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A requisition
must accompany all samples.
|
|
1. Patient
information:
|
|
- Legal full name
|
|
- Sex
|
|
- Date of Birth
|
|
- Social Security Number (required for solid organ transplant recipients)
|
|
- Medical Record Number
|
|
- ICD-9 Code
|
|
- Patient registration or bulk account number
|
|
2. Date and time
of sample collection
|
|
3. Specimen source
(i.e., peripheral blood, bone marrow, etc.)
|
|
4. Name and
phone number of requesting physician
|
|
5. Test or
testing protocol requested
|
|
6. Address to
which written laboratory report should be sent
|
|
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|
Infectious Disease Serology
|
The laboratory facilitates
sendout infectious disease testing for Bone Marrow Transplant patients
only.
|
|
Testing
includes: Hepatitis B (HBsAg & HBcAb), Hepatitis C (HCV Ab), HIV-1/HCV
NAT, WNV NAT, HIV 1/2 Ab, CMV Ab(Total), HTLV I/ II Ab, T.cruzi Ab, and
RPR.
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