POWERCHART NAME

PORPOBILINOGEN, QUANTITATIVE, RANDOM URINE

MERCY TEST NAME

MISCELLANEOUS GENERAL LAB

MERCY LAB CODE

 CMIS

• 20 - 50 mL random urine.  Minimum 15 ml. 
• PROTECTED FROM LIGHT. Wrap specimen in aluminim foil or use amber bottle.
• Note:No preservative needed, but pH must be >5.0.  Freeze specimen immediately after collection.
• Ideally, specimen collection should occur during the acute phase.  Porpholbinogen may be normal when the patient is not exhibiting symptoms.

• Freeze specimen immediately after collection in amber bottle.  Wrap specimen in aluminim foil to protect from light.  Sent frozen within 72 hours to Mayo. 
• Mayo PBGU (82068)

84110

POWERCHART NAME

PORPHYRIN QUANTITATIVE FRACTION 24 HOUR URINE

MERCY TEST NAME

PORPHY QNT 24UR*  

MERCY LAB CODE

 PRPQ

Uroporphyrins, heptacarboxylporphyrins, hexacarboxylporphyrins, tricarboxyl, pentacarboxylporphyrins, coproporphyrins and porphobilinogen.

• 24-hour urine specimen. 
• Add 5 gram sodium carbonate as a preservative BEFORE starting the collection. 
• Refrigerate during collection.
• PROTECT FROM LIGHT 
• pH of specimen must be >7.0.

• Aliquot 20-50 ml and indicate total 24-hour volume.  Minimum 15 ml. 
• Send frozen to Mayo.  Mayo # 8562.

84120
84110

POWERCHART NAME

PORPHYRIN QUANTITATIVE FRACTION RANDOM URINE

MERCY TEST NAME

PORPHY QNT RNDM UR*

MERCY LAB CODE

 PORPHR

• 20 - 50 mL random urine.  Minimum 15 ml. 
• PROTECTED FROM LIGHT. 
• Note:Patient should abstain from alcohol 24 hours prior to collection.  Please include list of medications the patient is currently taking and forward with the specimen.

• Specimen should be sent frozen within 72 hours to Mayo in a amber vial to PROTECT FROM LIGHT. 
• Mayo 60597/PQNRU.

84120
84110

POWERCHART NAME

PORPHYRINS SCREEN URINE

Test No Longer Available 5/7/2007
See: Porphyrins Quant Fraction Random Urine

POWERCHART NAME

POTASSIUM  LEVEL

MERCY TEST NAME

POTASSIUM  

MERCY LAB CODE

K

• Preferred in house:0.5 ml lithium heparin plasma from a PST tube.  
• Preferred reference lab: 0.5 ml serum from an SST tube.
• Also acceptable: serum from a plain red top tube and NA heparin plasma.

0 - 2 days: 3.7 - 5.9 mmol/L
3 days - 11 months: 4.1 - 5.3 mmol/L
1 - 12 years: 3.4 - 4.7 mmol/L
> 12 years: 3.5 - 5.1 mmol/L          

TEST NAME

POTASSIUM/SODIUM URINE

  See: Sodium/Potassium 24-Hour Urine       See:    Sodium/Potassium Random Urine

POWERCHART NAME

POTASSIUM  RANDOM URINE

MERCY TEST NAME

POTASSIUM  R UR

MERCY LAB CODE

UK

No normal range available.  Random urine potassium values average 40 mmol/L.  These values are diet dependant.  Longer 12 or 24 hour urine collections are preferred.

POWERCHART NAME

POTASSIUM  24 HOUR URINE

MERCY TEST NAME

POTASSIUM 24 UR

MERCY LAB CODE

UK

Potassium:25-125 mmol/24 HR

POWERCHART NAME

PREALBUMIN

MERCY TEST NAME

PREALBUMIN          

MERCY LAB CODE

PAB

• Fasting is recommended.
• 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 plasma and serum from a plain red top tube. 

8 hours room temp, 48 hours refrigerated, freeze if >48 hours

POWERCHART NAME

PRE-ECLAMPTIC PANEL

MERCY TEST NAME

PRE-ECLAMPTIC PNL

MERCY LAB CODE

PEPN

CBC with Diff               ALT                 AST  LD                 Uric Acid          Creatinine

• Preferred in house: 1.5 ml whole blood from EDTA tube and 1.0 ml lithium heparin plasma from a PST tube.
• Preferred reference lab: 1.5 ml whole blood from EDTA tube and 1.0 ml serum from a SST tube.
• Also acceptable: Serum from a plain red top tube and Sodium heparin plasma.

• EDTA tube:  36 hours room temp or refrigerated. 
• Plasma and Serum:  8 hours room temperature, 24 hours refrigerated, freeze if >48 hours.

85025 CBC
84460 ALT                    
84550 Uric Acid
84450 AST                           
82565 Creat
83615 LD

POWERCHART NAME

PREGNANCY TEST QUALITATIVE SERUM

MERCY TEST NAME

PREG TEST SERUM    

MERCY LAB CODE

HCGS

• Preferred in house: 1 ml serum from a SST tube. 
• Preferred reference lab: 1 ml serum from a SST tube.
• Hemolysis and icterus do not interfere with testing.

Negative: Non-pregnant females and healthy males
Positive: HCG present is equal to or greater than 25 MIU/ML

POWERCHART NAME

PREGNANCY TEST QUANTITATIVE

See: HCG Quantitative

POWERCHART NAME

PREGNANCY TEST URINE

MERCY TEST NAME

PREG TEST UR QAL  

MERCY LAB CODE

HCGU

Negative: Non-pregnant females and healthy males
Positive: HCG present is equal to or greater than 20 MIU/ML

TEST NAME

PRENATAL PROFILES:

See: PNP with HIV test
PNP without HIV test

There are 2 Prenatal Profiles offered: PNP with HIV test OR PNP without HIV test

Reference Lab Clients:
Prenatal Profile 1 =  PNP with HIV testing.
Prenatal Profile 2 =  PNP without HIV testing.
The office or Reference Lab Client must specify on the form if a PNP without HIV is needed.
If nothing is specified, a PRENATAL PROFILE WITH HIV will be ordered.

POWERCHART NAME

PRENATAL PANEL  WITH HIV

MERCY TEST NAME

PRENATAL PROFILE (WITH HIV)

MERCY LAB CODE

PTYS & PNP

Patient must sign an HIV informed consent form before collection of specimen. 
No verbal report release will be allowed.  Forms are to stay with the patient chart.

Syphilis, IgG                       Rubella                             HIV
CBC with Diff                    ABO Group/RH Type      Hepatitis B Surface Antigen(HBsAg)
Antibody ID (when antibody screen is positive)           Antibody screen

• Antibody titer is not included.  If desired it must be ordered separately by the physician.
• When antibody screen is positive, the antibody ID will be done and charged.
• When the HIV test is positive, a HIV evaluation will be done and charged.
• When the HBS antigen test is positive, neutralization testing will be done and charged.
• When the syphilis test is positive, RPR testing will be done and charged.

Two SST tubes, One Pink top tube, and one Purple top tube
  Specimen Minimums:
    Pink tube: 2 ml minimum for ABO/RH & Antibody Screen 
    Purple tube: 1 ml minimum for the CBC.  May also use a capillary tube minimum of 300 mcl.
    SST tube: 3-4 ml Serum minimum:

CBC is stable 36 hours at either room temperature or refrigerated. 
HBsAg, HIV, Syphilis, and Rubella: centrifuge within 6 hours of draw and leave in original tube.
Type & Screen:  One pink top tube, centrifuged, do not aliquot.

Type & Screen: Daily
Syphilis: Monday- Friday 0800 cutoff
Rubella, HIV, and HBsAg: within 8 hours of receipt. 
CBC: Within 8 hours of receipt.

80055 Prenatal Prof (No HIV)
87389 HIV+

POWERCHART NAME

PRENATAL PANEL (NO HIV)

MERCY TEST NAME

PRENATAL PROF (NO HIV)

MERCY LAB CODE

PNPO & PTYS

ABO Group/RH Type                 Hepatitis B Surface Antigen(HBsAg)
Antibody screen                          Antibody ID (when antibody screen is positive)
CBC with Diff                             Rubella                    Syphilis, IgG

• Antifody titer is not included and if desired, it must be ordered separately by the physician.
• When antibody screen is positive the antibody ID will be done and charged.
• When the HBS antigen test is positive the neutralization testing will be done and charged.
• When the syphilis test is positive, RPR testing will be done and charged.

Reference Lab Clients:  Please specify on order form PNP/NO HIV.  If nothing is specified, a Prenatal Profile with HIV will be done.

Two SST tubes, one Pink top tube, and one Purple top tube.
Specimen Minimums:
  Pink tube: 2 ml minimum for ABO/RH & Antibody Screen.
  Purple tube: 1 ml minimum for the CBC. May also use a capillary tube minimum of 300 mcl.
  SST tube: 3 ml SERUM minimum

CBC is stable 36 hours at either room temperature or refrigerated.

HBsAg, Syphilis, and Rubella:  Centrifuge within 6 hours of collection and leave in original tube.
Type & Screen: One Pink top tube, centrifuged, do not aliquot.

Type & Screen: Daily
Syphilis: Monday- Friday 0800 cutoff
Rubella and HBsAg: 
CBC: Within 8 hours of receipt.

POWERCHART NAME

PRIMIDONE (MYSOLINE) WITH PHENOBARBITAL LEVEL

MERCY TEST NAME

PRIMIDON PHENOBRB*

MERCY LAB CODE

PRIM

DO NOT order an additional Phenobarbitol. Indicate time last dose in the comment field.

Included with test results.

80188 Prim+
80184 Phenobarb+

POWERCHART NAME

PROCAINAMIDE WITH N-ACETYLPROCAINMIDE LEVEL

MERCY TEST NAME

PROCAINAMIDE NAPA*

MERCY LAB CODE

PRCN

Draw blood in a plain, red-top tube.  Spin down and send 1 mL of serum.  Collection time is not critical.  Send refrigerated to Mayo
 Mayo PA.

 Included in report.

POWERCHART NAME

PROCESSING COLLECTION KIT

MERCY TEST NAME

PROCESSING CHG

MERCY LAB CODE

PRCS

POWERCHART NAME

PROGESTERONE LEVEL

MERCY TEST NAME

PROGESTERONE      

MERCY LAB CODE

PROG

Stable 8 hours at room temperature.  Stable 48 hours refrigerated.  Freeze if testing is not completed within 48 hours of collection.

Regional Lab Clients:  Serum must be removed from gel tube.  Freeze if not received at Mercy Medical Center_North Iowa Laboratory within 48 hours of collection.

Male:  0-1 years:  0.87-3.37 ng/ml
Male:  2-9 years:  0.12-0.14 ng/ml
Male:   10-18 years:  Adult levels are attained by puberty
Male, adult:  0.1-2.1 ng/ml

Female:  0-1 years:  0.87-3.37 ng/ml
Female:  2-9 years:  0.12-0.14 ng/ml
Female: 10-18 years: Values increase through puberty and adolescence.                               
Non-pregnant female:  mid-follicular phase:  0.3-1.5 ng/ml.
                                mid-Luteal phase:  5.2-18.6 ng/ml
Post menopausal, (not on hormone replacement therapy): <0.08-0.8 ng/ml.
Pregnant female:  first trimester: 4.7-50.7 ng/ml.
                         second trimester: 19.4-45.3 ng/ml.

TEST NAME

PROGESTERONE RECEPTOR

See:  Estrogen/Progesterone Receptor Assay Quantitative (Paraffin Block)*

TEST NAME

PROGESTERONE SALIVA

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

Centrifuge to remove artifacts.  Send 1 ml frozen to Mayo.  Order Wild 30 and type in Progesterone in Saliva to Interscience.

POWERCHART NAME

PROLACTIN LEVEL

MERCY TEST NAME

PROLACTIN           

MERCY LAB CODE

PRL

• 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 or heparin plasma from a green top tube.

Stable 8 hours at room temperature.  Stable 48 hours refrigerated. 
Freeze if testing is not completed within 48 hours of collection.

Regional Lab Clients:  Freeze if not received at Mercy Medical Center - North Iowa Laboratory within 48 hours of collection.

Male:………2.6-13.1 ng/ml
Female:……<50 years: 3.3-26.7 ng/ml
                >50 years: 2.7-19.6 ng/lml
               In pregnancy, elevated Prolactin levels may be detected during the eighth week, with levels continuing to rise throughout gestation.  In the absence of breast feeding, Prolactin levels return to normal within three weeks of giving birth.

TEST NAME

PROSTATE SPECIFIC ANTIGEN SERUM

See:  PSA

POWERCHART NAME

PROSTATIC ACID PHOSPHATASE

MERCY TEST NAME

PROSTATIC ACID PHOS*

MERCY LAB CODE

ACPH

POWERCHART NAME

PROTEINASE 3 AUTOANTIBODY

MERCY TEST NAME

PROTEINASE 3 AB*

MERCY LAB CODE

PRT3AB

If Cytoplasmic Neutrophil ABS is ordered and p-ANCA is positive, Proteinase 3 Autoantibodies will be done and charged per Mercy Medical Center - North Iowa Lab policy. 
Test is also included in Cytoplasmic Neutrophil Antibodies Vasculitis Panel. (VAPNL)

Reference ranges included with results.

TEST NAME

PROTEIN BENCE JONES

See:  Monoclonal Protein Study, Urine*

TEST NAME

PROTEIN C

See: Included in Hypercoagulability Consult
May be ordered separately as CMIS

POWERCHART NAME

MERCY TEST NAME

PROTEIN/CREATININE RATIO URINE

MERCY LAB CODE

UPCRTO

5 ml random urine specimen

Stable 48 hours refrigerated .

Protein Random Urine: 0-13.5 mg/dl
Creatinine Random Urine: not available
Protein/Creatinine Ratio Urine: <0.2 is normal
                                           >3.5 is in the nephrotic range.

Protein Urine:  Pyrogallol Red
Creatinine Urine:  Alkaline Picrate-Kinetic

82570 Creatinine Urine
84156 Protein Total Urine

POWERCHART NAME

PROTEIN ELECTROPHORESIS 24 HOUR URINE

MERCY TEST NAME

PROT ELEC 24UR*

MERCY LAB CODE

VELC

50 mL from a 24-hour urine collection (no preservative).  Refrigerate during collection, no preservative. Must be a 24 hour collection.  

 A different order code is used for random specimens.  See protein electrophoresis random.

Aliquot specimen among one plastic, 60 mL urine bottle and one plastic, 13mL urine tube. The labeling of aliquots is very important.  Aliquot at least 1 mL into the 13 mL urine tube and label as the Total Protein test.  The rest of the specimen should be put in the 60 mL urine bottle and labeled as Protein Electrophoresis. Send refrigerated to Mayo.  Mayo # 82441.

TEST NAME

PROTEIN ELECTROPHORESIS CSF

See:  IgG Index CSF*

POWERCHART NAME

PROTEIN ELECTROPHORESIS

MERCY TEST NAME

PROTEIN ELEC - EFFECTIVE 10/3/07

MERCY LAB CODE

 PEL

If multiple myeloma is suspected, please indicate

Includeded with report. an interpretive comment is also provided with the report

Total protein:  Biuret
Protein Elecrophoresis:  Agarose Gel Electrophoresis
Immunofixation:  Immunofixation and/or immunodiffusion

84165 Protein Electrophoresis
86334 Immunofixation (If appropriate)
84155 Protein,Total

POWERCHART NAME

PROTEIN ELECTROPHORESIS  RANDOM URINE

MERCY TEST NAME

PROEIN ELEC UR

MERCY LAB CODE

 REPU

Included with report.

Dye binding (Pyrogallol Red)
 Agarose Gel Electrophoresi

 84156-Protein,total
84166-Electrophoresis,protein
86335-Immunofixation(if appropriate)

TEST NAME

PROTEIN S

See:  Included in Hypercoagulability Consult
May be ordered separately as CMIS

POWERCHART NAME

PROTEIN

MERCY TEST NAME

PROT TTL

MERCY LAB CODE

TP

< 1 month: 4.4 - 7.6 g/dl
1 -3 months: 4.2 - 7.4 g/dl
4 - 11 months: 5.6 - 7.2 g/dl
> 11 months: 6.3 - 8.2 g/dl

POWERCHART NAME

PROTEIN BODY FLUID

MERCY TEST NAME

PROT TTL BF

MERCY LAB CODE

FPRT

POWERCHART NAME

PROTEIN CSF

MERCY TEST NAME

PROT TTL CSF

MERCY LAB CODE

CPRT

Specimen must be transported in a screw top container.

• Centrifuge every CSF specimen and analyze the supernatant. 
• Refrigerate samples if not analyzed within 4 hours. 
• Freeze specimens if not analyzed within 48 hours. 

0-3 months: 20-100 mg/dl
>3 months:  15-45 mg/dl

POWERCHART NAME

PROTEIN 24 HOUR URINE

MERCY TEST NAME

PROT TTL 24UR

MERCY LAB CODE

VPRT

POWERCHART NAME

PROTEIN RANDOM URINE

MERCY TEST NAME

PROT TTL R UR

MERCY LAB CODE

UPRT

TEST NAME

PROTEIN URINE DIPSTICK

Alternative test: Urine Dipstick.

POWERCHART NAME

PROTIME

MERCY TEST NAME

PROTIME INR

MERCY LAB CODE

PTR 

Store at room temperature.  Unopened, unspun tubes are stable 24 hours from time of collection. If the order is for only a Protime, freeze if testing will not be done within 24 hours.  Freeze plasma if testing not done within 4 hours of collection if a PTT is also ordered.  Label frozen vial "CITRATED PLASMA". NOTE: Specimens for PTT MUST be removed from cells and tested within 4 hours of collection or frozen.

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.

Protime INR Normal range (for patient not receiving anticoagulant):  0.8 - 1.2

Protime INR range:              
2.0 - 3.0    

POWERCHART NAME

PSA DIAGNOSTIC

MERCY TEST NAME

PSA

MERCY LAB CODE

PSA

0.5 ml serum from SST. NOTE:  Obtain Specimen before prostate manipulation procedures. 
Alternatively, obtain specimen within one hour of rectal exam or delay collection for 24 hours.

Minimum waiting periods before PSA sampling.

Acute bacterial prostatitis------------------------------ 6 weeks
Acute urinary retention----------------------------------6 weeks
Prostate massage------------------------------------------6 weeks
Recent ejaculation----------------------------------------24 – 48 hours
Exercise (bicycle ergometry)---------------------------several days
TURP (transurethral resection of the prostate)------6 weeks

Stable 8 hours at room temperature.  Stable 24 hours refrigerated.  Freeze if testing is not completed within 24 hours of collection.
Regional Lab Clients:  Freeze if not received at Mercy Medical Center - North Iowa Laboratory within 24 hours of collection.

MALE  
        <40:  0 - 2.5 ng/ml
     40 - 49: 0 - 2.5 ng/ml
     50 - 59: 0 - 3.5 ng/ml
     60 - 69: 0 - 4.5 ng/ml
        > 69: 0 - 6.5 ng/ml

POWERCHART NAME

PSA SCREENING

MERCY TEST NAME

MERCY LAB CODE

0.5 ml serum from a SST tube. Avoid Hemolysis. NOTE: Obtain Specimen before prostate manipulation procedures.  Alternatively, obtain specimen within one hour of rectal exam or delay collection for 24 hours. Minimum waiting periods before PSA sampling:

Acute bacterial prostatitis------------------------------ 6 weeks
Acute urinary retention----------------------------------6 weeks
Prostate massage------------------------------------------6 weeks
Recent ejaculation----------------------------------------24 – 48 hours
Exercise (bicycle ergometry)---------------------------several days
TURP (transurethral resection of the prostate)------6 weeks

The screening prostate specific antigen PSAS test should be ordered only of all of the following conditions are true:

1. Patient has Medicare Insurance Benefits 
2. Patient is 50 years of age or older
3. Test is being ordered for screening (no medically necessay signs, symptoms or diagnosis  on the Local Medical Review Policy).
4. At least 11 months have passed following the month in which the last Medicare-covered  PSAS was preformed.

Stable 8 hours at room temperature.  Stable 24 hours refrigerated.  Freeze if testing is not completed within 24 hours of collection.
Regional Lab Clients:  Freeze if not received at Mercy Medical Center - North Iowa Laboratory within 24 hours of collection.

MALE
         40 - 49:  0 - 2.5 ng/ml
         50 - 59:  0 - 3.5 ng/ml
         60 - 69:  0 - 4.5 ng/ml
            > 69:  0 - 6.5 ng/ml

POWERCHART NAME

PSA FREE AND TOTAL

MERCY TEST NAME

PSA, TOTAL/FREE*

MERCY LAB CODE

FPSA

Electrochemiluminescent  Immunoassay (ECLIA)

84153  PSA, Total+*
84154  PSA, Free+*

POWERCHART NAME

PSEUDOCHOLINESTERASE

MERCY TEST NAME

PSUDOCOLNSTRAS TTL*

MERCY LAB CODE

CLNS

Included with test results.

POWERCHART NAME

PTT Partial Thromboplastin Time (aPTT)

MERCY TEST NAME

PTT (Partial Thromboplastin Time)

MERCY LAB CODE

PTT

In-house patients:  Centrifuge immediately.  Refrigerate.  Test within 4 hours of collection.

 if testing will be delayed longer than 4 hours. 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 in freezer.  Label aliquot vial "CITRATED PLASMA."

Regional Lab Clients:

1. Centrifuge immediately.
2. Aliquot specimen (leaving some above the cells) to a plastic centrifuge tube.
3. Centrifuge the aliquot tube.  Pipette plasma (leaving some above the bottom of the tube) to another plastic aliquot tube.
4. Send refrigerated if testing can be performed within 4 hours of collection.
5. If testing will not be performed within 4 hours freeze specimen and send frozen.
6. Label aliquot vial "CITRATED PLASMA."

20.3-30.4 seconds.  Applies only to PTT performed at MMC-NI using Actin FSL lot 547303.