Appropriate request
The test should answer a defined clinical or occupational question and be interpreted in context.
COHSEW knowledge / Independent test portfolio
Understand before you test
This portfolio supports informed conversations with qualified healthcare and occupational-health professionals. A result may be affected by symptoms, medicines, timing, collection quality, reference intervals and the specific method used.
Each guide follows the same useful structure: test, why it is performed, what it is used for, how it is performed, related conditions and possible further tests.
To measure red cells, white cells, platelets and calculated red-cell indices as a broad view of blood and marrow health.
Sample · EDTA whole bloodView complete test guide ↗To examine the size, shape, maturity and distribution of blood cells under a microscope when counts or symptoms need clarification.
Sample · Fresh EDTA blood and prepared slideView complete test guide ↗To measure young red blood cells and assess how actively the bone marrow is producing them.
Sample · EDTA whole bloodView complete test guide ↗To assess part of the clotting pathway and standardise monitoring of vitamin-K antagonist anticoagulation.
Sample · Correctly filled citrate plasmaView complete test guide ↗To detect fragments produced when cross-linked fibrin clots are broken down.
Sample · Citrate plasmaView complete test guide ↗To measure a group of substances that reflect metabolism, fluid and electrolyte balance, kidney function, liver-related markers and proteins.
Sample · Serum or plasmaView complete test guide ↗To estimate average blood glucose exposure over roughly the previous two to three months.
Sample · EDTA whole bloodView complete test guide ↗To measure cholesterol and triglyceride fractions used in cardiovascular-risk assessment.
Sample · Serum or plasmaView complete test guide ↗To assess thyroid regulation, usually beginning with thyroid-stimulating hormone and adding free thyroid hormones when appropriate.
Sample · SerumView complete test guide ↗To assess patterns of liver-cell injury, bile-flow disturbance and selected aspects of liver synthetic function.
Sample · Serum or plasmaView complete test guide ↗To assess filtration and fluid or electrolyte handling using creatinine, estimated GFR and related measurements.
Sample · Serum/plasma plus urine when requestedView complete test guide ↗To measure a protein that rises in response to inflammation.
Sample · Serum or plasmaView complete test guide ↗To estimate iron stores and evaluate iron availability using ferritin with iron, transferrin or saturation measurements.
Sample · SerumView complete test guide ↗To determine whether significant bacteria or yeast are present in urine and, when relevant, which antimicrobials may work.
Sample · Clean-catch midstream urine or clinically specified specimenView complete test guide ↗To detect bacteria or fungi circulating in the bloodstream.
Sample · Aseptic venous blood collected into aerobic/anaerobic culture bottlesView complete test guide ↗To identify selected bacterial, viral or parasitic causes of gastrointestinal illness.
Sample · Fresh stool in the specified container or transport mediumView complete test guide ↗To identify bacteria or fungi that may be causing a lower respiratory infection.
Sample · Deep-cough sputum, not salivaView complete test guide ↗To detect genetic material from the Mycobacterium tuberculosis complex more rapidly than culture.
Sample · Sputum or other clinically appropriate specimenView complete test guide ↗To detect malaria parasites or parasite antigens in a person with compatible illness or travel exposure.
Sample · EDTA or capillary bloodView complete test guide ↗To detect nucleic acid from selected respiratory viruses and sometimes bacteria.
Sample · Nasopharyngeal, nasal or other validated respiratory specimenView complete test guide ↗To detect high-risk human papillomavirus types associated with cervical-cell changes.
Sample · Clinician-collected or validated self-collected cervical/vaginal sample, programme dependentView complete test guide ↗To look for pathogenic variants associated with inherited or tumour-related cancer risk.
Sample · Blood, saliva or validated tumour specimen depending on purposeView complete test guide ↗To identify selected EGFR alterations that may help classify a tumour and guide targeted-treatment decisions.
Sample · Tumour tissue or validated circulating tumour DNAView complete test guide ↗To detect or quantify the BCR::ABL1 fusion associated with specific myeloid and lymphoid leukaemias.
Sample · EDTA blood or bone marrowView complete test guide ↗To examine tissue architecture and cell features when a lesion, inflammation or organ disorder needs diagnosis.
Sample · Fresh or formalin-fixed tissue as specifiedView complete test guide ↗To detect cervical-cell changes that may require surveillance or further assessment.
Sample · Cervical cells collected with a screening deviceView complete test guide ↗To obtain a minimally invasive cellular sample from a palpable or image-guided lesion.
Sample · Cells aspirated from a lump or organ lesionView complete test guide ↗To examine cells shed into a body fluid for malignancy, inflammation or other abnormalities.
Sample · Pleural, peritoneal, cerebrospinal or other body fluidView complete test guide ↗To measure airflow and lung volumes for respiratory health surveillance or clinical assessment.
Sample · Standardised forced breathing manoeuvresView complete test guide ↗To detect and track hearing changes in workers exposed to hazardous noise.
Sample · Behavioural hearing thresholds in a controlled test environmentView complete test guide ↗To measure absorbed lead and support exposure-control and medical-surveillance decisions.
Sample · Lead-free EDTA venous bloodView complete test guide ↗To monitor inhibition of cholinesterase enzymes in workers exposed to certain organophosphate or carbamate pesticides.
Sample · Whole blood and/or serum/plasma depending on programmeView complete test guide ↗To estimate uptake of selected workplace chemicals or metabolites when a validated biological monitoring approach exists.
Sample · Timed or end-of-shift urine, analyte dependentView complete test guide ↗Laboratory quality principles
Test quality extends from the decision to request a test through collection, examination, interpretation and communication.
The test should answer a defined clinical or occupational question and be interpreted in context.
Identity, container, collection, transport, timing and acceptance criteria protect the result.
Validated methods, competence, calibration and quality controls support reliability.
Reference intervals, uncertainty, limitations and urgent-result pathways shape safe use.
Portfolio references
Individual guides link to their primary public reference. These overarching sources support the portfolio’s quality and patient-information approach.
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