Oral Contraceptive/Hormone Replacement Therapy Thrombotic Risk Profile II (Esoterix)

CPT: 80503; 81240; 81241; 85300; 85303; 85306
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Test Includes

Antithrombin activity; factor II gene mutation; factor V Leiden ; pathologist interpretation; protein C activity (chromogenic); protein S antigen, free


Expected Turnaround Time

6 - 10 days


Related Documents

For more information, please view the literature below.

Procedures for Hemostasis and Thrombosis: A Clinical Test Compendium


    Specimen Requirements


    Specimen

    Plasma and whole blood


    Volume

    3 mL platelet-poor frozen citrated plasma divided into three 1-mL tubes and 5 mL whole blood


    Container

    Blue-top (sodium citrate) tube and lavender-top (EDTA) or yellow-top (ACD) tube


    Collection

    Plasma must be separated from cells within 45 minutes of venipuncture and centrifuged a second time before being placed in plastic transport tubes. Freeze within two hours and keep frozen until testing is performed. To avoid delays in turnaround time when requesting multiple tests on frozen samples, please submit separate frozen specimens for each test requested.


    Storage Instructions

    Maintain whole blood at room temperature. Freeze plasma.


    Causes for Rejection

    Noncitrated plasma; gross hemolysis; fibrin clot in plasma; clotted whole blood samples if adequate DNA not obtained; frozen whole blood


    Test Details


    Methodology

    See individual tests.


    LOINC® Map

    Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
    502343 AT3 Funct+FIIDNA+FVDNA+Prt ... 500573 Antithrombin Activity, Plasma % 27811-9
    502343 AT3 Funct+FIIDNA+FVDNA+Prt ... 500464 Prt C Activity (Chromogenic) % 27818-4
    502343 AT3 Funct+FIIDNA+FVDNA+Prt ... 500618 Protein S Antigen, Free % 27821-8
    502343 AT3 Funct+FIIDNA+FVDNA+Prt ... 500684 Pathologist Interpretation 21026-0
    502343 AT3 Funct+FIIDNA+FVDNA+Prt ... 500587 Factor V Leiden Result 21667-1
    502343 AT3 Funct+FIIDNA+FVDNA+Prt ... 500627 Interpretation: 51968-6
    502343 AT3 Funct+FIIDNA+FVDNA+Prt ... 500628 Methodology: 49549-9
    502343 AT3 Funct+FIIDNA+FVDNA+Prt ... 500629 Comments: 77202-0
    502343 AT3 Funct+FIIDNA+FVDNA+Prt ... 500583 Factor II Gene Mutation Result 24476-4
    502343 AT3 Funct+FIIDNA+FVDNA+Prt ... 500624 Interpretation: 51968-6
    502343 AT3 Funct+FIIDNA+FVDNA+Prt ... 500625 Methodology: 49549-9
    502343 AT3 Funct+FIIDNA+FVDNA+Prt ... 500626 Comments: 77202-0

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