To be used for the ease of test requisitioning on select patients only; all components may be ordered separately
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1 Panels Section To be used for the ease of test requisitioning on select patients only; all components may be ordered separately ANEMIA 1(I) PANEL (NMC & UMMC) ANEM1(I) S 8.0 ml Large Tests included are: Ferritin; Folate(UVMMC); Iron(UVMMC); Reticulocyte Count; Vitamin B12 ANEMIA 2(II) PANEL (NMC & UVMMC) ANEM2(II) S 8.0 ml Large Tests included are: CBC/Diff; Folate(UVMMC); Iron(UVMMC); TIBC(UVMMC); Reticulocyte Count; Vitamin B12 ARTHRITIS PANEL 1 with REFLEX (NMC & UVMMC) ARTHP1 S 8.0 ml Large Tests included are: ANA(UVMMC)*; Rheumatoid Factor(RF)**; Uric Acid *ANA reflexes to titer if positive **RF reflexes to titer if positive
2 ARTHRITIS PANEL 2 with REFLEX (NMC & UVMMC) ARTHP2 S COLLECT SUBMIT COLLECTION 8.0 ml Tests included are: ANA*(UVMMC) ; Rheumatoid Factor(RF)**; ESR; Uric Acid *ANA reflexes to titer if positive ** RF reflexes to titer if positive BASIC METABOLIC PANEL (cpt 80048) BMP S or Tests included are: Calcium; CO2; Chloride; Creatinine with GFR; Glucose; Potassium; Sodium; BUN CARDIAC PANEL (NMC in house use only) CARD S 3.0 ml Green Top Gel Tests included are: Creatine Kinase; Creatine Kinase MB; CKMB/CK Relative Index,Troponin I CARDIAC 1 STAT(NMC EMD use only) CARDIAC 1 AND Green Top Tests included are: BUN; CBCD; Chloride; CO2; Creatinine with GFR; Glucose; Potassium; Sodium- Calculation Anion Gap; CK; CKMB; CTNI
3 CARDIAC 3 STAT(NMC EMD use only) CARD3 AND Green Top MUST Allow tube to fill Full Tube Blue Top Tests included are: BUN; CBCD; Chloride; CO2; Creatinine with GFR; Glucose; Potassium; Sodium- Calculation Anion Gap; CK; CKMB; CKMB/CK Relative Index; CTNI; PT; PTT CHEM 12 PANEL CHEM12 S or Tests included are: Albumin; Alkaline Phosphatase; AST/SGOT; Bilirubin Total; BUN; Calcium; Calculated Calcium; Cholesterol; Creatinine with GFR; Glucose; Phosphorous; Protein, total; Uric Acid COMPREHENSIVE METABOLIC PANEL (cpt 80053) CMP S or Tests included are: Albumin; Alkaline Phosphatase; ALT/SGPT; AST/SGOT; Bilirubin Total; BUN; Calcium; Calculated Calcium; Chloride; CO2; Creatinine with GFR; Glucose; Potassium; Protein, total; Sodium; Calculation Anion Gap
4 ELECTROLYTE PANEL (cpt 80051) LYTES or Tests included are: Chloride; CO2; Potassium; Sodium; calculated Anion gap ER SCREEN PANEL (NMC in house use only) ERSCRE or Tests included are: BUN; CBCD; Chloride; CO2; Creatinine with GFR; Glucose; Potassium; Sodium- Calculation Anion Gap GENERAL HEALTH PANEL GHP or Tests included are: CBCD, all components of CMP and TSH
5 HEPATIC FUNCTION PANEL (cpt 80076) HFP or Tests included are: Albumin; Alkaline Phosphatase; ALT/SGPT; AST/SGOT; Bilirubin, Direct(Conjugated); Bilirubin, Total; Protein, Total HEPATITIS PANEL (Hepatitis ABC Profile) with Reflex(UVMMC) HEPPAN 8.0 ml Tests included are: Hepatitis A Antibody, IgG and IgM; Hepatitis B Surface Antigen *; Hepatitis B Surface Antibody; Hepatitis B core Antibody, IgG and IgM; Hepatitis C Antibody * If Hepatitis B Surface Antigen (HBsAg) is positive, a Hepatitis B Surface Antigen confirmation (cpt 87341) will be performed at additional cost IRON PANEL(UVMMC) IRONP 6.0 ml Tests included are: Iron; Total Iron Binding Capacity - Calculation % Saturation(Transferrin Saturation) LIPID PANEL (cpt 80061) LIPID or Tests included are: Cholesterol, Total; HDL, Triglycerides Calculations of LDL & VLDL
6 PRENATAL PANEL (NMC & UVMMC) PREN1 8.0 ml 2.0 ml Lavender Top Pink Top Tests included are: CBCD, T&S Prenatal, HBsAg(UVMMC), Rubella Ab (UVMMC), RPR(UVMMC) RENAL PANEL (cpt 80069) RENAL or Tests included are: Albumin; BUN; Calcium; Calculated calcium; Chloride; CO2; Creatinine with GFR; Glucose; Potassium; Phosphorous; Protein, Total, Sodium- Calculation Anion Gap; Uric Acid SMAC PANEL SMAC or Tests included are: Albumin; Alkaline Phosphatase; ALT/SGPT; AST/SGOT; Bilirubin Total; BUN; Calcium; Calculated Calcium; Chloride; Cholesterol; CO2; Creatinine with GFR; Glucose; Potassium; Protein, Total; Sodium- Calculation Anion Gap
7 STROKE PANEL STROKE or 2.0 ml Lavender Top MUST Allow tube to fill Full Tube Blue Top Pink Top Tests included are: CBC; Protime/INR; Electrolytes; BUN; Creatinine with GFR; Glucose; Creatine Kinase; CKMB; CTNI; Type and Screen TOXEMIA PANEL TOXEMIA PANEL or 2.0 ml Lavender Top MUST Allow tube to fill Urine Clean catch or cath container Full Tube Blue Top ml Clean catch or catheterize specimen Tests included are: CBC; BUN; Creatinine with GFR; HFP; Uric Acid; PT; PTT; Urinalysis
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TEST LIST SAMPLE REQUIREMENT. 1 ml serum None
ALBUMIN TEST NAME ALKALINE PHOSPHATASE ALLERGY PROFILE, FOOD 30 allergens ALLERGY PROFILE, INHALANT 30 Allergens ALT AMYLASE ANA ANTI- TG ANTI-GLIADIN IGG ANTI-GLIADIN IGA ANTI-HBS ANTI-HCV ANTI-TPO APOLIPOPROTEIN
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