Test Definition: PDSOX Pain Clinic Drug Screen, Chain of Custody, Urine

Transcription

1 Reporting Title: Pain Clinic Drug Screen, CoC, U Performing Location: Rochester Specimen Requirements: Container/Tube: Chain-of-Custody Kit (Supply T282) containing the specimen containers, seals, and documentation required. Specimen Volume: 30 ml Collection Instructions: Collect specimen in the container provided, seal, and submit with the associated documentation to satisfy the legal requirements for chain-of-custody testing. Specimen Type Temperature Time Urine Refrigerated (preferred) 14 days Frozen Ambient 14 days 72 hours Result Codes: Result ID Reporting Name Type Unit LOINC Alcohol Numeric mg/dl In Process Amphetamines Numeric ng/ml In Process Barbiturates Numeric ng/ml In Process Benzodiazepines Numeric ng/ml In Process Cocaine Numeric ng/ml In Process Methadone Numeric ng/ml In Process Opiates Numeric ng/ml In Process Phencyclidine Numeric ng/ml In Process Tetrahydrocannabinol Numeric ng/ml In Process Chain of Custody Numeric N/A Oxycodone Numeric ng/ml In Process Chain of Custody Numeric N/A Drugs detected: Alphanumeric In Process Suspect Drug Alphanumeric In Process Chain of Custody Numeric N/A Document generated July 15, 2014 at 1:42pm CDT Page 1 of 5

2 Components: Test ID Reporting Name CPT Units CPT Code Always Performed Orderable Separately CDA7X Confirmed Drug Abuse Panel9, CoC, U Yes Yes OXYSX Oxycodone Screen, CoC, U Yes Yes PDSUX Drug Scrn, Prescription/OTC, CoC, U Yes Yes Reflex Tests: Test ID Reporting Name CPT Units CPT Code Always Performed Orderable Separately COCH Chain of Custody Processing Yes No ADLTX Adulterants Survey, CoC, U Yes Yes AMPHX Amphetamines Confirmation, CoC, U No Yes COKEX Cocaine and metabolite Conf, CoC, U No Yes BENZX Benzodiazepines Conf, CoC, U No Yes BARBX Barbiturates Confirmation, CoC, U No Yes MTDNX Methadone Confirmation, CoC, U No Yes PCPX Phencyclidine Confirmation, CoC, U No Yes THCX Carboxy-THC Confirmation, CoC, U No Yes ETOHX Ethanol, CoC, U No No OPATX Opiate Confirmation, CoC, U No Yes OXYCX Oxycodone w/metabolite Conf, CoC, U No Yes Result Codes for Reflex Tests: OPATX 6541 Opiates Immunoassay Screen Numeric OPATX Codeine-by LC-MS/MS Alphanumeric ng/ml In Process OPATX Hydrocodone-by LC-MS/MS Alphanumeric ng/ml In Process OPATX Hydromorphone-by LC-MS/MS Alphanumeric ng/ml In Process OPATX Oxycodone-by LC-MS/MS Alphanumeric ng/ml In Process Document generated July 15, 2014 at 1:42pm CDT Page 2 of 5

3 OPATX Oxymorphone-by LC-MS/MS Alphanumeric ng/ml In Process OPATX Morphine-by LC-MS/MS Alphanumeric ng/ml In Process OPATX Opiates Interpretation Alphanumeric In Process OPATX Chain of Custody Numeric N/A AMPHX 6538 Amphetamines Immunoassay Screen Numeric AMPHX Amphetamine-by GC/MS Alphanumeric ng/ml In Process AMPHX Phentermine-by GC/MS Alphanumeric ng/ml In Process AMPHX Methamphetamine-by GC/MS Alphanumeric ng/ml In Process AMPHX Pseudoephedrine/Ephedrine-by GC/MS Alphanumeric ng/ml In Process AMPHX MDA (Ecstasy metabolite)-by GC/MS Alphanumeric ng/ml In Process AMPHX MDMA (Ecstasy)-by GC/MS Alphanumeric ng/ml In Process AMPHX Amphetamines Interpretation Alphanumeric In Process AMPHX Chain of Custody Numeric N/A BARBX 6668 Barbiturates Immunoassay Screen Numeric BARBX Butalbital-by GC/MS Alphanumeric ng/ml In Process BARBX Amobarbital-by GC/MS Alphanumeric ng/ml In Process BARBX Pentobarbital-by GC/MS Alphanumeric ng/ml In Process BARBX Secobarbital-by GC/MS Alphanumeric ng/ml In Process BARBX Phenobarbital-by GC/MS Alphanumeric ng/ml In Process BARBX Barbiturates Interpretation Alphanumeric In Process BARBX Chain of Custody Numeric N/A BENZX 6670 Benzodiazepines Immunoassay Screen Numeric BENZX Nordiazepam-by GC/MS Alphanumeric ng/ml In Process BENZX Oxazepam-by GC/MS Alphanumeric ng/ml In Process BENZX Lorazepam-by GC/MS Alphanumeric ng/ml In Process BENZX Temazepam-by GC/MS Alphanumeric ng/ml In Process BENZX OH-Ethyl-Flurazepam-by GC/MS Alphanumeric ng/ml In Process BENZX NH-Clonazepam-by GC/MS Alphanumeric ng/ml In Process BENZX Alpha OH-Alprazolam-by GC/MS Alphanumeric ng/ml In Process BENZX NH-Flunitrazepam-by GC/MS Alphanumeric ng/ml In Process BENZX Alpha OH-Triazolam-by GC/MS Alphanumeric ng/ml In Process Document generated July 15, 2014 at 1:42pm CDT Page 3 of 5

4 BENZX Benzodiazepines Interpretation Alphanumeric In Process BENZX Chain of Custody Numeric N/A COKEX 2903 Cocaine Immunoassay Screen Numeric COKEX Cocaine-by GC/MS Alphanumeric ng/ml In Process COKEX Benzoylecgonine-by GC/MS Alphanumeric ng/ml In Process COKEX Cocaine Interpretation Alphanumeric In Process COKEX Chain of Custody Numeric N/A ETOHX Ethanol Immunoassay Screen Numeric mg/dl ETOHX Ethanol-by GC-FID Numeric mg/dl In Process ETOHX Ethanol Interpretation Alphanumeric In Process ETOHX Chain of Custody Numeric N/A MTDNX Methadone Immunoassay Screen Numeric MTDNX EDDP-by GC-MS Alphanumeric ng/ml In Process MTDNX Methadone-by GC-MS Alphanumeric ng/ml In Process MTDNX Methadone Interpretation Alphanumeric In Process MTDNX Chain of Custody Numeric N/A PCPX 6672 Phencyclidine Immunoassay Screen Numeric PCPX Phencyclidine-by GC/MS Alphanumeric ng/ml In Process PCPX Phencyclidine Interpretation Alphanumeric In Process PCPX Chain of Custody Numeric N/A THCX 2449 Carboxy-THC Immunoassay Screen Numeric THCX Carboxy-THC- by GC/MS Alphanumeric ng/ml In Process THCX Carboxy-THC Interpretation Alphanumeric In Process THCX Chain of Custody Numeric N/A ADLTX Creatinine, U Numeric mg/dl In Process ADLTX Specific Gravity Numeric In Process ADLTX ph Numeric In Process ADLTX Oxidants Alphanumeric In Process ADLTX Nitrites Alphanumeric mcg/ml In Process ADLTX Comment Alphanumeric In Process OXYCX Oxycodone Immunoassay Screen Numeric In Process Document generated July 15, 2014 at 1:42pm CDT Page 4 of 5

5 OXYCX Oxycodone-by LC-MS/MS Alphanumeric ng/ml In Process OXYCX Oxymorphone-by LC-MS/MS Alphanumeric ng/ml In Process OXYCX Oxycodone Interpretation Alphanumeric In Process OXYCX Chain of Custody Numeric N/A Reference Values: Negative Screening cutoff concentrations Alcohol: 30 mg/dl Amphetamines: 500 ng/ml Barbiturates: 200 ng/ml Benzodiazepines: 200 ng/ml Cocaine (benzoylecgonine-cocaine metabolite): 150 ng/ml Ethanol: 30 mg/dl Methadone: 150 ng/ml Opiates: 300 ng/ml Phencyclidine: 25 ng/ml Tetrahydrocannabinol carboxylic acid: 20 ng/ml This report is intended for use in clinical monitoring or management of patients. It is not intended for use in employment-related testing. Document generated July 15, 2014 at 1:42pm CDT Page 5 of 5