Education & Training, General Information, Test Utilization

Specimen Collection and Test Updates – February 2022

The following information was updated in the Lab Catalog.

New Tests

Varicella Zoster Virus (VZV) PCR, Swab [LAB1230844] More Information

BRAF Gene Fusion [LAB1230852]


Test Updates

4-Plex Panel (COVID, Influenza A, Influenza B, and RSV PCR) [LAB1230746] Ambient stability updated. Test is now available at Spectrum Health Big Rapids Hospital.
Note: This test is only available for Big Rapids, Blodgett, Butterworth, and Helen DeVos Children’s Hospital Emergency Departments.

Acid Fast Bacilli (AFB) Culture with smear [LAB8770] ESwab collection updated: 3. When an ESwab is submitted for the culture of mycobacteria, a disclaimer will be included with the report to indicate the inadequacy of swab specimens: “The sensitivity of this culture for the recovery of mycobacteria may be reduced because a swab was submitted, which often provides an inadequate collection.  Fresh tissue or body fluids are preferred specimen types.”

Blood Culture, Peripheral [LAB462] and Blood Culture, Central Line [LAB2111529] was updated to match collection instructions in Policy #9953

Cytomegalovirus (CMV) Quantitative, PCR, Blood/Plasma [LAB9130] Clinical Information field was updated.

Epstein-Barr Virus (EBV) Quantitative, PCR, DNA [LAB3407] Clinical Information field was updated.

Lactoferrin, Fecal [LAB3647] Important Note added: “Fecal samples from breast fed infants should not be used with this assay. Breast milk contains levels of lactoferrin that may be detected in breastfeeding infant’s stool convoluting the clinical relevance of test results for inflammatory bowel disorders.”

Respiratory Culture Cystic Fibrosis [LAB2111162] Aspirate, Washing and Bronchoalveolar Lavage (BAL) removed as acceptable specimens.
Note: BAL may be used for Quantitative Respiratory Culture [LAB2111157]

TB Screen (QuantiFERON Gold Plus) [LAB3619] – Container image updated and 4-tube instructions removed.

UTM Swab Update

Varicella Zoster PCR, Various – Important Note added: “For swab specimens, please see in-house PCR test Varicella Zoster Virus (VZV) PCR, Swab.”

Viral Culture [LAB254] – Clinical information field was updated. Important note was updated “For cutaneous or mucocutaneous lesion specimens (genital, oral, skin), please order molecular HSV PCR and/or VZV PCR as the preferred diagnostic methods.”


Discontinued Tests:

Cystic Fibrosis Carrier Screen[LAB2111368] Recommended replacement test: Cystic Fibrosis Mutation Analysis 106-Mutation Pane[LAB1230853] to Mayo Clinic Labs. More Information

MTHFR C677T [LAB7390] – no replacement test. More Information


Document Updates:

Blue Citrate Tube Collection:  IV Line draw “the drawn off portion of the blood following flushing should not be used for coag testing”


February EMR/LIS (eSHare or Interface) Updates:

The following lab tests have updated information for interfaced clients (non-Spectrum Health or Independent offices) with Spectrum Health Laboratories. If you did not receive the file definition via email, please contact your vendor, the PRAS Team or use the Contact Us link above.

Format= Change type: Test Name [Interface Code] Additional Information

Discontinued: Rubella IgG Ab Quantitative [11781] – Replace with Rubella IgG Ab Quantitative [10241] with New Result Alias Rubella IgG Antibody [12301871]

Remove: Old result component Bands Body Fluid [20040]

Update: Tests with new result component additions AST w/P5P [1230659] and ALT w/P5P [1230660]
Comprehensive Metabolic Panel [10034]
Hepatic Function Panel [10159]
Custom Dermatology Panel [10602]
Custom Psoriasis Panel [10603]
CMP minus BMP (Lab only order) [10825]

Update: ALT [10001] – Remove 20023 Alanine Aminotransferase and add 1230660 ALT w/P5P

Update: AST [10011] – Remove 20039 AST and add 1230659 AST w/P5P

Discontinued: Cystic Fibrosis Carrier Screen [11382] – Replace with Cystic Fibrosis Mutation Panel [1230853]

All specimen collection updates


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