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HelpTest Code Soft test code Name of test: Collection Manual Template
Additional Codes
Epic EAP: LABxxxx
Epic Description:
Specimen Type
Blood/Urine/other
Specimen Required
| Tube Type | Preferred Volume | Minimum Volume | |
|---|---|---|---|
| Preferred |
tube color |
x.x mL | x.x mL |
| Alternate | tube color | 5.0 mL | 1.0 mL |
| Preferred Micropuncture | leave blank if N/A | 2 x 0.5 mL | 1 x 0.5 mL |
| Alternate Micropuncture | Leave blank if N/A | 2 x 0.5 mL | 1 x 0.5 mL |
Instructions for Collection and Transport
Example: Centrifuge specimen. Transport specimen refrigerated on freeze packs. Refrigerate if holding overnight.
Performing Lab
Chemistry
Assay Frequency
24 hours
Routine Turnaround Time
3 hours
CSR Storage Requirements
Example: Centrifuge specimen. Transport to Lab.
Aliquot Requirement
Examples:
Plasma or Serum
Optimum: 3.0 mL
Minimum: 0.25 mL
CPT Code
CPT Code:
Reflex test information
List any reflex tests that may be added