ALPS Screen Order Set B-Cell Panel Order Set (% and absolute #) (% and Absolute #) ALPS (CD3+/CD4-/CD8-/TCR αβ+)
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1 All test indicated in a Panel or are available individually. Version 1/1/2018 ALPS Screen B-Cell Panel (% and absolute #) (% and Absolute #) ALPS (/CD4-/CD8-/TCR αβ+) CD5+/ ANA Profile * Anti-Nuclear Ab* /CD10+/IgD+ Anti-ds DNA /CD20-/IgG+ Anti-RNP Ab /CD27+/IgD- Anti-SM Ab /CD27+/IgD+ Anti-SS-A Ab /CD27+/IgM- Anti-SS-B Ab /CD27+/IgM+ Anti-β2 Glycoprotein IgG & IgM /CD27-/IgM+ Anti-β2 Glycoprotein IgG /CD40+ Anti-β2 Glycoprotein IgM /IgD+/IgM+ Anti-Cardiolipin - IgG & IgM CD20+ Anti-Cardiolipin - IgG BMT Panel Anti-Cardiolipin - IgM (% and absolute #) Anti-Gliadin(Deamidated DGP) IgA & IgG Anti-Gliadin (Deamidated - DGP) - IgA Anti-Gliadin (Deamidated - DGP) - IgG Basic Lymphocyte Panel /CD8+ (% and absolute #) CD4+/CD45RO+ CD20+ /CD8+ CD20+ CART Panel (% and absolute #) Bacterial GI PCR Panel GIBac Shiga Toxin PCR GIBac Shigella PCR /CD8+ GIBac Salmonella PCR (Lymphs & Blasts - % only) GIBac Campylobacter PCR CD22+(Lymphs & Blasts) Basic Metabolic Panel AMA Panel % with Absolute (% and absolute #) CD11b% & CD18% (% only) CD11b CD18 Blood Parasite Rapid Malaria Antigen Thick and Thin Smears
2 & /CD8+ % with Absolute Culture, Tissue (% and absolute #) Homogenization of Tissue /CD8+ Culture, Wound Deep CD4 Panel Gram Stain (% and absolute #) Culture, Wound Surface % with Absolute Gram Stain (% and absolute #) Culture, Respiratory Quant CD20+ % with Absolute Gram Stain (% and absolute #) Culture, AFB CD20+ Culture, AFB CD3-/CD16(B73.1)+/CD56+ % with Absolute (NK) Smear, AFB (% and absolute #) Concentration, AFB CD3-/CD16(B73.1)+/CD56+ (NK) Culture & Smear, AFB Blood Celiac Panel-IgA* Culture, AFB EMA-IgA* Smear, AFB anti-ttg IgA Culture, AFB CF Total IgA Culture, AFB Comprehensive Metabolic* AMA Panel Smear, AFB Concentration, AFB Culture, Transfusion RX Workup Culture, Body Fluid Gram Stain DiGeorge Panel (% /Absolute #) /CD8+ /CD132+ /HLA-Dr+ ALT-Alanine Aminotransferase CD4+/CD45RO+ AST-Aspartate Aminotransferase CD5+/ CKMB Profile CD8+/CD28- CK (Creatine Kinase) CKMB /HLA-DR+ CKMB% HLA ABC+ Culture, Body Fluid CD20+ TCR gamma/delta+ Gram Stain
3 Electrolytes AMA Panel Lactate/Pyruvate Lactate Pyruvate Lipoprotein Profile AMA Panel Cholesterol ENA Profile - NEW Triglyceride Anti-RNP Antibody HDL Cholesterol Anti-SM Antibody LDL Cholesterol-Calculated Engraftment Monitoring Evaluation Lyme ELISA - IgG & IgM Panel* Engraftment Patient-Donor Eval (HLA) Lyme ELISA - IgG* Engraftment Nonenriched (HLA) Lyme ELISA - IgM* Epstein-Barr Virus Lymphocyte Culture Mitogen Stimulation EBNA Pokeweed Mitogen (PWM) EBV VCA IgG Concanavalin A Mitogen (ConA) EBV VCA IgM Phytohemagglutinin Mitogen (PHA) EBV Early Antigen NK Panel Free Testosterone Panel (% and absolute #) Testosterone CD3-/CD16(B73.1)+/CD56+ Free Testosterone CD3-/CD16(3G8)+ % Free Testosterone CD3-/CD16(3G8)+/CD16(B73.1)+ Sex Hormone Binding Globulin CD3-/CD16(3G8)+/CD56+ Hepatic Function Panel AMA Panel CD3-/CD56+ Interpretation Bilirubin, Indirect Newborn Immunodeficiency Panel Bilirubin, Direct (% and absolute #) ALT(Alanine Aminotransferase /CD8+ AST(Aspartate Aminotransferase HLA Heart/Lung/Liver Patient Initial Evaluation CD4+/CD45RO+ Flow Class I & II Antibody Identification HLA-A,B,C,DR,DQ,DP Typing HLA Renal Patient Initial Evaluation Interpretation Flow Class I & II Antibody Identification Newborn Immunodeficiency Screen HLA-A,B,C,DR,DQ,DP Typing (% and absolute #) Flow Cytometry Crossmatch (HLA) Lymphocytotoxicity Crossmatch (HLA) IBD Panel* ANCA* /CD8+ ASCA-IgA & ASCA-IgG Iron Profile CD4+/CD45RO+ Iron Transferrin TFN Saturation Interpretation Calculated TIBC Lymphocyte Stimulation Culture - PHA Only Iron Profile with Ferritin Newborn Immunodeficiency Profile Iron CBC with Differential Transferrin BMT Panel TFN Saturation Lymphocyte Stimulation Culture - PHA Only Calculated TIBC Newborn Bilirubin Profile Ferritin Bilirubin, Conjugated Bilirubin, Unconjugated
4 Pediatric AutoImmune Liver* Respiratory Virus Panel PCR ANCA* Adenovirus ANA* Human Metapneumovirus Anti-F-Actin Parainfluenza Virus Type 1 Anti-LKM 1 Parainfluenza Virus Type 2 Anti-Smooth Muscle* Parainfluenza Virus Type 3 PI Typing Profile Respiratory Syncytial Virus(RSV) Protease Inhibitor Typing Rhinovirus Orosomucoid Coronavirus 229E PCR Haptoglobin Coronavirus HKU1 PCR Alpha 1 Antitrypsin Coronavirus NL 63 PCR Platelet Profile Coronavirus OC43 PCR Platelet Count Serum Drug Screen * Immature Platelet Fraction Acetominophen Premature Adrenarche Panel 1 Salicylate Androstenedione Tricyclic Antidepressants Testosterone Ethyl Alcohol DHEA-S Sjögren s Antibodies 17-OH-Progesterone Anti-SS-A Antibody Premature Adrenarche Panel 2 Anti-SS-B Antibody Androstenedione Thyroglobulin with Anti-TG Screen Testosterone Anti-Thyroglobulin DHEA Thyroglobulin 17-OH-Progesterone TPNP Profile 17-OH-Pregnenolone Renal Function Panel AMA Panel Phosphorous Reticulocyte Profile ALT-Alanine Aminotransferase Reticulocyte Count AST-Aspartate Aminotransferase Retic Hemoglobin Equivalent Phosphorous Respiratory Virus Mini Panel PCR Magnesium Flu A Bilirubin, Unconjugated Flu B Bilirubin, Conjugated RSV RNA PCR Triglyceride Pre- GGT-Gamma Glutamyl Transferase
5 T3 UPTAKE PANEL T4 -THYROXINE T3 UPTAKE FREE THYROXINE INDEX-CALCULATED Type and Screen * ABO Typing (Forward & Reverse) Rh Typing Ab Screen I,II,III AHG Direct Type and Cross * Type and Screen order set Crossmatch for each unit request Massive Transfusion Order ** 4 PRBCs 2 FFP 1 SDP Urine Drug Screen * Cannabinoids, Urine Opiates, Urine Cocaine, Urine Benzodiazepine, Urine Barbiturate, Urine Amphetamine, Urine Phencyclidine, Urine Methadone, Urine Gastrointestinal Virus Panel - PCR Norovirus Astrovirus Sapovirus Rotavirus Adenovirus 40/41 ** Possible reflex of additional units if needed
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