TEST NAME

DANTRIUM* (Dantrolene)

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

TEST NAME

DAT

See:   Coombs Direct

TEST NAME

DATE RAPE DRUGS

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

POWERCHART NAME

D-DIMER

MERCY TEST NAME

D-DIMER TEST

MERCY LAB CODE

DDIMER

• Centrifuge immediately.  Refrigerate. 
• Test within 4 hours of collection. 
• Double spin, aliquot and freeze plasma if testing delayed longer than 4 hours.  
• Label frozen vial “CITRATED PLASMA”.         

Double spin coagulation specimens to ensure that all platelets are removed:     1.  Centrifuge specimen.  Aliquot plasma (leaving some above the cells) to a plastic centrifuge tube.   2.  Centrifuge the aliquot tube.  Pipette plasma (leaving some above the bottom of the tube) to another plastic aliquot tube.   3.  Store plasma as required for the test ordered.

0.00 – 0.59 mg/L FEU

Negative predictive value: 0.5 mg/L FEU (cut off value) .

Siemens Innovance D-Dimer assay is FDA cleared for use to exclude DVT and PE if used in conjunction with a clinical pretest probability (PTP) assessment model and the PTP score is low or moderate.

For exclusion of DVT or PE, the D-Dimer should NOT be used as an aid in patients with:
       - Therapeutic dose anticoagulant therapy for >24 hours
         - Fibrinolytic therapy within previous 7 days
         - Trauma or surgery within previous 4 weeks
         - Disseminated malignancies
         - Aortic aneurysm
         - Sepsis, severe infections, pneumonia, severe skin infections
         - Liver cirrhosis
         - Pregnancy

Elevated D-Dimer levels are observed in all diseases and conditions with increased coagulation activation, such as thrombembolic disease, DIC, acute aortic dissection, myocardial infarction, malignant diseases, obstetrical complication, third trimester of pregnancy, surgery or polytrauma.  The in vivo half life of D-Dimer is 8 hours.

TEST NAME

DEGRADATION PRODUCTS

See:   D-Dimer Test
          FDP Serum
          FDP Urine

TEST NAME

DEPAKEN or DEPAKOTE

See:   Valproic Acid

POWERCHART NAME

DERMATOLOGY CHEMISTRY PANEL

MERCY TEST NAME

DERM PANEL

MERCY LAB CODE

ATPN

Alk Phos                             ALT                              AST                             BUN
BUN/Creat Ratio                  Cholesterol                    Creatinine                      Glucose
Protein,Total                      Triglyceride

• Preferred in house: 1 ml lithium heparin plasma from a PST tube. 
• Preferred reference lab: 1 ml serum from a SST tube.
• Also acceptable: Sodium heparin plasma, or serum from a plain red top tube. 

84075 Alk Phos+                      82565 Creat+
84460 ALT+                              82947 Glucose+
84450 AST+                              84155 Prot Ttl+
84520 BUN+                             84478 Trig+
82465 CHOL+                          NA   BUN/Creat Ratio

TEST NAME

DESIPRAMINE*

MERCY TEST NAME

MISC GENERAL LAB  

MERCY LAB CODE

CMIS

• 3 ml serum from plain, red-top tube(s).  Minimum 1.1 ml.
• Collect immediately before next scheduled dose (minimum 12 hours after last dose.)

• Remove serum from cells within 2 hours of collection.
• Send refrigerated to Mayo.  Ambient or frozen acceptable. Mayo # 81854.

TEST NAME

Detection of CSF in Other Body Fluids

See: 

BETA-2 TRANSFERRIN:  Detection of Spinal Fluid in Other Body Fluid

TEST NAME

DEXAMETHASONE

See: Cortisol Free 24-Hour Urine*
Cortisol Random

POWERCHART NAME

DHEA-S (DEHYDROEPIANDROSTERONE SULFATE)

MERCY TEST NAME

DHEAS BATTERY

MERCY LAB CODE

DHEASB

This test is used for the diagnosis of congenital adrenal hyperplasia and adrenal carcinoma and to determine the cause of hirsutism, virilization, and polycystic ovary disease.

1 ml serum from SST or plain red top tube.  Stable refrigerated 48 hours.  Freeze for longer storage.

Age (Years)        Female (mcg/dL)        Male (mcg/dL)

18-21                   51-321                            24-537

21-30                   18-391                            85-690

31-40                    23-366                           106-464

41-50                    19-231                           70-495

51-60                    8-188                              38-313

61-70                    12-133                            24-244

>70                        7-177                              5-253

Reference ranges have not been established by Beckman Coulter for children under 18 years of age.     

TEST NAME

Diagnostic H1N1

See: diagnostic H1N1

POWERCHART NAME

DIALYSIS CHEMISTRY PANEL

MERCY TEST NAME

DIALYSIS PANEL

MERCY LAB CODE

DPNL

A/G Ratio            Albumin                       Alkaline Phosphatase  
AST(SGOT)         BUN                            BUN/Creatinine Ratio
Calcium               CO2                            Creatinine
LDH                    Phosphorus                  Potassium
Sodium               Total Protein      

• Preferred in house: 1 ml lithium heparin plasma from a PST tube. 
• Preferred reference lab: 1 ml serum from SST tube.  Refrigerate. 
• Also acceptable: serum from a plain red top tube.
• Specimens must be received in the Lab within 2 hours of collection for centrifugation.   
• Keep tube closed.

82040  Albumin           84075  Alk Phos              84450  AST               84520  BUN
82310  Calcium            82374  CO2                   82565  Creat              83615  LD
84100  Phosphorus      84132  Potassium            84295  Sodium           84155 Prot TTL

TEST NAME

DIAPHRAGM WASHINGS

See: Cytology Section Peritoneal Fluid

POWERCHART NAME

DIAZEPAM AND NORDIAZEPAM LEVEL  

MERCY TEST NAME

DIAZEP NORDIAZ*   

MERCY LAB CODE

DIAN

Included with test results

POWERCHART NAME

DIC PANEL

MERCY TEST NAME

DIC PANEL

MERCY LAB CODE

DICPNL

Fibrinogen                             D-Dimer
Protime/INR                          Thrombin Time
PTT

• Centrifuge immediately. 
• Seperate plasma within 2 hours of collection.
• Double spin and freeze plasma if testing delayed longer than 4 hours. 
• Label frozen vial “Citrated Plasma.”

85380 D-Dimer 
85610 PT  
85384 Fibrinogen
85730 PTT
85610 PT

TEST NAME

DIFFERENTIAL

Included in a CBC
If physician specifically orders CBC with manual diff, see CBC with MANUAL DIFF
For technical staff review of smear:  See DIFFERENTIAL MANUAL
For pathologist review of smear:  See CELL MORPHOLOGY  

POWERCHART NAME

DIFFERENTIAL

MERCY TEST NAME

DIFFERENTIAL MANUAL

MERCY LAB CODE

DIFF

• Includes differential count of white cells and morphology of red cells.
• May be performed on a CBC specimen which was ordered and reported within the previous 36 hours.
• Indicate in comment if previous days specimen is to be used.
• Please send a copy of the CBC results from your instrument.

POWERCHART NAME

DIGOXIN LEVEL

MERCY TEST NAME

DIGOXIN           

MERCY LAB CODE

DIG

• Indicate time last dose in comment. 
• A nursing home patient's morning dose should be held if Lab is to collect a morning specimen.

• Preferred in house: 0.5 ml lithium heparin plasma from a PST tube.
• Preferred reference lab: 0.5 ml serum from a SST tube.
• Also acceptable:  Sodium Heparin, EDTA plasma tubes, or serum from a plain red top tube. 
• Collect 8-24 hours following last dose of digoxin (not digitalis or digitoxin), but before next dose.  

TEST NAME

DILANTIN

See:    Phenytoin Total & Free

TEST NAME

DILANTIN FREE

See:   Phenytoin Total & Free

TEST NAME

DIPHENYLHYDANTOIN

See:   Phenytoin Total & Free

TEST NAME

DIRECT ANTIGLOBULIN TEST

See:  Coombs Direct

POWERCHART NAME

LDL CHOLESTEROL DIRECT

MERCY TEST NAME

DIRECT LDL CHOL

MERCY LAB CODE

DLDL

• Preferred in house: 0.5 ml lithium heparin plasma from a PST tube.
• Preferred reference lab: 0.5 ml serum from a SST tube.
• Also acceptable: Sodium Heparin, or serum from a plain red top tube.  
• Fasting not necessary.

The National Cholesterol Education Program of the National Heart, Lung, and Blood Institute has announced the following guidelines:
     Optimal:            <100mg/dl
     Near Optimal:    100-129mg/dl
     Borderline high:  130-159mg/dl
     High:                 160-189mg/dl
     Very High:          ≥190mg/dl

TEST NAME

DIRECT GRAM STAIN

See:  Gram Stain Direct

POWERCHART NAME

DISOPYRAMIDE (NORPACE) LEVEL

MERCY TEST NAME

DISOPYRAMIDE*     

MERCY LAB CODE

DSPY

POWERCHART NAME

DNA ANTIBODY DOUBLE STRANDED

MERCY TEST NAME

dsDNA

MERCY LAB CODE

DSDNA

• Preferred in house: 0.5 ml serum from a SST tube. 
• Preferred reference lab: 0.5 ml serum from a SST tube.
• Also acceptable: serum from a  plain red top tube.  
• Freeze.

Included in Autoimmune Profile, which is reflex ordered when ANA screen is positive.
DNA can be ordered separately on patients being followed for treatment of autoimmune disease.

<100 IU/ml Negative
100-120 IU/ml Equivocal
>120 IU/ml Positive

POWERCHART NAME

MERCY TEST NAME

COLLECT CHG DONOR

MERCY LAB CODE

• When a potential bone marrow, tissue, or organ donor comes to the lab to be drawn for compatibility, we will do the collection at no charge to the donor.
• DO NOT add a collect charge or a processing charge. 
• The test code "MDONOR" is ordered simply to track that the patient did hava a specimen drawn, but there is no charge associated with the test.
• Patient may bring in their own kit, or kit may be located in processing department. 
• Proccess and sendout kit as instructed.

POWERCHART NAME

DOXEPIN (SINEQUAN) LEVEL

MERCY TEST NAME

DOXEPIN NORDOXEPIN*

MERCY LAB CODE

DXPN

• 3 ml serum from a plain  red-top tube. Minimum 1.1 ml. 
•  Collect immediatly before next scheduled dose (minimum 12 hours after last dose.)  
• Spin down within 2 hours of draw. If serum is not removed within this time, TCA levels may be falsely elevated due to drug release from red blood cells.

• Centrifuge within 2 hours of collection. 
• Send refrigerated to Mayo. Frozen or ambient acceptable.  Mayo DOXP.

80166 - Doxepin
80299 - Quantitation of drug

POWERCHART NAME

DRUG ABUSE URINE COC

MERCY TEST NAME

DRUG ABUSE UR COC* 

MERCY LAB CODE

DAUC

Amphetamines        Benzodiazepines              Opiates 
Barbiturates               Cocaine                          Pencyclidine (PCP) 
THC metabolite (20 ng/ml)

Specimen collected Monday through Friday, 9AM to 3PM call 641-428-7256, ext. 1824 to set up an appointment.  Chain-of-custody maintained. 

NOTE: DHS social worker, attorney, or designee MUST accompany the patient to provide positive identification.
All court ordered test will be paid at the time of service.

Exception:  If physician – ordered, patient must provide photo-ID (such as drivers license) for positive identification. If on minor child with no photo-ID, parent, legal guardian, or physician office representative may positively identify  patient.

Order Medtox Panel #500.
Send to Medtox Laboratories, St. Paul, Minnesota.

Negative - 24 hours
Positive - 48-72 hours
Tests run Monday through Friday

G0431  Drug Scr QL H CMPLX /ENCT 6-9
99001

POWERCHART NAME

COLLECTION DRUG SCREEN HEALTH WORKS

MERCY TEST NAME

DRUG ABUSE TESTING FOR EMPLOYMENT, PRE-EMPLOYMENT, POST-ACCIDENT, CDL (Commercial Driver's License), NON-CDL

 CCDAHW 

• Employers each have specific procedures.  Certain industries are mandated by DOT regulations.  Chain-of-custody available.
• Refer Healthworks clients to Healthworks at Mercy, Cheslea Creek, 8:00 AM to 5:00 PM. 1-800-622-6352 or 421-5244.
• After hours, Laboratory support services staff will collect the urine specimens.  Clients are to register in Patient registration or through ER.
• An Employer representative must accompany the employee and the employee must have a photo ID.  (Exception: Post accident or out of area).
• The Lab will refrigerate the sealed package in a locked box and secure paperwork. 

TEST NAME:

SERUM DRUGS OF ABUSE SCREEN NO CHAIN OF CUSTODY (5 PANEL)
***Note*** Urine is the preferred specimen for drugs of abuse testing.  See: Drug Of Abuse Screen Urine

MERCY TEST NAME

MISC GENERAL LAB

CMIS

Specimen

20 mls serum or heparinized plasma refrigerated or frozen.

Order Medtox test #5223

Send to Medtox laboratories, St. Paul, Minnesota.

TEST NAME:

SERUM DRUGS OF ABUSE SCREEN NO CHAIN OF CUSTODY (10 PANEL)
***Note*** Urine is the preferred specimen for drugs of abuse testing.  See: Drug Of Abuse Screen Urine

MERCY TEST NAME

MISC GENERAL LAB

CMIS

Includes

Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Methadone, Methaqualone, Opiates, Propoxyphene, Phencyclidine (PCP), THC (marijuana)

Specimen

30 mls serum or heparinized plasma refrigerated or frozen.

Processing

Order Medtox test #20305
Send to Medtox Laboratories, St. Paul, Minnesota.

POWERCHART NAME

DRUG  OF ABUSE SCREEN URINE

MERCY TEST NAME

DRUG AB R UR      

MERCY LAB CODE

DRUG

Performed at Mercy in Mason City.  No chain of custody is kept. 
Regional Lab Clients: Refer to Drug Abuse With Chain of Custody for legal actions.

Screens for these types of drugs:

1. Amphetamines which includes amphetamine and methamphetamine.  Cutoff:  1000 ng/ml.
2. Barbiturates which includes various bartiturate drugs.  Cutoff:  200 ng/ml.
3. Benzodiazepines which includes a variety of compounds.  Cutoff:  200 ng/ml.
4. Cocaine.  Cutoff:  300 ng/ml.
5. Opiates which includes heroin, codeine, and morphine.  Cutoff:  300 ng/ml.
6. Cannabinoids which includes marijuana and THC compounds.  Cutoff:  50 ng/ml.

Screening test for medical decisions, not for legal chain of custody.    

Aliquot and refrigerate. 

None detected
Interference has been demonstrated from mefenamic acid, a nonopoid analgesic.

TEST NAME

DRUG ABUSE WITH CHAIN OF CUSTODY (Regional Lab Clients)

Regional Lab clients need to order the collection kit directly from MEDTOX. Regional Lab clients are responsible for the collection process, chain of custody, mailing kit, billing, and reporting.

MEDTOX Laboratories
402 West County Road D
St. Paul, MN   55112
Phone number:  800-832-3244.
CLIA ID# 24D0665278

TEST NAME

DRUG SCREEN AUTOPSY*

Performed at Mercy Medical Center – North Iowa, send to Mayo, send to Medtox, send to Aegis Analytical Lab, or as indicated on the Mercy Drug Screen Autopsy form.

Drug Abuse Random Urine performed at Mercy North Iowa
DGS - Drug Screen Blood, Mayo # 8421
OTCU - OTC/Rx Drug Screen Urine #88460

POWERCHART NAME

DRUG SCREEN BODY FLUID- test obsolete 9/24/10

MERCY TEST NAME

DRUG SCN BF*

MERCY LAB CODE

DRGB

POWERCHART NAME

MECONIUM DRUG SCREEN

MERCY TEST NAME

DRUG SCN MECONIUM*

MERCY LAB CODE

CMIS

Amphetamines     Methamphetamines   Opiates
Cocaine                  Tetrahydrocannabinol

Request kits from Mercy Laboratory-Mason City.
Complete Mayo’s Chain of Custody form. 

Regional Lab Clients: Request kits from Mercy Laboratory – Mason City.  Complete Mayo’s Chain of Custody Form (included in the kit) and Mercy lab reference form. Do not seal chain of custody bag.

G0431 Drug Scr QL H Cmplx/ENCT<=5
99001
80299-Tetrahydrocannabinol carboxylic acid (if appropriate)
82145 x 2-Amphetamines (if appropriate)
82520-Cocaine (if appropriate)
83925-Opiates (if appropriate) 

POWERCHART NAME

DRUG SCREEN  COMPREHENSIVE PLASMA

MERCY TEST NAME

DRUG SCN BLOOD*

MERCY LAB CODE

DGS

Analgesics           Hypoglycemics       Lidocaine           Sedatives
Stimulants           Anticonvulsants       Barbiturates  
Other miscellaneous drugs                 Psychotropics  Disopyrimide

80100
G0431 (if appropriate)
80299 (applies to confirmation ONLY)

TEST NAME

DRUG SCREEN URINE

See: Drug Abuse Random Urine

TEST NAME

DRUG SCREEN URINE-Buprenorphine

See:  BUPRENORPHINE SCREEN URINE 

TEST NAME

DRUG SCREEN URINE-Methadone

See:  METHADONE  (Dolophine) SCREEN URINE 

TEST NAME

DRUG SCREEN URINE-Oxycodone

See:  OXYCODONE SCREEN URINE 

POWERCHART NAME

DRUG SCREEN URINE PRESCRIPTON - OTC

MERCY TEST NAME

MERCY LAB CODE

OTCU

G0431

POWERCHART NAME

QUICK DRUG SCREEN CHAIN OF CUSTODAY - ORDERABLE ONLY BY LAB

MERCY TEST NAME

DRUG SCRN COC QUICK

MERCY LAB CODE

QDRUG