Integrated First Sample Screen - Iowa Maternal Screening

Label Mnemonic:	IFIMS
Epic code:	LAB8338
Downtime form:	Doctor/Provider Orders - Pathology Core and Specialty Care Nursery

Commercial Mailout Laboratory
6240-8 RCP
356-8593

Specimen(s):

Serum

Specimen Instructions:

Collect when ultrasound crown rump length (CRL) is 32-80 mm at 10 weeks - 13 weeks 6 days.

Patient weight (kg), race, ultrasound date, CRL (mm) and nuchal translucency (NT) measurement (mm) at time of ultrasound and sonographer name required. Nuchal translucency (NT) measurement (mm) at time of ultrasound preferred but not required. Also note if the patient is taking insulin for diabetes and whether the patient or her partner had a neural tube defect (NTD) or if either has had a previous pregnancy with a NTD. If IVF pregnancy, the age of the egg donor is required.

Refrigerate specimen if not transported within 24 hours of collection to referral testing laboratory.

Collection Medium:

Red top tube 5 mL (Clot Activator)

Minimum:

3 mL whole blood in Red Top Tube or 1 mL serum

Rejection Criteria:

Plasma or specimen older than 9 days. Sample not collected within the required gestational age range.

Delivery Instructions:

Deliver to laboratory after collection.

Turn Around Time:

3-5 days upon receipt at reference laboratory

Reference Range:

Not Applicable. No interpretive report issued.

Comments:

This test is the first sample of a two-part test. Results require collection of a second sample between 15 and 20 weeks 6 days gestation. For second sample, order Integrated Second Sample Screen - Iowa Maternal Screening; LAB8339. When testing on the second sample is completed, a final interpretive repot will be issued.

This test cannot be performed on multiples.

CPT Codes:
Charges are associated when the Integrated Second Sample Screen - Iowa Maternal Screening (LAB8339) is reported.

Methodology:

Quantitative Chemiluminescent Immunoassay