Clinical Updates

Recent clinical updates

Clinical update archives

Providence Medford Medical Center Selected Immunoassay Test Routing Changes April 19, 2021
Transport of COVID-19 Specimens from Asymptomatic Patients April 15, 2021
Changes to Routing of Amniotic Fluid Glucose Orders
 February 16, 2021
Addition of Drugs of Abuse Screen at Rapid Response Labs (PWFMC, PMH, PNMC, PSH, PHRMH)
 January 12, 2021
Myeloid Mutation MPNC Panel Update December 29, 2020
Addition of Drugs of Abuse Screen at Rapid Response Labs (PPMC, PSV)
December 15, 2020
Cutoff Changes for THC and Methadone Urine Screening Assays
December 15, 2020
Introduction of Diazo-Based Method for the Testing of Total and Direct Bilirubin November 30, 2020
Viral Transport Medium Available Again for Molecular Respiratory Testing November 13, 2020
Reagent Update for Cerebrospinal (CSF) and Urine Protein Testing at Providence Oregon Core Regional, Portland Medical Center and St. Vincent Medical Center November 10, 2020
Updates to Free Phenytoin Testing November 9, 2020
Introduction of High Sensitivity Troponin November 2, 2020
Staphylococcus aureus, NAAT Testing Now Available October 21, 2020
Staphylococcus aureus, NAAT Test Change to MRSA, NAAT Octpber 21, 2020
New Standardized POC Normal Reference Ranges for pH and Specific Gravity on the Clinitek Interfaced Instruments October 20, 2020
Requirements for Specimens from the Upper Respiratory Tract During Respiratory Season 2020-2021 October 12, 2020
System Point of Care Focus Group September 2, 2020
Addition of ARUP Testing Epic Order Codes September 2, 2020
Providence Lab Courier Hospital Weekday Service Schedule Changes September 2, 2020
Neonatal Total Bilirubin in High Risk Neonates
August 25, 2020
Replacement Chemistry Analyzer at Providence St. Vincent’s Laboratory
August 20, 2020
Serum hCG Qualitative Testing Standardization
July 10, 2020
Providence Lab Courier Hospital Service Schedule Changes
July 10, 2020
Outpatient Laboratory Specimen Turnaround Time Establishment, Approved Tests for STAT Request and Notification of Outpatient STAT Result Handling June 25, 2020
Outpatient Laboratory Specimen Turnaround Time Establishment, Approved Tests for STAT Request and Notification of Outpatient STAT Result Handling June 18, 2020
Lab Courier PMG Service Schedule Changes June 18, 2020
Addition of Metabolite Ratios for Urine Toxicology Testing June 15, 2020
Updates to Novel Coronavirus CoV-2 (COVID-19) IgG Serology Testing May 28, 2020
Infectious Disease Clinical Decision Team and Laboratory Services Joint Statement on Serologic Testing for SARS-CoV-2 Antibodies (COVID-19) for Healthcare Providers April 28, 2020
Infectious Disease Clinical Decision Team and Laboratory Services Joint Statement on Serologic Testing for SARS-CoV-2 Antibodies (COVID-19) for Patients April 28, 2020
Can We Trust our PCR Test for COVID-19? April 15, 2020
New Chemistry Analyzer and Normal Reference Intervals at Providence Seaside Laboratory April 7, 2020
Updates to SARS-CoV-2 (COVID-19) PCR Testing March 18, 2020
Rapid Plasma Reagin (RPR) Testing Schedule Change March 14, 2020
Updates to Antiepileptic Drug Testing March 4, 2020
Reporting Changes for Hepatitis B Surface Antigen Confirmation February 5, 2020
New Chemistry Analyzer and Normal Reference Intervals at Providence Milwaukie Laboratory February 5, 2020
New Laboratory Network Providing BRCA Testing at Providence Regional Laboratories February 1, 2020 
New Chemistry Analyzer and Normal Reference Intervals at Providence Portland Laboratory January 28, 2020
How to Order Diagnostic Testing for 2019-nCoV January 27, 2020
Zika Virus Testing is now being sent to ARUP January 21, 2020
Updates to Urine Toxicology Confirmatory Testing Dec. 17, 2019
New Epic Order Codes for Mayo Clinic Testing
Dec. 10, 2019
Changes to Paraneoplastic Ab Panel Ordering
Dec. 10, 2019
Addition of Multiple Sclerosis Profile Testing (LAB2145)
Dec. 10, 2019
Updates to Urine Toxicology Confirmatory Testing
Dec. 3, 2019
New Low Concentration Cut-off for Total Immunoglobulin A (IgA) Reflex Testing Clinical Update
Dec. 3, 2019
New Chemistry Analyzer and Normal Reference Intervals at the Regional Core Laboratory Dec. 3, 2019
ProvSeq 523 Solid Tumor Panel: Replacing Providence Personalized Medicine Panel 170
Dec. 2, 2019
New Sysmex Analyzer Provides the Expansion of the Differential to Include the Immature Granulocyte Parameters Nov. 19, 2019
Updates to Urine Benzodiazepines Confirmatory Testing  Nov. 12, 2019
Malaria Smear with Reflex to Rapid Malaria Antigen Testing Oct. 30, 2019
Changes to ordering Chromosome Analysis for Oncology Patients Oct. 1, 2019 
Updates to Urine Toxicology Confirmatory Testing Oct. 1, 2019 
Update to Cut-off Values for Measles IgG Sept. 24, 2019 
Discontinuation Of CK and CKMB Orderable At Providence Laboratories Sept. 17, 2019 
Removal of Alcohol Critical Value Sept. 10, 2019 
(Amended) Critical Notification for Elevated Emergency Department Troponin Results Aug. 15, 2019 
Critical Notification for Elevated Emergency Department Troponin Results Aug. 6, 2019 
Addition of Carcinoembryonic Antigen Testing on Pancreatic Fluid
Aug. 6, 2019 
Updates to Urine Opiate/Opioid Confirmatory Cutoffs  Aug. 1, 2019
Regionalization of Eosinophilia and Basophilia Review Criteria for CBC/DIFF Smear Review
July 25, 2019 
Consolidation of CK-MB Testing
July 16, 2019 
Providence Personalized Medicine Panel – Solid Tumor, Version 2
June 25, 2019 
C. difficile Reporting Changes
June 15, 2019 
Discontinuation of Chemistry Testing
 June 4, 2019
Beckman Platelet Recall for CBC Analyzers May 28, 2019
Discontinuation of Chemistry Testing May 21, 2019
Addition to ImmunoCAP Allergen Testing May 16, 2019
Solid Tumor Next Generation Sequencing (NGS) Panel Included as Part of Pathology Service in Select Advanced Cancers April 26, 2019
C. difficile Test Triggers Isolation Order in Inpatients April 7, 2019
Autologous Stem Cell Testing April 1, 2019
Blood Gases, Oxygen Pressure and Saturation Reference Range Clinical Update March 13, 2019
Important Change to Testosterone by Immunoassay March 7, 2019
Additions to ImmunoCAP Allergen Testing
Feb. 19, 2019 
Addition of CD4/CD8 Ratio to Select Flow Cytometry Orders
Feb. 5, 2019 
Important Change to Homocysteine Sample Type
Jan. 29, 2019 
Providence Health Plan Vitamin D [25 (OH) and 1,25 (OH) vitamin D] Coverage Dec. 6, 2018
RBC Folate and BUN Body Fluid Testing Dec. 4, 2018
Oregon Critical Value Changes Nov. 26, 2018
Changes to QFT Testing Oct. 29, 2018
Respiratory Testing Algorithms in the Upcoming Respiratory Season 2018-2019 Oct. 2, 2018
Menu of Molecular Testing for Respiratory Pathogens 2018-2019 Oct. 2, 2018
Testosterone Testing by LC-MS/MS at Regional Core Laboratory Oct. 2, 2018
Important Change to Testosterone and SHBG Sample Type Sep. 21, 2018
Lactate Specimens Stable at Room Temperature Sep. 12, 2018
BCR-ABL1 Testing Now Available in Epic Sep. 4, 2018
Chromosome Analysis and Microarray Now Available for Ordering in Epic Sep. 4, 2018
HIV1 Genotype and Integrase Inhibitor Resistance by Sequencing Now Available for Ordering in Epic Sep. 4, 2018
New Testing Algorithm for C. difficile Will Include Cdiff Toxin A/B Testing Sep. 4, 2018
Toxic Levels of Acetaminophen May Falsely Lower Lipase and Uric Acid Measurements Aug. 31, 2018
Providence Personalized Medicine Panel for Solid Tumor Malignancies Aug. 21, 2018
Molecular Genomic Lab Testing for Providence St. Joseph Health Research Studies Aug. 21, 2018
Orders for Zika Virus Testing through the Oregon State Public Health Laboratory Now Available in Epic Aug. 15, 2018
Hydroxocobalamin (vit B12) Interference on the Siemens RapidLab Testing Aug. 15, 2018
New Methodology and Regional Standardized Reference Intervals at the Stuart Meadows Laboratory Aug. 14, 2018
New Outpatient Total Bilirubin Order Routes to the Closest Lab Aug. 7, 2018
New Critical Value Call Process for the Regional Core Lab Aug. 1, 2018
Hemoglobin A1c to be Performed at the Regional Core Lab Aug. 1, 2018
Hemoglobin A1c to be Performed at the Regional Core Lab Aug. 1, 2018
Broad Range PCR to UW Ordering Instructions Jul. 24, 2018
Monogram Biosciences Testing Ordering Instructions Jul. 10, 2018
Changes to Fecal Calprotectin Testing Jul. 19, 2018
Addition to Allergen Testing Menu Jul. 17, 2018
Briviact® Interferes with Keppra® Testing Jul. 17, 2018
Changes to Immunosuppressant Drug Testing Jul. 17, 2018
Update to Nicotine and Metabolites Ordering Jul. 3, 2018
Changes to RPR and Titer Testing Jun. 12, 2018
Changes to Testosterone Mapping in Epic Jun. 12, 2018
Changes to Cyclosporine A Testing Jun. 5, 2018
New Threshold for Flagging Procalcitonin May 22, 2018
New Normal Reference Ranges for IGF-1 May 22, 2018
New Solid Tumor Next Generation Sequencing Panels: GIST, IDH1 & IDH2 and RAS/RAF Apr. 26, 2018
EDTA Purple Top Becton Dickinson Vacutainer Tubes Recall Mar. 28, 2018
Custom Sodium Citrate Tubes in Neonates Mar. 26, 2018
CA125 In-house Testing and Baselining Information Mar. 16, 2018
New Normal Reference Range For Adult Males Total Testosterone and Related Tests Mar. 8, 2018
CRP and High Sensitivity CRP Are Now Available Mar. 1, 2018
Tri-Seq NGS: Tumor Neoepitope Mapping Feb. 12, 2018
CA 125 Tumor Marker Send Out Feb. 7, 2018
FDA Announcement that Biotin (vitamin B7) May Interfere with Lab Tests Jan. 15, 2018
Updates to Serum Antiepileptic Drug Testing Jan. 9, 2018
Update to Thyroglobulin Testing Algorithm July 5, 2017 
Body Fluid & BAL Reporting Changes Apr. 18, 2017
Biotin Interference in the Siemens Centaur TnI Assays Removed Apr. 1, 2017
Reporting Calculated Parameters in Chemistry Panels Mar. 21, 2017
Copan e-Swab Replacing BD Culture Swabs Feb. 21, 2017
Placenta Vein Specimens (Cord Blood) for CBC Testing Being Accepted at St. Vincent’s Laboratory Feb. 20, 2017
New Reporting of Positive Malaria Blood Smears Feb. 15, 2017
Siemens Centaur Assay Bias Due to High Dose DHEAS Jan. 20, 2017
Pediatric Critical Values and New Reference Intervals for Providence Regional Laboratories May 24, 2017
New Orderable Test For Pediatric H. Pylori Breath Test May 15, 2017
Providence Laboratory Test Catalog Update May 2, 2017
Discontinuation of Newberg Fax Number May 1, 2017
Acetest Replaced by Beta-Hydroxybutyrate Feb. 13, 2017
Summary of Changes for Glucose Testing Feb. 3, 2017
New Normal Reference Range for HbA1c and Estimated Average Glucose Reporting Jan. 4, 2017
Changes to Routine Core Laboratory Drug Screening Dec. 13, 2016
Standardization of VLDL Reporting at Providence Hood River Medical Center Dec. 12, 2016
Semen Analysis Reporting Update Dec. 6, 2016
Cardiac Troponin I Report Update Dec. 6, 2016
Providence Personalized Medicine Panels for Solid Tumor and Hematologic Malignancies Nov. 15, 2016
Body Fluid Cell Count Reporting Changes Oct. 18, 2016
Providence Regional Laboratories Test Utilization Initiative Oct. 14, 2016
IgM Calibration Change and Positive Bias Oct. 13, 2016
Changes to Drug Confirmation, Urine, Cocaine Metabolite (Benzoylecgonine) Testing Oct. 12, 2016
Changes to Order Urinalysis with Reflex to Urine Culture Oct. 4, 2016
Changes to Order Urinalysis with Reflex to Urine Culture Oct. 4, 2016
Anti-Single-Stranded DNA Testing No Longer Performed Sep. 26, 2016
Vaginal Pathogen Panel by DNA Probe Sep. 20, 2016
VAP Testing and LpA2 Testing Clinical Update Sep. 20, 2016
Changes to Urine Opiate/Opioid Confirmation Testing Sept. 13, 2016
Regional Changes for Normal Reference Range on Blood Gases and Co-Oximetry Analytes Sep. 12, 2016
Changes to Urine Drug Confirmation Testing Sept. 8, 2016
Diabetes Mellitus Screening, Monitoring, and Diagnosis Sep. 1, 2016
Regional Changes for Normal Reference Range on Blood Gases and Co-Oximetry Analytes Sept. 2016
Blood Ammonia Reference Range Update Aug. 31, 2016
PMMC APTT and Fibrinogen Standardized Reference Ranges Jun. 15, 2016
ARUP Inactivation of Helicobacter Pylori Serology Jun. 10, 2016
Glucose Testing: Updates to Improve Patient Safety Jun. 7, 2016
Biotin Interference in the Siemens Centaur TnI Assays Jun. 1, 2016
Cystic Fibrosis Mutation Screening Testing Changes Jun. 1, 2016
Molecular Mutation Sequencing for Hematological Malignancies Jun. 1, 2016
BRCA Testing and Myriad Genetics Kits May 11, 2016
Regional CBC Reference Ranges Update and New Methodology at Core May 10, 2016
Changes to Serum Methylmalonic Acid Testing Apr. 11, 2016
New Reference Range for Ionized Calcium at Providence Regional Laboratories Mar. 7, 2016
Chemistry Tests in Body Fluids Mar. 1, 2016
Dianon Urostone 24 Urine Collection Requirements Feb. 24, 2016
Changes to Drug Confirmation, Urine, Amphetamine Testing Feb. 10, 2016
Changes to RBC Urinalysis Reporting Feb. 1, 2016
Syphilis Titer for Monitoring Only Feb. 1, 2016
Changes to LAP Stain Testing Dec. 11, 2015
Changes to Tacrolimus Testing 5 Dec. 11, 2015
Changes to HIV Testing: Achieving Early Detection of Infection Dec. 07, 2015
‘NASH Fibrosure’ from LabCorp now replaced by ‘Liver Fibrosis, Non-Alcoholic Fatty Liver Disease’ by ARUP Nov. 8, 2015
Molecular Testing for Common Bacterial Stool Pathogens to Replace Conventional Stool Culture in 2016 Oct. 1, 2015
Respiratory Pathogen Testing Update (2015-2016 current version) Oct. 1, 2015
HIV 3rd Generation Temporary Testing Changes Sep. 8, 2015
Vaginal Pathogen Panel by DNA Probe Sep. 1, 2015
Viral Transport Media (VTM) containers Jul. 20, 2015
D-dimer reporting Feb. 24, 2015
Toxoplasma gondii IgG and IgM Antibody Testing Update Feb. 1, 2015
Methotrexate testing Jan. 21, 2015
Tacrolimus temporarily discontinuing in-house testing Dec. 23, 2014
Thyroglobulin, Thyroglobulin Antibody, and Thyroid Peroxidase Antibody (TPO) testing Dec. 1, 2014
Measle Antibodies Nov. 20, 2014
Respiratory Virus Testing Guidelines (2014-2015 version) Nov. 1, 2014
Respiratory Virus Testing (2014-2015 version) Nov. 1, 2014
Vitamin D Reference Range Oct. 1, 2014
HLA and Platelet Antibody Testing Sep. 24, 2014
Enterovirus and Respiratory Virus Testing Sep. 1, 2014
Prosigna Breast Cancer Prognostic Gene Signature Assay Jul. 1, 2014
Allergen Test Changes Mar. 1, 2014
Neonate Testing for Herpes Simplex Virus (HSV) Jan. 1, 2014
QuantiFERON-TB® Gold In-Tube test (QFT): Indeterminate Results Oct. 1, 2013
Specimen Acceptability Requirements Jun. 18, 2013
Testosterone Apr. 9, 2013
HPV with 16 18 Genotype Clinical Update Apr. 1, 2013
Bordetella pertussis Regan Lowe Collection Media Mar. 1, 2013
Clinical Update - CoPan Flocked Swabs Sep. 1, 2012
Digital Breast Tomosynthesis May 11, 2012
Bacterial Vaginosis by Scored Gram Stain May 10, 2012
Malaria Clinical Update-Medford Mar. 7, 2012
Platelet Function Testing Clinical Update for Medford Mar. 7, 2012
New Molecular Test for C diff (Illumigene C. difficile)-Southern Oregon Jan. 11, 2012
Ionized Calcium Testing Guidelines-Providence Seaside Hospital Laboratory Nov. 1, 2011
QuantiFERON-TB® Gold In-Tube test (QFT-GIT): Quantitative Reporting Oct. 18, 2010
Troponin Notification Aug. 17, 2010
Hepatitis C Virus Genotype Testing Update Jul. 12, 2010
Urinalysis Jun. 15, 2010
C difficile PCR Mar. 15, 2010
CBC Nomenclature Change Feb. 5, 2010
Providence Seaside to Upgrade Microbiology Service Mar. 1, 2010
Celiac Disease Reflex Panel Oct. 26, 2009
Trichomonas Antigen, Gram Stain replace Wet Mount test Oct. 12 2009
Trichomonas Antigen - Newberg Oct. 12 2009
Epstein-Barr Virus Antibody Panels Apr. 21, 2009
New Lipid Panel Jan. 1 2009
Staphylococci in Blood Cultures Jan. 1 2009
Trichomonas Dec. 15, 2008
New Screening Cultures and PCR Tests for MRSA and MSSA Oct. 1, 2008
Mump Virus Antibody Jun. 1, 2008
Specimen Retention Jun. 1, 2008
Stool Specimen Quality Issues Jun. 1, 2008
Test Choices for Tay Sachs Disease Nov. 1, 2007