The following information was updated in the Spectrum Health Laboratory Catalog.
Test Code Changes:
If your office EMR is interfaced with Spectrum Health Laboratories, please check with your vendor that order and result codes have been updated.
♦ Lipoprotein A, Serum: LAB563 has been replaced with LAB1230835
♦ Specific Gravity LAB2111167 performing department is now Urinalysis instead of Chemistry
♦ Capillary Blood Gases LAB78 important note updated to clarify that GR specimens are to be delivered to respiratory only.
♦ Occult Blood Screening/Diagnostic (Guaiac) Stool tests LAB695 and LAB2111554 have Kelsey as a performing department
♦ TB Screen Quantiferon Gold LAB3619 Collection instructions have been updated. 10 mL Lithium Heparin Green Non-Gel tube may be used to collect this test (must be 10 mL tube)
♦ Ionized Calcium has been updated with simplified instructions for Inpatient, Outpatient and Respiratory/CritCare.
♦ Levetiracetam Level Reference Range updated
♦ Order note added “If trying to rule-out Malassezia furur, please indicate ,”rule-out M. furfur” in the order comments as unique isolation techniques need to be taken to isolate this organism.”
◊ Fungal Culture, Hair Skin or Nail with Fungal Stain
◊ Fungal Culture, Not Hair, Skin or Nails, with Fungal Stain
EMR/LIS (eSHare) Updates:
The following lab tests had updated information for interfaced clients with Spectrum Health. If you did not receive the file definition via email or changes have not been updated in your EMR/LIS, please contact your vendor, the PRAS Team or use the contact us link above.
Discontinue: Cortisol Free Random Urine  and Replace with Cortisol Free Random Urine 
Result change: Reticulocyte Count with Reticulocyte Hemoglobin 
New lab only reflex test for awareness: HB Electrophoresis Summary Interp (Reflex Only)