Taking Specimens other than Blood in Office
Under the regulations made under the Laboratory and Specimen Collection Centre Licensing Act, 1990
), Members are permitted to take non-blood specimens from their own
patient in their own office
for two purposes:
- performing any of identified tests in their own office on that specimen; or
- sending the specimen to a laboratory licensed under the LSCCLA for testing.
In-Office Testing on Non-Blood Specimens
Under the regulations made under the LSCCLA, Members are permitted to take non-blood specimens from their own
patient in their own office
for the purposes of performing only
the following 10 tests in their office
on that specimen:
| Ascorbic acid (ascorbate) Vitamin C
| BTA Bioterrain Assessment
| Human Chorionic Gonadotropin – pregnancy test
| Oxidative testing
| Rapid Strep Test
|| Throat swab/culture
| Routine urinalysis by dipstick
| Vaginal pH
|| Vaginal swab/culture
(Reference: R.R.O. 1990, Regulation 683 (Specimen Collection Centres), section 8, paragraph 2)
Sending Specimens to a Licensed Laboratory
Under the regulations made under the LSCCLA, Members are authorized to take or collect other non-blood specimens from their own patient in their own office for the purposes of ordering any the following 61 tests from a laboratory licensed under the LSCCLA.
A Member may not perform these tests on the specimens.
Tests Performed on Stool:
1. Bacteria / yeast (microbiology profile).
2. Calprotectin Fecal.
3. Comprehensive Digestive Stool Analysis.
5. Fecal Fat.
6. Occult Blood.
7. Parasites and Ova.
Tests Performed on Urine:
8. 5α-dihydrotestosterone (DHT).
10. Bilirubin (total, total conjugated, unconjugated, direct and indirect).
11. Bisphenol A.
12. Calcium, Calcium ionized.
13. Chlorinated pesticides.
14. Cortisol – bound and unbound, no differentiation.
16. Creatinine Clearance.
17. Cultures – urine, screening, actual culture without identification.
18. Dehydroepiandrosterone sulphate (DHEAS).
23. Human Growth Hormone.
24. Luteinizing Hormone.
27. Porphyrins, screen.
29. Routine Urinalysis (glucose, blood, ketone, leukocytes, etc.)
31. Testosterone, free.
32. Thyroid hormones.
33. Toxic Metals.
34. Uric acid (urate).
35. Urinary Organic Acid Test.
Tests Performed on Saliva:
37. 5α-dihydrotestosterone (DHT).
40. Cortisol – bound and unbound, no differentiation.
41. Dehydroepiandrosterone sulphate (DHEAS).
50. Testosterone, free.
Tests Performed on Hair:
51. Heavy Metal – Hair element analysis.
Tests Performed on Tissue/Discharge/Sputum:
52. Culture – throat swab for streptococcus screen only.
53. Culture and sensitivities (other swabs or pus – culture and smear [includes screening]).
54. Culture and sensitivities (sputum – culture and smear).
55. Nail and skin cultures.
56. Nasal swabs (other swabs or pus – culture and smear [includes screening]).
57. Pap smear (smear only, gram or Papanicolaou stain as sole procedure).
58. Seminal fluid examination (complete).
Tests Performed on Breath:
59. Hydrogen breath test.
60. Intestinal permeability test.
61. Urea breath test for H. pylori.
(Reference: R.R.O. 1990, Regulation 683 (Specimen Collection Centres), section 8, paragraph 3; Appendix B.)