Advanced Technology Laboratory, General Information, Main lab, Referral/Sendouts

Specimen Collection and Test Updates – August 2022

The following information was updated in the Lab Catalog.


Test Updates

• Reference Range Updates:

ALT [LAB132]

AST [LAB131]

• Lithium Level [LAB29]

PTH Intact [LAB108]

IgM Level [LAB72]

 IgA Level [LAB73]

• CA 125 Level [LAB155]

• C4 Complement Level [LAB151]

• C3 Complement Level[LAB152]

Albumin Level [LAB45]

Transferrin Level [LAB133]

Folate[LAB69] Fasting is no longer required, but is still highly recommended

Herpes Simplex (HSV 1/2) PCR [LAB9170] Updated Centrifuge/Spin instructions to spin at 1,000 G’s for 10 minutes

Beta HCG Blood[LAB142] Clinical Information: Removed “Beta
hCG testing is not FDA approved as a tumor marker. It is only approved for the detection of pregnancy, monitoring early stage suspected non-viable pregnancies, and monitoring ectopic pregnancies. Progesterone level requires additional physician orders.”

Array Comparative Genomic Hybridization (aCGH), Constitutional[LAB3308] Added specimen collection/container: OraCollect

TB Screen [LAB3619] Collection Quick Guide added

Minor Update to “important note” field:

Growth Hormone, Panel (Timed Study) [LAB1230538] This is a study ordered by endocrinologists and involves stimulation testing by the provider.

Nicotine Level, Blood[LAB831] Testing is performed on Tuesdays and Fridays. Specimens received after 14:00 on Tuesdays will be processed on Fridays. Specimens received after 14:00 on Fridays will be processed on Tuesdays.

Nicotine Level, Urine [LAB830] Testing is performed on Tuesdays and Fridays. Specimens received after 14:00 on Tuesdays will be processed on Fridays. Specimens received after 14:00 on Fridays will be processed on Tuesdays.

 


New Tests:

APTT Direct Thrombin Inhibitor[LAB1230880] (Inpatient Orderable)

Orthopoxvirus (includes Monkeypox virus) Molecular Detection PCR, Swab [LAB1230881] – Send out to Mayo Clinic Laboratories

Cystic Fibrosis, CFTR Gene, Variant Panel, Varies [LAB1230882].

• CRCX4 Mutation Analysis [LAB1230879]

 


Discontinued or Removed Tests:

• Monkeypox [LAB1230868] – Send out to Michigan Department of Health and Human Services (MDHHS), replacement is Orthopoxvirus (includes Monkeypox virus) Molecular Detection PCR, Swab [LAB1230881]
• Cystic Fibrosis Mutation Analysis, 106-Mutation Panel, Varies [LAB1230853, 1230853, 81220][LAB1230853], replacement is Cystic Fibrosis, CFTR Gene, Variant Panel, Varies [LAB1230882].
• Cystic Fibrosis (CF) Carrier Screen [LAB2111368, 11382, 81220, SHO246] replacement is Cystic Fibrosis, CFTR Gene, Variant Panel, Varies [LAB1230882].

 


Document Updates:

• Mandatory Reflex Testing

• Add-on/Additional Test Request Form

TB Screen [LAB3619] Collection Quick Guide added

 


EMR/LIS (eSHare or Interface) Updates:

The following lab tests have updated information for interfaced clients (non-Spectrum Health/Independent offices or not on EPIC) 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

Please ensure your EMR has the latest order and result codes, and ask at order entry (AOE) questions

 

NEW

• CRCX4 Mutation Analysis [1230879] Includes Ask at Order Entry questions. Sent August 11th

• APTT Direct Thrombin Inhibitor (Inpatient Only) [1230880] for test results. Sent August 11th

• Orthopoxvirus Molecular Detection PCR, Swab [1230881] Includes Ask at Order Entry questions. Sent August 12th

• Cystic Fibrosis, CFTR Gene, Variant Panel, Varies [1230882] Includes Ask at Order Entry questions. Sent August 19th

 

DISCONTINUED 

Please ensure your EMR has the replacement orderable, result codes, and ask at order entry (AOE) questions

• Monkeypox Virus, PCR [1230868], replace with Orthopoxvirus Molecular Detection PCR, Swab [1230881] Sent August 12th

• Cystic Fibrosis Mutation Panel [1230853] replace with Cystic Fibrosis, CFTR Gene, Variant Panel, Varies [1230882] Includes Ask at Order Entry questions. Sent August 19th

 

UPDATED 

• ABO/Rh [60006] – New Required AOE questions

• Antibody Screen [60005] – New Required AOE questions

• Type and Screen [60030] – New Required AOE questions

 

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