6/6/2016 pg. 1 of 24

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1 Last Reviewed: (Updated ) By: Dr. Heidi Budke LTR29828 (BVH and ACC shared reference ranges) Hematology Reference Ranges: WBC LH750 AND 0-1 Day DXH Days Days - 1 Month Month - 6 Months Months-2 Years Years Years Male > or = 18 Years Female > or = 18 Years x10 3 / ul < 2.0 and >50.0 RBC LH750 AND 0-1 Day DXH Days Days - 1 Month Month - 6 Months Months-2 Years x10 6 / ul 2-6 Years Years Male > or = 18 Years Female > or = 18 Years Hemoglobin (Hgb) LH750 AND 0-1 Day DXH Days Days - 1 Month Months Months Months-2 Years Years Years Male Years Female Years Male 18 Years and Older Female 18 Years and Older g/dl g/dl g/dl < 9.5 and >22.5 < 6.9 and > 20.8 < 6.6 and > 19.9 Hematocrit (Hct) LH750 AND 0-3 Days DXH800 4 Days - 1 Month Months Months Months-2 Years Years % 6-12 Years Male Years Female Years Male 18 Years and Older Female 18 Years and Older /6/2016 pg. 1 of 24

2 Hematology Reference Ranges: (cont.) MCH LH750 AND 0-1 Day DXH Days Days - 1 Month Months Months-2 Years Years Years Male > or = 18 Years Female > or = 18 Years pg MCHC LH750 AND 0-3 Days DXH800 4 Days - 1 Month Months Months Months-2 Years Years g/dl 6-12 Years Male Years Female Years Male 18 Years and Older Female 18 Years and Older MCV LH750 AND 0-3 Days DXH800 4 Days - 1 Month Months Month Months-2 Years Years fl 6-12 Years Male Years Female Years Male 18 Years and Older Female 18 Years and Older Platelet Count LH750 AND 0-3 Days DXH800 4 Days- 1 Month Months Months Months-2 Years Years x10 3 / ul < 50 > Years Male Years Female Years Male > or = 18 Years Female > or = 18 Years RDW-CV LH750 AND 0-6 months DXH800 > 6 months /6/2016 pg. 2 of 24

3 Hematology Reference Ranges: (cont.) Test Method Sex Criteria Reference Range Units % Critical Range Automated Differential LH750 AND Male NEUT% see below DXH800 LYMPH% see below MONO% EOS% BASO% Female NEUT% LYMPH% MONO% EOS% BASO% Total Leukocytes 0 Day Day Week Week Month Month Year Year Year Year Year Year Year Year Neutrophil Criteria x 10 3 /ul 0 Day Hour Week Week Month Month Year Year Year Year Year Year Year Year Lymphocyte Criteria x 10 3 /ul 0 Day Hour Week Week Month Month Year Year Year Year Year Year Year Year % x 10 3 /ul % 68 ( ) 61 ( ) 45 (36-54) 40 (32-48) 35 (28-42) 32 ( ) 31 ( ) 33 ( ) 42 ( ) 51 ( ) 53 ( ) 54 ( ) 57 ( ) 59 ( ) % 24 ( ) 31 ( ) 41 ( ) 48 ( ) 56 ( ) 61 ( ) 61 ( ) 59 ( ) 50 (40-60) 42 ( ) 39 ( ) 38 ( ) 35 (28-42) 34 ( ) 6/6/2016 pg. 3 of 24

4 Hematology Reference Ranges: (cont.) Monocyte Criteria Mean 0 Day Hour Week Week 1 1 Month Month Year Year Year Year Year Year Year Year 0.3 x 10 3 /ul Absolute Neutrophil NEUT# <15 years < 0.5 Automated Retic LH750 AND 0-1 Day DXH Days Days - 6 Months Months - 2 Years Years Years % Male Years Female Years Male > or = 18 Years Female > or = 18 Years ESR Sedimat Male < 50 years 0-20 > 50 years 0-23 Female < 50 years 0-23 mm > 50 years 0-30 Monospot Manual Negative Bloodborn Parasite Screen Manual No parasites seen. Any parasites seen. Semen Analysis, Post Vas Manual Male No sperm seen. 6/6/2016 pg. 4 of 24

5 Coagulation Reference Ranges: BCS and XP Analyzers: Protime (PT) BCS/XP Mean = sec PTT BCS/XP sec > 100 Fibrinogen BCS/XP mg/dl < 75 Anti-Faxtor Xa BCS/XP at 4 hr Post LMWH Dose IU/mL for twice daily dose D-Dimer BCS XP <0.5 Considered Negative for VTE mg/l FEU 0.5 Requires further clinical evalutation. Platelet Function Analysis PFA COL/EPI sec COL/ADP sec 6/6/2016 pg. 5 of 24

6 Last Reviewed: (Revised ) (BVH and ACC shared reernce ranges) Chemistry Reference Ranges: DXC 600 Reference Ranges: Acetaminophen DXC 600 Therapeutic ug/ml > 150 Hepatotoxic 4 hrs Post Ingestion > 150 ug/ml 8 hrs Post Ingestion > 75 ug/ml 12 hrs Post Ingestion > 40 ug/ml A/G Ratio Calculation Albumin BCG DXC Day - 30 Days gm/dl 1 Month - 5 Months gm/dl 6 Months - 1Year gm/dl 2+ Years gm/dl Alcohol (ETOH) DXC 600 <0.005 (none detected) gm/dl > Alkaline Phosphatase DXC 600 Both 0-4 Years IU/L Both 5 Years - 9 Years IU/L Both 10 Years - 13 Years IU/L Male 14 Years - 18 Years IU/L Female 14 Years - 18 Years IU/L Both 19+ Years IU/L ALT (SGPT) DXC 600 Male IU/L Female IU/L Ammonia DXC umol/l > 100 Amylase DXC U/L Anion Gap DXC mmol/l AST (SGOT) DXC Years - 4 Years IU/L 5 Years - 9 Years 5-50 IU/L 10+ Years IU/L Beta Hydroxybutyrate DXC mmol/l BUN DXC mg/dl > 100 BUN/Creatinine Ratio Calculation Ratio Calcium DXC days mg/dl < 5.8, > 13.3 > 2 days mg/dl < 6.3, > 13.3 Cardiac Risk Factor Calculation Male 1/2 Average 3.43 Average X Average X Average Female 1/2 Average 3.27 Average X Average X Average /6/2016 pg. 6 of 24

7 Chemistry Reference Ranges: DXC 600 Reference Ranges: (cont.) Chloride DXC mmol/l Cholesterol DXC Years desirable mg/dl borderline high mg/dl >200 high mg/dl 18+ Years desirable mg/dl borderline high mg/dl >239 high mg/dl CO2 (Carbon Dioxide) DXC mmol/l < 10, > 40 CPK DXC 600 Male IU/L Female IU/L Creatinine DXC 600 Male mg/dl > 7.0 Female mg/dl CRP (Ultra Sensitive) DXC mg/dl > 12.0 (Male or Female) if patient location is DIA Digoxin DXC ng/ml > 2.4 Dilantin DXC ug/ml > 30 Direct Bilirubin DXC mg/dl Gentamicin DXC 600 Peak 5-10 ug/ml > 10 Trough < 2 ug/ml GGT DXC IU/L Glomerular Filtration Rate Calculation > or = 60 ml/min./ Normal or Mildly Decreased GFR 1.73 M² Moderate decrease in GFR Severe decrease in GFR < 15 Kidney failure or Dialysis Chronic kidney disease is defined as either kidney damage or GFR < 60 ml/min/1.73 m2 for > or = 3 months. Kidney damage is defined as pathologic abnormalities or markers of damage including abnormalities in blood or urine tests or imaging studies. This GFR is NOT used for medication dosing. Glucose DXC days mg/dl < 40, > days mg/dl < 40, > days - 1 year mg/dl < 40, > year mg/dl < 50, > 400 HDL (Direct) DXC Years - 17 Years < 40 low mg/dl borderline low > = 60 normal 18+ Years mg/dl 6/6/2016 pg. 7 of 24

8 Chemistry Reference Ranges: DXC 600 Reference Ranges: (cont.) Homocysteine DXC umol/l IgA DXC years mg/dl 6+ years mg/dl IgG DXC years mg/dl 6+ years mg/dl IgM DXC mg/dl Indirect Bilirubin Calculation mg/dl Ionized Calcium AVL day mmol/l 1-2 days mmol/l 3+ days mmil/l Iron DXC 600 Both 0-1 Month ug/dl Male 2+ Months ug/dl Female 2+ Months ug/dl TIBC Calculation ug/dl % Saturation Fe Calculation > 16 % Lactic Acid DXC mmol/l > 5.0 LDH DXC IU/L LDL (Calculated and Direct) Calculation 0-17 years desirable mg/dl borderline high mg/dl > = 130 high mg/dl 18 + years 0-99 optimal mg/dl near optimal mg/dl borderline high mg/dl high mg/dl > = 190 very high mg/dl Lithium AVL meq/l > 2.0 Magnesium DXC mg/dl < 1.5, > 2.6 Osmolality Osmometer mosm/kg Phenobarbital DXC ug/ml > 60 Phosphorus DXC Days mg/dl < Days - 2 Years mg/dl 3 Years - 9 Years mg/dl 10 Years - 15 Years mg/dl 16+ Years mg/dl Potassium DXC Days mmol/l < 2.5, > Days - 1 Year mmol/l < 2.5, > Years mmol/l < 2.5, > 6.0 6/6/2016 pg. 8 of 24

9 Chemistry Reference Ranges: DXC 600 Reference Ranges: (cont.) Prealbumin DXC mg/dl mg/dl Indicates moderate protein calorie malnutrition < 10 mg/dl Indicates serious malnourishment. Salicylate DXC mg/dl > 40 Sodium DXC Year mmol/l < 120, > Years Tegretol DXC ug/ml > 20 Theophyline DXC 600 < 8 mos Neonatal Apnea 6-13 ug/ml > 20 < 8 mos Bronchodilator ug/ml > 20 > 8 months 8-20 ug/ml > 25 Tobramycin DXC 600 Peak 5-10 ug/ml > 10 Trough < 2 ug/ml Total Bilirubin DXC Day mg/dl > Days mg/dl 3-5 Days mg/dl > 15.0 > 5 Days mg/dl Total Protein DXC Day - 1 Month gm/dl 2 Month - 6 Months gm/dl 7 Months - 1 Year gm/dl Both 2+ Years gm/dl Transferrin DXC 600 Male mg/dl Female mg/dl Triglycerides DXC Years 0-89 normal mg/dl borderline high mg/dl > = 130 high mg/dl 18+ Years normal mg/dl borderline high mg/dl high mg/dl > 499 very high mg/dl Uric Acid DXC 600 Both 0-11 Years mg/dl Male 12 Years - 19 Years mg/dl Female 12 Years - 19 Years mg/dl Male 20+ Years mg/dl Female 20+ Years mg/dl Valproic Acid DXC ug/ml > 150 Vancomycin DXC 600 Peak ug/ml > 40 Trough ug/ml VLDL Calculation 8-39 mg/dl Chemistry Cerbrospinal Fluid Tests CSF Glucose DXC mg/dl < 25 CSF Micro Total Protein DXC mg/dl CSF Xanthochromia Visual Clear Xanthochromic 6/6/2016 pg. 9 of 24

10 Chemistry Urine Tests: Urine Amy (2 hr Collection) DXC U/2hr Amy/Creat Clearance Ratio DXC % Urine BUN (UUN) (24 Hr) DXC gm/24hr Urine Calcium (24 Hr) DXC mg/24hr Urine Chloride (24 Hr) DXC meq/24hr Urine Creatinine (24 Hr) DXC 600 Male mg/24hr Female mg/24hr Creatinine Clearance (24 Hr) DXC 600 Male ml/min Female ml/min Urine Glucose (Random) DXC mg/dl Urine Magnesium (24 Hr) DXC mg/24hr Urine Microalbumin DXC 600 Random MicroAlb/Creat Ratio 0-19 mg/g mg/g is indicative of Microalbuminuria > 300 mg/g is indicative of Clinical Albuminuria Total 24 hr Urine Microalbumin 0-14 mg/24hr mg/24hr is indicative of Microalbuminuria > 300 mg/24hr is indicative of Clinical Albuminuria 24 hr Microalbumin Rate 0-9 ug/min ug/min is indicative of Microalbuminuria > 200 ug/min is indicative of Clinical Albuminuria Urine Osmolality, Random Osmometer mosm/kg Urine Phosphorus DXC gm/24hr Urine Potassium DXC meq/24hr Urine Sodium DXC meq/24hr Urine Total Protein DXC 600 Male mg/24hr Female mg/24hr Random < 10 mg/dl Urine Uric Acid DXC gm/24hr Chemistry Urine Drug Screening Tests: Amphetamines (AMPH) DXC 600 Negative = < 1000 ng/ml Barbiturates (BARB) DXC 600 Negative = < 200 ng/ml Benzodiazepine (BENZ) DXC 600 Negative = < 200 ng/ml Cocaine Metabolites (COCM) DXC 600 Negative = < 300 ng/ml Methadone (METD) DXC 600 Negative = < 300 ng/ml Methaqualone (METQ) DXC 600 Negative = < 300 ng/ml Opiate (OP) DXC 600 Negative = < 300 ng/ml Phencyclidine (PCP) DXC 600 Negative = < 25 ng/ml Propoxyphene (PROX) DXC 600 Negative = < 300 ng/ml Cannabinoid (TCH50) DXC 600 Negative = <50 ng/ml Urine Alcohol DXC 600 Negative - < gm/dl 6/6/2016 pg. 10 of 24

11 Chemistry Reference Ranges: (cont.) Glucose Tolerance Test (75 grams of Glucola) Fasting Glucose DXC mg/dl < 50, > 400 1/2 Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > 400 Glucose Challenge Test (75 grams Glucola) Fasting Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > 400 Gestational Diabetes Tolerance Test (100 grams Glucola) Fasting Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > 400 Gestational Diabetes Screen Test (50 grams Glucola) 1 Hour Glucose DXC mg/dl < 50, > Hour Post-Prandial Glucose Test: 2 Hour Glucose DXC mg/dl < 50, > p.m. Glucose Test: Glucose DXC mg/dl < 50, > 400 6/6/2016 pg. 11 of 24

12 Beckman Access 2 / DXI : Beta HCG Access/DxI Female Negative for pregnancy miu/ml Indeterminate-Suggest repeat testing in 72 hours miu/ml Positive for pregnancy > 25.0 miu/ml BNP Access/DxI pg/ml CA 15-3 Access/DxI U/mL CA 125 Access/DxI 0-35 U/mL CEA Access/DxI Smokers < 5.0 ng/ml Non-Smokers < 3.0 ng/ml Cortisol Access/DxI AM ug/dl PM < 10 ug/dl Estradiol Access/DxI Male < pg/ml Female Mid-folicular phase pg/ml periovulatory pg/ml mid-luteal phase pg/ml Post-Menopausal < pg/ml Ferritin Access/DxI Male ng/ml Female ng/ml Folate Access/DxI 5.9 ng/ml Free T3 Access/DxI pg/ml hfsh Access/DxI Male miu/ml HybriTech % Free PSA Access/DxI Female mid-folicular phase miu/ml mid-cycle peak miu/ml mid-luteal phase miu/ml Post-menopausal miu/ml ( DRE NEGATIVE) 56% 0-10 % (if Total PSA is ) 28% % 20% % 16% % 8% > 25 % HybriTech PSA (total) Access/DxI ng/ml IgE Access/DxI IU/mL Insulin Access/DxI uiu/ml hlh Access/DxI Male miu/ml Female mid-folicular phase miu/ml mid-cycle peak miu/ml mid-luteal phase miu/ml Post-menopausal miu/ml Myoglobin Access/DxI Male ng/ml Female ng/ml Progesterone Access/DxI Male ng/ml Female Non-Pregnant: mid-folicular phase ng/ml mid-luteal phase ng/ml Pregnant: first trimester ng/ml second trimester ng/ml Post-menopausal < ng/ml (not on hormone therapy) Probability of Cancer 6/6/2016 pg. 12 of 24

13 Beckman Access 2 / DXI : (cont.) Prolactin Access/DxI Male ng/ml Female Premenopausal ng/ml Postmenopausal ng/ml PTH, Intact Access/DxI pg/ml Rubella Access/DxI Negative (non-reactive < 10 IU/mL Equivocal IU/mL Positive (reactive) > IU/mL Testosterone (serum only) Access/DxI Male ng/ml Female ng/ml T3 Uptake Access/DxI % Total T3 Access/DxI 0 Day - 30 Days ng/ml 1 Month - 1 Year ng/ml 2 Years - 5 Years ng/ml 6 Years - 10 Years ng/ml 11+ Years ng/ml Free T4 Access/DxI 0 Day - 10 Years ng/dl Years ng/dl 19+ Years ng/dl <=0.30 or >=3.00 Total T4 Access/DxI 0 Day - 7 Days ug/dl < 7 or > 23 8 Days - 2 Years ug/dl < 5 or > 23 T7 Calculation Years ug/dl < 3 or > 16 TSH Access/DxI 0-2 Days uiu/ml 3 Days - 4 Days uiu/ml 5 Days - 13 Days uiu/ml 2 Weeks - 1 Month uiu/ml 2 Months - 5 Months uiu/ml 6 Months - 2 Years uiu/ml 3+ Years uiu/ml Vitamin B12 Access/DxI pg/ml Troponin Access/DxI <0.03 ng/ml 0.04 Tosoh G7 HbA1c (in % units) Tosoh G % A1c Hepatitis Testing: Hepatitis B Surface Antigen Ortho ECiQ Negative Positive Hepatitis B Surface Antibody Ortho ECiQ Negative HBsAb Quantitative Ortho ECiQ < Negative = Indeterminate > = Positive Hep B Core IgM Ortho ECiQ Negative Positive Hepatitis A IgM Ortho ECiQ Negative Positive Hepatitis C Virus Ortho ECiQ Negative Positive 6/6/2016 pg. 13 of 24

14 Electrophoresis: Serum Protein Electrophoresis Sebia Total Protein gm/dl Albumin gm/dl Alpha gm/dl Alpha gm/dl Beta gm/dl Gamma gm/dl A/G Ratio Urine Protein Electrophoresis Sebia No Monoclonal Protein Serum Immuno Electrophoresis Sebia No Monoclonal Protein Urine Immuno Electrophoresis Sebia No Monoclonal Protein Lead ESA 0-15 years < 10 ug/dl > or = years ug/dl > or = 45 6/6/2016 pg. 14 of 24

15 Last Reviewed: 1/15/2014 Reviewed. No changes required. H Budke, M.D. Hematology Tests with Critical Ranges: WBC LH750 AND DXH Day Days Days - 1 month month - 6 months months - 2 years years years Male > or = 18 years Female > or = 18 years x10 3 / ul < 2.0 and >50.0 Hemoglobin (Hgb) Platelet Count LH750 AND DXH Day Days Days - 1 month months months months - 2 years years years Male years years and older Female years years and older LH750 AND DXH x10 3 / ul < 50 and > 400 g/dl g/dl g/dl < 9.5 and > 22.5 < 6.9 and > 20.8 < 6.6 and > 19.9 Absolute Neutrophil NEUT# <15 years < 0.5 Bloodborn Parasite Screen Manual No parasites seen. Any parasites seen. BCS and XP Analyzers: INR BCS/XP > 5.0 PTT BCS/XP Mean = sec > 100 Fibrinogen BCS/XP Mean = mg/dl < 75 Page 15 of 24

16 Chemistry Tests with Critical Ranges: DXC 600 Reference Ranges: Blanchard Valley Hospital Laboratory Acetaminophen DXC 600 Therapeutic ug/ml > 150 Hepatotoxic 4 hrs Post Ingestion > hrs Post Ingestion > hrs Post Ingestion > 40 Alcohol (ETOH) DXC 600 <0.005 (none detected) gm/dl > Ammonia DXC umol/l > 100 BUN DXC mg/dl > 100 Calcium DXC days mg/dl < 5.8, > 13.3 > 2 days < 6.3, > 13.3 CO2 (Carbon Dioxide) DXC mmol/l < 10, > 40 Creatinine DXC 600 Male mg/dl > 7.0 Female > 12.0 (Male or Female) if patient location is DIA Digoxin DXC ng/ml > 2.4 Dilantin DXC ug/ml > 30 Gentamicin DXC 600 Peak 5-10 ug/ml > 10 Trough < 2 Glucose DXC days mg/dl < 40, > days < 40, > days - 1 year < 40, > 250 > 1 year < 50, > 400 Lactic Acid DXC mmol/l > 5.0 Lead ESA 0-15 years ug/dl > or = 20 > = 16 years > or = 45 Lithium AVL meq/l > 2.0 Magnesium DXC mg/dl < 1.5, > 2.6 Phenobarbital DXC ug/ml > 60 Phosphorus DXC mg/dl < 1.0 Potassium DXC Days mmol/l < 2.5, > Days - 1 year < 2.5, > years or greater < 2.5, > 6.0 Salicylate DXC mg/dl > 40 Sodium DXC mmol/l < 120, > 160 Tegretol DXC ug/ml > 20 Theophyline DXC 600 < 8 mos Neonatal Apnea 6-13 ug/ml > 20 < 8 mos Bronchodilator > 8 months > > 25 Tobramycin DXC 600 Peak 5-10 ug/ml > 10 Trough < 2 Total Bilirubin DXC day mg/dl > days > days > 15.0 > 5 days > 15.0 Valproic Acid DXC ug/ml > 150 Vancomycin DXC 600 Peak ug/ml > 40 Trough Page 16 of 24

17 Chemistry Tests with Critical Ranges: (cont.) Chemistry Cerbrospinal Fluid Tests CSF Glucose DXC mg/dl < 25 CSF Xanthochromia Visual Clear Xanthochromic Glucose Tolerance Test (75 grams of Glucola) Fasting Glucose DXC mg/dl < 50, > 400 1/2 Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > 400 Glucose Challenge Test (75 grams Glucola) Fasting Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > 400 Gestational Diabetes Tolerance Test (100 grams Glucola) Fasting Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > Hour Glucose DXC mg/dl < 50, > 400 Gestational Diabetes Screen Test (50 grams Glucola) 1 Hour Glucose DXC mg/dl < 50, > Hour Post-Prandial Glucose Test: 2 Hour Glucose DXC mg/dl < 50, > p.m. Glucose Test: Glucose DXC mg/dl < 50, > 400 Beckman Access 2 / DXI: Total T4 Access/DxI 1 Day - 7 Days ug/dl < 7 or > 23 8 Days - 2 years ug/dl < 5 or > 23 3 years or greater ug/dl < 3 or > 16 Free T4 Access/DxI ng/dl <=0.30 or >=3.00 Troponin Access/DxI < 0.03 ng/ml 0.04 Page 17 of 24

18 Bluffton Community Hospital Laboratory 139 Garau Street Bluffton, Ohio Last Reviewed: Chemistry Reference Ranges: Albumin BCG Vitros gm/dl Alcohol (ETOH) Vitros 350 <0.010 (none detected) gm/dl > Alkaline Phosphatase Vitros U/L ALT (SGPT) Vitros U/L Amylase Vitros U/L Anion Gap Vitros AST (SGOT) Vitros U/L Beta HCG Access Female Negative for pregnancy miu/ml Indeterminate-Suggest repeat testing in 72 hours miu/ml Positive for pregnancy > 25.0 miu/ml BNP Access pg/ml BUN Vitros mg/dl > 100 Calcium Vitros mg/dl < 5.8, > 13.3 Chloride Vitros mmol/l Cholesterol Vitros 350 < 200 mg/dl < 200 low risk borderline risk > 240 high risk CO2 (Carbon Dioxide) Vitros mmol/l < 10, > 40 Creatine Kinase (CK) Vitros U/L Creatinine Vitros mg/dl > 7.0 Digoxin Vitros ng/ml > 2.4 Direct Bilirubin Vitros Days mg/dl 15 Days and older mg/dl Dilantin Vitros Ug/mL > 30 GGT Vitros U/L Glucose Vitros mg/dl < 50, > 400 HDL (Direct) Vitros 350 Male mg/dl Female Iron Vitros ug/dl LDH Vitros U/L LDL Calculaiton 0-20 years > 20 years Lipase Vitros U/L Magnesium Vitros mg/dl < 1.6, > 2.7 Phosphorus Vitros mg/dl < 1.0 Potassium Vitros mmol/l < 2.5, > 6.5 Sodium Vitros mmol/l < 120, > 160 Total Bilirubin Vitros day mg/dl > days > 15 Greater than 5 Days > 15 Total Protein Vitros gm/dl Triglycerides Vitros mg/dl borderline high high very high > 500 Troponin-I Access < 0.03 ng/ml 0.04 Uric Acid Vitros mg/dl Chemistry Cerbrospinal Fluid Tests: CSF Glucose Vitros mg/dl < 25 CSF Micro Total Protein Vitros mg/dl CSF Xanthochromia Manual Clear Xanthochromic 6/6/2016 pg. 18 of 24

19 Bluffton Community Hospital Laboratory 139 Garau Street Bluffton, Ohio Chemistry Urine Tests: Urine Amylase Vitros 350 U/L Urine BUN (UUN) Vitros Hour gm/24hr Urine Calcium Vitros 350 High mg/24hr Urine Creatinine Vitros 350 Male 24 Hour mg/24hr Female 24 Hour Creatinine Clearance Vitros 350 Male ml/min Female Urine Glucose Vitros Hour gm/24hr Urine Magnesium Vitros Hour mg/24hr Urine Phosphorus Vitros Hour gm/24hr Urine Potassium Vitros Hour meq/24hr Urine Sodium Vitros Hour meq/24hr Urine Total Protein Vitros hour mg/24hr Chemistry Urine Drug Screening Tests: Amphetamines (AMPH) Triage/Man Negative = < 1000 ng/ml Barbiturates (BARB) Triage/Man Negative = < 300 ng/ml Benzodiazepine (BENZ) Triage/Man Negative = < 300 ng/ml Cocaine Metabolite (COCM) Triage/Man Negative = < 300 ng/ml Opiate (OP) Triage/Man Negative = < 300 ng/ml Phencyclidine (PCP) Triage/Man Negative = < 25 ng/ml Cannabinoid (THC50) Triage/Man Negative = < 50 ng/ml Gestational Diabetes Screen Test (50 grams Glucola) Glucose Vitros mg/dl < 50, > 400 Gestational Diabetes Tolerance Test (100 grams Glucola) Fasting Glucose Vitros mgj/dl < 50, > hour Glucose Vitros mgj/dl < 50, > hour Glucose Vitros mgj/dl < 50, > hour Glucose Vitros mgj/dl < 50, > 400 Glucose Tolerance Test Fasting Glucose Vitros mg/dl < 50, > 400 1/2 hour Glucose Vitros mg/dl < 50, > hour Glucose Vitros mg/dl < 50, > hour Glucose Vitros mg/dl < 50, > hour Glucose Vitros mg/dl < 50, > hour Glucose Vitros mg/dl < 50, > hour Glucose Vitros mg/dl < 50, > hour Glucose Vitros mg/dl < 50, > 400 6/6/2016 pg. 19 of 24

20 Bluffton Community Hospital Laboratory 139 Garau Street Bluffton, Ohio Coagulation Tests: Fibrinogen Sysmex CA mg/dl < 75 PT Sysmex CA seconds INR Calculation Ratio > 5.00 PTT Sysmex CA seconds > 100 Serology Tests: ASO Titer Manual Units HIV Manual Negative Influenza A/B Manual Negative Monospot Test Manual Negative Occult Blood, Fecal Manual Negative Occult Blood, Gastric Manual Negative RSV Manual Negative for RSV RPR Manual Non-Reactive Reactive Rotavirus Manual No antigen detected. Serum Pregancy Manual Negative Urine Pregnancy Manual Negative Urinalysis Tests: Bacteria Clinitek 50 Absent Bilirubin Clinitek 50 Negative Large Clinitest Manual < 5 years Negative Glucose Clinitek 50 Negative mg/dl Ketones Clinitek 50 Negative Leukocyte esterase Clinitek 50 Negative Nitrates Clinitek 50 Negative ph Clinitek Proteins Clinitek 50 Negative mg/dl RBC/Hgb Clinitek 50 Negative Specific Gravity Clinitek Hematology Tests: ESR ESR Auto Plus Male < 50 years 0-20 > 50 years 0-23 Female < 50 years 0-23 > 50 years 0-30 Semen, Post Vasectomy Manual Male No sperm seen. Platelet Count HMX 0-3 Days Days - 1 Month Months Months Months - 2 Years Years Years Male Years Female Years Male > or = 18 Years Female > or = 18 Years RDW-cv HMX 0-6 months > 6 months mm x10 3 / ul < 50, > 999 6/6/2016 pg. 20 of 24

21 Bluffton Community Hospital Laboratory 139 Garau Street Bluffton, Ohio Hematology Tests: (cont.) MCH HMX 0-1 Day Days Days - 1 Month Months Months - 2 Years Years Years Male > or = 18 Years Female > or = 18 Years WBC HMX 0-1 Day Days Days - 1 Month Month - 6 Months Months - 2 Years Years Years Male > or = 18 Years Female > or = 18 Years Automated Differential HMX Male Neut% Lymph% Mono% Eos% Baso% Female Neut% Lymph% Mono% Eos% Baso% Total Leukocytes 0 Day Day Week Week Month Month Year Year Year Year Year Year Year Year Neutrophil x 10 3 /ul 0 Day Hour Week Week Month Month Year Year Year Year Year Year Year Year pg x10 3 / ul < 2.0, > 50.0 % x 10 3 /ul % 68 ( ) 61 ( ) 45 (36-54) 40 (32-48) 35 (28-42) 32 ( ) 31 ( ) 33 ( ) 42 ( ) 51 ( ) 53 ( ) 54 ( ) 57 ( ) 59 ( ) 6/6/2016 pg. 21 of 24

22 Bluffton Community Hospital Laboratory 139 Garau Street Bluffton, Ohio Hematology Tests: (cont.) Lymphocyte Monocyte x 10 3 /ul 0 Day Hour Week Week Month Month Year Year Year Year Year Year Year Year Mean 0 Day Hour Week Week 1 1 Month Month Year Year Year Year Year Year Year Year 0.3 Absolute Neutrophil NEUT# <15 years < 0.5 RBC HMX 0-1 Day Days Days - 1 Month Month - 6 Months Months - 2 Years Years Years Male > or = 18 Years Female > or = 18 Years Hemoglobin (Hgb) HMX 0-3 Days Days - 1 Month Month - 2 Months Months Months - 2 Years Years Years Male Years Female Years Male 18 Years and older Female 18 Years and older x 10 3 /ul x10 6 / ul g/dl % 24 ( ) 31 ( ) 41 ( ) 48 ( ) 56 ( ) 61 ( ) 61 ( ) 59 ( ) 50 (40-60) 42 ( ) 39 ( ) 38 ( ) 35 (28-42) 34 ( ) < 9.5, > 22.5 < 6.9, > 20.8 < 6.6, > /6/2016 pg. 22 of 24

23 Bluffton Community Hospital Laboratory 139 Garau Street Bluffton, Ohio Hematology Tests: (cont.) Hematocrit (Hct) HMX 0-3 Days Days - 1 Month Months Months Months - 2 Years Years Years Male Years Female Years Male 18 Years and older Female 18 Years and older MCHC HMX 0-3 Days Days - 1 Month Months Months Months - 2 Years Years Years Male Years Female Years Male 18 Years and older Female 18 Years and older MCV HMX 0-3 Days Days - 1 Month Months Months Months - 2 Years Years Years Male Years Female Years Male 18 Years and older Female 18 Years and older % g/dl fl Critical Tests: Testing Area: Blood Bank Critical Tests: Transfusion Reaction Evaluation Transfusion associated infection or disease Positive DAT on a newborn Test 6/6/2016 pg. 23 of 24

24 Evaluation of Reference Ranges October of 2014 References ranges for BVHS were evaluated using current information from the following sources: The Harriet Lane Handbook, A manual for Pediatric House Officers, 20th Edition, John Hopkins Children's Center, 2015 Ohio State University Wexler Medical Center Cleveland Clinic