MIME-Version: 1.0
Content-Location: file:///C:/F697E184/BodyFluid.htm
Content-Transfer-Encoding: quoted-printable
Content-Type: text/html; charset="us-ascii"

<html xmlns:v=3D"urn:schemas-microsoft-com:vml"
xmlns:o=3D"urn:schemas-microsoft-com:office:office"
xmlns:w=3D"urn:schemas-microsoft-com:office:word"
xmlns:dt=3D"uuid:C2F41010-65B3-11d1-A29F-00AA00C14882"
xmlns:st1=3D"urn:schemas-microsoft-com:office:smarttags"
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii">
<meta name=3DProgId content=3DWord.Document>
<meta name=3DGenerator content=3D"Microsoft Word 11">
<meta name=3DOriginator content=3D"Microsoft Word 11">
<link rel=3DFile-List href=3D"BodyFluid_files/filelist.xml">
<o:SmartTagType namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"PlaceType"/>
<o:SmartTagType namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"PlaceName"/>
<o:SmartTagType namespaceuri=3D"urn:schemas-microsoft-com:office:smarttags"
 name=3D"place"/>
<!--[if gte mso 9]><xml>
 <o:DocumentProperties>
  <o:Author>S W Registrar</o:Author>
  <o:LastAuthor>AN14224</o:LastAuthor>
  <o:Revision>2</o:Revision>
  <o:TotalTime>1</o:TotalTime>
  <o:LastPrinted>2007-04-05T12:35:00Z</o:LastPrinted>
  <o:Created>2007-10-18T18:47:00Z</o:Created>
  <o:LastSaved>2007-10-18T18:47:00Z</o:LastSaved>
  <o:Pages>1</o:Pages>
  <o:Words>281</o:Words>
  <o:Characters>1602</o:Characters>
  <o:Company>Allina Hospitals &amp; Clinics</o:Company>
  <o:Lines>13</o:Lines>
  <o:Paragraphs>3</o:Paragraphs>
  <o:CharactersWithSpaces>1880</o:CharactersWithSpaces>
  <o:Version>11.6568</o:Version>
 </o:DocumentProperties>
 <o:CustomDocumentProperties>
  <o:_AdHocReviewCycleID dt:dt=3D"float">1890464637</o:_AdHocReviewCycleID>
  <o:_EmailSubject dt:dt=3D"string">Minor change in instructions</o:_EmailS=
ubject>
  <o:_AuthorEmail dt:dt=3D"string">Linda.Wennerstrom@allina.com</o:_AuthorE=
mail>
  <o:_AuthorEmailDisplayName dt:dt=3D"string">Wennerstrom, Linda K</o:_Auth=
orEmailDisplayName>
  <o:_ReviewingToolsShownOnce dt:dt=3D"string"></o:_ReviewingToolsShownOnce>
 </o:CustomDocumentProperties>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:WordDocument>
  <w:DisplayHorizontalDrawingGridEvery>0</w:DisplayHorizontalDrawingGridEve=
ry>
  <w:DisplayVerticalDrawingGridEvery>0</w:DisplayVerticalDrawingGridEvery>
  <w:UseMarginsForDrawingGridOrigin/>
  <w:ValidateAgainstSchemas/>
  <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
  <w:IgnoreMixedContent>false</w:IgnoreMixedContent>
  <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
  <w:Compatibility>
   <w:FootnoteLayoutLikeWW8/>
   <w:ShapeLayoutLikeWW8/>
   <w:AlignTablesRowByRow/>
   <w:ForgetLastTabAlignment/>
   <w:LayoutRawTableWidth/>
   <w:LayoutTableRowsApart/>
   <w:UseWord97LineBreakingRules/>
   <w:SelectEntireFieldWithStartOrEnd/>
   <w:UseWord2002TableStyleRules/>
  </w:Compatibility>
  <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
 </w:WordDocument>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <w:LatentStyles DefLockedState=3D"false" LatentStyleCount=3D"156">
 </w:LatentStyles>
</xml><![endif]--><!--[if !mso]><object
 classid=3D"clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id=3Dieooui></objec=
t>
<style>
st1\:*{behavior:url(#ieooui) }
</style>
<![endif]-->
<style>
<!--
 /* Font Definitions */
 @font-face
	{font-family:Tahoma;
	panose-1:2 11 6 4 3 5 4 4 2 4;
	mso-font-charset:0;
	mso-generic-font-family:swiss;
	mso-font-pitch:variable;
	mso-font-signature:1627421319 -2147483648 8 0 66047 0;}
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
	{mso-style-parent:"";
	margin:0in;
	margin-bottom:.0001pt;
	mso-pagination:widow-orphan;
	font-size:10.0pt;
	font-family:"Times New Roman";
	mso-fareast-font-family:"Times New Roman";}
h1
	{mso-style-next:Normal;
	margin:0in;
	margin-bottom:.0001pt;
	text-align:center;
	mso-pagination:widow-orphan;
	page-break-after:avoid;
	mso-outline-level:1;
	font-size:12.0pt;
	mso-bidi-font-size:10.0pt;
	font-family:"Times New Roman";
	mso-font-kerning:0pt;
	font-weight:normal;}
h2
	{mso-style-next:Normal;
	margin-top:0in;
	margin-right:0in;
	margin-bottom:0in;
	margin-left:2.0in;
	margin-bottom:.0001pt;
	text-indent:-1.5in;
	mso-pagination:widow-orphan;
	page-break-after:avoid;
	mso-outline-level:2;
	font-size:12.0pt;
	mso-bidi-font-size:10.0pt;
	font-family:"Times New Roman";
	font-weight:normal;}
p.MsoBodyTextIndent, li.MsoBodyTextIndent, div.MsoBodyTextIndent
	{margin-top:0in;
	margin-right:0in;
	margin-bottom:0in;
	margin-left:157.5pt;
	margin-bottom:.0001pt;
	text-indent:-13.5pt;
	mso-pagination:widow-orphan;
	font-size:12.0pt;
	mso-bidi-font-size:10.0pt;
	font-family:"Times New Roman";
	mso-fareast-font-family:"Times New Roman";}
p.MsoAcetate, li.MsoAcetate, div.MsoAcetate
	{mso-style-noshow:yes;
	margin:0in;
	margin-bottom:.0001pt;
	mso-pagination:widow-orphan;
	font-size:8.0pt;
	font-family:Tahoma;
	mso-fareast-font-family:"Times New Roman";}
@page Section1
	{size:8.5in 11.0in;
	margin:1.0in 1.25in 1.0in 1.25in;
	mso-header-margin:.5in;
	mso-footer-margin:.5in;
	mso-paper-source:0;}
div.Section1
	{page:Section1;}
 /* List Definitions */
 @list l0
	{mso-list-id:175581401;
	mso-list-type:hybrid;
	mso-list-template-ids:-950997178 -428033072 67698713 67698715 67698703 676=
98713 67698715 67698703 67698713 67698715;}
@list l0:level1
	{mso-level-tab-stop:2.25in;
	mso-level-number-position:left;
	margin-left:2.25in;
	text-indent:-.25in;}
@list l1
	{mso-list-id:490996136;
	mso-list-type:hybrid;
	mso-list-template-ids:1921686920 2042406764 67698713 67698715 67698703 676=
98713 67698715 67698703 67698713 67698715;}
@list l1:level1
	{mso-level-start-at:12;
	mso-level-number-format:alpha-lower;
	mso-level-tab-stop:2.25in;
	mso-level-number-position:left;
	margin-left:2.25in;
	text-indent:-.25in;}
@list l2
	{mso-list-id:710304274;
	mso-list-type:hybrid;
	mso-list-template-ids:-435894114 -1557601478 67698713 67698715 67698703 67=
698713 67698715 67698703 67698713 67698715;}
@list l2:level1
	{mso-level-start-at:3;
	mso-level-tab-stop:2.25in;
	mso-level-number-position:left;
	margin-left:2.25in;
	text-indent:-.25in;}
@list l3
	{mso-list-id:2014919433;
	mso-list-type:hybrid;
	mso-list-template-ids:1974348198 -753793710 67698713 67698715 67698703 676=
98713 67698715 67698703 67698713 67698715;}
@list l3:level1
	{mso-level-start-at:2;
	mso-level-tab-stop:2.25in;
	mso-level-number-position:left;
	margin-left:2.25in;
	text-indent:-.25in;}
ol
	{margin-bottom:0in;}
ul
	{margin-bottom:0in;}
-->
</style>
<!--[if gte mso 10]>
<style>
 /* Style Definitions */
 table.MsoNormalTable
	{mso-style-name:"Table Normal";
	mso-tstyle-rowband-size:0;
	mso-tstyle-colband-size:0;
	mso-style-noshow:yes;
	mso-style-parent:"";
	mso-padding-alt:0in 5.4pt 0in 5.4pt;
	mso-para-margin:0in;
	mso-para-margin-bottom:.0001pt;
	mso-pagination:widow-orphan;
	font-size:10.0pt;
	font-family:"Times New Roman";
	mso-ansi-language:#0400;
	mso-fareast-language:#0400;
	mso-bidi-language:#0400;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
 <o:shapedefaults v:ext=3D"edit" spidmax=3D"2050"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
 <o:shapelayout v:ext=3D"edit">
  <o:idmap v:ext=3D"edit" data=3D"1"/>
 </o:shapelayout></xml><![endif]-->
</head>

<body lang=3DEN-US style=3D'tab-interval:.5in'>

<div class=3DSection1>

<p class=3DMsoNormal><span style=3D'mso-tab-count:9'>&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span>Allina
Laboratories</p>

<p class=3DMsoNormal><span style=3D'mso-tab-count:9'>&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b><u><span
style=3D'font-size:11.0pt'>BODY FLUID FOR CYTOLOGY</span></u></b><b
style=3D'mso-bidi-font-weight:normal'><u><span style=3D'font-size:11.0pt'> =
<o:p></o:p></span></u></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'><span style=3D'font-size:11.0pt'>(NonGyn Cytology)<o:p></o:p></span=
></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'><span style=3D'font-size:11.0pt;color:red'>Epic</span></b><span
style=3D'font-size:11.0pt'> <b style=3D'mso-bidi-font-weight:normal'>CYTOLO=
GY/LAB6301<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span><span style=3D'color:red'>St=
ar</span></b><span
style=3D'color:red'> </span><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>6301</b><span
style=3D'mso-spacerun:yes'>&nbsp; </span><b style=3D'mso-bidi-font-weight:n=
ormal'><span
style=3D'mso-spacerun:yes'>&nbsp;</span><o:p></o:p></b></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:11.0pt'>Peritoneal (Ascitic/Abdominal/Pelvic), Pericardi=
al, and
Pleural(Chest) <b style=3D'mso-bidi-font-weight:normal'>Fluid</b>s<b
style=3D'mso-bidi-font-weight:normal'><o:p></o:p></b></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:11.0pt'>Diaphragm and Peritoneal/Pelvic <b style=3D'mso-=
bidi-font-weight:
normal'>Washings<o:p></o:p></b></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:11.0pt'>Body Fluid for Oncotech Extreme Drug Resistance
Testing<o:p></o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'><span style=3D'font-size:11.0pt'>Specify Source<o:p></o:p></span></=
b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:12.0pt;mso-bidi-font-size:10.0pt'><span
style=3D'mso-spacerun:yes'>&nbsp;</span><o:p></o:p></span></p>

<h2 style=3D'margin-left:1.5in'><span style=3D'font-size:10.0pt'>DEPARTMENT=
:<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Cytology=
<o:p></o:p></span></h2>

<p class=3DMsoNormal style=3D'margin-left:2.0in;text-indent:-1.5in'><o:p>&n=
bsp;</o:p></p>

<h2 style=3D'margin-left:1.5in'><span style=3D'font-size:10.0pt'>CONTAINER:=
<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp; </span>Clean,
dry container labeled with two patient identifiers and source of specimen<s=
pan
style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span><o:p></o:p></span></h2>

<p class=3DMsoNormal style=3D'margin-left:2.0in;text-indent:-1.5in'><o:p>&n=
bsp;</o:p></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.75in;text-indent:-1.75i=
n;
tab-stops:1.5in 2.0in'><span style=3D'font-size:10.0pt'>INSTRUCTIONS:<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Submit
all available specimen.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Speci=
fy
source.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.75in;text-indent:-1.75i=
n;
tab-stops:1.5in 2.0in'><span style=3D'font-size:10.0pt'><span style=3D'mso-=
tab-count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1.<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp; </span>As specimen is be=
ing
collected add 500-1000 units of heparin to the container for every 100 cc of
specimen, mixing constantly but gently. <o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.75in;text-indent:-.25in;
tab-stops:1.75in 2.25in'><span style=3D'font-size:10.0pt'>2.<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp; </span>Metro Hospitals:<=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>Bring to lab immediately.<o:p></o:=
p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.75in;text-indent:-.25in;
tab-stops:1.75in 2.25in'><span style=3D'font-size:10.0pt'><span style=3D'ms=
o-tab-count:
1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:place w:st=3D"on"=
><st1:PlaceName
 w:st=3D"on">Non-Metro</st1:PlaceName> <st1:PlaceType w:st=3D"on">Hospitals=
</st1:PlaceType></st1:place>,
Clinics:<span style=3D'mso-spacerun:yes'>&nbsp; </span>Refrigerate for tran=
sport.<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span=
></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.75in;text-indent:-.25in;
tab-stops:1.75in 2.25in'><span style=3D'font-size:10.0pt'>3. <span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Indicate pertinent clin=
ical
history/previous malignancy.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.75in;text-indent:-.25in;
tab-stops:1.75in 2.25in'><span style=3D'font-size:10.0pt'>4.<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp; </span>Send to lab immed=
iately
or refrigerate for transport.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.75in;text-indent:-.25in;
tab-stops:1.75in 2.25in'><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:10.0pt;color:red'>Body Fluid for Oncotech Testing for Ex=
treme
Drug Resistance:<o:p></o:p></span></b></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.75in;text-indent:-.25in;
tab-stops:1.75in 2.25in'><span style=3D'font-size:10.0pt'>1.<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp; </span>Collect 100 cc of=
 fluid
in syringes for Cytology.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.75in;text-indent:-.25in;
tab-stops:1.75in 2.25in'><span style=3D'font-size:10.0pt'>2.<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp; </span>Collect additional
250-1000 ml fluid into a sterile evacuation bottle or polyethylene bag, add=
ing
3 units of heparin per ml of fluid.<span style=3D'mso-spacerun:yes'>&nbsp;
</span><o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.75in;text-indent:-.25in;
tab-stops:1.75in 2.25in'><span style=3D'font-size:10.0pt'>3.<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp; </span>Indicate Oncotech
testing requested.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.75in;text-indent:-.25in;
tab-stops:1.75in 2.25in'><span style=3D'font-size:10.0pt'>4.<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp; </span>Indicate pertinent
clinical history/previous malignancy.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.75in;text-indent:-.25in;
tab-stops:1.75in 2.25in'><span style=3D'font-size:10.0pt'>5.<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp; </span>Notify Cytology w=
hen
specimen has been collected.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:-.5in'><=
span
style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:-.5in'><=
span
style=3D'font-size:10.0pt'>REPORTING <o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:-.5in'><=
span
style=3D'font-size:10.0pt'>INTERVAL:<span style=3D'mso-tab-count:2'>&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Within
48 hours of receipt; Oncotech results will be reported separately.<o:p></o:=
p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:0in'><sp=
an
style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:-.5in'><=
span
style=3D'font-size:10.0pt'>REFERENCE<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:-.5in'><=
span
style=3D'font-size:10.0pt'>VALUES:<span style=3D'mso-tab-count:2'>&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp; </span>See
pathology report.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:0in'><sp=
an
style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:22.5pt;text-indent:-22.5p=
t'><span
style=3D'font-size:10.0pt'>SPECIMEN<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:22.5pt;text-indent:-22.5p=
t'><span
style=3D'font-size:10.0pt'>REJECTION:<span style=3D'mso-tab-count:2'>&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Unla=
beled
specimen; source not indicated on container.<o:p></o:p></span></p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.0in;text-indent:-1.0in'=
><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:10.0pt'>CPT<=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>88112</span></b><span style=3D'fon=
t-size:
10.0pt'><o:p></o:p></span></p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal>Reviewed:<span style=3D'mso-tab-count:2'>&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:0in;text-indent:0in'><span
style=3D'font-size:10.0pt'>10/99 <span style=3D'mso-tab-count:1'>&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span>Linda
Wennerstrom, CT (ASCP)<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span></span><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp; </span><span
style=3D'font-size:10.0pt'><o:p></o:p></span></p>

<p class=3DMsoNormal><span lang=3DDE style=3D'mso-ansi-language:DE'>2/00<sp=
an
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Linda
Wennerstrom, CT (ASCP)<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoNormal><span lang=3DDE style=3D'mso-ansi-language:DE'>2/01<sp=
an
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Linda
Wennerstrom, CT (ASCP)<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoNormal><span lang=3DDE style=3D'mso-ansi-language:DE'>2/02<sp=
an
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Linda
Wennerstrom, CT (ASCP)<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoNormal><span lang=3DDE style=3D'mso-ansi-language:DE'>2/03<sp=
an
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Linda
Wennerstrom, CT (ASCP)<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:0in;text-indent:0in'><span
lang=3DDE style=3D'font-size:10.0pt;mso-ansi-language:DE'>2/04<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Linda
Wennerstrom, CT (ASCP)<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:0in;text-indent:0in'><span
lang=3DDE style=3D'font-size:10.0pt;mso-ansi-language:DE'>2/05<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Linda
Wennerstrom, CT (ASCP)<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:0in;text-indent:0in'><span
style=3D'font-size:10.0pt'>6/05 Revised: Linda Wennerstrom, CT (ASCP)<o:p><=
/o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:0in;text-indent:0in'><span
style=3D'font-size:10.0pt'>6/06 Revised: Linda Wennerstrom, CT (ASCP)<o:p><=
/o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:0in;text-indent:0in'><span
style=3D'font-size:10.0pt'>10/07 Revised: Linda Wennerstrom, CT (ASCP)<o:p>=
</o:p></span></p>

</div>

</body>

</html>
