HTAA
P A THOLO GY SERVICE
HANDBOOK 2018
5th Edition
HOSPITAL TENGKU AMPUAN AFZAN
PATHOLOGY SERVICE HANDBOOK
5TH EDITION
2018
i
FOREWORD
HTAA, KUANTAN
It gives me great pleasure to pen a few lines for the 5th edition of HTAA Pathology Service
Handbook. There has been rapid advancement in the medical field and the Pathology
Department has met this challenge head on. Accurate results with fast turn around time are
needed to help clinicians to treat and monitor patients but these need quality samples which
this handbook aims to address.
I hope our doctors and paramedical staff will fully utilize this handbook towards this.
I would like to commend the staff of HTAA Pathology Department for their commitment to
ensure that our hospital provides quality care to our patients and congratulate them on the
publishing of this updated handbook.
DR NORAZMI BIN ABDULLAH
Director,
Hospital Tengku Ampuan Afzan.
ii
FOREWORD INTRODUCTION
Assalamualaikum and greetings,
I would like to congratulate the team editing the HTAA Pathology Service Handbook, 2018. It
takes some time since the last manual produced in 2011 and therefore, an updated manual is
very much in need to notify all our lab users with the current service provided.
There are rapid change in procedures and technology in each laboratory or unit ever since,
contributing much to the differences as compare to the last edition.
This latest handbook serves mainly as a guide for maintaining sample integrity and appropriate
sample management. Being the referral lab for Pahang, I’m very much hoping that this handbook
will be a useful guide not only for our local clients in HTAA, but also to the other District Hospitals
or Health Clinics in Pahang. .
We also welcome further communication and comments for us to improve the service.
Thank you.
DR HJH AZLINA ABD RAHMAN
Head of Pathology Service , Pahang State.
iii
FOREWORD
HTAA, KUANTAN
It has been 7 years since the 4th edition of HTAA Pathology Service Handbook (2011) was
distributed. Since then there have been many changes in terms of types and methodology of
the tests offered to our clients. Outdated tests have been replaced by new ones and there has
been an expansion in the range of tests as well as the setting up of a Molecular Laboratory for
PCR testing.
The information in this handbook is to help laboratory users on the correct procedures of
samples and results management. The accuracy of results as we all know are dependant on
the quality of samples collected. Hence, we have taken great pain to advice on the correct
procedure of sample taking and transportation. Therefore we hope that this handbook will be
utilised well by every user.
I would like to take this opportunity to thank our Hospital Director for his strong support as well
as our clinicians for their feedback and welcome comments following further improvement of
this edition.
The success of this handbook will not be achieved without the hard work of my staff and I would
like to say “SYABAS, WELL DONE” to all those involved directly and indirectly in this.
DR NORRA HARUN
Consultant Pathologist &
Head of Pathology Department,
Hospital Tengku Ampuan Afzan.
iv
PATHOLOGY DEPARTMENT OBJECTIVE
Provides an efficient, effective and accurate diagnostic pathology services for the treatment of
in-patients and out-patients.
PATHOLOGY DEPARTMENT VISION STATEMENT
The Department of Pathology, Hospital Tengku Ampuan Afzan will be the best medical laboratory INTRODUCTION
by providing a quality, cost effective and innovative testing with latest technology in clinical
laboratory diagnostic services.
PATHOLOGY DEPARTMENT MISSION STATEMENT
We are committed to work together as a team of qualified professionals to provide an excellent
patient care by providing comprehensive, high quality laboratory testing and patient focused
expert consultation in clinical diagnostic service.
PATHOLOGY DEPARTMENT CLIENT CHARTER
To all our clients :
We promise that we ;
1. Shall entertain them in 5 minutes.
2. Shall give a quality service based on Ministry of Health standard requirements.
3. Shall perform services based on time as stated below :
4. Laboratory results are CONFIDENTIAL and BELONG TO Hospital Tengku Ampuan Afzan,
Kuantan.
No Unit Tests/Parameter Time
1 Integrated Blood Gas 15 to 45 minutes
Blood Ammonia 45 to 60 minutes
Dengue Rapid Test
RBS/FBS 45 minutes to 4 hours
BUSE
Serum Bilirubin
Full Blood Count
PT/APTT
Urine Pregnancy Test
Urine FEME
2 Microbiology CSF Gram Stain, India Ink & 60 minutes
Latex Agglutination
3 Transfusion Group and Crossmatch 15 minutes (Urgent)
60 minutes (Normal)
v
PROCESS MAPPING OF THE WORK FLOW IN PATHOLOGY DEPARTMENT
HTAA, KUANTAN Receive
specimen
No Reject Inform
Accept
specimen Ward
Yes
Outsource Respective Units Medicolegal
test cases
No
Record Accept Reject
Yes
Sent to respective SAMPLE RESULT
referral laboratory Prepare & analyze Record
the specimen results
Unacceptable
Receive &
record results Repeat Validate
the result
Retain specimen
according to Accept
retention period
Print
result
Dispose
Dispatch
report
vi
PENGURUSAN JTMP PT PRA
SITOLOGI PAKAR PS (BM) JTMP INTRODUCTION
KETUA PERKHIDMATAN PATOLOGI NEGERI HISTOPATOLOGI PAKAR PP PS (BM) JTMP PPK
CARTA ORGANISASI JABATAN PATOLOGI
MIKROBIOLOGI PAKAR PS (M) JTMP PA
PENGARAH HOSPITAL KETUA JABATAN PATOLOGI PATOLOGI KIMIA PAKAR PS (B) JTMP
MAKMAL INTEGRASI PAKAR PS (B) JTMP PPK
KETUA PERKHIDMATAN PATOLOGI NEGERI TRANSFUSI & HEMATOLOGI HEMATOLOGI PAKAR PS (BM) JTMP PRO - Pegawai Perubatan - Pegawai Sains ( Mikrobiologi ) - Pegawai Sains ( Biokimia) - Pegawai Sains ( Bioperubatan ) - Juruteknologi Makmal Perubatan - Jururawat Terlatih - Pegaw
TRANSFUSI
PS (M)
PAKAR
PS (B)
PP
JTMP JT PT PPK PP NOTA : PS ( M ) PS ( B ) PS ( BM ) JTMP JT PRO PT PPK
vii
EDITORIAL BOARD
HTAA, KUANTAN Dr. Hjh. Azlina Abd. Rahman
ADVISOR
EDITOR
Dr. Roesnita Baharudin
COMMITTEE MEMBERS
Pn. Marsitah Abd Jalil
Pn Noradilah Marzuki
Cik Nordiana Mohd Rosli
Pn. Nur Masitah Mokhtar
Pn. Sembagam A/P Krishnan
Pn. Nik Nurul Diana Alimin
En. Mohd. Emir Shafiq Suhaimi
Pn. Lee Seng Yin
Pn. Norizan Selamat
Pn. Lim Kim Mooi
En. Mohamad Qusyairi Mohd Naziri
CONTRIBUTORS
Dr. Rusmawati Ismail
Dr. Alia Nasriana Nasuruddin
Dr. Norra Harun
Dr. Suhaila Abdullah
Dr. Shaik Farizan Shaik Daud
Dr. Shariza Ilyana Saupi
Dr. Fadhli Mustafa
Dr. Nur Hafliza Md Salleh
viii
NO. CONTENTS PAGE INTRODUCTION
1. GENERAL OPERATING POLICIES 1
2. CONTACT NUMBERS 13
3. LIST OF TESTS AVAILABLE AT PATHOLOGY DEPARTMENT 16
4. LIST OF TESTS TO REFERRAL LABORATORIES 38
5. SPECIMEN CONTAINERS 110
6. REQUEST FORMS 117
7. INTEGRATED LABORATORY 163
8. CHEMICAL PATHOLOGY 170
9. HAEMATOLOGY 179
10. MICROBIOLOGY 187
11. HISTOPATHOLOGY 212
12. CYTOLOGY 218
13. TRANSFUSION 224
14. ACC CLINICAL LABORATORY 235
15. REFERENCES 238
ix
HTAA, KUANTAN
x
GENERAL OPERATING GENERAL OPERATING POLICIES
POLICIES
1
INTRODUCTION
HTAA, KUANTAN Makmur is the main referral center for diagnostic services in the state of Pahang. It has
Pathology Department of Hospital Tengku Ampuan Afzan, Kuantan, Pahang Darul
been accredited by Skim Akreditasi Makmal Malaysia for MS ISO 15189 : 2007 since
August 2011 and for MS ISO 15189 : 2014 since 2015 in the field of medical testing i.e .
histopathology, cytology, chemical pathology, haematology, microbiology and virology
which comply with the international standard .
LOCATION
The Pathology Department and main laboratory is located at the ground floor of the
hospital main block. The ACC Clinical Laboratory is located at the second level of the
Ambulatory Care Center building.
ORGANIZATION STRUCTURE
The department is divided into 7 units. See attach organisation chart (Page vii).
QUALITY ACTIVITIES
Quality Policy
It is our policy to provide reliable and timely results to our customers through
continuous improvement of the quality system.
a. The objective of our Quality Management System is to provide medical laboratory
testing services in accordance with the applicable standards and good laboratory
practices to satisfy the requirements and expectation of our customers.
2
b. We shall ensure that all testing and related activities are carried out in accordance
with documented procedures.
c. All the laboratory personnel shall familiarize themselves and comply with
the policies and procedures in the Laboratory Quality Manual and associated
documents at all times.
d. This laboratory shall strive to maintain accreditation and certification according to GENERAL OPERATING POLICIES
MS ISO 15189 : 2014.
Quality Improvement Activities
Pathology Department participates in many quality improvement activities such as :
• Internal quality control monitoring
• Participation in external quality assurance programme for nearly all tests.
• Monitoring turn-around-time.
Apart from the above quality improvement activities, improvement opportunities are
also identified through customer complaints, customer satisfaction surveys, incidents
reporting, management review meetings and internal audits and where appropriate,
corrective actions are implemented and reviewed to ensure that action has been taken
and non-conformities do not recur.
SAFETY MEASURES
Strict safety measures are practised according to the Laboratory Safety Manual (version
2014).
RESEARCH
The Pathology Department is involved in clinical research and development within the
department as well as other departments in HTAA and local universities.
SERVICES AND FUNCTIONS
The department of Pathology provides diagnostics and consultancy services in the
following disciplines of pathology :
3
• Integrated Laboratory
• Chemical Pathology
HTAA, KUANTAN • Microbiology
• Haematology
• Histopathology
• Cytology
• Blood Transfusion
These services are carried out by respective laboratories. Ambulatory Care Centre
(ACC) Clinical Laboratory provides basic routine chemical pathology and haematology
tests to serve the specialists clinics there.
Apart from offering diagnostic services, the department also acts as a training centre
for various levels and categories of staff including Medical Officer, Scientific Officer,
Medical Laboratory Technologist, student from Institute of Higher Learning and
Pathologist for gazettement in various disciplines in pathology.
SERVICE HOURS
The Pathology Department provides 24 hours service for certain diagnostic testing in
the Integrated Laboratory and Transfusion Laboratory.
Bacteriology Lab provides services from 8:00 am to 9:00 pm.
The other laboratories (Cytology, Histopathology, Serology, Specialized Haematology,
Specialized Chemical Pathology, Mycology, Molecular and ACC Clinical Laboratory)
provide diagnostic testing during office hours from 8.00 am to 5.00 pm.
Test schedules are included under the list of tests.
A medical officer and pathologists are on call for consultation or assistance after office
hours.
RECEPTION COUNTER
This area is involved in receiving, checking and sorting of specimens before the
specimens are sent to the specific laboratories for analysis.
4
Pathology Counter
Office hour : Receive all specimens for biochemical, haematology,
serology, parasitology and microbiology. Specimens for
histopathology, cytology and molecular test must be sent
directly to the respective laboratory.
After office hour : Receive all specimens except blood transfusion samples. GENERAL OPERATING POLICIES
Blood Transfusion Counter
Specimens relevant to transfusion medicine testing must be sent directly to
the Transfusion Laboratory at any time (24 hours).
PRE-ANALYTICAL REQUIREMENTS
INTRODUCTION
Pre-analytical is any procedure that takes place before an analysis. Pre-analytical
errors are estimated to constitute 50-70 % of errors. It is important to understand and
apply correct pre-analytical procedures because it may affect patient’s result.
Note: Correct patient identity is mandatory.
REQUEST FORM
A standard laboratory request form i.e PER-PAT 301 is used for all categories of tests
except otherwise stated in Page 117-162.
The following information must be provided in every request form :
i. Patient’s detail : Full name, full identity card (IC) number,
registration number (R/N), sex and
age.
ii. Source : Ward, clinic and name of hospital.
iii. Patient’s clinical summary : Relevant clinical summary including provisional
diagnosis and treatment. Abbreviations are dis-
couraged.
iv. Test details : Request must specify the test required.
v. Specimen : Date and time of specimen collection. Type of
specimen and anatomic site (if relevant).
vi. Requester detail : Doctor’s name, signature and official
stamp.
5
Mark (/) at the appropriate box for the tests required. Tests which are not listed in
the request form should be stated under the column OTHERS. The type of specimen
should be stated under the appropriate column for non-blood specimen.
HTAA, KUANTAN All request forms must be signed either by a House Officer, Medical Officer or Specialist
depending on the category of tests requested.
Urgent requests must be justified by clinical summary, diagnosis and reason for the
urgency. The word “URGENT” must be written clearly or stamped preferably in red at
the top on the right hand corner of the request form.
PER-PAT-301 are supplied by the Stationery Section of the Administration Division.
Venipuncture and Blood Specimen Collection
Use large bore needle (less than 22 gauge) for venipuncture.
All specimens must be sent in the correct containers as the use of inappropriate
containers will cause a wrong / misleading result.
Follow correct order of draw to eliminate the risk of cross contamination of additives
and to reduce the risk of clotted specimens.
The specimens should be collected by the ward or clinic staff, properly labelled and
despatched to the laboratory in appropriate containers as specified.
The specimen containers must be labelled with full name of patient, patient’s IC
number, date of collection, ward identity and test requested.
The specimen containers should be placed in biohazard plastic bags with the respective
request forms inside the second pouch of the bag.
Please use different biohazard bag for each patient. In condition when multiple type of
specimen obtained from a patient (e.g. urine and blood), please use separate biohazard
bag for each type of sample.
Multiple timed samples (e.g. glucose tolerance test) from the same patient can be sent
in the same bag. In this case, it is essential that each sample is clearly labeled with the
time of collection.
STAT/URGENT specimen must be stamped/written clearly in the request form before
sending to the laboratory.
6
Phlebotomy Technique
Postural Effects
• Change in posture from supine to erect or sitting causes a shift in fluid from the
interstitial space of about 12%.
• An increase of 5% to 15% is seen for most cellular and macromolecular analytes GENERAL OPERATING POLICIES
when specimens are collected sitting as compared to supine.
• Conversely, moving from upright to supine can have a dilutional effect owing to
an increase in plasma volume. The effect of postural change is accentuated in
patients with a tendency to edema.
Tourniquet Application
• Application of the tourniquet for more than 1 minute can result in
haemoconcentration, causing an increase in the concentration of large molecules
e.g. serum proteins that are unable to pass through the capillary wall.
• Prolonged tourniquet application also promotes anaerobic glycolysis resulting
in an increase in plasma lactate, a reduction in blood pH and increase in blood
potassium.
Specimen Collection and Procedures
Mixing by Inversion
• Most tubes contain an additive or clot activator that needs to be mixed with the
blood sample.
• Tubes with anticoagulants such as K EDTA and sodium citrate need to be mixed to
2
ensure that the specimen does not clot.
• Blood has to be mixed immediately after blood draw by holding the tube upright
o
and gently invert 180 and back.
7
Order of draw
Order of draw can be defined as sequence of blood inoculation into specimen container
HTAA, KUANTAN Optimum Volume for Tube’s Collection
to prevent cross contamination whenever multiple tubes are used.
All collection tubes need to be filled to the correct volume to ensure the proper
•
amount of blood for the amount of additives in the tube.
Blood has to be transfer immediately from the syringe into tubes to prevent
•
clotting.
UNDERFILLED : Insufficient for running the test.
: Higher concentration of additives blood ratio.
OVERFILLED : Potential for clotting.
: Lower concentration of additives to blood ratio.
Blood collection from IVs and catheters
• Blood should not be collected proximal to an IV site but preferably from the other
arm.
• If samples must be obtained from a catheter, heparin contamination and dilution
must be avoided. The line should be flushed with 5.0 ml of saline and the first 5.0
ml of blood or six dead space volume of the catheter discarded.
• If a syringe is used, a small volume (< 10.0 ml) syringe is recommended so that
clotting in the syringe during phlebotomy can be avoided.
AVOIDING HAEMOLYSIS
Haemolysis should be avoided because it invalidates certain laboratory determinations.
The presence of haemolysis of moderate or greater degree adversely affects the blood
specimen in several ways.
It releases erythrocytes contents such as Potassium, Lactate dehydrogenase and Acid
phosphatase into the serum. Thereby, elavating their levels.
It colours the blood plasma and serum which will interfere with colorimetric assays
especially photometric measurements using shorter wavelengths of the visible
spectrum.
As some red blood cells have been damaged, the packed cell volume (PCV) and red
blood cell (RBC) count will be falsely depressed. Although the haemoglobin value will
be accurate, the calculated red blood cell indices will be affected by the depressed PCV
and RBC.
8
Common Causes of Haemolysis
Collection of Blood
• During phlebotomy, try to avoid probing, traumatic venipuncture, using a needle
that is too small (less than 22 gauge) and drawing from a haematoma. GENERAL OPERATING POLICIES
• Make sure venipuncture site is dry. Residual alcohol may cause lysis of red blood
cells.
• A slow return of blood flow into tubes could also cause haemolysis. The pressure
created by the vacuum tube or syringe collapses the lumen of the vein against the
needle, therefore crushing numerous red cells.
• Fluttering of the lumen against the needle which can cause haemolysis can be
stopped by reducing the negative pressure exerted by repositioning the needle
with a slight rotation or deeper insertion.
• Avoid drawing the plunger back too forcefully if using a needle and syringe. Applying
excessive negative pressure can create haemolysis. Our natural tendencies to
use more force to enhance blood flow, however patience and alternating gentle
pressure with a short release will yield best result.
Transfer of Blood
• Expelling blood from a syringe through the needle into a tube with force can cause
haemolysis of the blood.
• Do not apply pressure to the plunger; allow the tubes to fill by the negative
pressure of the vacuum tube.
• Do not shake blood in the container to mix with anticoagulants as frothing results
in haemolysis. Gently mix by repetitive inversion 6 to 10 times. Agitation of whole
blood not containing an anticoagulant is certain to produce haemolysis.
Extreme Temperature
• Extreme temperature; hot or cold, can cause haemolysis. Avoid placing ice or
frozen gel packs directly on tubes of blood as it can result in haemolysis.
9
MEDICOLEGAL CASES
Specific guidelines:
HTAA, KUANTAN i. Specimens should be sealed and sent directly to the respective laboratory.
ii. Specimens should be sent to the laboratory by designated personnel.
iii. Chain of custody should be maintained at all times and record book should
accompany the samples.
TYPE OF CONTAINERS
The specimen should be sent to the laboratory in appropriate containers.
Refer to Table 1 : List of Tests Available at Pathology Department (page : 16).
TRANSPORTATION OF SPECIMEN
The specimens should be transported to the laboratory as specified according to the
type of test in appropriate time frame and according to transport requirement for the
test.
All specimens should be sent to the laboratory together with a despatch book or
specimen lists and receive acknowledgement from the laboratory staff.
The time of specimens received at the counter should be clocked in by the sender and
the specimens will subsequently be attended by the laboratory staff.
REJECTION
Requests which do not fulfill the laboratory requirement will be rejected. Below are
the common/primary rejection criteria:
• Different name, IC or RN written on the request form and specimen
• Specimen not labeled
• No specimen / no form received
• Unsatisfactory specimen preparation
• Wrong tube / container
• Leaking specimen
• Empty container / form
• Broken slide
• Specimen not sealed (medicolegal cases)
10
• Wrong request form
• Clotted specimen
• Lysed specimen
• No indication
• Incorrect blood : anticoagulant ratio
• Insufficient volume of specimen GENERAL OPERATING POLICIES
• Grossly blood stained specimen
• Test not done / not offered / obsolete
• Specimen received after office hour ( test done during office hour)
• No FBC result and blood smear received
• Specimen for PT/APTT not suitable for testing (> 4 hours)
• No diagnosis or clinical summary of patient
• Test requested less than 3 months from the previous request (for certain tests)
• Test temporary withhold / stop (already informed)
The ward or clinic staff will be notified if the specimen is rejected.
RESULTS/REPORTS
Routine test results from Chemical Pathology, Haematology and Microbiology will be
placed in the designated pigeon hole. These results can also be viewed and printed
from ward view station available in designated wards/clinics.
Result for drug abuse testing should be collected by respective wards/clinics/agencies
from the toxicology laboratory. HIV positive result will be despatched by hand (internal
request) or send by post (external request).
Histopathology, cytology and bone marrow reports should be collected by respective
clinics/wards/departments from the histopathology, cytology or haematology unit
respectively.
For ACC Clinical Laboratory tests, results can be obtained directly.
All critical results will be notified to the requester immediately. (INSERT LIST)
Enquiry of test results shall be made using the form for tracing laboratory results HTAA/
PAT/FORM3.
11
OUTSOURCING OF TESTS
HTAA, KUANTAN this laboratory. Refer to Table 2 : List of Tests to Referral Laboratories (page : 38).
The Pathology Department will be outsourcing certain tests which are not offered by
For outsourcing of tests, the following procedures must be followed :
Use an appropriate request form.
i.
ii. Request form must be completed with required information.
iii. The specimens together with the completely filled request form need to be
sent to the reception counter/respective unit (if necessary).
iv. Some of the tests (e.g. Primary Immunodeficiency screening) may required
appointment. The requesting doctor shall arrange for appointment with respective
refferal laboratory and inform Pathology department (respective laboratory).
v. Transportation of specimen to the referral laboratory and handling of the results/
reports will be managed by the Pathology department.
vi. Transportation of the specimen to the referral laboratory is scheduled once per
week. If sample have to be send to referral laboratory urgently on the day which
is not in the schedule, requester must arrange the transportation to the required
location.
vii. Pathology department has the right to reject a request if the above requirements
are not fulfilled.
12
CONTACT NUMBERS CONTACT NUMBERS
13
Important contact numbers for Department of Pathology,
HTAA, KUANTAN Location (Direct Line : 09-557 follow by exten-
Hospital Tengku Ampuan Afzan, Kuantan.
Extension
Administration sion below)
Administration Section 2371
Head of Department 2079
Medical Officer 2384
Medical Lab Technologist 2382 /2365/2071
Fax No 09 - 5137206
Integrated Laboratory
Pathology Counter 2069
Demography Section 2078
Pathologist 2086/2214
Chemical Pathology
Chemical Pathology Lab 2440
Scientific Officer (Biochemist) 2866/2072/2383
Medical Lab Technologist 2071/2440
Pathologist 2214
Haematology
Haematology Lab 2077
Scientific Officer 2866
Medical Lab Technologist 2077
Pathologist 2214/2086
Serology / Immunology
Serology Lab 2075
Scientific Officer (Microbiologist) 2016/2866/2383
Medical Lab Technologist 2075
14
Microbiology
Bacteriology Lab 2074
TB Lab 2081 CONTACT NUMBERS
Molecular Lab 2869/2870
Pathologist 2214
Scientific Officer (Microbiologist) 2390
Medical Lab Technologist 2074/2075
Anatomical Pathology
Counter 2867
Histopathology Lab 2862
Cytology Lab 2863
FNAC Room 2019
Pathologist 2367/2391
Scientific Officer 2016
Medical Lab Technologist 2865
Blood Transfusion
Crossmatching Lab 2088
Antibody Lab 2017
Screening Lab 2015
Donor Counter 2085
Bleeding Room 2013
Transfusion Specialist/Pathologist 2089/2018
Medical Officer 2864
Scientific Officer (Microbiologist) 2390
Medical Lab Technologist 2084/2014
Public Relation Officer (PRO) 2085
15
HTAA, KUANTAN
LIST OF TESTS AVAILABLE AT
PATHOLOGY DEPARTMENT
HTAA
(ACCORDING TO ALPHABETICAL ORDER)
16
No. Test Unit Form Container Specimen Type Volume TAT Remark
4 hrs (Routine)
1. Activated Partial Thromboplastin Time (APTT) Integrated PER-PAT 301 Trisodium Citrate Blood 2.7ml (1 tube) 45 min (STAT) Need approval
HTAA, KUANTAN 2. APTT Mixing Test Haematology HAEM/JP/HTAA/01Ver.2 Trisodium Citrate Blood 1 tube 1-2 working days from MO/Pathol-
ogist.
By appointment:
ext 2077
Air sampling
Microbiology
N/A
5 days
Air
PER-PAT 301
Blood agar plate
3.
Tel : 2074
4 hrs (Routine) By appointment
4. Alanine Transaminase (ALT) Integrated PER-PAT 301 Plain tube Blood 3ml
45 min (STAT)
4 hrs (Routine)
5. Albumin Integrated PER-PAT 301 Plain tube Blood 3ml
45 min (STAT)
4 hrs (Routine)
6. Alkaline Phosphatase (ALP) Integrated PER-PAT 301 Plain tube Blood 3ml
45 min (STAT)
7. Alpha-fetoprotein (AFP) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
By appointment
8. Ammonia Integrated PER-PAT 301 EDTA tube in ice Blood 2ml 1 hour
Tel : 2078
4 hrs (Routine)
9. Amylase (pancreatic), serum Integrated PER-PAT 301 Plain tube Blood 3ml
45 min (STAT)
Universal sterile
10. Amylase, random urine Integrated PER-PAT 301 Random urine 5-10ml 5 working days
container
11. Anti double-stranded DNA Serology PER-PAT 301 Plain tube Blood 3.5ml 10 working days Twice a month
12. Anti-HBs Serology HIV/HEP (PHG) - 2011 Plain tube Blood 3.5ml 5 working days
13. Anti-HBc Total Serology HIV/HEP (PHG) - 2011 Plain tube Blood 3.5ml 5 working days
14. Anti-HBe & HBe Ag Serology HIV/HEP (PHG) - 2011 Plain tube Blood 3.5ml 10 working days By batch
15. Anti-HCV Serology HIV/HEP (PHG) - 2011 Plain tube Blood 3.5ml 5 working days
16. Anti-HIV Serology HIV/HEP (PHG) - 2011 Plain tube Blood 3.5ml 4 - 5 working days
17. Antibody Identification Transfusion PER-PAT 301 EDTA tube (2 tubes) Blood 4 ml each 2 weeks Tel : 2088
18. Anti-Mycoplasma Pneumonia Antibody Serology PER-PAT 301 Plain tube Blood 3.5ml 5 working days
Antiglobulin Test (Coombs Test)
19. i) Direct Antiglobulin Test Transfusion PER-PAT 301 EDTA tube Blood 4 ml 4 hours
ii) In direct Antiglobulin Test
18
No. Test Unit Form Container Specimen Type Volume TAT Remark
4 hrs (Routine)
1. Activated Partial Thromboplastin Time (APTT) Integrated PER-PAT 301 Trisodium Citrate Blood 2.7ml (1 tube)
45 min (STAT)
Need approval
from MO/Pathol-
2. APTT Mixing Test Haematology HAEM/JP/HTAA/01Ver.2 Trisodium Citrate Blood 1 tube 1-2 working days ogist.
By appointment: LIST OF TESTS
ext 2077
By appointment
3. Air sampling Microbiology PER-PAT 301 Blood agar plate Air N/A 5 days
Tel : 2074
4 hrs (Routine)
4. Alanine Transaminase (ALT) Integrated PER-PAT 301 Plain tube Blood 3ml
45 min (STAT)
4 hrs (Routine)
5. Albumin Integrated PER-PAT 301 Plain tube Blood 3ml
45 min (STAT)
4 hrs (Routine)
6. Alkaline Phosphatase (ALP) Integrated PER-PAT 301 Plain tube Blood 3ml
45 min (STAT)
7. Alpha-fetoprotein (AFP) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
By appointment
8. Ammonia Integrated PER-PAT 301 EDTA tube in ice Blood 2ml 1 hour
Tel : 2078
4 hrs (Routine)
9. Amylase (pancreatic), serum Integrated PER-PAT 301 Plain tube Blood 3ml
45 min (STAT)
Universal sterile
10. Amylase, random urine Integrated PER-PAT 301 Random urine 5-10ml 5 working days
container
11. Anti double-stranded DNA Serology PER-PAT 301 Plain tube Blood 3.5ml 10 working days Twice a month
12. Anti-HBs Serology HIV/HEP (PHG) - 2011 Plain tube Blood 3.5ml 5 working days
13. Anti-HBc Total Serology HIV/HEP (PHG) - 2011 Plain tube Blood 3.5ml 5 working days
14. Anti-HBe & HBe Ag Serology HIV/HEP (PHG) - 2011 Plain tube Blood 3.5ml 10 working days By batch
15. Anti-HCV Serology HIV/HEP (PHG) - 2011 Plain tube Blood 3.5ml 5 working days
16. Anti-HIV Serology HIV/HEP (PHG) - 2011 Plain tube Blood 3.5ml 4 - 5 working days
17. Antibody Identification Transfusion PER-PAT 301 EDTA tube (2 tubes) Blood 4 ml each 2 weeks Tel : 2088
18. Anti-Mycoplasma Pneumonia Antibody Serology PER-PAT 301 Plain tube Blood 3.5ml 5 working days
Antiglobulin Test (Coombs Test)
19. i) Direct Antiglobulin Test Transfusion PER-PAT 301 EDTA tube Blood 4 ml 4 hours
ii) In direct Antiglobulin Test
19
No. Test Unit Form Container Specimen Type Volume TAT Remark
20. Anti Nuclear antibodies (ANA) Serology PER-PAT 301 Plain tube Blood 3.5ml 10 working days
5 working days
Serology
PER-PAT 301
Anti-streptolysin ‘O’ Titre (ASOT)
Blood
3.5ml
Plain tube
21.
HTAA, KUANTAN 22. Aspartate Transaminase (AST) Integrated PER-PAT 301 Plain tube Blood 3ml 4 hrs (Routine)
45min (STAT)
Bilirubin
4 hrs (Routine)
i) Total Bilirubin
3ml
Integrated
PER-PAT 301
Blood
23.
Plain tube
ii) Direct Bilirubin
45min (STAT)
Blood C&S (aerobic)
24. iii) Indirect Bilirubin (calculated) Microbiology PER-PAT 301 Aerobic Blood Culture Blood 8-10ml 2-6 days
Bottle
Anaerobic Blood Culture
25. Blood C&S (anaerobic) Microbiology PER-PAT 301 Blood 8-10ml 2-6 days
Bottle
Fungal - 14 days Please call clinical
Myco/F Lytic Blood Cul-
26. Blood C&S (mycobacterium & fungal) Microbiology PER-PAT 301 Blood 5-10ml Mycobacterium - microbiologist
ture Bottle
43 days (ext: 2214)
Aerobic Blood Culture
27. Blood C&S (paeds) Microbiology PER-PAT 301 Blood 1-3ml 2-6 days
Bottle (Paeds)
28. Blood Film Malarial Parasite (BFMP) Parasitology PER-PAT 301 Thick/thin film Smear N/A 8 hours
Sampling time
29. Blood Film For Microfilaria Parasitology PER-PAT 301 Thick blood film Smear 100µl 1 working day
(10 pm - 2 am)
30. Blood Gases Integrated PER-PAT 301 Heparinised syringe Blood 0.5-1ml 45 min Send in ice water
31. Blood Group and Rhesus Transfusion PER-PAT 301 EDTA tube Blood 4ml 1 hour
This is a
Blood Urea Serum Electrolyte (BUSE) profile test. All
32. i) Urea Integrated PER-PAT 301 Plain tube Blood 5ml 4 hrs (Routine) parameters can
45 min (STAT)
ii) Na/K/Cl be requested
individually.
Body Fluids (sterile) C&S
i) Ascitic Fluid
ii) Bile
33. iii) Peritoneal Fluid Microbiology PER-PAT 301 Universal sterile con- Aspirated fluid min 1ml 2-3 days
tainer
iv) Pleural Fluid
v) PD Fluid
vi) Synovial Fluid
Urgent : 3 work-
ANA/JP/HTAA-01/
34. Body Fluid For Cytology Cytology VER.3(Pindaan Universal sterile con- Body fluid min 1ml ing days Tel : 2863
9/9/2015) tainer Non-urgent : 14
working days
Universal sterile con-
35. Bone C&S Microbiology PER-PAT 301 Bone N/A 2-3 days
tainer
Bone marrow By appointment
36. Bone Marrow Aspiration Haematology HAEM/JP/HTAA/01Ver.2 N/A 0.5-1ml 7 working days
smear Tel : 2077
20
No. Test Unit Form Container Specimen Type Volume TAT Remark
20. Anti Nuclear antibodies (ANA) Serology PER-PAT 301 Plain tube Blood 3.5ml 10 working days
21. Anti-streptolysin ‘O’ Titre (ASOT) Serology PER-PAT 301 Plain tube Blood 3.5ml 5 working days
4 hrs (Routine)
22. Aspartate Transaminase (AST) Integrated PER-PAT 301 Plain tube Blood 3ml
45min (STAT)
Bilirubin LIST OF TESTS
i) Total Bilirubin 4 hrs (Routine)
23. Integrated PER-PAT 301 Plain tube Blood 3ml
ii) Direct Bilirubin 45min (STAT)
iii) Indirect Bilirubin (calculated)
Aerobic Blood Culture
24. Blood C&S (aerobic) Microbiology PER-PAT 301 Blood 8-10ml 2-6 days
Bottle
Anaerobic Blood Culture
25. Blood C&S (anaerobic) Microbiology PER-PAT 301 Blood 8-10ml 2-6 days
Bottle
Fungal - 14 days Please call clinical
Myco/F Lytic Blood Cul-
26. Blood C&S (mycobacterium & fungal) Microbiology PER-PAT 301 Blood 5-10ml Mycobacterium - microbiologist
ture Bottle
43 days (ext: 2214)
Aerobic Blood Culture
27. Blood C&S (paeds) Microbiology PER-PAT 301 Blood 1-3ml 2-6 days
Bottle (Paeds)
28. Blood Film Malarial Parasite (BFMP) Parasitology PER-PAT 301 Thick/thin film Smear N/A 8 hours
Sampling time
29. Blood Film For Microfilaria Parasitology PER-PAT 301 Thick blood film Smear 100µl 1 working day
(10 pm - 2 am)
30. Blood Gases Integrated PER-PAT 301 Heparinised syringe Blood 0.5-1ml 45 min Send in ice water
31. Blood Group and Rhesus Transfusion PER-PAT 301 EDTA tube Blood 4ml 1 hour
This is a
Blood Urea Serum Electrolyte (BUSE) profile test. All
32. i) Urea Integrated PER-PAT 301 Plain tube Blood 5ml 4 hrs (Routine) parameters can
45 min (STAT)
ii) Na/K/Cl be requested
individually.
Body Fluids (sterile) C&S
i) Ascitic Fluid
ii) Bile
33. iii) Peritoneal Fluid Microbiology PER-PAT 301 Universal sterile con- Aspirated fluid min 1ml 2-3 days
tainer
iv) Pleural Fluid
v) PD Fluid
vi) Synovial Fluid
Urgent : 3 work-
ANA/JP/HTAA-01/
34. Body Fluid For Cytology Cytology VER.3(Pindaan Universal sterile con- Body fluid min 1ml ing days Tel : 2863
9/9/2015) tainer Non-urgent : 14
working days
Universal sterile con-
35. Bone C&S Microbiology PER-PAT 301 Bone N/A 2-3 days
tainer
Bone marrow By appointment
36. Bone Marrow Aspiration Haematology HAEM/JP/HTAA/01Ver.2 N/A 0.5-1ml 7 working days
smear Tel : 2077
21
No. Test Unit Form Container Specimen Type Volume TAT Remark
Universal sterile
ANA/JP/HTAA-01/
37. Bone Marrow Trephine Biopsy Histopathology VER.3(Pindaan 9/9/2015) container with 10% Bone marrow N/A 10 working days
HTAA, KUANTAN 38. Calcium, serum Chem. Patho. PER-PAT 301 24-hr urine container 24-hr urine 24-hr urine 10 working days Acidify with 10mL
formalin
4hrs (Routine)
Integrated
Plain tube
3ml
Blood
45min (STAT)
Calcium, 24-hr urine
Integrated
5 working days
PER-PAT 301
39.
collection
of 6M HCl
PER-PAT 301
Plain tube
Blood
40.
3ml
Cancer Antigen 125 (CA125)
PER-PAT 301
Chem. Patho.
41.
Blood
Plain tube
Carcinoembryonic Antigen (CEA)
IV catheter CVP, 3ml 10 working days
42. Catheter tips C&S Microbiology PER-PAT 301 Sterile container Hickman, Broviac, 3cm 2-3 days
Umbilical catheter
43. C-Reactive protein Integrated PER-PAT 301 Plain tube Blood 3.5ml 2 working days
Cardiac Enzymes
i) Aspartate Transaminase (AST) 4hrs (Routine)
44. Integrated PER-PAT 301 Plain tube Blood 3ml
ii) Creatine Kinase (CK) 45min (STAT)
iii) Lactate Dehydrogenase (LDH)
4hrs (Routine)
45. Chloride Integrated PER-PAT 301 Plain tube Blood 3ml
45min (STAT)
24-hr urine
46. Chloride, 24-hr urine Integrated PER-PAT 301 24-hr urine container 24-hr urine 5 working days
collection
47. Cholesterol Integrated PER-PAT 301 Plain tube Blood 3ml 4 hours
Monday-Tuesday
48. CD4/CD8 (B&T cell enumeration) Haematology HAEM/JP/HTAA/04 EDTA tube Blood 2ml 3 working days For appointment
Tel : 2077
49. Complement C3/C4 Integrated PER-PAT 301 Plain tube Blood 3.5ml 10 working days
Congenital Hypothyroidism Screening Pro-
50. Chem. Patho. HTAA-OBG-B-015 Plain tube Blood 3ml 2 working days
gramme
51. Contact Lens C&S Microbiology PER-PAT 301 Sterile container Contact lens N/A 2-3 days
Inoculated BA, Mac Scrapping from
52. Corneal scrapping C&S Microbiology PER-PAT 301 and Sab and Choc cornea N/A 7 days
Media
53. Cortisol, serum Integrated PER-PAT 301 Plain tube Blood 3ml 5 working days
24-hr urine
54. Cortisol, 24-hr urine Chem. Patho. PER-PAT 301 24-hr urine container 24-hr urine 10 working days
collection
4hrs (Routine)
55. Creatine kinase Integrated PER-PAT 301 Plain tube Blood 3ml
45min (STAT)
Creatinine Clearance i) Plain tube i) 3ml
i) Blood
56. i) Serum creatinine Chem. Patho. PER-PAT 301 ii)24-hr urine con- ii) 24-hr urine ii) 24-hr urine 5 working days
ii) 24-hr urine creatinine tainer collection
22
No. Test Unit Form Container Specimen Type Volume TAT Remark
Universal sterile
ANA/JP/HTAA-01/
37. Bone Marrow Trephine Biopsy Histopathology container with 10% Bone marrow N/A 10 working days
VER.3(Pindaan 9/9/2015)
formalin
4hrs (Routine)
38. Calcium, serum Integrated PER-PAT 301 Plain tube Blood 3ml
45min (STAT)
24-hr urine Acidify with 10mL LIST OF TESTS
39. Calcium, 24-hr urine Integrated PER-PAT 301 24-hr urine container 24-hr urine 5 working days
collection of 6M HCl
40. Cancer Antigen 125 (CA125) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
41. Carcinoembryonic Antigen (CEA) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
IV catheter CVP,
42. Catheter tips C&S Microbiology PER-PAT 301 Sterile container Hickman, Broviac, 3cm 2-3 days
Umbilical catheter
43. C-Reactive protein Integrated PER-PAT 301 Plain tube Blood 3.5ml 2 working days
Cardiac Enzymes
i) Aspartate Transaminase (AST) 4hrs (Routine)
44. Integrated PER-PAT 301 Plain tube Blood 3ml
ii) Creatine Kinase (CK) 45min (STAT)
iii) Lactate Dehydrogenase (LDH)
4hrs (Routine)
45. Chloride Integrated PER-PAT 301 Plain tube Blood 3ml
45min (STAT)
24-hr urine
46. Chloride, 24-hr urine Integrated PER-PAT 301 24-hr urine container 24-hr urine 5 working days
collection
47. Cholesterol Integrated PER-PAT 301 Plain tube Blood 3ml 4 hours
Monday-Tuesday
48. CD4/CD8 (B&T cell enumeration) Haematology HAEM/JP/HTAA/04 EDTA tube Blood 2ml 3 working days For appointment
Tel : 2077
49. Complement C3/C4 Integrated PER-PAT 301 Plain tube Blood 3.5ml 10 working days
Congenital Hypothyroidism Screening Pro-
50. Chem. Patho. HTAA-OBG-B-015 Plain tube Blood 3ml 2 working days
gramme
51. Contact Lens C&S Microbiology PER-PAT 301 Sterile container Contact lens N/A 2-3 days
Inoculated BA, Mac Scrapping from
52. Corneal scrapping C&S Microbiology PER-PAT 301 and Sab and Choc cornea N/A 7 days
Media
53. Cortisol, serum Integrated PER-PAT 301 Plain tube Blood 3ml 5 working days
24-hr urine
54. Cortisol, 24-hr urine Chem. Patho. PER-PAT 301 24-hr urine container 24-hr urine 10 working days
collection
4hrs (Routine)
55. Creatine kinase Integrated PER-PAT 301 Plain tube Blood 3ml
45min (STAT)
Creatinine Clearance i) Plain tube i) 3ml
i) Blood
56. i) Serum creatinine Chem. Patho. PER-PAT 301 ii)24-hr urine con- ii) 24-hr urine ii) 24-hr urine 5 working days
ii) 24-hr urine creatinine tainer collection
23
No. Test Unit Form Container Specimen Type Volume TAT Remark
57. Cerebrospinal fluid for AFB Microbiology PER-PAT 301 Sterile container CSF min 1ml 1 working day
Cerebrospinal fluid for Biochemistry Integrated PER-PAT 301 Sterile container CSF min 2ml 1 hour
HTAA, KUANTAN 59. iii) Protein Microbiology PER-PAT 301 Sterile Plain container CSF min 1ml 2-3 days
i) Glucose
58.
i) Globulin
Cerebrospinal fluid C&S
Cerebrospinal fluid FEME
i) Gram Stain
60.
ii) Cell Count
iii) Latex Agglutination Test Microbiology PER-PAT 301 Sterile container CSF min 2ml 1 hour
iv) India Ink
Sterile container CSF 2ml
61. Cryptococcal Antigen Serology PER-PAT 301 3 days
Plain tube Blood 3.5ml
62. D-Dimer Integrated PER-PAT 301 Trisodium citrate Blood 2.7ml 4 hours
63. Dengue Rapid Test, Antigen Serology PER-PAT 301 Plain tube Blood 3.5ml 1-4 hours To consult Clinical
64. Dengue Rapid Test, Antibody Serology PER-PAT 301 Plain tube Blood 3.5ml 1-4 hours Microbiologist
The frequency also
3-5 working
65. Dengue Serology Serology PER-PAT 301 Plain tube Blood 3.5ml depends on the
days
number of samples
Must provide sam-
66. Dialysate Biochemistry Chem. Patho. PER-PAT 301 Sterile container Body fluid 5ml 5 working days pling time on form
and container.
For paeds patient,
Universal sterile 4hrs (Routine)
67. Dipstick, urine Integrated PER-PAT 301 Random urine 10ml minimum of 5ml is
container 45 min (STAT)
required
Drug of Abuse, urine Screening : 3
i) Screening Universal sterile working days
68. Drug Toxicology Lab PER(LAB).SS 301A Random urine 30ml
(Morphine, Cannabinoid & ATS) container Confirmation :
ii) Confirmation (Morphine & Cannabinoid) 8 working days
Stuart transport
69. Ear swab C&S Microbiology PER-PAT 301 Pus N/A 2-3 days
media
Attest Biological
70. Efficiency testing on autoclave (Attest) Microbiology PER-PAT 301 Attest N/A 2 days
Indicator
Do not send sam-
71. Erythrocyte Sedimentation Rate (ESR) Integrated PER-PAT 301 EDTA tube Blood 2ml 4 hours ples after 4:30pm
and weekend/PH
Must provide age
72. Estimated Glomerular Filtration Rate (eGFR) Integrated PER-PAT 301 Plain tube Blood 3 ml 4 hours
& sex.
10 working
73. Estradiol Chem. Patho. PER-PAT 301 Plain tube Blood 3ml
days
Stuart transport
74. Eye swab C&S Microbiology PER-PAT 301 Eye swab N/A 2-3 days
media
75. Factor IX Assay Haematology HAEM/JP/HTAA/01Ver.2 Trisodium citrate Blood 2.7ml x 2 tubes 2 weeks Tel : 2077
24
No. Test Unit Form Container Specimen Type Volume TAT Remark
57. Cerebrospinal fluid for AFB Microbiology PER-PAT 301 Sterile container CSF min 1ml 1 working day
Cerebrospinal fluid for Biochemistry
i) Glucose
58. Integrated PER-PAT 301 Sterile container CSF min 2ml 1 hour
i) Globulin
iii) Protein
59. Cerebrospinal fluid C&S Microbiology PER-PAT 301 Sterile Plain container CSF min 1ml 2-3 days LIST OF TESTS
Cerebrospinal fluid FEME
i) Gram Stain
60. ii) Cell Count Microbiology PER-PAT 301 Sterile container CSF min 2ml 1 hour
iii) Latex Agglutination Test
iv) India Ink
Sterile container CSF 2ml
61. Cryptococcal Antigen Serology PER-PAT 301 3 days
Plain tube Blood 3.5ml
62. D-Dimer Integrated PER-PAT 301 Trisodium citrate Blood 2.7ml 4 hours
63. Dengue Rapid Test, Antigen Serology PER-PAT 301 Plain tube Blood 3.5ml 1-4 hours To consult Clinical
64. Dengue Rapid Test, Antibody Serology PER-PAT 301 Plain tube Blood 3.5ml 1-4 hours Microbiologist
The frequency also
3-5 working
65. Dengue Serology Serology PER-PAT 301 Plain tube Blood 3.5ml depends on the
days
number of samples
Must provide sam-
66. Dialysate Biochemistry Chem. Patho. PER-PAT 301 Sterile container Body fluid 5ml 5 working days pling time on form
and container.
For paeds patient,
Universal sterile 4hrs (Routine)
67. Dipstick, urine Integrated PER-PAT 301 Random urine 10ml minimum of 5ml is
container 45 min (STAT)
required
Drug of Abuse, urine Screening : 3
i) Screening Universal sterile working days
68. Drug Toxicology Lab PER(LAB).SS 301A Random urine 30ml
(Morphine, Cannabinoid & ATS) container Confirmation :
ii) Confirmation (Morphine & Cannabinoid) 8 working days
Stuart transport
69. Ear swab C&S Microbiology PER-PAT 301 Pus N/A 2-3 days
media
Attest Biological
70. Efficiency testing on autoclave (Attest) Microbiology PER-PAT 301 Attest N/A 2 days
Indicator
Do not send sam-
71. Erythrocyte Sedimentation Rate (ESR) Integrated PER-PAT 301 EDTA tube Blood 2ml 4 hours ples after 4:30pm
and weekend/PH
Must provide age
72. Estimated Glomerular Filtration Rate (eGFR) Integrated PER-PAT 301 Plain tube Blood 3 ml 4 hours
& sex.
10 working
73. Estradiol Chem. Patho. PER-PAT 301 Plain tube Blood 3ml
days
Stuart transport
74. Eye swab C&S Microbiology PER-PAT 301 Eye swab N/A 2-3 days
media
75. Factor IX Assay Haematology HAEM/JP/HTAA/01Ver.2 Trisodium citrate Blood 2.7ml x 2 tubes 2 weeks Tel : 2077
25
No. Test Unit Form Container Specimen Type Volume TAT Remark
By appointment
76. Factor VIII Assay Haematology HAEM/JP/HTAA/01Ver.2 Trisodium citrate Blood 2.7ml x 2 tubes 2 weeks By appointment
ext:2077
HTAA, KUANTAN 78. Factor VIII/IX Inhibitor Screening Chem. Patho. HAEM/JP/HTAA/01Ver.2 Trisodium citrate Blood 2.7 ml 10 working days By appointment
2 weeks
Haematology
2.7ml x 2 tubes
Trisodium citrate
Factor VIII Inhibitor assay.
Blood
HAEM/JP/HTAA/01Ver.2
77.
ext:2077
Haematology
2 weeks
ext:2077
PER-PAT 301
79.
Ferritin
3ml
Blood
Plain tube
Integrated
2.7ml
1 day
Blood
PER-PAT 301
Trisodium citrate
Fibrinogen
80.
Urgent : 3 working
ANA/JP/HTAA-01/ days
81. Fine Needle Aspiration For Cytology (FNAC) Cytology N/A Aspirate N/A Tel : 2863
VER.3(Pindaan 9/9/2015) Non-urgent : 14
working days
Universal sterile
82. Fluid for Biochemistry Integrated PER-PAT 301 Body fluid 5ml 10 working days
container
83. Folate Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 1 month
84. Follicle Stimulating Hormone (FSH) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
4hrs (Routine)
85. Full Blood Count (FBC) Integrated PER-PAT 301 EDTA tube Blood 2ml
45min (STAT)
Urgent : 3 working
days
86. Full Blood Picture (FBP) Haematology HAEM/JP/HTAA/01Ver.2 EDTA tube Blood 2ml
Non-urgent : 7
working days
Skin/ hair/ nail/
87. Fungal C&S Microbiology PER-PAT 301 Sterile container sputum/ fluid/ N/A 5-14 days
swabs
Filter paper with 1 big drop of
88. G6PD Screening Haematology PER-PAT 301 Blood spot 1 day
blood spot blood
Fluoride Oxalate 4hrs (Routine)
89. Glucose, plasma Integrated PER-PAT 301 Blood 2ml
tube 45min (STAT)
Glucose Tolerance Test (GTT)
90. i) Fasting Blood Glucose Integrated PER-PAT 301 Fluoride Oxalate Blood 2ml 4 hours
tube
ii) 2-hr Post Prandial
24-hrs urine con- 24-hr urine col-
91. Glucose, 24-hr urine Integrated PER-PAT 301 24-hr urine 5 working days
tainer lection
92. Group and Crossmatch (GXM) Transfusion PPDK5-PIN 2/2015 EDTA tube Blood 4ml 45 minutes
93. Group Screen and Hold (GSH) Transfusion PPDK5-PIN 2/2015 EDTA tube Blood 4ml 8 hours
94. Haemoglobin Analysis Haematology HAEM/JP/HTAA/01Ver.2 EDTA tube Blood 2ml 1 month
95. HBsAg Serology HIV/HEP (PHG) - 2011 Plain tube Blood 5ml 5 working days
96. Haemoglobin A1C Chem. Patho. PER-PAT 301 EDTA tube Blood 2ml 10 working days
26
No. Test Unit Form Container Specimen Type Volume TAT Remark
By appointment
76. Factor VIII Assay Haematology HAEM/JP/HTAA/01Ver.2 Trisodium citrate Blood 2.7ml x 2 tubes 2 weeks
ext:2077
By appointment
77. Factor VIII Inhibitor assay. Haematology HAEM/JP/HTAA/01Ver.2 Trisodium citrate Blood 2.7ml x 2 tubes 2 weeks
ext:2077
By appointment
78. Factor VIII/IX Inhibitor Screening Haematology HAEM/JP/HTAA/01Ver.2 Trisodium citrate Blood 2.7 ml 2 weeks LIST OF TESTS
ext:2077
79. Ferritin Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
80. Fibrinogen Integrated PER-PAT 301 Trisodium citrate Blood 2.7ml 1 day
Urgent : 3 working
ANA/JP/HTAA-01/ days
81. Fine Needle Aspiration For Cytology (FNAC) Cytology N/A Aspirate N/A Tel : 2863
VER.3(Pindaan 9/9/2015) Non-urgent : 14
working days
Universal sterile
82. Fluid for Biochemistry Integrated PER-PAT 301 Body fluid 5ml 10 working days
container
83. Folate Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 1 month
84. Follicle Stimulating Hormone (FSH) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
4hrs (Routine)
85. Full Blood Count (FBC) Integrated PER-PAT 301 EDTA tube Blood 2ml
45min (STAT)
Urgent : 3 working
days
86. Full Blood Picture (FBP) Haematology HAEM/JP/HTAA/01Ver.2 EDTA tube Blood 2ml
Non-urgent : 7
working days
Skin/ hair/ nail/
87. Fungal C&S Microbiology PER-PAT 301 Sterile container sputum/ fluid/ N/A 5-14 days
swabs
Filter paper with 1 big drop of
88. G6PD Screening Haematology PER-PAT 301 Blood spot 1 day
blood spot blood
Fluoride Oxalate 4hrs (Routine)
89. Glucose, plasma Integrated PER-PAT 301 Blood 2ml
tube 45min (STAT)
Glucose Tolerance Test (GTT)
90. i) Fasting Blood Glucose Integrated PER-PAT 301 Fluoride Oxalate Blood 2ml 4 hours
tube
ii) 2-hr Post Prandial
24-hrs urine con- 24-hr urine col-
91. Glucose, 24-hr urine Integrated PER-PAT 301 24-hr urine 5 working days
tainer lection
92. Group and Crossmatch (GXM) Transfusion PPDK5-PIN 2/2015 EDTA tube Blood 4ml 45 minutes
93. Group Screen and Hold (GSH) Transfusion PPDK5-PIN 2/2015 EDTA tube Blood 4ml 8 hours
94. Haemoglobin Analysis Haematology HAEM/JP/HTAA/01Ver.2 EDTA tube Blood 2ml 1 month
95. HBsAg Serology HIV/HEP (PHG) - 2011 Plain tube Blood 5ml 5 working days
96. Haemoglobin A1C Chem. Patho. PER-PAT 301 EDTA tube Blood 2ml 10 working days
27
No. Test Unit Form Container Specimen Type Volume TAT Remark
Universal sterile
97. Haemosiderin, urine Haematology PER-PAT 301 container Big specimen 10 ml 42 days By appointment
1 week
Urine
HTAA, KUANTAN 98. Histopathology Examination for tissue (HPE) Histopathology VER.3(Pindaan 9/9/2015) container with 10% Biopsy N/A Urgent : 3 working Refer to chapter 6.0
Appropriate size
ANA/JP/HTAA-01/
in Histopathology
days
unit (page 216)
Formalin
Non-urgent : 14
working days
Plain universal
99. Histopathology : Frozen section Histopathology ANA/JP/HTAA-01/ container (without Fresh tissue N/A 1 hour By appointment
VER.3(Pindaan 9/9/2015) Tel : 2862
formalin)
Plain universal
ANA/JP/HTAA-01/ container with Phos- Renal biopsy and *To call respective
100. Histopathology : Immunofluorescence test Histopathology N/A N/A pathologist for
VER.3(Pindaan 9/9/2015) phate-buffered Saline skin biopsy urgent cases
(PBS)
10 working days
(Routine)
101. Human Chorionic Gonadotrophin, Total (ThCG) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml
24 hours
(Urgent)
Full clinical history is
102. Indirect Immunoperoxidase for Rickettsial (IIP) Serology PER-PAT 301 Plain tube Blood 3.5ml 1 month
required
Transport in ice
103. Influenzae A (H1N1) - PCR Molecular Annex 11 Viral transport media Throat swab N/A 3-5 working days
Tel : 2869/2870
Blood bag & giving
N/A Whole bag
Investigation of Blood Transfusion Reaction set ABO compatibility
i) Post-transfusion 1 : collect samples imme- EDTA tube Blood 4ml (48 hours)
104. diately Transfusion i) PPDK22-pin1/80 Refer page 135-137
ii) Borang X
ii) Post-transfusion 2 : collect samples 24 hrs Universal sterile Urine 20ml Full report
after the reaction container (2 weeks)
EDTA tube Blood 2ml
105. Iron & TIBC Integrated PER-PAT 301 Plain tube Blood 3ml 4 hours
2ml (Moth- By appointment
106. Kleihauer test Haematology HAEM/JP/HTAA/01Ver.2 EDTA tube Blood 1 week
er) Tel : 2077
107. Leptospira IgM (Leptorapide) Serology PER-PAT 301 Plain tube Blood 5ml 3 working days
Lipid Profile
i) Total Cholesterol
108. ii) Triglycerides Integrated PER-PAT 301 Plain tube Blood 5ml 4 hours
iii) HDL-Cholesterol
iv) LDL-Cholesterol (calculated)
28
No. Test Unit Form Container Specimen Type Volume TAT Remark
Universal sterile
97. Haemosiderin, urine Haematology PER-PAT 301 Urine 10 ml 1 week By appointment
container
Big specimen 42 days
Refer to chapter 6.0
Appropriate size Urgent : 3 working
ANA/JP/HTAA-01/ in Histopathology
98. Histopathology Examination for tissue (HPE) Histopathology container with 10% N/A days
VER.3(Pindaan 9/9/2015) Biopsy unit (page 216) LIST OF TESTS
Formalin Non-urgent : 14
working days
Plain universal
ANA/JP/HTAA-01/ By appointment
99. Histopathology : Frozen section Histopathology container (without Fresh tissue N/A 1 hour
VER.3(Pindaan 9/9/2015) Tel : 2862
formalin)
Plain universal
ANA/JP/HTAA-01/ container with Phos- Renal biopsy and *To call respective
100. Histopathology : Immunofluorescence test Histopathology N/A N/A pathologist for
VER.3(Pindaan 9/9/2015) phate-buffered Saline skin biopsy urgent cases
(PBS)
10 working days
(Routine)
101. Human Chorionic Gonadotrophin, Total (ThCG) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml
24 hours
(Urgent)
Full clinical history is
102. Indirect Immunoperoxidase for Rickettsial (IIP) Serology PER-PAT 301 Plain tube Blood 3.5ml 1 month
required
Transport in ice
103. Influenzae A (H1N1) - PCR Molecular Annex 11 Viral transport media Throat swab N/A 3-5 working days
Tel : 2869/2870
Blood bag & giving
N/A Whole bag
Investigation of Blood Transfusion Reaction set ABO compatibility
i) Post-transfusion 1 : collect samples imme- EDTA tube Blood 4ml (48 hours)
104. diately Transfusion i) PPDK22-pin1/80 Refer page 135-137
ii) Borang X
ii) Post-transfusion 2 : collect samples 24 hrs Universal sterile Urine 20ml Full report
after the reaction container (2 weeks)
EDTA tube Blood 2ml
105. Iron & TIBC Integrated PER-PAT 301 Plain tube Blood 3ml 4 hours
2ml (Moth- By appointment
106. Kleihauer test Haematology HAEM/JP/HTAA/01Ver.2 EDTA tube Blood 1 week
er) Tel : 2077
107. Leptospira IgM (Leptorapide) Serology PER-PAT 301 Plain tube Blood 5ml 3 working days
Lipid Profile
i) Total Cholesterol
108. ii) Triglycerides Integrated PER-PAT 301 Plain tube Blood 5ml 4 hours
iii) HDL-Cholesterol
iv) LDL-Cholesterol (calculated)
29
No. Test Unit Form Container Specimen Type Volume TAT Remark
Liver Function Test
i) Total Bilirubin test. All assayed
HTAA, KUANTAN 109. iv) Globulin (calculated) Integrated PER-PAT 301 Plain tube Blood 5ml 4 hours parameters can
ii) Total Protein
This is a profile
iii) Albumin
v) A/G Ratio (calculated)
be requested
individually.
vi) Alkaline Phosphatase
vii) Alanine Transaminase
viii) Aspartate Transaminase
110.
1 month
Plain tube
Blood
3ml
Luteinizing Hormone (LH)
Chem. Patho.
PER-PAT 301
111. Lupus Anticoagulant Haematology HAEM/JP/HTAA/01Ver.2 Trisodium citrate Blood 2.7ml x 3 tubes 10 working days
112. Magnesium, serum Integrated PER-PAT 301 Plain tube Blood 3ml 4 hours
113. Magnesium, 24-hr urine Integrated PER-PAT 301 24-hr urine container 24-hr urine 5-10ml 5 working days
Transport in ice
114. MERS-CoV - PCR Molecular Annex 11 Viral transport media Throat swab N/A 3-5 working days
Tel : 2869/2870
Universal sterile con-
115. Microalbumin, urine Chem. Patho. PER-PAT 301 Random urine 5-10ml 5 working days
tainer
Sputum/gastric Positive culture
Sterile container / Myco
116. Mycobacterium culture Microbiology TBIS 20C aspirate/body N/A 6-8weeks will send to MKAK
F bottle
fluid for ID and AST
Sputum/BAL/ All cases must be
MTBC and Rifampicin resistance detection Sterile body discussed with
117. Microbiology TBIS 20C Sterile container N/A 1-2 days
using Gene Xpert fluid/Tissue/ chest physician.
CSF Send in ice.
Screening for
118. Nasal swab C&S Microbiology PER-PAT 301 Stuart transport media Nasal swab N/A 2-3 days
MRSA
Nasopharyn-
Amies transport media
119. Nasopharyngeal C&S Microbiology / charcoal plate / sterile geal aspirate / N/A 2-3 days
PER-PAT 301 nasopharyngeal
container
swab
120. Neutrophil Alkaline Phosphatase Score Haematology HAEM/JP/HTAA/01Ver.2 EDTA tube Blood 2ml 1 week By appointment
Tel : 2077
121. Osmotic Fragility Test Haematology HAEM/JP/HTAA/01Ver.2 EDTA tube (2 tubes) Blood 2ml 1 week Fresh sample
122. Pap smear Cytology PS 1/98 (Pindaan 2007) Alcohol fixed slides Smear N/A 14 working days
Universal sterile con-
123. Paraquat, urine Integrated PER-PAT 301 Random urine 20ml 1 hour
tainer
124. Phosphate (Inorganic), serum Integrated PER-PAT 301 Plain tube Blood 3ml 4 hours
Universal sterile
125. Phosphate, urine Integrated PER-PAT 301 container/ 24-hr urine Random/ 24-hr 10ml/24-hr 5 working days
container urine urine
4hrs (Routine)
126. Potassium, serum Integrated PER-PAT 301 Plain tube Blood 3ml
45 min (STAT)
30
No. Test Unit Form Container Specimen Type Volume TAT Remark
Liver Function Test
i) Total Bilirubin
ii) Total Protein This is a profile
iii) Albumin test. All assayed
109. iv) Globulin (calculated) Integrated PER-PAT 301 Plain tube Blood 5ml 4 hours parameters can
v) A/G Ratio (calculated) be requested
vi) Alkaline Phosphatase individually. LIST OF TESTS
vii) Alanine Transaminase
viii) Aspartate Transaminase
110. Lupus Anticoagulant Haematology HAEM/JP/HTAA/01Ver.2 Trisodium citrate Blood 2.7ml x 3 tubes 1 month
111. Luteinizing Hormone (LH) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
112. Magnesium, serum Integrated PER-PAT 301 Plain tube Blood 3ml 4 hours
113. Magnesium, 24-hr urine Integrated PER-PAT 301 24-hr urine container 24-hr urine 5-10ml 5 working days
Transport in ice
114. MERS-CoV - PCR Molecular Annex 11 Viral transport media Throat swab N/A 3-5 working days
Tel : 2869/2870
Universal sterile con-
115. Microalbumin, urine Chem. Patho. PER-PAT 301 Random urine 5-10ml 5 working days
tainer
Sputum/gastric Positive culture
Sterile container / Myco
116. Mycobacterium culture Microbiology TBIS 20C aspirate/body N/A 6-8weeks will send to MKAK
F bottle
fluid for ID and AST
Sputum/BAL/ All cases must be
MTBC and Rifampicin resistance detection Sterile body discussed with
117. Microbiology TBIS 20C Sterile container N/A 1-2 days
using Gene Xpert fluid/Tissue/ chest physician.
CSF Send in ice.
Screening for
118. Nasal swab C&S Microbiology PER-PAT 301 Stuart transport media Nasal swab N/A 2-3 days
MRSA
Nasopharyn-
Amies transport media
119. Nasopharyngeal C&S Microbiology / charcoal plate / sterile geal aspirate / N/A 2-3 days
PER-PAT 301 nasopharyngeal
container
swab
120. Neutrophil Alkaline Phosphatase Score Haematology HAEM/JP/HTAA/01Ver.2 EDTA tube Blood 2ml 1 week By appointment
Tel : 2077
121. Osmotic Fragility Test Haematology HAEM/JP/HTAA/01Ver.2 EDTA tube (2 tubes) Blood 2ml 1 week Fresh sample
122. Pap smear Cytology PS 1/98 (Pindaan 2007) Alcohol fixed slides Smear N/A 14 working days
Universal sterile con-
123. Paraquat, urine Integrated PER-PAT 301 Random urine 20ml 1 hour
tainer
124. Phosphate (Inorganic), serum Integrated PER-PAT 301 Plain tube Blood 3ml 4 hours
Universal sterile
125. Phosphate, urine Integrated PER-PAT 301 container/ 24-hr urine Random/ 24-hr 10ml/24-hr 5 working days
container urine urine
4hrs (Routine)
126. Potassium, serum Integrated PER-PAT 301 Plain tube Blood 3ml
45 min (STAT)
31
No. Test Unit Form Container Specimen Type Volume TAT Remark
Random/ 24-hr
127. Potassium, urine Integrated PER-PAT 301 24-hr urine container Random urine 10ml/24-hr urine 5 working days
urine
HTAA, KUANTAN 129. Progesterone Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
4hrs (Routine)
Universal sterile con-
10ml
PER-PAT 301
128.
Integrated
Pregnancy Test, urine
45 min (STAT)
taine
1 month
3ml
Blood
Prolactin
Plain tube
PER-PAT 301
Chem. Patho.
130.
PER-PAT 301
Prostate Specific Antigen, Total (PSA)
Chem. Patho.
131.
Blood
Plain tube
10 working days
3ml
24-hr urine col-
24-hr urine container
24-hr urine
PER-PAT 301
Integrated
Protein Creatinine Index
132.
lection 5 working days
4hrs (Routine)
133. Protein (Total), serum Integrated PER-PAT 301 Plain tube Blood 3ml
45min (STAT)
24-hrs urine
134. Protein, 24-hr urine Integrated PER-PAT 301 24-hr urine container 24-hr urine 5 working days
collection
4hrs (Routine)
135. Prothrombin Time (PT)/ INR Integrated PER-PAT 301 Trisodium Citrate Blood 2.7ml
45min (STAT)
Universal sterile con-
136. Pus C&S Microbiology PER-PAT 301 Pus/ Swab N/A 2-3 days
tainer
137. Rapid Plasma Reagin (RPR) , Syphilis Serology PER-PAT 301 Plain tube Blood 3.5ml 3 working days
Cary Blair transport me-
138. Rectal swab C&S Microbiology PER-PAT 301 dia / Selenite F / Alkaline Swab N/A 3-4 days
peptone water
Universal sterile con-
139. Reducing Sugar, urine Chem. Patho. PER-PAT 301 Random urine 5ml 1 working day
tainer
This is a
Renal Profile profile test. All
i) Urea 4hrs (Routine)
140. Integrated PER-PAT 301 Plain tube Blood 5ml parameters can
ii) Na/K/Cl 45min (STAT) be requested
iii) Creatinine
individually.
Universal sterile con- Upper/ Lower
141. Respiratory C&S Microbiology PER-PAT 301 N/A 2-3 days
tainer Respiratory Tract
142. Reticulocyte count Haematology PER-PAT 301 EDTA tube Whole blood 2ml 4 hours Part of FBC
143. Rheumatoid Factor Serology PER-PAT 301 Plain tube Blood 3.5ml 3 working days
Ascites fluid
i) Universal sterile
i) 5ml
sample must
144. Serum Albumin Ascites Gradient (SAAG) Integrated PER-PAT 301 container i) Ascites fluid ii) 3ml 1 day be paired with
ii) Blood
ii) Plain tube
serum sample
Universal sterile con- By appointment
145. Seminal Fluid Analysis Haematology HAEM/JP/HTAA/03 Seminal fluid All ejaculation 1 day
tainer Tel : 2077
By appointment
146. Sickling test Haematology PER-PAT 301 EDTA tube Whole blood 2ml 7 working days
Tel : 2077
4hrs (Routine)
147. Sodium, serum Integrated PER-PAT 301 Plain tube Blood 3ml
45min (STAT)
32
No. Test Unit Form Container Specimen Type Volume TAT Remark
Random/ 24-hr
127. Potassium, urine Integrated PER-PAT 301 24-hr urine container 10ml/24-hr urine 5 working days
urine
Universal sterile con- 4hrs (Routine)
128. Pregnancy Test, urine Integrated PER-PAT 301 Random urine 10ml
taine 45 min (STAT)
129. Progesterone Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 1 month LIST OF TESTS
130. Prolactin Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
131. Prostate Specific Antigen, Total (PSA) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
24-hr urine col-
132. Protein Creatinine Index Integrated PER-PAT 301 24-hr urine container 24-hr urine 5 working days
lection
4hrs (Routine)
133. Protein (Total), serum Integrated PER-PAT 301 Plain tube Blood 3ml
45min (STAT)
24-hrs urine
134. Protein, 24-hr urine Integrated PER-PAT 301 24-hr urine container 24-hr urine 5 working days
collection
4hrs (Routine)
135. Prothrombin Time (PT)/ INR Integrated PER-PAT 301 Trisodium Citrate Blood 2.7ml
45min (STAT)
Universal sterile con-
136. Pus C&S Microbiology PER-PAT 301 Pus/ Swab N/A 2-3 days
tainer
137. Rapid Plasma Reagin (RPR) , Syphilis Serology PER-PAT 301 Plain tube Blood 3.5ml 3 working days
Cary Blair transport me-
138. Rectal swab C&S Microbiology PER-PAT 301 dia / Selenite F / Alkaline Swab N/A 3-4 days
peptone water
Universal sterile con-
139. Reducing Sugar, urine Chem. Patho. PER-PAT 301 Random urine 5ml 1 working day
tainer
This is a
Renal Profile profile test. All
i) Urea 4hrs (Routine)
140. Integrated PER-PAT 301 Plain tube Blood 5ml parameters can
ii) Na/K/Cl 45min (STAT) be requested
iii) Creatinine
individually.
Universal sterile con- Upper/ Lower
141. Respiratory C&S Microbiology PER-PAT 301 N/A 2-3 days
tainer Respiratory Tract
142. Reticulocyte count Haematology PER-PAT 301 EDTA tube Whole blood 2ml 4 hours Part of FBC
143. Rheumatoid Factor Serology PER-PAT 301 Plain tube Blood 3.5ml 3 working days
Ascites fluid
i) Universal sterile
sample must
i) 5ml
144. Serum Albumin Ascites Gradient (SAAG) Integrated PER-PAT 301 container i) Ascites fluid ii) 3ml 1 day be paired with
ii) Blood
ii) Plain tube
serum sample
Universal sterile con- By appointment
145. Seminal Fluid Analysis Haematology HAEM/JP/HTAA/03 Seminal fluid All ejaculation 1 day
tainer Tel : 2077
By appointment
146. Sickling test Haematology PER-PAT 301 EDTA tube Whole blood 2ml 7 working days
Tel : 2077
4hrs (Routine)
147. Sodium, serum Integrated PER-PAT 301 Plain tube Blood 3ml
45min (STAT)
33
No. Test Unit Form Container Specimen Type Volume TAT Remark
24-hr urine col-
Integrated
148. Sodium, 24-hr urine Microbiology PER-PAT 301 24-hr urine container 24-hr urine lection 5 working days
HTAA, KUANTAN 150. Sputum C&S Microbiology PER-PAT 301 Universal sterile con- Milk / TPN / Disin- N/A 2-3 days
Universal sterile con-
PER-PAT 301
Sputum
Sputum AFB
1 working day
149.
2-3ml
tainer
Sputum
tainer
Universal sterile con-
PER-PAT 301
Sterility testing
151.
2-3 days
5ml
Microbiology
tainer
Stool
152. Stool C&S Microbiology PER-PAT 301 Universal sterile con- fectant 1-2ml 3-4 days
tainer
Universal sterile Con-
153. Stool for Clostridium Difficile Toxin Parasitology PER-PAT 301 Stool 1-2ml 1 working day
tainer
Universal sterile con- For children ≤ 2
154. Stool for Rotavirus Parasitology PER-PAT 301 Stool 5gm (thumb size) 1 working day
tainer years old
Universal sterile con-
155. Stool Occult Blood Chem. Patho. PER-PAT 301 Stool 5gm (thumb size) 1 day
tainer
Universal sterile con-
156. Stool Ova & Cyst Parasitology PER-PAT 301 Stool 10gm 5 working days
tainer
157. Swab C&S Microbiology Stuart transport media Swab N/A 2-3 days
PER-PAT 301
158. Testosterone Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
159. Throat Swab C&S Microbiology PER-PAT 301 Stuart transport media Throat swab N/A 2-3 days
5 working days
(Routine)
160. Thyroid Stimulating Hormone (TSH) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml
24 hours
(Urgent)
5 working days
(Routine)
161. Thyroxine, Free (FT4) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml
24 hours
(Urgent)
Universal sterile con- Do not add
162. Tissue C&S Microbiology PER-PAT 301 Tissue N/A 2-3 days
tainer formalin
TORCHES
i) Cytomegalovirus IgM Can also be
163. ii) Herpes simplex virus IgM Serology Plain tube Blood 3.5ml 10 working days requested as
iii) Rubella IgM PER-PAT 301 single test
iv) Toxoplasma IgM
164. Treponema Pallidum Particle Agglutination (TPPA) Serology PER-PAT 301 Plain tube Blood 3.5ml 5 working days
165. Triiodothyronine, Free (FT3) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
166. Triglycerides Integrated PER-PAT 301 Plain tube Blood 3ml 4 hours
4hrs (Routine)
167. Urea, serum Integrated PER-PAT 301 Plain tube Blood 3ml
45 min (STAT)
34
No. Test Unit Form Container Specimen Type Volume TAT Remark
24-hr urine col-
148. Sodium, 24-hr urine Integrated PER-PAT 301 24-hr urine container 24-hr urine 5 working days
lection
Universal sterile con-
149. Sputum AFB Microbiology PER-PAT 301 Sputum 2-3ml 1 working day
tainer
Universal sterile con-
150. Sputum C&S Microbiology PER-PAT 301 Sputum N/A 2-3 days LIST OF TESTS
tainer
Universal sterile con- Milk / TPN / Disin-
151. Sterility testing Microbiology PER-PAT 301 5ml 2-3 days
tainer fectant
Universal sterile con-
152. Stool C&S Microbiology PER-PAT 301 Stool 1-2ml 3-4 days
tainer
Universal sterile Con-
153. Stool for Clostridium Difficile Toxin Parasitology PER-PAT 301 Stool 1-2ml 1 working day
tainer
Universal sterile con- For children ≤ 2
154. Stool for Rotavirus Parasitology PER-PAT 301 Stool 5gm (thumb size) 1 working day
tainer years old
Universal sterile con-
155. Stool Occult Blood Chem. Patho. PER-PAT 301 Stool 5gm (thumb size) 1 day
tainer
Universal sterile con-
156. Stool Ova & Cyst Parasitology PER-PAT 301 Stool 10gm 5 working days
tainer
157. Swab C&S Microbiology Stuart transport media Swab N/A 2-3 days
PER-PAT 301
158. Testosterone Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
159. Throat Swab C&S Microbiology PER-PAT 301 Stuart transport media Throat swab N/A 2-3 days
5 working days
(Routine)
160. Thyroid Stimulating Hormone (TSH) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml
24 hours
(Urgent)
5 working days
(Routine)
161. Thyroxine, Free (FT4) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml
24 hours
(Urgent)
Universal sterile con- Do not add
162. Tissue C&S Microbiology PER-PAT 301 Tissue N/A 2-3 days
tainer formalin
TORCHES
i) Cytomegalovirus IgM Can also be
163. ii) Herpes simplex virus IgM Serology Plain tube Blood 3.5ml 10 working days requested as
iii) Rubella IgM PER-PAT 301 single test
iv) Toxoplasma IgM
164. Treponema Pallidum Particle Agglutination (TPPA) Serology PER-PAT 301 Plain tube Blood 3.5ml 5 working days
165. Triiodothyronine, Free (FT3) Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
166. Triglycerides Integrated PER-PAT 301 Plain tube Blood 3ml 4 hours
4hrs (Routine)
167. Urea, serum Integrated PER-PAT 301 Plain tube Blood 3ml
45 min (STAT)
35
No. Test Unit Form Container Specimen Type Volume TAT Remark
Universal sterile con- Random / 24-hr 10ml/24-hr 5 working days
tainer / 24-hrs urine
PER-PAT 301
Urea, urine
Integrated
168.
HTAA, KUANTAN 169. Uric acid, serum Integrated PER-PAT 301 Universal sterile con- Random / 24-hr 10ml/24-hr 5 working days
urine
urine
container
4hrs (Routine)
3ml
Blood
Plain tube
45 min (STAT)
tainer / 24-hrs urine
PER-PAT 301
Integrated
Uric acid, urine
170.
urine
urine
container
Sterile container with
boric acid Clean-catch urine 25ml
/ mid-stream
urine / in-out
171. Urine C&S Microbiology 2-3 days
PER-PAT 301 catheter urine
Sterile container / suprapubic <25ml
aspirate
High or low
vaginal swab
/ endocervical
172. Urogenital C&S Microbiology Stuart transport media N/A 2-3 days
PER-PAT 301 swab / penile
swab (Dacron
swab)
173. Vitamin B12 Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
Plain tube Blood 3ml
174. Zika Virus - PCR Molecular Annex 11 3-5 working days Transport in ice
Tel : 2869/2870
Universal sterile con- Urine 10ml
tainer
36
No. Test Unit Form Container Specimen Type Volume TAT Remark
Universal sterile con-
168. Urea, urine Integrated PER-PAT 301 tainer / 24-hrs urine Random / 24-hr 10ml/24-hr 5 working days
urine
urine
container
4hrs (Routine)
169. Uric acid, serum Integrated PER-PAT 301 Plain tube Blood 3ml
45 min (STAT) LIST OF TESTS
Universal sterile con- Random / 24-hr 10ml/24-hr
170. Uric acid, urine Integrated PER-PAT 301 tainer / 24-hrs urine urine urine 5 working days
container
Sterile container with Clean-catch urine
boric acid / mid-stream 25ml
urine / in-out
171. Urine C&S Microbiology 2-3 days
PER-PAT 301 catheter urine
Sterile container / suprapubic <25ml
aspirate
High or low
vaginal swab
/ endocervical
172. Urogenital C&S Microbiology Stuart transport media N/A 2-3 days
PER-PAT 301 swab / penile
swab (Dacron
swab)
173. Vitamin B12 Chem. Patho. PER-PAT 301 Plain tube Blood 3ml 10 working days
Plain tube Blood 3ml
Transport in ice
174. Zika Virus - PCR Molecular Annex 11 3-5 working days Tel : 2869/2870
Universal sterile con- Urine 10ml
tainer
37
HTAA, KUANTAN LIST OF TESTS TO
REFERRAL LABORATORIES
38
39 LIST OF TESTS
Type of Speci-
No. Test Unit Form Container/Preservatives Sample Volume Referral Lab TAT (Refferal Lab) Remark
men
48 hours before
HTAA, KUANTAN eat/ take:
urine collection and
during the 24 hours
collection, do not
Avocados, Bananas,
Butternuts, Rockmel-
on, Dates, Eggplant,
Grapefruit, Hickory
nuts, Honeydew,
IMR (Bio-
5-Hydroxyindole acetic acid (5-HIAA),
(including Walnuts
1.
and Pecans), Pineap-
24-Hour urine Chem. Patho. 24-Hour urine IMR/SDC/ BC/ 24-Hour urine bottle 5 ml of 24-Hour urine chemistry) 15 working days Kiwifruit, Melon, Nuts
FORM-RQ
with 10 ml 25% HCl
ple, Plantain, Plums,
Tomatoes (including
tomato-based foods
and beverages) and
Medication that
contains L-dopa,
Acetaminophen or
Salicylates, or cough
syrup that contains
Guaifenesin.
IMR
17-Hydroxyprogesterone
2. Chem. Patho. Blood PER-PAT 301 Plain tube 3 ml (Diabetes & 20 working days
(17-OH Progesterone)
Endocrine)
Corneal scrape,
Contact lens,
3. Acanthamoeba/naegleria PCR Bacteriology Contact lens sus- PER-PAT 301 Sterile, air tight or con- NA IMR 9 days
pension, Spinal tact lens storage
fluid
Acarine (in 70%
4. Acari in house dust Parasitology PER-PAT 301 Sealed Plastic bag 1 gm of dust IMR 21 work days
ethanol)
Acarine (in 70%
5. Acari in House/Building Parasitology PER-PAT 301 Bijou bottle As many samples IMR 21 work days
ethanol)
Acari in Rodent/bird's nests in house/ Acarine (in 70%
6. Parasitology PER-PAT 301 Sealed Plastic bag As many samples IMR 21 work days
building ethanol)
AcetylCoA:glucosaminide N-acyltrans-
7. Chem. Patho. Whole blood PER-PAT 301 EDTA bottle 5 mls whole blood IMR
ferase
IMR/SDC/ BC/ Whatmann 903 Filter Please refer
8. Acid Alpha Glucosidase Chem. Patho. Dried blood spot 3 circles of DBS IMR 10 working days
FORM-RQ paper page 176 No. 4.5
IMR
2 EDTA tubes (2 ml (Molecular Please refer
9. Acute Intermittent Porphyria (HMBS) Chem. Patho. Blood IMR/UMDP/ 02 EDTA tube 30 working days
for each tube) Diagnostic & page 178 No. 4.6
Protein)
Hospital Am- Separate plasma
pang Special Trisodium citrate (1 Hospital from cells as soon as
10. ADAM TS 13 Haematology Blood 2-7 ml 4-8 weeks possible. Store frozen
Hematology Lab tube) Ampang at -40 o C and transport
Requisition frozen plasma
40
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