Upload
vanque
View
213
Download
0
Embed Size (px)
Citation preview
Order form 2018
Page 1/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
1
x
TN-Nr.
x
x
Date/Stamp/Signature
Institution
Name
Street/No.
State/City/Postcode
Invoice to
Institution
Title/Surname
First name
Street/No.
State/City/Postcode
Phone
Fax
Address Participant-No.(if available, please fill in)
Order No.
Please fill in your VAT no.
Transfer of your orderYour order will be
automatically transferredto the following year.If desired, please tick.
Back to:
INSTAND e.V. PO Box 25 02 11 40093 Düsseldorf
With my signature I accept the terms of the general terms of contract for the participation in EQA schemes.
Please take note of the final dates for enrolment and for cancellation of each EQA scheme as shown on the following pages. Detailed information about the quality assessment schemes can be found in the enclosed programme.
I agree that INSTAND e. V. is allowed to provide my measurement
results for the purpose of quality assurance (according to Sec. 17 of
the general conditions of contract) to the manufacturer of my testing
systems in a pseudonymised form and for evaluation of my measure-
ment results by the manufacturer.
How to complete the registration formPlease enter the total number of desired sample sets in the corresponding box. Don’t strike out the unneeded dates.
24.11.17 12.01.18 09.03.18 04.05.18 29.06.18 17.08.1810.01.18 07.03.18 07.05.18 04.07.18 29.08.18 10.10.1824.01.18 21.03.18 25.05.18 18.07.18 12.09.18 24.10.18
1 * 2 * 1 2
No shipment onthese dates.
Order form 2018
Page 2/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
2
I confirm that I am authorised to perform direct and/or indirect detection of infectious pathogens. I comply with all relevant legal conditions.
In case you are participating in EQA schemes for mycobacteriology No. 423 or 425:
In the case of diagnostics for tuberculosis, identification and susceptibility testing will be performed under adequate laboratory safety conditions (according to national guidelines) I comply with all relevant legal conditions.
Please mark with a cross Yes No
x
TN-Nr.
x
Date/Stamp/Signature
This form concerns the following EQAS programs:
INSTAND e. V. requires your confirmation before shipping the samples of the EQA schemes below mentioned. Please understand that INSTAND e. V. is not allowed to send you the corresponding samples without your one-off confirmation as EQAS samples may contain infectious pathogens.
No. 412 – Bacteriology A (5 cultures) No. 411 – Bacteriology B (3 cultures) No. 313 – Bacteriological infectious serology – Chlamydia trachomatis direct detection No. 490 – Mycology 01 No. 491 – Mycology 02 No. 492 – Genome Detection of Dermatophytes No. 481 – Mycoserology 02 No. 421– 425 – Mycobacteriology 01–05 No. 335, 337, 339, 341–348, 351–354, 356–358 – Virus immunology No. 340, 349, 359–368, 370–382, 385, 388, 393–401 – Virus genome detection
This form only has to be completed once and is also valid for the following EQA schemes.
In case you have already submitted this form before, you don‘t need to submit it again.
Please notify us about any changes concerning this authorisation.
Please note: Without this confirmation we are not allowed to send you infectious pathogens!
External quality assessment schemes (EQAS) for direct and/or indirect detection of infectious pathogens
In case of requests please contact your corresponding EQAS expert.
Order form 2018
Page 3/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
3
x
TN-Nr.
x
Signature
Allergy Diagnostic 720
Deadline for registration 06.04.1824.11.17 09.02.18 13.07.18
Deadline for receipt of data 18.07.1824.01.18 25.05.18 24.10.18
Shipment 04.07.1810.01.18 07.05.18 10.10.18
Jan. (1) July (4)May (3)Allergy Diagnostic No. Oct. (6)
Autoimmune Diseases 01 - Connective Tissue Diseases (ANA) 251
Deadline for registration 12.01.18 29.06.18
Deadline for receipt of data 21.03.18 12.09.18
Shipment 07.03.18 29.08.18
Mar. (2) Sep. (5)Autoimmune Diseases No.
Autoimmune Diseases 02 - Hepatic Syndromes 253
Autoimmune Diseases 03 - Connective Tissue Diseases (ENA) 255 *
Autoimmune Diseases 04 - Vasculitis/Glomerulopathies 257
Autoimmune Diseases 05 - Autoimmune Dermatitis 259 *
Autoimmune Diseases 06 - Diabetes mellitus 261 *
Autoimmune Diseases 07 - Autoimmune Endocrinopathies 263 *
Autoimmune Diseases 08 - Paraneoplastic Neuropathies 265 *
Autoimmune Diseases 09 - Peripheral Neuropathies 267 *
Autoimmune Diseases 10 - Myasthenia gravis 269 *
Autoimmune Diseases 11 - Gluten-Sensitive Enteropathies 271
Autoimmune Diseases 12 - Rheumatoid Arthritis 273
Autoimmune Diseases 13 - Antiphospholipid Syndrome 275 *
Engraftment- and Chimerism Diagnostics 618
Deadline for registration 23.02.18 21.09.18
Deadline for receipt of data 02.05.18 27.11.18
Shipment 09.04.18 06.11.18
May (3)Engraftment and Chimerism Monitoring
No. Nov. (6)
Order form 2018
Page 4/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
4
x
TN-Nr.
x
Signature
Group 443: only in block with No. 441 July/August. Registration deadline: 24.11.2017 and shipment of serum samples on 22.01.2018.The HLA crossmatching should be done with the shipping of the group 441 July/August.
Apolipoprotein E (E2, E3, E4) 734
Deadline for registration 12.01.18 20.07.18
Deadline for receipt of data 11.04.18 17.10.18
Shipment 14.03.18 19.09.18
Apr. (2) Oct. (5)Molecular Genetics 01 No.
Factor V-Leiden-Mutation 730
HFE H63D, C282Y (optional: S65C) 733
MTHFR C677T (optional: A1298C) 732
PAI-1 (4G/5G) 735
Prothrombin 20210 731
Immunogenetics 01 - HLA-B27 Determination 440
Deadline for registration 08.06.1824.11.17 23.02.18 21.09.18
Deadline for receipt of data 13.08.1813.02.18 30.04.18 26.11.18
Shipment 23.07.1822.01.18 09.04.18 05.11.18
Feb. (1) Aug. (4)Apr. (3)Immunogenetics / HLA 1 No. Nov. (6)
Immunogenetics 02 - Serology HLA Typing Class I and II 441
Immunogenetics 03 - DNA-Based Typing of HLA Class II 442
Immunogenetics 05 - DNA-Based HLA Typing Class I 444
Immunogenetics 06 - HLA Antibody Screening and Specification 445
Deadline for registration 08.06.1824.11.17
Deadline for receipt of data 27.08.1826.02.18
Shipment 23.07.1822.01.18
Feb. (1) Aug. (4)Immunogenetics / HLA 2 No.
Immunogenetics 04 - HLA Crossmatching 443
Deadline for registration 24.11.17
Deadline for receipt of data 27.08.18
Shipment 22.01.18
Aug. (4)Immunogenetics / HLA Crossmatching No.
Order form 2018
Page 5/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
5
x
TN-Nr.
x
Signature
Set 01-A - Factor V-Leiden-Mutation 740
Deadline for registration 24.11.17 09.03.18 10.08.18
Deadline for receipt of data 07.02.18 06.06.18 07.11.18
Shipment 10.01.18 07.05.18 10.10.18
Feb. (1) June (3)Molecular Genetics 02 No. Nov. (6)
Set 01-B - Fibrinogen Receptor HPA 1a/1b 749
Set 01-C - Collagen Receptor C807T 739
Set 01-D - MTHFR C677T (optional A1298C) 747
Set 01-E - PAI-1 (4G/5G) 748
Set 01-F - Prothrombin 20210 746
Set 02-A - Aldolase B (A149P, A174D, N334K) 793
Set 02-B - alpha1-Antitrypsin (PiM, PiS, PiZ) 743
Set 02-C - Apolipoprotein E (Genotypes 2, 3, 4) 744
Set 02-D - Copper-Binding Protein: ATP7B (H1069Q) 745
Set 02-E - HFE: H63D, C282Y (optional S65C) 741
Set 02-F - UDP-Glucuronyltransferase 1 742
Set 03-A - Antithrombin (AT3; SERPINC1) 792 *
Set 03-B - Multiple Endocrine Neoplasia Type 2A (MEN2A) 738 *
Set 03-C - Protein C 790 *
Set 03-D - Protein S 791 *
Order form 2018
Page 6/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
6
x
TN-Nr.
x
Signature
NEW
Set 01 - Lactase-gene (LCT) 770
Deadline for registration 12.01.18 10.08.18
Deadline for receipt of data 04.04.18 07.11.18
Shipment 07.03.18 10.10.18
Apr. (2)Molecular Genetics 03 No. Nov. (6)
Set 02 - ApoB 771
Set 03 - HLA-DQ 772
Set 04 - CYP21A2 21-Hydroxylase 773
Set 05 - NOD2 774
Set 06 - CYP2C9 CYP2C19 VKORC1 TPMT 775
Set 07 - K-ras Codon 12/13/61 776
Set 08 - CYP2D6 DPD IL28B 777
Set 09 - CFTR Common Mutations 778
Set 10 - BRCA1 BRCA2 779
Set 11 - Dystrophin (Becker-Duchenne) 780
Set 12 - FMR1 Fragile X 781
Set 13 - GJB2 Connexin 26 782
Set 14 - MSH2 MLH1 (HNPCC) 783
Set 15 - HTT Huntingtin 784
Set 16 - ANCR (Prader-Willi, Angelman) 786
Set 17 - SMN1 (Spinal Muscular Atrophy) 787
Set 18 - AZF (Y-Chromosome Microdeletions) 788
Set 20 - alpha-Globin and beta-Globin 794
CALR 768
Deadline for registration 12.01.18 10.08.18
Deadline for receipt of data 04.04.18 07.11.18
Shipment 07.03.18 10.10.18
Apr. (2)Molecular Oncology No. Nov. (6)
KIT 767
MYD88 766
TP53 765
Order form 2018
Page 7/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
7
x
TN-Nr.
x
Signature
Haematology 01 - Blood Cell Count 211
Deadline for registration 12.01.18 04.05.1824.11.17 09.03.18 29.06.18 17.08.18
Deadline for receipt of data 21.03.18 18.07.1824.01.18 25.05.18 12.09.18 24.10.18
Shipment 07.03.18 04.07.1810.01.18 07.05.18 29.08.18 10.10.18
Jan. (1) Mar. (2) July (4)May (3) Sep. (5)Haematology A No. Oct. (6)
Haematology 07 - Blood Smear Analysis 212 *
Deadline for registration 04.05.1824.11.17 09.03.18 29.06.18 17.08.18
Deadline for receipt of data 18.07.1824.01.18 25.05.18 12.09.18 24.10.18
Shipment 04.07.1810.01.18 07.05.18 29.08.18 10.10.18
Jan. (1) July (4)May (3) Sep. (5)Haematology B No. Oct. (6)
Haematology 16 - Free Haemoglobin 236 *
Haematology 03 - Blood Cell Count - QBC System 209
Deadline for registration 19.01.18 18.05.1823.03.18 24.08.18
Deadline for receipt of data 14.03.18 11.07.1816.05.18 17.10.18
Shipment 07.03.18 04.07.1808.05.18 10.10.18
Mar. (2) July (4)May (3)Haematology C No. Oct. (6)
Haematology 04 - Reticulocyte Analysis (Machine-Based Analysis) 216
Deadline for registration 09.05.1814.11.17 16.03.18 24.08.18
Deadline for receipt of data 20.07.1824.01.18 23.05.18 05.11.18
Shipment 10.07.1816.01.18 15.05.18 23.10.18
Jan. (1) July (4)May (3)Haematology D No. Nov. (6)
Haematology 06 - Differential Blood Count (Machine-Based Analysis) 612
Haematology 14 - Immunophenotyping 03 (T, B and NK cells in cellular products) 617 * *
Order form 2018
Page 8/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
8
x
TN-Nr.
x
Signature
Haematology 15 - Haemoglobinopathies 210
Deadline for registration 09.03.18 10.08.18
Deadline for receipt of data 08.06.18 09.11.18
Shipment 08.05.18 10.10.18
June (3)Haematology F No. Nov. (6)
Haematology 05 - Reticulocyte Analysis 01 (Microscopy) 215 * *
Deadline for registration 12.01.18 09.05.1814.11.17 06.07.18
Deadline for receipt of data 21.03.18 20.07.1824.01.18 12.09.18
Shipment 13.03.18 10.07.1816.01.18 04.09.18
Jan. (1) Mar. (2) July (4) Sep. (5)Haematology E No.
Haematology 10 - Immunophenotyping 01 213 * *
Haematology 11 - Stem/Progenitor Cells (CD 34) 217
Haematology 12 - Immunophenotyping 02 214 * *
Cellular Immunodeficiency Diagnostic (Cytometry) 651
Deadline for registration 23.03.18 24.08.18
Deadline for receipt of data 30.05.18 05.11.18
Shipment 23.05.18 24.10.18
May (3)Cellular Immunodeficiency Diagnostic No. Nov. (6)
Haematology 13 - PNH Diagnostics 616
Deadline for registration 09.03.18 17.08.18
Deadline for receipt of data 25.05.18 24.10.18
Shipment 08.05.18 09.10.18
May (3)Haematology H No. Oct. (6)
Order form 2018
Page 9/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
9
x
TN-Nr.
x
Signature
Haemostasis 18 - POCT 286
Deadline for registration 10.11.17 02.03.18 29.06.18 31.08.18
Deadline for receipt of data 18.01.18 17.05.18 06.09.18 08.11.18
Shipment 16.01.18 15.05.18 04.09.18 06.11.18
Jan. (1) May (3) Sep. (5)Haemostaseology - POCT No. Nov. (6)
Haemostasis 01 - TPT, INR, aPTT 221
Deadline for registration 12.01.18 04.05.1824.11.17 09.03.18 29.06.18 17.08.18
Deadline for receipt of data 21.03.18 18.07.1824.01.18 25.05.18 12.09.18 24.10.18
Shipment 07.03.18 04.07.1810.01.18 07.05.18 29.08.18 10.10.18
Jan. (1) Mar. (2) July (4)May (3) Sep. (5)Haemostaseology A No. Oct. (6)
Haemostasis 02 - FIB, TZ, FSP 222 * *
Haemostasis 03 - Factor II, V, VII,X 223 * *
Haemostasis 04 - Factor IX, XI, XII, XIII 224 * *
Haemostasis 05 - AT, Protein C, Protein S, C1-Inhibitor 225 * *
Haemostasis 06 - D-Dimer 226 * *
Haemostasis 07 - Factor VIII, WF 227 * *
Haemostasis 10 - Argatroban 230 * *
Haemostasis 12 - UF Heparin 280 * *
Haemostasis 13 - LMW Heparin 281 * *
Haemostasis 14 - Orgaran 282 * *
Haemostasis 15 - TEG/ROTEM 283 * *
Haemostasis 17 - Compact 285 * *
Haemostasis 20 - Functional APC Resistance 288 * *
Haemostasis 21 - Fondaparinux 501 * * * *
Haemostasis 22 - Dabigatran 502 * * * *
Haemostasis 23 - Rivaroxaban 503 * * * *
Haemostasis 25 - Apixaban 504 * * * *
Order form 2018
Page 10/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
10
x
TN-Nr.
x
Signature
NEW
Haemostasis 08 - Lupus Anticoagulant 228
Deadline for registration
Deadline for registration
13.12.17 13.12.17 13.12.17 13.12.17
Deadline for receipt of data
Deadline for receipt of data
27.03.18 26.06.18 25.09.18 11.12.18
Shipment
Shipment
27.02.18 29.05.18 28.08.18 13.11.18
Mar. (2) June (3) Sep. (5)Haemostaseology - ECAT No. Dec. (6)
Haemostasis 11 - Factor VIII Inhibitor 220 * *
Haemostasis 19 - HIT-I (Immunological Testing) 287 * * *
Haemostasis 24 - Thrombin Generation Test 289 * *
Haemostasis 26 - ADAMTS13-I (Activity/Antigen) 510
Haemostasis 27 - ADAMTS13-II (Antibodies) 511 * *
Haemostasis 30 - Factor IX Inhibitor 514 * *
Haemostaseology No.
Haemostasis 28 - Bleeding Disorder Case Study (please order if interested)
512
Haemostasis 29 - DNA for EQAS 512 (optional) 513
Order form 2018
Page 11/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
11
x
TN-Nr.
x
Signature
ACE (Angiotensin-Converting-Enzyme) 630 * *
Deadline for registration 12.01.18 04.05.1824.11.17 09.03.18 29.06.18 17.08.18
Deadline for receipt of data 21.03.18 18.07.1824.01.18 25.05.18 12.09.18 24.10.18
Shipment 07.03.18 04.07.1810.01.18 07.05.18 29.08.18 10.10.18
Jan. (1) Mar. (2) July (4)May (3) Sep. (5)Clinical Chemistry No. Oct. (6)
Markers of Ethanol Abuse 01 750 * *
Markers of Ethanol Abuse 02 751 * *
Amino Acid Analysis 710 * * * *
Ammonia 118
Infection Serology - C-Reactive Protein 322 * *
Biogenic Amine in Plasma 185 * * * *
Myocardial Markers 760
Myocardial Markers BNP 761
Serum Proteins/Electrophoresis 141
Ethanol 700
Fecal Diagnostics 01 130 * * *
Fecal Diagnostics 02 131 * * * *
Fructosamine 146 * *
Gammopathies 243 * *
Glucose - Conventional Analysis 111
Urinary Stone Analyses 500 * * * *
IgG Subclasses 244 * * * *
Capillary Zone Electrophoresis 102
Clinical Chemistry - Conventional Analysis 100
Lipids/Lipoproteins 151
Neonatal Bilirubin 110
Photometer Controls 181
Plasmaproteins 01 241
Plasmaproteins 02 - Cystatin-C 242
Plasmaproteins 03 - hsCRP 240
Tumor Markers 292
>>
Order form 2018
Page 12/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
12
x
TN-Nr.
x
Signature
Tumor Markers - Calcitonin/Pro-Gastrin-Re-leasing Peptide 299
Tumor Markers - PSA and Testosterone 293
Vitamins 01 (Serum) 290 * *
Deadline for registration 12.01.18 04.05.1824.11.17 09.03.18 29.06.18 17.08.18
Deadline for receipt of data 21.03.18 18.07.1824.01.18 25.05.18 12.09.18 24.10.18
Shipment 07.03.18 04.07.1810.01.18 07.05.18 29.08.18 10.10.18
Jan. (1) Mar. (2) July (4)May (3) Sep. (5)Clinical Chemistry No. Oct. (6)
>>
Vitamins 02 (Whole Blood) 291 * *
Vitamins 03 - Vitamin C 296 * *
Vitamins 04 - Methylmalonic Acid 187 * *
HbA1c 145
Deadline for registration 19.01.18 11.05.1817.11.17 16.03.18 06.07.18 17.08.18
Deadline for receipt of data 23.03.18 13.07.1819.01.18 18.05.18 07.09.18 19.10.18
Shipment 20.03.18 10.07.1816.01.18 15.05.18 04.09.18 16.10.18
Jan. (1) Mar. (2) July (4)May (3) Sep. (5)HbA1c No. Oct. (6)
Complement Analysis 01 (Auto-anti-C1q) 245
Deadline for registration 12.01.18 17.08.18
Deadline for receipt of data 21.03.18 07.11.18
Shipment 07.03.18 10.10.18
Mar. (2)Complement Analysis No. Nov. (6)
Complement Analysis 02 (Functions and proteins) 246
Complement Analysis 03 (Complement activation products) 247 *
Complement Analysis 04 (C3 - nephritic factor) 248 *
Complement Analysis 05 (Auto-anti FH) 249 *
Complement Analysis 06 (anti - C1 inhibitor) 250 *
Order form 2018
Page 13/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
13
x
TN-Nr.
x
Signature
NEW Hematopoetic Growth Factors 626 * * * *
Deadline for registration 12.01.18 04.05.1824.11.17 09.03.18 29.06.18 17.08.18
Deadline for receipt of data 21.03.18 18.07.1824.01.18 25.05.18 12.09.18 24.10.18
Shipment 07.03.18 04.07.1810.01.18 07.05.18 29.08.18 10.10.18
Jan. (1) Mar. (2) July (4)May (3) Sep. (5)Hormones No. Oct. (6)
Hormones - Steroid Homones, Aldosterone 304
Hormones - Calcium Metabolism / Special Thyroid 301 * *
Hormones - Fertility 297 * *
Hormones - Adrenal Gland/Pituitary 298 * *
Hormones - Pancreas/Gastrointestinal Tract 300 * *
Hormones - Thyroid Hormones 294
Hormones - Thyroid Gland Antibodies 295 * *
Hormones - Gravidity - 1st Trimester Screening 305 * *
Hormones - Gravidity - 2nd Trimester Screening 306 * *
Hormones - Steroid Homones, Thyroid Gland 302
Hormones - Virilization 309 * *
Preeclampsia Marker 625 * * * *
Trace Elements 01 (Urine) 205
Deadline for registration 12.01.18 10.08.18
Deadline for receipt of data 28.03.18 30.10.18
Shipment 07.03.18 10.10.18
Mar. (2)Trace elements No. Oct. (6)
Trace Elements 02 (Plasma) 206
Trace Elements 03 (Plasma) 207
Trace Elements 04 (Whole Blood) 208
Order form 2018
Page 14/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
14
x
TN-Nr.
x
Signature
Cerebrospinal Fluid Analysis 01 – Protein Analysis 460
Deadline for registration 24.11.17 09.03.18 29.06.18 17.08.18
Deadline for receipt of data 24.01.18 25.05.18 12.09.18 24.10.18
Shipment 10.01.18 07.05.18 29.08.18 10.10.18
Jan. (1) May (3) Sep. (5)Cerebrospinal Fluid Analysis No. Oct. (6)
Cerebrospinal Fluid Analysis 02 – Oligoclonal IgG 462 * *
Cerebrospinal Fluid Analysis 03 – MRZ Reaction 463 * *
Cerebrospinal Fluid Analysis 04 – Lactate/ Glucose 464
Cerebrospinal Fluid Analysis 05 – Neuroborreliosis 465 * *
Cerebrospinal Fluid Analysis 06 – Dementia Markers 466 * *
Paracetamol and NSAIDs 194 * *
Deadline for registration 12.01.18 04.05.1824.11.17 09.03.18 29.06.18 17.08.18
Deadline for receipt of data 21.03.18 18.07.1824.01.18 25.05.18 12.09.18 24.10.18
Shipment 07.03.18 04.07.1810.01.18 07.05.18 29.08.18 10.10.18
Jan. (1) Mar. (2) July (4)May (3) Sep. (5)Therapeutic Drug Monitoring A No. Oct. (6)
Antiarrhytmics – Amiodaron 190 * *
Respiratory Stimulants – Caffeine 870 * *
Antibacterials – Teicoplanin 193 * *
Anticonvulsants 01 191 * *
Anticonvulsants 02 192 * *
Anticonvulsants 03 871 * *
Anticonvulsants 04 872 * *
Antifungals / Chloramphenicol 198 * * * *
Antifungals / Immunosuppressants 602 * * * *
Antipsychotic Drugs 01 200
Antipsychotic Drugs 02 873
Antipsychotic Drugs 03 874
Antipsychotic Drugs 04 875
Benzodiazepines 01 876 * *
Benzodiazepines 02 877 * *
Benzodiazepines 03 878 * *
Immunosuppressants 601 * * * *
>>
Order form 2018
Page 15/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
15
x
TN-Nr.
x
Signature
TDM 01 195
TDM 02 197
Deadline for registration 12.01.18 04.05.1824.11.17 09.03.18 29.06.18 17.08.18
Deadline for receipt of data 21.03.18 18.07.1824.01.18 25.05.18 12.09.18 24.10.18
Shipment 07.03.18 04.07.1810.01.18 07.05.18 29.08.18 10.10.18
Jan. (1) Mar. (2) July (4)May (3) Sep. (5)Therapeutic Drug Monitoring A No. Oct. (6)
>>
Psychotherapeutic Drugs 01 860 * *
Psychotherapeutic Drugs 02 861 * *
Psychotherapeutic Drugs 03 862 * *
Psychotherapeutic Drugs 04 863 * *
Psychostimulants – ADHS-Treatment 879 * *
Tri-/Tetracyclic Antidepressants 03 – Quantitative in Serum 202 * *
Tricyclic Antidepressants 01 – Quantitative in Serum 199 * *
Tricyclic Antidepressants 02 – Quantitative in Serum 201 * *
Tricyclic Antidepressants 04 – Qualitative in Serum 203
Tricyclic Antidepressants 05 – Qualitative in Urine 204
Antivirals 850
Deadline for registration 26.01.18 29.03.18 20.07.18 31.08.18
Deadline for receipt of data 21.03.18 25.05.18 12.09.18 24.10.18
Shipment 07.03.18 07.05.18 29.08.18 10.10.18
Mar. (2) May (3) Sep. (5)Therapeutic Drug Monitoring B No. Oct. (6)
Drugs of Abuse in Human Urine 01 (Qualitative+Quantitative) 174
Deadline for registration 04.05.1824.11.17 09.03.18 17.08.18
Deadline for receipt of data 18.07.1824.01.18 25.05.18 24.10.18
Shipment 04.07.1810.01.18 07.05.18 10.10.18
Jan. (1) July (4)May (3)Drugs of Abuse Testing No. Oct. (6)
Drugs of Abuse in Human Urine 02 (Qualitative+Quantitative) 176
Drugs of Abuse in Human Urine 03 (Qualitative+Quantitative) 177
Order form 2018
Page 16/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
16
x
TN-Nr.
x
Signature
Urine Chemistry 01 (Qualitative) 171 * *
Deadline for registration 12.01.18 04.05.1824.11.17 09.03.18 29.06.18 17.08.18
Deadline for receipt of data 21.03.18 18.07.1824.01.18 25.05.18 12.09.18 24.10.18
Shipment 07.03.18 04.07.1810.01.18 07.05.18 29.08.18 10.10.18
Jan. (1) Mar. (2) July (4)May (3) Sep. (5)Urine Analysis No. Oct. (6)
Urine Chemistry 02 (Quantitative) 173
Urine chemistry 03 (Biogene Amines) 175 * *
Urine Chemistry 04 (Porphyrins) 178 * * * *
Urine Chemistry 05 (Hormones) 179 * * * *
Urine Chemistry 06 (Sediment Pictures) 172 * *
Blood Gas Analysis 161
Deadline for registration 12.01.18 04.05.1824.11.17 09.03.18 29.06.18 17.08.18
Deadline for receipt of data 21.03.18 18.07.1824.01.18 25.05.18 12.09.18 24.10.18
Shipment 07.03.18 04.07.1810.01.18 07.05.18 29.08.18 10.10.18
Jan. (1) Mar.(2) July (4)May (3) Sep. (5)POCT/Blood Gas Analysis No. Oct. (6)
Blood Gas Analysis - Haemoglobin 162
Blood Gas Analysis OPTI Systems 163
Dry Chemistry 01 - POCT: Glucose 800
Dry Chemistry 02 - POCT: Abaxis Piccolo System 810 * *
Dry Chemistry 03 - POCT: Reflotron Systems 120
Samples and evaluation from the Reference Institute for Bioanalytics, Bonn.
Systematic Toxicological Analysis (STA) 188
Deadline for registration 26.02.18 25.06.18
Deadline for receipt of data 12.05.18 08.09.18
Shipment 18.04.18 15.08.18
May (3) Sep. (5)Systematic Toxicological Analysis (STA) No.
Order form 2018
Page 17/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
17
x
TN-Nr.
x
Signature
Bacterial Genome Detection - Molecular Genetic Analysis of the Human Microbiome 580
Deadline for registration 14.03.18
Deadline for receipt of data 27.07.18
Shipment 14.05.18
July (3)Bacterial Genome Detection - Molecular-genetic Analysis of the Human Microbiome
No.
Bacterial Genome Detection - Bordetella pertussis 532
Deadline for registration 16.03.18 24.08.18
Deadline for receipt of data 04.06.18 09.11.18
Shipment 16.05.18 24.10.18
June (3)Bacterial Genome Detection No. Nov. (6)
Bacterial Genome Detection - Borrelia burgdorferi 535
Bacterial Genome Detection - Carbapenemase-Genes 544
Bacterial Genome Detection - Chlamydia pneumoniae 540
Bacterial Genome Detection - Chlamydia trachomatis 531
Bacterial Genome Detection - Chlamydia trachomatis & Neisseria gonorrhoeae 530
Bacterial Genome Detection - Clostridium difficile (Toxin Gene) 545
Bacterial Genome Detection - Coxiella burnetii / Bacillus anthracis 542
Bacterial Genome Detection - EHEC / STEC 534
Bacterial Genome Detection - Francisella tularensis 543
Bacterial Genome Detection - Helicobacter pylori 533
Bacterial Genome Detection - Legionella pneumophila 536
Bacterial Genome Detection - Listeria spp. 538
Bacterial Genome Detection - MRSA or cMRSA 539
Bacterial Genome Detection - Mycoplasma pneumoniae 541
Bacterial Genome Detection - Salmonella enterica 537
Bacterial Genome Detection - VRE (Vancomycin Resistant Enterococci) 546
Order form 2018
Page 18/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
18
x
TN-Nr.
x
Signature
Please fill in page 2 of the order form for handling of infectious samples for EQAS unless you already returned your completed form 2 to INSTAND e. V. when you registered for recent EQA schemes. Without your confirmation we cannot send you the EQAS samples.
Participants in the EQA schemes for bacteriology (No. 411 or 412) will get a certificate for the gram stain in case of successful attendance.Additional participation in EQA scheme (No. 413) “Gram stain” is then not required!
Deadline for registration 16.03.18 24.08.18
Deadline for receipt of data 04.06.18 09.11.18
Shipment 16.05.18 24.10.18
June (3)Fungal Genome Detection No. Nov. (6)
Bacteriology - 5 Strains 412
Deadline for registration 22.12.17 22.06.18
Deadline for receipt of data 02.03.18 31.08.18
Shipment 21.02.18 22.08.18
Mar. (1) Aug. (5)Bacteriology A No.
Bacteriology - 3 Strains 411
Deadline for registration 18.05.1801.12.17 16.02.18 28.09.18
Deadline for receipt of data 20.07.1802.02.18 20.04.18 30.11.18
Shipment 11.07.1824.01.18 11.04.18 21.11.18
Feb. (1) July (4)Apr. (3)Bacteriology B No. Nov. (6)
Bacteriology - Gram Stain 413
Deadline for registration 02.02.18 31.08.18
Deadline for receipt of data 23.03.18 19.10.18
Shipment 14.03.18 10.10.18
Mar. (2)Bacteriology - Gram-Stain No. Oct. (6)
Infection Serology - Chlamydia pneumoniae (Chlamydophila) Antibodies 314 * *
Infection Serology - Chlamydia trachomatis Antibodies 312 * *
Infection Serology - Chlamydia trachomatis Direct Detection (Slide)
316 * *
Infection Serology - Bordetella pertussis Antibodies 317 * * *
Infection Serology - Borrelia burgdorferi Antibodies 332 * *
Infection Serology - Campylobacter Antibodies 319 * * *
Deadline for registration 10.11.17 16.03.18 29.06.18 24.08.18
Deadline for receipt of data 24.01.18 04.06.18 12.09.18 09.11.18
Shipment 10.01.18 16.05.18 29.08.18 24.10.18
Jan. (1) June (3) Sep. (5)Infection Serology No. Nov. (6)
>>
Fungal Genome Detection - Pneumocystis jirovecii 560
Order form 2018
Page 19/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
19
x
TN-Nr.
x
Signature
Please fill in page 2 of the order form for handling of infectious samples for EQAS unless you already returned your completed form 2 to INSTAND e. V. when you registered for recent EQA schemes. Without your confirmation we cannot send you the EQAS samples.
Infection Serology - Chlamydia trachomatis Direct Detection (ELISA / PCR)
313 * *
Deadline for registration 10.11.17 16.03.18 29.06.18 24.08.18
Deadline for receipt of data 24.01.18 04.06.18 12.09.18 09.11.18
Shipment 10.01.18 16.05.18 29.08.18 24.10.18
Jan. (1) June (3) Sep. (5)Infection Serology No. Nov. (6)
Infection Serology - Coxiella burnetii Antibodies 325 * * *
Infection Serology - Diphtheria Toxoid Antibodies 318 * *
Infection Serology - Helicobacter pylori Antibodies 334 * *
Infection Serology - Mycoplasma pneumoniae Antibodies 324 * * *
Infection Serology - Procalcitonin 320 * *
Infection Serology - Rheumatoid Factor 323
Infection Serology - Salmonella Antibodies 331 * *
Infection Serology - Streptococcal AB (ASL, aDNAse) 321 * *
Infection Serology - Tetanus Toxoid Antibodies 310 * *
Infection Serology - Treponema pallidum Antibodies 311 * *
Infection Serology - Yersinia Antibodies 315 * * *
>>
Interferon Gamma Release Assay (IGRA) 650
Deadline for registration 23.03.18 24.08.18
Deadline for receipt of data 30.05.18 05.11.18
Shipment 23.05.18 24.10.18
May (3)Interferon gamma Release Assay No. Nov. (6)
Mycology 01 (Yeasts) 490
Deadline for registration 24.11.17 27.07.18
Deadline for receipt of data 16.02.18 19.10.18
Shipment 24.01.18 26.09.18
Feb. (1) Oct. (5)Mycology 01 No.
Order form 2018
Page 20/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
20
x
TN-Nr.
x
Signature
Please fill in page 2 of the order form for handling of infectious samples for EQAS unless you already returned your completed form 2 to INSTAND e. V. when you registered for recent EQA schemes. Without your confirmation we cannot send you the EQAS samples.
Mycology 02 (Dermatophytes, Yeasts, Mould Fungus) 491
Deadline for registration 26.01.18 27.07.18
Deadline for receipt of data 27.04.18 26.10.18
Shipment 14.03.18 12.09.18
Apr. (2) Oct. (5)Mycology 02 No.
Parasite Microscopy „Blood“ 456
Deadline for registration 12.01.18 09.03.18 29.06.18 17.08.18
Deadline for receipt of data 21.03.18 25.05.18 12.09.18 24.10.18
Shipment 07.03.18 07.05.18 29.08.18 10.10.18
Mar. (2) May (3) Sep. (5)Parasite Diagnostic No. Oct. (6)
Parasite Microscopy „Stool“ 451 * *
Parasite Serology - Amoebiasis and Echinococcosis 455 * * *
Parasite Serology - Malaria and Schistosomiasis 454 * * *
Parasite Serology - Toxoplasmosis 452 * *
Detection of Toxoplasma DNA (PCR) 457 * *
Genome Detection of Dermatophytes 492
Deadline for registration 19.01.18 27.07.18
Deadline for receipt of data 03.04.18 28.09.18
Shipment 14.03.18 12.09.18
Apr. (2) Sep. (5)Genome Detection of Dermatophytes No.
Mycoserology 01 - Candida (Antigen+Antibodies) 480
Deadline for registration 24.11.17 20.07.18
Deadline for receipt of data 07.02.18 04.10.18
Shipment 24.01.18 19.09.18
Feb. (1) Oct. (5)Mycoserology 01 + 02 No.
Mycoserology 02 - Cryptococcus neoformans/Cryptococcus gattii Antigen 481
Order form 2018
Page 21/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
21
x
TN-Nr.
x
Signature
Please fill in page 2 of the order form for handling of infectious samples for EQAS unless you already returned your completed form 2 to INSTAND e. V. when you registered for recent EQA schemes. Without your confirmation we cannot send you the EQAS samples.
Mycobacteriology 02 - Culture 422
Deadline for registration 24.11.17 20.07.18
Deadline for receipt of data 23.03.18 23.11.18
Shipment 24.01.18 26.09.18
Mar. (1) Nov. (5)Mycobacteriology B No.
Mycobacteriology 03 - Identification 423
Deadline for registration 24.11.17 20.07.18
Deadline for receipt of data 02.03.18 05.11.18
Shipment 24.01.18 26.09.18
Mar. (1) Nov. (5)Mycobacteriology C No.
Mycobacteriology 05 - Drug Susceptibility Testing 425
Mycobacteriology 01 - Microscopy 421
Deadline for registration 24.11.17 20.07.18
Deadline for receipt of data 02.02.18 08.10.18
Shipment 24.01.18 26.09.18
Feb. (1) Oct. (5)Mycobacteriology A No.
Mycobacteriology 04 - NAT 424
Immunohaematology 01 231
Deadline for registration 04.05.1824.11.17 09.03.18 17.08.18
Deadline for receipt of data 18.07.1824.01.18 25.05.18 24.10.18
Shipment 04.07.1810.01.18 07.05.18 10.10.18
Jan. (1) July (4)May (3)Immunohaematology A No. Oct. (6)
Immunohaematology 02 232
Immunohaematology 05 (Machine-Based Analysis) 237
Immunohaematology 06 - Molecular Diagnostic 235 * *
Immunohaematology 07 (Machine-Based Analysis) 238
Immunohaematology 03 - Platelet Immunology 233
Deadline for registration 12.01.18 29.06.18
Deadline for receipt of data 06.04.18 26.09.18
Shipment 07.03.18 29.08.18
Apr. (2) Sep. (5)Immunohaematology B No.
Immunohaematology 04 - Granulocyte Immunology 234
Order form 2018
Page 22/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
22
x
TN-Nr.
x
Signature
Please fill in page 2 of the order form for handling of infectious samples for EQAS unless you already returned your completed form 2 to INSTAND e. V. when you registered for recent EQA schemes. Without your confirmation we cannot send you the EQAS samples.
>>Blood banks are encouraged to order additional material in advance.
Deadline for registration 12.01.18 27.04.18 20.07.18 28.09.18
Deadline for receipt of data 16.03.18 29.06.18 21.09.18 30.11.18
Shipment 28.02.18 13.06.18 05.09.18 14.11.18
Mar. (2) June (4) Sep. (5)Virus Genome Detection A No. Nov. (6)
Virus Genome Detection - Adenoviruses 371 * *
Virus Genome Detection - BK Virus 364 * *
Virus Genome Detection - Chikungunya Virus 392 * *
Virus Genome Detection - Coronaviruses 340 * *
Virus Genome Detection - Cytomegalovirus Program 1 365
Virus Genome Detection - Cytomegalovirus Program 2 Additional Training Program (can only be ordered with program 365)
368 * * *
Virus Genome Detection - Dengue Viruses 369 * *
Virus Genome Detection - Enteroviruses 372 * *
Virus Genome Detection - Epstein Barr Virus 376 * *
Virus Genome Detection - Hepatitis A Virus 377
Virus Genome Detection - Hepatitis B Virus Program 2 Additional Training Program (can only be ordered with program 361)
378 * * *
Virus Genome Detection - Hepatitis B Virus Program 1 361
Virus Genome Detection - Hepatitis B Virus Genotyping 396 * * *
Virus Genome Detection - Hepatitis C Virus Program 1 362
Virus Genome Detection - Hepatitis C Virus Program 2 Additional Training Program (can only be ordered with program 362)
379 * * *
Virus Genome Detection - Hepatitis C Virus Geno-/ Subtyping 375 * * *
Virus Genome Detection - Hepatitis D Virus 400 * *
Virus Genome Detection - Hepatitis E Virus 380 * *
Virus Genome Detection - Herpes Simplex Virus Type 1/Type 2 363 * *
Virus Genome Detection - HIV-1 (RNA) Program 1 360
Order form 2018
Page 23/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
23
x
TN-Nr.
x
Signature
Please fill in page 2 of the order form for handling of infectious samples for EQAS unless you already returned your completed form 2 to INSTAND e. V. when you registered for recent EQA schemes. Without your confirmation we cannot send you the EQAS samples.
Blood banks are encouraged to order additional material in advance.
Deadline for registration 12.01.18 27.04.18 20.07.18 28.09.18
Deadline for receipt of data 16.03.18 29.06.18 21.09.18 30.11.18
Shipment 28.02.18 13.06.18 05.09.18 14.11.18
Mar. (2) June (4) Sep. (5)Virus Genome Detection A No. Nov. (6)
>>
Virus Genome Detection - Human Rhinoviruses 393 * *
Virus Genome Detection - Human Metapneumovirus 385 * *
Virus Genome Detection - JC Virus 394 * *
Virus Genome Detection - Measles Virus 386 * *
Virus Genome Detection - Mumps Virus 387 * *
Virus Genome Detection - Norovirus 381 * *
Virus Genome Detection - Parainfluenza Viruses 388 * *
Virus Genome Detection - Parvovirus B19 367
Virus Genome Detection - Respiratory Syncytial Virus (Antigen/Genome)
359 * *
Virus Genome Detection - Rotaviruses 401 * *
Virus Genome Detection - Rubella Virus 389 * *
Virus Genome Detection - Rabies Virus (Tollwutvirus) 390 * * *
Virus Genome Detection - Varicella Zoster Virus 366 * *
Virus Genome Detection - West Nile Virus 391 * *
Virus Genome Detection - Zika Virus 403 * *
Virus Genome Detection - Human Papilloma Viruses 373 * *
Virus Genome Detection - HIV-2 (RNA) 395 * *
Virus Genome Detection - HIV-1 (RNA) Program 2 - Additional Training Program (can only be ordered with program 360)
382 * * *
Virus Detection (Genome/Antigen) - Influenza A and B Viruses incl. Avian Influenza A Viruses
370 * *
Order form 2018
Page 24/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
24
x
TN-Nr.
x
Signature
Please fill in page 2 of the order form for handling of infectious samples for EQAS unless you already returned your completed form 2 to INSTAND e. V. when you registered for recent EQA schemes. Without your confirmation we cannot send you the EQAS samples.
Blood banks are encouraged to order additional material in advance.
Special EQA Program (RKI-Entero Surveillance Program), Virus Detection – Enterovirus-PCR/ Cultivation and Typing (typing is required)
Deadline for registration 12.01.18
Deadline for receipt of data 29.03.18
Shipment 28.02.18
Mar. (2)Virus Genome C (RKI-Entero) No.
Blood banks are encouraged to order additional material in advance.
Virus Genome Detection – Cytomegalovirus – Resistance Determination 349
Deadline for registration 28.09.18
Deadline for receipt of data 21.12.18
Shipment 14.11.18
Virus Genome Detection B (Resistance) No. Dec. (6)
Virus Genome Detection – HIV-1 Drug Resistance Determination Standard Program for Protease and Reverse Transcriptase Inhibitors
383
Virus Genome Detection – HIV-1 Drug Resistance Determination – Additional Program for Integrase Inhibitors and Tropism Determination
384
Virus Genome Detection – Hepatitis B Virus Resistance Determination 397
Virus Genome Detection – Hepatitis C Virus Resistance Determination 399
374
Order form 2018
Page 25/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
25
x
TN-Nr.
x
Signature
Please fill in page 2 of the order form for handling of infectious samples for EQAS unless you already returned your completed form 2 to INSTAND e. V. when you registered for recent EQA schemes. Without your confirmation we cannot send you the EQAS samples.
Blood banks are encouraged to order additional material in advance.
Virus Immunology - Chikungunya Virus (Ab) 402 * * *
Deadline for registration 12.01.18 27.04.18 20.07.18 28.09.18
Deadline for receipt of data 16.03.18 29.06.18 21.09.18 30.11.18
Shipment 28.02.18 13.06.18 05.09.18 14.11.18
Mar. (2) June (4) Sep. (5)Virus Immonology No. Nov. (6)
Virus Immunology - Cytomegalovirus (Ab) 351
Virus Immunology - Dengue Viruses (Ab and NS1 Antigen) 350 * *
Virus Immunology - Epstein Barr Virus (Ab) 352 * *
Virus Immunology - Tick-Borne Encephalitis (TBE/FSME) Virus (Ab) 358 * *
Virus Immunology - Hantaviruses (Ab) 355 * *
Virus Immunology - Hepatitis A Virus (Ab) 343
Virus Immunology - Hepatitis B Virus Program 1 (HBsAg, Anti-HBs, Anti-HBc)
344
Virus Immunology - Hepatitis B Virus Program 2 (Anti-HBc-IgM, HBeAg, Anti-HBe)
345
Virus Immunology - Hepatitis C Virus (Ab and HCV Antigen) 346
Virus Immunology - Hepatitis D Virus (Ab) 347 * *
Virus Immunology - Hepatitis E Virus (Ab) 348 * *
Virus Immunology - Herpes Simplex Viruses (Ab) 354 * *
Virus Immunology - HIV-1/HIV-2 (Ab) 335
Virus Immunology - HIV-1 p24 Antigen 337
Virus Immunology - HTLV-1/HTLV-2 (Ab) 339 * *
Virus Immunology - Measles Virus (Ab) 357 * *
Virus Immunology - Mumps Virus (Ab) 356 * *
Virus Immunology - Parvovirus B19 (Ab) 342 * *
Virus Immunology - Rubella Virus (Ab) 341 * *
Virus Immunology - Rabies Virus (Tollwutvirus) (Ab) 336 * * *
Virus Immunology - Varicella Zoster Virus (Ab) 353 * *
Virus Immunology - Zika Virus (Ab) 338 * *
Order form 2018
Page 26/26Because of electronic scanning the original order forms are needed. Please send them by post (not by fax!). Blank pages don't have to be returned.
26
x
TN-Nr.
x
Signature
Haematology 08 - Blood Smear Analysis: Collection of Cases (01-11) 812
Deadline for registration 02.03.18 24.08.18
Deadline for receipt of data 02.05.18 24.10.18
Shipment 21.03.18 12.09.18
May (2) Oct. (5)Training Courses (These programs are not part of the accredition)
No.
Haematology 08 - Blood Smear Analysis: Collection of Cases (11-20) 813
Haematology 08 - Blood Smear Analysis: Collection of Cases (21-30) 814
Haematology 08 - Blood Smear Analysis: Collection of Cases (31-40) 815
Cerebrospinal Fluid Cytology Course (only available in german) 470
Deadline for registration 02.06.18 11.08.18
Course location Ulm Dresden
Course 14.07.18 28.09.18
July (4) Sep. (5)Cerebrospinal Fluid Cytology Course No.
Web-Based Quality Control Surveys (please order if interested) (only available in german)
900
Web-Based Quality Control Surveys No.
Deadline for registration
Deadline for receipt of data
Shipment