Advanced Technology Laboratory, General Information, Main lab

Specimen Collection and Test Updates – September 2022

The following information was updated in the Lab Catalog.

Test Updates

• Result Component Updates – Reference Ranges have been updated

The units and reference ranges on multiple components have been updated for accuracy and clarity
Urinalysis (UA)
Urinalysis, Microscopic (UA Dipstick)
Urinalysis, Reflex to Culture if Positive (UA, do if)

Updated to “No methicillin resistant Staphylococcus aureus detected.”
MRSA Screen

New reference range:
Specific Gravity, Urine 

• Re-routing – Testing is no longer performed at this lab

Phenobarbital: No longer performed in Ludington, now performed at SHRL.
Vitamin D: No longer performed in United, Pennock and Zeeland, now performed at SHRL.

• Collection Instruction Change – Check that you are using the right collection device

Path Review
DNA Extraction and Hold


New Tests:

Test Codes, collection devices, collection instructions and reference ranges may have been updated:


Discontinued or Removed Tests:

These tests are no longer available to order in Epic. Instead order the following tests with Reference Miscellaneous Testing [LAB848], indicating test name in the comment field. These tests are now sent to a Reference Laboratory (non-Spectrum Health facility).

· ALK (2p23) Rearrangement by FISH [LAB2111349]
· ROS1 Gene Arrangement [LAB3506]
· RET Gene Arrangement [LAB3505]
· MET Amplification [LAB3504]


Document Updates:

• Mandatory Reflex Testing


EMR/LIS (eSHare or Interface) Updates:

The following lab tests have updated information for interfaced clients (non-Spectrum Health/Independent Outpatient 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



• Chlamydia PCR [1230886] with result  Chlamydia PCR [12309895]
• Gonococcus PCR [1230887] with result Gonococcus PCR [12309896]
• Chlamydia/Gonococcus PCR [1230885] with results Chlamydia PCR [12309895] and Gonococcus PCR [12309896]
• C1 Esterase Inhibitor, Functional, Serum [1230884] with result C1 Esterase Inhib, Functional, S [12309887]
• Phospholipase A2 Receptor, Immunofluorescence, Serum [12309892] with result PLA2R, Immunofluorescence, S (PLA2I) [12309900]
• Primary Membranous Nephropathy Diagnostic Cascade, Serum [12309891] with result Phopholipase A2 Receptor Elisa, S [12306368]
• Thrombospondin Type-1 Domain-Containing 7A Antibodies, Serum [12309893] with result THSD7A Ab, S (THSD7) [12309899]



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

• Chlamydia Trachomatis DNA Urine [11086], replace with Chlamydia PCR [1230886]
• Chlamydia PCR (Endocervical or Urethral) [10105], replace with Chlamydia PCR [1230886]
• Gonococcus Only PCR Urine [11242], replace with Gonococcus PCR [1230887]
• Gonococcus PCR (Endocervical or Urethral) [10574], replace with Gonococcus PCR [1230887]
• Chlamydia/GC DNA Urine [10841], replace with Chlamydia/Gonococcus PCR [1230885]
• Chlamydia/GC PCR (Endocervical or Urethral) [11222], replace with Chlamydia/Gonococcus PCR [1230885]
• C1 Esterase (C1ES) Inhibitor, Functional Assay, Serum [10316], replace with C1 Esterase Inhibitor, Functional, Serum [1230884]
• Phospholipase A2 Receptor Antibody, Serum [3489], replace with Primary Membranous Nephropathy Diagnostic Cascade, Serum [12309891]



New result component CKD-EPI [12309866] replaces MDRD EGFR [22065]

• BMP [10012]
• CMP [10034]
• Creatinine Serum [10036]
• Renal Function Panel [10238]
• CXCR4 Mutation Analysis [1230879] with result CXCR4 Mutation Analysis [12309821]
• Urinalysis [10067], Urinalysis w/Micro Exam C and S if Indicated [10540]:  Add Results: U Granular Casts [12309868], U RBC Casts [12309869]; remove results U Granular Casts [20403] and U RBC Cast [20418]


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