HG-B 2015 Hemoglobinopathy

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1 EVALUATION HG-B 2015 Hemoglobinopathy INSTITUTION: ATTENTION: CAP NUMBER: Kit# 1 KIT INFORMATION: Kit ID: /18/2015 Next Mailing Date: 2/8/2016 COPIED TO: LAP CAP LEGEND: Exception Reason Codes appearing in this evaluation: = Educational challenge. Reviewed By Date Page 1 of 4

2 Hgb A2, quant % HG-B 2015 Hemoglobinopathy HG Acceptable HG Acceptable HG Acceptable HG Acceptable Plot of the Relative Distance of s from HG-B 2015 HG-A 2015 HG-B /18/2015 Hgb F, quant % HG Acceptable HG-B 2015 HG-A 2015 HG-B 2014 Method Intended Response Sickling OTHER HG-07 POSITIVE POSITIVE HG-08 HG-09 HG-10 Page 2 of 4

3 -- Unit Of Measure Hgb ID and Quant % HB A HB F HB S HB A2 HB A HB A2 HB A HB A2 HB A HB A2 HB E HB C,E, OR O HG-B 2015 Hemoglobinopathy /18/2015 HG P P P P HG P P HG P P HG P P P Page 3 of 4

4 HG-B 2015 Hemoglobinopathy Method Intended Response Dry Lab Challenge HG-11 3 ALPHA GLOBIN CHN MUT/DEL HEMOGLOBIN H DISEASE GENE ON CHROMOSOME 16 MICROCYTOSIS PERSIST ADULT /18/2015 HG-12 BETA GLOBIN CHAIN MUTATN HEMOGLOBIN M SASKATOON METHEMOGLOBINEM LVL INCR LIFELONG CYANOSIS HARMLESS Page 4 of 4

5 EVALUATION INSTITUTION: ATTENTION: CAP NUMBER: Kit# 1 KIT INFORMATION: Kit ID: Next Mailing Date: 4/25/2016 COPIED TO: LAP CAP LEGEND: Exception Reason Codes appearing in this evaluation: = Educational challenge. Reviewed By Date Page 1 of 5

6 Protein, Total BIURET x: is outside the acceptable limits -- Unit Of Measure Albumin Electrophor SPE P Albumin Electrophor % SPE P Alpha 1 Globulin SPE P Alpha 1 Globulin % SPE P Alpha 2 Globulin SPE P Alpha 2 Globulin % SPE P Beta Globulin SPE P Beta Globulin % SPE P Total Gamma Globulin SPE P Total Gamma Globulin % SPE P Paraprotein Peak SPE P SPE Acceptable Plot of the Relative Distance of s from Page 2 of 5

7 -- Unit Of Measure Paraprotein Peak % SPE P Method Intended Response SPE Pattern Interp SPE-03 NO MONOCLONAL Ig PRSNT NO MONOCLONAL Ig PRSNT Paraprotein ID SPE-03 NOT APPLICABLE NOT APPLICABLE Immunoglobulin G m SPE Acceptable Plot of the Relative Distance of s from Immunoglobulin A m SPE Acceptable Immunoglobulin M m SPE Acceptable x: is outside the acceptable limits Page 3 of 5

8 Protein, Total BIURET x: is outside the acceptable limits -- Unit Of Measure Albumin Electrophor SPE P Albumin Electrophor % SPE P Alpha 1 Globulin SPE P Alpha 1 Globulin % SPE P Alpha 2 Globulin SPE P Alpha 2 Globulin % SPE P Beta Globulin SPE P Beta Globulin % SPE P Total Gamma Globulin SPE P Total Gamma Globulin % SPE P Paraprotein Peak SPE P SPE Acceptable Plot of the Relative Distance of s from Page 4 of 5

9 -- Unit Of Measure Paraprotein Peak % SPE P Method Intended Response SPE Pattern Interp SPE-04 MONOCLONAL Ig PRESENT MONOCLONAL Ig PRESENT Paraprotein ID SPE-04 IgG LAMBDA IgG LAMBDA Immunoglobulin G m SPE Acceptable Plot of the Relative Distance of s from Immunoglobulin A m SPE Acceptable Immunoglobulin M m SPE Acceptable x: is outside the acceptable limits Page 5 of 5