POWERCHART NAME

FACTOR V LEIDEN LEVEL

MERCY TEST NAME

FACTOR V  R 506Q LEDN*

MERCY LAB CODE

FACTV

FCTV (Factor V R506Q Leiden)
FCTVC (Factor V Comment)

Draw a FULL yellow-top (ACD) tube.  Mix well.  Send in original tube.
Specimen sent to Mayo ambient.  Mayo #81419. 
Send a “Coagulation Request Form with the specimen.

Isolation/Extraction            
Enzymatic Digestion
Interpretation & Report     
Nucleic Acid Probe, each   
Mutation Scanning

83891

83892

83912

83896 x5

83903

POWERCHART NAME

FACTOR VIII LEVEL

MERCY TEST NAME

FACTOR VIII ASSAY

MERCY LAB CODE

F8

Draw 2 large blue top tubes filled appropriately with the amount of blood listed on the label. 
Avoid gross hemolysis.

TEST NAME

FACTOR IX ASSAY

Order CMIS.  Type Factor IX in comment. 
Performed at Mayo Laboratories.

POWERCHART NAME

FACTOR X A  INHIBITION

MERCY TEST NAME

FACTOR X A

MERCY LAB CODE

FTENA

Used to monitor dose of Low Molecular Weight Heparin.  To monitor unfractionated Heparin dose, order HEPARIN UNFRAC.

Centrifuge within 30 minutes and analyze within 4 hours.  Freeze plasma if testing not done within 4 hours of collection.  Label vial “citrated plasma”.

Peak levels (4 hours post dose) are recognized as the best measures of safety and efficacy.
Desired levels are as follows:

1. For prevention of venous thromboembolism (VTE) (DVT & PE) a peak Factor X A drawn 4 hours post SQ injection range is 0.1 - 0.2 U/ml. 
2. Treatment levels recommended are 0.4 - 1.1 U/ml for twice daily dosing or 1.0 - 2.0 U/ml for once daily dosing.
   NOTE:  Levels >0.8 - 1.0 U/ml may be associated with increased risk of bleeding.

POWERCHART NAME

FARMERS LUNG SEROLOGY

MERCY TEST NAME

FARMERS LUNG SERO*

MERCY LAB CODE

FLUN

Aspergillus fumigatus, IgG AB: 0.0 – 110.0 MG/L
Micropolyspora faeni, IgG AB: 0.0 – 25.0 MG/L
Thermoactinomyces vulgaris, IgG AB: 0.0 – 60.0 MG/L

TEST NAME

FAST HB

See:   Hemoglobin A1C

POWERCHART NAME

FAT QUALITATIVE FECES

MERCY TEST NAME

FAT FECES QUALITATIVE

MERCY LAB CODE

FFQ

Refrigerate.

Reference Lab Clients: Refrigerate. Specimen must be delivered to lab within 72 hours of collection.

Negative. Descriptive report if positive for fat

Method: 

POWERCHART NAME

FAT QUANTITATIVE FECES

MERCY TEST NAME

FAT FECES QNT*

MERCY LAB CODE

FTFC

48 or 72 hour stool specimen collected in a special container obtained from the Lab. 48 or 72 hour specimen preferred, but a 24 hour or random specimen will be accepted. Refrigerate the specimen during and after collection (portable refrigerator available from the Lab for inpatients). 5 grams of stool specimen is required for testing.  Continue collection until 5 grams collected.

Must indicate length of collection period in comment.  Barium in the stool will interfere with the test. It is essential that laxatives (particularly mineral oil and castor oil) are NOT used during the collection period. Synthetic fat substitutes such as Olestra interfere with test procedure.  Wait a minimum of 48 hours following a barium procedure before beginning specimen collection.

A separate order and collection should take place if calcium, chloride, magnesium, osmolality, potassium, sodium, testing is desired.           

Send entire specimen in container that is no more than three‑fourths full. Indicate length of collection period. Send frozen to Mayo.  Mayo #8310.

TEST NAME

FAT URINE

Must submit entire random urine collection.  Collect in a fat‑free, non‑waxed container. 
It is very important that the bladder is completely emptied and the entire specimen be sent to the Lab.  Refrigerate.

POWERCHART NAME

FAX LAB RESULTS ORDER

MERCY TEST NAME

FAXED

MERCY LAB CODE

FAX

To be ordered on MISYS when a test result is to be faxed or called to a location in addition to thenormal reporting location.  Include the fax telephone number, mailing address, to whom the report should be directed, and for which tests.       

TEST NAME

FBS

See:   Glucose Blood

POWERCHART NAME

FDP (FbDP/FSP AGGLUTINATION SEMIQUANTITATIVE)

MERCY TEST NAME

FDP SERUM

MERCY LAB CODE

FSP

2 ml whole blood collected in an FDP tube.  Tubes are available from the Lab.  Tube will fill less than half full and specimen will clot immediately.

Allow tube to sit undisturbed for 15-30 minutes.  Centrifuge and remove the serum.
Test immediately.  Stable 3 days refrigerated.  Do not freeze. 

POWERCHART NAME

FIBRIN DEGRADATION PRODUCTS URINE

MERCY TEST NAME

FDP URINE

MERCY LAB CODE

FSPU

Transfer urine to an FDP tube.  Allow tube to sit undisturbed for 15-30 minutes.
Centrifuge and remove urine. Test immediately.  Refrigerate if transporting specimen from outside location.

TEST NAME

FE

See:  Iron & IBC

POWERCHART NAME

FEBRILE AGGLUTININ

MERCY TEST NAME

FEBRIL AGGLUTS*

MERCY LAB CODE

FEBR

TEST NAME

FECAL LEUKOCYTES

See:   Microbiology Section:  Direct Methods for Rapid Detection.
In Pt Micro  / Regional Pt Micro

TEST NAME

FELBAMATE  (FELBATOL)

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

1 ml serum from plain red top tube. Draw 1 hour prior to next dose.

POWERCHART NAME

FERRITIN LEVEL

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 24 hours of collection.

1 - 4 years: 10 - 74 ng/ml
5 - 19 years: 10 - 125 ng/ml
Adult male: 24 - 336 ng/ml
Adult female: 11 - 307 ng/ml                       

POWERCHART NAME

SEMEN ANALYSIS FERTILITY

MERCY TEST NAME

FERTILITY TEST SEMEN

MERCY LAB CODE

SMNFER

Semen – Total Ejaculate.  Patient should have 2-7 days of sexual abstinence at the time of semen collection for accurate results. Mayo kit (supply T178) must be obtained prior to collection from Mercy Laboratory

Not the total ejaculate. Specimen in Mayo preservative received at Mayo >48 hours from collection

Send at ambient temperature to Mayo # 9206. Specimen must arrive within 24 hours of collection. Send specimen Monday through Thursday ONLY, and NOT the day before a holiday. Specimen should be collected and packaged as close to shipping time as possible. 
Include a copy of the following information:  semen volume, viscosity, PH, appearance (color), and number of days of sexual abstinence.

Monday through Friday; 3 p.m.
1 analytic day.

89310  Motility and count
89240  Misc. pathology test

POWERCHART NAME

FETAL FIBRONECTIN 

MERCY TEST NAME

MERCY LAB CODE

Specimen Collection Kit may be obtained from the Lab.  This kit is the only acceptable collection system available.

Specimen Collection Precautions and Warnings:

1. Specimens for Fetal Fibroncetin should be collected prior to culture specimens. 
   Collection of vaginal specimens for culture requires aggressive collection techniques which may abrade the cervical or vaginal mucosa. 
   Cellular debris may potentially interfere with sample preparation.
2. Specimens should be obtained prior to digital cervical examination or vaginal probe ultrasound exam as manipulation of the cervix may cause the release of fetal fibronectin.
3. Patient specimens should not be tested if the patient has had sexual intercourse within 24 hours prior to the sampling time because semen and/or sperm may increase the possibility of the test giving a false positive result.
4. Care must be taken not to contaminate the swab or cervicovaginal secretions with lubricants, soaps, or disinfectants. 
5. Patient using Terazal, a vaginal cream used for yeast infection, should wait 24 hours before collecting a specimen.
6. Rupture of membranes should be ruled out prior to specimen collection since fetal fibronectin is found in both amniotic fluid and the fetal membranes.
7. Specimens should not be obtained from patients with suspected or known placental abruption or placenta previa.
8. Not intended for use in patients with cancers of the reproductive tract.
9. Not intended for use in patients with moderate or gross bleeding

Specimen Collection Instructions are included in the collection kit.

TEST NAME

FETAL LUNG MATURITY

See: Lamaller Body Count
Fetal Lung Profile

POWERCHART NAME

FETAL LUNG  PROFILE

MERCY TEST NAME

MERCY LAB CODE

PAF

Test will no longer be ordered by lab when the Phosphatidylglycerol screening test is negative. Testing must be requested by physician.

Centrifuge for 10 minutes at 1000 rpms.  Separate the supernatant and send both supernatant and sediment frozen in separate plastic vials to Mayo.  Mayo #8929. Label specimens appropriately as sediment and supernatant. Do not send specimens contaminated with blood.  Include estimate of duration of pregnancy in weeks.

1 day.  Test set up Monday through Sunday.  Available 1st shift only. 
Specimen must be received at Mayo by noon for same day reporting.

POWERCHART NAME

FETAL MATERNAL ERYTHROCYTES

MERCY TEST NAME

MERCY LAB CODE

1. May be ordered before delivery to determine if fetal bleed has occurred. 
2. Ordered by Lab when Fetal/Maternal Screen is positive.

POWERCHART NAME

MERCY TEST NAME

MERCY LAB CODE

Test will be ordered by Lab when RHIG workup tests indicate that the patient is eligible to receive Rh immune globulin. The Lab will order a Fetal/Maternal Ratio when the Fetal Screen is positive. Test may also be ordered by outside clients.           

NOTE:  Test can be done only when maternal blood type is known to be Rh negative and fetal blood type is Rh positive.  If Rh type of fetus is unknown, order Fetal/Maternal Erythrocyte Ratio.

TEST NAME

FETALDEX

See:   Fetal/Maternal Screen

TEST NAME

FFP

See:  Fresh Frozen Plasma For Infusion

TEST NAME

FIBRIN GLUE

See:  Cryoprecipitate Not For Infusion

TEST NAME

FIBRIN SPLIT PRODUCTS

See:  D-Dimer Test
FDP Serum
FDP Urine

POWERCHART NAME

MERCY TEST NAME

MERCY LAB CODE

FIBR

Draw 1 blue top tube filled  appropriately with amount of blood listed on label.  1 ml plasma needed. Avoid hemolysis.

Centrifuge and separate plasma immediately.  Store in refrigerator up to 72 hours. 
Freeze if storage is will be longer than 72 hours.   Label vial "CITRATED PLASMA".

TEST NAME

FIBRINOGEN DEGRADATION PRODUCTS

See:         FDP Serum
                FDP Urine

TEST NAME

FLOW CYTOMETRY

See: Leukemia/Lymphoma Immunophenotyping by Flow Cytometry.

POWERCHART NAME

FOLATE SERUM

MERCY TEST NAME

FOLATE

MERCY LAB CODE

FOL

Avoid exposure to sunlight. Stable 8 hours at room temperature.  Stable 24 hours refrigerated. Freeze if testing is not completed within 24 hours of collection.

POWERCHART NAME

FOLIC ACID RBC

MERCY TEST NAME

FOLATE RBC*

MERCY LAB CODE

FRBC

0 - 11 month: 74 - 995 ng/ml
1 - 11 years: 96 - 362 ng/ml
> 12 years: 268-616 ng/ml

TEST NAME

FOLLICLE STIMULATING HORMONE (FSH)

See:   FSH

TEST NAME

FORENSIC DRUG SCREEN* Tests - No longer available -DISCONTINUED

See: Aegis Forensic Drug Testing*

POWERCHART NAME

FRACTIONAL EXCRETION SODIUM

MERCY TEST NAME

FRACT EXCRET SODIUM

MERCY LAB CODE

VFES

Interpretation table is included with results. Calculations are based on Urine Sodium, Urine Creatinine, Serum Sodium and Serum Creatinine.

84300  Sodium Ur+
82570  Creat R UR

TEST NAME

FRACTIONATED ALKALINE PHOSPHATASE

See:   Alkaline Phosphatase Isoenzymes

TEST NAME

FRACTIONATED ENZYMES

Contact the physician for specific enzymes to be fractionated and order specific test.

Fragile X, Molecular Analysis is useful for documentation of carrier status and prenatal diagnosis of fragile X syndrome. Prior consulation with a medical geneticist is recommend.

FRAG X MOL ANLYS*  

FXMA

10 ml EDTA whole blood from purple top tubes or 2 yellow ACD tubes.  Draw as much as possible, as Mayo preserves some for more testing, and also for repeat testing.

NOTE:  Amniotic fluid and chorionic villus may also be tested.  DO NOT collect these specimens before consultation with Mayo Medical Laboratories.  Complete collection instructions are found in the Mayo catalog. Call the Lab for a copy of these instructions.

Useful for documentation of carrier status and prenatal diagnosis for fragile X syndrome.
Prior consultation with a medical geneticist is recommended.

83898      Frag X-PCR +*
83894 x2 Frag X-Elec+*
83892      Frag X-Enzyme+*
83896      Frag X-Probe +*
83912      Frag X-Inter+*

TEST NAME

FRAGILE X SYNDROME: MOLECULAR & CHROMOSOME ANALYSIS

Can be ordered as these two tests           1.  Fragile X Syndrome, Molecular Analysis (FXMA)
                                                       2.  Chromosome Analysis, for Congenital Disorders, Blood (CHRC)

TEST NAME

FREE DILANTIN

See:  Phenytoin Total & Free

TEST NAME

FREE LIGHT CHAIN

See: Immunoglobulin Free Light Chain

POWERCHART NAME

FROZEN PLASMA ORDER SET

MERCY TEST NAME

FFP FOR INFUS

MERCY LAB CODE

TFFP

Use one order for up to 6 units.  Indicate number of units in the units ordered field. 
Allow 30 - 45 minutes thawing time.  Usage is indicated in the treatment of clotting factor deficiencies. 

Give group specific or compatible disregarding Rh. Refer to procedure if specific group is unavailable. 

TEST NAME

FROZEN SECTION TISSUE EXAMINATION

Complete manual Pathology Specimen requisition form and Frozen Section Consultation requisition.
Pre-op diagnosis, patient history, and specimen source must be included. 
When sending breast biopsy for frozen section, please forward appropriate mammogram.

Tissue specimen, fresh,  without formalin.

Reference Lab Clients: Fresh tissue specimen (no formalin) must be kept on ice and transported to Mercy Histology Lab immediately. Notify the Histology Lab (641-422-7486) that the specimen is coming.

Pathologist report will be called to the physician within 15 minutes of receipt.

Reference Lab Clients: Pathologist report will be called and faxed.

88331 Frozen/Consult
88332 Frozen Additional

POWERCHART NAME

FSH LEVEL (FOLLICLE STIMULATING HORMONE LEVEL)

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 24 hours of collection.

0-24 MONTHS MALE

MALE AGES-4 WEEKS TO 1 YEAR – 0.16-4.1FSH IN MALES DECLINE TO PREPUBERTY LEVELS BY THE END OF THE FIRST YEAR

25 MONTHS – 8 YEARS MALE

PREPUBERTY VALUES 0.26 – 36.0 MIU/ML

9 YEARS – 18 YEARS MALE

    TANNER STAGE   1             AGE   > 9.8              RANGE 0.26-3.0 MIU/ML
                             2                      9.8 – 14.5                 1.80-3.2  MIU/ML
                             3                      10.7-15.4                  1.20-5.8  MIU/ML
                             4                      11.8-16.2                  2.00-9.2  MIU/ML
                             5                      12.8-17.3                  2.60-11.0 MIU/ML

19 YEARS AND OLDER MALE

Adult male:  1.3-19.3 MIU/ML

0-24 MONTHS FEMALE

FEMALE AGES-4 WEEKS TO 1 YEAR- 0.24-14.2  FSH DECLINES MORE SLOWLY THAN IN MALES TO REACH PREPUBERTAL LEVELS BY THE END OF THE SECOND YEAR

25 MONTHS – 8 YEARS FEMALE

PREPUBERTY VALUES 1.0 – 4.2 MIU/ML

9 YEARS – 19 YEARS FEMALE

TANNER STAGE    1          AGE > 9.2                    RANGE  1.0-4.2  MIU/ML
                          2                 9.2-13.7                           1.0-10.8 MIU/ML
                          3                 10.0-14.4                         1.5-12.8 MIU/ML
                          4                 10.7-15.6                         1.5-11.7 MIU/ML
                          5                 11.8-18.6                         1.0-9.2   MIU/ML

20 YEARS AND OLDER FEMALE

ADULT OVALATORY          Ovulating Follicular Phase    2.5-10.2 MIU/ML
                                      Ovulating Peak Phase         3.4-33.4 MIU/ML
                                      Ovulating Luteal Phase       1.5-9.1 MIU/ML
                                      Pregnant                          <0.3 MIU/ML
                                      Post Menopausal               23.0-116.3 MIU/ML

TEST NAME

FSP

     See:   FDP Serum
              FDP Urine  

POWERCHART NAME

MERCY TEST NAME

MERCY LAB CODE

FTAS

Send by Velocity Express courier service to:         
Hygienic Laboratory
The University of Iowa
Oakdale Hall
Iowa City, IA  52242

TEST NAME

FUNGUS CULTURE/DIRECT PREP

TEST NAME

See: Fungal Ab Servey  Mayo*

POWERCHART NAME

FUNGAL SURVEY

MERCY TEST NAME

FUNGAL AB SURVEY MAYO*

MERCY LAB CODE

FUNM

86612 x2  Blastomyces Antibody
86635 x3  Coccidioides Antibody
86698 Histoplasma Screen
86698 x3  Histoplasma Antibody (If Appropriate)

87327 Cryptococcus Antigen Screen
86403 Cryptococcus Antigen (if appropriate)