Pathology Handbook

Alternative names

Australian Tree Mix

Australian Tree Mix, Olive tree, Willow tree, White pine, Eucalyptus tree, Gum tree, Acacia tree, Malaleuca tree, Cajeput tree

Alternative names

Fish Mix allergy, Allergen to Seafood Mix, Seafood Mix allergy

Fish Mix allergy, Allergen to Seafood Mix, Seafood Mix allergy, Fish, Shrimp, Blue mussel, Tuna, Salmon

Alternative names

Grain Cereal Mix allergy

Grain Cereal Mix allergy, Wheat, Oat, Maize, Corn, Sesame seed, Buckwheat

Laboratory

Haematology

Immunology

Laboratory

Haematology

Immunology

Request Group

TEST NO LONGER AVAILABLE

RLY

External Laboratory

Melbourne Pathology

External Transport Instructions

Send at 4'C with Ice Pack

Alternative names

Allergy to Moulds, Mould Allergen.

Allergy to Moulds, Mould Allergen, Penicillium chrysogenum, Cladosporium herbarum, Aspergillus fumigatus, Altemaria alternate

Alternative names

Nut Mix allergy

Nut Mix allergy, Peanut, Hazelnut, Brazil nut, Almond, Coconut

Alternative names

Spice Mix fx70 allergy, Allergy to spice mix 70

Spice Mix fx70 allergy, Allergy to spice mix 70, Tarragon, Marjoram, Thyme, Lovage

Alternative names

allergy to spice mix fx 71, spice mix fx71 allergy

allergy to spice mix fx 71, spice mix fx71 allergy, Caraway, Mace, Cardamom, Clove

Alternative names

Spice mix fx72 allergy, allergy to spice mix fx72

Spice mix fx72 allergy, allergy to spice mix fx72, Basil, Fennel seed, Ginger, Anise

Alternative names

Weed Mix

Weed Mix, Common ragweed, Mugwort, English plantain, Ragwort, Goosefoot, Lamb's quarters, Prickly saltwort, Russian thistle

Request Group

063

049

Request Group

ALR

127

Alternative names

Dust Mix allergy

Dust Mix allergy, Dermatophagoides pteronyssinus, House dust mite, HDM, Dermatophagoides farina, America dust mite, German cockroach

Alternative names

Food Mix allergy (Children's food)

Food Mix allergy (Children's food), Egg white, Milk, Fish, Wheat, Peanut, Soybean

Alternative names

Grass mix allergy, Pollen allergy, Allergy to Pollen

Grass mix allergy, Pollen allergy, Allergy to Pollen, Bermuda grass, Rye grass, Timothy grass, Meadow grass, Johnson grass, Bahia grass

Alternative names

Lamb allergen

Lamb allergen, Mutton

Alternative names

Meat Mix Allergy, Meat Allergy.

Meat Mix Allergy, Meat Allergy, Pork, Beef, Chicken

Alternative names

Melon allergen

Melon allergen, Rockmelon allergen, Allergy to rockmelon

Alternative names

Tree Mix allergen

Tree Mix allergen, Maple tree, Plane tree, Silver birch tree, Oak tree, Elm tree, Walnut tree

Assay name

Alzheimer

Alzheimer's Disease (AD) testing

Assay name

Alzheimer's Disease (AD) testing

Alzheimer

Registration Instructions

The requesting doctor must complete the attached form https://florey.edu.au/nddl-csf-specimen-data-sheet-july-2023/

Dedicated collection tube available from pathology.

Test cost $400

Pathologist approval prior to collection

The requesting doctor must complete the attached form https://florey.edu.au/nddl-csf-specimen-data-sheet-july-2023/

Dedicated collection tube available from pathology.

Test cost $400

Alternative names

Cat dander

Cat dander, Dog dander, Horse dander, Cow dander

Alternative names

Cat dander

Laboratory

Haematology

Immunology

Registration Instructions

Turnaround test time approximately 4 weeks. From December 19/12/2022 to 06/01/2023 Specimens are to be frozen and dispatched from the 09/01/2023.

Turnaround test time approximately 4 weeks. 

Laboratory

Haematology

Immunology

Alternative names

Thyroglobulin Antibodies, TgAb, Anti TG, Tg Ab

Thyroglobulin Antibodies, TgAb, Anti TG, Tg Ab, Thyroglobulin Ab

Alternative names

Thyroglobulin Antibodies, TgAb, Anti TG

Thyroglobulin Antibodies, TgAb, Anti TG, Tg Ab

Processing Instructions

If there is a dedicated primary tube - handover to Haem after centrifuge

If the tube is to be shared,  centrifuge, make an aliquot of at least 300uL serum and handover to Haem

If the SST is to be shared, manually centrifuge, prepare an aliquot of at least 300uL of serum and deliver to Haematology

Processing Instructions

Centrifuge
Aliquot
Store at 4'C

Centrifuge
Store at 4'C

Processing Instructions

If there is a dedicated primary tube - handover to Haem after centrifuge

If the tube is to be shared,  centrifuge, make an aliquot of at least 300uL serum and handover to Haem

Assay name

Anticardiolipin Antibodies (Sendaway Test)

Anticardiolipin Antibodies (Sendaway Test) - IgM subtype only

Alternative names

ACLA

ACL IgM, ACLA IgM

Request Group

CLA

AUP

Registration Instructions

The request must specifically request for anticardiolipin IgM antibodies. 

If no subtypes are specified, this is presumed to be IgG and performed in-house - refer to "Anticardiolipin antibodies".

If both IgG and IgM subtypes are requested, an extra tube is required for IgM as it is a send-away. 

Collection & Request Instructions

A separate container is required for this test.

Laboratory

Anatomical Pathology

Haematology

Assay name

Antiphospholipid Antibodies (CLA,LUP,B2A)

Antiphospholipid Antibodies (APM,LUP)

Request Group

CLA,LUP,B2A

APM,LUP

Request Group

ALR

APG

Registration Instructions

Must receive a 10ml EDTA to perform this test. 

Code B19 is for peripheral blood request for p190 only.

If it is a bone marrow sample (regardless of whether it is p190 or p210), use BCR and send out to PMC.

For other rare transcripts, the sendout lab will depend on the requested transcripts (use generic lab-specific code). 

Must receive a 10ml EDTA to perform this test. PAPER only request.

Code B19 is for peripheral blood request for p190 only.

If it is a bone marrow sample (regardless of whether it is p190 or p210), use BCR and send out to PMC.

For other rare transcripts, the sendout lab will depend on the requested transcripts (use generic lab-specific code). 

Collection & Request Instructions

Specimens to be collected only on Monday to Friday up until 12pm (or 12pm on day before a weekday public holiday). Specimens more than 48 hours old cannot be tested and a recollection will be requested.

Please ensure that blood for molecular testing for BCRABL is collected in a separate dedicated sterile tube. Molecular specimens must NOT be put through any analysers. If unsure please call the Haematology laboratory.

Tube handling must be minimized to prevent contamination.   

Specimens to be collected only on weeksays, and up until 12pm on Fridays or day before a public holiday). Specimens more than 48 hours old cannot be tested and a recollection will be requested.

Please ensure that blood for molecular testing for BCRABL is collected in a separate dedicated sterile tube. Molecular specimens must NOT be put through any analysers. If unsure please call the Haematology laboratory.

Tube handling must be minimized to prevent contamination.   

Registration Instructions

Must receive a 10ml EDTA to perform this test. If no transcript is specified, it will be assumed to be P210.

Only BCRABL p210 requests on blood samples are performed in-house.

Non-blood samples (eg bone marrow) and/or non-p210 requests (ie rarer transcripts) are to be sent out  - if it is peripheral blood p190, use B19 and send out to PMC. If it is a bone marrow sample (regardless of whether it is p190 or p210), use BCR and send out to PMC.

For other rare transcripts, the sendout lab will depend on the requested transcripts (use generic lab-specific code). 

Must receive a 10ml EDTA to perform this test. If no transcript is specified, it will be assumed to be P210.

Only BCRABL p210 requests on blood samples are performed in-house.

Non-blood samples (eg bone marrow) and/or non-p210 requests (ie rarer transcripts) are PAPER only requests and are to be sent out  - if it is peripheral blood p190, use B19 and send out to PMC. If it is a bone marrow sample (regardless of whether it is p190 or p210), use BCR and send out to PMC.

For other rare transcripts, the sendout lab will depend on the requested transcripts (use generic lab-specific code). 

External Transport Instructions

Send at 4'C with Ice Pack

Send at ambient temperature

Assay name

Beta-2 Glycoprotein 1 Antibodies (Sendaway Test)

Beta-2 Glycoprotein 1 Antibodies (Sendaway Test) - IgM subtype only

Alternative names

Glycoprotein 1 Antibodies; Beta-2, B2GP1

Glycoprotein 1 IgM Antibodies, Beta-2 IgM, B2GP1 IgM

Request Group

B2A

AUP

Registration Instructions

The request must specifically request for beta-2 glycoprotein IgM antibodies. 

If no subtypes are specified, this is presumed to be IgG and performed in-house - refer to "beta-2 glycoprotein antibodies".

If both IgG and IgM subtypes are requested, an extra tube is required for IgM as it is a send-away. 

Collection & Request Instructions

A separate container is required for this test.

Processing Instructions

If there is a dedicated primary tube - handover to Haem after centrifuge

If the tube is to be shared,  centrifuge, make an aliquot of at least 300uL serum and handover to Haem

If the SST is to be shared, manually centrifuge, prepare an aliquot of at least 300uL of serum and deliver to Haematology.

Processing Instructions

Centrifuge
Aliquot
Store at 4'C

Centrifuge
Store at 4'C

Processing Instructions

If there is a dedicated primary tube - handover to Haem after centrifuge

If the tube is to be shared,  centrifuge, make an aliquot of at least 300uL serum and handover to Haem

Request Group

MDU

MEE

External Laboratory

Microbiological Diagnostic Unit

Frequency

Daily

Registration Instructions

If requested for TB - MYB.  Sent to VIDRL

If requested for fungal culture - BCM. Send to microbiology. 

Registration Instructions

Cost: $120

Cost: $120

Royal North Shore Hospital Laboratory

Email: nslhd-moleculargenetics@helath.nsw.gov.au

Phone: 02 9926 4370

Laboratory

Molecular

Haematology

Registration Instructions

Cost: $80.62 

Cost: $120

Laboratory

Pathology Service

Molecular

Request Group

CRG

MPN

Registration Instructions

Requires approval from Laboratory Haematology registrar or consultant. 

Requires approval from Laboratory Haematology registrar or consultant. 

Calreticulin is no longer available as a single gene mutation testing. It is now tested as part of the MPN NGS panel - clinicians should request for MPN NGS instead.

Laboratory

Haematology

Immunology

Registration Instructions

This request must be approved by the Director of Pathology prior to testing.       

1 x LH or Salivary Kit

• Karyotype/Chromosomes/G-banded Karyotype = 1 x 6mL LH

• Salivary Kit may be obtained from pathology.

Request on Northern Health patients must be approved by the Director of Pathology prior to testing.       

1 x LH or Salivary Kit

• Karyotype/Chromosomes/G-banded Karyotype = 1 x 6mL LH

• Salivary Kit may be obtained from pathology.

Laboratory

Molecular

Genetics

External Transport Instructions

This requst must be approved by the haematology registrar / pathologist prior to sending

Request for Northern Health patient must be approved by the director of Pathology prior to sending

Registration Instructions

Discussion with the Medical Microbiologist or Microbiology registrar is required befroe sending.

Registration Instructions

Aliquot approximately 1.0 ml of serum into a labelled tube and store in the -20^oC CSR freezer.  

Registration Instructions

Cost: $50.00

Location: Alfred (ALF), Eastern Health (EAH), Austin (AUP), Royal Melbourne Hospital (SMH), Peter MacCallum (PMC), Dorevitch (DVP), Monash (MON), ACL (ACL), Royal Hobart Hospital (RHH)

Billing: Alfred (ALF), Eastern Health (EAH), Austin (AUP), Royal Melbourne Hospital (SMH), Peter MacCallum (PMC), Dorevitch (DVP), Monash (MON), ACL (ACL), Royal Hobart Hospital (RHH)

Doctor: ALF- HS56H, EAH- RB4JY, AUP - KI0AA, SMH-GK4FJ, PMC-CA62J, MON-JD84B, ACL-DD8GT, RHH-AS41H

Cost: $50.00 - Not Medicare rebatable

Location: Alfred (ALF), Eastern Health (EAH), Austin (AUP), Royal Melbourne Hospital (SMH), Peter MacCallum (PMC), Dorevitch (DVP), Monash (MON), ACL (ACL), Royal Hobart Hospital (RHH), Royal Children's Hosptital (RCH)

Billing: Alfred (ALF), Eastern Health (EAH), Austin (AUP), Royal Melbourne Hospital (SMH), Peter MacCallum (PMC), Dorevitch (DVP), Monash (MON), ACL (ACL), Royal Hobart Hospital (RHH), Royal Children's Hospital (RCH)

Doctor: ALF- HS56H, EAH- RB4JY, AUP - KI0AA, SMH-GK4FJ, PMC-CA62J, MON-JD84B, ACL-DD8GT, RHH-AS41H, RCH-HS06F

Registration Instructions

Cost: $50.00

Location: Alfred (ALF), Eastern Health (EAH), Austin (AUP), Royal Melbourne Hospital (SMH), Peter MacCallum (PMC), Dorevitch (DVP), Monash (MON), ACL (ACL), Royal Hobart Hospital (RHH)

Billing: Alfred (ALF), Eastern Health (EAH), Austin (AUP), Royal Melbourne Hospital (SMH), Peter MacCallum (PMC), Dorevitch (DVP), Monash (MON), ACL (ACL)

Doctor: ALF- HS56H, EAH- RB4JY, AUP - KI0AA, SMH-GK4FJ, PMC-CA62J, MON-JD84B, ACL-DD8GT

Cost: $50.00

Location: Alfred (ALF), Eastern Health (EAH), Austin (AUP), Royal Melbourne Hospital (SMH), Peter MacCallum (PMC), Dorevitch (DVP), Monash (MON), ACL (ACL), Royal Hobart Hospital (RHH)

Billing: Alfred (ALF), Eastern Health (EAH), Austin (AUP), Royal Melbourne Hospital (SMH), Peter MacCallum (PMC), Dorevitch (DVP), Monash (MON), ACL (ACL), Royal Hobart Hospital (RHH)

Doctor: ALF- HS56H, EAH- RB4JY, AUP - KI0AA, SMH-GK4FJ, PMC-CA62J, MON-JD84B, ACL-DD8GT, RHH-AS41H

Collection & Request Instructions

Department Head authorisation required (except Neurology patients).

CJD lab performs test Monday mornings.

Send to Lab before 4pm.

Department Head authorisation required (except Neurology patients).

CJD lab performs test Monday mornings.

Processing Instructions

CSF should not be haemolysed or xanthochromic and must contain less than 500 RBC and <= 10 WBC per uL. Cell count must be performed on the tube to be sent (or a lower numbered tube). Send to Lab before 4pm.

CSF should be transferred (unspun) into a labelled screw top container using a sterile pipette as soon as possible after collection. Parafilm the lid. Initial label to indicate patient details have been checked.

Parafilm the lid

Freeze specimen at -20'C and store frozen. Record tube used and the date and time of freezing on the request form.

CSF should not be haemolysed or xanthochromic and must contain less than 500 RBC and <= 10 WBC per uL. Cell count must be performed on the tube to be sent (or a lower numbered tube). 

CSF should be transferred (unspun) into a labelled screw top container using a sterile pipette as soon as possible after collection. Parafilm the lid. Initial label to indicate patient details have been checked.

Parafilm the lid

Freeze specimen at -20'C and store frozen. Record tube used and the date and time of freezing on the request form.

External Transport Instructions

Transport in a biohazard bag and then place in a second biohazard bag.

Transport on dry ice, refer to CD_MI_0369_Serology_Sendaway_Procedure.doc for instructions.

Fill out 14-3-3 specimen data form and include biochem results and cell count.

Notify CJD Registry on (03) 8344 1949 before sending.

"Specimen Data Sheet" and general instructions can be found here--

http://anjcdr.path.unimelb.edu.au/protocols/14-3-3.html

Send to Lab before 4pm.

Transport in a biohazard bag and then place in a second biohazard bag.

Transport on dry ice, refer to CD_MI_0369_Serology_Sendaway_Procedure.doc for instructions.

Fill out 14-3-3 specimen data form and include biochem results and cell count.

Notify CJD Registry on (03) 8344 1949 before sending.

"Specimen Data Sheet" and general instructions can be found here--

http://anjcdr.path.unimelb.edu.au/protocols/14-3-3.html

Send to CJD Registry Lab before 4pm.

Laboratory

Pathology Service

Molecular

External Laboratory

Pacific Edge Diagnostics

Request Group

CYS

TAS

External Laboratory

Institute of Clin.Pathology & Medical Res. (ICPMR)

V.I.D.R.L.

Preferred Container Type

See Detailed Information

Urine Bottle PLAIN
Sterile Container

Optional Container Type

Plain 70mL pot
Urine Bottle PLAIN

Registration Instructions

Please provide a completed pathology request form (Paper or EMR), including relevant clinical information/patient history.

Preferred Specimen Type

Bronchial Washings
Bronchoalveolar Lavage

Bronchial Washings
Bronchoalveolar Lavage
Smear

Preferred Container Type

See Detailed Information
Slide Cytomailer
Formalin Pot

Sterile Container
Slide Cytomailer
Formalin Pot

Collection & Request Instructions

FNA Specimen Collection Using Cytolyt (LBC) - For Cytology Tests

Please note: CytoLyt solution is not a suitable medium for the collection of specimens for Flow cytometry, Microbiology, and Biochemistry testing. Please check other laboratory collection requirements.

Collection Containers -  FNA Kit (containing slides, slide mailers and Cytolyt Pots) are available from NPV Anatomical Pathology.
• Specimen Pot (CytoLyt) -  label the pot with the Patients Name, DOB and Specimen type/site.
• Slides - Label the frosted end of 2 slides with Patients Name, DOB and Specimen type/site.

1. After the first pass of the specimen has been aspirated, immediately express a small amount of FNA specimen on to one of the microscope slides and smear gently with the other labelled slide. Allow these to air dry.
2. Express the remaining FNA material into the labelled pot containing Cytolyt.
3. Rinse the needle by taking up the CytoLyt solution into the needle and expressing it .This can be performed a number of times to ensure all material from the needle and syringe has been retrieved.
4. Further passes from the same site can be collected with a new needle and aspirated into the original pot, no further slides are required to be prepared.
5. If several different sites are to be sampled, please use a separate FNA kit, containing a pot of CytoLyt for each site/lesion sampled. Making 2 smears for only for the first pass.

6. Place the specimen pot(s) and slide mailers (containing the slides), in abiohazard bag for transport to Anatomical Pathology.

Please contact NPV Anatomical Pathology for CYTOLYT® SOLUTION FOR FNA PROCEDURES FAQS information sheet. email: anatomical.pathology@nh.org.au telephone: 03 9485 9333

FNA Specimen Collection Using Cytolyt (LBC) - For Cytology Tests

Please note: CytoLyt solution is not a suitable medium for the collection of specimens for Flow cytometry, Microbiology, and Biochemistry testing. Please check other laboratory collection requirements.

Collection Containers -  FNA Kit (containing slides, slide mailers and Cytolyt Pots) are available from NPV Anatomical Pathology.
• Specimen Pot (CytoLyt) -  label the pot with the Patients Name, DOB and Specimen type/site.
• Slides - Label the frosted end of 2 slides with Patients Name, DOB and Specimen type/site.

1. After the first pass of the specimen has been aspirated, immediately express a small amount of FNA specimen on to one of the microscope slides and smear gently with the other labelled slide. Allow these to air dry.
2. Express the remaining FNA material into the labelled pot containing Cytolyt.
3. Rinse the needle by taking up the CytoLyt solution into the needle and expressing it .This can be performed a number of times to ensure all material from the needle and syringe has been retrieved.
4. Further passes from the same site can be collected with a new needle and aspirated into the original pot, no further slides are required to be prepared.
5. If several different sites are to be sampled, please use a separate FNA kit, containing a pot of CytoLyt for each site/lesion sampled. Making 2 smears for only for the first pass.

6. Place the specimen pot(s) and slide mailers (containing the slides), in abiohazard bag for transport to Anatomical Pathology.

Please contact NPV Anatomical Pathology for CYTOLYT® SOLUTION FOR FNA PROCEDURES FAQS information sheet.

email: anatomical.pathology@nh.org.au telephone: 03 9485 9333

Preferred Container Type

See Detailed Information

See Under Collection Instructions

Collection & Request Instructions

FNA Specimen Collection Using Cytolyt (LBC) - For Cytology Tests

Please note: CytoLyt solution is not a suitable medium for the collection of specimens for Flow cytometry, Microbiology, and Biochemistry testing. Please check other laboratory collection requirements.

Collection Containers -  FNA Kit (containing slides, slide mailers and Cytolyt Pots) are available from NPV Anatomical Pathology.
• Specimen Pot (CytoLyt) -  label the pot with the Patients Name, DOB and Specimen type/site.
• Slides - Label the frosted end of 2 slides with Patients Name, DOB and Specimen type/site.

1. After the first pass of the specimen has been aspirated, immediately express a small amount of FNA specimen on to one of the microscope slides and smear gently with the other labelled slide. Allow these to air dry.
2. Express the remaining FNA material into the labelled pot containing Cytolyt.
3. Rinse the needle by taking up the CytoLyt solution into the needle and expressing it .This can be performed a number of times to ensure all material from the needle and syringe has been retrieved.
4. Further passes from the same site can be collected with a new needle and aspirated into the original pot, no further slides are required to be prepared.
5. If several different sites are to be sampled, please use a separate FNA kit, containing a pot of CytoLyt for each site/lesion sampled. Making 2 smears for only for the first pass.

6. Place the specimen pot(s) and slide mailers (containing the slides), in abiohazard bag for transport to Anatomical Pathology.

Please contact NPV Anatomical Pathology for CYTOLYT® SOLUTION FOR FNA PROCEDURES FAQS information sheet.

FNA Specimen Collection Using Cytolyt (LBC) - For Cytology Tests

Please note: CytoLyt solution is not a suitable medium for the collection of specimens for Flow cytometry, Microbiology, and Biochemistry testing. Please check other laboratory collection requirements.

Collection Containers -  FNA Kit (containing slides, slide mailers and Cytolyt Pots) are available from NPV Anatomical Pathology.
• Specimen Pot (CytoLyt) -  label the pot with the Patients Name, DOB and Specimen type/site.
• Slides - Label the frosted end of 2 slides with Patients Name, DOB and Specimen type/site.

1. After the first pass of the specimen has been aspirated, immediately express a small amount of FNA specimen on to one of the microscope slides and smear gently with the other labelled slide. Allow these to air dry.
2. Express the remaining FNA material into the labelled pot containing Cytolyt.
3. Rinse the needle by taking up the CytoLyt solution into the needle and expressing it .This can be performed a number of times to ensure all material from the needle and syringe has been retrieved.
4. Further passes from the same site can be collected with a new needle and aspirated into the original pot, no further slides are required to be prepared.
5. If several different sites are to be sampled, please use a separate FNA kit, containing a pot of CytoLyt for each site/lesion sampled. Making 2 smears for only for the first pass.

6. Place the specimen pot(s) and slide mailers (containing the slides), in abiohazard bag for transport to Anatomical Pathology.

Please contact NPV Anatomical Pathology for CYTOLYT® SOLUTION FOR FNA PROCEDURES FAQS information sheet. email: anatomical.pathology@nh.org.au telephone: 03 9485 9333

Preferred Container Type

Plain 70mL pot
Slide Cytomailer

Slide Cytomailer
Plain 70mL pot
Formalin Pot

Registration Instructions

Please provide a completed pathology request form (Paper or EMR), including relevant clinical information/patient history.

Preferred Container Type

Slide

Slide
Slide Cytomailer

Transport Instructions between sites and/or laboratories

Please ensure Cytology specimens are sent in a separate Biohazard bag from any accompanying Histology biopsy specimens (Formalin pots). Formalin vapour affects cytology specimen preservation.

Transport Instructions between sites and/or laboratories

Room Temperature
Use Esky from SDMH or CGMC to Alfred

Room Temperature

Assay name

Cytology - Urine Cytology Specimens (Sendaway Test)

Cytology - Urine Cytology Specimens

Request Group

CYT

CY

External Laboratory

The Alfred Pathology Service (APS)

External Transport Instructions

Send at 4'C with Ice Pack

MBS rebatable

No

Yes

Processing Instructions

Centrifuge immediately for 15 minutes at 2000-2500 g.

Centrifuge immediately for 10 minutes at 3500rpm.

Laboratory

Haematology

Immunology

Alternative names

DAT, DCT, Coombes Test

DAT, DCT, Coombs Test

Request Group

DAT

MDC

Request Group

MCD

MDC

Alternative names

MDC

DCT Coombs test

Request Group

DCT / DAT

MCD

Alternative names

DCT, Coombs Test

MDC

Registration Instructions

Aliquot approximately 1.0 ml of serum into a labelled tube and store in the -20^oC freezer.

Laboratory

Haematology

Immunology

Assay name

EBV Viral Load (Sendaway Test)

EBV PCR / Viral Load (Sendaway Test)

Alternative names

Epstein-Barr Virus Viral Load

EBV PCR, Epstein-Barr PCR, Epstein-Barr Virus Viral Load, EBV viral load

Registration Instructions

Specific site in Cerner MUST BE Plasma not blood.  Microbiologist approval required prior to testing.

Specific site in Cerner MUST BE Plasma not blood.  MICROBIOLOGIST APPROVAL REQUIRED PRIOR TO TESTING.

Registration Instructions

Aliquot approximately 1.0 ml of serum into a labelled tube and store in the -20oC freezer.

Registration Instructions

If only requesting enterovirus PCR panel HVM, however if requesting clinician requesting coxsackie panel ENT 

Only approved for CSF specimens on infants < 3months of age.  All other specimens require Microbiologist approval.  If only requesting enterovirus PCR panel HVM, however if requesting clinician requesting coxsackie panel ENT 

External Laboratory

Sutherland Hospital (SEALS)

Royal Prince of Wales

Laboratory

Haematology

Immunology

Registration Instructions

If a citrate specimen is received with a test request for FBE or platelets please refer the tube to Haematology.  

9mL EDTA blood tubes are unsuitable for testing.

If a sodium citrate specimen is received with a test request for FBE or platelets please refer the tube to Haematology.

Transport Instructions between sites and/or laboratories

9mL EDTA blood tubes are unsuitable for testing.

Processing Instructions

Store at 4'C

Aliquot
Centrifuge
Store at 4'C

Alternative names

FMR1 gene

Registration Instructions

Unless requested by Paediatrician and clinical notes indicate developmental delay, this request must be approved by the Director of Pathology prior to sending. 

Test can also be performed on Salivary Kit (VCGS) available from NPV collection rooms (Northern Hospital)

Private patients: Medicare rebate (bulk billed): $86.15 (PCR test), $172.30 (Southern blot).

Public (Northern Health request form): No charge 

Non-Medicare patients: $101.30 (PCR test), $202.65 (Southern blot).

Reporting time

PCR: 2-3 weeks

Southern blot: 2-3 weeks

Unless requested by Paediatrician and clinical notes indicate developmental delay, outpatient request for Northern Health patients must be approved by the Director of Pathology prior to sending. 

Test can also be performed on Salivary Kit (VCGS) available from NPV collection rooms (Northern Hospital)

Private patients: Medicare rebate (bulk billed): $86.15 (PCR test), $172.30 (Southern blot).

Public (Northern Health request form): No charge 

Non-Medicare patients: $101.30 (PCR test), $202.65 (Southern blot).

Reporting time

PCR: 2-3 weeks

Southern blot: 2-3 weeks

External Transport Instructions

Unless requested by Paediatrician and clinical notes indicate developmental delay, this request must be approved by the Director of Pathology prior to sending.

Unless requested by Paediatrician and clinical notes indicate developmental delay, outpatient request for Northern Health patients must be approved by the Director of Pathology prior to sending. 

Registration Instructions

Please use this link to access the Frozen Section Booking Form.

All Frozen Section bookings must be confirmed with the Anatomical Pathology labroatory (94859333 or 94859401, Mon-Fri 0800-1700).

Preferred Container Type

See Detailed Information

Plain 70mL pot

Collection & Request Instructions

See Information in under Histology - Frozen Sections

Frozen Sections

Frozen sections can only be performed on fresh unfixed tissue

The Anatomical Pathology Unit should be given 24 hours notice of a frozen section to ensure a Consultant Pathologist will be available when the frozen section arrives (telephone 9485 9333).

A frozen section must not be sent to the laboratory unannounced

Infectious Specimens: If there is a danger of infection (eg tuberculosis, hepatitis, CJD etc) please contact a pathologist before the procedure to discuss alternate methods for  rapid diagnosis.

For a frozen section the fresh tissue is sent to the Anatomical Pathology Unit in a labelled container with an accompanying request form https://northernpath.org.au/wp-content/uploads/2024/02/Frozen-Section-Booking-Form-blank-p6-003.pdf . The request form should note the clinical and operative findings.

Request Group

AP

Registration Instructions

Please use this link to access the Frozen Section Booking Form.

All Frozen Section bookings must be confirmed with the Anatomical Pathology labroatory (94859333 or 94859401, Mon-Fri 0800-1700).

Assay name

Frozen Sections (Sendaway Test)

Frozen Sections

Request Group

SE

AP

Laboratory

Haematology

Immunology

Registration Instructions

Part of the Coeliac Screen.

Part of the Coeliac Screen.

Aliquot approximately 1.0 ml of serum into a labelled tube and store in the -20^oC CSR freezer.   If Transglutaminase Antibodies (TTG) is also requested, it can be shared with GLA.

Registration Instructions

If a patient vomits within one hour of post glucose load register the fasting glucose sample with routine test code FGF. 

If a patient vomits within one hour of post glucose load register the fasting glucose sample with routine test code FGF. 

If a patient vomits post 60 minute mark continue with the test and register GTT.

Registration Instructions

Retrospective testing 72 hours

MBS rebatable

Yes

No

Registration Instructions

This test is no longer offered at Austin Pathology. Contact Haematology registrar if required.

External Laboratory

Austin Pathology

External Transport Instructions

Send Frozen on Dry Ice

Registration Instructions

Unless indicated otherwise on the request form, also register for Hepatitis A IgM (HAM)

Unless indicated otherwise on the request form, also register for Hepatitis A IgM (HAM). 

Minimum volume 0.5ml.

Registration Instructions

Unless indicated otherwise on the request form, also register for Hepatitis A IgG (HAG)

Unless indicated otherwise on the request form, also register for Hepatitis A IgG (HAG)

Minimum serum volume 0.5 ml.

Assay name

Histology - Frozen Section (Sendaway Test)

Histology - Frozen Section

Assay name

Histology - Skin for Immunofluorescence (Sendaway Test)

Histology - Skin for Immunofluorescence

MBS rebatable

No

No

Collection & Request Instructions

Anatomical Pathology: Surgical Specimen Collection Guide

Processing Instructions

Centrifuge

Centrifuge
Store at 4'C

Request Group

VTI

HCH

Request Group

OXF

RBW

Minimum/Paediatric Volume

2 mL

0.5 mL

Registration Instructions

The following form must be completed by the requesting doctor and accompany the sample to the reference laboratory.

https://www.ouh.nhs.uk/immunology/documents/request-card.pdf

Test cost $50

External Laboratory

See Reference Laboratory details below

Royal Brisbane & Womens Hospital

External Transport Instructions

Immunology Laboratory, Churchill Hospital, Old Road, Headington, Oxford. OX3 7LE. Tel +44 (0)1865 225995.

Frequency

Fortnightly

Registration Instructions

Haematologist approval required prior to testing.

Registration Instructions

Haematologist approval required prior to testing.

Registration Instructions

Haematologist approval required prior to testing.

Registration Instructions

Haematologist approval required prior to testing.

Registration Instructions

Haematologist approval required prior to testing.

Assay name

Inhibition Level Factor 8 Porcine (Sendaway Test)

Inhibition Level Factor 8 (Sendaway Test)

Registration Instructions

Haematologist approval required prior to testing.

Registration Instructions

Haematologist approval required prior to testing.

Assay name

Cytogenetics - Products of Conception (Sendaway Test)

Karyotype - Products of Conception (Sendaway Test)

Alternative names

Chromosome Analysis – Products of Conception, Foetal Chromosome Analysis, Karyotype Analysis – Postnatal, Histology-Cytogenetics (POC), Cord Karyotype

Chromosome Analysis – Products of Conception, Foetal Chromosome Analysis, Karyotype Analysis Postnatal, Histology-Cytogenetics (POC), Cord Karyotype

Processing Instructions

If a specimen needs to be shared between histology and cytogenetics CSR are to contact the Anatomical Pathologist during working hours. After hours and weekends leave a note for the Anatomical Pathologist on the sendaway bench.

If a specimen needs to be shared between histology and cytogenetics during Anatomical Pathology working hours; CSR are to give specimen to AP where it will be appropriately split. Out of hours, specimen is to be placed in the AP bucket in the fridge to be split the next working day.

Request Group

PCO

POC

Processing Instructions

Centrifuge

External Transport Instructions

Send at 4'C with Ice Pack

Request Group

LGI

LGI (SST) LGC (CSF)

Registration Instructions

CSF sample should be directed to Microbiology (NPV) prior to forwarding to refer laboratory.

Can be ordered in  combination with: NMDA, GABA_{B ,} AMPA, ANTI- CASPR2, ANTI- DPPX. (1.0ml csf is adequate for combination testing).

　

Samples suitable for auto-antibody screening:

Blood Serum: request for 5.0 mls of blood collected in serum gel tube (SST).

CSF: request for 1.0ml

Samples not available for delivery following collection are to be stored at 4^o C. Storage at 4oC is suitable for up to 2 weeks thereafter samples need to be frozen and sent on dry ice.

CSF sample should be directed to Microbiology (NPV) prior to forwarding to refer laboratory.

Can be ordered in  combination with: NMDA, GABA_{B ,} AMPA, ANTI- CASPR2, ANTI- DPPX. (1.0ml csf is adequate for combination testing).

　

Samples suitable for auto-antibody screening:

Blood Serum: request for 5.0 mls of blood collected in serum gel tube (SST).

CSF: request for 1.0ml

Samples not available for delivery following collection are to be stored at 4^o C. Storage at 4oC is suitable for up to 2 weeks thereafter samples need to be frozen and sent on dry ice.

Collection & Request Instructions

Please collect 2 x 2.7 mL coagulation (blue top) when this is requested by itself.

Can be requested with AT, Protein C, Protein S and coagulation profile. Please collect total 4 x 2.7 mL tubes for this test combination.

Includes APTT Lupus Screen/Lupus Confirm and DRVVT Lupus Screen/Lupus Confirm.

Assay name

Lymphoid NGS (Sendaway Test)

TP53 Mutation (Sendaway Test)

Alternative names

LNGS, MS LNGS, Lymphoid Next Generation Sequencing Panel

Tumour Protein 53 Mutation

Request Group

LNG

See registration.

MBS rebatable

Yes

No

Volume (Adults)

20 mL

Registration Instructions

Haematology registrar / Haematologist approval prior to dispatch 

The attached request form must be completed:

https://www.petermac.org/document/molecular-haematology-request-slip-2/viewdocument/992

Haematology registrar / Haematologist approval prior to dispatch

This test is no longer available as a single gene mutation testing - it forms part of the MPN NGS panel at PMCC, haematological malignancy gene panel at PMCC and the myeloid NGS panel at the Alfred. Clinicians to decide which is the most relevant panel. Refer to the relevant test panels.

Processing Instructions

Do Not Centrifuge
Store at Room Temperature

Processing Instructions

Store at 4'C if there is a delay in sending sample.

External Laboratory

Peter MacCallum Cancer Centre (PMCC)

External Transport Instructions

Send at 4'C with Ice Pack

Frequency

Fortnightly

Assay name

Methylation study for Prada -Willi Syndrome

Methylation study for Prader -Willi Syndrome

Alternative names

Prada -Willi Syndrome, Prada Willi Syndrome

Prader -Willi Syndrome, Prader Willi Syndrome

Processing Instructions

Store at Room Temperature

Store at 4'C

Request Group

VCS

VCG

Registration Instructions

Director of Pathology approval required for Northern Health outpatient requests.  RPMI not necessary however if added will not affect test.

EDTA or Salivary kit are the required samples. For product of conception (POC) see "Cytogentics - Products of Conception"

Private: $595

Public (Northern Health request form): No charge 

Non-Medicare patients: $510.40 - $589.90

Microarray and Fragile X testing can be performed on one EDTA specimen  

Director of Pathology approval required for Northern Health outpatient requests.  RPMI not necessary however if added will not affect test.

EDTA or Salivary kit are the required samples. For product of conception (POC) see "Cytogentics - Products of Conception"

For external request forms this test is covered by Medicare if eligibility requirements are met.

Private: $595

Public (Northern Health request form): No charge 

Non-Medicare patients: $510.40 - $589.90

Microarray and Fragile X testing can be performed on one EDTA specimen  

Collection & Request Instructions

Adult-child: 5ml EDTA

Infant: 0.5-1.0ml EDTA

Adult-child: 5ml EDTA

Infant: 0.5-1.0ml EDTA

For external request forms this test is covered by Medicare if eligibility requirements are met.

Registration Instructions

Pathologist approval required for oupatient requests.  RPMI not necessary however if added will not affect test.

EDTA or Salivary kit are the required samples. For product of conception (POC) see "Cytogentics - Products of Conception"

Private: $595

Public (Northern Health request form): No charge 

Non-Medicare patients: $510.40 - $589.90

Microarray and Fragile X testing can be performed on one EDTA specimen  

Director of Pathology approval required for Northern Health outpatient requests.  RPMI not necessary however if added will not affect test.

EDTA or Salivary kit are the required samples. For product of conception (POC) see "Cytogentics - Products of Conception"

Private: $595

Public (Northern Health request form): No charge 

Non-Medicare patients: $510.40 - $589.90

Microarray and Fragile X testing can be performed on one EDTA specimen  

Registration Instructions

Private and public patients: $144.85 (no bulk bill/Medicare rebate)

For Microarray:

EDTA blood:

Adults/Children: 5 ml

Infants 0.5 - 1 ml

Saliva (please contact laboratory for saliva kits)

For FISH testing:

1-5 ml Heparinised blood

Pathologist approval required prior to testing being performed.

Private and public patients: $144.85 (no bulk bill/Medicare rebate)

For Microarray:

EDTA blood:

Adults/Children: 5 ml

Infants 0.5 - 1 ml

Saliva (please contact laboratory for saliva kits)

For FISH testing:

1-5 ml Heparinised blood

External Transport Instructions

Test costs $50 ex GST as of 1/8/2024

Test costs $50 ex GST as of 1/8/2024

If the test is not requested by Neurology, obtain approval from Director of Pathology prior to sending. 

Laboratory

Haematology

Genetics

Collection & Request Instructions

This requst must be approved by the haematology registrar prior to sending

External Transport Instructions

This requst must be approved by the haematology registrar prior to sending

Test costs $50 ex GST as of 1/8/2024

Request Group

MPL

MPN

MBS rebatable

No

Yes

Registration Instructions

Haematology registrar / Haematologist approval prior to dispatch

Haematology registrar / Haematologist approval prior to dispatch

This test is now part of MPN NGS, and is no longer available as a single gene mutation testing.

Registration Instructions

• Muscle Biopsy needs to be received in Northern Pathology lab by 11:00am for transportation to Alfred Pathology.
• NPV staff to notify VNLS when sample is ready for dispatch and discuss transportation arrangements (9076 5448)
• Time Critical Sample: Please Send to VNLS / Anatomical Pathology (ALFRED) Immediately

• Muscle Biopsy needs to be received in Northern Pathology lab by 11:00am for transportation to Alfred Pathology.
• NPV staff to notify VNLS when sample is ready for dispatch and discuss transportation arrangements (9076 5448)
• Time Critical Sample: Please Send to VNLS / Anatomical Pathology (ALFRED) Immediately
• Muscle tissue culture are performed inhouse

Registration Instructions

• Muscle Biopsy needs to be received in Northern Pathology lab by 11:00am for transportation to Alfred Pathology.
• NPV staff to notify VNLS when sample is dispatched (90765448)
• Time Critical Sample: Please Send to VNLS / Anatomical Pathology (ALFRED) Immediately

• Muscle Biopsy needs to be received in Northern Pathology lab by 11:00am for transportation to Alfred Pathology.
• NPV staff to notify VNLS when sample is ready for dispatch and discuss transportation arrangements (9076 5448)
• Time Critical Sample: Please Send to VNLS / Anatomical Pathology (ALFRED) Immediately

Collection & Request Instructions

Muscle Biopsy

Muscle biopsy for neurodegenerative and metabolic studies are processed by the Victorian Neuromuscular Laboratory Service (VNLS) which is located within the Anatomical Pathology Department of AlfredHealth.

Important Note To Clinicians: The Neuromuscular laboratory must receive samples BEFORE 4pm Monday to Friday to enable optimal handling and processing to occur.  Clinicians must allow sufficient transport time when scheduling procedures.

Muscle biopsy Kits are unavailable from VNLS.

Muscle Biopsie Procedure.

Correct handling of a muscle biopsy is important for interpretation of the specimen.

• Please deliver speciment to NPV lab by 11:00am.
• Please do not freeze the specimen.
• Do not immerse the specimen in any fluid.
• Do not use any diathermy instrument on the muscle specimen.
• do not infuse the muscle with local anesthetic.

One (1) specimen is required.

A 20 x 10 x 10mm rectangular piece of muscle is collected from the patient and placed in a dry sterile container (70ml Yellow top container).

Place this specimen in an esky with ice cubes and send immediately to NPV lab.

Specimen Dispatch

Muscle biopsies and completed paperwork should be directed to Anatomical Pathology via Central Specimen Processing.

Victorian Neuromuscular Laboratory Service– General Information

Muscle Biopsy

Muscle biopsy for neurodegenerative and metabolic studies are processed by the Victorian Neuromuscular Laboratory Service (VNLS) which is located within the Anatomical Pathology Department of AlfredHealth.

Important Note To Clinicians: The Neuromuscular laboratory must receive samples BEFORE 4pm Monday to Friday to enable optimal handling and processing to occur.  Clinicians must allow sufficient transport time when scheduling procedures.

Muscle biopsy Kits are unavailable from VNLS.

Muscle Biopsie Procedure.

Correct handling of a muscle biopsy is important for interpretation of the specimen.

• Please deliver speciment to NPV lab by 11:00am.
• Please do not freeze the specimen.
• Do not immerse the specimen in any fluid.
• Do not use any diathermy instrument on the muscle specimen.
• do not infuse the muscle with local anesthetic.

One (1) specimen is required.

A 20 x 10 x 10mm rectangular piece of muscle is collected from the patient and placed in a dry sterile container (70ml Yellow top container).

Place this specimen in an esky with ice cubes and send immediately to NPV lab.

Specimen Dispatch

Muscle biopsies and completed paperwork should be directed to Anatomical Pathology via Central Specimen Processing.

Victorian Neuromuscular Laboratory Service– General Information

Laboratory

Haematology

Immunology

Laboratory

Haematology

Immunology

Laboratory

Haematology

Immunology

Alternative names

DMPK gene

Registration Instructions

Test only performed on a Tuesday at the Royal Childrens Hospital. Specimen must arrive at the testing laboratory before 1pm. Do not collect on any other day.

Test only performed on a Tuesday at the Royal Childrens Hospital.Specimen must be collected prior to 8am on a Tuesday at the Epping campus only so that the specimen can arrive at the Royal Childrens Hospital before 1pm. Do not collect on any other day. 

Collection & Request Instructions

Test only performed on a Tuesday at the Royal Childrens Hospital. Specimen must arrive at the testing laboratory before 1pm. Do not collect on any other day.

Test only performed on a Tuesday at the Royal Childrens Hospital. Specimen must be collected prior to 8am on a Tuesday at the Epping campus only so that the specimen can arrive at the Royal Childrens Hospital before 1pm. Do not collect on any other day.

Collection & Request Instructions

Test only performed on a Tuesday at the Royal Childrens Hospital. Specimen must arrive at the testing laboratory before 1pm. Do not collect on any other day.

Preferred Container Type

ACD
EDTA

ACD and EDTA

Preferred Container Type

Lithium Heparin (without Gel)

ACD
EDTA

Preferred Container Type

Slide

Slide
Slide Cytomailer

Transport Instructions between sites and/or laboratories

Please ensure Cytology specimens are sent in a separate Biohazard bag from any accompanying Histology biopsy specimens (Formalin pots). Formalin vapour affects cytology specimen preservation.

Alternative names

Paranodal antibodies, NF-155/186, Contactin-1, CASPR-1

Laboratory

Pathology Service

Immunology

Request Group

FFL

SSW

Processing Instructions

Centrifuge
Aliquot
Store at 4'C

Centrifuge
Aliquot
Store frozen

External Laboratory

Forefront

Sydney South West Path (SSWPS) - RPA

External Transport Instructions

Send at 4'C with Ice Pack

Send Frozen on Dry Ice

Registration Instructions

Request Form only required. Forward immediately to Blood Bank.

Request Form only required. Forward immediately to Blood Bank.

Approval is required from one of the following Northern Hospital Senior Clinical Staff members: Director of Anaesthesia, Director of ICU or Consultant Haematologist. Refer to Prompt (Blood- Administration of Clotting Factors) for further information.

External Transport Instructions

Send at ambient temperature

Send at 4'C with Ice Pack

Registration Instructions

Doctor : NHIC

Bill to : INFOE

Tests included:

Anti-Hepatitis B Surface Antibody

Do not register under the Northern Health UR number.

Doctor : NHIC

Bill to : INFOE

Tests included:

Anti-Hepatitis B Surface Antibody

Registration Instructions

This is a CSF test. Serum sample must be collected at the same time for interpretation of results. In the instance where a serum is not received an alternate serum that has been collected within 24 hours of the CSF may be used. Serum alone is not suitable for this test. 

The SST tube (OLI) MUST be sent together with the CSF (COB) and never separately. 

This is a CSF test. Serum sample must be collected at the same time for interpretation of results. In the instance where a serum is not received an alternate serum that has been collected within 24 hours of the CSF may be used. Serum alone is not suitable for this test. 

The SST tube (OLI) MUST be sent together with the CSF (COB) and never separately.   Keep the SST tube in the sendaway department until testing has been completed on the CSF specimen.

Laboratory

Haematology

Immunology

Registration Instructions

All PFA-200 requests MUST also have FBE requested. Please register PFA and FBE panels.

This test can only be collected at Northern Pathology Victoria Epping (TNH) collection rooms and performed on Tuesdays and Thursdays (between 9am to 3pm). Outside of these days, please discuss with Laboratory Haematology 8405 8369.

All PFA-200 requests MUST also have FBE requested. Please register PFA and FBE panels.

This test can only be collected at Northern Pathology Victoria Epping (TNH) collection rooms and performed on Tuesdays and Thursdays (between 9am to 3pm) Excluding Public Holidays. Outside of these days, please discuss with Laboratory Haematology 8405 8369.

Collection & Request Instructions

Patients should be provided with the patient information sheet. Collectors, please record patient medication on request slip or the collection staff checklist.

This test can only be collected at Northern Pathology Victoria Epping (TNH) collection rooms and performed on Tuesdays and Thursdays (between 9am to 3pm). Outside of these days, please discuss with Laboratory Haematology 8405 8369.

Patients should be provided with the patient information sheet. Collectors, please record patient medication on request slip or the collection staff checklist.

This test can only be collected at Northern Pathology Victoria Epping (TNH) collection rooms and performed on Tuesdays and Thursdays (between 9am to 3pm) Excluding Public Holidays. Outside of these days, please discuss with Laboratory Haematology 8405 8369.

MBS rebatable

Yes

No

Registration Instructions

Non-CMBS test - $88. Discuss with Laboratory Haematology Registrar/Consultant.

Update 11/11/2024: Please note that PAI testing is not currently being offered at Monash Health Pathology. Please contact Special Coagulation lab at Monash Pathology on 9594 6751 for more information.

Preferred Container Type

EDTA 6 mL
EDTA Microtainer

Report Only

Laboratory

Clinical Biochemistry

Pathology Service

Assay name

Prothrombinex Issue

Prothrombin Complex Issue

Alternative names

Prothrombinex Release, PTX Issue

Prothrombinex Release, PTX Issue, Beriplex Resease

Registration Instructions

Request Form only required. Forward immediately to Blood Bank.

Request Form only required. Forward immediately to Blood Bank.

Prothrombinex will be transitioned to Beriplex on Monday 25 November 2024. Refer to Prompt protocols for further details (Blood - Administration of Clotting Factors, Haematology - Thrombosis & Haemostasis)

Registration Instructions

Microbiology Pathologist approval required prior to requesting test. Test cost $270.

The attached form must be completed  ACDP Sample Submission Form

Microbiology Pathologist approval required prior to requesting test. 

Inpatient - Medicare

Outpatient - $338

External Laboratory

Australian Centre for Disease Preparedness

Institute of Clin.Pathology & Medical Res. (ICPMR)

External Transport Instructions

Test performed weekly and must arrive before close of business on a Monday.

Alternate testing laboratory 

Australian Centre for Disease Preparedness (Geelong)

Test cost $270.

The attached form must be completed  ACDP Sample Submission Form

Test performed weekly and must arrive before close of business on a Monday.

Registration Instructions

Microbiology Pathologist approval required prior to requesting test. Test cost $270.

ACDP Sample Submission Form

Microbiology Pathologist approval required prior to requesting test. Test cost $270.

The attached form must be completed  ACDP Sample Submission Form

External Laboratory

Australian Animal Health Laboratory

Australian Centre for Disease Preparedness

External Transport Instructions

Send at ambient temperature

Optional Container Type

Lithium Heparin (without Gel)

Collection & Request Instructions

Available only by arrangement via The Children Hospital at Westmead Haematologist via switchboard (02) 9845 5000

Transport Instructions between sites and/or laboratories

Room Temperature

Store at 4C

Transport Instructions between sites and/or laboratories

Specimen stability from collection to processing: 24 hours refrigerated

Must arrive in Westmead lab within 24 hours of collection. Transport refrigerated

External Laboratory

Royal Children's Hospital Laboratory Services

The Children's Hospital at Westmead

External Transport Instructions

The Children's Hospital at Westmead Pathology Specimen Reception
Corner Hawkesbury Road & Hainsworth Street
Westmead NSW 2145
AUS

Ph:(02) 7825 1833

Fax:(02) 7825 3332

Frequency

By Arrangement

Registration Instructions

Haematologist approval required prior to testing.

Registration Instructions

Ward - ALF

Doctor - RH5NK

Bill to  - ALH

Panel - SSB only

Collection to be performed at the Epping collection room from Monday to Friday only and no later than 11:00.

Ward - ALF

Doctor - RH5NK

Bill to  - ALH

Panel - SSB only

Collection & Request Instructions

3 x SST, 1x EDTA, 1 x Lithium Heparin (gel)

Collection to be performed at the Epping collection room from Monday to Friday only and no later than 11:00.

3 x SST, 1x EDTA, 1 x Lithium Heparin (gel)

Processing Instructions

Centrifuge
Aliquot
Store at -70'C

Centrifuge
Aliquot
Store at -80'C

Collection & Request Instructions

Test cost $60

FREEZE the serum/plasma within 24 hours of collection and send TWO (2) serum aliquots (min 100uL) to RCH FROZEN.

Test cost $70

FREEZE the serum/plasma within 24 hours of collection and send TWO (2) serum aliquots (min 100uL) to RCH FROZEN.

Processing Instructions

Immediate spin, separate serum or plasma. Freeze 3 aliquots (min 100uL) and freeze at -70C freexer

Immediate spin, separate serum or plasma. Freeze TWO aliquots (min 100uL) and freeze at -80C freezer

Assay name

TB culture (sputum)

TB culture (respiratory specimens)

Request Group

TCO

TBC

MBS rebatable

No

Yes

Preferred Specimen Type

Sputum

Sputum
Bronchoalveolar Lavage
Bronchial Washings

Laboratory

Blood Bank

Haematology

MBS rebatable

Yes

No

Registration Instructions

Non-CMBS test - $121. Discuss with Laboratory Registrar/Consultant prior to sending out.

Request Group

TP5

See registration.

Registration Instructions

Haematology registrar / Haematologist approval prior to dispatch

Refer to https://www.austinpathology.org.au/test-directory/1781 for molecular pathology request.

Haematology registrar / Haematologist approval prior to dispatch

This test is no longer available as a single gene mutation testing - it forms part of the MPN NGS panel at PMCC, haematological malignancy gene panel at PMCC and the myeloid NGS panel at the Alfred. Clinicians to decide which is the most relevant panel. Refer to the relevant test panels.

External Laboratory

Austin Pathology

External Transport Instructions

Send at 4'C with Ice Pack

External Transport Instructions

Only if single gene tp53 is requested. If full pan haem panel is required, this would need to be discussed with the Haematologist/Lab Reg

External Transport Instructions

Specimen stable for 5 days if refridgerated.

Registration Instructions

Specimens are to be collected Monday and Tuesday at all sites.  Wednesday up until 1100 at Epping.

Alternative names

TPMT, Thiopurine Methyltransferase, TPMT Phenotype

TPMT, Thiopurine Methyltransferase, TPMT Phenotype, NUDT15

Registration Instructions

Specimens are to be collected Monday and Tuesday at all sites.  Wednesday up until 1100 at Epping.

External Laboratory

Dorevitch Pathology

Institute of Clin.Pathology & Medical Res. (ICPMR)

External Transport Instructions

Specimen stable for 5 days if refridgerated.

Registration Instructions

Part of the Coeliac Screen.

Part of the Coeliac Screen.

Aliquot approximately 1.0 ml of serum into a labelled tube and store in the -20^oC CSR freezer.   If Gliadin Antibody (GLA) is also requested, it can be shared with TTG.

Processing Instructions

Store at 4'C

Aliquot
Centrifuge
Store at 4'C

Collection & Request Instructions

This test is only performed on samples less than 6 hours old. CSR staff are to register all specimens and consult microbiology staff before rejecting the test.  After hours store specimen in the microbiology overnight specimen fridge.

The test is best performed on fresh urine samples.  After hours, store specimen in the microbiology overnight specimen fridge.  Add on requests are permitted if the sample is less than 24 hours old and has been refrigerated.  CSR staff to register all specimens and consult microbiology staff before rejecting the test.

Assay name

Ristocetin Cofactor

von Willebrand factor Antigen

Alternative names

RiCoF, von Willebrand activity, vWF activity

vWF antigen

Request Group

VWR

VWA

Registration Instructions

Use VWA is vWF antigen (single test) only is requested. If von Willebrand studies or von Willebrand factor activity are requested, use VWR, F8.

Collection & Request Instructions

Usually ordered as part of von Willebrand factor (vWF) studies, which include von Willebrand factor antigen (vWF Ag), FVIII and Ristocetin (RicoF).

If no other tests in vWF studies are ordered, contact request doctor to confirm that no other tests are required.

Usually ordered as part of von Willebrand factor (vWF) studies, which include von Willebrand factor antigen (vWF Ag), FVIII, vWF collagen binding assay (CBA) and Ristocetin (RicoF).

If no other tests in vWF studies are ordered, contact request doctor to confirm that no other tests are required.

Processing Instructions

Centrifuge immediately for 15 minutes at 2000-2500 g.

Then aliquot plasma into a separate tube. Centrifuge again for 15 minuts at 2000-2500 g.

Centrifuge immediately.

Assay name

Von Willebrand Factor Antigen

Von Willebrand studies

Alternative names

von Willebrand factor, vWF Ag, von Willebrand factor studies

von Willebrand factor, vWF Ag, von Willebrand factor studies, von Willebrand factor activity, Ristocetin activity, collagen binding assay

Request Group

VWA, VWR, F8

VWR, F8

MBS rebatable

No

Yes

Registration Instructions

VWA, VWR, F8 TO BE CODED

VWR, F8 TO BE CODED

Collection & Request Instructions

2 CITRATE REQUIRED. Usually ordered as part of von Willebrand factor (vWF) studies, which include von Willebrand factor antigen (vWF Ag), FVIII and Ristocetin (RicoF).

If no other tests in vWF studies are ordered, contact request doctor to confirm that no other tests are required.

2 CITRATE REQUIRED. Usually ordered as part of von Willebrand factor (vWF) studies, which include von Willebrand factor antigen (vWF Ag), FVIII, collagen binding factor and Ristocetin (RicoF).

If no other tests in vWF studies are ordered, contact request doctor to confirm that no other tests are required.

Processing Instructions

Centrifuge immediately.

If a tube is collected for vWF RiCoF, this tube needs to be centrifuged twice.

Aliquot all 2 citrate tubes into 2 labelled aliquot tubes and store at -80C.

Centrifuge immediately.

Aliquot all 2 citrate tubes into 2 labelled aliquot tubes and store at -80C.

Preferred Container Type

Sodium Citrate

Sodium Citrate x 2

Preferred Container Type

Sodium Citrate x 4

Sodium Citrate

Collection & Request Instructions

4 CITRATE REQUIRED. Usually ordered as part of von Willebrand factor (vWF) studies, which include von Willebrand factor antigen (vWF Ag), FVIII and Ristocetin (RicoF).

If no other tests in vWF studies are ordered, contact request doctor to confirm that no other tests are required.

2 CITRATE REQUIRED. Usually ordered as part of von Willebrand factor (vWF) studies, which include von Willebrand factor antigen (vWF Ag), FVIII and Ristocetin (RicoF).

If no other tests in vWF studies are ordered, contact request doctor to confirm that no other tests are required.

Processing Instructions

Centrifuge immediately.

If a tube is collected for vWF RiCoF, this tube needs to be centrifuged twice.

Aliquot all 4 citrate tubes into 4 labelled aliquot tubes and store at -80C.

Centrifuge immediately.

If a tube is collected for vWF RiCoF, this tube needs to be centrifuged twice.

Aliquot all 2 citrate tubes into 2 labelled aliquot tubes and store at -80C.

Request Group

WNV

MVE

External Laboratory

Institute of Clin.Pathology & Medical Res. (ICPMR)

V.I.D.R.L.