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