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APUTS) Terminology and Codes Requesting Pathology (V2.1 AUSTRALIAN PATHOLOGY UNITS AND TERMINOLOGY (APUTS) Terminology and Codes Requesting Pathology (v2.1) ISBN: Pending 1 State Health Publication Number (SHPN): Pending Online copyright © RCPA 2014 This work (Standards and Guidelines) is copyright. You may download, display, print and reproduce the Standards and Guidelines for your personal, non- commercial use or use within your organisation subject to the following terms and conditions: 1. The Standards and Guidelines may not be copied, reproduced, communicated or displayed, in whole or in part, for profit or commercial gain. 2. Any copy, reproduction or communication must include this RCPA copyright notice in full. 3. No changes may be made to the wording of the Standards and Guidelines including commentary, tables or diagrams. Excerpts from the Standards and Guidelines may be used. References and acknowledgments must be maintained in any reproduction or copy in full or part of the Standards and Guidelines. Apart from any use as permitted under the Copyright Act 1968 or as set out above, all other rights are reserved. Requests and inquiries concerning reproduction and rights should be addressed to RCPA, 207 Albion St, Surry Hills, NSW 2010, Australia. This material contains content from LOINC® (http://loinc.org). The LOINC table, LOINC codes and LOINC panels and forms file are copyright © 1995-2012, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and available at no cost under the license athttp://loinc.org/terms-of-use. This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO®). All rights reserved. SNOMED CT was originally created by The College of American Pathologists. IHTSDO®, SNOMED® and SNOMED CT® are registered trademarks of the IHTSDO First published: February, 2013, 1st Edition (version 1.0) 2 Terminology for Requesting Pathology TRIM Document #: D156353 Document History: Version Reason for Change Author Date Michael Legg / Dr Initial Terminology for Requesting pathology, published by the RCPA Pathology 1.0 Christiaan 12-Feb-13 Units and Terminology Standardisation Project. Swanepoel 2.0 Added Document Revision History worksheet. Donna Moore 06-Jun-14 Changed the filename from "PUTS Terminology for Requesting Pathology Subset " to "APUTS Requesting Pathology terminology reference set". Added additional SNOMED codes to this list after review from WG2 from PITUS project. Added "WBC Diff; Differential" to synonyms for White cell count. 2.1 After public feedback and approval by PITUS steering committee the following Donna Moore 06-Nov-14 changes were made: '- Changed preferred name to 'Thrombin time' (was 'Thrombin') . '- Changed the preferred name for a number of newly added v2.0 tests, refer to those tests marked with '2.1' in the version column. Preferred term Synonyms Mapped Term Working group comments Version History 17-hydroxyprogesterone 17 OH Progesterone; 17-OHP; Hydroxy Progesterone 41668001 | 17 Hydroxyprogesterone measurement, serum | 2.1 2.1 Changed preferred name to '17-hydroxprogesterone' (was '17-Hydroxprogesterone) 2.0 New. Added by PITUS-14 Working group 2. 3-methoxythyramine urine 394951002 | 24 hour urine 3-methoxytyramine output | 2.1 2.1 - Changed preferred name to '3-methoxythyramine urine' (was '3- Methoxythyramine urine') 2.0 - New. Added by PITUS-14 Working group 2. 5HIAA urine 5 indole acetic acid 104741005 | 5-Hydroxyindoleacetic acid measurement | 2.0 Acetylcholine receptor Ab AChR Ab; Myasthenia gravis antibodies; AChR antibodies 122224000 | Measurement of acetylcholine receptor antibody | 2.1 2.1 - Changed preferred name to 'Acetylcholine receptor Ab' (was 'Acetylcholine Receptor Ab'). 2.0 -New. Added by PITUS-14 Working group 2. ACTH Adrenocorticotropic hormone 49466006 | Adrenocorticotropic hormone measurement | 2.0 New. Added by PITUS-14 Working group 2. Active vitamin B12 Holotranscobalamin 439568007 | Measurement of holotranscobalamin concentration | 1.0 Adenovirus Ag Faeces 121960004 | Adenovirus antigen assay | 1.0 Adrenaline 24 hr urine Epinephine 24 hr urine 313968000 | 24 hour urine free adrenaline output measurement | 2.0 New. Added by PITUS-14 Working group 2. Alanine aminotransferase ALT; Alanine transaminase; Glutamic pyruvic transaminase; SGPT 250637003 | ALT - blood measurement | 1.0 Albumin Alb 104485008 | Albumin measurement, serum | 1.0 Albumin 24 hr urine Albumin 24 hour urine; 24 hr urine Albumin 313502007 | 24 hour urine albumin output measurement | 2.0 New. Added by PITUS-14 Working group 2. Albumin CSF Cerebrospinal fluid albumin; CSF Albumin 313773000 | Cerebrospinal fluid albumin measurement | 2.0 New. Added by PITUS-14 Working group 2. Aldosterone 42379004 | Aldosterone measurement, serum | 2.0 New. Added by PITUS-14 Working group 2. Alkaline phosphatase ALP; Alk phos 271234008 | Serum alkaline phosphatase measurement | 1.0 Alpha-1-antitrypsin A1AT, AAT 270976003 | Serum A1 antitrypsin measurement | 1.0 Alpha-fetoprotein AFP 104404005 | Alpha-1-fetoprotein measurement, serum | 1.0 Alpha-fetoprotein tumour marker AFP 441825001 | Measurement of alpha fetoprotein as marker for malignant neoplasm | 1.0 Aluminium Al 273978001 | Serum aluminium measurement | 2.0 New. Added by PITUS-14 Working group 2. Amikacin 313536001 | Serum amikacin measurement | 2.0 New. Added by PITUS-14 Working group 2. Amino acids AA 313402005 | Plasma amino acid measurement | 1.0 Amiodarone level 166971003 | Serum amiodarone measurement | 1.0 Amitriptyline 69652002 | Amitriptyline measurement | 2.0 New. Added by PITUS-14 Working group 2. Ammonia NH3 313952006 | Plasma ammonia measurement | 2.0 New. Added by PITUS-14 Working group 2. Amphetamine screen urine Amphetamine urine screen; drug screen; Amphetamine drug screen 314104009 | Urine amphetamine screening test | 2.0 New. Added by PITUS-14 Working group 2. Amphetamine urine Urine Amphetamine 269890008 | Urine amphetamine measurement | RCPA QAP list only 2.0 New. Added by PITUS-14 Working group 2. Amylase 89659001 | Amylase measurement, serum | 1.0 Androstenedione 271224004 | Serum androstenedione measurement | 2.0 New. Added by PITUS-14 Working group 2. Angiotensin converting enzyme ACE 166589006 | Serum angiotensin-converting enzyme measurement | 2.1 2.1 - Changed preferred name 'Angiotensin converting enzyme ' (was 'Angiotensin Converting Enzyme ). 2.0 -New. Added by PITUS-14 Working group 2. Anion gap A Gap 271057005 | Serum anion gap measurement | RCPA QAP list only 2.1 2.1 - Changed preferred name to ‘Anion gap’ (was ‘Anion Gap’). 2.0 -New. Added by PITUS-14 Working group 2. Antibody screen Ab screen; Abs 252315008 | Blood group antibody screening | 1.0 Anti-D titre 103968008 | Anti-D titration | 2.1 2.1 - Changed preferred name from 'Anti-D titre' (was 'Anti-D Titre') 2.0 - New. Added by PITUS-14 Working group 2. Antinuclear Ab ANA; ANF; Nuclear Ab; Antinuclear factor 359788000 | ANA measurement | 1.0 Antithrombin AT III 36288005 | Antithrombin III assay | 2.0 New. Added by PITUS-14 Working group 2. APC resistance 41833004 | Activated protein C resistance assay | 2.0 New. Added by PITUS-14 Working group 2. Apolipoprotein A-I Lipoprotein A1; LPA1 443309005 | Measurement of apolipoprotein A-I | 2.0 New. Added by PITUS-14 Working group 2. Apolipoprotein B Apo B; Lipoprotein B; LPB 104531005 | Apolipoproteins B measurement | 2.0 New. Added by PITUS-14 Working group 2. APTT Activated partial thromboplastin time 42525009 | Partial thromboplastin time, activated | 1.0 Arsenic As 45074006 | Arsenic measurement, blood | 2.0 New. Added by PITUS-14 Working group 2. Arsenic 24 hr urine Arsenic 24 hour urine; 24 hr urine Arsenic; 24 hr urine As 391357007 | 24 hour urine arsenic output | 2.0 New. Added by PITUS-14 Working group 2. Arsenic urine Urine Arsenic; Urine As 90690006 | Arsenic measurement, urine | 2.0 New. Added by PITUS-14 Working group 2. Aspartate aminotransaminase AST; AST; Aspartate transaminase; Glutamic oxaloacetic transaminase; 250641004 | AST serum measurement | 1.0 SGOT Aspergillus serology Aspergillus precipitins 87407009 | Serologic test for Aspergillus | 1.0 Atypical mycobacteria Mycobacterium PCR 122285001 | Mycobacterium identification | 2.0 New. Added by PITUS-14 Working group 2. Barmah Forest virus Ab BFV Ab, BF Ab, Barmah Forest virus serology 443388000 | Measurement of Barmah Forest virus antibody | 1.0 BCR-ABL bcr-abl for ALL; bcr-abl for CML 444157002 | Detection of BCR-ABL translocation | 2.0 New. Added by PITUS-14 Working group 2. Bence Jones protein Protein electrophoresis urine; Urine EPG 443363008 | Measurement of Bence Jones protein | 1.0 Beta HCG quantitation BHCG Titre; Human Chorionic Gonadotropin Quantitative; QHCG 67900009 | Human chorionic gonadotropin measurement | 1.0 Beta-2-glycoprotein Anti B2 glycoprotein 1 IgG antibody; B2GP1 413001005 | Anti B2 glycoprotein 1 IgG antibody measurement | 2.1 2.1 - Changed preferred name to'Beta-2-glycoprotein' (was 'Beta-2-Glycoprotein') 2.0 - New. Added by PITUS-14 Working group 2. Page 2 of 10 Beta-2-microglobulin B2MG; B2M; B2Microglobulin 166587008 | Serum beta 2 microglobulin measurement | 2.0 New. Added by PITUS-14 Working group 2. Bicarbonate Bicarb; Carbon dioxide; HCO3; Total bicarbonate 271239003 | Serum bicarbonate measurement | 1.0 Bilirubin Total bilirubin; Bilirubin total; SBR; Bili 313840000 | Serum total bilirubin measurement | 1.0 Bilirubin conjugated Bili-C; Bilirubin direct; Bili-D; Conjugated bilirubin 313856005 | Serum conjugated
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