panduan patologi kimia 2015

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panduan patologi kimia 2015
PANDUAN
PERKHIDMATAN PATOLOGI KIMIA
HOSPITAL SULTANAH AMINAH
JOHOR BAHRU
2015
PANDUAN PERKHIDMATAN PATOLOGI KIMIA
HOSPITAL SULTANAH AMINAH
JOHOR BAHRU
VERSI 1 (2015)
KANDUNGAN
M/S
Pengenalan
1
Lokasi Makmal
1
Skop Perkhidmatan
1
Waktu Perkhidmatan
1
Hubungi Makmal
1
Informasi Pegawai
2
Senarai Ujian yang dijalankan di makmal Patologi Kimia, HSAJB
3-10
Senarai Ujian yang dirujuk ke makmal luar
11-21
Lampiran
22
Lampiran 1: Senarai Ujian STAT
23
Lampiran 2: Jadual Penghantaran Spesimen ke makmal rujukan
24
Lampiran 3: Panduan Bekas Spesimen
25
Lampiran 4: Panduan Order of Draw For Multiple Tube Collections
26
Lampiran 5: Panduan ujian Renin dan Aldosterone
27-28
Lampiran 6: Panduan Ujian Inborn Error of Metabolism
29-31
Lampiran 7: Borang-Borang
32-42
1
PERKHIDMATAN PATOLOGI KIMIA
PENGENALAN
Unit Patologi Kimia menawarkan perkhidmatan analisa spesimen dan konsultasi keputusan
untuk tujuan membantu perawatan pesakit di Hospital Sultanah Aminah, Johor Bahru. Unit ini juga
menjadi makmal rujukan bagi ujian-ujian khas tertentu untuk seluruh Negeri Johor.
LOKASI
Tingkat Bawah, Bangunan Teratai
Hospital Sultanah Aminah
SKOP PERKHIDMATAN
Perkhidmatan Patologi Kimia meliputi analisa dan interpretasi perubahan biokimia dalam darah
dan cecair badan untuk tujuan penyaringan, diagnosa dan pemantauan penyakit. Perkhidmatan
dibahagikan kepada beberapa seksyen iaitu: main chemistry, immunoassay, special protein, diabetic
tests, urine and body fluids, miscellaneous tests dan seksyen dadah. Unit ini juga mengendalikan
pemprosesan dan penghantaran spesimen bagi ujian biokimia ke makmal-makmal rujukan sekiranya
ujian tidak ditawarkan di sini.
WAKTU PERKHIDMATAN
24 jam sehari
Setiap hari termasuk cuti umum
HUBUNGI MAKMAL
Makmal Patologi Kimia
No Tel: 07-2231666 (ext 2630)
Fax: 07-2231803
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
2
INFORMASI PEGAWAI
NAMA PEGAWAI
Dr Shahannim Binti Izham
NO TELEFON
No Tel: 07-2231666 (ext 2633)
Pakar Patologi Kimia
Ketua Unit Patologi Kimia
Dr Yong Pei Wen
No Tel: 07-2231666 (ext 2630)
Pegawai Perubatan
Encik Abdul Halim bin Gahar
No Tel: 07-2231666 (ext 2634)
Pegawai Sains Kanan
Ketua Pegawai Sains
Pn Noor Hayati A. Kadir
No Tel: 07-2231666 (ext 2633)
Pegawai Sains Kanan
Y/M Seksyen Dadah
Pegawai-pegawai Sains:
No Tel: 07-2231666 (ext 2630)
Pn Deviga Balakersnan
Pn Nooraishah Pairan
Pn Suhana Razali
Encik Khairul Anuar Abu Kasim
Juruteknologi Makmal Perubatan Kanan:
No Tel: 07-2231666 (ext 2630)
Pn Ashila Jaafar
En Sudin Suni
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
SENARAI UJIAN YANG DIJALANKAN DI MAKMAL PATOLOGI KIMIA, HSAJB
NO
TESTS
SECTION
Main Chemistry
TYPE OF
SPECIMEN
Blood
SPECIMEN
CONTAINER
Li Heparin
VOLUME OF
SPESIMEN
4 mls
Main Chemistry
Blood
Li Heparin
4 mls
CSF
1 ml
LAB TURN AROUND
TIME
1 hour (STAT)
4 hours (routine)
1 hour (STAT)
4 hours (routine)
1 hour (STAT)
1
Alanine Transaminase (ALT)
2
Albumin
4 mls
4 mls
4 hours
3 working days
Alkaline Phosphatase (ALP)
Alpha feto protein (AFP)
Main Chemistry
Immunoassay
Blood
Blood
5
Ammonia
Main Chemistry
Blood
EDTA
2.5 mls
1 hour (STAT)
6
Amylase
Main Chemistry
Blood
Li Heparin
4 mls
Urine
Urine container
5 mls
Universal/urine
container
Heparinized
syringe
>1 ml
1 hour (STAT)
4 hours (routine)
1 hour (STAT)
4 hours (routine)
1 hour
0.5-1 mls
30 minutes (STAT)
1 hour (STAT)
4 hours (routine)
3 working days
7
Apt Test
Miscellaneous
8
Arterial blood gas (ABG)
1) pH
2) pO2
3) pCO2
4) HCO3
Aspartate Transaminase (AST)
STAT
Blood in gastric
aspirate/stool
Blood
Main Chemistry
Blood
Li Heparin
4 mls
Immunoassay
Blood
Li Heparin
4 mls
11
Beta Human Chorionic
Gonadotrophic (BHCG)
Bilirubin, Total
Main Chemistry
Blood
Li Heparin
4 mls*
12
Bilirubin, Direct
Main Chemistry
Blood
Li Heparin
4 mls*
9
10
Requesting
specialist’s signature
is required
Send EDTA tube in
ice
Send sample in ice
1 hour (STAT)
4 hours (routine)
1 hour (STAT)
4 hours (routine)
3
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
3
4
Plain
container/Bijou
bottle
Li Heparin
Li Heparin
REMARK
4
NO
TESTS
SECTION
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
Main Chemistry
TYPE OF
SPECIMEN
-
SPECIMEN
CONTAINER
-
VOLUME OF
SPESIMEN
-
LAB TURN
AROUND TIME
1 hour (STAT)
4 hours (routine)
13
Bilirubin, Indirect
14
Main Chemistry
Body fluid
Universal
container
4 mls
4 hours
15
Body fluid for biochemistry
1) Total protein
2) Albumin
3) LDH
4) Amylase
5) Glucose
CA 125
Immunoassay
Blood
Li Heparin
4 mls
3 working days
16
Carcinoembryonic Antigen (CEA)
Immunoassay
Blood
Li Heparin
4 mls
3 working days
17
Cardiac enzymes (CE)
1) CK
2) AST
3) LDH
C-Reactive Protein (CRP)
Complement 3 (C3)
Complement 4 (C4)
Calcium
Main Chemistry
Blood
Li Heparin
4 mls
4 hours
Main Chemistry
Special Protein
Special Protein
Main Chemistry
Blood
Blood
Blood
Blood
Li Heparin
Li Heparin
Li Heparin
Li Heparin
4 mls
4 mls
4 mls
4 mls
Urine
random/24
hours
Urine
container/
24hr urine
container
Plain
container/Bijou
bottle
5 mls/
24 hours
collection
4 hours
2 days
2 days
1 hour (STAT)
4 hours (routine)
4 hours
18
19
20
21
22
Cerebrospinal Fluid (CSF) for
biochemistry
1) Appearance
2) Protein
3) Glucose
4) Lactate
Main Chemistry
CSF
1 ml
1 hour (STAT)
REMARK
Calculated from total
bilirubin and direct
bilirubin
Requesting specialist’s
signature is required
Requesting specialist’s
signature is required
Send CSF sample
immediately to lab.
NO
TESTS
SECTION
23
Chloride
Main Chemistry
TYPE OF
SPECIMEN
Blood
SPECIMEN
CONTAINER
Li Heparin
VOLUME OF
SPESIMEN
4 mls
CSF
1 ml
Urine
random/24
hours
Plain
container/Bijou
bottle
Urine container/
24hr urine
container
5 mls/
24 hours
collection
4 hours
1 hour (STAT)
4 hours (routine)
3 working days
Cholinesterase
Main Chemistry
Blood
Li Heparin
4 mls
25
Cortisol
Immunoassay
Blood
Li Heparin
4 mls
26
27
Creatine Kinase (CK)
Creatinine
Main Chemistry
Main Chemistry
Blood
Blood
Li Heparin
Li Heparin
4 mls
4 mls
Urine
random/24
hours
Urine container/
24hr urine
container
5 mls/
24 hours
collection
Send CSF sample
immediately to lab.
4 hours
1 hour (STAT)
4 hours (routine)
4 hours
28
29
Estradiol
Ferritin
Immunoassay
Immunoassay
Blood
Blood
Li Heparin
Li Heparin
4 mls
4 mls
30
Folate
Immunoassay
Blood
4 mls
31
Follicle Stimulating Hormone
(FSH)
Free Triiodothyronine (FT3)
Free Thyroxine (FT4)
Gamma Glutamyl Transferase
(GGT)
Immunoassay
Blood
Plain tube/
Li Heparin
Li Heparin
5 working days
3 hours (STAT*)
3 working days
3 working days
4 mls
5 working days
Immunoassay
Immunoassay
Main Chemistry
Blood
Blood
Blood
Li Heparin
Li Heparin
Li Heparin
4 mls
4 mls
4 mls
3 working days
3 working days
4 hours
32
33
34
REMARK
*STAT testing for
severe dengue cases
5
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
24
LAB TURN AROUND
TIME
1 hour (STAT)
4 hours (routine)
1 hour (STAT)
6
NO
TESTS
SECTION
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
Main Chemistry
TYPE OF
SPECIMEN
-
SPECIMEN
CONTAINER
-
VOLUME OF
SPESIMEN
-
LAB TURN
AROUND TIME
4 hours
35
Globulin
36
Glucose
Main Chemistry
Blood
Fluoride tube
2 mls
37
38
39
40
41
42
HBA1C
Immunoglobulin A (IgA)
Immunoglobulin G (IgG)
Immunoglobulin M (IgM)
Iron, Total
Iron profile/Study
1) Total iron
2) Unbound iron binding
capacity (UIBC)
3) Total iron binding
capacity (TIBC)
Miscellaneous
Special protein
Special protein
Special protein
Main Chemistry
Main Chemistry
Blood
Blood
Blood
Blood
Blood
Blood
EDTA tube
Li Heparin
Li Heparin
Li Heparin
Li Heparin
Li Heparin
2.5 mls
4 mls
4 mls
4 mls
4 mls
4 mls
1 hour (STAT)
4 hours (routine)
3 working days
2 working days
2 working days
2 working days
2 working days
2 working days
43
Lactate
Main Chemistry
Blood
Fluoride tube
4 mls
1 hour (STAT)
44
Lactate Dehydrogenase, (LDH)
Main Chemistry
Blood
Li Heparin
4 mls
45
46
Leutinizing Hormone (LH)
Lipid Profile
1) Total Cholesterol, (TC)
2) HDL-Cholesterol
3) LDL-Cholesterol
4) Triglycerides (TG)
Liver Function Test
1) Total Protein
2) Albumin
3) Globulin
4) Total bilirubin
5) ALP
6) ALT
Immunoassay
Main Chemistry
Blood
Blood
Li Heparin
Li Heparin
4 mls
4 mls
1 hour (STAT)
4 hours (routine)
5 working days
2 working days
Main Chemistry
Blood
Li Heparin
4 mls
47
1 hour (STAT*)
4 hours (routine)
REMARK
Calculated from total
protein and albumin
TIBC is calculated from
Total iron and UIBC
LDL-Cholesterol is
calculated from TC,
HDL-C and TG
* STAT request is
offered for acute liver
failure, pre-eclampsia
and severe dengue
cases only.
Call Medical
Officer/Chemical
Pathologist on call for
urgent requests for
other indications
NO
TESTS
SECTION
SPECIMEN
CONTAINER
Li Heparin
VOLUME OF
SPESIMEN
4 mls
48
Magnesium (MG)
Main Chemistry
Urine
random/24
hours
Urine container/
24hr urine
container
5 mls/
24 hours
collection
Blood
Blood
Urine
Blood
Li Heparin
Plain tube
Urine Container
Li Heparin
4 mls
2 mls
2 mls
4 mls
Urine
random/24
hours
Urine container/
24hr urine
container
5 mls/
24 hours
collection
Blood
Li Heparin
4 mls
Urine
random/24
hours
Urine container/
24hr urine
container
5 mls/
24 hours
collection
Main Chemistry
Blood
Li Heparin
4 mls
1 hour (STAT)
4 hours (routine)
Immunoassay
Immunoassay
Blood
Blood
Li Heparin
Li Heparin
4 mls
4 mls
3 working days
5 working days
49
50
Myoglobin
Osmolality
Immunoassay
Miscellaneous
51
Phosphate
Main Chemistry
52
53
54
55
Potassium
Pre-eclampsia profile (PE profile)
1) Sodium
2) Potassium
3) Chloride
4) Urea
5) Creatinine
6) Uric acid
7) ALT
8) AST
Prolactin
Progesterone
Main Chemistry
LAB TURN AROUND
TIME
1 hour (STAT)
4 hours (routine)
4 hours
REMARK
4 hours (routine)
3 hours
3 hours
1 hour (STAT)
4 hours (routine)
4 hours
1 hour (STAT)
4 hours (routine)
4 hours
7
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
TYPE OF
SPECIMEN
Blood
8
NO
TESTS
SECTION
56
Prostate Specific Antigen (PSA)
57
Renal Profile
1) Sodium
2) Potassium
3) Chloride
4) Urea
5) Creatinine
Rheumatoid Factor
Sodium
58
59
60
61
62
Immunoassay
TYPE OF
SPECIMEN
Blood
SPECIMEN
CONTAINER
Li Heparin
VOLUME OF
SPESIMEN
4 mls
LAB TURN
AROUND TIME
3 working days
Main Chemistry
Blood
Li Heparin
4 mls
1 hour (STAT)
4 hours (routine)
Special Protein
Main Chemistry
Blood
Blood
Li Heparin
Li Heparin
4 mls
4 mls
Urine
random/24
hours
Urine
container/
24hr urine
container
5 mls/
24 hours
collection
2 days
1 hour (STAT)
4 hours (routine)
4 hours
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
Miscellaneous
Immunoassay
Immunoassay
Stool
Blood
Blood
Urine container
Li Heparin
Li Heparin
1 gm
4 mls
4 mls
3 hours
3 working days
3 working days
Immunoassay
Blood
Li Heparin
4 mls
3 working days
64
Stool occult blood
Testosterone
Thyroid function test
1) TSH
2) Free T4
Thyroid Stimulating Hormone,
TSH
Total Iron Binding Capacity, TIBC
Main Chemistry
-
-
-
2 days
65
Total Protein
Main Chemistry
Blood
Li Heparin
4 mls
Urine
random/24
hours
Urine
container/
24hr urine
container
Li Heparin
5 mls/
24 hours
collection
1 hour (STAT)
4 hours (routine)
4 hours
63
66
Total Serum Bilirubin (TSB)
1) Total bilirubin
2) Direct Bilirubin
Main Chemistry
Blood
4 mls
(*400-600ul in
microtainer
tube for
pediatric
patients)
1 hour (STAT)
4 hours (routine)
REMARK
Requesting specialist’s
signature is required
Calculated from Total
Iron and UIBC
NO
TESTS
SECTION
67
Troponin T
68
Unbound Iron Binding Capacity,
UIBC
Urea
69
STAT
TYPE OF
SPECIMEN
Blood
SPECIMEN
CONTAINER
Li Heparin
VOLUME OF
SPESIMEN
4 mls
LAB TURN AROUND
TIME
1 hour (STAT)
Main Chemistry
Blood
Li Heparin
4 mls
2 days
Main Chemistry
Blood
Li Heparin
4 mls
Urine
random/24
hours
Urine container/
24hr urine
container
5 mls/
24 hours
collection
1 hour (STAT)
4 hours (routine)
4 hours
Uric acid
Main Chemistry
Blood
Urine
random/24
hours
Li Heparin
Urine container/
24hr urine
container
4 mls
5 mls/
24 hours
collection
4 hours
4 hours
71
Urine microalbumin
Main Chemistry
Urine
random/24
hours
Urine container/
24hr urine
container
5 mls/
24 hours
collection
4 hours
72
Urine albumin Creatinine Ratio
(ACR)
Main Chemistry
urine
Urine Container
5 mls random
4 hours
73
74
75
76
77
78
Urine hemoglobin
Urine myoglobin
Urine paraquat
Urine reducing sugar
Urine pregnancy test
Vitamin B 12
Miscellaneous
Miscellaneous
Miscellaneous
Miscellaneous
Miscellaneous
Immunoassay
urine
urine
urine
urine
urine
Blood
Urine container
Urine container
Urine container
Urine container
Urine container
Li Heparin
2 mls
2 mls
5 mls
2 mls
2 mls
4 mls
3 hours
3 hours
1 hour
3 hours
3 hours
3 working days
ACR is calculated
from urine
microalbumin and
urine creatinine
9
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
70
REMARK
10
NO
TESTS
SECTION
79
Morphine screening and
confirmation
Cannabinoid screening and
confirmation
Amphethamine type stimulant
(ATS) screening and confirmation
80
81
Drug
TYPE OF
SPECIMEN
Urine
SPECIMEN
CONTAINER
Urine container
VOLUME OF
SPESIMEN
20 mls
LAB TURN
AROUND TIME
5 working days
Drug
Urine
Urine container
20 mls
5 working days
Drug
Urine
Urine container
20 mls
14 working days
REMARK
Use form UDP 1
(PINDAAN)
*PER.PAT301 form is
strictly for inpatient
only
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
SENARAI UJIAN PATOLOGI KIMIA YANG DI RUJUK KE MAKMAL LUAR
TESTS
HOSPITAL
1.
Acid alpha glucosidase
2.
3.
Adenocorticotrophic Hormone
(ACTH)
Aldosterone
Biochemistry
unit, IMR
HKL
4.
VOLUME OF
SPESIMEN
3 circles of blood
spot
3 mls
REFERRAL LAB TURN
AROUND TIME
15 working days
Blood
SPECIMEN
CONTAINER
Whatmann 903
filter paper
EDTA in ice
Putrajaya
Blood
EDTA
3 mls
6 weeks
Alpha-1-acid glycoprotein
Ampang
Blood
Plain tube
4 mls
10 working days
5.
6.
Alpha-1-antitrypsin, Quantitation
Alpha-1-antitrypsin, Phenotyping
Blood
Blood
Plain tube
Plain tube
3 mls
4 mls
5 working days
10 working days
7.
Alpha-2-macroglobulin
HKL
Molecular and
Protein Unit,
IMR
Ampang
Blood
Plain tube
4 mls
10 working days
8.
Amino acid
Biochemistry
Unit, IMR
CSF
Universal
container
Lithium heparin
Urine container
Plain tube
Plain tube
Plain tube
Plain tube
0.5 mls
10 working days
4 mls
5 mls
3 mls
3 mls
3 mls
4 mls
6 weeks
20 working days
20 working days
10 days
9.
Androstenedione
Putrajaya
10. Apolipoprotein A
HKL
11. Apolipoprotein B
HKL
12. Beta-2-microglobulin
Ampang
* Use PER PAT 301 form unless otherwise stated.
TYPE OF
SPECIMEN
Dried blood spot
Blood
Urine
Blood
Blood
Blood
Blood
REMARK*
IEM form
5 working days
 Send sample
rapidly to lab but
NOT in ice
 Use different
tubes for Renin
and aldosterone.
 Only single form
is required for
aldosterone &
renin.
IMR/UMDP/01 form
IEM form
11
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
NO
12
NO
TESTS
HOSPITAL
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
TYPE OF
SPECIMEN
Dried blood spot
in filter paper
SPECIMEN
CONTAINER
Whatmann 903
Filter paper
13.
Biotinidase Enzyme Activity
Biochemistry
Unit, IMR
14.
15.
16.
17.
CA 15-3
CA 19-9
Caeruloplasmin
Carnitine, Total and Free, plasma
18.
Blood
Blood
Blood
Blood
Plain tube
Plain tube
Plain tube
Lithium heparin
Cathecholamine
HKL
HKL
HKL
Biochemistry
Unit, IMR
Putrajaya
Urine
19.
Copper
HKL
Blood
Urine
20.
Cortisol, Urine Free Cortisol
HKL
Urine
21.
22.
C-Peptide
CSF Electrophoresis (oligoclonal
bands)
23.
Dehydroepiendosterone Sulphate
(DHEAS)
24.
Delta-Amino Levulinic Acids (DALA)
HKL
Molecular and
Protein Unit,
IMR
Diabetes and
endocrine unit,
IMR
Biochemistry
Unit, IMR
25.
Free light chain kappa & lambda
Molecular and
Protein Unit,
IMR
26. Fructosamine
Ampang
* Use PER PAT 301 form unless otherwise stated.
VOLUME OF
SPESIMEN
3 circles of
Dried blood
spots
3 mls
3 mls
3 mls
4 mls
REFERRAL LAB TURN
AROUND TIME
10 working days
24 hours
urine
collection
3.5 mls
24 hour urine
collection
6 weeks
24 hour urine
collection
3 working days
Blood
Paired blood and
CSF samples
24 hours urine
container with 10
mls of 25% HCL
Plain tube
24 hour urine
container without
preservative
24 hour urine
container without
preservative
Plain tube
Plain tube/ sterile
container
3 mls
4 mls blood
1 ml CSF
5 working days
10 working days
Blood
Plain tube
3 mls
4 weeks
Urine 24 hour
24 hour urine
collection
15 working days
IEM form
Blood
24 hour urine
container with 10
mls glacial acetic
acid
Plain tube
4 mls
5 working days
IMR/UMDP/01 form
Blood
Plain tube
4 mls
10 working days
2 working days
2 working days
5 working days
5 working days
REMARK*
IEM form
10 working days
10 working days
IMR/UMDP/01 form
NO
TESTS
HOSPITAL
27.
Biochemistry
Unit, IMR
Biochemistry
Unit, IMR
29.
Galactose, Total/Screening, blood
spot
Galactose-1-phosphate Uridyl
Transferase (GALT/G1PUT), blood
spot
Glycosaminoglycan (GAG), urine
30.
Growth Hormone
31.
32.
33.
34.
35.
36.
Haptoglobulin
Homocysteine
Ig E, Specific
Ig E, Total
Insulin
Insulin Like Growth Factor-1 (IGF1)
37.
Intact Parathyroid hormone
38.
Lead
39.
Lipoprotein (a) electrophoresis
40.
Lithium
41.
Lysosomal enzymes screening
28.
Biochemistry
Unit, IMR
42. Mercury, urine
Toxicology and
Pharmacology,
IMR
* Use PER PAT 301 form unless otherwise stated.
SPECIMEN
CONTAINER
Whatmann 903
Filter paper
Whatman 903
Filter paper
VOLUME OF
SPESIMEN
3 circles of dried
blood spots
3 circles of dried
blood spots
REFERRAL LAB TURN
AROUND TIME
5 working days
REMARK*
5 working days
IEM form
First morning
urine
Blood
Urine container
5 mls
10 working days
IEM form
Plain tube
3 mls
4 weeks
Blood
Blood
Blood
Blood
Blood
Blood
Plain tube
Plain tube in ice
Plain tube
Plain tube
Plain tube
Plain tube
3 mls
3 mls
3 mls
3 mls
3 mls
3 mls
5 working days
20 working days
5 working days
5 working days
10 working days
4 weeks
Blood
EDTA
2.5 mls
4-5 weeks
Blood
Lithium heparin
2 mls
14 working days
Blood
Plain tube
4 mls blood
10 working days
IMR/UMDP/01 form
Blood
Plain tube
3 mls
Dried blood spot
Whatmann 903
Filter paper
Urine container
3 circles of dried
blood spots
10 mls
Same working day
(STAT 1 hour)
10 working days
Need appointment
for STAT request
IEM form
Dried blood spot
Urine
IEM form
14 working days
13
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
Biochemistry
Unit, IMR
Diabetes and
Endocrine Unit,
IMR
HKL
HKL
Allergy, IMR
Allergy, IMR
HKL
Diabetes and
Endocrine Unit,
IMR
Diabetes and
Endocrine Unit,
IMR
Toxicology and
Pharmacology,
IMR
Molecular and
Protein Unit,
IMR
Permai
TYPE OF
SPECIMEN
Dried blood spot
14
NO
TESTS
HOSPITAL
43.
Biochemistry
Unit, IMR
47.
Metabolic Screening, blood spot
(Test for amino acids and
acylcarnitines)
Metabolic Screening, urine(Test
for amino acids and
acylcarnitines)
Mucopolysaccharides Screening
(MPS), urine
Oligosaccharide & tetraglucoside,
urine
Organic Acids, urine
48.
Orotic Acids, urine
49.
Phytanic Acid
50.
Pipecolic acid
51.
Porphobilinogen, urine
52.
Porphyrin, urine
53.
54.
Pre-albumin
Protein electrophoresis
44.
45.
46.
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
TYPE OF
SPECIMEN
Dried blood spot
SPECIMEN
CONTAINER
Whatmann 903
Filter paper
Biochemistry
Unit, IMR
Urine, random
Biochemistry
Unit, IMR
Biochemistry
Unit, IMR
Biochemistry
Unit, IMR
Biochemistry
Unit, IMR
Biochemistry
Unit, IMR
Biochemistry
Unit, IMR
Biochemistry
Unit, IMR
Biochemistry
Unit, IMR
Ampang
Molecular and
Protein Unit,
IMR
* Use PER PAT 301 form unless otherwise stated.
REFERRAL LAB TURN
AROUND TIME
3 working days
REMARK*
Urine container
VOLUME OF
SPESIMEN
3 circles of
dried blood
spots
2 mls
10 working days
IEM form
First morning
urine
First morning
urine
Urine, random
Urine container
5 mls
10 working days
IEM form
Urine container
5 mls
15 working days
IEM form
Urine container
5 mls
5 working days
IEM form
Urine, random
Urine container
5 mls
5 working days
IEM form
Blood
4 mls
10 working days
IEM form
Blood
EDTA/Lithium
heparin
Lithium heparin
4 mls
10 working days
IEM form
Urine, random
Urine container
5 mls
15 working days
IEM form
Urine, random
Urine container
5 mls
15 working days
IEM form
Blood
Blood
Urine
Plain tube
Plain tube
Urine container
4 mls
4 mls
24 hour
collection
preferable
10 working days
30 working days
30 working days
IMR/UMDP/01 form
IEM form
TESTS
HOSPITAL
55.
Renin
Putrajaya
56.
Sialic Acid, Total and Free
57.
S-Sulphocysteine, urine
58.
Succinylacetone, urine
59.
Sweat Test
Biochemistry
Unit, IMR
Biochemistry
Unit, IMR
Biochemistry
Unit, IMR
HKL
60.
Thyroglobulin
Diabetes and
endocrine unit,
IMR
61. Transferrin
HKL
62. Transferin Isoform for CDG Type I
Molecular and
and Type II screening
Protein Unit,
IMR
63. Transferin Isoform for CDG type II Molecular and
confirmatory profiling
Protein Unit,
IMR
64. Uroporphobilinogen, urine
Biochemistry
Unit, IMR
* Use PER PAT 301 form unless otherwise stated.
TYPE OF
SPECIMEN
Blood
SPECIMEN
CONTAINER
EDTA
VOLUME OF
SPESIMEN
3 mls
REFERRAL LAB TURN
AROUND TIME
6 weeks
First morning
urine
Urine, random
Urine container
5 mls
15 working days
Urine container
5 mls
10 working days
IEM form
Urine, random
Urine container
5 mls
15 working days
IEM form
Not applicable
REMARK*
 Send sample
rapidly to lab but
NOT in ice
 Use different
tubes for Renin
and aldosterone.
 Only single form
is required for
aldosterone &
renin.
IEM form
Need approval from
pediatric chest
specialist.
(call ext 6902, HKL
for appointment)
Blood
Plain tube
3 mls
4-5 weeks
Blood
Blood
Plain tube
Plain tube
3 mls
5 mls blood
5 working days
15 working days
IMR/UMDP/01 form
Blood
Plain tube
5 mls blood
20 working days
IMR/UMDP/01 form
Urine, random
Urine container
5 mls
10 working days
15
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
NO
16
NO
TESTS
HOSPITAL
65.
Very Long Chain Fatty Acid
(VLCFA), plasma/serum
Vitamin D
5-Hydroxyindol-acetic acid (5HIAA)
Biochemistry
Unit, IMR
Putrajaya
Biochemistry,
IMR
66.
67.
68.
17-Hydryoxyprogesterone
Diabetes and
endocrine unit,
IMR
* Use PER PAT 301 form unless otherwise stated.
TYPE OF
SPECIMEN
Blood
Blood
Urine, 24 hours
Blood
SPECIMEN
CONTAINER
EDTA/Lithium
heparin
Plain tube
24 hour urine
container with 10
mls 25% HCL
Plain tube
VOLUME OF
SPESIMEN
3 mls
REFERRAL LAB TURN
AROUND TIME
10 working days
3 mls
24 hours
collection
6 weeks
10 working days
4 mls
4 to 5 weeks
REMARK*
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
SENARAI UJIAN GENETIC/MOLECULAR
Notes:







NO
A)
1.
2.
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
3.
4.
5.
6.
B)
16.
17.
18.
All specimen for Genetic/Molecular Testing will be send to Unit of Molecular Diagnostics and Protein (UMDP), Specialized Diagnostic Centre, IMR
Use Request Form for Molecular Diagnostic Services (IMR/UMDP/o2, version 4.2)
Consent from patient or legal guardian is required.
Requesting specialist signature is required.
All Samples are blood in EDTA tubes or blood spots on Whatman 903 Filter paper unless otherwise stated
Volume required is 1-2 x 2.5 mls blood in EDTA tubes or 4 circles of dried blood spots unless otherwise stated.
All Laboratory TAT is 30 working days unless otherwise stated
DISEASE (TEST NAME)
METABOLIC DISORDERS
Amino Acids Metabolism Disorders
Maple Syrup Urine Disease (BCKDHA, BCKDHB, DBT, DLD gene
sequence)
Non Ketotic Hyperglycinemia (AMT , GCSH, GLDC gene sequence, GLDC
Del/Dup analysis)
N-Acetylglutamate Synthase Deficiency (NAGS gene sequence)
Urea Cycle Disorder, Carbamoyl Phosphate Synthetase 1 Deficiency
(CPS1 gene sequence)
*LTAT: 60 days
Urea Cycle disorders, Ornithine Transcarbamylase Deficiency (OTC
gene sequence, OTC Del/Dup analysis)
Urea cycle disorders- Type I Citrullinemia/Argininosuccinate Synthase
Deficiency (ASS1 gene sequence)
Urea cycle disorder-Arginosuccinic aciduria/Argininosuccinate Lyase
Deficiency (ASL gene sequence)
Fatty acid metabolism disorders
Fatty acid oxidation defects-Carnitine Palmitoyltransferase 1
Deficiency (CPT1A gene sequence)
Fatty acid oxidation defects-Carnitine Palmitoyltransferase 2
Deficiency (CPT2 gene sequence)
Carnithine-Acylcarnitine Translocase Deficiency (SLC25A20 gene
sequence)
7.
8.
9.
10.
11.
12.
13.
Lysinuric Protein Intolerance (SLC7A7 gene sequence)
Classical Homocysteinuria (CBS gene sequence)
Isolated Methylmalonic Acidemia (MMAA, MMAB, MUT gene sequence)
Methylmalonic Aciduria and Homocystinuria Type C (MMACHC gene
sequence)
Methylmalonic Aciduria and Homocystinuria Type D (MMADHC gene
sequence)
Methylmalonyl-CoA Epimerase Deficiency (MCEE gene sequence)
Methylenetetrahydrofolate Reductase Deficiency (MTHFR gene
sequence)
Glutaric Aciduria Type 1 (GCDH gene sequence)
14.
19.
20.
21.
Carnithine Uptake Deficiency (OCTN2 gene sequence)
Long-Chain 3-Hydroxyacyl-CoA Dehydrogenase Deficiency (HADHA gene
sequence)
Short-Chain 3-Hydroxyacyl-CoA Dehydrogenase Deficiency (HADH gene
sequence)
17
18
C)
22.
23.
D)
26.
27.
E)
30.
31.
32.
33.
39.
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
40.
41.
42.
Carbohydrate metabolism
Classical Galactosemia (GALT gene sequence)
Galactokinase Deficiency (GALK1 gene sequence)
Purine & Pyrimidine Metabolism Disorders
Dihydropyriminidase Deficiency (DPYS gene sequence)
Purine Nucleoside Phosphorylase Deficiency (PNP gene sequence)
Others
Urea cycle disorder-Type II citrullinemia/Citrin Deficiency (SLC25A13
gene sequence)
Tyrosine Hydroxylase Deficiency (TH gene sequence)
Aromatic Amino Acid Decarboxylase Deficiency (DDC gene sequence)
Ethylmalonic Encephalopathy (ETHE1 gene sequence)
MITOCHONDRIAL DISORDERS
Leigh Syndrome (8993 hotspot/mtATP5 gene sequence*,SURF1 gene
sequence, mtDNA full panel)
*LTAT 14 days for hotspot
Mitochondrial DNA Deletion Syndromes – Pearson Syndrone, KearnSayre Syndrome (KSS)*, Chronic Progressive External Ophthalmopegia
(CPEO)*
Test for mtDNA genes deletion/ duplication analysis
* accepted samples: muscle biopsy in sterile container/ 10-20 mls of
early morning urine/1-2 X 2.5mL blood EDTA
Leber Hereditary Optic Neuropathy (LHON) Syndrome
Test for mtDNA genes sequence (LHON Panel)
Mitochondrial Encephalomyopathy, Lactic Acidosis, and Stroke-Like
Episodes (MELAS) Syndrome (3243 hotspot/ mt-tRNA Leu sequence,
full panel)
* accepted samples: muscle biopsy in sterile container/ 20 mls of early
morning urine/1-2 X 2.5mL blood EDTA
**LTAT for hotspot: 14 working days
24.
25.
Fructose-1,6-Bisphosphatase Deficiency (FBP1 gene sequence)
Galactosemia Epimerase Deficiency (GALE gene sequence)
28.
29.
Lesch-Nyhan Syndrome (HPRT1 gene sequence)
Hereditary Orotic Aciduria (UMPS gene sequence)
34.
35.
36.
37.
38.
Pompe Disease (GAA gene sequence)
Pyruvate Dehydrogenase Deficiency (PDHA1 gene sequence)
Alpha-1-antitrypsin Deficiency (SERPINA1 gene sequence)
Sulfite Oxidase Deficiency (SUOX gene sequence)
X-linked Adrenoleukodystrophy (ABCD1 gene sequence)
43.
Myoclonic Epilepsy with Ragged-Red Fibers (MERRF) Syndrome (8344
hotspot/Test for mt-tRNA Lys sequence
* accepted samples: muscle biopsy in sterile container/ 20 mls of early
morning urine/1-2 X 2.5mL blood EDTA
**LTAT : 14 working days
Neuropathy, Ataxia and Retinitis Pigmentosa (NARP) Syndrome (8993
hotspot/Test for mtATP6 gene sequence)
*LTAT: 14 working days
POLG-Related Disorders (POLG gene sequence)
Mitochondrial DNA Depletion Syndromes (ANT1, DGUOK, MPV17, POLG,
RRM2B ,SUCLA2, SUCLG1, TWINKLE, TYMP gene sequence)
Multiple Respiratory Chain Deficiencies (Mitochondrial Translation Defect)
(GFM1 gene sequence)
Multiple Respiratory Chain Deficiencies (Mitochondrial Translation Defect)
(GFM1 gene sequence)
Whole mitochondrial DNA (hotspot and Full panel: mtDNA genes sequence
& deletion/ duplication)
Note: Request only by Clinical Geneticist/Neurologist.
44.
45.
46.
47.
48.
49.
50.
51.
52.
56.
57.
60.
61.
64.
65.
66.
67.
68.
53.
54.
55.
58.
59.
69.
70.
71.
72.
73.
74.
75.
76.
77.
78.
Alagilles syndrome (JAG1 gene sequence and deletion&duplication
analysis and NOTCH2 gene sequence)
Noonan Syndrome (PTPN11 gene sequence)
Schinzel Giedion Syndrome (SETBP1 gene sequence)
MCT8-Specific Thyroid Hormone Cell Transporter Deficiency (SLC16A2
gene sequence)
Lissencephaly (LIS1 gene sequence)
Early-onset Primary Dystonia (TOR1A gene sequence)
Hypophosphatasia (ALPL gene sequence)
Leopard Syndrome (PTPN11 gene sequence)
Maroteaux-Lamy Syndrome, MPS VI (ARSB gene sequence)
Medium Chain Acyl-CoA Dehydrogenase (ACADM gene sequence)
Very Long Chain Acyl-CoA Dehydrogenase (ACADVL gene sequence)
Metachromatic Leukodystrophy (MLD)/ Arylsulphatase A (ARSA gene
sequence)
PTEN-associated Diseases (PTEN gene sequence & deletion / duplication)
Severe Congenital Neutropenia (ELANE gene sequence)
DNA Extraction and Storage
LTAT: 2 working days
19
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
62.
63.
GENETIC SYNDROMES
Fragile X Syndrome (FRAXA: Expansion of CGG repeats of FMR1 gene &
FRAXE Expansion of GCC repeats of FMR2 gene)
Prader-Willi Syndrome (Test for Absence of non-methylated paternal
copy of SNRPN exon 1/ promoter regions)
Angelman Syndrome (Test for Absence of non-methylated maternal
copy of SNRPN exon 1/ promoter regions and UBE3A gene sequence &
deletion/duplication analysis)
NEUROGENETIC DISORDERS
Spinal Muscular Atrophy (SMN gene deletion, copy number &
sequence)
Primary Dystonia (THAP1 gene sequence)
OTHER GENETIC DISORDERS
Pseudorheumatoid Dysplasia (WISP3 gene sequence)
Berardinelli Congenital Lipodystrophy (AGPAT2, BSCL2 gene
sequence)
Retinoblastoma (RB1 gene sequence & deletion/duplication)
X-Chromosome Inactivation (Androgen receptor Exon 1 fragment
analysis)
Acute intermittent porpohyria (HMBS gene sequence &
deletion/duplication)
Alexander disease (GFAP gene sequence)
Biotinidase Deficiency (BTD gene sequence)
CADASIL (NOTCH3 Hotspot and Full gene Sequencing*)
LTAT for full gene sequencing: 45 days
Congenital Disorder of Glycosylation (CDG) Genotyping/
Phosphomannomutase 2 Deficiency (PMM2 gene sequence)
20
SENARAI UJIAN RESEARCH BASED DI UNIT BIOKIMIA, IMR. (TEMUJANJI DIPERLUKAN)
NO
TESTS
1.
2.
3.
4.
Alpha-aminoadipic semialdehyde
Alpha-fucosidase
Alpha-galactosidase
Alpha-hexosaminidase (Alpha-N-acetyl
glucosaminidase)
Alpha-iduronidase
Alpha-mannosidase, leucocytes
Alpha-mannosidase, plasma
Aryl sulphatase A
Arylsulphatase B (N-acetylgalactosamine 4sulfatase)
Aspartyl-glucosaminidase
Beta Hexosaminidase A
Beta Hexosaminidase A + B
Beta-galactosidase
Beta-glucosidase
Beta-glucuronidase
Beta-mannosidase A+B (TOTAL)
Biogenic amines (5-HIAA, HVA, VMA)
Biogenic amines (5-HIAA, HVA, VMA, 3 MD)
Carnitine, urine
Creatine
Galactocerebrosidase
Galactose-1-phosphate
Galactose-6-sulphatase
Glycogen branching enzyme
Iduronate-2-sulphatase
N-acetylglucosamine-6-sulphatase
Palmitoyl-protein thioesterase
Pterins, urine
Sugar & Polyols, urine
Sulphamidase
5.
6.
7.
8.
9.
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
TYPE OF
SPECIMEN
Urine
Whole blood
Whole blood
Whole blood
SPECIMEN CONTAINER
VOLUME OF SPESIMEN
Urine container
EDTA
EDTA
EDTA
2 mls
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
REFERRAL LAB TURN
AROUND TIME
15 working days
15 working days
15 working days
15 working days
Whole blood
Whole blood
Whole blood
Whole blood
Whole blood
EDTA
EDTA
EDTA
EDTA
EDTA
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
15 working days
15 working days
15 working days
15 working days
15 working days
Whole blood
Whole blood
Whole blood
Whole blood
Whole blood
Whole blood
Whole blood
Urine
CSF
24 hour urine
Urine, random
Whole blood
Whole blood
Whole blood
Whole blood
Whole blood
Whole blood
Whole blood
Urine, random
Urine, random
Whole blood
EDTA
EDTA
EDTA
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
2mls
2mls
24 hours urine collection
2 mls
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
2 x 2.5 mls blood in EDTA tubes
5 mls
5 mls
2 x 2.5 mls blood in EDTA tubes
15 working days
15 working days
15 working days
15 working days
15 working days
15 working days
15 working days
15 working days
15 working days
10 working days
15 working days
15 working days
10 working days
15 working days
15 working days
15 working days
15 working days
15 working days
15 working days
16 working days
15 working days
EDTA
EDTA
EDTA
Urine container
Special container from IMR
24 hour urine container
Urine container
EDTA
EDTA
EDTA
EDTA
EDTA
EDTA
EDTA
Urine container
Urine container
EDTA
SENARAI UJIAN DI JABATAN KIMIA
NO
TESTS* (includes but not limited to)
REFERRAL LAB TURN
AROUND TIME
1.
2.
3.
4.
5.
6.
Alcohol (ethanol)
Insecticide (organophosphate)
Drugs (Barbiturates, cocaine)
Corrosive agents
Gas
Heavy metals (Aluminium, arsenic, bromide,
cadmium, chromium, lead, nikel, mercury,
selenium, zinc)
Solvents
Others
1 – 2 Months
7.
8.
TYPES OF
SPECIMEN/CONTAINER/
SPECIMEN VOLUME
Blood, urine, gastric
content, gastric lavage
content, vomitus,
others.
REMARK
Please consult officer in charge (toxicology unit), before
sending samples.
Jabatan Kimia Malaysia, Cawangan Johor:
07-222 6366/07-222 6569
21
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
22
LAMPIRAN-LAMPIRAN
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
23
LAMPIRAN 1: SENARAI UJIAN STAT
SENARAI UJIAN STAT DI MAKMAL PATOLOGI KIMIA, HSA
BIL
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
UJIAN
LTAT
Arterial Blood Gas
Ammonia
Amylase
Bilirubin
Calcium
Chloride
Creatinine
CSF chemistry
Glucose
Lactate
Magnesium
Paraquat (urine)
Phosphate
Potassium
Renal Function test
Sodium
Troponin T
Urea
LFT* (untuk kes-kes acute liver failure, preeclampsia dan severe dengue sahaja)
30 minit
1 jam
1 jam
1 jam
1 jam
1 jam
1 jam
1 jam
1 jam
1 jam
1 jam
1 jam
1 jam
1 jam
1 jam
1 jam
1 jam
1 jam
1 jam
NOTA:
1. Ujian-ujian lain yang diperlukan STAT hendaklah dipohon melalui pegawai perubatan/pakar
patologi Kimia yang bertugas.
2. Sekiranya ujian STAT dipohon bersama dengan ujian-ujian lain (yang tiada dalam senarai STAT)
dalam satu spesimen atau ujian STAT dihantar secara batch, ujian tersebut akan dijalankan
secepat mungkin tetapi LTAT STAT mungkin tidak terjamin.
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
24
LAMPIRAN 2: JADUAL PENGHANTARAN SPESIMEN KE MAKMAL RUJUKAN
1) Jadual penghantaran spesimen ke makmal rujukan.
MAKMAL RUJUKAN
HARI PENGHANTARAN
Hospital Kuala Lumpur
Isnin & Rabu
Institute of Medical Research
Isnin & Rabu
Hospital Ampang
Isnin & Rabu
Hospital Putrajaya
Rabu
Jabatan Kimia Malaysia,
cawangan Johor
Khamis
Permai
Mengikut permintaan
*Spesimen yang diterima selepas pukul 10 pagi pada hari penghantaran akan dihantar pada hari
penghantaran yang berikutnya
2) Semua permohonan hendaklah disertakan dengan borang PER.PAT 301, kecuali dinyatakan
sebaliknya.
3) Semua ujian yang di rujuk ke makmal di luar HSA dianggap ujian khas dan perlu tandatangan
pakar yang memohon dan sejarah pesakit yang lengkap. Borang yang tidak lengkap akan ditolak.
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
25
LAMPIRAN 3: PANDUAN BEKAS SPESIMEN
TUBES
COLOUR
Lithium heparin
Green
Plain tube
Red
TUBES
COLOUR
Urine container
24 hour urine container
Gold
K2-EDTA
Lavender
Fluoride Oxalate
Grey
Heparinized
syringe
Bijou bottle
Whatman 903 filter
paper
Syringe must be
labeled.
Unlabeled syringe will
be rejected.
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
26
LAMPIRAN 4: RECOMMENDED ORDER OF DRAW FOR MULTIPLE TUBE COLLECTIONS
ORDER OF DRAW
CLOSURE COLOR
COLLECTION TUBE
MIXED BY INVERTING
Blood culture
8 to 10 times
Citrate tube
3 to 4 times
Serum tube (with or without gel)
5 times
Heparin Tube
8 to 10 times
EDTA
8 to 10 times
Fluoride
8 to 10 times
FIRST
Or
LAST
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
27
LAMPIRAN 5: PANDUAN UJIAN RENIN DAN ALDOSTERONE
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
28
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
29
Whatman 903 filter paper.
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
30
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
31
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
32
LAMPIRAN 6: BORANG-BORANG
BORANG PER. PAT 301
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
33
REQUEST FORM FOR MULTIPLE MYELOMA AND SPECIFIC PROTEIN (IMR/UMDP/01)
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
34
REQUEST FORM FOR MOLECULAR DIAGNOSTIC SERVICES (IMR/UMDP/02) (PAGE 1 OF 3)
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
35
REQUEST FORM FOR MOLECULAR DIAGNOSTIC SERVICES (PAGE 2 OF 3)
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
36
REQUEST FORM FOR MOLECULAR DIAGNOSTIC SERVICES (PAGE 3 OF 3)
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
37
IEM REQUEST FORM (PAGE 1 OF 2)
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
38
IEM REQUEST FORM (PAGE 2 OF 2)
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
39
BORANG UJIAN DADAH (UPD 1 PINDAAN)
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
40
BORANG PERMOHONAN BAGI PEMERIKSAAN FORENSIK/TOKSIKOLOGI - JABATAN KIMIA (PAGE 1 OF 3)
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
41
BORANG PERMOHONAN BAGI PEMERIKSAAN FORENSIK/TOKSIKOLOGI - JABATAN KIMIA (PAGE 2 OF 3)
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
42
BORANG PERMOHONAN BAGI PEMERIKSAAN FORENSIK/TOKSIKOLOGI - JABATAN KIMIA (PAGE 3 OF 3)
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015
NOTA
PANDUAN PERKHIDMATAN PATOLOGI KIMIA, HSA, VERSI 1, 2015