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COLLECTION INSTRUCTIONS - Dorevitch

COLLECTION INSTRUCTIONS . |TEST NAME |DEPARTMENT |SPECIMEN CONTAINER |CAP COLOUR |COMMENTS. 1,25-Dihydoxycholecalciferol Referred Specimens Blood/SST tube Gold Non-rebateable test. Refer to non-rebateable price list. Patient payment consent required. 1,25-Dihydroxy Vitamin D Referred Specimens Blood/SST tube Gold Non-rebateable test. Refer to non-rebateable price list. Patient payment consent required. 16S rRNA PCR (Ribosomal RNA Referred Specimens Blood/ Fluid/Tissue Sterile Non-rebateable test. Refer to non-rebateable price list. gene sequence) Container Patient payment consent required. 17 Ketosteroids (Urine) Biochemistry 24hr urine COLLECTION /Urine No preservative (plain). Please note start date / time and COLLECTION bottle with no finish date / time on request form. preservative 17-Hydroxy Progesterone Biochemistry Blood/SST tube Gold Specimen ideally collected between 8am & 10am. 17-OH P Biochemistry Blood/SST tube Gold Specimen ideally collected between 8am & 10am.

required if the 24 hour urine volume is high. Adrenal tissue antibody Referred Specimens Blood/SST tube Gold Adrenaline (Plasma)€ Referred Specimens Not recommended due to instability. Preferred specimen is 24hr urine Catecholamines.24

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Transcription of COLLECTION INSTRUCTIONS - Dorevitch

1 COLLECTION INSTRUCTIONS . |TEST NAME |DEPARTMENT |SPECIMEN CONTAINER |CAP COLOUR |COMMENTS. 1,25-Dihydoxycholecalciferol Referred Specimens Blood/SST tube Gold Non-rebateable test. Refer to non-rebateable price list. Patient payment consent required. 1,25-Dihydroxy Vitamin D Referred Specimens Blood/SST tube Gold Non-rebateable test. Refer to non-rebateable price list. Patient payment consent required. 16S rRNA PCR (Ribosomal RNA Referred Specimens Blood/ Fluid/Tissue Sterile Non-rebateable test. Refer to non-rebateable price list. gene sequence) Container Patient payment consent required. 17 Ketosteroids (Urine) Biochemistry 24hr urine COLLECTION /Urine No preservative (plain). Please note start date / time and COLLECTION bottle with no finish date / time on request form. preservative 17-Hydroxy Progesterone Biochemistry Blood/SST tube Gold Specimen ideally collected between 8am & 10am. 17-OH P Biochemistry Blood/SST tube Gold Specimen ideally collected between 8am & 10am.

2 17-OH Progesterone Biochemistry Blood/SST tube Gold Specimen ideally collected between 8am & 10am. 25 (OH) D Biochemistry Blood/SST tube Gold 25 (OH) D3 Biochemistry Blood/SST tube Gold 25-Hydroxy Cholecalciferol Biochemistry Blood/SST tube Gold 25-Hydroxy Vitamin D Biochemistry Blood/SST tube Gold 5 HIAA (5-Hydroxy Indole Acetic Referred Specimens 24hr urine COLLECTION /Urine Acid preservative. Please note start date / time and finish Acid) COLLECTION bottle with acid date / time on request restrictions apply for preservative 2 days prior & during test - walnuts, tomatoes, bananas, pineapple, avocado, red plums, egg plant & kiwi fruit. 5 SRT (Serotonin) Referred Specimens Blood/SST tube Gold Tumour marker - carcinoid tumour. 5-HT (Serotonin) Referred Specimens Blood/SST tube Gold Tumour marker - carcinoid tumour. 5-Hydroxy Indole Acetic Acid Referred Specimens 24hr urine COLLECTION /Urine Acid preservative.

3 Please note start date / time and finish (Serotonin) COLLECTION bottle with acid date / time on request restrictions apply for preservative 2 days prior & during test - walnuts, tomatoes, bananas, pineapple, avocado, red plums, egg plant & kiwi fruit. Title: COLLECTION Instruction Document No: PP-COL-103 Version No: Author: Spec Proj Officer Ver Date: 26/02/19. Authorising Officer: Spec Proj Officer Eff Date: 26/02/19. Page 1 of 152. |TEST NAME |DEPARTMENT |SPECIMEN CONTAINER |CAP COLOUR |COMMENTS. 5-Hydroxy Tryptamine Referred Specimens Blood/SST tube Gold Tumour marker - carcinoid tumour. 5-Nucleotidase Test no longer available. 6 TGN & 6 MMP Referred Specimens Blood/EDTA 10mL tube Lavender Collect specimen Mon - Thurs only. A 1 Antitrypsin Biochemistry Blood/SST tube Gold A1A Genotyping Genomic Diagnostics Blood/EDTA 10mL tube Lavender Non-rebateable test. Refer to non-rebateable price list.

4 Patient payment consent required. A1A Phenotyping Referred Specimens Blood/SST tube Gold A1AT Biochemistry Blood/SST tube Gold A4 (Androstenedione) Biochemistry Blood/SST tube Gold AB screen (Antibody Screen) Blood Bank Blood/EDTA 6mL tube Pink Please note: NPAAC guidelines stipulate labelling requirements of the request form and specimen are: Full given and surname, date of birth or UR number, date and time of COLLECTION , clinical diagnosis, collector's signature or initials on the specimen and a collector's declaration on the request form. ABG (Arterial Blood Gases) Biochemistry Blood/Blood gas syringe ABO Blood Bank Blood/EDTA 6mL tube Pink Please note: NPAAC guidelines stipulate labelling requirements of the request form and specimen are: Full given and surname, date of birth or UR number, date and time of COLLECTION , clinical diagnosis, collector's signature or initials on the specimen and a collector's declaration on the request form.

5 ABO & Antibodies Blood Bank Blood/EDTA 6mL tube Pink Please note: NPAAC guidelines stipulate labelling requirements of the request form and specimen are: Full given and surname, date of birth or UR number, date and time of COLLECTION , clinical diagnosis, collector's signature or initials on the specimen and a collector's declaration on the request form. Title: COLLECTION Instruction Document No: PP-COL-103 Version No: Author: Spec Proj Officer Ver Date: 26/02/19. Authorising Officer: Spec Proj Officer Eff Date: 26/02/19. Page 2 of 152. |TEST NAME |DEPARTMENT |SPECIMEN CONTAINER |CAP COLOUR |COMMENTS. ABO & RH Blood Bank Blood/EDTA 6mL tube Pink Please note: NPAAC guidelines stipulate labelling requirements of the request form and specimen are: Full given and surname, date of birth or UR number, date and time of COLLECTION , clinical diagnosis, collector's signature or initials on the specimen and a collector's declaration on the request form.

6 ABO & RH Antibodies Blood Bank Blood/EDTA 6mL tube Pink Please note: NPAAC guidelines stipulate labelling requirements of the request form and specimen are: Full given and surname, date of birth or UR number, date and time of COLLECTION , clinical diagnosis, collector's signature or initials on the specimen and a collector's declaration on the request form. ABO & RH isohaemagglutins Blood Bank Blood/EDTA 6mL tube Pink Please note: NPAAC guidelines stipulate labelling requirements of the request form and specimen are: Full given and surname, date of birth or UR number, date and time of COLLECTION , clinical diagnosis, collector's signature or initials on the specimen and a collector's declaration on the request form. ABO & RH status Blood Bank Blood/EDTA 6mL tube Pink Please note: NPAAC guidelines stipulate labelling requirements of the request form and specimen are: Full given and surname, date of birth or UR number, date and time of COLLECTION , clinical diagnosis, collector's signature or initials on the specimen and a collector's declaration on the request form.

7 ABO & RHESUS Blood Bank Blood/EDTA 6mL tube Pink Please note: NPAAC guidelines stipulate labelling requirements of the request form and specimen are: Full given and surname, date of birth or UR number, date and time of COLLECTION , clinical diagnosis, collector's signature or initials on the specimen and a collector's declaration on the request form. ABO & Rhesus Antibodies Blood Bank Blood/EDTA 6mL tube Pink Please note: NPAAC guidelines stipulate labelling requirements of the request form and specimen are: Full given and surname, date of birth or UR number, date and time of COLLECTION , clinical diagnosis, collector's signature or initials on the specimen and a collector's declaration on the request form. Title: COLLECTION Instruction Document No: PP-COL-103 Version No: Author: Spec Proj Officer Ver Date: 26/02/19. Authorising Officer: Spec Proj Officer Eff Date: 26/02/19. Page 3 of 152.

8 |TEST NAME |DEPARTMENT |SPECIMEN CONTAINER |CAP COLOUR |COMMENTS. ABO group Blood Bank Blood/EDTA 6mL tube Pink Please note: NPAAC guidelines stipulate labelling requirements of the request form and specimen are: Full given and surname, date of birth or UR number, date and time of COLLECTION , clinical diagnosis, collector's signature or initials on the specimen and a collector's declaration on the request form. ABO phenotype Blood Bank Blood/EDTA 6mL tube Pink Please note: NPAAC guidelines stipulate labelling requirements of the request form and specimen are: Full given and surname, date of birth or UR number, date and time of COLLECTION , clinical diagnosis, collector's signature or initials on the specimen and a collector's declaration on the request form. Acanthocytes Haematology Blood/EDTA 4mL tube Lavender Please mark as 'Urgent' and send to Heidelberg. Please advise haematology (Ph: 9244 0481) of the request and provide the patient details.

9 Dedicated EDTA required. Acathamoeba PCR Referred Specimens Swab/Sterile container Non-rebateable test. Refer to non-rebateable price list. Patient payment consent required. ACE (Angiotensin Converting Biochemistry Blood/SST tube Gold Enzyme). ACE (CSF) Biochemistry Title: COLLECTION Instruction Document No: PP-COL-103 Version No: Author: Spec Proj Officer Ver Date: 26/02/19. Authorising Officer: Spec Proj Officer Eff Date: 26/02/19. Page 4 of 152. |TEST NAME |DEPARTMENT |SPECIMEN CONTAINER |CAP COLOUR |COMMENTS. Acetaminophen (Urine-Screen) Biochemistry Urine/Sterile container Non-rebateable test. Refer to non-rebateable price list. Patient payment consent is the preferred specimen for drug analysis. Chain of custody documents must be completed in all medico-legal cases. Confirmation of patient identity (photo Id), direct observation of urine COLLECTION , temperature sensor in the urine container and tamper proof seals are required in some situations.

10 Urine specimens are first subjected to a series of immunoassays to detect different groups of drugs (eg - benzodiazepines, opiates). If one or more groups are positive, further confirmatory testing can be done by gas chromatography and mass spectrometry (GC- MS). Urine creatinine concentration is measured to test for excessive dilution of urine specimens. Acetone (Solvent Screen) Referred Specimens Urine/Sterile container Please provide exposure and occupation details. Acetylcholine Receptor Referred Specimens Blood/SST tube Gold Diagnosis of Myasthenia Gravis and disease monitoring Antibodies Acid Base (Capillary) Biochemistry Acid Elution for Foetal Blood Bank Blood/EDTA 2mL tube Light Pink Please note: NPAAC guidelines stipulate labelling Haemoglobin requirements of the request form and specimen are: Full given and surname, date of birth or UR number, date and time of COLLECTION , clinical diagnosis, collector's signature or initials on the specimen and a collector's declaration on the request form.


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