Pathology Handbook

MBS rebatable

No

Yes

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $99.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

MBS rebatable

Yes

No

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $99.

Collection & Request Instructions

Test will only be performed after consultation with the Microbiology Registrar.

Please advise laboratory as soon as possible after collection if this test may be required.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $290.

Test will only be performed after consultation with the Microbiology Registrar.

Please advise laboratory as soon as possible after collection if this test may be required.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.  

MBS rebatable

Yes

No

Collection & Request Instructions

Test will only be performed after consultation with the Microbiology Registrar.

Please advise laboratory as soon as possible after collection if this test may be required.

Test will only be performed after consultation with the Microbiology Registrar.

Please advise laboratory as soon as possible after collection if this test may be required.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $290.

Collection & Request Instructions

Scraping MUST be placed directly on Non Nutrient Agar slope available from Microbiology Laboratory.

A slide should also be inoculated for microscopic examination.  This is in addition to the slide inoculated for bacterial investigation.

Collection after 12 noon on Friday requires prior approval by Medical Microbiologist.

A deep collection of corneal tissue is optimal. Swabs are inadequate and collection of corneal material with swabs should be avoided.

Acceptable specimens are:

corneal biopsies

corneal scrapings

contact lenses and contents of contact lens case

contact lens solution - by request only

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $50.

Scraping MUST be placed directly on Non Nutrient Agar slope available from Microbiology Laboratory.

A slide should also be inoculated for microscopic examination.  This is in addition to the slide inoculated for bacterial investigation.

Collection after 12 noon on Friday requires prior approval by Medical Microbiologist.

A deep collection of corneal tissue is optimal. Swabs are inadequate and collection of corneal material with swabs should be avoided.

Acceptable specimens are:

corneal biopsies

corneal scrapings

contact lenses and contents of contact lens case

contact lens solution - by request only

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.   

Collection & Request Instructions

Scraping MUST be placed directly on Non Nutrient Agar slope available from Microbiology Laboratory.

A slide should also be inoculated for microscopic examination.  This is in addition to the slide inoculated for bacterial investigation.

Collection after 12 noon on Friday requires prior approval by Medical Microbiologist.

A deep collection of corneal tissue is optimal. Swabs are inadequate and collection of corneal material with swabs should be avoided.

Acceptable specimens are:

corneal biopsies

corneal scrapings

contact lenses and contents of contact lens case

contact lens solution - by request only

Scraping MUST be placed directly on Non Nutrient Agar slope available from Microbiology Laboratory.

A slide should also be inoculated for microscopic examination.  This is in addition to the slide inoculated for bacterial investigation.

Collection after 12 noon on Friday requires prior approval by Medical Microbiologist.

A deep collection of corneal tissue is optimal. Swabs are inadequate and collection of corneal material with swabs should be avoided.

Acceptable specimens are:

corneal biopsies

corneal scrapings

contact lenses and contents of contact lens case

contact lens solution - by request only

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $50.

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $190.

Collection & Request Instructions

Patient must not have been transfused within 3 months prior to collection.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $190.

Patient must not have been transfused within 3 months prior to collection.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

Collection & Request Instructions

Patient must not have been transfused within 3 months prior to collection.

Patient must not have been transfused within 3 months prior to collection.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $190.

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $190.

Collection & Request Instructions

Collect 2 (TWO tubes). 

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $290.

Collect 2 (TWO tubes). 

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.   

Registration Instructions

The below form must be completed and sent to pathology:

https://handbook.northernpath.org.au/downloads/haem/form-to-accompany-ADAMTS-13-requests.docx

Send one aliquot to Monash and Haematology/Coags scientist to freeze the remaining aliquots in -80C.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $290.

The below form must be completed and sent to pathology:

https://handbook.northernpath.org.au/downloads/haem/form-to-accompany-ADAMTS-13-requests.docx

Send one aliquot to Monash and Haematology/Coags scientist to freeze the remaining aliquots in -80C.

Collection & Request Instructions

Collect 2 (TWO tubes). 

This test is the not  listed on CMBS schedule.

For routine batch testing charge is $280 and for urgent requests $400.

Collect 2 (TWO tubes). 

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $290.

Registration Instructions

The below form must be completed and sent to pathology:

https://handbook.northernpath.org.au/downloads/haem/form-to-accompany-ADAMTS-13-requests.docx

Send one aliquot to Monash and Haematology/Coags scientist to freeze the remaining aliquots in -80C.

The below form must be completed and sent to pathology:

https://handbook.northernpath.org.au/downloads/haem/form-to-accompany-ADAMTS-13-requests.docx

Send one aliquot to Monash and Haematology/Coags scientist to freeze the remaining aliquots in -80C.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $290.

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $90.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.   

Registration Instructions

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $90.

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $490.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

Registration Instructions

Non MBS $178.00

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $490.

Collection & Request Instructions

Department head authorisation required

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $190.

Department head authorisation required

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.   

Collection & Request Instructions

Department head authorisation required

Department head authorisation required

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $190.

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

t(8;21)

t(8;21), RUNX1::RUNX1T1Molecular Haematology Laboratory Level 6, Building 77 Royal Prince Alfred Hospital Missenden Rd, Camperdown NSW 2050

Request Group

AGF

RPA

MBS rebatable

No

Yes

Volume (Adults)

10 mL

9 mL

Collection & Request Instructions

Need 10mL of Blood or 3mL of Bone Marrow.

Liase with Haematology Registrar before collection.

Specimens must be kept at room temperature and must be less than 24hours old.

Specimens should be sent to the Haematology Laboratory on Mondays to Thursdays between 0900-1700 hrs.

Need 9mL of Blood or 1-2mL of Bone Marrow (EDTA).

Specimens must be kept at room temperature and must be less than 24hours old - DO NOT FREEZE. Samples must be received in RPAH lab within 48 hours of collection.

Specimens should be collected on alternate Tuesdays, to be sent to the RPAH lab on the next day Wednesday interstate courier. Liase with the Haematology Registrar before collecting.

External Laboratory

Peter MacCallum Cancer Centre (PMCC)

Sydney South West Path (SSWPS) - RPA

External Transport Instructions

Molecular Haematology Laboratory
Level 6, Building 77
Royal Prince Alfred Hospital
Missenden Rd,
Camperdown NSW 2050

Alternative names

NT5C1A antibody, IBM antibody

Registration Instructions

Requires approval from Director of Pathology.

Requesting clinician also needs to complete a specific request form for the external laboratory: https://www.ouh.nhs.uk/immunology/documents/request-card.pdf

Requires approval from Director of Pathology.

Requesting clinician also needs to complete a specific request form for the external laboratory: 

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

Processing Instructions

Centrifuge
Store at 4'C

Centrifuge
Store at -20'C

Processing Instructions

CSF must be stored and shipped frozen

External Transport Instructions

Send at 4'C with Ice Pack

Send Frozen on Dry Ice

Collection & Request Instructions

Specimen is stable up to seven days at 4^oC.

Frequency

Weekly

Fortnightly

Registration Instructions

Sendaway test to: St Vincent's Hospital, Biochemistry, Level 2 Inpatient Service Building, Princes St, Fitzroy.

Authorisation: Approved sendaway. Dr request sufficient.

Authorisation: Approved sendaway. Dr request sufficient.

Processing Instructions

Centrifuge
Store at Room Temperature

Centrifuge
Aliquot
Store at -20'C

External Laboratory

St Vincent's Pathology

PathWest QEII Medical Centre

External Transport Instructions

Send at ambient temperature

Send Frozen on Dry Ice

Collection & Request Instructions

May be indicated in the investigation of ovarian reserve. Preferred volume is 2 mL (minimum volume 1 mL).

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $75.

May be indicated in the investigation of ovarian reserve. Preferred volume is 2 mL (minimum volume 1 mL).

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

Collection & Request Instructions

May be indicated in the investigation of ovarian reserve. Preferred volume is 2 mL (minimum volume 1 mL).

Please note test not covered by Medicare. Patient will be required to cover cost ($50 plus transport).

May be indicated in the investigation of ovarian reserve. Preferred volume is 2 mL (minimum volume 1 mL).

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $75.

Registration Instructions

If this test is requested with combined other allergy tests on the same request, NPV staff are to forward all testing to RCH.

Proceed to testing if it is requested by Dr Ee Lyn Su (immunologist) or Dr Brendan McCann (Paediatrician/Allergist), otherwise the test requires consultant Immunopathologist/Director of Pathology approval.

Specimens will be stored in the Laboratory until the Immunopathologist/Director of Pathology has reviewed the clinical details and/or discussed the request with the requesting clinician.

Cost $50.00

If this test is requested with combined other allergy tests on the same request, NPV staff are to forward all testing to RCH.

Proceed to testing if it is requested by Dr Ee Lyn Su (immunologist) or Dr Brendan McCann/Dr Sabeena Selvarajah (Paediatrician/Allergist), otherwise the test requires consultant Immunopathologist/Director of Pathology approval.

Specimens will be stored in the Laboratory until the Immunopathologist/Director of Pathology has reviewed the clinical details and/or discussed the request with the requesting clinician.

Cost $50.00

Registration Instructions

Request form needs to state the brand name of Asparaginase, otherwise the test cannot be performed. 

Request form needs to state the brand name of Asparaginase, otherwise the test cannot be performed. If not stated on the request form, contact requesting doctor. 

Collection & Request Instructions

Request form needs to state the brand name of Asparaginase, otherwise the test cannot be performed. 

Centrifuge within 2 hours of collection and freeze

Request form needs to state the brand name of Asparaginase, otherwise the test cannot be performed. 

Centrifuge within 2 hours of collection and freeze

Laboratory

Haematology

Immunology

Registration Instructions

Request form needs to state the brand name of Asparaginase, otherwise the test cannot be performed. 

Collection & Request Instructions

Centrifuge within 2 hours of collection and freeze

Request form needs to state the brand name of Asparaginase, otherwise the test cannot be performed. 

Centrifuge within 2 hours of collection and freeze

Request Group

Aspar

ALR

MBS rebatable

No

No

External Laboratory

The Alfred Pathology Service (APS)

External Transport Instructions

Send Frozen on Dry Ice

Collection & Request Instructions

Department head authorisation required.

Only performed on immunocompromised patients.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $110.

Department head authorisation required.

Only performed on immunocompromised patients.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsibleAs at July 2023, this fefor the cost incurred, and patient consent must be obtained.  

MBS rebatable

Yes

No

Collection & Request Instructions

Department head authorisation required.

Only performed on immunocompromised patients.

Department head authorisation required.

Only performed on immunocompromised patients.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $110.

Request Group

SNP

AGP

External Transport Instructions

PLEASE NOTE

Mycoplasma (MYC) is sent to ALFRED HOSPITAL

Legionella Serology (SLG) and Chlamydia Psittacosis Serology (CLS) are sent to VIDRL

PLEASE NOTE

Mycoplasma (MYC) is sent to ALFRED HOSPITAL

Legionella Serology (SLG) and Chlamydia Psittacosis Serology (CLS) are sent to VIDRL

For further information, please see the Handbook listing for these three individual tests

Collection & Request Instructions

Liase with Haematology Registrar before collection.

Can be stored at 4'C for up to 3 days.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $150.

Liase with Haematology Registrar before collection.

Can be stored at 4'C for up to 3 days.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

Collection & Request Instructions

Liase with Haematology Registrar before collection.

Can be stored at 4'C for up to 3 days.

Liase with Haematology Registrar before collection.

Can be stored at 4'C for up to 3 days.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $150.

Collection & Request Instructions

Liase with Haematology Registrar before collection.

Can be stored at 4'C for up to 3 days.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $85.

Liase with Haematology Registrar before collection.

Can be stored at 4'C for up to 3 days.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

Collection & Request Instructions

Liase with Haematology Registrar before collection.

Can be stored at 4'C for up to 3 days.

Liase with Haematology Registrar before collection.

Can be stored at 4'C for up to 3 days.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $85.

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). 

Registration Instructions

Must receive a 10ml EDTA to perform this test.

Non-blood samples (eg bone marrow) and/or non-p210 requests (ie rarer transcripts) are to be sent out  - if it is p190 request on blood or bone marrow requests (for P190 and P210), 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. 

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). 

Processing Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

Alternative names

BCR-ABL, t(9:22), Philadelphia translocation, quantitative BCR-ABL, p190, BCR, BCR-ABL-PCR.

p190

Minimum/Paediatric Volume

Collection & Request Instructions

A separate container is required for this test.

Transport Instructions between sites and/or laboratories

Room Temperature

Processing Instructions

Time critical - do not delay handling !
Do Not Centrifuge
Store at 4'C

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). 

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 p190, use B19 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 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). 

MBS rebatable

No

Yes

Collection & Request Instructions

Specimens to be collected only on Monday to Thursday (Except for where a public holiday falls on the following day). 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 Genetics and Molecular Pathology laboratory.

Tube handling must be minimized to prevent contamination.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

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.   

Processing Instructions

Specimens to be collected only on Monday to Thursday (Except for where a public holiday falls on the following day). Specimens more than 48 hours old cannot be tested and a recollection will be requested.

Notes

For bone marrow/non blood samples and/or non-p210 requests, collection and transport needs to be sent to refering laboratory within 24hrs of collection.

For bone marrow/non blood samples and/or non-p210 requests, collection and transport needs to be sent to referring laboratory within 24hrs of collection.

Registration Instructions

Must receive a 10ml EDTA to perform this test.

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 p190, use B19 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 to be sent out  - if it is p190, use B19 and send out to PMC. For other rare transcripts, the sendout lab will depend on the requested transcripts (use generic lab-specific code). 

Assay name

BCR-ABL Transcription (Sendaway Test)

BCR-ABL P210

Alternative names

BCR-ABL, t(9:22), Philadelphia translocation, quantitative BCR-ABL, p210, p190, BCR, BCR-ABL-PCR.

BCR-ABL, t(9:22), Philadelphia translocation, quantitative BCR-ABL, p210, BCR, BCR-ABL-PCR.

Request Group

BCR

B21

Registration Instructions

Must receive a 10ml EDTA to perform this test.

Must receive a 10ml EDTA to perform this test.

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 p190, use B19 and send out to PMC. For other rare transcripts, the sendout lab will depend on the requested transcripts (use generic lab-specific code). 

External Laboratory

Peter MacCallum Cancer Centre

External Transport Instructions

Send at 4'C with Ice Pack

Notes

Collection and transport needs to be sent to refering laboratory within 24hrs of collection.

For bone marrow/non blood samples and/or non-p210 requests, collection and transport needs to be sent to refering laboratory within 24hrs of collection.

Collection & Request Instructions

Specimens to be collected only on Monday to Thursday (Except for where a public holiday falls on the following day). 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 Genetics and Molecular Pathology laboratory.

Tube handling must be minimized to prevent contamination.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $250.

Specimens to be collected only on Monday to Thursday (Except for where a public holiday falls on the following day). 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 Genetics and Molecular Pathology laboratory.

Tube handling must be minimized to prevent contamination.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

Collection & Request Instructions

Specimens to be collected only on Monday to Thursday (Except for where a public holiday falls on the following day). 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 Genetics and Molecular Pathology laboratory.

Tube handling must be minimized to prevent contamination.

Specimens to be collected only on Monday to Thursday (Except for where a public holiday falls on the following day). 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 Genetics and Molecular Pathology laboratory.

Tube handling must be minimized to prevent contamination.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $250.

Processing Instructions

Store at 4'C

Aliquot
Centrifuge
Store at 4'C

Assay name

Beta D Glucan

Beta 1-3-D glucan

Registration Instructions

Test no longer available.

Test no longer available in Australia.  Please inform clinician to discuss alternative test with Clinical Microbiologist. 

Request Group

SMH

MDU

External Laboratory

Melbourne Health Shared Pathology Service

Microbiological Diagnostic Unit

Registration Instructions

1. CSR: to enter BMA only in Ultra Core (BM no longer required) and relevant ancillary test codes

2. BM specimen collector to bring trephine around to AP.

3. AP Registration: enter BMT in AP module

1. CSR: to enter BMA only in Ultra Core (BM no longer required) and relevant ancillary test codes

2. BM specimen collector to bring trephine around to AP.

3. AP Registration: enter BMT in AP module

Request Group

BM, BMA

BMA

Registration Instructions

Two codes are entered BM and BMA.

1. CSR: to enter BMA only in Ultra Core (BM no longer required) and relevant ancillary test codes

2. BM specimen collector to bring trephine around to AP.

3. AP Registration: enter BMT in AP module

MBS rebatable

No

Yes

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.   

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $60.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.   

MBS rebatable

Yes

No

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $60.

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $395.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.   

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $395.

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $395.

Request Group

CYT

CY

External Laboratory

The Alfred Pathology Service (APS)

External Transport Instructions

Send at 4'C with Ice Pack

External Laboratory

Royal Brisbane & Womens Hospital

PaLMS- Royal North Shore Hospital

External Transport Instructions

Send at ambient temperature

Send at 4'C with Ice Pack

Collection & Request Instructions

A dedicated specimen tube is required for all genetic tests. 

Can be stored at 4C for up to 3 days

Must be approved by Haem Registrar before being sent.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $85.

A dedicated specimen tube is required for all genetic tests. 

Can be stored at 4C for up to 3 days

Must be approved by Haem Registrar before being sent.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.   

Collection & Request Instructions

A dedicated specimen tube is required for all genetic tests. 

Can be stored at 4C for up to 3 days

Must be approved by Haem Registrar before being sent.

A dedicated specimen tube is required for all genetic tests. 

Can be stored at 4C for up to 3 days

Must be approved by Haem Registrar before being sent.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $85.

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $80.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

Registration Instructions

Cost to Private patient $150.00

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $80.

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $190.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.   

MBS rebatable

Yes

No

Registration Instructions

Specimen Requirements

1 ml of blood in lithium heparin (Green top) tube

Cost

$100

Specimen Requirements

1 ml of blood in lithium heparin (Green top) tube

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $190.

Alternative names

Anti CCP Antibodies

Anti CCP Antibodies, ACPA, Anti-cyclic citrinullated peptide

Collection & Request Instructions

Self collection kit or a flocked swab (Copan FLOQswab 552C or 552.80 - red top).

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $46.

Self collection kit or a flocked swab (Copan FLOQswab 552C or 552.80 - red top).

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.   

Collection & Request Instructions

Self collection kit or a flocked swab (Copan FLOQswab 552C or 552.80 - red top).

Self collection kit or a flocked swab (Copan FLOQswab 552C or 552.80 - red top).

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $46.

External Transport Instructions

Send at ambient temperature

Send at 4'C with Ice Pack

Registration Instructions

Collection & Request Instructions

Proton pump inhibitors greatly increase value by several hundred units and therefore invalidate the test. Patient must NOT be on proton pump inhibitors (PPI) for at least 10 days before collection.

Proton pump inhibitors are medication used for reducing the production of acid in the stomach.

Please indicate medications and supply clinical notes.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $60.

Proton pump inhibitors greatly increase value by several hundred units and therefore invalidate the test. Patient must NOT be on proton pump inhibitors (PPI) for at least 10 days before collection.

Proton pump inhibitors are medication used for reducing the production of acid in the stomach.

Please indicate medications and supply clinical notes.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

Registration Instructions

Non-medicare refundable test - $52.

No charge for patients with a Northern Health request form.

Collection & Request Instructions

Proton pump inhibitors greatly increase value by several hundred units and therefore invalidate the test. Patient must NOT be on proton pump inhibitors (PPI) for at least 10 days before collection.

Proton pump inhibitors are medication used for reducing the production of acid in the stomach.

Please indicate medications and supply clinical notes.

Proton pump inhibitors greatly increase value by several hundred units and therefore invalidate the test. Patient must NOT be on proton pump inhibitors (PPI) for at least 10 days before collection.

Proton pump inhibitors are medication used for reducing the production of acid in the stomach.

Please indicate medications and supply clinical notes.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $60.

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

Collection & Request Instructions

A separate unopened EDTA blood tube is required. 4ml EDTA is acceptable if full.

Collect in the morning to allow for the lengthy preparation that must occur on the same day. Specimen must be less than 24 hours old.

A maximum of  1 CMV viral load test per sample type will be performed on any patient in a one week period.

Testing  performed on Roche Ampliprep/ Taqman – LoD 137 IU/ml.

Requests for urgent or more frequent testing must be approved by the Microbiology Unit Head.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $80.

A separate unopened EDTA blood tube is required. 4ml EDTA is acceptable if full.

Collect in the morning to allow for the lengthy preparation that must occur on the same day. Specimen must be less than 24 hours old.

A maximum of  1 CMV viral load test per sample type will be performed on any patient in a one week period.

Testing  performed on Roche Ampliprep/ Taqman – LoD 137 IU/ml.

Requests for urgent or more frequent testing must be approved by the Microbiology Unit Head.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.  

MBS rebatable

Yes

No

Collection & Request Instructions

A separate unopened EDTA blood tube is required. 4ml EDTA is acceptable if full.

Collect in the morning to allow for the lengthy preparation that must occur on the same day. Specimen must be less than 24 hours old.

A maximum of  1 CMV viral load test per sample type will be performed on any patient in a one week period.

Testing  performed on Roche Ampliprep/ Taqman – LoD 137 IU/ml.

Requests for urgent or more frequent testing must be approved by the Microbiology Unit Head.

A separate unopened EDTA blood tube is required. 4ml EDTA is acceptable if full.

Collect in the morning to allow for the lengthy preparation that must occur on the same day. Specimen must be less than 24 hours old.

A maximum of  1 CMV viral load test per sample type will be performed on any patient in a one week period.

Testing  performed on Roche Ampliprep/ Taqman – LoD 137 IU/ml.

Requests for urgent or more frequent testing must be approved by the Microbiology Unit Head.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $80.

External Transport Instructions

Send at 4'C with Ice Pack

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

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)

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)

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

Registration Instructions

Cost: $50.00

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

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

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

Cost: $50.00

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

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

Registration Instructions

Cost: $50.00

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

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

Doctor: ALF- HS56H, EAH- RB4JY, AUP - KI0AA, SMH-GK4FJ, PMC-CA62J

Cost: $50.00

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

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

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

Collection & Request Instructions

Pre and Post vaccination serum recommended. Send second serum approximately 6 weeks post vaccination.

Instruct patients to return to the same collection centre so that specimen matching can occur.

Single samples only sent on request.

Pre vaccination serum stored for a maximum of 6 months. Pre and post sera are sent together for testing in parallel.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $66.

Pre and Post vaccination serum recommended. Send second serum approximately 6 weeks post vaccination.

Instruct patients to return to the same collection centre so that specimen matching can occur.

Single samples only sent on request.

Pre vaccination serum stored for a maximum of 6 months. Pre and post sera are sent together for testing in parallel.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.   

Collection & Request Instructions

Pre and Post vaccination serum recommended. Send second serum approximately 6 weeks post vaccination.

Instruct patients to return to the same collection centre so that specimen matching can occur.

Single samples only sent on request.

Pre vaccination serum stored for a maximum of 6 months. Pre and post sera are sent together for testing in parallel.

Pre and Post vaccination serum recommended. Send second serum approximately 6 weeks post vaccination.

Instruct patients to return to the same collection centre so that specimen matching can occur.

Single samples only sent on request.

Pre vaccination serum stored for a maximum of 6 months. Pre and post sera are sent together for testing in parallel.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $66.

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.

Alternative names

CJD Protein, Protein 14-3-3

CJD Protein, Protein 14-3-3, RT-QuIC

External Transport Instructions

Send at ambient temperature

Send at 4'C with Ice Pack

Collection & Request Instructions

Fasting specimen > 12 hrs recommended

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $55.

Fasting specimen > 12 hrs recommended

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

MBS rebatable

Yes

No

Collection & Request Instructions

Fasting specimen > 12 hrs recommended

Fasting specimen > 12 hrs recommended

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $55.

Laboratory

Molecular

Genetics

Registration Instructions

The cost of this test is AUD$190.00 (July 2023). If patients have a close family history of cystic fibrosis, they may be eligible for a Medicare rebate. For more information about item numbers refer to the Medicare Benefits Schedule Book, Category 6, 1 July 2018 (pages 142-143).

This test available to order and pay online. NB. Patients must have a completed do

EDTA blood: Adult: 4 ml / Child: 1 - 2 ml or Saliva Sample.

Prenatal:

Amniotic Fluid 20 ml

Chorionic Villus 20 mg

Doctors request form to order this test online.

The cost of this test is AUD$190.00 (July 2023). If patients have a close family history of cystic fibrosis, they may be eligible for a Medicare rebate. For more information about item numbers refer to the Medicare Benefits Schedule Book, Category 6, 1 July 2018 (pages 142-143).

This test available to order and pay online for saliva samples. NB. Patients must have a completed doctor request form to order this test online. 

EDTA blood: Adult: 4 ml / Child: 1 - 2 ml or Saliva Sample.

Prenatal:

Amniotic Fluid 20 ml

Chorionic Villus 20 mg

External Transport Instructions

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

Requests for Northern Health patients must be approved by the Director of Pathology prior to sending.

Registration Instructions

The cost of this test is AUD$150.00. If patients have a close family history of cystic fibrosis, they may be eligible for a Medicare rebate. For more information about item numbers refer to the Medicare Benefits Schedule Book, Category 6, 1 July 2018 (pages 142-143).

This test available to order and pay online. NB. Patients must have a completed do

EDTA blood: Adult: 4 ml / Child: 1 - 2 ml or Saliva Sample.

Prenatal:

Amniotic Fluid 20 ml

Chorionic Villus 20 mg

Doctors request form to order this test online.

The cost of this test is AUD$190.00 (July 2023). If patients have a close family history of cystic fibrosis, they may be eligible for a Medicare rebate. For more information about item numbers refer to the Medicare Benefits Schedule Book, Category 6, 1 July 2018 (pages 142-143).

This test available to order and pay online. NB. Patients must have a completed do

EDTA blood: Adult: 4 ml / Child: 1 - 2 ml or Saliva Sample.

Prenatal:

Amniotic Fluid 20 ml

Chorionic Villus 20 mg

Doctors request form to order this test online.

External Laboratory

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

V.I.D.R.L.

Transport Instructions between sites and/or laboratories

Room Temperature
Use Esky from SDMH or CGMC to Alfred

Room Temperature

Request Group

CYT

CY

External Laboratory

The Alfred Pathology Service (APS)

External Transport Instructions

Send at 4'C with Ice Pack

Request Group

CYT

CY

Transport Instructions between sites and/or laboratories

Room Temperature
Use Esky from SDMH or CGMC to Alfred

Room Temperature

External Laboratory

The Alfred Pathology Service (APS)

External Transport Instructions

Send at 4'C with Ice Pack

External Transport Instructions

Slides and formalin specimens to be transported at room temperature.

All fresh fluids to be transported at 4^oC.

External Transport Instructions

Send at ambient temperature

Send at 4'C with Ice Pack

External Transport Instructions

Pickup Tuesday and Thursday.

Pickup Tuesday and Thursday.  Specimen is stable at room temperature.

Request Group

CYT

CY

External Laboratory

The Alfred Pathology Service (APS)

External Transport Instructions

Send at 4'C with Ice Pack

Request Group

CYT

CY

External Laboratory

The Alfred Pathology Service (APS)

External Transport Instructions

Send at ambient temperature

Request Group

CYT

CY

Transport Instructions between sites and/or laboratories

Room Temperature
RoomTemp within Alfred/Esky from External sites

Room Temperature

External Laboratory

The Alfred Pathology Service (APS)

External Transport Instructions

Send at ambient temperature

Request Group

CYT

CY

External Laboratory

The Alfred Pathology Service (APS)

External Transport Instructions

Send at ambient temperature

Request Group

CYT

CY

Registration Instructions

When a single shared sample for microbiology and cytology (AP) is received in  CSP:

1) Register for procedure "CYTO". This will produce a specimen label which states "Share with AP". Place this label on the sample.

2) Register for the specific microbiology test

3) Place a "Shared Specimen" label onto the request slip.

4) Make a copy of the request slip for Cytology and mark as "Slip Only" on the request and in  Deliver this slip to

Deliver the specimen to microbiology first. 

See CD_SP_0207 for further details

External Laboratory

The Alfred Pathology Service (APS)

External Transport Instructions

Send at ambient temperature

Request Group

CYT

CY

External Laboratory

The Alfred Pathology Service (APS)

External Transport Instructions

Send at ambient temperature

Alternative names

Epstein Barr Virus Serology

Epstein Barr Virus Serology, Glandular fever serology

Registration Instructions

Specific site in Cerner MUST BE Plasma not blood.

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

Collection & Request Instructions

A separate unopened EDTA blood tube or SST is required. 4 ml EDTA is acceptable if full.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $145.

A separate unopened EDTA blood tube or SST is required. 4 ml EDTA is acceptable if full.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.   

MBS rebatable

Yes

No

Collection & Request Instructions

A separate unopened EDTA blood tube or SST is required. 4 ml EDTA is acceptable if full.

A separate unopened EDTA blood tube or SST is required. 4 ml EDTA is acceptable if full.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $145.

Collection & Request Instructions

During normal hours Northorn Pathology Victoria provides an ECG service to the Broadmeadows Health Service and Northen Hospital.

Note, as this test has restricted cover by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $40-67 dependent upon criteria.

During normal hours Northorn Pathology Victoria provides an ECG service to the Broadmeadows Health Service and Northen Hospital.

Note, as this test has restricted cover by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

Collection & Request Instructions

During normal hours Northorn Pathology Victoria provides an ECG service to the Broadmeadows Health Service and Northen Hospital.

During normal hours Northorn Pathology Victoria provides an ECG service to the Broadmeadows Health Service and Northen Hospital.

Note, as this test has restricted cover by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $40-67 dependent upon criteria.

Alternative names

Antibodies to Extractable Nuclear Antigens, SS-A, SS-B, SCL-70 (topoisomerase), Jo-1, RNP, Sm, Anti-Sm, Anti Smith ab, Anti RNP, Anti Ro, Anti La

Antibodies to Extractable Nuclear Antigens, SS-A, SS-B, SCL-70 (topoisomerase), Jo-1, RNP/U1-RNP, Sm, Anti-Sm, Anti Smith ab, Anti RNP/U1-RNP, Anti Ro, Anti La

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 

Transport Instructions between sites and/or laboratories

___

Transport Instructions between sites and/or laboratories

Send at 4^o with ice pack

External Transport Instructions

Send at 4'C with Ice Pack

Transport Instructions between sites and/or laboratories

Room Temperature

Transport Instructions between sites and/or laboratories

Send at 4^o with ice pack

Collection & Request Instructions

Throat/Rectal swabs are preferred over sputum/faeces.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $95.

Throat/Rectal swabs are preferred over sputum/faeces.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

MBS rebatable

Yes

No

Collection & Request Instructions

Throat/Rectal swabs are preferred over sputum/faeces.

Throat/Rectal swabs are preferred over sputum/faeces.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $95.

Collection & Request Instructions

REQUIRES APPROVAL FROM CLINICAL MICROBIOLOGIST

If EBV PCR requested on blood, order as EBVLOAD.  

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $95.

REQUIRES APPROVAL FROM CLINICAL MICROBIOLOGIST

If EBV PCR requested on blood, order as EBVLOAD.  

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

MBS rebatable

Yes

No

Collection & Request Instructions

REQUIRES APPROVAL FROM CLINICAL MICROBIOLOGIST

If EBV PCR requested on blood, order as EBVLOAD.  

REQUIRES APPROVAL FROM CLINICAL MICROBIOLOGIST

If EBV PCR requested on blood, order as EBVLOAD.  

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $95.

Collection & Request Instructions

Specimen may be separated for other tests such as elastase.

. Collect random faeces specimen. PATIENT INSTRUCTIONS: URINATE PRIOR TO PERFORMING THE TEST. Please write your full name, date of birth, date and time of collection on the jar/s provided. The stool should be passed into a clean dry container such as a clean empty margarine container or a clean milk carton with the top cut off. Using the scoop built into the lid of the pot, place a scoopful of stool into the pot. Check that the lid is tightly closed and deliver the specimen to the collection centre on the same day as the specimen is collected.  

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $75.

Specimen may be separated for other tests such as elastase.

. Collect random faeces specimen. PATIENT INSTRUCTIONS: URINATE PRIOR TO PERFORMING THE TEST. Please write your full name, date of birth, date and time of collection on the jar/s provided. The stool should be passed into a clean dry container such as a clean empty margarine container or a clean milk carton with the top cut off. Using the scoop built into the lid of the pot, place a scoopful of stool into the pot. Check that the lid is tightly closed and deliver the specimen to the collection centre on the same day as the specimen is collected.  

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

Registration Instructions

Estimated Patient Fee $50.00 

Collection & Request Instructions

Specimen may be separated for other tests such as elastase.

Estimated Patient Fee $50.00. Collect random faeces specimen. PATIENT INSTRUCTIONS: URINATE PRIOR TO PERFORMING THE TEST. Please write your full name, date of birth, date and time of collection on the jar/s provided. The stool should be passed into a clean dry container such as a clean empty margarine container or a clean milk carton with the top cut off. Using the scoop built into the lid of the pot, place a scoopful of stool into the pot. Check that the lid is tightly closed and deliver the specimen to the collection centre on the same day as the specimen is collected.  

Specimen may be separated for other tests such as elastase.

. Collect random faeces specimen. PATIENT INSTRUCTIONS: URINATE PRIOR TO PERFORMING THE TEST. Please write your full name, date of birth, date and time of collection on the jar/s provided. The stool should be passed into a clean dry container such as a clean empty margarine container or a clean milk carton with the top cut off. Using the scoop built into the lid of the pot, place a scoopful of stool into the pot. Check that the lid is tightly closed and deliver the specimen to the collection centre on the same day as the specimen is collected.  

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $75.

Registration Instructions

Entamoeba histolytica PCR may be requested on a liver abscess fluid. This is done at St Vincents.

All faecal specimens where PCR is requested are to be given to Microbiology

Entamoeba histolytica PCR may be requested on a liver abscess fluid (panel PPR). This is done at St Vincents.

All other specimens where PCR is requested are to be given to Microbiology

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.

Assay name

Dirofilarial immitis Serology (Sendaway Test)

Filarial serology (Sendaway Test)

Alternative names

Filarial Serology, Filariasis Serology, Filaria serology, Filaria antibodies

Filariasis Serology, Filaria serology, Filaria antibodies

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

Retrospective testing 72 hours

Alternative names

HLH familial panel

Volume (Adults)

2 mL

4 mL

Registration Instructions

This test requires authorisation by a Laboratory Haematologist.

Please complete the HIT Assessment form (available on the NSW Health Pathology Test Catalogue under Serotonin Release Assay) and send to the testing laboratory along with the sample. Lab haem reg must also contact the laboratory to notify them of sample.

Collection & Request Instructions

Must be discussed with a Laboratory Haematologist

External Transport Instructions

Prince of Wales Hospital Pathology Specimen Reception
Central Specimen Reception, Level 4, Campus Centre
Barker St
Randwick NSW 2031
Australia

Ph:(02) 9382 3694

Fax:(02) 9382 3245

Registration Instructions

Requires lab haematology registrar/consultant approval. Clinicians must provide 4T score in the clinical details.

Processing Instructions

Centrifuge immediately at 2000-2500g for 15 minutes. 

Haematology/Coags scientist will run the STIc on approval from Laboratory Haematology Registrar/Consultant. Divide the remaining plasma into 4 aliquots and store in the in -80C freezer.

Centrifuge immediately at 2000-2500g for 15 minutes. 

Haematology/Coags scientist will run the STIc on approval from Laboratory Haematology Registrar/Consultant. Divide the remaining plasma into 4 aliquots and store in the in -80C freezer.

If the STIc is positive, discuss with Lab Haem Reg/Consultant as stored plasma may be required to be sent to Monash for HITS ELISA. If this is the case, Lab Haem Reg to notify Monash Pathology if urgent and sendout using code MON.

Collection & Request Instructions

A separate container is required for this test.

Collection & Request Instructions

A separate container is required for this test.

Collection & Request Instructions

Test only performed on Hepatitis B surface antigen POSITIVE patients unless authorised by Microbiology Registrar.

If specifically requested to be sent to The Alfred use test code HBL

A dedicated SST is required to perform this test.

Test only performed on Hepatitis B surface antigen POSITIVE patients unless authorised by Microbiology Registrar.

If specifically requested to be sent to The Alfred use test code HBL

Processing Instructions

Unopened Tube

Unopened Tube
Centrifuge

Request Group

SE

HI

Registration Instructions

Send add on request through to Anatomical Pathology at the Alfred via fax (9076 2899) or email anatomicalpathology@alfred.org.au

External Laboratory

The Alfred Pathology Service (APS)

External Transport Instructions

Send at ambient temperature

Notes

Routine TAT is 2 weeks

Registration Instructions

CSR: Approval from a pathologist during business hours is required.

CSR: Approval from a chemical pathologist during business hours is required.

Volume (Adults)

6.0 mL

Minimum/Paediatric Volume

6.0 mL

Collection & Request Instructions

Two (2x) collection tubes required

Collection & Request Instructions

Collect 2 x 6 ml lithium heparin tues and rubber band the tubes together.  Freeze BOTH the WHOLE TUBES IMMEDIATELY.  DO NOT spin or separate.  For paediatric collections it is acceptable to only collect one tube.

Request Group

HISTAMINE

MPS

MBS rebatable

No

Yes

Collection & Request Instructions

This test is not recommended because it does not provide information on mast cell proliferation and rarely can be collected within 10 minuites of a acute anaphylactic episode.

External Laboratory

The Children's Hospital at Westmead

Melbourne Pathology

External Transport Instructions

Must be approved by Chemical Pathologist.

Done in their Biochemistry Lab (02) 9845 3283.

Collection & Request Instructions

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 9076 3150).

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. The request form should note the clinical and operative findings.

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

SE

HI

External Laboratory

The Alfred Pathology Service (APS)

External Transport Instructions

Send at 4'C with Ice Pack

Request Group

SE

HI

External Laboratory

The Alfred Pathology Service (APS)

Frequency

Weekdays

Request Group

SE

HI

Collection & Request Instructions

Renal Biopsy 

Prior notice of biopsy is requested to allow optimal handling of the specimen. Please contact the histology laboratory (telephone 907 62476) to notify them of the date, time and location of the biopsy procedure. A Scientist will attend the procedure to provide an immediate assessment of specimen adequacy.

Renal Biopsy 

Prior notice of biopsy is requested to allow optimal handling of the specimen. Please contact the histology laboratory (telephone 9485 9333 ) to notify them of the date, time and location of the biopsy procedure. A Scientist will attend the procedure to provide an immediate assessment of specimen adequacy.

External Laboratory

The Alfred Pathology Service (APS)

Registration Instructions

Turn around time for results 2 weeks.

Request Group

SE

HI

Collection & Request Instructions

Skin Biopsy for Immunofluorescence 

Immunofluorescence can only be performed on fresh unfixed tissue 

The fresh specimen must be wrapped in a piece of saline moistened gauze for transport to the laboratory. Wrapping prevents drying which can introduce false staining. The specimen must be delivered to the laboratory as soon as possible (within 1 hour).

If in doubt telephone the laboratory (907 62476) before removing the specimen, so that advice can be given before it is too late. 

Immunologic reactions play a major role in the pathogenesis of many skin diseases. The immunologic abnormalities found in skin and mucous membranes of patients with certain bullous (blister) disorders (pemphigus and pemphigoid), in which vesicles or bullae occur, and in the different forms of lupus erythematosus are disease specific. The distinct immunopathogenic characteristics of these diseases mean the detection of deposits of immunoglobulin and complement components in both lesional and normal skin by direct immunofluorescent techniques is of great value in establishing a diagnosis.

The extracellular antigens of most value in immunodermatology are IgA, IgG, IgM, the complement proteins (C3_C, C4 & C1_q) and fibrinogen. The immunoreactivity of these antigens is deleteriously affected by formalin fixation to varying degrees.

Skin Biopsy Specimen Collection

Whenever possible, biopsy a single fresh small blister including adjacent clinically uninvolved skin (perilesional).

>      For a large blister, biopsy edge of blister and adjacent uninvolved skin (perilesional).

>     Cut the perilesional end and send for IF studies and the remaining blister for histology.

>     For uninvolved skin, a 3-mm punch biopsy is sufficient.

Skin Biopsy for Immunofluorescence 

Immunofluorescence can only be performed on fresh unfixed tissue 

The fresh specimen must be wrapped in a piece of saline moistened gauze for transport to the laboratory. Wrapping prevents drying which can introduce false staining. The specimen must be delivered to the laboratory as soon as possible (within 1 hour).

If in doubt telephone the laboratory (9485 9402) before removing the specimen, so that advice can be given before it is too late. 

Immunologic reactions play a major role in the pathogenesis of many skin diseases. The immunologic abnormalities found in skin and mucous membranes of patients with certain bullous (blister) disorders (pemphigus and pemphigoid), in which vesicles or bullae occur, and in the different forms of lupus erythematosus are disease specific. The distinct immunopathogenic characteristics of these diseases mean the detection of deposits of immunoglobulin and complement components in both lesional and normal skin by direct immunofluorescent techniques is of great value in establishing a diagnosis.

The extracellular antigens of most value in immunodermatology are IgA, IgG, IgM, the complement proteins (C3_C, C4 & C1_q) and fibrinogen. The immunoreactivity of these antigens is deleteriously affected by formalin fixation to varying degrees.

Skin Biopsy Specimen Collection

Whenever possible, biopsy a single fresh small blister including adjacent clinically uninvolved skin (perilesional).

>      For a large blister, biopsy edge of blister and adjacent uninvolved skin (perilesional).

>     Cut the perilesional end and send for IF studies and the remaining blister for histology.

>     For uninvolved skin, a 3-mm punch biopsy is sufficient.

External Laboratory

The Alfred Pathology Service (APS)

Preferred Container Type

CSF Tube 3

CSF Micro-tubes

Preferred Container Type

CSF Micro-tubes

CSF Tube 3

Preferred Container Type

CSF tube

CSF Micro-tubes

Preferred Container Type

CSF Tube 3

CSF tube

Optional Container Type

CSF tube

Assay name

HIV Viral Load (Sendaway Test)

HIV Viral Load (CSF sendaway test)

Preferred Container Type

EDTA 10 mL

CSF Tube 3

Optional Container Type

CSF Tube 3

CSF tube

Volume (Adults)

10 mL

2.0 mL

Preferred Specimen Type

EDTA

Cerebrospinal Fluid

Optional Specimen Type

Cerebrospinal Fluid
Serum

Optional Container Type

CSF Tube 3
SST

CSF Tube 3

Transport Instructions between sites and/or laboratories

EDTA dedicated (1ml of plasma required to perform test).

Processing Instructions

Centrifuge
Store frozen

Processing Instructions

PLEASE NOTE:

One EDTA tube is required for this test (can be requested in combination with HIV Genotype).

EDTA sample is to be centrifuged, plasma aliquoted and frozen at -20^c  .

External Transport Instructions

Send Frozen on Dry Ice

External Transport Instructions

If EDTA plasma, send to VIDRL on dry ice.

VIDRL Contact: Jodie De Costa 93429625

VIDRL Contact: Jodie De Costa 93429625

Registration Instructions

TEST CAN ONLY BE DONE ON KNOWN HIV POSITIVE PATIENTS 

Request form may state "ART" or "retrovirus infection" or patients should have evidence of positive confirmed HIV serology or previous HIV viral load requests - if unsure, please speak with Clinical Microbiologist or Microbiology Department.

Requests for urgent testing must be approved by the Microbiology Unit Head.

External Transport Instructions

Send at 4'C with Ice Pack

External Transport Instructions

Send at ambient temperature

Send at 4'C with Ice Pack

External Transport Instructions

Specimen is stable at room temperature

Registration Instructions

A request form signed by the Oncologist or Oncology Registrar is mandatory.

This is usually an add-on test to a tissue/histology specimen. If the tissue specimen is not specified on the request form, contact the requesting doctor to confirm the tissue specimen for the test. The test should be registered under the same request number as the tissue/histology specimen.

After registration, e-mail the scanned request form to anatomicalpathology@alfred.org.au, then document in Tracking that the request form has been e-mailed.

A request form signed by the Oncologist or Oncology Registrar is mandatory.

This is usually an add-on test to a tissue/histology specimen. If the tissue specimen is not specified on the request form, contact the requesting doctor to confirm the tissue specimen for the test. The test should be registered under the same request number as the tissue/histology specimen.

Collection & Request Instructions

All solid tumour molecular test requests must be discussed directly with Prof Catriona McLean (ph 907 63153) prior to testing being performed

External Laboratory

The Alfred Pathology Service (APS)

St Vincent's Pathology

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

Collection & Request Instructions

Patient must be fasting unless otherwise instructed by the doctor.

Patient must be fasting unless otherwise instructed by the doctor.

Alternative names

CBFB::MYH11, inv16

Request Group

I16

RPA

MBS rebatable

No

Yes

Volume (Adults)

10 mL

9 mL

Collection & Request Instructions

Need 10mL of Blood and 3mL of Bone Marrow.

Specimens must be kept at room temperature and must be less than 24hours old.

Specimens should be sent to the Haematology Laboratory on Mondays to Thursdays between 0900-1730 hrs. Outside these hours liase with the Haemtology Registrar  before collecting.

Need 9mL of Blood or 1-2mL of Bone Marrow (EDTA).

Specimens must be kept at room temperature and must be less than 24hours old - DO NOT FREEZE. Samples must be received in RPAH lab within 48 hours of collection.

Specimens should be collected on alternate Tuesdays, to be sent to the RPAH lab on the next day Wednesday interstate courier. Liase with the Haematology Registrar before collecting.

External Laboratory

Peter MacCallum Cancer Centre (PMCC)

Sydney South West Path (SSWPS) - RPA

External Transport Instructions

Molecular Haematology Laboratory
Level 6, Building 77
Royal Prince Alfred Hospital
Missenden Rd,
Camperdown NSW 2050

Registration Instructions

CSR: Approval from a pathologist during business hours is required.

CSR: Approval from a chemical pathologist during business hours is required.

Registration Instructions

Retrospective testing 7 days

Processing Instructions

Centrifuge

External Transport Instructions

Send at 4'C with Ice Pack

Registration Instructions

CSR to register with generic FLW panel and bring specimen to flow.

Flow scientist: If lymphoma panel is required, add LPD panel. If sendaway for leukaemia is required, then add FAS panel and re-route sample and request to Alfred Pathology. (Note: for paediatric leukaemia, add RCH panel and re-route sample and request to Royal Children's Hospital).

Blood and bone marrow specimens (dedicated EDTA tube) are to be kept at room temperature. 

All other specimens are to be refrigerated at 4^oC - CSF and tissue specimens require RPMI to be added.

CSR to register with generic FLW panel and bring specimen to flow.

Flow scientist: If lymphoma/leukaemia panel is required, add LPD panel. If sendaway for external leukaemia panel is required, then add FAS panel and re-route sample and request to Alfred Pathology. (Note: for paediatric leukaemia, add RCH panel and re-route sample and request to Royal Children's Hospital).

Blood and bone marrow specimens (dedicated EDTA tube) are to be kept at room temperature. 

All other specimens are to be refrigerated at 4^oC - CSF and tissue specimens require RPMI to be added.

Registration Instructions

CSR to register with generic FLW panel and bring specimen to flow.

Flow scientist: If lymphoma panel is required, add LPD panel. If sendaway for leukaemia and hairy cell leukaemia is required, then add FAS panel and re-route sample and request to Alfred Pathology. (Note: for T-LPD, add PMCC panel instead and re-route sample to PMCC).

Blood and bone marrow specimens (dedicated EDTA tube) are to be kept at room temperature. 

All other specimens are to be refrigerated at 4^oC - CSF and tissue specimens require RPMI to be added.

CSR to register with generic FLW panel and bring specimen to flow.

Flow scientist: If lymphoma panel is required, add LPD panel. If sendaway for leukaemia is required, then add FAS panel and re-route sample and request to Alfred Pathology. (Note: for paediatric leukaemia, add RCH panel and re-route sample and request to Royal Children's Hospital).

Blood and bone marrow specimens (dedicated EDTA tube) are to be kept at room temperature. 

All other specimens are to be refrigerated at 4^oC - CSF and tissue specimens require RPMI to be added.

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.

Registration Instructions

Non-MBS: $25

Register LPN panel as a separate request and bill patient.  Non-MBS: $25 

Alternative names

Lupus Inhibitor Screen, LA, LAS, LE

Lupus Inhibitor Screen, LA, LAS, LE, LAC

Preferred Container Type

SST

SST (protect from light – wrap in foil)

Transport Instructions between sites and/or laboratories

On weekends/public holidays, MTR samples must be sent to the Alfred via taxi.

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

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  

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  

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

Collection & Request Instructions

In order to examine blood for both nocturnal and diurnal species, optimum collection would be one specimen between 10 am and 2pm ( preferably 12 noon) and another between 10pm amd 2 am (preferably midnight).

Whole blood must be sent from Monday to Thursday only.  Whole blood sample must be received within 24 hours of collection.

In order to examine blood for both nocturnal and diurnal species, optimum collection would be one specimen between 10 am and 2pm ( preferably 12 noon) and another between 10pm amd 2 am (preferably midnight).

External Transport Instructions

Send at 4'C with Ice Pack

Request Group

CYT

CY

Collection & Request Instructions

Supplies Required:

A procedure kit can be obtained from Cytology (call extn 63088) which contains; Frosted end slides, Cytology Fixative (95% ethyl alcohol) in plastic vial, slide carrier/mailer, specimen bag and pencil

Important Notes:

Label 2 glass slides on the frosted end with patient  name, UR and date of birth. Please ensure slides are labeled in Pencil as ink will be dissolved by the alcoholic fixative

Ensure the discharge is smeared onto the labeled side of the slides

If no secretion appears at the nipple with gentle compression, do not manipulate further

If only a small amount of discharge is present prepare a single air dried smear

Specimen Collection:

1. Gently express a small drop of the discharge material allowing a “pea sized” drop of fluid to collect upon the nipple tip.

2. Smear the discharge onto the central portion of the first glass slide.

3. Place the second slide on top of the first one and gently separate to produce an even spread of the material across both slides. Care should be exercised not to press too hard in order to prevent crushing of the cells. The material should occupy the central portion of the slide.

4. After the two slides are separated, immediately place the second slide into a container of Cytology fixative (95% ethyl alcohol). Time is of the essence. The smearing of the material across the slide and the dropping of the slide into the liquid fixative, or spray fixing the slide, should be accomplished in one motion.

5. Allow the first slide to air dry and place into the slide carrier/mailer

6. Pack the slide mailer, fixative vial, pencil and a pathology request form back into the kit and return to Cytology.

Supplies Required:

A procedure kit can be obtained from Cytology (9485 9333) which contains; Frosted end slides, Cytology Fixative (95% ethyl alcohol) in plastic vial, slide carrier/mailer, specimen bag and pencil

Important Notes:

Label 2 glass slides on the frosted end with patient  name, UR and date of birth. Please ensure slides are labeled in Pencil as ink will be dissolved by the alcoholic fixative

Ensure the discharge is smeared onto the labeled side of the slides

If no secretion appears at the nipple with gentle compression, do not manipulate further

If only a small amount of discharge is present prepare a single air dried smear

Specimen Collection:

1. Gently express a small drop of the discharge material allowing a “pea sized” drop of fluid to collect upon the nipple tip.

2. Smear the discharge onto the central portion of the first glass slide.

3. Place the second slide on top of the first one and gently separate to produce an even spread of the material across both slides. Care should be exercised not to press too hard in order to prevent crushing of the cells. The material should occupy the central portion of the slide.

4. After the two slides are separated, immediately place the second slide into a container of Cytology fixative (95% ethyl alcohol). Time is of the essence. The smearing of the material across the slide and the dropping of the slide into the liquid fixative, or spray fixing the slide, should be accomplished in one motion.

5. Allow the first slide to air dry and place into the slide carrier/mailer

6. Pack the slide mailer, fixative vial, pencil and a pathology request form back into the kit and return to Cytology.

External Laboratory

The Alfred Pathology Service (APS)

External Transport Instructions

Send at ambient temperature

Registration Instructions

NT-proBNP is only MBS-rebatable for the diagnosis of heart failure in patients presenting with dyspnoea to a hospital Emergency Department.

If "BNP" is requested, register and collect for "NT-proBNP" (available in-house) (test code: BNP).

Note, as this test is not covered by Medicare unless the patient has presented to ED , non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $55.

NT-proBNP is only MBS-rebatable for the diagnosis of heart failure in patients presenting with dyspnoea to a hospital Emergency Department.

If "BNP" is requested, register and collect for "NT-proBNP" (available in-house) (test code: BNP).

Note, as this test is not covered by Medicare unless the patient has presented to ED , non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

Registration Instructions

NT-proBNP is only MBS-rebatable for the diagnosis of heart failure in patients presenting with dyspnoea to a hospital Emergency Department.

If "BNP" is requested, register and collect for "NT-proBNP" (available in-house) (test code: BNP).

NT-proBNP is only MBS-rebatable for the diagnosis of heart failure in patients presenting with dyspnoea to a hospital Emergency Department.

If "BNP" is requested, register and collect for "NT-proBNP" (available in-house) (test code: BNP).

Note, as this test is not covered by Medicare unless the patient has presented to ED , non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $55.

Registration Instructions

Register "Oestradiol (LC-MS) (Test Code: MON)" for females under 18 years of age, and all males. Transport at 4⁰C

Register "Oestradiol (Test Code: OES)" for females aged 18 years and over.

Register "Oestradiol (LC-MS) (Test Code: LCO)" for females under 18 years of age, and all males. Transport at 4⁰C

Register "Oestradiol (Test Code: OES)" for females aged 18 years and over.

Registration Instructions

Register "Oestradiol (LC-MS) (Test Code: MON)" for females under 18 years of age, and all males.

Register "Oestradiol (Test Code: OES)" for females aged 18 years and over.

Register "Oestradiol (LC-MS) (Test Code: LCO)" for females under 18 years of age, and all males.

Register "Oestradiol (Test Code: OES)" for females aged 18 years and over.

Preferred Specimen Type

Blood

Blood gas syringe

Collection & Request Instructions

All samples must be received by the laboratory within 30 minutes post collection (at room temperature) or 1 hour if transported on an ice slurry.

The sample must be delivered to the laboratory in person.

Must be collected via arterial collection, venous gas not accepted.  

All samples must be received by the laboratory within 30 minutes post collection (at room temperature) or 1 hour if transported on an ice slurry.

The sample must be delivered to the laboratory in person.

External Transport Instructions

Send at 4'C with Ice Pack

Alternative names

Platelet function test, PFA

Platelet function test, PFA, platelet function screen

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. 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). Outside of these days, please discuss with Laboratory Haematology 8405 8369.

Collection & Request Instructions

Patients should be provided with the patient information sheet.

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.

Registration Instructions

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

This test can only be collected and performed on Tuesdays and Thursdays. 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. Outside of these days, please discuss with Laboratory Haematology 8405 8369.

External Laboratory

Victorian Clinical Genetics Service

Royal Women's Hospital Laboratory Services

External Transport Instructions

External Laboratory Contact: 

Dr Jan Pyman    Telephone: 9345 2567

Address to: Dr Jan Pyman, Anatomical Pathology, Royal Woman’s Hospital, 5^th Floor, cnr Flemmington Rd & Grattan Street, Parkville, VIC 3052

External Laboratory

Royal Women's Hospital Laboratory Services

Victorian Clinical Genetics Service

Volume (Adults)

10 mL

20 mL

Preferred Container Type

EDTA 4 mL

EDTA 10 mL

Collection & Request Instructions

Need 9mL of Blood or 1-2mL of Bone Marrow (EDTA).

Specimens must be kept at room temperature and must be less than 24hours old - DO NOT FREEZE. Samples must be received in RPAH lab within 48 hours of collection.

Specimens should be collected on alternate Tuesdays, to be sent to the RPAH lab on the next day Wednesday interstate courier. Liase with the Haematology Registrar before collecting.

Need 2x 9mL of Blood or 1-2mL of Bone Marrow (EDTA).

Specimens must be kept at room temperature and must be less than 24hours old - DO NOT FREEZE. Samples must be received in RPAH lab within 48 hours of collection.

Specimens should be collected on alternate Tuesdays, to be sent to the RPAH lab on the next day Wednesday interstate courier. Liase with the Haematology Registrar before collecting.

Lab reg to email diagnostic report (including PML::RARA breakpoint) and date to SLHD-RPAMolecularHaematology@health.nsw.gov.au

Assay name

PML-RAR Transcription (Sendaway Test)

AML1-ETO Gene Fusion (Sendaway Test)

Alternative names

t(8;21), RUNX1::RUNX1T1

Collection & Request Instructions

Need 9mL of Blood or 1-2mL of Bone Marrow (EDTA).

Specimens must be kept at room temperature and must be less than 24hours old - DO NOT FREEZE. Samples must be received in RPAH lab within 48 hours of collection.

Specimens should be collected on alternate Tuesdays, to be sent to the RPAH lab on the next day Wednesday interstate courier. Liase with the Haematology Registrar before collecting.

Need 9mL of Blood or 1-2mL of Bone Marrow (EDTA).

Specimens must be kept at room temperature and must be less than 24hours old - DO NOT FREEZE. Samples must be received in RPAH lab within 48 hours of collection.

Specimens should be collected on alternate Tuesdays, to be sent to the RPAH lab on the next day Wednesday interstate courier. Liase with the Haematology Registrar before collecting.

External Transport Instructions

Send at ambient temperature

Assay name

PML-RAR Transcription (Sendaway Test)

Inversion 16 Gene Analysis (Sendaway Test)

Alternative names

CBFB::MYH11

MBS rebatable

No

Yes

Collection & Request Instructions

Need 9mL of Blood or 1-2mL of Bone Marrow (EDTA).

Specimens must be kept at room temperature and must be less than 24hours old - DO NOT FREEZE. Samples must be received in RPAH lab within 48 hours of collection.

Specimens should be collected on alternate Tuesdays, to be sent to the RPAH lab on the next day Wednesday interstate courier. Liase with the Haematology Registrar before collecting.

Need 9mL of Blood or 1-2mL of Bone Marrow (EDTA).

Specimens must be kept at room temperature and must be less than 24hours old - DO NOT FREEZE. Samples must be received in RPAH lab within 48 hours of collection.

Specimens should be collected on alternate Tuesdays, to be sent to the RPAH lab on the next day Wednesday interstate courier. Liase with the Haematology Registrar before collecting.

Request Group

PML

RPA

Collection & Request Instructions

Need 10mL of Blood or 3mL of Bone Marrow.

Specimens must be kept at room temperature and must be less than 24hours old.

Specimens should be sent to the Haematology Laboratory on Mondays to Thursdays between 0900-1730 hrs. Outside these hours liase with the Haemtology Registrar  before collecting.

Need 9mL of Blood or 1-2mL of Bone Marrow (EDTA).

Specimens must be kept at room temperature and must be less than 24hours old - DO NOT FREEZE. Samples must be received in RPAH lab within 48 hours of collection.

Specimens should be collected on alternate Tuesdays, to be sent to the RPAH lab on the next day Wednesday interstate courier. Liase with the Haematology Registrar before collecting.

External Laboratory

Peter MacCallum Cancer Centre (PMCC)

Sydney South West Path (SSWPS) - RPA

External Transport Instructions

Molecular Haematology Laboratory
Level 6, Building 77
Royal Prince Alfred Hospital
Missenden Rd,
Camperdown NSW 2050

Collection & Request Instructions

Pre and Post vaccination sera required. Send second serum approximately 6 weeks post vaccination.

The pre serum will be stored for a maximum of 6 months awaiting the post serum.

Instruct patients to return to the same collection centre so that specimen matching can occur.

Serum from splenectomy patients will be sent on receipt. Indicate clearly on the request slip.

PLEASE NOTE :  Samples for this test cannot be dispatched to the referral laboratory until Pathologist approval has been obtained.

Pre and Post vaccination sera required. Send second serum approximately 6 weeks post vaccination.

The pre serum will be stored for a maximum of 6 months awaiting the post serum.

Instruct patients to return to the same collection centre so that specimen matching can occur.

Serum from splenectomy patients will be sent on receipt. Indicate clearly on the request slip.

Registration Instructions

Retrospective testing 7 days

Collection & Request Instructions

Tissue samples should be sent in viral transport medium.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $142.

Tissue samples should be sent in viral transport medium.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    

Collection & Request Instructions

Tissue samples should be sent in viral transport medium.

Tissue samples should be sent in viral transport medium.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $142.

Registration Instructions

MUST have Lab Haematologist approval before sending out

External Laboratory

Monash Pathology

PathWest - Fiona Stanley Hospital

Preferred Specimen Type

Blood

Blood
Cerebrospinal Fluid

Preferred Container Type

EDTA 4 mL

EDTA 4 mL
CSF tube

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

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $66.

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.  

Registration Instructions

This test is not MBS rebatable. Cost $40.40

Patient Consent Form:

/downloads/haem/CHWPatient-Consent-for-Non-Rebateable-Test-Form.pdf

Collection & Request Instructions

Note, as this test is not covered by Medicare, non-Northern Health patients will be responsible for the cost incurred, and patient consent must be obtained.    As at July 2023, this fee is $66.

Laboratory

Haematology

Genetics

Transport Instructions between sites and/or laboratories

Room temperature

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

Room temperature

Requsts for Northern Health patients must be approved by the Director of Pathology prior to sending

Minimum/Paediatric Volume

1 mL

0.3 mL

External Transport Instructions

Send at 4'C with Ice Pack

Minimum/Paediatric Volume

0.2 mL

Alternative names

Thalassaemia screen, Hb electrophoresis, Hb F, Hb H, HbA2, Foetal Haemoglobin, Antenatal Thalassaemia screen, Thalassaemia DNA testing

Thalassaemia screen, Hb electrophoresis, Hb F, Hb H, HbA2, Foetal Haemoglobin, Antenatal Thalassaemia screen, Thalassaemia DNA testing, HbEPG

Request Group

TME

TME, FBE

Preferred Container Type

EDTA 6 mL

EDTA 6ml and EDTA 4ml

Processing Instructions

Aliquot

Aliquot
Centrifuge

External Transport Instructions

Send at ambient temperature

Send at 4'C with Ice Pack