TEST NAME

HALOPERIDOL SERUM*

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

Haloperidol Therapeutic range: 5-16 ng/ml
Reduced Haloperidol: 10 – 8 ng/ml

POWERCHART NAME

HAPTOGLOBIN

MERCY TEST NAME

HAPTOGLOBIN        

MERCY LAB CODE

HAPT

0.5 ml lithium heparin plasma from a PST tube. Sodium Heparin and EDTA tubes are also acceptable.  Stable 72 hours refrigerated or freeze.

Monday-Friday  0900 cutoff

30 - 200 mg/dl

Immunoturbidimetric

POWERCHART NAME

HCG QUANTITATIVE

MERCY TEST NAME

HCG QUANT SERUM   

MERCY LAB CODE

HCGQ

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.

HCG is not normally detected in the serum of healthy men and healthy non-pregnant women.

Non-Pregnant Female: 0-3 IU/L

Gestational age:
1 week: 5 - 50 IU/L
1-2 weeks: 50 - 500  IU/L
2-3 weeks: 100 - 5,000 IU/L
3-4 weeks: 500 - 10,000 IU/L
4-5 weeks: 1,000 - 50,000 IU/L
5-6 weeks: 10,000 - 100,000 IU/L
6-8 weeks: 15,000 - 200,000 IU/L
8-12 weeks: 10,000 - 100,000  IU/L
3rd trimester: 5,000 - 50,000  IU/L

During the first six weeks of pregnancy, serum HCG concentrations have a doubling time of approximately 2 days. A maximum is reached by the second to third month and followed by a decrease to as low as 5000 by the third trimester (6-9 months).  Following delivery, HCG concentrations rapidly decrease and usually return to normal within several days post partum.

POWERCHART NAME

HCG (HUMAN CHRONIC GRONADOTROPIN) TUMOR MARKER

MERCY TEST NAME

HCG TUMOR MARKER* 

MERCY LAB CODE

HCGM

TEST NAME

HCT (Hematocrit)

See: Hematocrit, Hemogram, Platelet Ct, CBC,  
          Pericardial Hemoglobin & Hematocrit

POWERCHART NAME

HDL CHOLESTEROL

MERCY TEST NAME

HDL CHOL

MERCY LAB CODE

HDLC

The National Cholesterol Education Program of the National Heart, Lung, and Blood Institute has announced the following guidelines:

  Low------------- < 40mg/dl   
  Acceptable------40 – 59 mg/dl   
  Optimal---------≥ 60 mg/dl

TEST NAME

HEART CRP

See: CRP Sens (Cardiac)

TEST NAME

HELICOBACTER PYLORI (BREATH)

See: Urea Breath Test

TEST NAME

HELICOBACTER PYLORI SERUM

See: Helicobactor Serology  

TEST NAME

HELICOBACTER SCREEN

See: Microbiology Section
In Pt Micro  / Regional Pt Micro

POWERCHART NAME

HELICOBACTER PYLORI ANTIBODY IgG

MERCY TEST NAME

HELICOBACTER SERO 

MERCY LAB CODE

HPYL

POWERCHART NAME

HELICOBACTER PYLORI FECES / H.PYLORI FECES

MERCY TEST NAME

H.PYLORI FECES*  

MERCY LAB CODE

HPSTL

POWERCHART NAME

HEMATOCRIT

MERCY TEST NAME

HEMATOCRIT

MERCY LAB CODE

HCTX

POWERCHART NAME

HEMOCCULT, DIAGNOSTIC
HEMOCCULT, SCREENING

MERCY TEST NAME

HEMOCCULT, DIAGNOST
HEMOCCULT, SCREENING

MERCY LAB CODE

HEMC
NHOS

The Diagnostic order should be placed if the patient has documented symptoms.
The Screening order should be placed if the testing is being preformed in the absence of documentation. This is for stool specimens only. See GASTROCCULT BODY FLUID for all other body fluids.

Patients should be placed on the Special Diagnostic Diet starting at least 48 hours prior to and continuing through the test period.  This diet can increase the accuracy of the test results.  Patients on unrestricted diets who test positive on one or more of the initial 3 slides is recommended to be retested after being placed on the special diet.See page 21 in the SPECIAL HELPS SECTION of the Lab Test Index for Hemoccult (Occult Blood Feces) special diagnostic diet.

Fresh, unpreserved stool specimen
NOTE:  Fecal samples should not be collected if hematuria or obvious rectal bleeding, such as from hemorrhoids, is present.  Pre-menopausal women should not collect fecal samples during or in the 3 days following a menstrual period. Collect a small fecal sample on one end of the applicator stick (may use tongue depressor)  Apply a small thin smear inside box A.  Use the other end of the applicator to obtain a second sample from a different area of the stool.  Apply a thin smear inside box B and close the cover. The test slide MUST be labeled with patient first and last name, date and time of collection.

POWERCHART NAME

HEMOGLOBIN

MERCY TEST NAME

HEMOGLOBIN

MERCY LAB CODE

HGBX

POWERCHART NAME

HEMOGLOBIN A1C

MERCY TEST NAME

HEMOGLOBIN A1C

MERCY LAB CODE

GLYCO

0.5 ml EDTA whole blood from purple top tube or 1 full purple capillary tube.  Refrigerate. Stable 7 days refrigerated.  Stable 8 hours at room temperature.

Monday through Friday 2300 cutoff
Saturday and Sunday 0900 cutoff

POWERCHART NAME

HEMOGLOBIN ELECTROPHORESIS

MERCY TEST NAME

HEMOGLBN ELECT*

MERCY LAB CODE

HGBE

Additional tests are performed as indicated. In the event that a rare hemoglobin variant is present, Level 2 testing will be performed. Please note that there is an additional fee for the Level 2 testing. Mayo Lab indicates that about 9% of patient specimens require Level 2 testing.

Send refrigerated to Mayo.  Mayo #81626.  DO NOT allow to freeze.  Use bubble wrap to protect specimen. Include recent transfusion information.  Patient's age is required.
Please complete a Thalassemia/Hemoglobinopathy Information Sheet and forward with specimen.

83341: Cation Exchange/High Pressure Liquid Chromatography (HPLC)
81428: Alkaline Gel Electrophoresis
81510: Agar Gel Electrophoresis
9180: Hemoglobin S Solubility
9095: Isopropanol Stability
81644, 81509: Electrophoresis
8270: Flow Cytometry

83020 HGB Ellect+*
83021 HGB HPLC

Additional CPT codes for tests performed as indicated are listed below:
82664 - electrophoresis, agar (if appropriate)
82664 - x 2 electrophoresis, not elsewhere specified (if appropriate)
83068 - unstable hemoglobin (if appropriate)
85660 - sickling of red blood cells, reduction (if appropriate)
88184 - hemoglobin F, RBC distribution (if appropriate)

TEST NAME

HEMOGLOBIN PLASMA*

See: Plasma Hemoglobin

POWERCHART NAME

HEMOGLOBIN S SCREEN

MERCY TEST NAME

HEMOGLBN S SCN*

MERCY LAB CODE

HGBS

Include recent transfusion information in the Mayo computer system. 
Send refrigerated to Mayo.   Mayo # 9180.

POWERCHART NAME

HEMOGRAM WITH PLATELET COUNT

MERCY TEST NAME

HEMOGRAM PLATELET CT

MERCY LAB CODE

HMGM

WBC         HCT        MCV          MCHC         PLATELETS                
RBC          HGB        MCH          RDW          MPV     

Included with test results.  Complete listing in Special Helps section of Lab Test Index.

POWERCHART NAME

HEMOQUANT FECES

MERCY TEST NAME

HEMOQUANT,FECES*   

MERCY LAB CODE

HMQF

Patient should be instructed to refrain from red meat and aspirin for 3 days prior to specimen collection. IMPORTANT:  Note on order whether patient has complied with instructions.

1 gram of feces from a single defecation is to be collected using a spoon‑like sampler from the kit supplied by the Laboratory.  Place sample in screw‑capped tube.

POWERCHART NAME

HEMOSIDERIN QUALITATIVE URINE

MERCY TEST NAME

HEMOSDRIN R UR*   

MERCY LAB CODE

HMDR

Send frozen to Mayo.  Mayo # 8582.

POWERCHART NAME

HEPARIN UNFRACTIONAL LEVEL

MERCY TEST NAME

HEPARIN UNFRAC

MERCY LAB CODE

HEPR

Centrifuge within 30 minutes and analyze within 4 hours.  Freeze plasma if testing not done within 4 hours of collection. Label vial "Citrated Plasma".

TEST NAME

HEPARIN ANTI-XA ASSAY

See: Factor X A

TEST NAME

HEPARIN ASSOCIATED THROMBOCYTOPENIA, SERUM

See: Heparin PF4 AB

TEST NAME

HEPARIN PF4 ANTIBODY

MERCY TEST NAME

HEPARIN PF4 AB

MERCY LAB CODE

CMIS

POWERCHART NAME

HEPATIC FUNCTION PANEL

MERCY TEST NAME

HEPATIC FUNCTION PNL

MERCY LAB CODE

HFPL

Albumin              Alkaline Phosphatase ALT
AST                   Bilirubin: Total, Direct, Indirect                        
Total Protein       A/G Ratio

TEST NAME

HEPATIC PANEL

See: Hepatic Function Panel  

POWERCHART NAME

HEPATITIS ACUTE PANEL

MERCY TEST NAME

HEPATITIS ACUTE

MERCY LAB CODE

HPACUT

Hepatitis B Surface Antigen      Hepatitis B Core IgM Antibody
Hepatitis C Antibody                Hepatitis A Antibody, IgM

The following samples are unacceptable and will not be tested, heat treated, hemolyzed, heparinized, icteric, lipemic, samples containing particulate matter, RBCs, or precipitate.

Freeze 4 ml serum, false bottom tube.

Hep B Surf Ag and HCV Ab: Monday and Thursday 0800 cutoff

Hep A IgM Ab, Hep B Core IgM: Tuesday and Friday 0800 cutoff

1. If Hepatitis B Surface antigen is detected, supplemental testing consisting of neutralization of surface antigen will be performed and charged.

2. If Hepatitis C is detected, Confirmatory hepatitis C virus, RT-PCR (Mayo # 83142) will be performed and charged.

Hepatitis B Surface Antigen - Not Detected

Hepatitis A Antibody, IgM Antibody - Not Detected

Hepatitis B Core, IgM Antibody - Not Detected

Hepatitis C Antibody - Not Detected

80074 Acute profile
87341 Neutralization (if appropriate)
87522 HCV Confirmatory (if appropriate)

POWERCHART NAME

HEPATITIS CHRONIC PROFILE

MERCY TEST NAME

HEPATIT CH UK*

MERCY LAB CODE

HPCHRN

Hepatitis B Surface Antigen     Hepatitis B Surface Antibody
Hepatitis C Antibody               Hepatitis B Core Total Antibody

The following samples are unacceptable and will not be tested; heat treated, hemolyzed, heparinized, icteric, lipemic, samples containing particulate matter, RBCs, or precipitate.

Freeze 4 ml serum, false bottom tube.

Monday and Thursday 0800 cutoff

1. If Hepatitis B Surface antigen is detected, supplemental testing consisting of neutralization of surface antigen will be performed and charged.
2. If Hepatitis C is detected, Confirmatory hepatitis C virus, RT-PCR (Mayo # 83142) will be performed and charged.
3. If Hepatitis B Core Total Antibody is detected, Hepatitis B Core, IgM Antibody will be performed and charged.

Hepatitis B Surface Antigen - Not Detected  
Hepatitis C Antibody - Not Detected
Hepatitis B Core Total Antibody - Not Detected
Hepatitis B Surface Antibody - Detected - Indicates immunity or exposure of HBV
                                          Not Detected - No immunity to HBV

87340 - HBSA
87341 - Neutralization (if appropriate)
86803 - HCVAB
87522 - HCVRNA (if appropriate)
86704 - HBCTAB
86705 - HBCMAB (if appropriate)
86706 - HPBSAB

POWERCHART NAME

HEPATITIS PREVIOUS EXPOSURE PROFILE

MERCY TEST NAME

HEPATIT PRV*

MERCY LAB CODE

HPPV

Hepatitis B Surface Antigen        Hepatitis Bs Antibody

Hepatitis C Antibody                  Hepatitis A Antibody

Hepatitis Bc Antibody

The following samples are unacceptable and will not be tested; heat treated, hemolyzed, heparinized, lipemic, samples containing particulate matter, RBCs, precipitate, or Sodium azide.

Freeze aliquot.  Mayo # 9021

Negative.  NOTE:  Currently, Mayo Medical Laboratories clients who order hepatitis profiles receive a report that includes the results of the tests performed and an interpretive table that, in most cases, carries over to a second page.  This often creates confusion.  In order to improve the value and ease of interpretation of hepatitis profile reports, the table will be removed from the reports.
Tables are still available in the Mayo test catalog. (Effective 1/7/01)

86704 Anti-HBc Total
86317 Hepatit B SurfaceAntibody, Qualitative/Quantitative
86708 Anti-HAV, IgG and IgM
86803 Anti-HCV
87340 Hepatitis B Surface Antigen
86705 Anti-HBc, IgM (If Appropriate)
87341 Hepatitis B Surface Antigen Confirmation (If Appropriate)

POWERCHART NAME

HEPATITIS EMPLOYEE EXPOSURE PANEL

MERCY TEST NAME

HEPATITIS SRV

MERCY LAB CODE

HPSV

1. Post exposure testing on employees and source patients must be on a manual requisition form from Mercy Employee Health.
2. To be ordered by Mercy Employee Heath or Infection Control Nurse for Mercy employees and patients involved in needle-stick incidents.

Hepatitis B Surface Antigen            Hepatitis B Core Total Antibody
Hepatitis B Surface Antibody          Hepatitis C Antibody

The following samples are unacceptable and will not be tested; heat treated, hemolyzed, heparinized, icteric, lipemic, samples containing particulate matter, RBCs, or precipitate.

1. If Hepatitis B Surface antigen is detected, supplemental testing consisting of neutralization of surface antigen will be performed and charged.
2. If Hepatitis C is detected, Confirmatory hepatitis C virus, RT-PCR (Mayo # 83142) will be performed and charged.
3. If Hepatitis B Core Total Antibody is detected, Hepatitis B Core, IgM Antibody will be performed and charged.

Hepatitis B Surface Antigen - Not Detected  
Hepatitis C Antibody - Not Detected
Hepatitis B Core Total Antibody - Not Detected
Hepatitis B Surface Antibody - Detected - Indicates immunity or exposure of HBV
                                          Not Detected - No immunity to HBV

POWERCHART NAME

HEPATITIS B SURFACE ANTIGEN

MERCY TEST NAME

HEPATITITIS B SURF Ag

MERCY LAB CODE

HBSA

2 ml serum from a SST tube.  Send specimen refrigerated.

Prenatal Profile

Hepatitis Acute Panel
Hepatitis Chronic/Unknown Panel

1. If Hepatitis B Surface Antigen is detected, supplemental testing consisting of neutralization of surface antigen will be performed at an additional charge.
2. Performance has not been established for newborns, cord blood, body fluids.

87340

87341 (neutralization if appropriate)

POWERCHART NAME

HEPATITIS B SURFACE ANTIBODY

MERCY TEST NAME

HEPATITIS ANTI HBS

MERCY LAB CODE

HPBSAB

1. Test to detect immunity from vaccination and/or exposure to HBV
2. Quantification of antibody no longer performed.

Detected - Indicates immunity or exposure to HBV

Not Dectected - Indicates no immunity to HBV

POWERCHART NAME

HEPATITIS B CORE IgM ANTIBODY

MERCY TEST NAME

HEP B CORE IgM AB

MERCY LAB CODE

HBCMAB

POWERCHART NAME

HEPATITIS C ANTIBODY

MERCY TEST NAME

HEPATITIS C AB

MERCY LAB CODE

HCVAB

86803
87522 (If Appropriate)

POWERCHART NAME

HEPATITIS C ANTIBODY CONFIRMATION (RIBA)

MERCY TEST NAME

ANTI-HCV RIBA*

MERCY LAB CODE

RIBAC

0.5 ml serum from SST tube or plain, red top tube

The HCV RNA by RT-PCR is useful in differentiating an Acute Hepatitis C infection or Immunocompromised with Chronic Hepatits C (RT-PCR test result will be positive) vs Patients with a past and resolved Hepatitis C infection (RT-PCR test result will be negative).

Not useful for detection of early acute hepatitis C infection. 
Not useful for differentiation between resolved and chronic hepatitis C infections.

POWERCHART NAME

HEPATITIS C RNA (QUANT)

MERCY TEST NAME

HCV RNA DETECT/QN*

MERCY LAB CODE

HCVRNA

This test is intended to be used to monitor known HCV-positive infections.
It is not intended for primary detection of HCV infections.  Mayo #15060 or Mercy’s HCVAB is positive, Mayo will add this test at an additional charge.

Spin down.  Remove serum within 4 hours of draw, and put in a screw-capped, plastic vial. Freeze.  Mayo # 83142.

TEST NAME

HERPES SIMPLEX CULTURE

See: Microbiology Section In Pt Micro  / Regional Pt Micro

TEST NAME

HERPES SIMPLEX SEROLOGY*

See: HSVT12

POWERCHART NAME

HERPES SIMPLEX TYPE I AND TYPE II ANTIBODIES

MERCY TEST NAME

HSV TYPES 1 & 2 AB*

MERCY LAB CODE

HSVT12

Enzyme Immunoassay (EIA) 
IgM:  Immunoflourescence Assay (IFA)

86694 HSV Type I Ab, IgG, S
86695 HSV Type II Ab, IgG, S
86696 HSV Ab, IgM, S

TEST NAME

HERPES SIMPLEX VIRUS by PCR, CSF

See:   Microbiology Section In Pt Micro  / Regional Pt Micro

TEST NAME

HERPES SKIN SCRAPING FOR CYTOLOGY

See: Cytology Section Tzanck Smear

TEST NAME

HERPES ZOSTER CULTURE

See: Microbiology Section In Pt Micro  / Regional Pt Micro

TEST NAME

HERPES ZOSTER TITER

See: Varicella Zoster

TEST NAME

HETEROPHILE TITER

See:  Monoscreen

TEST NAME

HG LEVEL

See:  Mercury*

POWERCHART NAME

HIAA‑5 HYDROXYINDOLE ACETIC ACID URINE

MERCY TEST NAME

HIAA 5 24UR*

MERCY LAB CODE

HIAA

For 24 hours before starting the 24-hour collection and during the collection do not eat any of the following: avocados, bananas, butternut, cantaloupe, dates, eggplant, hickory nut, grapefruit, honeydew melon, kiwi fruit, pecans, pineapples, plantain, plums, tomatoes and walnuts.

24-‑hour urine collection.  Before start of collection, add 25 ml 50% acetic acid preservative (15 ml for children <5 years old).  Refrigerate during collection. 

Aliquot 2 ml into a 13 mL urine tube and indicate total 24-hour volume.
Adjust pH to 2.0-4.0 with 50% acetic acid.  Send refrigerated to Mayo. 
Mayo # 9248.

TEST NAME

HIGH DENSITY LIPOPROTEIN

See:    HDL Cholesterol

TEST NAME

HIGH SENSITIVE CRP

See:    CRP Sens  (cardiac)

POWERCHART NAME

HIV 1 HIV 2 ANTIBODY

MERCY TEST NAME

HIV                 

MERCY LAB CODE

HIV

1. EIA screening performed at Mercy.  If EIA is positive for antibodies, specimen will be sent to Mayo Medical Laboratories, Rochester, MN, for confirmatory testing (Western Blot Assay) at an additional charge.
2. HIV is included in the Prenatal Profile with HIV test (PNP)

POWERCHART NAME

HIV OCCUPATION EXPOSURE

MERCY TEST NAME

HIVSRV            

MERCY LAB CODE

 HIVS

2 ml serum from SST tube.  Refrigerate.
Patient must sign an informed consent form before the collection.   Newborns:  Cord blood is not an acceptable specimen for HIV testing.  The mother's serum will be tested.
Autopsy specimens are sent to UHL-order Misc Micro.
Note: Post exposure testing on employee and source patient must be on a manual requisition from employee health.

1. To be ordered only by the Employee Health nurse at Mercy.  A written report will be released to Employee Health Department. 
2. Reports will be released to a secure fax machine with receipt of signed consent form.
3. EIA screening performed at Mercy.  If EIA is positive for antibodies, specimen will be sent to Mayo Medical Laboratories, Rochester, MN, for confirmatory testing (Western Blot Assay) at an additional charge.

POWERCHART NAME

HLA B27

MERCY TEST NAME

HLA B27*

MERCY LAB CODE

HLA

5 ml whole blood collected in yellow ACD tube (solution B) 
Specimen must arrive at Mayo reference lab within 72 hours of collection.

Submit in original yellow top tubes, do not transfer blood to other containers.  Do not refrigerate. Use regular mailing container and clearly label "DO NOT REFRIGERATE."  Mayo # 9648.

POWERCHART NAME

HOMOCYSTEINE LEVEL

MERCY TEST NAME

HOMOCYSTEIN TL PL*

MERCY LAB CODE

HCYS

0.4 ml EDTA plasma. Immediately place specimen on wet ice

Centrifuge promptly and remove 0.4 ml plasma from cells within 1 hour. 
Send plasma refrigerated to Mayo #80379.

Reference Lab Clients:  MUST centrifuge promptly and remove 0.4 ml plasma from cells within 1 hour before sending specimen.  Send plasma refrigerated to Mayo #80379

TEST NAME

H. PYLORI BREATH TEST

See:  Urea Breath Test

POWERCHART NAME

HPV (HUMAN PAPILLOMA VIRUS) NUCLEIC ACID

MERCY TEST NAME

HPV DETECTION*

MERCY LAB CODE

HPVM

Indicate source of specimen on specimen container/slide. Obtain one of the following:

1. A special specimen collection and transport kit from the lab (follow collection instructions in the kit)
2. A cervical biopsy
3. A Thin Prep PAP smear.  For Thin Prep Pap Smear specimen, minimum 6.0ml volume.

POWERCHART NAME

HUMAN PAPILLOMAVIRUS DNA HIRSK

MERCY TEST NAME

HPV DETECTION-HIGH RISK TYPES*

MERCY LAB CODE

HPVHR

Indicate source of specimen on specimen container/slide. Obtain one of the following:

1. A special specimen collection and transport kit from the lab (follow collection instructions in the kit)
2. A cervical biopsy
3. A Thin Prep PAP smear.  For Thin Prep Pap Smear specimen, minimum 6.0ml volume.

This is NOT a reflex test.  It requires a specific request from the provider. 
It will be ordered when an HPV test is requested without a Pap smear.

Send cervical swabs refrigerated to Mayo.  Mayo # 83344
Send cervical BIOPSY placed into 1.0 ml of digene specimen trasport medium frozen to Mayo.
Send Thin Prep vial ambient (refrigerated OK) to Mayo. (must be less than 21 days old DO NOT FREEZE)

TEST NAME

HUMAN PAPILLOMAVIRUS*  (DNA Detection)

See:  HPV Detection*

TEST NAME

HUMAN PARVOVIRUS B19

See:  Parvovirus B19*

TEST NAME

HYDROTRYPTOMINE

See: HIAA-5 (Serotonin) 24 Hour Urine*

TEST NAME

17-HYDROXY-KETOSTEROIDS

See:  17-Ketogenic Steroids/17 Ketosteroids 24 HR Urine

POWERCHART NAME

HYDROXYPROGESTERONE 17-D LEVEL

MERCY TEST NAME

HYDROXYPROGESTRN 17*

MERCY LAB CODE

HYPG

0.5 ml serum from a plain red top tube. 0.5 ml plasma from purple top tube is also accepted. A SST tube is not acceptable and will be rejected and canceled.

Indicate serum or plasma on order and on the aliquot tube.
Send refridgerated to Mayo.  Mayo #9231.

Adults:  Males: <200 ng/dl
        Females: Follicular: <80 ng/dl
                     Luteal: <285 ng/dl
                     Postmenopausal: <51 ng/dl

Children: Newborns: <630 ng/dl
             Prepubertal males: <110 ng/dl
             Prepubertal females: <100 ng/ml

HYPERCOAGULABILITY CONSULT*

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

Enter test name in comment.  Patient should not be receiving Coumadin or Heparin.  If so, indicate this in comment when ordering.

Coagulation screening tests, and if indicated, Protein C, Antithrombin III, Plasminogen, and Protein S may be tested.

Draw one 7ml ACD tube (solution A or B is acceptable).
Draw 6 large blue top tubes to yield 5 ml plasma for testing.
Fill tubes appropriately with amount of blood listed on the label.

Blue Citrate Tubes: Centrifuge, remove plasma, spin plasma again.
Patient:  Place 5.0 ml of citrate platelet poor plasma into 5 plastic vials, each containing 1 ml. (Glass vials cannot be accepted.)  Freeze immediately.
ACD Tube: DO NOT SPIN DOWN or open tube.  Send whole blood at ambient temp.
Send plasma to Mayo frozen.  Mayo #550.  Complete a “Coagulation Consultation
Patient Information Sheet” and a “Coagulation Request Form” and send with specimen. 

Tests performed as indicated. 

TEST NAME

HYPERSENSITIVITY PNEUMONITIS

See:  Farmers Lung Serology*

TEST NAME

HYPERTENSIVE PANEL

Order BUN, Creatinine, Sodium, Potassium

TEST NAME

HYPERTHYROID PANEL

See:  Thyroid Hyper Panel

TEST NAME

HYPOTHYROID PANEL

See:  Thyroid Hypo Panel