDP assume requesting doctor has determined that patient meets requirements as stipulated in the Medicare Benefits Schedule (Item No: 66833) Request form to be stamped with "Patient Advised of Fee" and signed by the patient acknowledging that an out of pocket payment will be due. See: WI-COLL- 113 Vitamin D Bulk Billing Criteria

2mL

5 - FLUOROCYSTOSINE 1 x SST Referred to: PathWest QEII 2mL

5 - FLUOROURACIL 1 x SST Referred to: PathWest QEII

Specimen Collection Manual Issue 19 Page 1 of 95

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Test Name Out of Pocket Specimen Collection Method Min

Vol

5 HIAA 1 x Urine Container- 24hr acid

Referred to: PathWest FSH A random urine can be collected for children. Patient must be on serotonin-free diet two days prior to and during urine collection. Avoid plums, alcohol, bananas, pineapple, avocado, kiwi fruit, nuts, chocolate and paracetamol.

10mL

50G GESTATIONAL DIABETES SCREEN

1 x Fluoride Oxalate

Patient does not need to be fasting. 1. Give 50g glucose drink2. 1-hour post drink, take 1x FLOX

2mL

68KD HEAT SHOCK PROTEIN Yes 1 x SST Referred to: ICPMR 4mL

6TG + 6MMP Yes 1 x EDTA - dedicated tube required

Referred to: Prince of Wales - SEALS 4mL

ACANTHOCYTES (URGENT – Result within 4 hours)

1 x EDTA The EDTA must be at the lab within 3 hours. If in doubt, please ring Haematology Dept. on 08 9317 0861.

4mL

ACE 1 x SST Referred to: QML Pathology 1mL

ACE - CSF DOCTOR COLLECT Referred to: PathWest QEII 0.3mL

ACETYLCHOLINE RECEPTOR AB 1 x SST Referred to: QML Pathology 1mL

ACETYLCHOLINESTERASE GENOTYPING

1 x EDTA Referred to: PathWest QEII 1mL

ACID PHOSPHATASE 1 x SST Referred to: AWCH 2mL

ACR 1 x Urine Container - random

Transfer into Vacutainer (no additive) urine tube. Urine tubes must not be filled beyond half way to prevent spillage.

2mL

ACTH 2 x Chilled EDTA - Spin, separate and freeze

2 x EDTA must be chilled for at least 15 minutes prior to the collection. Then, spin, separate and freeze ASAP. If CORTISOL is co-requested ensure the both 2 x chilled EDTA and 1x SST samples are collected at the same time.

2mL each

ACTIVATED PARTIAL THROMBOPLASTIN TIME

2 x Sodium Citrate

NOT for patients on Heparin. To lab within 10hrs - transport in blue bag. Or single spin/separate/freeze and transport frozen. Patient to complete questionnaire: FRM-COLL-43 See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

Specimen Collection Manual Issue 19 Page 2 of 95

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Test Name Out of Pocket Specimen Collection Method Min

Vol

ACTIVATED PARTIAL THROMBOPLASTIN TIME (HEPARIN MONITORING)

1 x Sodium Citrate For patients on Heparin only. Record date and time of last dose. Must be at the lab within 4hrs - transport in blue bag. Or single spin/separate/freeze and transport frozen. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

ACTIVATED PROTEIN C RESISTANCE

Yes 2 x Sodium Citrate NOTE: out of pocket expense unless a pensioner, DVA or relevant personal/family history. To Myaree within 10hrs - transport in blue bag. Or single spin/separate/freeze and transport frozen. Patient to complete questionnaire: FRM-COLL-43. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

ACTIVE B12 1 x SST 2mL

ACYLCARNITINES 1 x Lithium Heparin spin, separate & freeze ASAP

Referred to: PathWest QEII

ADAMTS13 Yes 2 x Sodium Citrate Referred to: PathWest FSH Must be at the lab within 4 hrs - transport in blue bag. Or DOUBLE spin/separate/freeze and transport frozen. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

ADDISON'S SCREEN 2 x Chilled EDTA - Spin, separate and freeze and 1 x SST

2mL

ADENOVIRUS SEROLOGY 1 x SST Referred to: QML Pathology 1mL

ADRENAL ANTIBODIES 1 x SST Referred to: PathWest QEII 1mL

Specimen Collection Manual Issue 19 Page 3 of 95

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Test Name Out of Pocket Specimen Collection Method Min

Vol

ADRENOCORTICOTROPHIC HORMONE (ACTH)

2 x Chilled EDTA - Spin, separate and freeze

Chill 2 x EDTA tubes prior to collection. Spin, separate and freeze within 30 minutes of collection at ACC. If a CORTISOL is co-requested, then collect 1 X SST and ensure all samples are collected at the same time. If recollect is required for ACTH ensure SST is also collected at the same time for cortisol.

2mL each

AFP 1 x SST 2mL

AFP (AMNIOTIC) DOCTOR COLLECT 2mL

AH50 1 x SST - Spin and freeze

Referred to: PathWest QEII Must be frozen within 1 hour of collection into 2 separate 1mL aliquots.

1mL each

ALBUMIN 1 x SST 2mL

ALBUMIN (TIMED URINE EXCRETION)

Note on the form the start date and time and the end date and time of the urine collection. Transfer into Vacutainer (no additive) urine tube. Urine tubes must not be filled beyond half way to prevent spillage.

2mL

ALBUMIN (FLUID) DOCTOR COLLECT 2mL

ALBUMIN/CREATININE RATIO 1 x Urine Container - random

2mL

ALCOHOL (BLOOD) 1 x Fluoride Oxalate - DO NOT OPEN

Must be a pristine Fluoride Oxalate/SST tube – place DO NOT OPEN sticker around the lid. Alcohol swab must not be used to clean area. Police/legal purpose sample Western Diagnostic Pathology is not licensed to perform Blood Alcohol analysis for police or legal purposes. Such samples (usually in a sealed envelope) cannot be accepted. Do not accept the samples and advise the patient to contact the Forensic Science at ChemCentre on 08 9422 9800 for cost and instruction.

2mL

Specimen Collection Manual Issue 19 Page 4 of 95

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Test Name Out of Pocket Specimen Collection Method Min

Vol

ALDOSTERONE/ RENIN (ARR) 1 x PPT - spin and freeze

If Erect (upright) is requested, ensure that the patient has been walking or sitting for at least 30 min prior to collection. If Supine (lying down) is requested, ensure that the patient have been lying down for at least 30 min prior to collection. If posture have not been specified on the form, please collect erect sample. Please note time and posture clearly on the form. Aldosterone and Renin are usually co-requested but can be requested individually. Spin samples within 30 min of collection and DO NOT REFRIGERATE

3mL

ALEXANDERS DISEASE 1 x EDTA - dedicated tube required

Referred to: PathWest FSH 2mL

ALKALINE PHOSPHATASE 1 x SST 2mL

ALKALINE PHOSPHATASE ISOENZYMES

1 x SST 1mL

ALPHA 1 ANTITRYPSIN GENOTYPE 1 x SST - dedicated tube required and 1 x EDTA - dedicated tube required

Referred to: PathWest QEII 1mL each

ALPHA 1 ANTITRYPSIN LEVEL 1 x SST Referred to: QML Pathology 2mL

ALPHA 2 GLOBULIN 1 x SST 2mL

ALPHA FETOPROTEIN 1 x SST 2mL

ALPHA GAL (RAST/SPECIFIC IGE) Yes 1 x SST NOTE: This is not ALPHA GALACTOSIDASE

1mL

ALPHA SUBUNIT 1 x SST spin separate and freeze

Referred to: PathWest QEII 1mL

ALPHA SUBUNITS OF GLYCOPROTEIN HORMONES

1 x SST - Spin and freeze

Referred to: St Vincent's Pathology 2mL

ALPHA-1-ANTITRYPSIN (FAECES) Yes 1 x Faeces Container - Freeze, dedicated jar

Referred to: Royal Brisbane Hospital If a FAECAL CALPROTECTIN is co-requested, 2 separate samples to be collected.

5g

ALT 1 x SST 2mL

Specimen Collection Manual Issue 19 Page 5 of 95

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Test Name Out of Pocket Specimen Collection Method Min

Vol

ALUMINIUM BLOOD Yes 1 x Trace Element Free - spin & separate

Referred to: Laverty Pathology. 2mL

ALUMINIUM URINE 1 x Urine Container - random

Referred to: Laverty Pathology 10mL

AMIKACIN 1 x Lithium Heparin spin, separate & freeze ASAP

Referred to: PathWest QEII 1mL

AMINO ACID SCREEN PLASMA 1 x Lithium Heparin spin, separate & freeze ASAP

Referred to: PathWest QEII 1mL

AMINO ACID SCREEN URINE 1 x Urine Container - dedicated jar required. Freeze ASAP

5mL

AMIODARONE 1 x Plain Tube (Red Top)

Referred to: QML Pathology Provide clinical and medication details. Collect immediately prior to next dose. Record time and date of last dose.

1mL

AMITRIPTYLINE 1 x Plain Tube (Red Top)

Referred to: QML Pathology Collect trough level. Record time and date of last dose.

2mL

AMMONIA 1 x Lithium Heparin

Sample collected at Joondalup collection centre: Place immediately on ice, centrifuge the sample as soon as possible, separate plasma, and store at 2-4°C until analysis. Samples collected at other than Joondalup collection centre: Place immediately on ice, centrifuge the sample as soon as possible, separate plasma, freeze, and send to the testing laboratory on dry ice.

5mL

AMOXYCILLIN Test Not Available

AMYLASE 1 x SST 2mL

AMYLASE (FLUID) DOCTOR COLLECT 2mL

AMYLASE (URINE) 1 x Urine Container - random

Transfer into Vacutainer (no additive) urine tube. Urine tubes must not be filled beyond half way to prevent spillage.

2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

ANAFRANIL 1 x Plain Tube (Red Top)

Referred to: PathWest QEII 2mL

ANCA 1 x SST 1ml

ANDROGEN STUDIES 1 x SST 2mL

ANDROSTENEDIONE 1 x Plain Tube (Red Top) - Spin, Separate & Freeze

Referred to: PathWest FSH 0.5mL

ANF 1 x SST 1mL

ANION GAP 1 x SST Must be co-requested with electrolytes.

2mL

ANTENATAL SCREEN 1 x EDTA 6mL - Pink, dedicated tube

1. Full Name, DOB or URN, DOC & TOC must be on EDTA tube and request form. All information must match between form and sample.

2. Collector must sign the tube and certifier on form - these signatures must match.

Contact Transfusion Medicine Dept. on 08 9321 3300 for any enquiries.

6mL

ANTI DIURETIC HORMONE (ADH) 1 x SST and 1 x Urine Container - random

2mL each

ANTI GAD 1 x SST Referred to: QML Pathology 2mL

ANTI IGA ANTIBODIES 1 x SST Referred to: PathWest QEII 5mL

ANTI ISLET CELL ANTIBODY 1 x SST Referred to: PathWest QEII 2mL

ANTI LC1 ANTIBODIES 1 x SST Referred to: PathWest QEII 2mL

ANTI MULLERIAN HORMONE (AMH)

Yes 1 x SST 1mL

ANTI NEURONAL ANTIBODY 1 x SST Referred to: PathWest QEII 2mL

ANTI NMDA RECEPTOR ANTIBODIES

1 x SST Referred to: PathWest QEII 2ml

ANTI PLATELET ANTIBODIES (CALL BEFORE COLLECTION)

2 x Sodium Citrate - DO NOT SPIN and 1 x SST - dedicated tube required

Referred to: PathWest FSH Only collect on Monday to Thursday. Do not collect on Public Holidays. PathWest will not test after 2pm on Fridays. Citrate tubes to have 'DO NOT SPIN' stickers attached. To be at PathWest FSH within 36hours of collection. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL each

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Test Name Out of Pocket Specimen Collection Method Min

Vol

ANTI SKELETAL MUSCLE ANTIBODY

1 x SST Referred to: PathWest QEII 2mL

ANTI SKIN ANTIBODIES 1 x SST Referred to: PathWest QEII 2mL

ANTI SOLUBLE LIVER ANTIGEN 1 x SST Referred to: PathWest QEII 2mL

ANTI SPERM ANTIBODIES Yes 1 x SST Referred to: QML Pathology Semen sample is acceptable too.

5mL

ANTI THYROGLOBULIN ANTIBODIES (ATG)

1 x SST 1mL

ANTI THYROID ANTIBODY (TPO) 1 x SST 1mL

ANTI VGKC ANTIBODY 1 x SST Referred to: PathWest QEII 5mL

ANTIBODY SCREEN 1 x EDTA 6mL - Pink, dedicated tube

1. Full Name, DOB or URN, DOC & TOC must be on EDTA tube and request form. All information must match between form and sample.

2. Collector must sign the tube and certifier on form - these signatures must match.

Contact Transfusion Medicine Dept. on 08 9321 3300 for any enquiries.

6mL

ANTIBODY TITRE 1 x EDTA 6mL - Pink, dedicated tube

1. Full Name, DOB or URN, DOC & TOC must be on EDTA tube and request form. All information must match between form and sample.

2. Collector must sign the tube and certifier on form - these signatures must match.

Contact Transfusion Medicine Dept. on 08 9321 3300 for any enquiries.

6mL

ANTI-CCP 1 x SST 2mL

ANTI-CHROMATIN ANTIBODIES 1 x SST Referred to: Laverty Pathology Only if ANA is positive.

1mL

ANTI-DNASEB 1 x SST Referred to: QML Pathology

2mL

ANTI-MAG (MYELIN ASSOCIATED GLYCOPROTEIN)

1 x SST Referred to: PathWest FSH 1mL

ANTIMONY Yes 1 x Trace Element Free Tube

Referred to: Royal North Shore Hospital

5mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

ANTINUCLEAR ANTIBODY (ANA) 1 x SST 1mL

ANTI-NUCLEOSOME ANTIBODIES 1 x SST Referred to: Laverty Pathology Only if ANA is positive.

1mL

ANTIPHOSPHOLIPID ANTIBODIES 2 x Sodium Citrate and 1 x SST

Citrate to Lab within 10 hours - transport in blue bag. OR DOUBLE spin/separate/freeze and transport frozen. Patient to complete questionnaire FRM-COLL-43 Anti phospholipid consists of three tests: Lupus anticoagulant, anticardiolipin and beta 2 glycoprotein. See: FRM- COLL-86 - Coagulation Collection Guide

2.7mL each

ANTITHROMBIN III Yes 2 x Sodium Citrate To Myaree within 10 hours - transport in blur bag. Or single spin/separate/freeze and transport frozen. Patient to complete Questionnaire: FRM-COLL-43. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

ANTI-XA (CLEXANE OR ENOXAPARIN)

1 x Sodium Citrate To Myaree lab within 4 hours - transport in blue bag. Or single spin/separate/freeze and transport frozen. Record date and time of last dose on form. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

ANTI-XA (FRAGMIN OR DALTEPARIN)

1 x Sodium Citrate To Myaree lab within 4 hours. Transport in blue bag. Or single spin, separate and freeze and transport frozen. Record date and time of last dose on form. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

ANTI-XA (OTHER) 1 x Sodium Citrate To Myaree lab within 4 hours - transport in blue bag. Or single spin/separate/freeze and transport frozen. Record anticoagulant type and date/time of last dose on form or get patient to complete questionnaire FRM-COLL-43. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

ANTI-XA (UNFRACTIONATED HEPARIN)

1 x Sodium Citrate To Myaree lab within 4hours - transport in blue bag. Or single spin/separate/freeze and transport frozen. Record Heparin dosing details on form. (Date/time started and/or ceased and drug name) See: FRM- COLL-86 - Coagulation Collection Guide

2.7mL

APCR See ACTIVATED PROTEIN C RESISTANCE entry for collection requirements. See: FRM- COLL-86 - Coagulation Collection Guide

APOLIPOPROETIN A & B 1 x SST Referred to: PathWest FSH. Naturopaths requests referred to Laverty Pathology.

2mL

APOLIPOPROTEIN E GENOTYPE Yes 1 x EDTA 6mL - Pink, dedicated tube

Referred to: Genomics Diagnostics 4mL

APRI SCORE 1 x SST and 1 x EDTA

APRI Score is a calculated index based on AST and platelet count

2mL

APTT See ACTIVATED PARTIAL THROMBOPLASTIN TIME entry for Collection requirements. See: FRM-COLL-86 - Coagulation Collection Guide

AQUAPORIN 4 ANTIBODIES 1 x SST Referred to: PathWest QEII 3mL

ARBOVIRUS SEROLOGY 1 x SST 1mL

ARRAY CGH - SEE MICROARRAY

ARSENIC BLOOD 1 x Trace Element Free - DO NOT SPIN

Referred to: Laverty Pathology Place DO NOT SPIN sticker around the lid.

4mL

ARSENIC URINE Yes 1 x Urine Container - random

Referred to: Laverty Pathology 20mL

ARTERIAL BLOOD GAS DOCTOR COLLECT Test is performed at the hospital sites and must be analysed immediately. Please refer the patient to the nearest hospital.

0.5mL

ASCA 1 x SST Referred to: QML Pathology 1ml

ASCITIC FLUID BIOCHEMISTRY DOCTOR COLLECT 2mL

ASOT 1 x SST Referred to: QML Pathology 1mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

ASPERGILLUS PRECIPITINS 1 x SST Referred to: PathWest QEII 2mL

ASPERGILLUS PRECIPITINS PCR 1 x EDTA - DO NOT SPIN

Referred to: PathWest QEII Place DO NOT SPIN sticker around the lid.

2mL

AST (SGOT) 1 x SST 2mL

ATYPICAL RESPIRATORY SEROLOGY 1 x SST Duty Microbiologist to decide what tests to be done.

2mL

AUTOANTIBODIES 1 x SST 1mL

AUTOCLAVE VALIDATION DOCTOR COLLECT DO NOT REFRIGERATE

AUTOIMMUNE SCREEN 1 x SST 1mL

AVIAN PRECIPITINS SEROLOGY 1 x SST Referred to: PathWest QEII 2mL

B CELL REARRANGEMENT 1 x EDTA 6mL - Pink, dedicated tube

Referred to: PathWest QEII 4mL

B MEMORY CELLS 1 x EDTA - dedicated tube required

Referred to: PathWest QEII Sample must be at PathWest Immunology within 24 hours of collection.

3mL

B12 1 x SST 2mL

B12 + FOLATE 1 x SST 2mL

B19 1 x SST 2mL

B2 GLYCOPROTEIN 1 ANTIBODIES 1 x SST Referred to: QML 2mL

B9 1 x SST 2mL

BAL 1 x Fluoride Oxalate – DO NOT OPEN

Must be a pristine Fluoride Oxalate/SST tube – place DO NOT OPEN sticker around the lid. Alcohol swab must not be used to clean area. Police/legal purpose sample Western Diagnostic Pathology is not licensed to perform Blood Alcohol analysis for police or legal purposes. Such samples (usually in a sealed envelope) cannot be accepted. Do not accept the samples and advise the patient to contact the Forensic Science at ChemCentre on 08 9422 9800 for cost and instruction.

2mL

BARMAH FOREST SEROLOGY 1 x SST 1mL

BARTONELLA HENSELAE 1 x SST Referred to: PathWest QEII 5ml

BARTONELLA PCR 1 x EDTA - dedicated tube required

4mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

BCR ABL 2 x EDTA - dedicated tube required

Referred to: PathWest FSH Only collect in Monday – Thursday. Do not collect on Public Holidays.

BEE VENOM BLOCKING ANTIBODIES

1 x SST Referred to: SA Pathology (Formally known as IMVS Pathology)

2mL

BENCE JONES PROTEIN 1 x Urine Container - random or 1 x Urine Container- 24hr plain

See Urine protein electrophoresis 7ml

BENZENE URINE 1 x Urine Container - random

Referred to: WorkCover NSW Midstream urine collection

10mL

BERYLLIUM - BLOOD Yes 1 x Trace Element Free - DO NOT SPIN

Referred to: Laverty Pathology Place DO NOT SPIN sticker around the lid.

6mL

BERYLLIUM - URINE Yes 1 x Urine Container - random

Referred to: Laverty Pathology 20mL

BETA 2 MICROGLOBULIN SERUM (B2M)

1 x SST NOTE: This is not URINE BETA 2 MICROGLOBULIN.

1mL

BETA 2 MICROGLOBULIN URINE Yes 1 x Urine Container - random

Referred to: Royal Brisbane Hospital Keep refrigerated. Please send on Ice Brick.

5mL

BETA HYDROXYBUTYRATE 1 x Lithium Heparin spin, separate & freeze ASAP

Referred to: PathWest QEII 1mL

BETA TRACE PROTEIN 1 x Urine Container

Referred to: PathWest QEII Sample is usually liquid leaking from Ear/Eyes/Nose.

1mL

BETHESDA ASSAY See INHIBITOR SCREEN entry for Collection requirements. See: FRM- COLL-86 - Coagulation Collection Guide

BHCG (QUALITATIVE) 1 x SST 2mL

BHCG (QUANTITATIVE) (URGENT – Result within 4hours)

1 x SST Do not mark urgent unless: 1. Marked urgent by the doctor 2. Clinical notes indicate query

ectopic 3. Clinical notes indicate query

miscarriage

2mL

BHCG (TUMOUR MARKER) 1 x SST 2mL

BICARBONATE 1 x SST 2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

BILE ACID/ SALTS 1 x SST Referred to: PathWest QEII Fasting unless otherwise indicated by the doctor.

2mL

BILE SALTS (FASTING & POST PRANDIAL)

2 x SST Referred to: PathWest QEII 1. Patient must be fasting. 2. Collect 1x SST labelling time of

collection and 'fasting' on tube. 3. Patient must return two hours

after having a meal. 4. Collect the second SST with time

of collection and ' post ' written on tube.

2mL

BILIRUBIN 1 x SST 2mL

BILIRUBIN (CONJUAGED NEONATAL)

1 x Plain Tube (Red Top)

1mL

BILIRUBIN (CONJUGATED) 1 x SST 2mL

BILIRUBIN (FLUID) DOCTOR COLLECT 2mL

BILIRUBIN (NEONATAL) 1 x Plain Tube (Red Top)

The preferred sample type for measurement of bilirubin in neonates and infants up to 1 month of age is a Plain Tube (Red Top).

1mL

BISMUTH Yes 1 x Trace Element Free Tube or 1 x EDTA

Referred to: Royal North Shore Hospital

2mL

BK VIRAL LOAD 1 x EDTA - dedicated tube required or Urine Container - random

Referred to: PathWest QEII 1mL

BK VIRUS PCR 1 x EDTA - dedicated tube required or Urine Container - random

Referred to: PathWest QEII 1mL

BLADDER WASHINGS DOCTOR COLLECT Keep refrigerated and send to Cytology Dept. as soon as possible.

BLEEDING STUDIES OR SCREEN See FACTOR STUDIES entry for collection requirements. See: FRM- COLL-86 - Coagulation Collection Guide

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Test Name Out of Pocket Specimen Collection Method Min

Vol

BLEEDING TIME (URGENT – Result within 4hours)

See PLATELET FUNCTION ANALYSIS entry for collection requirements. See: FRM-COLL-86 - Coagulation Collection Guide

BLOOD CULTURE Blood Culture Bottles

DO NOT REFRIGERATE See: WI-COLL-74 - Blood Culture Collection

BLOOD GROUP 1 x EDTA 6mL - Pink, dedicated tube

1. Full Name, DOB or URN, DOC & TOC must be on EDTA tube and request form. All information must match between form and sample.

2. Collector must sign the tube and certifier on form - these signatures must match.

Contact Transfusion Medicine Dept. on 08 9321 3300 for any enquiries.

6mL

BLOOD GROUP & ANTIBODY SCREEN

1 x EDTA 6mL - Pink, dedicated tube

1. Full Name, DOB or URN, DOC & TOC must be on EDTA tube and request form. All information must match between form and sample.

2. Collector must sign the tube and certifier on form - these signatures must match.

Contact Transfusion Medicine Dept. on 08 9321 3300 for any enquiries.

6mL

BLOOD PRESSURE MONITOR/ 24 HR ABP MONITOR

Yes See WI-COLL-55 Provide FRM-COLL-99 to patient Done at specific sites only by phone appointment. See FRM-COLL-102 - Specialised Test Locations

BNP Yes 1 x EDTA - spin, separate & freeze

Spin, separate & freeze within 24hrs Testing performed at Joondalup Laboratory

0.5mL

BONE MARROW CYTOGENETICS DOCTOR COLLECT Referred to: PathWest FSH Bone Marrow in VTM

BONE MARROW TREPHINE DOCTOR COLLECT Done by Pathologist. Keep all samples collected by the doctor together until processed by SRA, who will then distributed to the separate departments.

BONE PROFILE 1 x SST and 1 x PPT spin within 30 minutes of collection

See: WI-COLL-113 Vitamin D Bulk Billing Criteria

2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

BONE SPECIFIC ALP 1 x SST 1mLBORDETELLA PERTUSSIS PCR

1 x Dry Swab - Orange/White

See WI-COLL-115 and FRM-COLL-81 (Swab Collection guide)

BORDETELLA PERTUSSIS SEROLOGY

1 x SST 4mL

BOWEL CANCER MARKER 1 x SST 2mL

BRAOVO Yes 2 x EDTA - dedicated tube required

Collect 2x EDTA 10 minutes apart and ensure patient identity checked each time.

Refer patient to contact Genomic Diagnostics on 1800 822 999 for any pricing queries.

4mL each

BRCA 1 & 2 Yes 2 x EDTA - dedicated tube required

Collect 2x EDTA 10 minutes apart and ensure patient identity checked each time.

Refer patient to contact Genomic Diagnostics on 1800 822 999 for any pricing queries.

4mL each

BREAST TUMOUR MARKER 1 x SST 2mL

BREATH ALCOHOL TEST Yes See: WI-COLL-53 - Drugs of Abuse Collection Manual

N/A

BROMIDE Yes 1 x Trace Element Free Tube - DO NOT SPIN

Referred to: Royal North Shore Hospital Place DO NOT SPIN sticker around the lid.

2mL

BRONCHIAL WASHINGS/BRUSHINGS

DOCTOR COLLECT Keep refrigerated and send to Cytology Dept. as soon as possible.

BRONCHOALVEOLAR LAVAGE DOCTOR COLLECT Keep refrigerated and send to Cytology Dept. as soon as possible.

BRUCELLA SEROLOGY 1 x SST 2mL

BSL (ACC) 1 x SST Serum must be spun within 4 hours of collection. No exception. If unable to spin on site, collect a FLOX.

2mL

BSL (DOCTOR/NURSING HOME/MOBILE)

1 x Fluoride Oxalate

2mL

BUN (BLOOD UREA NITROGEN) 1 x SST 2mL

C1 ESTERASE INHIBITOR LEVEL 1 x SST - Spin and freeze

Referred to: QML Pathology. Must be frozen within 1 hour of collection into 2 separate 1mL aliquots.

2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

C2H50H - ALCOHOL 1 x Fluoride Oxalate - DO NOT OPEN

Must be a pristine Fluoride Oxalate/SST tube – place DO NOT OPEN sticker around the lid. Alcohol swab must not be used to clean area. Police/legal purpose sample Western Diagnostic Pathology is not licensed to perform Blood Alcohol analysis for police or legal purposes. Such samples (usually in a sealed envelope) cannot be accepted. Do not accept the samples and advise the patient to contact the Forensic Science at ChemCentre on 08 9422 9800 for cost and instruction.

2mL

C3 1 x SST 2mL

C3 NEPHRITIC FACTOR 1 x SST spin separate and freeze and 1 x Chilled EDTA - Spin, separate and freeze

Referred to: Immunology Department Flinders Medical Centre SA Pathology Freeze serum & EDTA plasma within 2hrs of collection.

0.5mL each

C4 1 x SST 2mL

CA 27.29 1 x SST 2mL

CA 72.4 / 74 Yes 1 x SST - Spin and freeze

Referred to: Royal Prince Alfred Hospital

2mL

CA125 1 x SST 2mL

CA153 1 x SST 2mL

CA199 1 x SST 2mL

CACNA1S 1 x EDTA - dedicated tube required

Referred to: PathWest FSH Stability: 1 Week

2mL

CADASIL 1 x EDTA - dedicated tube required

Referred to: PathWest QEII Stability: 1 week

2mL

CADMIUM BLOOD 1 x Trace Element Free - DO NOT SPIN

Referred to: Laverty Pathology Place DO NOT SPIN sticker around the lid.

2mL

CADMIUM URINE 1 x Urine Container - random

Referred to: Laverty Pathology To avoid contamination - advise patients that dust from clothing does not come into contact with the urine during collection.

20mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

CAERULOPLASMIN 1 x SST Referred to: QML Pathology 0.3mL

CAH SCREENCALCITONIN 1 x Lithium Heparin spin, separate & freeze ASAP

Referred to: PathWest FSH 1mL

CALCIUM 1 x SST Do not use torniquet for calcium collection.

2mL

CALCIUM (24 HOUR URINE) 1 x Urine Container- 24hr acid

Must be acidified. 2mL

CALCIUM (FLUID) DOCTOR COLLECT 2mL

CALCIUM (SPOT URINE) 1 x Urine Container - random

Does not need to be acidified 2mL

CALCIUM/CREATININE RATIO (SPOT URINE)

1 x Urine Container - random

Transfer into Vacutainer (no additive) urine tube. Urine tubes must not be filled beyond half way to prevent spillage.

2mL

CALIBRATED AUTOMATED THROMBOGRAM (CAT)

2 x Sodium Citrate To Myaree lab within 4hrs - transport in blue bag. Or DOUBLE spin/separate/freeze and transport frozen. Record anticoagulant name, date and time of last dose or patient to complete questionnaire: FRM- COLL-43 See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

CALRETICULIN 2 x EDTA 6mL - Pink, dedicated tube

Referred to: Genomics Diagnostics When co-requested with JAK 2 Mutation and/or MPL Mutation only 2 EDTA 6ml Pink tubes required altogether.

4mL

CANCER ASSOCIATED SERUM ANTIGEN

CANDIDA SEROLOGY 1 x SST Referred to: Laverty Pathology 5mL

CAPILLARY BLOOD GAS DOCTOR COLLECT Test is performed at the hospital sites and must be analysed immediately. Please refer the patient to the nearest hospital.

0.5mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

CARBAMAZEPINE 1 x SST Record date and time of last dose of medication on the form.

2mL

CARBAPENEM-RESISTANT ENTEROBACTERIACEAE (CRE SCREEN)

Yes PATIENT COLLECT or Faeces Container

Separate rectal swabs required for CRE screen if requested with VRE screen (i.e. 2 separate rectal swabs required.) Rectal swab will be Patient Collect - Provide patient with Blue Top Gel swab. DO NOT REFRIGERATE swabs but refrigerate faeces.

CARBOXYHAEMOGLOBIN DOCTOR COLLECT Test is performed at the hospital sites and must be analysed immediately. Please refer the patient to the nearest hospital.

0.5mL

CARCINOEMBRYONIC ANTIGEN 1 x SST 2mL

CARDIAC ENZYMES (URGENT – Result within 2hours)

See TROPONIN

CARDIOLIPIN ANTIBODIES 1 x SST For Antiphospholipid Antibodies see also Lupus Anticoagulant and B2 Glycoprotein 1 Antibodies

1mL

CARNITINE 1 x SST spin separate and freeze

Referred to: PathWest QEII 1mL

CAT See CALIBRATED AUTOMATED THROMBOGRAM entry for Collection requirements. See: FRM-COLL-86 - Coagulation Collection Guide

CAT SCRATCH PCR 1 x EDTA - dedicated tube required

Referred to: PathWest QEII 2mL

CATECHOLAMINES BLOOD 2 x Lithium Heparin spin, separate & freeze ASAP

Referred to: PathWest FSH Overnight fasting required (can have water). Patient should be supine (lying down) for 30mins prior to collection. Please record supine duration on request form. Avoid caffeine. Document drug history if possible.

1.5mL

CATECHOLAMINES URINE 1 x Urine Container- 24hr acid

Referred to: PathWest FSH Spot urine if child – SRA to add acid till it changes to pH to 3. The patient should ideally refrain from taking medication for 24 hours prior to, and during urine collection and avoid physical and physiological stress prior to testing.

4mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

CB2 EPOTIDE Test Not Available

CBA See FACTOR STUDIES entry for collection requirements. See: FRM- COLL-86 - Coagulation Collection Guide

CD 34 PROGENITOR CELLS 1 x EDTA - dedicated tube required

Referred to: PathWest QEII or FSH Always urgent. Needs to be forwarded directly to bone marrow transplant lab.

2mL

CD MARKERS (EG. CD3, CD4, CD8, CD19, CD20, ETC)

1 x ACD and 1 x EDTA

Full tube of ACD (can use 1mL of EDTA ONLY if paediatric or elderly/infirm).

6mL ACD

CD3-/CD57+ Yes 1 x ACD and 1 x EDTA

Full tube of ACD (can use 1mL of EDTA ONLY if paediatric or elderly/infirm). See: WI-COLL-96 - Flow Cytometry

6mL ACD

CD4 1 x ACD and 1 x EDTA

Full tube of ACD (can use 1mL of EDTA ONLY if a very difficult collect). See: WI-COLL-96 - Flow Cytometry

6mL ACD

CDT Yes 1 x SST spin separate and freeze

Referred to: QML pathology 1mL

CEA 1 x SST 2mL

CEPHALASPORIN RAST 1 x SST Referred to: QML Pathology 2mL

CH 50 1 x SST - Spin, Separate into 2 aliquots & Freeze

Referred to: PathWest QEII Must be frozen within 1 hour of collection into 2 separate 1mL aliquots.

2mL

CHAGAS 1 x SST Referred to: ICPMR Westmead Hospital (NSW)

2mL

CHANCROID PCR 1 x Dry Swab - Orange/White

Referred to: PathWest QEII Only from an ulcer and must note that it is from ulcer on the request form

CHANNEL WATER TESTING Urine Container DO NOT REFRIGERATE

CHARCOT MARIE TOOTH DISEASE 1 x EDTA - dedicated tube required

Referred to: PathWest FSH 2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

CHIKUNGUNYA 1 x SST Referred to: PathWest QEII 2mL

CHIKUNGUNYA PCR 1 x SST This test although run via PathWest is not validated. The PCR lab will check with the doctor before performing the test.

2mL

CHLAMYDIA RESPIRATORY SEROLOGY

1 x SST Referred to: QML Pathology 2mL

CHLAMYDIA/GONORRHOEA SWABS & URINE FOR PCR/NAAT

1 x Swab - Cobas or 1 x Urine - Cobas tube

See WI-COLL-115 and FRM-COLL-81 URINE: First 20-30mL of urine in sterile yellow top container. Urine COBAS collection tube required. Please note swabs collected from genital sites are to be collected by referring doctor.

CHLAMYDOPHILA PNEUMONIA PCR

1 x Dry Swab - Orange/White

See WI-COLL-115 and FRM-COLL-81 (Swab Collection guide)

CHLORIDE 1 x SST 2mL

CHLORIDE (FLUID) DOCTOR COLLECT 2mL

CHLORPROMAZINE 1 x Plain Tube (Red Top)

Referred to: Royal Brisbane Hospital 3mL

CHOLESTEROL AND CORONORY RISK RATIO

1 x SST See: WI-COLL-61 - Lipid Testing 2mL

CHOLESTEROL AND CRR 1 x SST See: WI-COLL-61 - Lipid Testing 2mL

CHOLESTEROL AND FRAMINGHAM RATIO

1 x SST See: WI-COLL-61 - Lipid Testing 2mL

CHOLESTEROL AND HDL 1 x SST See: WI-COLL-61 - Lipid Testing 2mL

CHOLESTEROL AND LDL 1 x SST See: WI-COLL-61 - Lipid Testing 2mL

CHOLESTEROL AND LIPID SCREEN 1 x SST See: WI-COLL-61 - Lipid Testing 2mL

CHOLESTEROL AND LIPOPROTEINS 1 x SST See: WI-COLL-61 - Lipid Testing 2mL

CHOLESTEROL AND TRIGLYCERIDES

1 x SST See: WI-COLL-61 - Lipid Testing 2mL

CHOLINESTERASE RED CELL 1 x EDTA - dedicated tube required

Referred to: QML Pathology 4mL

CHOLINESTERASE SERUM 1 x SST - dedicated tube required

Referred to: QML Pathology

CHROMATIN ANTIBODIES 1 x SST Referred to: Laverty Pathology Only if ANA is positive.

1mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

CHROMIUM BLOOD 1 x Trace Element Free - spin & separate

Referred to: Laverty Pathology

6mL

CHROMIUM URINE 1 x Urine Container - random

Referred to: Laverty Pathology To avoid contamination- advise patients that dust from clothing does not come into contact with the urine during collection.

20mL

CHROMOGRANIN A Yes 1 x SST spin separate and freeze

Referred to: QML Pathology 5mL

CHROMOSOMES - AMNIOTIC FLUID (AF)

DOCTOR COLLECT

Referred to: QML Pathology Contact Genetic Dept. 08 9317 0922 for any queries

CHROMOSOMES - BLOOD 1 x Lithium Heparin - DO NOT SPIN

Referred to: QML Pathology Place DO NOT SPIN sticker around the lid.

6mL

CHROMOSOMES - CHORIONIC VILLI (CVS)

DOCTOR COLLECT

Referred to: QML Pathology Contact Genetic Dept. 08 9317 0922 for any queries

CHROMOSOMES – LEUKAEMIA (CML, CLL)

1 x Lithium Heparin

1mL

CHROMOSOMES - PRODUCT OF CONCEPTION (POC)

DOCTOR COLLECT

Referred to: QML Pathology No Formalin. Specialised container: 70mL red top sterile jar containing PBS and heparin. Processed at QML.

CHRONIC FATIGUE SYNDROME Refer to AMMINO ACID SCREEN

CITRATE URINE 1 x Urine Container- 24hr acid

Referred to: PathWest FSH Patient must collect over 24-hour period.

CK 1 x SST 2mL

CKMB 1 x SST Referred to: QML Pathology 2mL

CLN 2 GENETIC TEST 1 x EDTA - dedicated tube required

Referred to: Adelaide Women's and Children's Hospital Collect sample Monday - Wednesday only. Must be at Adelaide Women's and Children's Hospital within 48hrs.

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Test Name Out of Pocket Specimen Collection Method Min

Vol

CLOBAZAM 1 x Plain Tube (Red Top)

Referred to: QML Pathology Collect just prior to the next dose or at least 6 hours after the last dose. Provide clinical and medication detail, including time and date of last dose.

2mL

CLOMIPRAMINE 1 x Plain Tube (Red Top)

Referred to: QML Pathology Collect just prior to the next dose or at least 6 hours after the last dose. Provide clinical and medication detail, including time and date of last dose.

2mL

CLONAZEPAM 1 x Plain Tube (Red Top)

Referred to: QML Pathology Collect just prior to the next dose or at least 6 hours after the last dose. Provide clinical and medication detail, including time and dose of last dose.

2mL

CLOSTRIDIUM DIFFICILE PCR 1 x Faeces Container

Provide patient with FRM-COLL-13

CLOZAPINE 1 x Plain Tube (Red Top)

Referred to: QML Pathology Collect just prior to the next dose or at least 8 hours after the last dose. Provide clinical and medication detail, including time and dose of last dose.

2mL

CMP (CALCIUM, MAGNESIUM, PHOSPHATE)

1 x SST Do not use torniquet for calcium collection.

2mL

CMV 1 x SST 2mL

CMV PCR BLOOD 1 x EDTA - dedicated tube required

Referred to: PathWest QEII 2mL

CMV PCR URINE 1 x Urine Container - dedicated jar required. Freeze ASAP

Referred to: Royal North Shore Hospital (NSW)

10mL

CMV VIRAL LOAD 1 x EDTA - dedicated tube required

Referred to: PathWest FSH Spot urine sample may be collected for 3 years and under.

COAGULATION PROFILE 2 x Sodium Citrate To lab within 10 hours - transport in a blue bag. Or single spin/separate/freeze and transport frozen. Patient to complete Questionnaire: FRM-COLL-43. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

COBALT BLOOD 1 x Trace Element Free - spin & separate

Referred to: Laverty pathology 6mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

COBALT URINE 1 x Urine Container - random

Referred to: Laverty Pathology. To avoid contamination - advise patients that dust from clothing does not come into contact with the urine during collection.

20mL

CODEINE Yes 1 x Plain Tube (Red Top)

Referred to: QML Pathology 2mL

COELIAC DISEASE GENE TESTING Yes

1 x EDTA 6mL - Pink, dedicated tube

Referred to: Genomic Diagnostics Most patients bulk billed. Advise patient to contact Genomic Diagnostics on 1800 822 999 for pricing queries.

6mL

COELIAC SEROLOGY 1 x SST 1mL

CO-ENZYME Q10 1 x Lithium Heparin - Spin, Separate, Foil & Freeze ASAP

Referred to: Royal Brisbane Hospital 2mL

COLD AGGLUTININS

1 x EDTA and 1 x Plain Tube (Red Top)

1. Cold agglutinins samples can ONLY be collected in centres with a water bath and a centrifuge

2. Warm the tubes in water bath (@37°C) for 10-20 mins prior to collecting samples

3. Collect blood into pre-warmed tubes

4. Once collected leave EDTA whole – DO NOT SPIN

5. Place plain tube only into water bath for 30 mins or until clotted

6. Spin the plain tube only and immediately separate the serum from the plain tube into tip off tube and label serum sample

7. Mark on the form that the sample was collected and maintained at 37°C until separated

8. Send all tubes and tip off tube with forms to Myaree Laboratory

For any queries please contact Transfusion Medicine Dept. on 08 9321 3300

6mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

COLLAGEN BINDING ASSAY See FACTOR STUDIES entry for collection requirements. See: FRM- COLL-86 - Coagulation Collection Guide

COM 1 x SST 2mL

COMPLEMENT LEVELS 1 x SST 2mL

COMPLEMENTS C1Q - C2 1 x SST - Spin, Separate into 3 aliquots & Freeze

Referred to: SEALS Pathology (NSW) Must be frozen within 1 hour of collection into 3 separate aliquots.

2mL

CONFIRMATION TEST (CALL BEFORE COLLECTION)

Yes Call Toxicology Dept. on 08 9317 0849 before collection. Full Chain of Custody Collect This maybe requested to be confirmed off a previous episode and the donor may be just here to pay for the extra testing. Please contact toxicology once payment has been made. See: WI-COLL-53 - Drugs of Abuse Collection Manual

5mL each

CORD AND MATERNAL BLOOD GROUP

1 x EDTA 6mL - Pink, dedicated tube and

1x Cord Blood

1. Full Name, DOB or URN, DOC & TOC must be on EDTA tube and request form. All information must match between form and sample.

2. Collector must sign the EDTA tube and certifier on form - these signatures must match.

Send baby’s cord blood and mother’s EDTA together – DO NOT SEPRATE the samples.

CORD BLOOD GROUP 1 x EDTA - dedicated tube required

DOCTOR COLLECT Full Name, DOB or URN, DOC & TOC must be on EDTA tube. Collector must sign EDTA tube and certifier on the request form. This tube is collected at the birth of the baby by medical or nursing staff. Tube must be labelled with B/O and mothers details including date & time of collect.

2mL

CORONAVIRUS 1 x Dry Swab - Orange/White

Referred to: PathWest QEII

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Test Name Out of Pocket Specimen Collection Method Min

Vol

CORTISOL 1 x SST AM sample: to be collected between 0800 - 0900 am. PM sample: to be collected between 1600 - 1700 pm. Random sample: anytime and note the time of collection on the form.

2mL

CORTISOL (SALIVA) Yes Special Collection Kit

Provide patients with FRM- COLL-16 - Late Night Salivary Cortisol and the special collection tube (Salivette Tube). Collect between 11pm - midnight. Note date and time of collection on salivette tube. Salivette tube available via Manual Chemistry Dept. on 08 9317 0838

1mL

CORTISOL URINE (24 HOUR URINE)

1 x Urine Container- 24hr plain

Non-acidified urine. If a dexamethasone suppression test is requested at the same time, collect this test first and schedule the dexamethasone suppression test for when the urine is returned.

1mL

COTININE BLOOD Yes 1 x Plain Tube (Red Top)

Referred to: Laverty Pathology 1mL

COTININE URINE Yes 1 x Urine Container - random

Referred to: Laverty Pathology. 20mL

COUNSYL Yes 1 x EDTA - dedicated tube required

Referred to: Genomic Diagnostics Dedicated request and consent form required (cannot use standard request form). Pre-payment is preferred via phone 1800 822 999 (9am-5pm AEST)

3mL

COXSACKIE PCR 1 x Dry Swab - Orange/White or 1 x Faeces Container

Referred to: PathWest QEII Coxsackie serology is not available. Throat swab or rectal swab site.

C-PEPTIDE 1 x SST - Spin and freeze ASAP

Fasting specimen preferred. 1mL

CPK 1 x SST 2mL

CREATININE 1 x SST 2mL

CREATININE (24 HOUR URINE) 1 x Urine Container- 24hr plain

2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

CREATININE (FLUID) DOCTOR COLLECT 2mL

CREATININE (SPOT URINE) 1 x Urine Container - random

Transfer into Vacutainer (no additive) urine tube. Urine tubes must not be filled beyond half way to prevent spillage.

2mL

CREATININE CLEARANCE 1 x SST and 1 x Urine Container- 24hr plain

Urine and SST must be collected within 24 hours of each other.

2mL

CROHN'S DISEASE (ASCA & FAECAL CALPROTECTIN)

Yes 1 x SST and 1 x Faeces Container

ASCA referred to QML Pathology ANCA and FAECAL CALPROTECTIN performed in-house. Min volume: 1mL blood and 10g faeces

CROSSMATCH (URGENT)

1 x EDTA 6mL - Pink, dedicated tube

1. Ask the patient whether they have been transfused or pregnant in the last 3 months – note on request form.

2. Ask date of operation and which hospital it is to be performed at – note on request form.

3. Full Name, DOB or URN, DOC & TOC must be on EDTA tube and request form. All information must match between form and sample.

4. Collector must sign the tube and certifier on form - these signatures must match.

If unsure what to collect ring the Transfusion Medicine Dept. on 08 9321 3300

6mL

CRP 1 x SST 2mL

CRR 1 x SST See: WI-COLL-61 - Lipid Testing 2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

CRYOGLOBULINS/ CRYOFIBRINOGEN

1 x EDTA and 1 x Plain Tube (Red Top) - Spin & Separate

Cryoglobulins and cold agglutinins are two separate tests. Samples are to be if the cold agglutination and cryoglobulins are co-requested. 1. Warm both EDTA and plain tube to

37 oC prior to collection. 2. Collect the blood into the warmed

tubes. 3. Label both tubes with the patient

details. 4. Place the samples into the 37 oC

water bath for 30 minutes. 5. Centrifuge the samples in a non-

refrigerated centrifuge for 10 minutes.

6. Immediately separate the plasma from the EDTA and the serum from the plain tube into take-off tubes.

7. Carefully label the take-off tubes with the patient name, whether serum or plasma and “cryoglobulins".

8. Mark on the form that the samples were collected at 37 oC and maintained at that temperature until separated.

4mL each

CRYPTOCOCCAL PCR Test Not Available

CRYPTOCOCCAL SEROLOGY 1 x SST Referred to: PathWest QEII 2mL

CSF CYTOLOGY (URGENT)

DR COLLECT Keep refrigerated and send to Cytology Dept. IMMEDIATELY for processing. CSF for Cytology are always treated as URGENT. Keep specimen refrigerated. On call Histopathologist should be contacted if specimen is received out of hours.

CSF MC&S (URGENT)

3 x CSF tube (sterile)

DR COLLECT DO NOT REFRIGERATE

CSF OLIGOCLONAL BANDS 1 x SST and 1 x CSF tube (sterile)

Referred to: PathWest QEII Both a CSF and a serum specimen are required. The procedure cannot be done without a serum specimen. The CSF and serum specimen can be taken up to 1 week apart.

1mL

CTX 1 x PPT - spin and freeze ASAP

Prefer fasted and morning sample 4mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

CYANIDE 1 x Lithium Heparin

Referred to: Royal Prince Alfred Hospital

5mL

CYANIDE - URINE 1 x Urine Container

Referred to: WorkCover NSW (TestSafe) Collection is to be first void urine at end of shift.

CYCLIC CITRULLINATED PEPTIDE ANTIBODY (CCP)

1 x SST 2mL

CYCLOSPORIN 1 x EDTA Referred to: PathWest QEII Therapeutic drug monitoring. Cyclosporin is an immunosuppressant drug. It is treated as an urgent sample for patients immediately post- transplant.

CYP21 MUTATION GENOTYPING 1 x EDTA - dedicated tube required

Referred to: PathWest QEII

CYSTIC FIBROSIS GENE TESTING Yes 1 x EDTA - dedicated tube required

Referred to: Genomic Diagnostics 4mL

CYSTICERCOSIS SST 0.5mL

CYSTINE (24 HOUR URINE) 1 x Urine Container- 24hr plain

Referred to: PathWest QEII

CYSTINE SCREEN (URINE) 1x Urine container - dedicated jar required. Freeze ASAP

Referred to: PathWest QEII 5mL

CYTOGENETICS See CHROMOSOMES

CYTOMEGALOVIRUS (CMV) SEROLOGY

1 x SST 2mL

D-DIMER (URGENT – Result within 4hours)

1 x Sodium Citrate See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

DENGUE PCR 1 x EDTA Referred to: PathWest QEII 3mL

DENGUE SEROLOGY 1 x SST 2mL

DEOXYPYRIDINOLINE, URINE 1x Urine container - dedicated jar required. Freeze ASAP Or 1x Urine Container - 24h plain

Referred to: Royal Prince Alfred Hospital A random early morning urine specimen is preferred. A 24-hour urine may be collected if specifically requested.

5mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

DESIPRAMINE 1 x Plain Tube (Red Top)

Referred to: QML Pathology Collect just prior to the next dose or at least 6 hours after the last dose. Provide clinical and medication detail, including time and date of last dose.

2 mL

DESVENLAFAXINE 1 x Plain Tube (Red Top)

Referred to: PathWest QEII Take sample prior to dose This test is referred to and performed by

2 mL

DEXAMETHASONE SUPPRESSION 1 x SST 1. Confirm that patient has not taken the dexamethasone tablets yet

a. If the patient has already taken dexamethasone tablets the previous evening

b. Collect SST for dexamethasone suppression test

c. Defer all other requested tests for at least 2 days later

2. If there are other requested tests in addition to the dexamethasone suppression test.

a. Collect other tests first b. Defer the dexamethasone

suppression test for a subsequent day

3. Contact Myaree Patient Reception on 08 9317 0710 for forwarding of appropriate tablets

4. Provide patient with a. FRM-COLL-5 b. 2 x 0.5mg tablets

5. Advise patient to take the tablets between 22:00-23:00pm as per FRM-COLL-5 and return to the collection centre the next day between 08:00-9:00am

6. SST is collected the next day between 08:00-09:00 am.

2mL

DGP IGG 1 x SST 1ml

DHEA 1 x SST 1mL

DIAZEPAM 1 x Plain Tube (Red Top)

Referred to: Royal Prince Alfred Hospital

5mL

DIF DOCTOR COLLECT Deliver to Histopathology Dept. ASAP

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Test Name Out of Pocket Specimen Collection Method Min

Vol

DIGEORGE SYNDROME 1 x EDTA - dedicated tube required

3mL

DIGITALIS 1 x SST Record date and time of last dose of medication on the form. Bloods should be taken 6 hours post dose. Do not turn patients away if not 6 hours post dose.

2mL

DIGOXIN 1 x SST Record date and time of last dose of medication on the form. Bloods should be taken 6 hours post dose. Do not turn patients away if not 6 hours post dose.

2mL

DIHYDROTESTOSTERONE 1 x SST - Spin and freeze

Referred to: Dorevitch Pathology 2mL

DILANTIN 1 x SST Record date and time of last dose of medication on the form.

2mL

DIPHTHERIA SEROLOGY Yes 1 x SST Referred to: The Children's Hospital at Westmead

5mL

DIRECT COOMBS TEST 1 x EDTA 6mL - Pink, dedicated tube

1. Full Name, DOB or URN, DOC & TOC must be on EDTA tube and request form. All information must match between form and sample.

2. Collector must sign the tube and certifier on form - these signatures must match.

Contact Transfusion Medicine Dept. on 08 9321 3300 for any enquiries.

1mL

DNA ABS 1 x SST 1mL

DONOVANOSIS 1 x Dry Swab - Orange/White

Referred to: PathWest QEII

DOTHIEPIN (TRICYCLIC) 1 x Plain Tube (Red Top)

Referred to : QML Pathology Collect just prior to the next dose or at least 6 hours after the last dose. Provide clinical and medication detail, including time and date of last dose.

2mL

DOUBLE NEGATIVE T CELLS 1 x EDTA - dedicated tube required

Referred to : PathWest QEII Sample to be PathWest Immunology Dept. within 24hrs of collection.

4mL

DOXEPIN 1 x 1 x Plain Tube (Red Top)

Referred to: QML Pathology Collect just prior to the next dose or at least 6 hours after the last dose. Provide clinical and medication detail, including time and date of last dose.

2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

DRUG SCREEN (LEGAL/EMPLOYMENT/PERSONAL)

Yes Full Chain of Custody Collect Chain of Custody form MUST be completed. Please ensure you have completed all relevant fields before the donor leaves. Use company/account code or IMPA. Please attach any extra paperwork the donor comes in with to the chain of custody form. See: WI- COLL-53 - Drugs of Abuse Collection Manual

2x 5mL each

DRUG SCREEN (MEDICARE) Yes Please carefully read WI-COLL-53 to determine if the collection is actually acceptable to be covered by Medicare. If in doubt, please call Toxicology Dept. on 08 9317 0849. DAN is for rehabilitation patients only. DAM is for all other Medicare screens See: WI-COLL-53 - Drugs of Abuse Collection Manual

10mL

DSDNA ANTIBODIES 1 x SST Do not confuse with "Anti-DNAseB Antibodies" which is a referred test (see Streptococcal Serology, QSS). If unsure, please phone Immunology Dept. on 08 9317 0920

1ml

DUCT ANTIBODIES 1 x SST This test is referred to and performed by PathWest QEII

2 mL

DYSTROPHIN GENETICS TESTING 2 x EDTA - dedicated tube required

This test is referred to and performed by Fiona Stanley Hospital. MLPA analysis only. Molecular genetics reports are issued to the referring doctor only in hardcopy only utilising an independent database.

2mL

E/LFT 1 x SST 2mL

E2 1 x SST 2mL

EBV 1 x SST 2 mL

EBV PCR 1 x EDTA - dedicated tube required

This test is referred to and performed by PathWest QEII

3 mL

EBV VIRAL LOAD 1 x EDTA - dedicated tube required

Test is sent to Pathwest QEII. 2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

ECG Yes Only done at Duncraig & Joondalup Hospital collection centres.

ECHINOCOCCUS SEROLOGY 1 x SST Referred to: PathWest QEII 2mL

ECP ASSAY Yes 1 x Plain Tube (Red Top) - Spin, Separate & Freeze

Referred to: Royal Prince Alfred Hospital Allow sample to clot for 2 hours before spinning.

2mL

EGFR 1 x SST 2mL

EHLERS DANLOS SYNDROME Yes 2 x EDTA 6mL - Pink, dedicated tube

Referred to: The Children's Hospital at Westmead

6mL

ELASTASE (FAECAL) Yes 1 x Faeces Container

Referred to: PathWest FSH 10g

ELECTROLYTES 1 x SST 2mL

ELECTROLYTES (URINE) 1 x Urine Container - random

2mL

ELECTROPHORESIS 1 x SST If the serum or urine is not specified next to electrophoresis then, collect both samples: 1 x SST and 1 x spot Urine.

2mL

ELEPHANTIASIS SEROLOGY 1 x SST Referred to: PathWest QEII 2mL

ENA 1 x SST SM - check as it could also be Anti Smooth Muscle - see ASM SCLERODERMA = ANF + XNA + REQ, SJOGRENS ABS = ANF + XNA + REQ

1mL

ENDOMYSIAL ANTIBODY 1 x SST 1mL

ENDOSCOPE CULTURE Urine Container DO NOT REFRIGERATE

ENTAMOEBA HISTOLYTICA SEROLOGY

1 x SST Referred to: PathWest QEII 2 mL

ENTEROVIRUS PCR 1 x Faeces Container or Dry Swab - Orange/White

Referred to: PathWest QEII This test is used in place of virus culture on faeces, throat swabs or CSF. Swabs collected in gel are not suitable for PCR testing.

ENTEROVIRUS SEROLOGY 1 x SST Referred to: QML Pathology 2 mL

EPILIM 1 x SST Record date and time of last dose of medication on the form.

2mL

EPSTEIN BARR VIRUS SEROLOGY 1 x SST 2 mL

ERYTHROPOEITIN 1 x SST spin separate and freeze ASAP

Referred to: PathWest FSH

1mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

ESR/ ERYTHROCYTE SEDIMENTATION RATE (URGENT – Result within 4hours if clinically indicated)

1 x EDTA Clinical notes with Temporal arteritis treat as URGENT. Full Name, DOB or URN, DOC & TOC must be on EDTA tube. Collector must sign EDTA tube and request form. NOTE: Only 1 EDTA required for any combination of FBC/Indices, ESR, Malaria, RET, HbA1C, HE.

4ml

ESTRADIOL 1 x SST 2mL

ETHANOL 1 x Fluoride Oxalate - DO NOT OPEN

Must be a pristine Fluoride Oxalate/SST tube – place DO NOT OPEN sticker around the lid. Alcohol swab must not be used to clean area. Police/legal purpose sample Western Diagnostic Pathology is not licensed to perform Blood Alcohol analysis for police or legal purposes. Such samples (usually in a sealed envelope) cannot be accepted. Do not accept the samples and advise the patient to contact the Forensic Science at ChemCentre on 08 9422 9800 for cost and instruction.

2mL

ETHOSUXIMIDE 1 x Plain Tube (Red Top)

Referred to: Royal Brisbane Hospital Provide clinical and medication details. Keep sample cold.

2mL

ETHYLBENZENE MANDELIC ACID Yes 1 x Urine Container - random

Referred to: WorkCover NSW

20 mL

ETHYLENE GLYCOL 1 x Plain Tube (Red Top)

Referred to: Royal Prince Alfred Hospital

2mL

ETOH 1 x Fluoride Oxalate - DO NOT OPEN

Must be a pristine Fluoride Oxalate/SST tube – place DO NOT OPEN sticker around the lid. Alcohol swab must not be used to clean area. Police/legal purpose sample Western Diagnostic Pathology is not licensed to perform Blood Alcohol analysis for police or legal purposes. Such samples (usually in a sealed envelope) cannot be accepted. Do not accept the samples and advise the patient to contact the Forensic Science at ChemCentre on 08 9422 9800 for cost and instruction.

2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

EUC (ELECTROLYTES, UREA AND CREATININE)

1 x SST 2mL

EVEROLIMUS 1 x EDTA - dedicated tube required

Referred to: PathWest QEII 1mL

EXON 12 MUTATION 2 x EDTA 6mL - Pink, dedicated tube

Referred to: Royal Melbourne Hospital 4mL

EYE SWAB MC&S Swab - Blue Top Gel

DO NOT REFRIGERATE

FACTOR II 2 x Sodium Citrate Referred to: PathWest FSH Must be to Myaree lab within 10hours - transport in Blue bag. Or single spin/separate/freeze and transport frozen. Patient to complete questionnaire: FRM-COLL-43. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

FACTOR INHIBITORS See INHIBITOR SCREEN entry for Collection requirements. See: FRM- COLL-86 - Coagulation Collection Guide

FACTOR IX See FACTOR STUDIES entry for collection requirements. See: FRM- COLL-86 - Coagulation Collection Guide

FACTOR STUDIES 3 x Sodium Citrate To Myaree within 10hours - transport in a blue bag. Or single spin/separate/freeze and transport frozen. Patient to complete Questionnaire: FRM-COLL-43. NOTE: This panel incorporates any of the following tests - VWF antigen, Risocetin CoFactor, Collagen binding assay (CBA), Factors VIII, IX, XI and/or XII. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

FACTOR V 2 x Sodium Citrate Referred to: PathWest FSH Must be to Myaree within 10hrs - transport in blue bag. Or single spin/separate/freeze and transport frozen. Patient to complete questionnaire: FRM-COAG-43. NOTE: This is a different test to Factor V Leiden. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

FACTOR V LEIDEN GENE MUTATION

Yes 1 x EDTA 6mL - Pink, dedicated tube

Referred to: Genomic Diagnostics This test is performed in same assay with Factor II/Prothrombin gene mutation. The same charge applies whether testing for just Factor V Leiden or together with Factor II/Prothrombin gene. Eligible for Medicare rebate if patient has had a proven venous thrombosis or pulmonary embolism or has a first degree relative with the mutation.

1mL

FACTOR VII 2 x Sodium Citrate Referred to: PathWest FSH Must be to Myaree within 10hours - transport in blue bag. Or single spin/separate/freeze and transport frozen. Patient to complete questionnaire: FRM-COAG-43. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

FACTOR VIII See FACTOR STUDIES entry for collection requirements. See: FRM- COLL-86 - Coagulation Collection Guide

FACTOR X 2 x Sodium Citrate Referred to: PathWest FSH Must be to Myaree within 10hours - transport in blue bag. Or single spin/separate/freeze and transport frozen. Patient to complete questionnaire: FRM-COAG-43. NOTE: This is a different test to Anti-Xa. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

FACTOR X-ACTIVATED CLOTTING TIME

2 x Sodium Citrate Referred to: PathWest FSH Must be at the lab within 4hours -transport in blue bag. Or double spin/separate/freeze and transport frozen. Patient to complete questionnaire: FRM-COLL-43. Complete FRM-COLL-43 See: FRM- COLL-86 - Coagulation Collection Guide

2.7mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

FACTOR XI See FACTOR STUDIES entry for collection requirements. See: FRM- COLL-86 - Coagulation Collection Guide

FACTOR XII See FACTOR STUDIES entry for collection requirements. See: FRM- COLL-86 - Coagulation Collection Guide

FACTOR XIII 2 x Sodium Citrate Referred to: PathWest FSH Must be at Myaree within 10hours - transport in blue bag. Or single spin/separate/freeze and transport frozen. Patient to complete questionnaire: FRM-COAG-43. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

FAECAL CALPROTECTIN Yes Faeces Container 10g

FAECAL HAEMOGLOBIN (HUMAN) 1 x Faeces Container or 2 x Faeces Container or 3 x Faeces Container

Faecal Occult Blood (FOB) Testing is usually performed on 3 specimens to increase the sensitivity of the testing. Prior to collection provide the patient a copy of FRM-COLL-13 (Faecal Specimen Collection Patient Information sheet) to assist with the collection procedure. (Don’t forget to give the patient enough brown topped faeces jars and specimen bags). If the request is for multiple samples, they need to be collected on separate days. The patient should be instructed to return the samples as they are collected. Alternatively, they may be kept in the fridge (2-8°C) for up to 72 hours. See: WI- COLL-80 - Faecal Occult Blood

FAECAL LACTOSE INTOLERANCE Faeces Container Referred to: QML Pathology Sample sent as REDUCING SUBSTANCES in children under 11 years old. Not available over this age

FAECAL MULITPLEX PCR 1 x Faeces Container

See WI-COLL-115 and FRM-COLL-81 (Swab Collection guide) Tests for the following pathogens by PCR: Salmonella species, Campylobacter, Shigella, Aeromonas, Yersinia enterolytica, Giardia, Crypstoporidium, Dientamoeba fragili, Blastocystis hominis & Entamoeba histolytica.

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Test Name Out of Pocket Specimen Collection Method Min

Vol

FAECES - LISTERIA CULTURE 1 x Faeces Container

See: WI-COLL-78 - Faeces MC&S and Multiplex PCR

FAECES MICROSCOPY - FAT GLOBULES

1 x Faeces Container

FAECES MICROSCOPY ONLY (OCP) Faeces Container See Faeces for Parasite WI

FAECES OCP/MC&S Faeces Container See: WI-COLL-78 - Faeces MC&S and Multiplex PCR

FAMILIAL HYPERCHOLESTEROLAEMIA DNA STUDIES

The RPH Lipid Disorders Clinic runs the state FH service and can be contacted on 9224 8092, 9224 1319 (fax), or [email protected] Please instruct the patient/doctor to call the above number and DO NOT COLLECT SAMPLES.

FAMILIAL MEDITERRANEAN FEVER Yes 2 x EDTA 6mL - Pink, dedicated tube

Referred to: PathWest QEII 9 mL

FARMERS LUNG SEROLOGY 1 x SST Referred to: PathWest QEII 2mL

FASCIOLA HEPATICA SEROLOGY 1 x SST Referred to: ICPMR Westmead Hospital (NSW)

2mL

FDP See D-DIMER entry for collection requirements. See: FRM-COLL-86 - Coagulation Collection Guide

FE/ FE STUDIES 1 x SST 2mL

FEMALE SEX HORMONES 1 x SST 2mL

FERRITIN 1 x SST 2mL

FES 1 x SST 2mL

FIB4 1 x SST and 1 x Sodium Citrate

2mL

FIBRIN DEGRADATION PRODUCTS See D-DIMER entry for collection requirements. See: FRM-COLL-86 - Coagulation Collection Guide

FIBRINOGEN 2 x Sodium Citrate To lab within 10hours. Transport in a Blue bag. Otherwise, single spin, separate and freeze and transport frozen. Patient to complete questionnaire: FRM-COLL-43. See: FRM-COLL-86 - Coagulation Collection Guide

2.7 mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

FIBROBLAST GROWTH FACTOR 23 Test Not Available

FILARIA BLOOD PARASITES (URGENT – Result within 4hours)

1 x EDTA Full Name, DOB or URN, DOC & TOC must be on EDTA tube. Collector must sign EDTA tube and request form. NOTE: Only 1 EDTA required for any combination of FBC/Indices, ESR, Malaria, RET, HbA1C, HE, FLM.

1ml

FILARIASIS SEROLOGY 1 x SST Referred to: ICPMR Westmead Hospital (NSW)

2 mL

FIP1L1-PDGFRA 1 x EDTA 6mL - Pink, dedicated tube or Bone Marrow in EDTA

Referred to: PathWest QEII Collect on Monday to Thursday. Do not collect on Public Holidays.

FIRST TRIMESTER SCREEN (FTS) 1 x SST - Spin and freeze ASAP

Acceptable gestation age: 8 weeks 0 days to 13 weeks 6 days. Fill out Antenatal Patient Questionnaire (FRM-COLL-6). Please note- out of pocket fee of $30 no longer applicable. Bulk billed.

4 mL

FIRST TRIMESTER SCREEN (SAMSAS)

1 x SST SAMSAS requests only.

4 mL

FISH - FLUORESCENCE IN SITU HYBRIDISATION - BLOOD

1 x Lithium Heparin

Please confirm with Genetics Dept. on 08 9317 0922 if unsure about FISH request

2mL

FISH -FLUORESCENCE IN SITU HYBRIDISATION- PRENATAL

DOCTOR COLLECT

FISH FOR H.E.S 1 x EDTA - dedicated tube required and 1 x Lithium Heparin - DO NOT SPIN

Referred to: PathWest FSH Lithium Heparin sample - Place DO NOT SPIN sticker around the lid.

3mL each

FLAVIVIRUS SEROLOGY 1 x SST Referred to: PathWest QEII 2 mL

FLECAINIDE 1 x Plain Tube (Red Top) - Spin, Separate & Freeze

Referred to: QML Pathology 2 mL

FLOW CYTOMETRY 1 x ACD and 1 x EDTA

Full tube of ACD (can use 1mL of EDTA ONLY if paediatric or elderly/infirm). See: WI-COLL-96 - Flow Cytometry

6mL ACD

FLUCLOXACILLIN 1 x Lithium Heparin spin, separate & freeze ASAP

Referred to: PathWest FSH 2 mL

FLUCONAZOLE 1 x EDTA - dedicated tube required, spin, separate & freeze ASAP

Referred to: SydPath Pathology at St Vincent's Hospital (NSW) Transport on ice brick. Do not use tubes containing separator gel.

1 mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

FLUCYTOSINE 1 x EDTA - spin, separate & freeze

Referred to: SydPath Pathology at St Vincent's Hospital (NSW) Collect just prior to next dose. Provide clinical and medication details.

3mL

FLUNITRAZEPAM 1 x Lithium Heparin - Spin, Separate, Foil & Freeze ASAP

Referred to: QML Pathology Collect immediately prior to next dose. Provide clinical and medication details, including time and date of last dose

2mL

FLUORIDE 1 x Urine Container

Referred to: PathWest QEII Keep urine cold on ice brick.

10 mL

FLUOXETINE 1 x Plain Tube (Red Top) - Spin, Separate & Freeze ASAP

Referred to: Royal Prince Alfred (NSW) Trough level required. Provide clinical and medication details, including time and date of last dose. Transport sample on ice brick.

2mL

FNA CYTOLOGY Yes DR COLLECT If a WDP Pathologist is required to perform the FNA procedure, advise patient to contact 08 9317 0916 on Monday to Friday between 9am-5pm to make a booking. NOTE: Pathologist performed FNAs are only done at the Mount Hospital Laboratory Collection Centre. No out of pocket expense if patient is Pensioner or Veterans Affairs.

FOETO-MATERNAL TEST 1 x EDTA 6mL - Pink, dedicated tube

1. Full Name, DOB or URN, DOC & TOC must be on EDTA tube and request form. All information must match between form and sample.

2. Collector must sign the tube and certifier on form - these signatures must match.

Contact Transfusion Medicine Dept. on 08 9321 3300 for any enquiries.

1mL

FOLATE 1 x SST 2mL

FOLIC ACID 1 x SST 2mL

FOLLICLE STIMULATING HORMONE (FSH)

1 x SST 2mL

FRAGILE X Yes 1 x EDTA - dedicated tube required

Referred to: Genomic Diagnostics It can also be part of the Genetic Carrier Screen (for females).

1mL

FREE ANDROGEN INDEX (FAI) 1 x SST 1mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

FREE FATTY ACID 1 x SST spin separate and freeze

Referred to: PathWest QEII NOTE: This is not ESSENTIAL FATTY ACIDS or VERY LONG-CHAIN FATTY ACIDS.

2mL

FREE LIGHT CHAINS 1 x SST 3mL

FREE PSA 1 x SST Patient to complete FRM-COLL-36 Prostate Specific Antigen (PSA) Patient Questionnaire

2mL

FREE TESTOSTERONE 1 x SST 3mL

FRISIUM 1 x Plain Tube (Red Top) - Spin, Separate & Freeze

Referred to: Royal Brisbane and Women’s Hospital (QLD) Record dosage and time and date of last dose.

2mL

FRUCTOSAMINE 1 x SST Referred to: QML Pathology Provide clinical and medication details.

2mL

FRUSEMIDE 1 x Urine Container - random

Referred to: Royal Melbourne Hospital 20 mL

FSH 1 x SST 2mL

FT3 1 x SST Patient to complete FRM-COLL-45 Patient questionnaire for Thyroid Function Tests

2mL

FT4 1 x SST Patient to complete FRM-COLL-45 - Patient questionnaire for Thyroid Function Tests

2mL

FULL BLOOD COUNT 1 x EDTA Full Name, DOB or URN, DOC & TOC must be on EDTA tube. Collector must sign EDTA tube and request form. NOTE: Only 1 EDTA required for any combination of FBC/Indices, ESR, Malaria, RET, HbA1C, HE. Occasionally Dr will request citrate for platelet count. Collect 1 x citrate and 1 x EDTA.

2ml

FUNGAL ANTIBODIES 1 x SST Referred to: PathWest QEII 2 mL

G6PD 1 x EDTA - dedicated tube required

Referred to: QML Pathology or PathWest QEII (child samples or commercial) NOTE: G6PD must be analysed within 5 days of sample collection.

1 mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

GABAPENTIN 1 x Plain Tube (Red Top) - Spin, Separate & Freeze

Referred to: Royal Prince Alfred Hospital (NSW) Provide clinical and medication details including date and time of last dose. Collect trough sample just prior to next dose.

1mL

GAD 1 x SST Referred to: QML Pathology Test can be sent to PathWest if Islet cell is also requested - testing: Fortnightly on Mondays.

1mL

GALACTOMANNAN ANTIGEN 1 x SST Referred to: PathWest FSH 2mL

GASTRIN 1 x Lithium Heparin spin, separate & freeze ASAP

Referred to: PathWest FSH 1mL

GAUCHER DISEASE Yes 1 x EDTA 6mL - Pink, dedicated tube

Referred to: Women's and Children's Hospital (SA) Advise patient there will be out of pocket (estimated cost: $2550.00 – subject to change). If the patient does not accept the cost, do not collect a specimen for the test and advise the patient to discuss with the requesting doctor. Do not collect on Fridays. Women's and Children's Hospital, Adelaide needs to receive sample within 48 hours.

6 mL

GBM 1 x SST Referred to: PathWest QEII Tested on Friday AM

2mL

GCT 1 x Fluoride Oxalate

Patient does not need to be fasting. 1. Give 50g drink 2. 1-hour post drink, take 1 FLOX See: WI-COLL-57 - Gestational Diabetes Test

2mL

GENERAL SWABS/FLUIDS MC&S Swab - Blue Top Gel or Urine Container

DO NOT REFRIGERATE Based on Request see Eye swab WI, Nasal swab WI, Sputum culture WI, Throat swab WI, Wound swab WI,

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Test Name Out of Pocket Specimen Collection Method Min

Vol

GENERATION NON INVASIVE PRENATAL TESTING (NIPT)

Yes 1 x Streck tube Referred to: Genomic Diagnostics Collection Method: See: WI-COLL-79 Generation NIPT Blood Collection Collection Window: Generation (test code: NIP) collections all days. Generation Plus (test code: NPX) (Perth Metro): Monday & Tuesday before 11am. Generation Plus (test code: NPX) (Regional & NT): Monday only before 11am. Payment: Call Genomic Diagnostics 1800 822 999 (Mon-Fri 9am-5pm AEST) for payment. Online payments also available: genomicdiagnostics.com.au/shop/generation-nipt/ Attach FRM-COLL-87 NIPT Pre-payment Authorisation Form if patient has not made payment prior to attending the collection centre. Request form: Must have NIPT request form: Generation or competitor NIPT request form (regular request forms not accepted). Enquiries to WDP Genetics Dept. on 08 9317 0922 or Genomic Diagnostics 1800 822 999 (Mon-Fri 9am-5pm AEST)

7mL

GENETIC CARRIER SCREENING Yes 2 x EDTA - dedicated tube required

Can collect one EDTA when all three tests (CF, SMA and FraX) are requested together. Performed at Genomic Diagnostics Combination testing for Cystic Fibrosis, Spinal Muscular Atrophy and Fragile X

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Test Name Out of Pocket Specimen Collection Method Min

Vol

GENITAL MICRO /MC&S DOCTOR COLLECT DO NOT REFRIGERATE Please Note swabs collected from genital sites are required to be collected by referring doctor.

GENTAMICIN (URGENT – Result before next dosing)

1 x Plain Tube (Red Top)

Result required before next dosing. Test is performed at Joondalup Laboratory. Record, time, date, amount of last dose and next dose. For regional and NT collection centres Please refer the sample to the nearest hospital

1ml

GESTATIONAL DIABETES SCREEN 1 x Fluoride Oxalate

Patient does not need to be fasting. 1. Give 50g drink 2. 1-hour post drink, take 1 x FLOX See: WI-COLL-57 - Gestational Diabetes Test

2mL

GGT 1 x SST 2mL

GGT (FLUID) DOCTOR COLLECT 2mL

GILBERT’S SYNDROME Yes 1 x EDTA - dedicated tube required DO NOT SPIN

Referred to: PathWest QEII DO NOT SPIN down, separate or freeze sample. Optimal DNA yield is extracted from a sample within 3 days of sample collection. DNA degradation can occur in samples older than 3 days post collection. This degradation is significant after 5 days post collection.

1mL

GLIADIN ANTIBODIES 1 x SST 1ml

GLOBULINS (CALCULATED) 1 x SST 2mL

GLOMERULAR FILTRATION RATE 1 x SST 2mL

GLUCAGON 1 x Special Collection Tube – Spin, separate and freeze ASAP

Referred to: Royal Prince Alfred Hospital (NSW) Patient must be fasting. Collection at Myaree Laboratory ONLY Special Tube (0.25mL TRAYSOL in 5mL EDTA) is available from Manual Chemistry (08 9317 0838)

2 mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

GLUCOCORTICOSTEROID 1 x SST AM sample: to be collected between 0800 - 0900 am. PM sample: to be collected between 1600 - 1700 pm. Random sample: anytime and note the time of collection on the form.

2mL

GLUCOSE (ACC) 1 x SST Serum must be spun within 4 hours of collection. No exception. If unable to spin on site, collect a FLOX.

2mL

GLUCOSE (DOCTOR/NURSING HOME/MOBILE COLLECT)

1 x Fluoride Oxalate

2mL

GLUCOSE (FLUID) DOCTOR COLLECT 2mL

GLUCOSE (POST PRANDIAL) 1 x Fluoride Oxalate

Post prandial means after a meal. Glucose sample to be collected at a certain time post prandial (doctor will specify time). 1-hour Post Prandial PP - collect 1 x FLOX 1 hour after meal. 2-hour Post Prandial PP - collect 1 x FLOX 2 hour after meal. When noting the time of the last meal on the request form - state the time to the nearest half hour. See: WI-COLL-59 - Glucose Post Prandial Testing

2mL

GLUCOSE CHALLENGE TEST 1 x Fluoride Oxalate

Patient does not need to be fasting. 1. Give 50g drink 2. 1-hour post drink, take 1x FLOX See: WI-COLL-57 - Gestational Diabetes Test

2mL

GLUCOSE TOLERANCE TEST 3 x Fluoride Oxalate

Note if GROWTH HORMONE is co-requested (refer to GROWTH HORMONE SUPPRESSION TEST). Note if INSULIN co-requested (refer to INSULIN LEVELS). See: WI-COLL-58 - Glucose Tolerance Testing

2mL

GLUTATHIONE PEROXIDASE 1 x Lithium Heparin - DO NOT SPIN

Referred to: Royal Brisbane Hospital Transport on ice brick

1 mL

GLYCEROL 1 x Urine Container - random

Referred to: Royal Brisbane Hospital 10mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

GNATHOSTOMA 1 x SST Referred to: PathWest

GOLD 2 x EDTA - dedicated tube required

Referred to: Royal Prince Alfred Collect immediately prior to next dose or at least 8 hours after last dose. Provide clinical and medication details.

0.5 mL

GONADOTROPHINS 1 x SST 2mL

GROUP AND HOLD (G&H) (URGENT)

1 x EDTA 6mL - Pink, dedicated tube

1. Ask the patient whether they have been transfused or pregnant in the last 3 months – note on request form.

2. Ask date of operation and which hospital it is to be performed at – note on request form.

3. Full Name, DOB or URN, DOC & TOC must be on EDTA tube and request form. All information must match between form and sample.

4. Collector must sign the tube and certifier on form - these signatures must match.

Contact Transfusion Medicine Dept. on 08 9321 3300 for any enquiries.

6mL

GROWTH HORMONE 1 x SST - Spin and freeze ASAP

Growth Hormone and IGF-1 are usually co-requested but can be requested individually. If tests are co-requested, only collect 1x SST spin, separate and freeze ASAP for both tests. Patient should be fasting unless specifically requested. Allow patient to rest (sitting or lying down) for 30 minutes prior to collection. Note RESTED on request form. If patient is reluctant/ unable to wait, then collect the sample and note NOT RESTED on request form.

4mL

GROWTH HORMONE SUPRESSION TEST

5 x SST - Spin and freeze and 5 x Fluoride Oxalate

1. Collect fasting SST and FLOX. 2. Give patient 75g glucose drink. 3. Collect SST and FLOX at 30 min, 60

min, 90 min and 120 min post glucose drink.

1 mL each

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Test Name Out of Pocket Specimen Collection Method Min

Vol

GTT EXTENDED 5 x Fluoride Oxalate

1. Collect 1 x fasting, 2. Give patient 75g glucose drink 3. Collect 1 x 1-hour post drink, 4. Collect 1 x 2-hour post drink, 5. Collect 1 x 3-hour post drink and 6. Collect 1 x 4-hour post drink. See: WI- COLL-58 - Glucose Tolerance Testing

2mL each

GUMP 1 x Dry Swab - Orange/White

Referred to: PathWest QEII See WI-COLL-115 and FRM-COLL-81 (Swab Collection guide)

H5N1 1 x SST Referred to: PathWest QEII 1mL

HAEMOCHROMATOSIS GENE (HFE)

Yes 1 x EDTA - dedicated tube required

Referred to: Genomic Diagnostics Eligible for Medicare rebate if patient has elevated transferrin saturation or ferritin on repeat testing or patient has a first degree relative with haemochromatosis or first degree relative with homozygosity for C282Y or compound heterozygote C282Y/H63D. If unsure, advise patient to contact Genomic Diagnostics 1800 822 999 (Mon-Fri 9am-5pm AEST)

6mL

HAEMOGLOBIN A1C 1 x EDTA Full Name, DOB or URN, DOC & TOC must be on EDTA tube. Collector must sign EDTA tube and request form. Samples from distant collection sites should be kept as cool as possible post collection, and in transit, until it reaches the laboratory. NOTE: Only 1 EDTA required for any combination of FBC/Indices, ESR, Malaria, RET, HbA1C, HE.

1ml

HAEMOGLOBIN/THALASSAEMIA DNA STUDIES

1 x EDTA and 1 x SST

Samples from distant collection sites should be kept as cool as possible post collection, and in transit, until it reaches the laboratory. Only performed as an additional test dependent on Hb Electrophoresis (HE) results. Sample will be referred by Haematology staff if required.

2 mL each

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Test Name Out of Pocket

Specimen

Collection Method Min Vol

HAEMOGLOBINOPATHY STUDIES 1 x EDTA and 1 x SST

Full Name, DOB or URN, DOC & TOC must be on EDTA tube. Collector must sign EDTA tube and request form. Sample coming from a distant collection centre must be kept as cool as possible post collection, and in transit, until it reaches the laboratory. NOTE: Only 1 EDTA required for any combination of FBC/Indices, ESR, Malaria, RET, HbA1C, HE. FBC and IRS need entering along with HE - All required for interpretation.

2ml each

HAEMOPHILIA GENE TEST Yes 1 x EDTA 6mL - Pink, dedicated tube

Referred to: Adelaide Women's and Children's Hospital. If abnormal Factor VIII price will increase. Consent is required before sending. Factor VIII result is also required to be sent with samples and consent.

4mL

HAEMOPHILIA SCREEN See FACTOR STUDIES entry for Collection requirements. See: FRM- COLL-86 - Coagulation Collection Guide

HAEMOPHILUS DUCREYI PCR 1 x Dry Swab - Orange/White

Referred to: PathWest QEII See WI-COLL-115 and FRM-COLL-81 (Swab Collection guide)

HAEMOPHILUS INFLUENZAE B AB 1 x SST Referred to: Children's Hospital at Westmead (NSW)

2 mL

HAIR ANALYSIS DOCTOR COLLECT

HALOPERIDOL 1 x Plain Tube (Red Top)

Referred to: PathWest QEII 1 mL

HBA1C 1 x EDTA Full Name, DOB or URN, DOC & TOC must be on EDTA tube. Collector must sign EDTA tube and request form. Samples from distant collection sites should be kept as cool as possible post collection, and in transit, until it reaches the laboratory. NOTE: Only 1 EDTA required for any combination of FBC/Indices, ESR, Malaria, RET, HbA1C, HE.

1ml

HCG 1 x SST 2mL

HDL 1 x SST See: WI-COLL-61 - Lipid Testing 2mL

HE4 Yes 1 x SST Referred to: Laverty Pathology. Spin & transport on ice brick.

1 mL

HEATSHOCK IGAM 1 x SST spin separate and freeze

Referred to: ICPMR (NSW) 1 mL

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Test Name Out of Pocket Specimen Collection Meth00od Min

Vol

HEAVY METAL SCREEN 1 x Trace Element Free - DO NOT SPIN

Referred to: Laverty Pathology 4mL

HELICOBACTER ANTIBODIES 1 x SST 2mL

HELICOBACTER BREATH TEST 1 x PYTest kit (C- 14 Urea Breath Test)

Do not do the test if the patient is pregnant or if the patient is likely to be pregnant or breastfeeding. See WI- COLL-93 - Helicobacter C14 collection and FRM-COLL-90 - Helicobacter Restricted Medication List

HELICOBACTER PYLORI ANTIGEN STOOLS

1 x Faeces Container

HELICOBACTER PYLORI SEROLOGY 1 x SST 2 mL

HEP B VIRAL LOAD 1 x SST - dedicated tube required - DO NOT OPEN

Referred to: QML Pathology Must be a pristine SST tube – place DO NOT OPEN sticker around the lid.

1mL

HEPARIN-INDUCED THROMBOCYTOPENIA SCREENING

4 x Sodium Citrate and 1 x Plain Tube (Red Top)

Referred to: PathWest FSH Must be at FSH within 4hrs of collection (or can be spun/frozen then sent). Contact PathWest prior to collection. Must submit a vial of the same Heparin given to the patient. See: FRM-COLL-86 - Coagulation Collection Guide

10 mL

HEPASCORE Yes 1 x SST Referred to: PathWest QEII 2 mL

HEPATITIS A IGG ANTIBODY 1 x SST 2 mL

HEPATITIS A IGM ANTIBODY 1 x SST 2 mL

HEPATITIS B CORE ANTIBODY 1 x SST 2 mL

HEPATITIS B E ANTIGEN / ANTIBODY

1 x SST 2 mL

HEPATITIS B SURFACE ANTIBODY 1 x SST 2 mL

HEPATITIS B SURFACE ANTIGEN 1 x SST 2 mL

HEPATITIS C GENOTYPE 1 x SST - dedicated tube required

Referred to: PathWest FSH This test uses significant serum volume- please ensure full SST is collected. Only sent away if checked by a Microbiologist.

8 mL

HEPATITIS C PCR 1 x SST - dedicated tube required

Referred to: PathWest FSH This test uses significant serum volume- please ensure a full SST is collected. Only sent away if checked by a Microbiologist.

8 mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

HEPATITIS C VIRAL LOAD 1 x SST - dedicated tube required - DO NOT OPEN

Referred to: PathWest FSH Must be a pristine SST tube – place DO NOT OPEN sticker around the lid.

8 mL

HEPATITIS C VIRUS ANTIBODY 1 x SST 2 mL

HERBICIDES Yes 1 x Urine Container - random

Referred to: WorkCover NSW If PESTICIDES are also requested, collect blood (see PESTICIDES).

20 mL

HEREDITARY NEUROPATHY DNA TEST

2 x EDTA 6mL - Pink, dedicated tube

Referred to: PathWest QEII Specimens are received at PathWest Monday to Friday 0800 to 1700. Prenatal diagnosis must be arranged prior - please contact PathWest QEII well in advance of sample collection date.

2 mL each

HEREDITARY SPASTIC PARAPLEGIA 2 x EDTA 6mL - Pink, dedicated tube

Referred to: PathWest QEII. Specimens are received at PathWest Monday to Friday 0800 to 1700. Requests for predictive testing should be directed through Genetic Services of WA or the Neurosciences Unit. Prenatal diagnosis must be arranged prior - please contact PathWest QEII laboratory well in advance of sample collection date.

2 mL each

HEREDITARY SPHEROCYTOSIS 1 x EDTA - dedicated tube required

Referred to: PathWest QEII Transport on ice brick - to arrive in testing laboratory within 48 hours of collection (Collect between Mon-Thursday).

1mL

HERPES SEROLOGY 1 x SST 1 mL

HERPES SIMPLEX PCR 1 x Dry Swab - Orange/White or 1 x Swab - Viral Transport Media

See WI-COLL-115 and FRM-COLL-81 (Swab Collection guide) Please note swabs collected from genital sites are required to be collected by the referring doctor. PathWest can run PCR off Whole EDTA but not recommended as may contain PCR inhibitors.

HETEROPHILE ANTIBODIES 1 x SST 2mL

HFE- SEE HEAMOCHROMATOSIS

HGPRT 1 x Lithium Heparin - DO NOT SPIN

Referred to: Royal Brisbane Hospital 5 mL

HHV6 PCR 1 x EDTA - dedicated tube required

Referred to: PathWest QEII 2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

HHV6 SEROLOGY 1 x SST Referred to: PathWest QEII 1mL

HHV8 PCR 1 x EDTA - dedicated tube required

Referred to: PathWest QEII 2mL

HIGH DENSITY LIPOPROTEIN 1 x SST See: WI-COLL-61 - Lipid Testing 2mL

HIGH SENSITIVE TROPONIN (URGENT – Result within 2hours)

1 x SST Must be in the testing lab within 1 hour – call Laboratory Liaising Officer on 08 9317 0814 for Myaree. For country and NT laboratories: call the testing laboratory directly. Collectors to obtain an after-hours contact number for requesting doctors.

2mL

HISTAMINE BLOOD Yes 2 x Lithium Heparin frozen whole - DO NOT SPIN

Referred to: Sullivan Nicolaides (QLD) Provide clinical and medication details.

4mL each

HISTOLOGY Formalin pot Dr collect only.

HISTONE ANTIBODIES 1 x SST Referred to: PathWest QEII Only if ANA is positive.

1mL

HISTOPLASMOSIS SEROLOGY SST Referred to: PathWest QEII 2 mL

HISTOPLASMOSIS URINE 1 x Urine Container - random

Referred to: PathWest QEII 10 mL

HITT OR HIT SCREEN See HEPARIN-INDUCED THROMBOCYTOPENIA SCREENING entry for collection details. See: FRM-COLL-86 - Coagulation Collection Guide

HIV RESISTANCE TESTING 2 x EDTA - spin, separate & freeze ASAP

Referred to: PathWest FSH Transport on ice brick. Can be performed alongside HIV viral load

4 mL

HIV SEROLOGY (NOT VIRAL LOAD) 1 x SST NOTE: This is not HIV VIRAL LOAD If HIV Viral Load is requested, collect 2 x EDTA spin, separate and freeze.

2 mL

HIV VIRAL LOAD 2 x EDTA - spin, separate & freeze ASAP

Referred to: PathWest FSH Transport on ice brick.

4 mL

HIV WESTERN BLOT Yes SST Only to be added by the Lab

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Test Name Out of Pocket Specimen Collection Method Min

Vol

HLA ANTIBODIES SST Referred to: PathWest FSH

HLA B 1502 ACD & EDTA Referred to: PathWest FSH

HLA DQB1 0620 2 x ACD Referred to: PathWest FSH

HLA TYPING ACD Referred to: PathWest FSH

HLA-B27 1 x EDTA 6mL - Pink

Referred to: Genomic Diagnostics 6mL

HLA-DR FOR RA MOTIFS EDTA or ACD Referred to: PathWest QEII 9mL

HMG - COA REDUCTASE AB SST Referred to: PathWest QEII

HOLTER MONITOR Holter Monitor Done at specific sites only by phone appointment. See FRM-COLL-102 - Specialised Test Locations

HOMOCYSTEINE 1 x PPT spin within 30 minutes of collection

Spin within 30 minutes of collection. Do not freeze or separate.

2mL

HOMOCYSTEINE URINE 1 x Urine Container - dedicated jar required. Freeze ASAP

Referred to: PathWest QEII 20mL

HORMONE PROFILE 1 x SST 2mL

HRP 1 x SST 2mL

HSV PCR (PAEDIATRIC BLOOD) 1 x EDTA This test is for requests that specifically request HSV PCR from blood on paediatric patients only. For all other Herpes simplex PCR see HSV PCR. If collected out of hours, the on- call Clinical microbiologist must be contacted.

1mL

HTLV SEROLOGY 1 x SST Referred to: PathWest QEII 2mL

HUMIRA 1 x SST spin separate and freeze ASAP

Referred to: PathWest QEII Collect trough level

HUNTINGTON'S STUDIES 2 x EDTA 6mL - Pink, dedicated tube

Referred to: PathWest QEII Ideally two separate specimen collection are required on two separate days. Please collect 1 x EDTA 6mL then provide DT form to patient for second collection for the following day on a separate lab number.

6mL

HYDATID (HA) SEROLOGY 1 x SST Referred to: PathWest QEII

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Test Name Out of Pocket Specimen Collection Method Min

Vol

HYDROGEN/ METHANE BREATH TEST

Yes Special Collection Kit

Home collect or book appointment through Gastrolab on 1300 624 771. Gastrolab is located at Mt Pleasant ACC (Unit 6 16 Queens Rd). Patient can either visit Gastrolab for sample collection or can be ordered from home by ordering collection kit from www.wdp.com.au.

HYDROXY PHENOL ACETIC ACID 1 x Urine Container - random

Referred to: PathWest QEII 20mL

HYDROXYCHLOROQUINE 1 x Lithium Heparin - DO NOT SPIN

Referred to: PathWest QEII Peak and trough samples collected (i.e. pre and 2-hour post tablet). Place DO NOT SPIN sticker around the lid.

1mL

HYDROXYCHOLECALCIFEROL Yes 1 x SST Western Diagnostic Pathology will bulk bill when indicated by referring doctor. WDP assume requesting doctor has determined that patient meets requirements as stipulated in the Medicare Benefits Schedule (Item No: 66833) Request form to be stamped with "Patient Advised of Fee" and signed by the patient acknowledging that an out of pocket payment will be due. See: WI-COLL- 113 Vitamin D Bulk Billing Criteria

2mL

IA2 ANTIBODIES 1 x SST Referred to: PathWest QEII 2mL

IDH 1 & 2 1 x EDTA 6mL - Pink, dedicated tube

For patients with AML 2mL

IGA 1 x SST 2mL

IGA SUBCLASSES DO NOT COLLECT - test not currently available in Australia

IGD 1 x SST Referred to: Royal Prince Alfred Hospital

2mL

IGE 1 x SST 2mL

IGF 2 Test Not Available 2mL

IGF BP3 1 x SST spin separate and freeze

Referred to: PathWest QEII 1mL

IGF-1 1 x SST - Spin and freeze

Spin and freeze IGF-1 and Growth Hormone are usually co-requested but can be requested individually. If tests are co-requested, only collect 1 SST (spin and freeze) for both tests.

4mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

IGG 1 x SST 2mL

IGG FOOD SENSITIVITY 1 x SST Referred to: Healthscope Functional Health Pathology

2mL

IGG SUBCLASSES 1 x SST Referred to: QML Pathology 2mL

IGM 1 x SST 2mL

IMMUNOFIXATION 1 x SST If the urine immunofixation is requested, collect 1x spot urine or 24-hour urine if requested by doctor.

2 mL

IMMUNOGLOBULIN D 1 x SST Referred to: Royal Prince Alfred Hospital

2mL

IMMUNOGLOBULINS 1 x SST 2mL

IMMUNOPHENOTYPING 1 x ACD and 1 x EDTA

Full tube of ACD (can use 1mL of EDTA ONLY if paediatric or elderly/infirm). See: WI-COLL-96 - Flow Cytometry

6mL ACD

INFECTIOUS MONONUCLEOSIS SCREEN

1 x SST 2 ml

INFLUENZA A&B 1 x SST Referred to: QML Pathology 2mL

INFLUENZA A/B PCR 1 x Dry Swab - Orange/White or 1 x Swab - Viral Transport Media

See WI-COLL-115 and FRM-COLL-81 (Swab Collection guide)

INHIBIN A/B/ SCREEN Yes 1 x SST spin separate and freeze

Referred to: QML Pathology 1mL

INHIBITOR SCREEN

3 x Sodium Citrate

To Myaree within 4hrs (transport in blue bag) or single spin/separate/freeze. Transport on dry ice. Patient to complete Coagulation Questionnaire: FRM- COLL-43. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

INORGANIC PHOSPHATE 1 x SST 2mL

INR OR INTERNATIONAL NORMALISED RATIO (WARFARIN MONITORING)

1 x Sodium Citrate Must be at the lab within 24 hours (transport in blue bag) or single spin, separate and freeze. For patients on WARFARIN (Coumadin or Marevan). Record date, time and amount of last dose on form. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

INSECTS IDENTIFICATION 1 x Urine Container

Referred to: Dr Peter Neville | Medical Entomologist Medical Entomology | Public Health Division Mount Claremont. Normally submitted by patient in container already.

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Test Name Out of Pocket Specimen Collection Method Min

Vol

INSTANT DRUG SCREEN Full Chain of Custody Collect Please ensure you have completed all relevant fields on the chain of custody before the donor leaves. All non- negative cups need to be split into Vacutainers and sent into the laboratory for storage. Please fax completed form to Toxicology Dept. on 08 93170859 for resulting. See: WI-COLL- 53 - Drugs of Abuse Collection Manual

10mL

INSULIN 1 x SST Patient should be fasting unless specifically indicated

2 mL

INSULIN ANTIBODIES 1 x SST spin separate and freeze

Referred to: Royal Prince Alfred Hospital

1mL

INSULIN LEVELS 3 x SST and 3 x Fluoride Oxalate

Patient MUST be fasting. 1. Collect 1 x fasting SST & 1x FLOX. 2. Give 75g glucose drink 3. Collect 1x SST & 1x FLOX 1-hour

post drink 4. Collect 1x SST & 1x FLOX 2-hour

post drink

2 mL each

INTERLEUKIN 28B POLYMORPHISM GENOTYPE (IL28B)

1 x EDTA - dedicated tube required

Referred to: PathWest QEII 1mL

INTERLEUKIN 6 Yes 1 x SST - spin separate and freeze

Referred to: QML Pathology 1mL

INTRINSIC FACTOR ANTIBODY 1 x SST 1mL

IODINE BLOOD Yes 1 x Trace Element Free - DO NOT SPIN

Referred to: Royal North Shore (NSW) Place DO NOT SPIN sticker around the lid.

2mL

IODINE URINE Yes 1 x Urine Container - random

Referred to: Laverty Pathology 20mL

IONISED CALCIUM 1 x SST - dedicated tube required – DO NOT OPEN

Must be a pristine SST tube – place DO NOT OPEN sticker around the lid. If recollect is required for CAI, check if PTH is also requested. If yes, PPT must be collected at the same time for PTH (VDU: CAI, PTH). Do not use torniquet for calcium collection.

4 mL

IRON STUDIES 1 x SST 2mL

ISLET CELL ANTIBODIES 1 x SST Referred to: PathWest QEII 1mL

ISOAMYLASE Test Not Available

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Test Name Out of Pocket Specimen Collection Method Min

Vol

ISOCYANATES URINE Yes 1 x Urine Container - random

Referred to: WorkCover NSW End of shift. Urine collection must be made within 48hrs of last exposure. Keep samples cool.

50mL

JAK 2 MUTATION Yes 2 x EDTA 6mL - Pink, dedicated tube

Referred to: Laverty Pathology When asked with JAK 2 Mutation and/or MPL Mutation only 2x EDTA 6ml Pink required altogether.

1mL

JAPANESE B ENCEPHALITIS VIRUS 1 x SST Referred to: PathWest QEII 2mL

JOINT FLUID CYTOLOGY DR COLLECT

KARYOTYPE - SEE CHROMOSOMES

KEPPRA 1 x Plain Tube (Red Top) - Spin & Separate

Referred to: Sullivan Nicolaides Provide clinical and medication details. Post-Dose: 1 hour after oral dose. Trough-Dose: 8 hours after oral dose.

2mL

KETONES SERUM 1 x Lithium Heparin - DO NOT SPIN

Referred to: PathWest QEII Sample MUST be kept cold immediately after collection. Transport on ice brick.

1mL

KETONES URINE 1 x Urine Container - random

Urine sample must be fresh. 1mL

KETOSTEROIDS URINE 1 x Urine Container- 24hr plain

Referred to: Dorevitch Pathology Children acceptable for 6- 12HRS early morning collection.

KFT 1 x SST Spin within 4 hours. Do not transport on an ice brick.

2mL

KIT GENE FOR MASTOCYTOSIS Yes 1 x EDTA - dedicated tube required

Referred to: Molecular Haematology, Peter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre Building, 305 Grattan St Melbourne 3000 VICTORIA

5mL

KLEIHAUER TEST 1 x EDTA 6mL - Pink, dedicated tube

1. Full Name, DOB or URN, DOC & TOC must be on EDTA tube and request form. All information must match between form and sample.

2. Collector must sign the tube and certifier on form - these signatures must match.

Contact Transfusion Medicine Dept. on 08 9321 3300 for any enquiries.

2 mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

KLEIHAUER TEST (KL) / FOETO- MATERNAL HAEMORRHAGE

1 x EDTA - dedicated tube required

1. Full Name, DOB or URN, DOC & TOC must be on EDTA tube and request form. All information must match between form and sample.

2. Collector must sign the tube and certifier on form - these signatures must match.

If unsure what to collect ring the Transfusion Medicine Dept. on 08 9321 3300

1mL

KLINEFELTER SYNDROME 1 x Lithium Heparin

Referred to: QML Pathology 1.5mL

KUNJIN SERO 1 x SST Referred to: PathWest QEII 2mL

LACTATE 1 x Fluoride Oxalate

LACTATE DEHYDROGENASE 1 x SST 2mL

LACTATE PYRUVATE Special Tube (no gel) with Special Preservative - DO NOT SPIN and freeze ASAP

Referred to: PathWest QEII Contact Manual Chemistry on 08 9317 0838 to order the special tube 1. Add blood to line (1 mL) to special

tube 2. Mix well 3. DO NOT SPIN OR SEPARATE 4. Sample will turn into brown

colour 5. Freeze ASAP

Contact the team leader for any collection queries

1mL

LACTOSE INTOLERANCE TEST 4 x Fluoride Oxalate

Contact Myaree patient reception (08 9317 0704) for lactose powder. Collect: 1. 1 x fasting FLOX 2. Give lactose drink 3. 1 x FLOX 30 minutes post drink 4. 1 x FLOX 1-hour post drink 5. 1 x FLOX 2 hours post drink See: WI-COLL-60 - Lactose Tolerance Testing

2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

LACTOSE TOLERANCE TEST 4 x Fluoride Oxalate

Contact Myaree patient reception (08 9317 0704) for lactose powder. Collect: 1. 1 x fasting FLOX 2. Give lactose drink 3. 1 x FLOX 30 minutes post drink 4. 1 x FLOX 1-hour post drink 5. 1 x FLOX 2 hours post drink See: WI-COLL-60 - Lactose Tolerance Testing

2mL

LAMOTRIGINE 1 x Plain Tube (Red Top)

Referred to: QML Pathology Provide clinical and medication details, including time, date and amount of last dose. Collect sample immediately prior to next dose.

2mL

LANOXIN 1 x SST Record date and time of last dose of medication on the form. Bloods should be taken 6 hours post dose. Do not turn patients away if not 6-hour post dose.

2mL

LC-1 ANTIBODIES 1 x SST Referred to: PathWest QEII 1mL

LDH ISOENZYMES 1 x SST Referred to: Royal Prince Alfred Hospital Sample must be room temperature. Only send if LDH is elevated.

2mL

LDL SUBFRACTIONS Yes 1 x SST - dedicated tube required

Referred to: San Pathology Sydney Adventist Hospital Provide clinical & medication details. Spin sample and transport on ice brick.

2mL

LEAD BLOOD 1 x Trace Element Free - DO NOT SPIN

Referred to: Laverty Pathology Place DO NOT SPIN sticker around the lid.

6mL

LEAD URINE 1 x Urine Container

Referred to: Laverty Pathology Post shift collect.

20mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

LEFLUNOMIDE Yes 1 x Lithium Heparin

Referred to: Royal Brisbane Hospital

LEGIONELLA PCR 1 x Dry Swab - Orange/White or 1 x Swab - Viral Transport Media

See WI-COLL-115 and FRM-COLL-81 Note: This test is only performed on specific request for respiratory Legionella pneumophila and Legionella longbeachae

LEGIONELLA SEROLOGY 1 x SST Referred to: QML Pathology 2mL

LEGIONELLA URINARY ANTIGEN 1 x Urine Container - random

Referred to: PathWest QEII 20mL

LEISHMANIASIS SEROLOGY 1 x SST Referred to: ICPMR Westmead (NSW) 2mL

LEPTIN Yes 1 x SST spin separate and freeze

Referred to: Royal Prince Alfred Hospital

5mL

LEPTOSPIROSIS 1 x SST Referred to: QML Pathology 2mL

LEPTOSPOROSIS PCR 1 x EDTA - dedicated tube required

Referred to: PathWest QEII 2mL

LFT 1 x SST 2mL

LH 1 x SST 2mL

LIPASE 1 x SST 2mL

LIPID STUDIES 1 x SST See: WI-COLL-61 - Lipid Testing 2mL

LIPIDS 1 x SST See: WI-COLL-61 - Lipid Testing 2mL

LIPOPROTEIN A 1 x SST Referred to: PathWest FSH 2mL

LIPSASE (FLUID) DOCTOR COLLECT 2mL

LITHIUM 1 x SST Record: date, time of last dose and the dosage on the form.

2mL

LKM 1 x SST Please refer to TPO if THYROID MICROSOMAL AB is requested.

1mL

LUPUS ANTICOAGULANT 2 x Sodium Citrate To Myaree within 10hrs - transport in blue bag. Or DOUBLE spin/separate/freeze. Patient to complete questionnaire FRM-COLL- 43. See: FRM-COLL-86 - Coagulation Collection Guide

2.7 mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

LYME DISEASE 1 x SST Referred to: PathWest QEII 2mL

LYMPHOCYTE PROLIFERATION ASSAY

1 x Special Collection Kit

Tested at PathWest Immunology. Patient needs to book an appointment with QEII Immunology on 08 6383 4330.

LYMPHOCYTE SUBSETS Yes 1 x ACD and 1 x EDTA

Full tube of ACD (can use 1mL of EDTA ONLY if paediatric or elderly/infirm). See: WI-COLL-96 - Flow Cytometry

6mL ACD

LYMPHOMA STUDIES 1 x Sterile Container

DOCTOR COLLECT Send to Histology department ASAP marked URGENT.

MACRO CK 1 x SST Contact Duty Biochemist 2mL

MACROPROLACTIN 1 x SST See: WI-COLL-63 - Prolactin/Macroprolactin Collection

2mL

MAGNESIUM 1 x SST 2mL

MAGNESIUM (24 HOUR URINE) 1 x Urine Container- 24hr acid

Must be acidified. 2mL

MAGNESIUM (FLUID) 1 x Sterile Container

DOCTOR COLLECT 2mL

MAGNESIUM (URINE SPOT) 1 x Urine Container - random

Does not need to be acidified. Transfer into Vacutainer (no additive) urine tube. Urine tubes must not be filled beyond half way to prevent spillage.

2mL

MALARIAL PARASITES SCREEN (URGENT – Result within 4hours)

1 x EDTA TREAT AS URGENT - Full Name, DOB or URN, DOC & TOC must be on EDTA tube. Collector must sign EDTA tube and request form. TREAT AS URGENT: Needs to reach the lab within 3 hours of collection. NOTE: Only 1 EDTA required for any combination of FBC/Indices, ESR, Malaria, RET, HbA1C, HE.

1ml

MALIGNANCY HCG/QCG 1 x SST 2mL

MANGANESE BLOOD Yes 1 x EDTA dedicated tube

Referred to: Royal Prince Alfred Hospital

2mL

MANGANESE URINE Yes 1 x Urine Container - random

Referred to: Laverty Pathology 5mL

MANNOSE BINDING LECTIN 1 x Plain Tube (Red Top)

Referred to: PathWest QEII 1mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

MANTOUX TEST - HUMAN Yes Special Collection Kit

See Mantoux WI-COLL-84 Note: Injection and reading done at the different locations. Injection Only done at Myaree Collection Centre (9 Hayden Court Myaree) on Monday to Wednesday. Reading Patient to attend the main laboratory (74 McCoy Street Myaree) after 48 hours from the injection. No appointments are required.

MARFANS SCREEN 2 x EDTA 6mL - Pink, dedicated tube

Referred to: PathWest QEII Hardcopy result only released to the Doctor.

2mL

MAST CELL TRYPTASE 1 x SST spin separate and freeze ASAP

Referred to: PathWest QEII Transport frozen. Samples should ideally be collected between 15minutes and 3 hours of the suspectd event causing mast cell activation.

1mL

MBA 20 1 x SST SST must be spun within 4 hours of collection. For employment and insurance purposes only.

2mL

MEASLES IMMUNE STATUS 1 x SST If querying measles infection- treat as URGENT and refer to the 'MEASLES INFECTION' entry. If immunity check- treat as routine serology collection.

1 mL

MEASLES INFECTION (CALL BEFORE COLLECTION)

1 x SST Requests for measles infection are considered urgent. Please notify the Duty Microbiologist on 08 9317 0999 whenever a query for measles infection is requested. Not to be collected in ACCs- home collect only.

2 mL

MEASLES PCR (CALL BEFORE COLLECTION)

1 x Dry Swab - Orange/White and 1 x Urine Container - random and 1 x SST

Referred to: PathWest QEII Requests for measles PCR are considered urgent. Please notify the Duty Microbiologist on 08 9317 0999 whenever measles PCR is requested. Not to be collected in ACCs- home collect only.

2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

MECP2 2 x EDTA 6mL - Pink, dedicated tube

Referred to: PathWest FSH Hardcopy report issued to the doctor only.

2mL

MELIODOSIS SEROLOGY 1 x SST Referred to: PathWest QEII 2mL

MENIN 1 x EDTA - dedicated tube required

Referred to: PathWest QEII Patient must be referred by Genetic Services of Western Australia (08) 9340 1525 or Endocrinologist. Sample is only viable for 48Hrs. Only Collect Monday to Thursday. Do not collect on Public Holidays.

2mL

MENINGOCOCCAL PCR 1 x EDTA - dedicated tube required

Referred to: PathWest QEII

2mL

MENOPAUSAL STUDIES 1 x SST 2mL

MEPACRINE STAINING (CALL BEFORE COLLECTION)

1 x Sodium Citrate - DO NOT SPIN, dedicated tube required

Referred to: PathWest FSH Ring Coagulation Dept. prior to collection on 08 9317 0862 or 9317 0861. Place DO NOT SPIN sticker around the lid. Usually requested with Platelet Aggregation Studies. Send to Myaree within 1hour. PathWest FSH do testing Mon to Fri, 8:30 to 5:00. Keep sample at room temp. Transport in Blue bag. Sample stability: 24hrs at Room temp. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

MERCURY BLOOD 1 x Trace Element Free - DO NOT SPIN

Referred to: Laverty Pathology Place DO NOT SPIN sticker around the lid.

2mL

MERCURY URINE 1 x Urine Container

Referred to: Laverty Pathology 10mL

MESOTHELIN Yes 1 x SST spin separate and freeze

Referred to: QML Pathology Provide clinical details such as exposure to asbestos.

2mL

METABOLIC BONE STUDIES (FMBS)

2 x SST - DO NOT OPEN and 2 x PPT and 1 x Urine Container - random

Bloods and urine need to be collected within 2 hours of each other. Must be a pristine SST tube for ionised calcium – place DO NOT OPEN sticker around the lid. See: WI-COLL-92 - Bone Metabolic Studies Collection

2mL each

METABOLIC URINE SCREEN 1 x Urine Container - dedicated jar required. Freeze ASAP

Referred to: PathWest QEII

5mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

METANEPHRINES BLOOD See CATECHOLAMINES BLOOD

METANEPHRINES URINE See CATECHOLAMINES URINE

METHADONE 1 x Plain Tube (Red Top)

Referred to: PathWest QEII Take sample prior to next dose.

2mL

METHAEMOGLOBIN 1 x DOCTOR COLLECT

Test is performed at the hospital sites and must be analysed immediately. Please refer the patient to the nearest hospital.

0.5mL

METHOTREXATE (URGENT – Result within 4hours)

1 x Lithium Heparin

Referred to: PathWest 1mL

METHYLMALONIC ACID URINE 1 x Urine Container - dedicated jar required. Freeze ASAP

Referred to: PathWest QEII

5mL

METHYMALONIC ACID Test Not Available 5ml

MICROALBUMIN 1 x Urine Container - random

Transfer into Vacutainer (no additive) urine tube. Urine tubes must not be filled beyond half way to prevent spillage.

2mL

MICROALBUMIN (24 HOUR URINE)

1 x Urine Container- 24hr plain or 1 x Urine Container- 8 hr plain

Note on the form, the start time and the end time of collection period.

2mL

MICROARRAY - AMNIOTIC FLUID, CVS

DOCTOR COLLECT Referred to QML Pathology Contact Genetics Dept. for queries on 08 9317 0922. Specialised container: Amniotic fluid> 10mL sterile black top tube. POC & CVS> 70mL red top sterile jar (NO formalin) containing PBS and heparin.

MICROARRAY - BLOOD 1 x EDTA - dedicated tube required

Referred to: QML Pathology Use paediatric tube for small or difficult collects.

3mL

MICROARRAY - PRODUCT OF CONCEPTION (POC)

Sterile Container- Genetics

Referred to: QML Pathology Contact Genetics Dept. for queries on 08 9317 0922. Specialised container: 70mL red top sterile jar (NO formalin) containing PBS and heparin.

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Test Name Out of Pocket Specimen Collection Method Min

Vol

MICROSOMAL ANTIBODIES 1 x SST 2mL

MITOCHONDRIAL ANTIBODY 1 x SST 1mL

MITOCHONDRIAL DISORDER 1 x EDTA 6mL - Pink, dedicated tube

Referred to: PathWest QEII 2mL

MIXED LYMPHOCYTE CULTURE No performed at WDP. Patient must book test with PathWest Immunology on 08 6383 4330

MLH1 GENE ANALYSIS 1 x EDTA 6mL - Pink, dedicated tube

Referred to: PathWest FSH Patient must be referred by Genetic Services of WA (08) 6458 1525.

MODY GENE TESTING Yes 2 x EDTA - dedicated tube required

Referred to: Mater Pathology (QLD) 4mL

MOLLUSCUM CONTAGIOSUM PCR 1 x Dry Swab - Orange/White

Referred to: PathWest QEII

MOLYBDENUM - BLOOD 1 x Trace Element Free - DO NOT SPIN

Referred to: Royal North Shore Hospital Place DO NOT SPIN sticker around the lid. Keep sample cold, transport on ice brick.

2mL

MORPHINE - SERUM 1 x Lithium Heparin spin, separate & freeze ASAP

Referred to: Royal Prince Alfred Hospital

1mL

MPL MUTATION 2 x EDTA 6mL - Pink, dedicated tube

Referred to: Genomic Diagnostics When asked with JAK 2 Mutation and/or MPL Mutation only 2 EDTA 6ml Pink Top tubes required altogether.

6mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

MRSA CLEARANCE Swab - Blue Top Gel

All swabs to be placed into gel for transport back to laboratory after the following procedure and DO NOT REFRIGERATE Swab from Nostrils (see NASAL SWAB MC&S for detailed instruction) • Moisten the swab using ONLY

with either sterile water or sterile saline (DO NOT USE TAP WATER)

• Use one swab moistened in sterile water or sterile saline for both nostrils

Swab for Throat (see WI-COLL-72) • Use one swab

Dry Lesions (if present) • Moisten the swab using ONLY

with either sterile water or sterile saline (DO NOT USE TAP WATER)

Discharging/ Moist Lesions (if present) • Use one swab

Where MRSA clearance requested • Collect two sets of nasal and

throat swabs and other applicable sites (wound etc.).

• The two sets of swabs should be collected consecutively.

• Each consecutive set must be given a separate request number and labelled set 1 & Set 2.

MRSA MC&S Swab - Blue Top Gel

See MRSA WI-COLL-85 DO NOT REFRIGERATE

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Test Name Out of Pocket Specimen Collection Method Min

Vol

MRSA SCREEN Swab - Blue Top Gel

All swabs to be placed into gel for transport back to laboratory after the following procedure and DO NOT REFRIGERATE Swab from Nostrils (see NASAL SWAB MC&S for detailed instruction) • Moisten the swab using ONLY

with either sterile water or sterile saline (DO NOT USE TAP WATER)

• Use one swab moistened in sterile water or sterile saline for both nostrils

Swab for Throat (see WI-COLL-72) • Use one swab

Dry Lesions (if present) • Moisten the swab using ONLY

with either sterile water or sterile saline (DO NOT USE TAP WATER)

Discharging/ Moist Lesions (if present) • Use one swab

MTHFR GENE TEST Yes 2 x EDTA 6mL - Pink, dedicated tube

Referred to: Genomic Diagnostics If there is no first degree relative or a personal history of thrombosis (DVT) stated on request form there will be an out of pocket fee.

6mL

MUCOPOLYSACCHARIDE 1 x Urine Container - dedicated jar required. Freeze ASAP

Referred to: PathWest QEII Freeze ASAP and transport Frozen

5mL

MUMPS PCR 1 x Dry Swab - Orange/White and 1 x Urine Container

Referred to: PathWest QEII

MUMPS SEROLOGY 1 x SST 1 mL

MURRAY VALLEY ENCEPHALITIS 1 x SST Referred to: PathWest QEII 2mL

MUSCLE ENZYME 1 x SST 2mL

MUSK ANTIBODIES 1 x SST Referred to: PathWest QEII 1mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

MYCOBACTERIAL CULTURE Urine Container - random or Urine Container

See Mycobacterium WI-COLL-86

MYCOPHENOLIC ACID 1 x Lithium Heparin

Referred to: PathWest QEII Take sample prior to dose.

2mL

MYCOPLASMA GENITALIUM PCR 1 x Urine Container or 1 x Dry Swab - Orange/White

See WI-COLL-115 & WI-COLL-81 Swabs collected from genital sites are collected by the referring doctor.

MYCOPLASMA PNEUMONIAE PCR 1 x Dry Swab - Orange/White or 1 x Swab - Viral Transport Media

See WI-COLL-115 Note: This test is only performed on specific request for respiratory Mycoplasma (Mycoplasma pneumoniae)

MYCOPLASMA SEROLOGY 1 x SST 1 mL

MYCOPLASMA/UREAPLASMA CULTURE

Urine Container or DOCTOR COLLECT

Urine Samples WI-COLL-82 Swab collections are performed by doctor collects

MYELOMA SCREEN 1 x SST and 1 x EDTA

Do not use torniquet for calcium collection.

5mL

MYOGLOBIN 1 x Plain Tube (Red Top)

Referred to: QML Pathology 5mL

MYOSITIS SPECIFIC A/B 1 x SST Referred to: PathWest QEII 1mL

NALTREXONE Yes 1 x Plain Tube (Red Top) - Spin, Separate & Freeze

Referred to: Forensic Science at ChemCentre Advise patient to contact the Forensic Science at ChemCentre on 08 9422 9800 for pricing enquires.

1mL

NASAL SWAB MC&S Swab - Blue Top Gel

1. Advise patient to sit and have their head rested against the wall

2. Provide tissue to the patient 3. Use one moistened swab using

ONLY with either sterile water or sterile saline (DO NOT USE TAP WATER) for both nostrils

4. Insert the swab 1 - 2cm until all the cotton wool is in the nose

5. Press the swab to the centre so it is against the septum.

6. Rotate 360 ° clockwise then anticlockwise.

7. Remove and then sample through the other nostril cavity in the same way.

8. Place swab in transport gel and DO NOT REFRIGERATE

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Test Name Out of Pocket Specimen Collection Method Min

Vol

NATURAL KILLER CELLS 1 x ACD and 1 x EDTA

Full tube of ACD (can use 1mL of EDTA ONLY if paediatric or elderly/infirm). See: WI-COLL-96 - Flow Cytometry

6mL ACD

NEONATAL BLOOD GROUP EDTA 6mL - Pink, dedicated tube

1. Full Name, DOB or URN, DOC & TOC must be on EDTA tube and request form. All information must match between form and sample.

2. Collector must sign the tube and certifier on form - these signatures must match.

Contact Transfusion Medicine Dept. on 08 9321 3300 for any enquiries.

1 mL

NEUROACANTHOCYTOSIS (URGENT – Result within 4hours)

1 x EDTA The EDTA must at the lab within 3 hours and the result reported within 4 hours. If in doubt, please ring Haematology Dept. on 08 9317 0861

4 mL

NEURON SPECIFIC ENOLASE 1 x SST spin separate and freeze

Referred to: PathWest FSH 0.5mL

NEUTROPHIL ANTIBODIES 1 x EDTA - dedicated tube required and 1 x Plain Tube (Red Top)

Referred to: PathWest FSH Sample must be at PathWest within 24hours of collection. Only collect Monday to Thursday. Do not collect on Public Holidays.

1mL each

NEUTROPHIL FUNCTION Not done at WDP. Patient is to book with PathWest Immunology on 08 6383 4330

NICKEL BLOOD 1 x Trace Element Free - DO NOT SPIN

Referred to: Royal North Shore Hospital Place DO NOT SPIN sticker around the lid.

0.5mL

NICKEL URINE Yes 1 x Urine Container - random

Referred to: Laverty Pathology 10mL

NICOTINE Yes 1 x Urine Container - dedicated jar required. Freeze ASAP

Referred to: Laverty Pathology 5mL

NIPPLE DISCHARGE DR COLLECT Gently squeeze the nipple until fluid appears. Smear fluid directly onto glass slide. Allow slides to air dry. Ensure slide(s) are labelled with patient name, DOB and site (Left or Right nipple).

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Test Name Out of Pocket Specimen Collection Method Min

Vol

NITRAZEPAM 1 x Plain Tube (Red Top)

Referred to: QML Pathology Collect just prior to the next dose or at least 6 hours after the last dose. Provide clinical and medication detail, including time and date of last dose.

2mL

NK CELLS 1 x ACD and 1 x EDTA

Full tube of ACD (can use 1mL of EDTA ONLY if paediatric or elderly/infirm). See: WI-COLL-96 - Flow Cytometry

6mL ACD

NOROVIRUS GI/GII PCR 1 x Faeces Container

See WI-COLL-115

NORTRITYLINE 1 x Plain Tube (Red Top)

Referred to: QML Pathology Collect immediately prior to next dose. Provide clinical and medication details including time and date of next dose.

2mL

NSD1 GENE EDTA Referred to: PathWest QEII

NT-PROBNP (PLEURAL FLUID) DOCTOR COLLECT 2 mL

NTX 1 x Urine Container - random and 1 x PPT - spin and freeze

4 mL

NUCLEOSOME ANTIBODIES 1 x SST Referred to: Laverty Pathology Only if ANA positive.

1mL

OLANZAPINE 1 x Plain Tube (Red Top)

Referred to: PathWest QEII Take prior to next dose.

1mL

OLIGOSACHARIDES URINE 1 x Urine Container - dedicated jar required. Freeze ASAP

Referred to: Adelaide Women's and Children's Hospital

10mL

OMMA 1 x SST 2mL

OSPOLOT 1 x Plain Tube (Red Top)

Referred to: QML Pathology Collect sample a minimum of 8 hours after the last dose or immediately prior to the next dose.

1mL

OSTEOCALCIN Yes 1 x SST spin separate and freeze

4mL

NT-PROBNP Yes 1 x SST NOTE: This is not NT-PROBNP 2 mL

OVARIAN ANTIBODIES 1 x SST Referred to: PathWest QEII 1ml

OVARIAN CYST ASPIRATE CYTOLOGY

DR COLLECT

OVARIAN TUMOUR MARKER 1 x SST 2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

OVULATION TRACKING (URGENT – Result within 4hours)

Yes 1 x SST Must be bled before 9am to ensure same day results. See: WI-COLL-62 “Ovulation Tracking - Biochemistry”

2mL

OXALATE 1 x Urine Container- 24hr acid

Referred to: PathWest FSH Give patient 2x 24hr urine bottle containers with acid.

10mL

OXAZEPAM 1 x Plain Tube (Red Top)

Referred to: QML Pathology Collect just prior to the next dose or at least 6 hours after the last dose. Provide clinical and medication detail, including time and date of last dose.

2mL

OXYHAEMOGLOBIN DOCTOR COLLECT Test is performed at the hospital sites and must be analysed immediately. Please refer the patient to the nearest hospital.

0.5mL

OXYPURINOL 1 x EDTA - dedicated tube required

Referred to: St Vincent's Pathology 2mL

P1NP 1 x SST 4mL

PANCREATIC ANTIBODIES 1 x SST Referred to: PathWest QEII 2mL

PANCREATIC ENZYMES 1 x SST 2mL

PANCREATIC POLYPEPTIDE 1 x SST spin separate and freeze

Referred to: Royal Prince Alfred Hospital

1mL

PANCREATIC TUMOUR MARKER 1 x SST 2mL

PAP SMEAR CYTOLOGY DOCTOR COLLECT Pap smear cytology is no longer available and is not covered by Medicare. See CERVICAL SCREENING TEST for details on the new screening program requirements.

PARACETAMOL 1 x SST Always treated as URGENT. Testing performed at JND & PHC. JOONDALUP (08 9400 9810) or PEEL HEALTH CAMPUS (08 9531 8510)

0.5mL

PARAINFLUENZA SEROLOGY 1 x SST Referred to: QML Pathology 1mL

PARAPROTEIN 1 x SST 2mL

PARAQUAT URINE 1 x Urine Container - random

Referred to: PathWest QEII 4mL

PARASITE ID Urine Container - random

PARATYPHOID 1 x Faeces Container

Referred to: PathWest QEII 1mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

PARECHOVIRUS PCR 1 x Dry Swab - Orange/White or Faeces Container

Referred to: PathWest QEII 1mL

PARIETAL CELL ANTIBODY 1 x SST 1mL

PARVOVIRUS B19 SEROLOGY 1 x SST 2mL

PARVOVIRUS PCR 1 x EDTA - dedicated tube required

Referred to: PathWest FSH 2mL

PCB LEVELS Yes 1 x Urine Container - random and 1 x Lithium Heparin - DO NOT SPIN

Referred to: ChemCentre Place DO NOT SPIN sticker around the lid.

PDGFR ALPHA 1 x Lithium Heparin and 2 x EDTA 6mL - Pink, dedicated tube

Referred to: PathWest FSH 2mL each

PERHEXILINE 1 x Plain Tube (Red Top)

Referred to: PathWest QEII Provide clinical and medication details. Collect just prior to next dose.

0.5mL

PERIPHERAL NATURAL KILLER CELLS

1 x ACD and 1 x EDTA

Full tube of ACD (can use 1mL of EDTA ONLY if paediatric or elderly/infirm). See: WI-COLL-96 - Flow Cytometry

6mL ACD

PERITONEAL FLUID/WASHINGS DR COLLECT

PERNICIOUS ANAEMIA 1 x SST 1mL

PESTICIDES Yes 1 x EDTA - dedicated tube required

Referred to: WorkCover NSW 5mL

PET SCREEN 1 x EDTA and SST and Urine Container - random

2mL

PETHIDINE URINARY 1 x Urine Container - random

Referred to: PathWest QEII 2mL

PF 1+2,TAT, CAT 3 x Sodium Citrate Referred to: PathWest FSH 3mL

PF1, 2 See PROTHROMBIN FRAGMENT 1 + 2 entry for collection requirements. See: FRM-COLL-86 - Coagulation Collection Guide

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Test Name Out of Pocket Specimen Collection Method Min

Vol

PFA (100 OR 200) (URGENT – Result within 4hours)

See PLATELET FUNCTION ANALYSIS entry for collection requirements. See: FRM-COLL-86 - Coagulation Collection Guide

PGX MH/PAIN/MULTI Yes 1 x EDTA - dedicated tube required

Referred to Genomics Diagnostics Payment to be made prior to collection via online or phone – 1800 822 999 (9-5pm AEST).

4mL

PH (FLUID) 1 x Sterile Container

DOCTOR COLLECT 2mL

PHENOBARBITONE 1 x Plain Tube (Red Top)

Referred to: PathWest QEII 0.5mL

PHENYLALANINE 1 x Lithium Heparin - DO NOT SPIN

Referred to: PathWest QEII Place DO NOT SPIN sticker around the lid.

1mL

PHENYLKETONURIA URINE 1 x Urine Container - random

Referred to: PathWest QEII 10mL

PHENYTOIN 1 x SST Record date and time of last dose of medication on the form.

2mL

PHOSPHATE 1 x SST 2mL

PHOSPHATE (24 HOUR URINE) 1 x Urine Container- 24hr acid

Must be acidified urine. 2mL

PHOSPHATE (FLUID) DOCTOR COLLECT 2mL

PHOSPHATE (URINE SPOT) 1 x Urine Container - random

Transfer into Vacutainer (no additive) urine tube. Urine tubes must not be filled beyond half way to prevent spillage.

2mL

PHOSPHOLIPASE 2 RECEPTOR ANTIBODY/AUTOANTIBODY

1 x Plain Tube (Red Top)

Referred to: PathWest QEII 2mL

PICA 1 x SST Referred to: QML Pathology 2mL

PK ASSAY 1 x EDTA - dedicated tube required

Referred to: CHW 2mL

PLA 2 ANTIBODIES

PLACENTA-LIKE GROWTH FACTOR (PLGF)

Yes 1 x SST - Spin and freeze ASAP

1. Acceptable gestational age: 8 weeks 0 days to 14 weeks 6 days.

2. Fill out Antenatal Patient Questionnaire (FRM-COLL-6).

3. If First Trimester Screen (FTS) or Triple Test/ Neural Tube Defect is also co-requested, 1x SST is sufficient.

4 mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

PLASMA 5HIAA Serum/plasma 5HIAA not available. Collect and see SEROTONIN – PLATELET instead.

PLASMA METANEPHRINES See CATECHOLAMINES

PLASMA ORGANIC ACID SCREEN 2mL

PLASMA PHOSPHOLIPIDS 1 x Sodium Citrate NOTE: This is not ANTIPHOSPHOLIPID ANTIBODIES. Transport in a blue bag to arrive at the lab within 4 hours. Otherwise, single spin, separate and freeze as per WI-COLL-89

2.7mL

PLASMINOGEN ACTIVATOR INHIBITOR-1

2 x Sodium Citrate This is a referred test. Must be at Myaree within 4hrs - transport in blue bag. Or single spin/separate/freeze and transport frozen. See: FRM-COLL- 86 - Coagulation Collection Guide

2.7mL

PLASMIROFEN ACTIVATOR INHIBITOR

2 x Sodium Citrate - Spin, Separate & Freeze ASAP

Referred to: Royal Prince Alfred Hospital

PLATELET AGGREGATION STUDIES (CALL BEFORE COLLECTION)

4 x Sodium Citrate - DO NOT SPIN

Ring Coagulation Dept. prior to collection on 08 9317 0862 or 9317 0861. Must be at Myaree lab within 1hr. Transport samples at room temp. Place DO NOT SPIN sticker around the lids. See: FRM- COLL-86 - Coagulation Collection Guide

2.7mL each

PLATELET COUNT 1 x EDTA Full Name, DOB or URN, DOC & TOC must be on EDTA tube. Collector must sign EDTA tube and request form. If "citrated platelet count" is requested, then collect 1x sodium citrate with 1x EDTA. NOTE: Only 1 EDTA required for any combination of FBC/Indices, ESR, Malaria, RET, HbA1C, HE

2.7mL

PLATELET DENSE GRANULES See MEPACRINE STAINING entry for collection requirements. See: FRM-COLL-86 - Coagulation Collection Guide

PLATELET FUNCTION ANALYSIS (URGENT – Result within 4hours)

2 x Sodium Citrate - DO NOT SPIN

Place DO NOT SPIN sticker around the lids. Transport in blue bag. Must be at Myaree lab within 4hrs. Patient to complete FRM-COLL-43 See: FRM- COLL-86 - Coagulation Collection Guide

2.7mL each

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Test Name Out of Pocket Specimen Collection Method Min

Vol

PLATELET MICROPARTICLES 2 x Sodium Citrate Referred to: PathWest at FSH. Samples to lab within 4hrs. Transport in blue bag. Or single spin/separate/freeze. Transport on dry ice. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL each

PLEURAL FLUID DOCTOR COLLECT

PML-RARA PCR 2 x EDTA 6mL - Pink, dedicated tube

Referred to: PathWest FSH Collect only Monday to Thursday. Do not collect on public holidays. Store at room temperature.

3mL

PNEUMOCOCCAL AB 1 x SST Referred to: PathWest QEII 2mL

PNEUMOCYSTIS JIROVECI (CARINII) PCR

PNA tube/sterile container

See WI-COLL-115 This test is only performed on specific request for respiratory PCP

PNH SCREEN 2 x EDTA - dedicated tube required

Referred to: PathWest QEII Only collect Monday - Thursday. Do not collect on public holidays.

0.5mL

POLYOMA VIRUS 1 x Urine Container - random

Referred to: PathWest QEII

POMPES DISEASE Yes 1 x Urine Container - random and 1 x EDTA - dedicated tube required

Referred to: Adelaide Women's and Children's Hospital

2mL each

PORPHOBILINOGEN SCREEN 1 x Urine Container - random

Referred to: PathWest QEII Wrap in foil to protect from light. Keep cold and transport on ice brick.

1mL

PORPHYRINS 2 x EDTA and 1 x Urine Container - random

Referred to: PathWest QEII Wrap EDTA and urine samples in foil to protect from light. Keep cold and transport on ice brick.

2mL blood 10mL urine

PORPHYRINS FAECES 1 x Faeces Container

Referred to: Royal Prince Alfred Hospital Wrap in foil and freeze ASAP. Transport frozen.

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Test Name Out of Pocket Specimen Collection Method Min

Vol

POTASSIUM 1 x SST Spin within 4 hours of collection. Do not transport on an ice brick.

2mL

POTASSIUM (FLUID) DOCTOR COLLECT 2mL

POTASSIUM (PLASMA) 1 x Lithium Heparin

2mL

POTASSIUM (URINE 24 HOUR) 1 x Urine Container- 24hr plain

Does not need to be acidified. 2mL

POTASSIUM (URINE SPOT) 1 x Urine Container - random

Transfer into Vacutainer (no additive) urine tube. Urine tubes must not be filled beyond half way to prevent spillage.

2mL

POUCH OF DOUGLAS FLUID DOCTOR COLLECT

PRADER WILLI ANALYSIS Yes* 1 x EDTA - dedicated tube required

For WA patients – no out-of-pocket fees and referred to PathWest QEII. *For NT patients – there will be an out-of-pocket fee and referred to Women and Children’s Hospital Adelaide.

2mL

PRE-ECLAMPSIA SCREEN 1 x EDTA and SST and Urine Container - random

2mL

PRO INSULIN 1 x SST spin separate and freeze

Referred to: SEALS (PRINCE OF WALES, NSW)

2mL

PROCALCITONIN Yes Metro (within 48H) 1 x SST or Regional 1 x SST spin separate and freeze

Spin, separate and freeze if > 48 hours 0.5mL

PROCOLLAGEN TYPE 3 NT Yes 1 x SST Referred to: Sullivan Nicolaides (QLD) 2mL

PROGESTERONE 1 x SST 2mL

PROLACTIN 1 x SST Patient MUST rest for 20 minutes prior to test. See: WI-COLL-63 Prolactin/Macroprolactin Collection

2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

PROSTATE HEALTH INDEX (PHI) Yes 1 x SST Referred to: QML Pathology 4mL

PROTEIN 1 x SST 2mL

PROTEIN (CSF) (URGENT)

DOCTOR COLLECT 2mL

PROTEIN (FLUID) DOCTOR COLLECT 2mL

PROTEIN C Yes 2 x Sodium Citrate To Myaree within 10hrs. Transport in blue bag. Or single spin/separate/freeze. Patient to complete Questionnaire: FRM-COLL- 43. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

PROTEIN CREATININE RATIO 1 x Urine Container - random

Transfer into Vacutainer (no additive) urine tube. Urine tubes must not be filled beyond half way to prevent spillage.

2mL

PROTEIN CREATININE RATIO (24 HOUR URINE)

1 x Urine Container- 24hr plain

2mL

PROTEIN S Yes 2 x Sodium Citrate To Myaree within 10hrs. Transport in blue bag. Or single spin/separate/freeze. Patient to complete Questionnaire: FRM-COLL- 43. If unsure of collection requirements, phone Coagulation Dept. on 08 9317 0862. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

PROTHROMBIN FRAGMENT 1 + 2 2 x Sodium Citrate Referred to: PathWest Must be to a lab within 4 hrs. Transport in blue bag. Or DOUBLE spin/separate/freeze. Patient to complete questionnaire: FRM-COLL- 43. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

PROTHROMBIN G20210A MUTATION

Yes 1 x EDTA 6mL - Pink, dedicated tube

Referred to: Genomic Diagnostics This test is performed in same assay with Factor V Leiden mutation. The same charge applies whether testing for just Prothrombin G20210A mutation or together with Factor V Leiden. Eligible for Medicare rebate if patient has had a proven venous thrombosis or pulmonary embolism or has a first degree relative with the mutation.

6mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

PROTHROMBIN TIME (PT), INTERNATIONAL NORMALISED RATIO (INR)

1 x Sodium Citrate For patients NOT on Warfarin (Coumadin or Marevan). To lab within 24 hours - transport in blue bag. Or single spin/separate/freeze. Patient to complete questionnaire: FRM-COLL-43. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

PSA Yes 1 x SST Medicare will pay a rebate for only one (1) PSA test performed in any 12- month period in the absence of previously abnormal results or previously diagnosed prostatic disease. A non-refundable fee will be charged if not billed through Medicare. Request form to be stamped with "Patient Advised of Fee" and signed by the patient acknowledging that an out of pocket payment may be due. See: Patient to complete FRM-COLL-36 - Prostate Specific Antigen (PSA) Patient Questionnaire

2mL

PTH 1 x PPT spin within 30 minutes of collection and 1 x SST

Spin within 30 minutes of collection (DO NOT FREEZE OR SEPARATE) Collect 1 x SST for concurrent calcium testing (even if not requested)

2mL

PTH RELATED PEPTIDE (PTHRP) Test Not Available

PYRROLE URINE TEST Yes DO NOT ACCEPT SAMPLE

Advise patient to contact SAFE Analytical Laboratories on 07 5522 1919 for collection kit. DO NOT accept the sample from patient.

PYRUVATE KINASE 1 x EDTA 6mL - Pink, dedicated tube

The referral laboratory will only offer the test after consultation with the Haematologist at the Children’s Hospital at Westmead (NSW). The requesting doctor must call the Haematologist on (02) 9845 0000 prior to requesting the test.

2mL

Q FEVER 1 x SST Only for Immunity/ pre or post vaccination done in-house. Q Fever requests which are acute or diagnostic e.g. query Q Fever or IgM requested are referred to PathWest QEII.

2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

QEP 1 x SST 2mL

QF-PCR - AMNIOCENTESIS, CVS, OTHER

Yes DOCTOR COLLECT QF-PCR requests to send to QML: will be FISH testing Out of pocket - if not covered by medicare Specialised container: Sterile 10mL black top tube: contact Genetic Dept. 08 9317 0922

QF-PCR - BLOOD 1 x EDTA 6mL - Pink, dedicated tube

Please confirm with QML/WDP genetics this may need to go to PathWest QEII dept diagnostic genomics.

6mL

QUANTIFERON TB GOLD ASSAY Yes 1 x Special Collection Kit

See WI-COLL-49 - Quantiferon Gold Test for TB Immunity for collection method. Patient to complete FRM-COLL-33 Quantiferon Gold Patient Questionnaire

1mL

QUETIAPINE 1 x Lithium Heparin - DO NOT SPIN

Referred to: PathWest QEII Place DO NOT SPIN sticker around the lid.

0.5mL

RABIES 1 x SST Referred to: ICPMR Westmead (NSW) 5mL

RAST Yes 1 x SST Most requests will be fully Medicare rebateable but there will be out-of-pocket for non-specialist requests for more than 4 tests. See FRM-COLL-104 for out-of-pocket fees and test names. Contact Immunology Dept. on 08 9317 0920 for any pricing queries.

2mL

RBC COPPER 1 x Trace Element Free - DO NOT SPIN

Referred to: Royal North Shore Hospital (NSW) Place DO NOT SPIN sticker around the lid.

5mL

RBC MAGNESIUM 1 x Trace Element Free - DO NOT SPIN

Referred to: Royal Prince Alfred Hospital Place DO NOT SPIN sticker around the lid.

5mL

RBC SELENIUM 1 x Trace Element Free - DO NOT SPIN

Referred to: Royal North Shore Hospital (NSW) Place DO NOT SPIN sticker around the lid.

2mL

RBC ZINC 1 x Trace Element Free - DO NOT SPIN

Referred to: Royal Prince Alfred Hospital Place DO NOT SPIN sticker around the lid.

5mL

RECTAL SWAB MC&S DOCTOR COLLECT DO NOT REFRIGERATE

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Test Name Out of Pocket Specimen Collection Method Min

Vol

RED CELL PHENOTYPE EDTA 6mL - Pink, dedicated tube

1. Full Name, DOB or URN, DOC &TOC must be on EDTA tube andrequest form. All information mustmatch between form and sample.

2. Collector must sign the tube andcertifier on form - these signaturesmust match.

Contact Transfusion Medicine Dept. on 08 9321 3300 for any enquiries.

6 mL

REDUCING SUBSTANCES 1 x Faeces Container - freeze within 4 hours from collection

Only available for children under 11 years of age. 11+ Test not available (TNA ). Specimen should be frozen within 4 hours from collection. Require small quantity of fresh faeces (e.g. at least pea size) Advise patient’s guardian NOT to obtain directly from absorbent napkin liner as detergents cause false results. Collect from impervious material such as polythene and include fluid at present.

1g

RENIN 1 x PPT - spin and freeze ASAP

See WI- COLL 105 2mL

REPTILASE TIME 1 x Sodium Citrate To lab within 24 hrs. Transport in blue bag. Or single spin/separate/freeze and transport frozen. See: FRM-COLL- 86 - Coagulation Collection Guide

2.7mL

RESPIRATORY SYNCITIAL VIRUS 1 x SST Referred to: PathWest QEII 3mL

RESPIRATORY VIRUS PCR 1 x Dry Swab - Orange/White or 1 x Swab - Viral Transport Media

See WI-COLL-115 & FRM-COLL-81 (Swab Collection guide)

RETICULIN ANTIBODY 1 x SST RETICULIN ANTIBODY testing is no longer performed. Please refer to COELIAC SEROLOGY.

RETICULOCYTE COUNT 1 x EDTA Full Name, DOB or URN, DOC & TOC must be on EDTA tube. Collector must sign EDTA tube and request form. NOTE: Only 1 EDTA required for any combination of FBC/Indices, ESR, Malaria, RET, HbA1C, HE.

1ml

REVERSE T3 Yes 1 x SST spin separate and freeze

Referred to: QML Pathology 2mL

RHEUMATOID FACTOR 1 x SST 2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

RICKETTSIA 1 x SST Referred to: PathWest QEII 2mL

RIDAUIA URINE Test Not Available

RISPERIDONE 1 x Lithium Heparin - DO NOT SPIN

Referred to: PathWest QEII Place DO NOT SPIN sticker around the lid.

1mL

RISTOCETIN COFACTOR See FACTOR STUDIES entry for Collection requirements. See: FRM- COLL-86 - Coagulation Collection Guide

RNA POLYMERASE 1 x SST Referred to: IMVS 1mL

ROSS RIVER PCR 1 x EDTA - dedicated tube required

Referred to: PathWest QEII 1mL

ROSS RIVER VIRUS (RRV) 1 x SST 1 mL

ROTAVIRUS PCR 1 x Faeces Container

See WI-COLL-13

RUBELLA 1 x SST 2 mL

RUBELLA PCR (CALL BEFORE COLLECTION)

1 x EDTA or 1 x Dry Swab - Orange/White

Referred to: PathWest QEII Requests for Rubella PCR are considered urgent. Please notify the Duty Microbiologist on 08 9317 0999 whenever Rubella PCR is requested.

1mL

RUSSELL SILVER SYNDROME 1 x EDTA - dedicated tube required

Contact Genetics Dept. on 08 9317 0922 for any enquires.

2mL

SABRIL 1 x Plain Tube (Red Top) - Spin, Separate & Freeze

Referred to: RPA 2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

SALBUTAMOL Yes 1 x Urine Container

Referred to: QML Pathology Urine specimen should be collected as per protocol on Chain-of-Custody form into a tamper-proof container or container enclosed in a tamper- evident bag. Ensure chain-of- custody form is completed. The original copy must always accompany the primary sample to the testing laboratory. NB: Due to possible legal implications, contact the QML Laboratory (07 3121 4419) if the correct procedure cannot be followed. As there is no Medicare rebate for this test, the patient will be invoiced for the cost of the test. If the patient does not accept the cost, do not collect a specimen for this test and advise the patient to discuss this with their doctor. This test is referred to and performed by QML (Queensland Medical Laboratory) See: WI-COLL-53 - Drugs of Abuse Collection Manual

20mL

SALICYLATE 1 x SST Always treated as URGENT. Testing performed at JND. NOTE ON REQUEST FORM: (1)time, date and amount of last dose (2) route - IV or IM (3) age, height, weight and gender of patient ***** FOR REGIONAL COLLECTION CENTRES ***** Please refer the patient to the nearest hospital. JOONDALUP (08 9400 9810)

0.5mL

SALIVARY AND PANCREATIC ISOENZYMES

1 x Lithium Heparin spin, separate & freeze ASAP

Referred to: The Children’s Hospital Westmead

2mL

SALIVARY CORTISOL Yes 1 x Special Collection Kit

Provide patient with FRM-COLL-16 and the salivette tube. Order salivette tube from Manual Biochemistry on 08 9317 0838

1mL

SALIVARY HORMONES 1 x Urine Container

OOP = $25 per hormone for the first 5 hormones, $15 additional hormones, $30 handling fee. This test is referred to and performed by Healthscope Pathology (Incorp ARL)

0.5mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

SALMONELLA MC&S Faeces Container or Blood Culture Bottles

Faeces: Keep refrigerated and see WI-COLL-78 for collection method Blood Cultures: Keep at room temperature and DO NOT REFRIGERATE and see WI-COLL-74

SALMONELLA SEROLOGY 1 x SST Referred to: Prince of Wales Hospital (NSW)

2mL

SAP 1 x SST 2mL

SBR 1 x SST 2mL

SCHISTOSOMA (URINE) Urine Container Coolection instructions for Schistosoma Ova in Urine: The maximum ova secretion is between 1200 hrs and 1500 hrs. Procedure • Ask the patient to collect a 10 - 30mL terminal (end) stream urine using a 70ml yellow cap urine jar between 1200hrs and 1500hrs • Process request as usual for a urine sample See: WI-COLL-75 - Schistosoma Ova in Urine

10mL

SCHISTOSOMA AB (SEROLOGY) 1 x SST Referred to: QML Pathology or PathWest QEII (if specifically requested by doctor)

1mL

SCN1A

SCRAPINGS - CYTOLOGY DOCTOR COLLECT

SELENIUM 1 x Trace Element Free - spin & separate

Referred to: Laverty Pathology 6mL

SELENIUM URINE 1 x Urine Container - random

Referred to: Laverty Pathology 20mL

SEMEN ANALYSIS (POST VASECTOMY)

Seminal Container DO NOT REFRIGERATE. Provide patient with Semen analysis WI-COLL-69 See FRM-COLL-4 for collection method.

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Test Name Out of Pocket Specimen Collection Method Min

Vol

SEMEN ANLYSIS (FERTILITY STUDIES) (URGENT – Result within 2hours)

Seminal Container DO NOT REFRIGERATE. Delivery must be within 1 hour of collection to specified laboratories.

Provide patient with Semen analysis WI-COLL-69 See FRM-COLL-4 for collection method.

Note: If HALO (DNA defragmentation) is requested along with semen analysis then patient should be directed to Concept Fertility to have the semen analysis done with the HALO test.

Note: MAR refers to SEMEN ANTIBODY testing.

SEMINAL FRUCTOSE 1 x Urine Container

Referred to: PathWest QEII

SERENACE LEVEL

SEROTONIN - PLATELET 2 x EDTA - dedicated tube required

Referred to: PathWest FSH Collect only Monday – Thursday. DO NOT collect on public holidays. Must be at PathWest FSH within 24 hours.

4mL

SEROTONIN SERUM

SERTRALINE Test Not Available

SERUM IMMUNOFIXATION 1 x SST 4mL

SERUM OSMOLALITY 1 x SST Serum and urine osmolality must be collected on the same day if both tests are requested. Joondalup, Hollywood and Peel Health Campus also perform Osmolality testing.

2mL

SERUM PROTEIN ELECTROPHORESIS

1 x SST 4mL

SERUM TRANSFERRIN Yes 1 x Lithium Heparin - DO NOT SPIN

Referred to: PathWest FSH Place DO NOT SPIN sticker around the lid.

SGOT 1 x SST 2mL

SGPT 1 x SST 2mL

SHBG 1 x SST 2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

SILVER Yes 1 x EDTA - dedicated tube required

Referred to: Royal North Shore Hospital

2mL

SINDBIS SEROLOGY 1 x SST Referred to: Virology, Queensland Health Forensic and Scientific Services

2mL

SIROLIMUS 1 x EDTA - dedicated tube required

Referred to: PathWest QEII 0.5mL

SJOGREN'S SYNDROME SCREEN 1 x SST 1mL

SKELETAL/STRIATED MUSCLE AB 1 x SST Referred to: PathWest QEII 1mL

SKIN ANTIBODIES 1 x SST Referred to: PathWest QEII 1mL

SKIN PRICK TESTING Test only done by Clinical Immunologist / Allergist. Advise patient to get referral from their GP for a Clinical Immunologist / Allergist.

SKIN SCRAPINGS FOR FUNGAL CULTURE

or Petri Dish DO NOT REFRIGERATE See: WI-COLL-70 - Fungal Sample Collection from Skin Nail Hair

SLA ANTIBODIES 1 x SST Referred to: PathWest QEII 1mL

SLE SCREEN 1 x SST Dependent on history, could also be Lupus Anticoagulant - see Haematology. Call Immunology on 08 9317 0920 if unsure

1mL

SMOOTH MUSCLE ANTIBODY 1 x SST 1mL

SODIUM 1 x SST 2mL

SODIUM (24 HOUR URINE) 1 x Urine Container- 24hr plain

Does not need to be acidified. 2mL

SODIUM (FLUID) 1 x Sterile Container

DOCTOR COLLECT 2mL

SODIUM (SPOT URINE) 1 x Urine Container - random

2mL

SOLUBLE TRANSFERRIN RECEPTOR Yes 1 x SST Referred to: PathWest FSH 1mL

SOLVS (SELF OBTAINED LOW VAGINAL SWAB) MC&S

PATIENT COLLECT SOLVS is a patient collect. Provide patient with Blue Top Gel swab. DO NOT REFRIGERATE

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Test Name Out of Pocket Specimen Collection Method Min

Vol

SPECIFIC IGE (RAST) Yes 1 x SST Most requests will be fully Medicare rebateable but there will be out-of-pocket for non-specialist requests for more than 4 tests. See FRM-COLL-104 for out-of-pocket fees and test names. Contact Immunology Dept. on 08 9317 0920 for any pricing queries.

2mL

SPINAL MUSCULAR ATROPHY Yes 1 x EDTA - dedicated tube required

Referred to: Genomic Diagnostics. This test is also part of the "Genetic Carrier Screen"

1mL

SPINOCEREBELLAR ATAXIA 2 x EDTA 6mL - Pink, dedicated tube

Referred to: PathWest QEII 2mL

SPIROCHETES 1 x Dry Swab - Orange/White

Referred to: PathWest

SPUTUM CYTOLOGY Urine Container Provide patient with a copy of FRM-COLL-32 Collect deep cough early morning specimen. Do not add anything to the specimen. Where sputum cytology x3 is requested, it is recommended that x3 (three) samples be collected on consecutive days. Where possible, ensure each specimen is sent to the Myaree lab on the day it was collected. If any delays are likely, make sure the specimen is kept refrigerated.

SPUTUM MC&S Urine Container Keep at Room Temperature. See: WI- COLL-71 - Sputum Collection for MC&S

STAT RSV 1 x Dry Swab - Orange/White or 1 x PNA

See WI-COLL-115

STEROID PROFILE 1 x Urine Container- 24hr plain

Referred to: Dorevitch Pathology For children where it may be difficult to collect a full 24-hour specimen, then it may be acceptable to collect the earliest waking urine and then collect for as long as possible. 6-12 hours is acceptable, noting the times urine was collected.

50mL

STEROID SULPHATE ASSAY 1 x EDTA - dedicated tube required

Referred to: Women And Children’s Hospital Adelaide

1mL

STONE ANALYSIS 1 x Urine Container

Referred to: QML pathology

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Test Name Out of Pocket Specimen Collection Method Min

Vol

STREPTOCOCCAL SEROLOGY 1 x SST Referred to: QML pathology 1mL

STRONGYLOIDES SEROLOGY 1 x SST 2mL

SYNACTHEN STIMULATION TEST 3 x SST This service is offered at Joondalup Hospital on Wednesday morning - by appointment only. Patients are required to make a booking with Dr Steven Ward's rooms on 08 6142 0970. If ACTH co-requested. Collected 2 x chilled EDTA's on the first bleed. See: WI-COLL-64 - Synacthen Stimulation Test

2mL

SYNOVIAL FLUID MC&S DOCTOR COLLECT DO NOT REFRIGERATE

SYNTHETIC CANNABINOIDS Yes Full Chain of Custody Collect If a lab-based test is requested as well, this does not need to be a separate collection. See: WI-COLL-53 - Drugs of Abuse Collection Manual

2x 5mL

SYPHILIS CONFIRMATION 1 x SST Only applicable where Syphilis serology is positive.

SYPHILIS SEROLOGY 1 x SST 2 mL

SYPHILLIS PCR 1 x Dry Swab - Orange/White

Referred to: PathWest QEII Must be a site swab from a lesion.

SYSTEMIC FUNGAL CULTURE (TISSUE MC&S)

T/B/NK 1 x ACD and 1 x EDTA

Full tube of ACD (can use 1mL of EDTA ONLY if paediatric or elderly/infirm). See: WI-COLL-96 - Flow Cytometry

6mL ACD

T3 1 x SST Patient to complete FRM-COLL-45 Patient questionnaire for Thyroid Function Tests

2mL

T4 1 x SST Patient to complete FRM-COLL-45 Patient questionnaire for Thyroid Function Tests

2mL

TACROLIMUS 1 x EDTA - dedicated tube required

Referred to: PathWest QEII 0.5mL

T CELL/TCR GENE RE-ARRANGEMENT STUDIES

Yes 1 x EDTA 6mL - Pink, dedicated tube

Referred to: QML Pathology Other sample types (Doctor collect): 1mL Bone Marrow or sample from Lymph Node or tumor

6mL

TEGRATOL 1 x SST Record date and time of last dose of medication on the form.

2mL

TELLURIUM 1 x SST Referred to: PathWest QEII 1mL

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Test Name Out of

Pocket Specimen Collection Method Min Vol

TERBUTALINE Yes 1 x Urine Container

Referred to: QML Pathology Full Chain of Custody Collect

20mL

TESTICULAR TUMOUR MARKERS 1 x SST 2mL

TESTOSTERONE 1 x SST 2mL

TETANUS SEROLOGY 1 x SST Referred to: QML Pathology 2mL

TFT 1 x SST Patient will only receive FT4 and FT3 results if clinical history that meets Medicare guidelines is documented on the request form, or TSH is abnormal. Patient to complete FRM-COLL-45 Patient questionnaire for Thyroid Function Tests.

2mL

THALLIUM 1 x EDTA - dedicated tube required

Referred to: Dorevitch Pathology 2mL

THALLIUM URINE 1 x Urine Container

Referred to: Laverty Pathology 10mL

THEOPHYLLINE 1 x Lithium Heparin - DO NOT SPIN

Referred to: PathWest QEII Take 4-6 hours post dose. Place DO NOT SPIN sticker around the lid.

0.3mL

THROAT SWAB MC&S Swab - Blue Top Gel

DO NOT REFRIGERATE See: WI-COLL-72 Throat Swab Collection for MC&S

THROMBIN ACTIVATABLE FIBRINOLYSIS INHIBITOR

2 x Sodium Citrate Must be at the lab within 4 hours, Transport in Blue bag or double spin, separate, freeze as per WI-COLL-89. Transport frozen if already frozen. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

THROMBIN ANTI-THROMBIN COMPLEX (TAT)

2 x Sodium Citrate Referred to: PathWest FSH Must be at the lab within 4 hours - transport in blue bag. Or DOUBLE spin/separate/freeze and transport frozen. Patient to complete questionnaire: FRM-COLL-43. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

THROMBIN CLOTTING TIME (TCT) 2 x Sodium Citrate Must be at the lab within 10 hrs or single spin/separate/freeze. Patient to complete questionnaire: FRM-COLL- 43 See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

THROMBIN GENERATION See CALIBRATED AUTOMATED THROMBOGRAM entry for Collection requirements. See: FRM-COLL-86 - Coagulation Collection Guide

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Test Name Out of Pocket Specimen Collection Method Min

Vol

THROMBOPHILIA SCREEN Yes Collect all the following • 4 x Sodium

Citrate • 2 x EDTA -

dedicated tube required

• 1 x PPT spin within 30 minutes of collection

• 1 x SST

This test has an out of pocket expense unless a pensioner or DVA or relevant medical history. To Myaree within 10hrs -transport in blue bag. Or citrates DOUBLE spun/separated/frozen. Patient to complete questionnaire: FRM-COLL- 43. Thrombophilia screen is made up of the following tests: AT3, PRC, PRS, APCR, Lupus anticoagulant, PGM, FVL, ACL, B2GP1 and Homocysteine.

See: FRM-COLL-86 - Coagulation Collection Guide

THYROGLOBULIN 1 x SST 4mL

THYROID RECEPTOR ANTIBODIES 1 x SST 2mL

THYROID STIMULATING IMMUNOGLOGULINS

1 x SST Referred to: QML Pathology 1mL

TIBC 1 x SST 2mL

TISSUE AUTOANTIBODY SCREEN 1 x SST 1mL

TISSUE FACTOR PATHWAY INHIBITOR

2 x Sodium Citrate Referred to: PathWest FSH Must be at Myaree within 10hrs - transport in Blue bag. Otherwise single spin/separate/freeze. Patient to complete: FRM-COLL-43. See: FRM- COLL-86 - Coagulation Collection Guide

2.7mL

TISSUE PLASMINOGEN ACTIVATOR 2 x Sodium Citrate Referred to: PathWest FSH Must be at Myaree within 10hrs - transport in Blue bag. Otherwise single spin/separate/freeze. Patient to complete: FRM-COLL-43. See: FRM- COLL-86 - Coagulation Collection Guide

2.7mL

TISSUE TRANSGLUTAMINASE ABS (TTG)

1 x SST 1mL

TITANIUM Yes 1 x Trace Element Free - DO NOT SPIN

Referred to: Royal North Shore Hospital (NSW) Place DO NOT SPIN sticker around the lid.

5mL

TOBRAMYCIN 1 x Plain Tube (Red Top) - Spin & Separate

Referred to: PathWest QEII 0.3mL

TOFRANIL 1 x Plain Tube (Red Top)

Referred to: QML Pathology Collect just prior to the next dose or at least 6 hours after the last dose. Provide clinical and medication detail, including time and date of last dose.

2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

TOPOISOMERASE ANTIBODIES 1 x SST 1mL

TOPOMAX 1 x Plain Tube (Red Top)

Referred to: Royal Prince Alfred Hospital

5mL

TORCH SEROLOGY 1 x SST 2mL

TOXOCARA AB 1 x SST Referred to: PathWest QEII 1mL

TOXOPLASMA SEROLOGY 1 x SST 2mL

TPMT 2 x EDTA - dedicated tube required

Referred to: PathWest QEII 3mL each

TPO 1 x SST 1mL

TRANSFERRIN 1 x SST 2mL

TRANSFUSION REACTION INVESTIGATION

2 x EDTA 6mL – Pink and 1 x SST

1. Full Name, DOB or URN, DOC & TOC must be on EDTA tube and request form. All information must match between form and sample.

2. Collector must sign the tube and certifier on form - these signatures must match.

3. In addition to samples offending units and giving set is also required.

6mL

TREPONEMA

TRICHMONAS VAGINALIS PCR 1 x Swab - Cobas or 1 x Urine - Cobas tube or 1 x Dry Swab - Orange/White

See WI-COLL-115 and WI-COLL-81

TRIGLYCERIDE 1 x SST See: WI-COLL-61 - Lipid Testing 2mL

TRIMETHYLAMINE 1 x Urine Container - dedicated jar required. Freeze ASAP

Referred to: Women and Children’s Hospital Adelaide Early morning urine preferred following egg or fish meal the night before.

10mL

TRIPLE TEST 1 x SST - Spin and freeze ASAP

Acceptable gestational age for Triple Test: 14 weeks - 20 weeks. Please fill out Antenatal Patient Questionnaire (FRM-COLL-6).

4mL

TROPONIN (URGENT – Result within 2hours)

1 x SST Must be in the testing lab within 1 hour – call Laboratory Liaising Officer on 08 9317 0814 for Myaree. For country and NT laboratories: call the testing laboratory directly. Collectors to obtain an after-hours contact number for requesting doctors.

2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

TRYPSINOGEN Test Not Available

TSH 1 x SST Patient to complete FRM-COLL-45 Patient questionnaire for Thyroid Function Tests

2mL

TURNER SYNDROME 1 x Lithium Heparin

1mL

TYPHOID CULTURE Faeces Container and/or Blood Culture Bottles

Faeces samples x 3 (these can be on the same day or over several days but preferably successive movements (i.e. one after the another) Provide patient FRM-COLL-13 and explain the collection instructions per the sheet. Blood Culture - see Blood Culture collection WI-COLL-74 See: WI-COLL-73 - Typhoid Culture Samples

TYPHOID PCR Test Not Available

TYPHOID SEROLOGY 1 x SST Referred to: QML Pathology 1mL

TYROSINE 1 x Lithium Heparin - Spin, Separate & Freeze ASAP

Referred to: PathWest QEII 1mL

UA 1 x SST 2mL

ULTRA SENSITIVE PSA Yes 1 x SST Medicare will pay a rebate for only one (1) PSA test performed in any 12- month period in the absence of previously abnormal results or previously diagnosed prostatic disease. A non-refundable fee will be charged if not billed through Medicare. Request form to be stamped with "Patient Advised of Fee" and signed by the patient acknowledging that an out of pocket payment may be due. See: Patient to complete FRM-COLL-36 - Prostate Specific Antigen (PSA) Patient Questionnaire

2mL

URANIUM 1 x Urine Container

Referred to: WorkCover NSW (TestSafe)

10mL

URATE (FLUID) DOCTOR COLLECT 2mL

URATE (SERUM) 1 x SST 2mL

URATE (SPOT URINE) 1 x Urine Container - random

Transfer into Vacutainer (no additive) urine tube. Urine tubes must not be filled beyond half way to prevent spillage.

2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

URATE CLEARANCE 1 x Urine Container- 24hr plain

2mL

UREA 1 x SST 2mL

UREA (24 HOUR URINE) 1 x Urine Container- 24hr plain

2mL

UREA (FLUID) DOCTOR COLLECT 2mL

UREA (SPOT URINE) 1 x Urine Container - random

Transfer into Vacutainer (no additive) urine tube. Urine tubes must not be filled beyond half way to prevent spillage.

2mL

UREA AND CREATININE 1 x SST 2mL

UREA AND ELECTROLYTES 1 x SST Serum must be spun within 4 hours of collection. Sample must not be transported on an ice brick.

2mL

URETHRAL SWAB MC&S DOCTOR COLLECT DO NOT REFRIGERATE

URINARY ALDOSTERONE Yes 1 x Urine Container- 24hr plain

Referred to: Royal Prince Alfred Hospital Samples once aliquoted must be frozen in the lab.

20mL

URINARY HAEMOSIDERIN 1 x Urine Container - random

Urine container to have name, DOB, TOC, DOC all written on the label.

20 mL

URINE CYTOLOGY Urine Container Collect the FIRST part, or all (not mid stream), of the SECOND or later VOID of the day. A spot urine is sufficient if the patient can produce a sample immediately. Keep the specimen refrigerated. Provide patient with a copy of FRM-COLL-27. Where urine cytology x3 is requested, it is recommended that x3 (three) samples be collected on consecutive days. Where possible, ensure each specimen is sent to the Myaree lab on the day it was collected. If any delays are likely, make sure the specimen is kept refrigerated.

10mL

URINE FOR FASTIDIOUS ORGANISMS

Urine Container See WI-COLL-82 Mid-Stream Urine Collection

5mL

URINE HEAVY METAL SCREEN 1 x Urine Container - random

Referred to: Laverty Pathology 10mL

URINE IMMUNOFIXATION 1 x Urine Container - random

If 24-hour urine is specifically requested, then collect 24-hour plain urine.

7mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

URINE IRON 1 x Urine Container

Referred to: Royal Prince Alfred Hospital

20mL

URINE MC&S Urine Container See WI-COLL-82 Mid-Stream Urine Collection For Stamey’s test (prostatic massage collection): 3x samples will be submitted by patient or doctor. All samples to go under same laboratory number.

5mL

URINE MICROSCOPY Urine Container See WI-COLL-82 Mid-Stream Urine Collection

5mL

URINE OSMOLALITY 1 x Urine Container - random

Serum and urine osmolality must be collected on the same day if both tests are requested. Joondalup, Hollywood and Peel Health Campus also perform Osmolality testing.

2mL

URINE PROTEIN ELECTROPHORESIS

1 x Urine Container - random

If 24-hour urine is specifically requested, then collect 24-hour plain urine.

7mL

URINE RED CELL MORPHOLOGY (URGENT – Result within 2hours)

Urine Container Transport to the laboratory within 1 hour of collection. These samples must be examined immediately upon receipt in the laboratory. See WI-COLL-82 Mid-Stream Urine Collection

10mL

VALPROATE 1 x SST Record date and time of last dose of medication on the form.

2mL

VANADIUM 1 x Urine Container

Referred to: PathWest QEII 10mL

VANCOMYCIN (URGENT – Result before next dosing)

1 x SST Testing performed at Hollywood, Joondalup & Peel Health Campus Labs. NOTE ON REQUEST FORM: (1) time, date and amount of last dose. Less than 1hr before next dose or >11 hours post dose. (2) Injection route: IV; IM; or Oral.

0.5mL

VANCOMYCIN RESISTANT ENTEROCOCCI (VRE SCREEN)

Yes PATIENT COLLECT or Faeces Container

Separate rectal swabs required for VRE screen if requested with CRE screen (ie 2 separate rectal swabs required.) Rectal swab will be a Patient Collect - Provide patient with Blue Top Gel swab. DO NOT REFRIGERATE swabs

VARICELLA ZOSTER PCR 1 x Dry Swab - Orange/White or 1 x Swab - Viral Transport Media

See WI-COLL-115 and FRM-COLL-81 (Swab Collection guide). Please note swabs collected from genital sites are required to be collected by referring doctor.

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Test Name Out of Pocket Specimen Collection Method Min

Vol

VARICELLA ZOSTER SEROLOGY 1 x SST 2mL

VASCULITIS SCREEN 1 x SST 2mL

VASOACTIVE INTESTINAL PEPTIDE (VIP)

Special Collection Kit

Must be spun and frozen within 1 hour of collection. Call Manual Chemistry for a special tube 08 9317 0838. Sent to RPA.

15mL

VAULT SMEAR DOCTOR COLLECT Refer to PAP SMEAR CYTOLOGY

VENOUS BLOOD GAS DOCTOR COLLECT Test is performed at the hospital sites and must be analysed immediately. Please refer the patient to the nearest hospital.

0.5mL

VERY LONG CHAIN FATTY ACIDS Yes 1 x Lithium Heparin spin, separate & freeze ASAP

Referred to: Women and Children’s Hospital Adelaide or Children’s Hospital Westmead.

2mL

VIRAL SEROLOGY AND ATYPICAL SEROLOGY

1 x SST 2mL

VISCOSITY 3 x EDTA - dedicated tube required

Referred to: PathWest QEII Must be at RPH within 4 hours. If delayed spin and separate samples. Must be at RPH before 2pm day of collection. Only Collect Monday to Thursday. DO NOT Collect on Public Holidays.

3mL

VITAMIN A 1 x SST - spin freeze and foil

Referred to: QML pathology 3mL

VITAMIN B1 1 x EDTA - freeze whole and foil

Referred to: QML Pathology 4mL

VITAMIN B2 1 x EDTA - freeze whole and foil

Referred to: QML Pathology 2mL

VITAMIN B3 1 x Urine Container- 24hr acid

Referred to: Royal Prince Alfred Hospital

10mL

VITAMIN B6 1 x EDTA - freeze whole and foil

Referred to: QML Pathology 2mL

VITAMIN B7 Test Not Available

VITAMIN C 1 x SST spin separate and freeze ASAP

Referred to: QML Pathology Patient must be fasting.

2mL

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Test Name Out of Pocket Specimen Collection Method Min

Vol

VITAMIN D Yes 1 x SST Western Diagnostic Pathology will bulk bill when indicated by referring doctor. WDP assume requesting doctor has determined that patient meets requirements as stipulated in the Medicare Benefits Schedule (Item No: 66833) Request form to be stamped with "Patient Advised of Fee" and signed by the patient acknowledging that an out of pocket payment will be due. See: WI-COLL- 113 Vitamin D Bulk Billing Criteria

2mL

VITAMIN E 1 x SST - spin freeze and foil

Referred to: QML Pathology 3mL

VITAMIN K 1 x Lithium Heparin - Spin, Separate, Foil & Freeze ASAP

Referred to: SEALS (Prince of Wales, NSW)

2mL

VON WILLEBRAND SCREEN See FACTOR STUDIES entry for Collection requirements. See: FRM- COLL-86 - Coagulation Collection Guide

VORICONAZOLE 1 x Plain Tube (Red Top)

Referred to: Royal Brisbane Hospital (Path Queensland)

1mL

WEST NILE VIRUS 1 x SST This test is referred to and performed by PathWest QEII.

2mL

WHIPPLE'S DISEASE 1 x EDTA - dedicated tube required

Referred to: PathWest QEII 2mL

WHITE CELL COUNT 1 x EDTA Full Name, DOB or URN, DOC & TOC must be on EDTA tube. Collector must sign EDTA tube and request form. Transport chilled. NOTE: Only 1 EDTA required for any combination of FBC/Indices, ESR, Malaria, RET, HbA1C, HE.

1ml

WHITE CELL COUNT & DIFFERENTIAL (PATIENTS ON CLOZAPINE ONLY)

1 x EDTA Sample must be labelled with full name, DOB or URN, DOC &TOC. Tube & request form certifier must be signed by collector. Transport chilled. Patient's on Clozapine therapy.

1ml

WHITE CELL ENZYMES Yes 1 x EDTA - dedicated tube required

Referred to: Women and Children’s Hospital Adelaide CONSENT REQUIRED DUE TO LARGE OUT OF POCKET EXPENSE

1mL

WILLIAMS SYNDROME See MICROARRAY - BLOOD

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Test Name Out of Pocket Specimen Collection Method Min

Vol

WILSON’S DISEASE 1 x Urine Container- 24hr plain

Referred to: Laverty Pathology Only test for genetics when specifically requested. Otherwise a 24hr urine for 'Copper' is collected.

10mL

WILSON’S DISEASE GENE 4 x EDTA 6mL - Pink, dedicated tube

Referred to: PathWest QEII 6mL

WOUND SWAB MC&S Swab - Blue Top Gel

See Wound swab WI-COLL-81 DO NOT REFRIGERATE

XACT See FACTOR X- ACTIVATED CLOTTING TIME entry for Collection requirements. See: FRM- COLL-86 - Coagulation Collection Guide

XYMOPHEN OR XYMOGEN 2 x Sodium Citrate Referred to: PathWest FSH To Myaree within 4hrs, transport in blue bag. Or, DOUBLE spin, separate and freeze and transport frozen. See: FRM-COLL-86 - Coagulation Collection Guide

2.7mL

Y CHROMOSOME DELETION 1 x EDTA 6mL - Pink, dedicated tube

Referred to: QML Pathology 6mL

YELLOW FEVER 1 x SST Referred to: PathWest QEII 2mL

YERSINIA SEROLOGY 1 x SST Referred to: QML Pathology 2mL

ZIKA VIRUS PCR 1 x EDTA - dedicated tube required and 1 x Urine Container - random

Referred to: PathWest QEII Record details of the country visited. How long the patient stayed in the country. If pregnant or trying.

1mL blood 10mL urine

ZIKA VIRUS SEROLOGY 1 x SST Referred to: PathWest QEII Record details of the country visited. How long the patient stayed in the country. If pregnant or trying.

2mL

ZINC PROTOPORPHYRIN Yes 1 x EDTA 6mL - Pink, dedicated tube

Referred to: QML Pathology 3mL

ZINC SERUM 1 x Trace Element Free - spin & separate

Referred to: Laverty Pathology 2mL

ZINC URINE 1 x Urine Container - random

Referred to: Laverty Pathology 20mL

ZIPRASIDONE Test Not Available

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Test Name Out of Pocket Specimen Collection Method Min

Vol

ZNT8 ABS 1 x SST Referred to: Sullivan Nicolaides 2mL

ZYMUPHEN MICROPARTICLE ACTIVITY

See PLATELET MICROPARTICLE entry for collection requirements. See: FRM-COLL-86 - Coagulation Collection Guide

Specimen Collection Manual Issue 19 Page 95 of 95