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Pathology and Laboratory Medicine
Health Practitioners and the Laboratory

​Recent Laboratory Service Manual Updates


January 2020

Chemistry

Name of Test/Supporting Item
Categories with Changes
Immunoglobulin D (IgD)
​Collection Procedure, Grounds for Rejection
​Immunoglobulin IgG Subclasses
Grounds for Rejection, Testing Site, Additional Comments, Alternate Test Names​

December 2019

Chemistry

Name of Test/Supporting Item
Categories with Changes
Thiocyanate
​Testing Site, Additional Comments
​Vitamin B2
​Required volume, Stability/Storage
Streptomycin
​Required volume, Stability/Storage, Preferred Specimen Collection
GABA-B Receptor Antibodies, Serum
​Containers, Required Volume, Grounds for Rejection
GABA-B Receptor Antibodies, CSF
​Grounds for Rejection, Testing Site
Glutamic Acid Decarboxylase (GAD65) Antibody, Serum
​Stability/Storage, Testing Site, Result Reporting
​Glutamic Acid Decarboxylase (GAD 65), CSF
​Required Volume, Stability/Storage, Availability, Forms Required
Glucose-6-Phosphate Dehydrogenase (G6P), Blood
​Grounds for Rejection
Chlorpromazine
​Required Volume, Collection Procedure, Grounds for Rejection
Cancer Antigen 27 29 (CA 27-29)
​Grounds for Rejection
Carbohydrate Antigen 19-9 (CA 19-9)
​Required Volume, Grounds for Rejection
​C Peptide
​Result Reporting
​Alkaline Phosphatase: Bone Specific
​Result Reporting
​Adrenocorticotropic Hormone (ACTH)
​Collection Procedure, Availability
Insulin
​Ordering Recommendation, Availability, Testing Site
​FIT (Fecal Immunochemical Test - for occult blood)
​Ordering Recommendation, Type, Collection Procedure, Stability/Storage, Grounds for Rejection, Availability, Testing Site, Result Reporting, SHR LIS Test Code
​Voltage Gated Potassium Channel Ab (VGKC)
​Grounds for Rejection, Testing Site
​West Nile Virus Antibody, IgM
​Required Volume, Availability
​Syphilis Antibody Screen, CSF
Test Ordering Requirements, Availability
Syphilis IgG
​Availability
Serotonin, Urine
​Collection Procedure, Stability/Storage, Required Volume
Selenium
​Container, Required Volume, Availability, Preferred Specimen Collection
Gastrin
​Availability, Testing Site, Result Reporting
Delta Aminolevulinic Acid (ALA)
​Container, Grounds for Rejection, Availability, Additional Comments, Preferred Specimen Collection
Citrate, Urine
​container, Collection Procedure, Availability, Testing Site, SHR LIS Test Code
Apolipoprotein B
​Grounds for Rejection
​Anti-Saccharomyces Cerevisiae Antibodies
​Required Volume
Cadmium, Whole Blood
​Container, Collection Procedure, Grounds for Rejection, Availability, Testing Site, Clinical Interpretation, Additional Comments, Forms Required
​C2 Complement
​Collection procedure, Required Volume, Grounds for Rejection, Result Reporting
Angiotensin Converting Enzyme (ACE), CSF
​Stability/Storage
Arsenic Hair or Nails
​Container, Required Volume, Grounds for Rejection, Availability, Testing Site
Tryptase
​Container
Dopamine
​Ordering Recommendations, Type, Collection Procedure, Required volume, Additional Comments
​Catecholamines, Plasma
​Required Volume, Testing Site, Result Reporting


Clinical Microbiology

Name of Test/Supporting Item
Categories with Changes
​Ehrlichia chaffeensis IgG Antibody (Immune Status) - Blood
​NEW!
Chlamydia pneumoniae PCR Lower Respiratory
​Type, Container, Result Reporting, Forms Required


November 2019

Transfusion Medicine

Name of Test/Supporting Item
Categories with Changes
​Adverse Event Investigation, Serological
​updated links for Sask Blood, instructions and guidelines
Cord Blood Testing
​Availability
Obtaining Blood Components and Products
​Updated links

Chemistry

Name of Test/Supporting Item
Categories with Changes
Ethanol
​Type, container, Stability/Storage, Grounds for Rejection
Sirolimus
​Availability, Result Reporting, Methodology
Tacrolimus
​Collection procedure, Availability, Methodology
Manganese, Plasma
​Test Ordering Requirements
Mexiletine
​Ordering Recommendation, Type, Container, Required Volume, Grounds for Rejection, Test Ordering Requirements
Oxalate, Urine
​Container, Testing Site
​Fatty Acid Profile, Essential
Grounds for Rejection, Preferred Specimen Collection, Test Ordering Requirements (Removed)​
Bile Acids, Total
​Ordering Recommendation (removed), Alternate Test Name
Glycated Serum Protein
​Updated!
​Anti-IgA IgG Antibodies
​Ordering Recommendation, Required Volume, Stability/Storage
Specific Gravity, Fluid
Container, Result Reporting
​Triglyceride, Fluid
Updated!
Vitamin D
​Ordering Recommendations
Ethosuximide
​Updated!
Diphenhydramine
​Result Reporting

October 2019

Chemistry

Name of Test/Supporting Item
Categories with Changes
​Prostate Specific Antigen (PSA), Free
​Ordering Recommendation, Container, Grounds for Rejection, Testing Site, SHR LIS Code
Cyclosporine
​Methodology
​Dehydroepiandrosterone Sulfate (DHEA-S)
​Testing Site
Estradiol
​Testing Site
​Glucose Gestational Challenge
​Specimen Retention
​Glucose Gestational Tolerance (75g Gestational Tolerance)
​Specimen Retention
​Immunoglobulin A (IgA)
​Testing Site
​Immunoglobulin G (IgG)
​Name, Container
​Immunoglobulin M (IgM)
​Name, Testing Site
​Luteinizing Hormone
​Testing Site
​Lactose Tolerance
​Testing Site
​Glucose Tolerance (75G 2 Hour)
​Testing Site, Specimen Retention
Glucose
Stability/Storage​
Sex Hormone Binding Globulin (SHBG)
​Testing Site
Metanephrines Panel (Urine)
​Container, Collection Procedure, Stability/Storage, Additional Comments
Thyroglobulin
​Testing Site
​Thyroglobulin Antibody
​Testing Site
Methanol
​Container, Collection Procedure, Stability/Storage, Grounds for Rejection, Testing Site, Methodology
Ethylene Glycol
​Container, Collection Procedure, Stability/Storage, Grounds for Rejection, Testing Site, Methodology
​Thyroid Peroxidase Antibody
​Testing Site
Homocysteine
​Stability/Storage, Testing Site
Human T-Lymphotropic Virus Antibody
​Availability, Result Reporting, Methodology
Erythrocyte Sedimentation Rate
​Availability, Testing Site, Methodology, Specimen Retention, SHR LIS Code

Transfusion Medicine

Name of Test/Supporting Item
Categories with Changes
Fibrin Sealant
​Resource Information, Availability
Fibrinogen Concentrate
​Monograph links, Notes
​Plasma - Solvent Detergent
​Monograph links, Ordering
​Prothrombin Complex Concentrate (PCC)
​Resource Information, Size/Volume Available

Microbiology

Name of Test/Supporting Item
Categories with Changes
Methodology and Clinical Interpretation for Microbiology Testing
​Complete revision

Human Molecular Genetics

Name of Test/Supporting Item
Categories with Changes
Bcl-1/JH, t(11;14) Translocation by PCR (bcl-1)
​collection procedure, stability/storage

Cytogenetics

Name of Test/Supporting Item
Categories with Changes
​Chromosome Analysis- Bone Marrow
​Availability, testing site, reflex testing, specimen retention
Fluorescence in situ Hybridization (FISH)- Bone Marrow
Revised
​Chromosomal Microarray
​Methodology, Forms Required

September 2019

Anatomic Pathology

Name of Test/Supporting Item
Categories with Changes
​Surgical Specimens
​Collection Procedure

Chemistry

Name of Test/Supporting Item
Categories with Changes
​Beta-Glucosidase
​Testing Site, Additional Comments, Forms Required, Relevant Clinical History
Alpha-Iduronidase, Dried Blood Spot
​Required Volume, Stability/Storage, Testing Site, Clinical Interpretation, Additional Comments, Forms Required

Histology

Name of Test/Supporting Item
Categories with Changes
Amputations
​Grounds for Rejection

August 2019

Transfusion Medicine

Name of Test/Supporting Item
Categories with Changes
Direct Antiglobuline Test
​Container, Availability
​RH Immune Globulin
​Forms Required
Thrombin Sealant
Product Monograph
​Prothrombin Complex Concentrate (PCC)
​Indications, Dosing
​Fibrinogen Concentrate
Resource Information, Availability, Notes, Administration
Plasma- Solvent Detergent
​Resource Information, Availability, Forms Required

Chemistry

Name of Test/Supporting Item
Categories with Changes
Chloradiazepoxide
​Availability, Test Ordering Requirements
Nicotine and Metabolites
​LIS Test Code
​Lamictal (Lamotrigine)
​Grounds for Rejection
​Amikacin Level
​Container, Required Volume, Availability. Testing Site, Methodology, SHR LIS Test Code
Procainamide
Container
​Folate, RBC
​Alternative test names, Additional Comments
​Thallium, Whole Blood
​Collection Procedure, Testing Site, Clinical Interpretation
Vitamin A
​Container, Grounds for Rejection, Availability, Testing Site
Insulin-Like Growth Factor Binding Protein 3
​Required Volume
​Alpha-1-Antitrypsin, Random Stool
​Collection Procedure, Stability/Storage, Grounds for Rejection, Testing Sites
Levetiracetam (Keppra)
​Ordering Recommendation, Stability/Storage, Additional Comments
Primidone
Ordering Recommendation, Testing Site, Additional Comments
​Calculi for Chemical Analysis, Renal
​Container
Trimipramine
​Type, Collection Procedure, Required Volume, Availability, Testing Site
Imipramine
​Required Volume, Collection Procedure, Stability/Storage, Additional Comments
​C-Telopeptide
Testing Site, Result Reporting
​Arsenic- Urine
​Required Volume, Result Reporting, Reflux Testing, Relevant Clinical History
Complement C1Q Antigen Level
​NEW!
Renin
​Ordering Recommendation, Required Volume, Availability, Testing Site, Additional Comments
​Circulating Immune Complex Binding Assay
​Test name updated, Container, Stability/Storage, Testing Site
​C1 Esterase Inhibitor, Antigen Level
​Test name updated, Container, Stability/Storage, Testing Site, Clinical Interpretation, Forms Required
​Neuromylelitis Optica (NMO) Antibodies, CSF
Ordering Recommendations, Additional Comments, Alternate Test Names, Clearance Required
Neuromyelitis Optica (NMO) Antibodies
Ordering Recommendation, Methodology, Clinical interpretation, Additional Comments, Alternate Test Names

Hematology

Name of Test/Supporting Item
Categories with Changes
​Erythrocyte Sedimentation Rate (ESR)
​Ordering Recommendation, availability, specimen retention
​Pediatric Erythrocyte Sedimentation Rate (PESR)
NEW!

July 18 2019

Chemistry

Name of Test/Supporting Item
Categories with Changes
​Androstenedione
​Collection Procedure, Storage/Stability, Availability, Testing Site
Cystine-White Blood Cells
​Ordering Recommendations, Container, Collection Procedure, Required Volume, Stability/Storage
​Fecal Fat
NEW!
Macroprolactin
​Ordering Recommendations, Stability/Storage, Testing Site, Clinical Interpretation

Transfusion Medicine

Name of Test/Supporting Item
Categories with Changes
Albumin
​Notes

July 11 2019

Chemistry

Name of Test/Supporting Item
Categories with Changes
​Barbiturates Screen, Serum/Plasma
​name to include plasma
Type, Container, Required Volume, Collection Procedure, Availability, Testing Site
​Itraconazole
​Collection Procedure, Required Volume (minimum volume changed), Availability
Levofloxacin
​Stability/Storage, Preferred Specimen Collection

July 9 2019

Chemistry

Name of Test/Supporting Item
Categories with Changes
Pseudocholinesterase Total - Serum
NEW!​
Autoimmune Myopathy/Myositis Profile
​Updated to include Mitogen requisition (out of province)
​Acylcarnitine - Urine
NEW!
​Acetylcholinesterase- RBC
​Ordering recommendations, Collection procedure

July 02 2019

Microbiology

Name of Test/Supporting Item
Categories with Changes
​Interferon Gamma Release Assay (IGRA) Whole Blood
​Container, Forms Required


Chemistry

Name of Test/Supporting Item
Categories with Changes
Acetylcholinesterase
​SHR LIS Test Code
​Autoimmune Myopathy/Myositis Profile
​Additional comments: panel includes, Forms Required, Clearance requirements removed.
​Methylmalonic Acid - Blood (Quantitative)
​Type, Stability/Storage, Grounds for Rejection, Alternate Test Names, Forms Required, Patient History- Relevant Clinical History, Relevant Recent Medication History
​Paraneoplastic Disease Profile, CSF
​Result Reporting, Clinical Interpretation, Additional Comments, SHR LIS Test Code
​Paraneoplastic Antibody Small Panel, Serum
​Testing Site, Clinical Interpretation, Additional comments, SHR LIS Code
Parathyroid Hormone Related Peptide
​Ordering recommendations, Clinical interpretation, Forms Required
​Porphyrins Quantitative, Urine
​Container, Availability, Additional Comments
​Porphyrin Screen, Feces
​Reflex Testing, Clinical Interpretation, SHR LIS Test Code
Topiramate
Container, Collection Procedure, Stability/Storage, Availability, Testing Site

June 26 2019

Chemistry

Name of Test/Supporting Item
Categories with Changes
H. Pylori Stool Antigen
NEW!

June 11 2019

Transfusion Medicine

Name of Test/Supporting Item
Categories with Changes
Platelets
​Notes (Rh negative recipient age defined)

June 10 2019

Microbiology

Name of Test/Supporting Item
Categories with Changes
​Interferon Gamma Release Assay
​Collection Container, Collection Procedure

May 28 2019

Chemistry

Name of Test/Supporting ItemCategories with Changes
HIV Antigen/Antibody Screen, Routine
​Required volume, reflex testing, forms required


May 8 2019

Transfusion Medicine

Name of Test/Supporting ItemCategories with Changes
Cold Screen for Cardiovascular Surgery​availability, additional comments


May 3 2019

Microbiology

Name of Test/Supporting ItemCategories with Changes
MonospotType, required volume, stability/storage, grounds for rejection, testing site, methodology, clinical interpretation


April 29 2019

Microbiology

Name of Test/Supporting ItemCategories with Changes
BK and JC Virus Qualitative PCRType, Container, Volume, stability/storage
Results Reporting, Reflex Testing, Clinical Interpretation
Specimen Retention, Alternate Test Names, Forms Required

April 23 2019

Anatomic Pathology

Name of Test/Supporting ItemCategories with Changes
​Surgical Pathology Requisition
updated identifiers (PHN to HSN).

April 2 2019

Chemistry

Name of Test/Supporting ItemCategories with Changes
​Free Androgen Index​Specimen Type, Testing Site

March 25 2019

Transfusion Medicine

Name of Test/Supporting ItemCategories with Changes
​ABO and Rh Type​Required Volume (Rural)
Result Reporting (Routine- Rural)
Forms Required

March 21 2019

Chemistry

Name of Test/Supporting ItemCategories with Changes
​Bruton Tyrosine Kinase Protein Expression, Flow CytometryNEW!

March 11 2019

Chemistry

Name of Test/Supporting ItemCategories with Changes
Methotrexate​Collection Procedure
Required Volume
Relevant Recent Medication History
​Orotic Acid (Quantitative)
Availability
​Testing Site (Referred Out)
Result Reporting
Methodology
LIS Test Code
Relevant Clinical History

February 25 2019

Chemistry

Name of Test/Supporting ItemCategories with Changes
Acetylcholinestrerase​Collection procedure, grounds for rejection, additional comments

Transfusion Medicine

Name of Test/Supporting ItemCategories with Changes
Transfusion Essentials​NEW! Informed Consent for Blood Components and/or Plasma Protein Including Tissue Graft
NEW! Order sets - Intravenous Immune Globulin Infusion Order Set (Adults & Pediatric)

February 8 2019

Transfusion Medicine

Name of Test/Supporting ItemCategories with Changes
Stem Cell Transmissible Disease Testing​Container, stability/storage

January 22-25 2019

Chemistry

Name of Test/Supporting ItemCategories with Changes

Alpha-Fucosidase, Dried Blood Spot

Updated!
​Ethambutol​Updated!
​Alpha-Glucosidase
Alpha-Mannosidase
​Amino Acids Quantitative - Blood
Amino Acids Quantitative - CSF
Amino Acids Quantitative - Urine
Arylsulfatase A
​Arylsulfatase B
​Beta-Galactosidase, Dried Blood Spot
​Cystine - White Blood Cells
​Creatinine
Fluoxetine
Cancer Antigen (15-3)
Lysozyme
Propranolol
Beta-Galactocerebrosidase, Dried Blood Spot​Name (formerly Beta-Galactocerebrosidase), type, container, stability/storage, availability, testing site, methodology, additional comments, alternate test names, forms required
7 Dehydrocholesteral​Updated!
Alpha-Galactosidase, Dried Blood SpotUpdated!
Antibody Investigation - Referred In​testing availability updated
​Beta HCG Quantitative, Blood​Version updated!
Beta Ketone​alternate test names
​Beta HCG Qualitative, Urine​alternate test names
C1 Esterase Inhibitor, Functional​Ordering recommendations, Clinical information, Alternate test names, SHR LIS test code
ErythropoietinContainer, grounds for rejection, testing site
Ethanolcollection procedure, stability/storage, testing site, result reporting, SHR LIS Test Code
Free Kappa Lambda Light Chains, Serum​Specimen container, testing site
Galactokinase, Blood​version updated
Glucagon, Plasma​ordering recommendation, testing site, NEW additional comments,
Insulin-Like Growth Factor Binding Protein 1​Ordering Recommendation, additional comments
​Methylmalonic Acid, Urine​Division updated to Chemistry, stability, grounds for rejection, testing site, alternative test names, forms required.
Pyruvate Kinase, RBC​ordering recommendation, testing availability, testing site, forms required
​Somatostatin​Collection procedure, stability/storage, testing site, alternative test name
Sulfocysteine, Urine​NEW!
Culture and Sensitivity (C&S) For enteric Pathogens-FecesNEW!
​Biotinidase, QuantitativeNEW!
​Acylcarnitine Quantitative​NEW!

Microbiology

Name of Test/Supporting ItemCategories with Changes
Bacterial Culture (Routine) Throat/Upper RespiratoryUpdated!
Clostridium difficile (Cdiff) PCR
Culture & Sensitivity (C&S), Abscess FluidNEW!
Culture & Sensitivity (C&S), Lower RespiratoryNEW!
Culture & Sensitivity (C&S), Cerebrospinal Fluid (CSF)NEW!
​Cryptococcal Antigens Cerebrospinal Fluid (CSF)NEW!
Fungal Culture Cerebrospinal Fluid (CSF)NEW!
Culture and Sensitivity BoneNEW!
Culture & Sensitivity (C&S), Abscess SwabNEW!
Borrelia burgdorferi (Lyme Disease) Total Antibodies (IgG & IgM) , BloodNEW!
Culture & Sensitivity (C&S), Blood Culture (Adult)NEW!
​Mycobacterial Culture (AFB/TB) Blood CultureNEW!
Culture & Sensitivity (C&S) Blood Culture (Pediatric)NEW!
​Fungal Culture, Blood CultureNEW!
Neisseria gonorrhoeae (GC) Culture, Throat
NEW!
​Neisseria gonorrhoeae (GC) Culture, Rectal
NEW!
Mycoplasma and Ureaplasma Genital SwabNEW!
Culture and Sensitivity (C&S) EyeNEW!
Neisseria gonorrhoeae (GC) Culture, Genital
NEW!

Anatomic Pathology

Name of Test/Supporting ItemCategories with Changes
​Muscle Biopsy​Updated!
Nerve Biopsy​Updated! Link to surgical pathology requisition updated
​Renal Biopsy
​Skin for Immunofluorescence Studies
NEW!
​​Myocardial Biopsy
​NEW!

Transfusion Medicine

​Name of Test/Supporting ItemCategories with Changes
​Coagulation Factor IX Concentrate​alternate product names, availability, notes
Cord Blood Testing​Update- Ordering recommendation
Fibrin Sealant​product availability, size/volume
Group and Screen​testing availability, result reporting, 
​Immune Globulin​alternative product names, resource information, product monographs, size/volume available, notes
Recombinant Coagulation Factor VIII Concentrate​alternate product names, resource information, size/volume information, administration

January 17, 18 2019

Hematology

​Name of Test/Supporting ItemCategories with Changes
​Flow Cytometry Requisition
Form #103088

​Updated!


Transfusion Medicine

​Name of Test/Supporting ItemCategories with Changes
Blood Product and Component Pickup Slip
Form #102930
Plasma Protein Product Request Form
Form #103221​

Chemistry

Name of Test/Supporting ItemCategories with Changes
Phenylalanine/Tyrosine, Dried Blood Spot​name (formerly Phenylalanine) ordering recommendation, container, volume, stability/storage, forms required, alternate test names, SHR LIS test code, additional comments, relevant clinical history
Phenylalanine/Tyrosine, Plasma​name (formerly Tyrosine), ordering recommendation, type, container, required volume, availability, testing site, additional comments, alternative test names, required forms, relevant clinical history
​Very Long Chain Fatty Acids, with Phytanic Acid and Pristanic Acid​name (formerly Very Long Chain Fatty Acids). ordering recommendation, type, container, required volume, forms required, NEW Relevant Clinical History, NEW Relevant Recent Medication History
Homogentisic Acid, Urine​container, stability/storage, grounds for rejection, testing site, clinical interpretation, additional comments, alternative test name, LIS test code, forms required, relevant client history 
Homocystine-Urine​container, volume, stability/ storage, testing site, results reporting, forms required
​Hexosaminidase A and B​ordering recommendations, type, required volume, stability/storage, testing availability, testing site, methodology, clinical information, additional comments, test ordering requirements
Heparan N-Sulfatase, Dried Blood Spot​container, required volume, stability/storage, test availability, testing site, additional comments, alternate test name, forms required, patient history
Cystinuria Profile, Urine​Specimen containers, required volume, stability/storage, testing site, result reporting, additional comments, alternative test names, forms required
​Biotinidase, Qualitative​specimen container, required volume, stability/storage, test availability, testing site, result reporting, clinical interpretation, forms required, relevant clinical history.

January 11, 2019

Chemistry

​Name of Test/Supporting ItemCategories with Changes
​Pyruvate, CSF

​New!

Pyruvate, Whole Blood​Ordering Recommendation, Container, Collection Procedure, Required Volume, Stability/Storage, Grounds for Rejection, Testing Site, Results Reporting, Methodology, Clinical Interpretation, Forms Required, Relevant Clinical History


Last Modified: Friday, January 10, 2020 |
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