Clinical Laboratory Classification PDF

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Activity 1: How will I classify a clinical laboratory? In reference to RA 4688 and DOH Administrative Order No. 59 s. 2001 clinical laboratories classified accordingly:

1. Classification by function

Sections to be established in the laboratory

a. Clinical Pathology – a clinical laboratory that is concerned with the diagnosis and treatment of diseases performed through laboratory testing of blood and other fluids.

Clinical chemistry, immunohematology and blood banking, medical microbiology, immunoserology, hematology, parasitology, clinical microscopy, toxicology, therapeutic drug monitoring, and endocrinology, etc.

b. Anatomic Pathology - a clinical laboratory concerned with the diagnosis of diseases through microscopic examination of tissues and organs.

Immunohistopathology, cytology, surgical pathology, autopsy and forensic pathology, etc.

2. Classification by Institutional Character

Types

a. Institution-based laboratory A clinical laboratory that operates within the premises or part of an institution such as a hospital, school, medical clinic, medical facility for overseas workers and seafarers, birthing home, psychiatric facility, drug rehabilitation center, and others. Hospital-based clinical laboratories are the most common example of institution-based laboratory

b.

3. Classification by Service Capability

Free-standing laboratory – a laboratory that is not part of an established institution. The most common examples is a free-standing outpatient clinical laboratory.

a. Primary – clinical laboratories under this category are licensed to perform basic, routine laboratory testing. Examinations Conducted

a. Free Standing - Routine urinalysis, routine stool examination, routine hematology or complete blood count that includes hemoglobin, hematocrit, WBC and RBC count, WBC differential count and qualitative platelet count, blood typing b. Institution/Hospital-based - All the others mentioned plus Gram-staining

b. Secondary – clinical laboratories licensed to perform tests being done by the primary category clinical laboratories along with routine clinical chemistry tests. Examination Conducted

a. Free Standing - Clinical chemistry tests include blood glucose concentration, blood urea nitrogen, blood uric acid, blood creatinine, cholesterol determination, qualitative platelet count b. Institution/Hospital-based - All the others mentioned plus gram stain, KOH mount, and crossmatching.

c. Tertiary - clinical laboratories licensed to perform tests being done by the secondary clinical laboratories along with other tests listed below. Examination Conducted

1. Immunology and serology tests – NS1-Ag for dengue, rapid plasma regin, Treponema pallidum particle agglutination tests 2. Microbiology, bacteriology, mycology tests – Differential staining techniques, culture and identification of bacteria and fungi from from specimens,

antimicrobial susceptibility testing 3. Special Clinical chemistry tests – Clinical enzymology, therapeutic drug monitoring, markers for certain diseases 4. Special Hematology tests – Bone marrow studies, special staining for abnormal cells, red cell morphology 5. Immunohematology and bloodbanking tests – Antibody screening and identification, preparation of blood components, including the blood donation program...