R

AFFIX BARCODE LABEL HERE

LAB NO.Form No.: G0070Universal Request Form

Coagulation

Hepatitis Viruses

Haematology HIV

Microbiology

Other Infectious Diseases

HIV ELISAHIV PCR DNA qualitativeCD4 countHIV Viral load - PCRHIV Monitoring (HIV VL + CD4)

HIV Resistance

H455D232G397F401X547R553

F9F9R657K406F432

T895B277F462K178

K861

A617

G914

Y297

S612

Q427

V340

X504

F440

E852

Y343

A189

R169S337

M730

P438B479

W345

C756X296

L407

Microscopy onlyMC&S

TB - Quantiferon gold

Carbapenemase scr. - PCR

CMV AbCMV qualitative PCR (no EDTA)(*samples: CSF, U, E, SP, Tissue, Aspirates)

CMV Viral load PCRU293 Coxsackie Ab

EBV AbEBV Viral load PCR

B300 H.Pylori Ab

Respiratory virus panelPCRRubella AbRSV PCR (*Respiratory swab)

Atypical pneumonia PCR(*samples: Dry swab / Sputum)

Bordetella PCR (Dry swab)

In�uenza PCR(*Respiratory swab / Nasopharyngeal aspirate)

PCP PCR

Malaria speciesgenotyping PCR

Toxoplasma Ab

Tick Bite Fever RickettsiaPCR

CSF Viruses PCR(*Samples:CSF/Saliva/U)

Adenovirus PCR(*samples: E, S, U, CSF, Aspirates)

Genital discharge scr. (no HIV)(*urine, 1 x Urethral or Vaginal swab)

Genital ulcer screen. (no HIV)(*1 xSST, Swab from Ulcer or Urine)

Syphilis serology

Fungal microscopy onlyFungal MC&STB (ZN AFB - micro only)TB AFB/PCR/Culture/Sens

Fungitell assayClostridium dif�cile PCR

*Specimen:

*Site:

Other:

S360Y366

V363X365V386G351H352F396

L019K355P358R359L355M356N357

Hb electrophoresis screenIndirect anti-globulin(indirect coombs)Blood group + RhesusCoombs - directESRFBC / ESR / plateletsFBC / plateletsFlow immunopheno(*Samples:1xE,2xH)

Haemolytic pro�leHb onlyMalaria screenPaul bunnellPlatelet count ReticulocytesWhite cell count + DiffWhite cell count W223

Anti-phospholipid AbD-Dimer - quantitative

FibrinogenFull bleeder screen

DIC screen(*samples:1xE,2xC,1xH)

Inherited thrombophilia(*samples:3xC,2xE,1xE on ice)

Lupus inhibitor(*samples:2xC)

Thrombosis scr. - arterialThrombosis scr. - venous

HAV IgMHAV IgGHBV immunity (sAb)Hepatitis B & C Chronic status

Hepatitis A, B, C

(with common Caucasion mutations)(*samples:3xC,1xB,1xE)

PI / INR

PTT

PI / INR dosage-Fill in MRI no

F373D881

C393BOOK

Z367

BOOK

H445

K325

BOOKT968

E303G385H306H749C301

B369

C370

F402

Limited bleeder screen(Incl. Von willebrands)

General Endocrine

Thyroid

Pregnancy

Hypertension/Neuro Endocrine

X204W203

E349

C560

C164C481

C155W812W437

W965

V202

H260N196

G882

B542

F9 or

F9F9

X227B412

B231E211C209W226

B208

K216

V225Y228

T223Z229P415A307D210K239L217

AldosteroneRenin

Serotonin - on iceChromogranin A5HIAA

VMA + MetanephrineCatechol + Metanephrine

TSHT4

Thyroid AbT3 (free tri-iodothyronine)

Ante natal screen with HIV(*samples:2xE,2xB)Ante natal screen no HIV(*samples:2xE,1xB)βHCG qualitative (Pos / Neg)βHCG quantitative

Hirsutism pro�leTestosterone / FTIDHEA Androstenedione

Infertility screen17-OH Progesterone

FSH

E2Progesterone

LHProlactinAnti-mullerian hormoneACTH - on iceCortisol

Growth hormoneInsulin

Parathyroid hormoneIGF1 + IGFBP3

Gastrin - fastingCortisol - 24hr urine free

FM

Folate - serum + RBC

Nutrition / Iron Studies

FerritinIron pro�le

Soluble transferrin receptorVitamin B12

Routine semen analysis Post vascetomy

D141R152

F144Z496

C163

Drug of abuse screen

DigoxinEpilim - valproic acidEthanol - alcohol

Tacrolimus

LamictinLithiumParacetamolPhenytoinSirolimus levels

CarbamazepineOverdose drug screen

M471L470R175S176F189F410W547W180X181Z183H482B812

Bone speci�c alk. phos.Osteocalcin - on iceParathormoneVitamin D

C-terminal crosslinksfasting

R778

E120G400X227R994

Tumour Markers

Pharmacology

Bone Turnover

PSA (+Free PSA if Total 2.6-10)

B2 microglobulin

Malignant melanomaS-100B

CEA

PSA - complexed

CA 153 - breastCA 125 - ovary

PSA only - monitoring

CA 199CA 724

βHCG quantitativeB

E P

Ex2

AFPL192X432C118K193M195D119S443

EE E

EPE

EEEE

E

E

E

E

C

CC

C

EEEEEEE

H100B117F121S100

N288

Autoimmune

Andrology

Allergy

c-ANCA/p-ANCA

Rheumatoid factor

Auto-immune hepatitis(SM Ab, LKM-1, SLA)Coeliac diseaseHLA B27CTD screen

Total IgE

Food screen (FX5) adultFood screen (FX5) <12yrs

Aero-allergen screen(Phadiotop)

dsDNA - speci�cANA - includes patternAnti CCP

N334W593A996H584G282W476

C821A322Z424

C256B254

C255F884

BBBB

BE

BB

BB

BB

BBBBB

HBV qualitative PCRHBV Viral load - quant PCR

HCV Viral load - quant PCR

HCV AbHCV qualitative PCR

HCV GenotypingZ352

E395P140

G305K561W487 E

E

EEE

B

B

B

B

B

BB

BS

B

SPSP

*

*

*

*

*

*

*

**

*

E

E*

*

*

*

*

E

E

E

B

BB

B

B

B

B

BB

BU

B

B

B

B

B

BFBS

BB

B

B

B

B

B

B

B

BB

BBB

B

B

B

B

B

BB

B

BBB

B

B

BB

B

B

B

B

B

B

B

B

B

EB

HC

BE

U24

U24

U24

U24

Ex2

Ex2

In�am / Infection MarkersCRPPCT

BBE475

B139

R900 Porphyrin scr (samples:U, E, F)

N150 ImmunoglobulinsB162 Protein electrophoresis

Gamma GTLDHLactate - on ice

Alkaline phosphataseAmylase

ASTALT

LFT

Bilirubin - neonatal (SBR)Bilirubin - total + conj.

Liver / Pancreas / GIT

Lipid MetabolismLipogramCholesterol onlyCholesterol / HDLLDL - measuredTriglycerides

W134F9F9K492G167

BBBBB

BB

B

B

BB

B

B

B

FL

*

Chest pain pro�leTroponin CKCKMB

Ultrasensitive CRP

MyoglobinHomocysteine(fasting)(on ice)

Pro BNP

Heart and Muscle

W354

F9

F9K400P129X284

H168V142

BB

E

BH

B/H

B/H

BH

BH

F143V156F246

E119

L125K126

K124

B234F232

A391W157D118

LipaseAldolase

CDT - on iceB

BB

B

U155

Lung, Kidney, SkeletonU & E / Creatinine

Magnesium (serum)Magnesium (RBC)Uric acidProtein - 24hr urineProtein / Creatinine ratioAlpha-1 AntitrypsinACE

Urea & Creatinine

CalciumPhosphate

Creatinine clearance(*Samples:1xB,1x24hr U)PotassiumSodium

S130D394X158K228L171U247H685G121

B

B

B

BB

*

U

E

B

B

BB

B

A115

K170

A161F166

M402

J169

U24

HBA1C / Glycosylated HbMicroalbumin - urine

Glucose - fastingGlucose - randomGTT 2hr 75g - standard

Glucose Metabolism

L148K958

G144H145T407

FLFL

UEFLX2

Bx2

Bx2

Status(Prior Expos)

Swichboard Numbers0703061000020 250 8456

AFFIX BARCODE LABEL HERE

LAB NO. Rev: 015

Pathologists Lancet Kenya_PLK www.lancet.co.ke

Follow us on Facebook

@LancetKenya_plk

S199 Thyroid Profile (TSH/FT3/ FT4)B