Specimen Collection and Test Updates – March 2025

Test Updates

• Lead, Blood Level [LAB98] – Tan tubes have been discontinued per the manufacturer – New tube: 3mL Royal Blue EDTA.
• Pap Test [LAB1230097] – Algorithm updated.
• Cryoglobulin [LAB7130] – Cryoglobulin cannot be ordered a second time within a 2 week window in Laboratory Information System (LIS).
• Hemolytic Anemia Evaluation, Blood [LAB1230792] – Important Note added.
• Cystatin C [LAB3226] – Specimen stability, reference range, performing department all updated
• Name Updates
  • LAB2111355 BCR and ABL1 t(9;22) by FISH updated to BCR::ABL1 t(9;22) gene fusion by FISH
  • LAB2111420 PML and RARA t(15;17) by FISH updated to PML::RARA t(15;17) gene fusion by FISH
  • LAB2111396 IGH and CCND1 t(11;14) by FISH updated to CCND1::IGH t(11;14) gene fusion by FISH
• Zinc, Serum [LAB581], Copper, Serum [LAB1231751] and Selenium, Serum [LAB1231752] processing instructions  were updated.
• Beta HCG [LAB142] preferred container is now Gold Top Serum Separator-SST Gel tube, Mint Green Top Lithium Heparin Gel is still acceptable.
• Interlukin 2 [LAB1230002] is now performed at Corewell Health Reference Laboratory East. Previously this test was sent out to Mayo Clinic Laboratories
• Calcium, Blood [LAB53] reference range updated (this includes CMP, BMP and Renal Panels)

New Test

• Chlamydia, Gonococcus, Trichomonas PCR [LAB1231782]
• Acetylcholine Receptor Modulating Antibody [LAB1231688]
• Adenosine Deaminase, Blood [LAB1231209]
• Candida Albicans AB, IgA, IgG, IgM [LAB1231127]
• Creatine, Serum [LAB1231186]
• Echovirus Antibodies [LAB1231191]
• NMDA Receptor Antibody, Serum [LAB1231711]
• Nucleotidase, 5′ [LAB1231203]
• Ph, Random Stool [LAB1230004]
• Saccharomyces Cerevisiae Antibody, IgA/IgG [LAB1231256]
• Legionella Species, Molecular Detection, PCR, Varies [LAB1231885]
• Motor and Sensory Neuropathy Evaluation [LAB1231557]
• Pancreatic Elastase, Fecal [LAB1231870]
• Mantle Cell Lymphoma Panel [LAB1231867]
• Bile Acids, Total, Serum [LAB1231442]
• Chlamydia Trachomatis DNA w/Confirmation (< 14 years or Alternate Target) [LAB1231875]
• Chlamydia/Gonorrhoeae DNA w/Confirmation (<14 Years or Alternate Target) [LAB1231880]
• Neisseria Gonorrhoeae DNA w/Confirmation (<14 Years or Alternate Target) [LAB1231876]
• Chlamydia trachomatis/Neisseria gonorrhoeae RNA, TMA, Conjunctiva [LAB1231872]

Discontinued tests:

• Pancreatic Elastase Random Stool [LAB1230703] replacement test Pancreatic Elastase, Fecal [LAB1231870]
• Chromosomal Microarray Hematology [LAB1230902] is now a lab only orderable
• Immunofixation, Urine [LAB801]  replacement tests LAB2111445 Protein Electrophoresis, Random Urine, do IFE if indicated or LAB2111444 Protein Electrophoresis, 24 Hour Urine, do IFE if indicated

Document Updates

• Referral/Send Out Guide
• Reflex Testing
• Licensing and Accreditations (CAP and CLIA Licenses)
• Which Royal Blue Tube Do I Use?

 

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EMR/LIS Updates (eSHare or EHR Interface):

The following lab tests have updated information for interfaced clients (non-Corewell Health/Independent Outpatient offices or not on Corewell Health EPIC) with Corewell Health Laboratories. If you did not receive the file definition via email, please contact your vendor, the PRAS Team or use the Contact Us link above.

If you require a file definition or compendium for your EMR please use the “Contact Us” link above.

FAQ for Orders and Results Interface

New:

• CHLAMYDIA TRACHOMATIS DNA W/CONFIRMATION (<14 YEARS) 1231875
• NEISSERIA GONORRHOEAE DNA W/CONFIRMATION (<14 YEARS) 1231876
• TRICHOMONAS VAGINALIS DNA (<14 YEARS) 1231879
• CHLAMYDIA/GONORRHOEAE DNA W/CONFIRMATION (<14 YEARS) 1231880
  • For reflex results only
    • REFLEX N GONORRHOEAE DNA CONFIRMATORY (<14 YEARS) (LAB ONLY) 1231878
    • REFLEX C TRACHOMATIS DNA CONFIRMATORY (<14 YEARS) (LAB ONLY) 1231877
• CHLAMYDIA TRACHOMATIS/NEISSERIA GONORRHOEAE RNA, TMA, CONJUNCTIVA 1231872
• CHLAMYDIA/GONOCCUS/TRICHO MONAS PCR 1231782
• Motor and Sensory Neuropathy Evaluation  1231557
• BILE ACIDS, TOTAL 1231442
• NMDA RECEPTOR ANTIBODY, SERUM 1231711
• ACETYLCHOLINE RECEPTOR MODULATING ANTIBODY 1231688
• SACCHAROMYCES CEREVISIAE ANTIBODY, IGA/IGG 1231256
• ADENOSINE DEAMINASE, BLOOD 1231209
• NUCLEOTIDASE, 5′ 1231203
• ECHOVIRUS ANTIBODIES 1231191
• CREATINE, SERUM 1231186
• CANDIDA ALBICANS AB, IGA,IGG,IGM 1231127
• PH,RANDOM STOOL 1230004
• LEGIONELLA SPECIES, MOLECULAR DETECTION, PCR, VARIES 1231885
• TP53 Gene Mutation Analysis 1230578

Discontinued Test

• Pancreatic Elastase, Random Stool [1230703] replacement test Pancreatic Elastase, Fecal [1231870]
• RESEARCH CK-MB [10697] no replacement test
• BB Referral to SE Wisconsin [1230411] no replacement test
• AMELUNG APTT [1230439] replacement test Mechanical aPTT (LAB ONLY) [1230908]
• KIT MUTATION (EXON 8,17) FOR AML 1231593 no replacement test

Results Update

• Urinalysis 10067
• Urinalysis w/Micro Exam, C and S if Indicated 10540

 

 

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All specimen collection updates