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Clinical Chemistry

Coagulation

Education

Hematology

Immunology

Microbiology

Multidiscipline Combination Series

New Developments

Urinalysis and Clinical Microscopy

2010EXCEL

Programs andResources

AccreditationOffers the "gold standard" forlaboratory accreditation

Proficiency TestingEnsures precision and confidencefor your lab

CAP 15189SM

Recognizes a sustainable QualityManagement System

EducationServes as a leading resource forinformation and education in the lab

Efficiency/Quality ToolsAllows more time for patient care

AdvocacyRepresents the interests of pathologistsin the government and regulatoryarenas and in the private sector

MembershipProvides valuable benefits andleadership for all laboratoryprofessionals

SNOMED TerminologySolutions™

Provides clinical and technicalconsultation services, education,and health information technology

What you do is more than justa job—it’s a mission!

Every day your work in the laboratory contributes70 to 80% of the information needed for precisediagnosis and personalized treatment. What youdo is more than just a job. It’s a mission. We know,because it’s our mission too!

For more than 60 years, the College of AmericanPathologists (CAP) has been the leader in globallaboratory quality assurance and education.We’re at the forefront of pathology, shaping itsfuture and ensuring the best care for patients andthe community. We are your source for the toolsyou need to be a leader in laboratory medicineand to ensure the highest quality patient care.

Join us in advancing excellence through dailyefforts that are innovative, accurate, andcompassionate. Together, it is our responsibility toensure laboratory quality and patient safety,because Every number is a life™.

Introduction1

Every number is a life.™

2010 EXCEL® ProgramThe 2010 EXCEL Program reflects several changes, all designed to provide you with relevant, easy-to-use, andcost-effective modules to meet the needs of laboratories with limited testing menus.

The 2010 changes include:� Improved analyte index that now includes proficiency testing (PT) enrollment requirements for CAP-accredited

laboratories� Module changes (shipments, number of challenges, etc.)—see below� Customer support and ordering information, now located towards the end of your 2010 EXCEL catalog

Module ChangesThe following changes have been made to help you meet your regulatory requirements.

Invaluable Online Program Components Available to All EXCEL ParticipantsAccess the EXCEL Manual and Hematology, Clinical Microscopy, and Body Fluids Glossary provided at no additional cost toall EXCEL participants at www.cap.org, under the Accreditation and Laboratory Improvement tab.

The Manual includes information that will help you:� Process PT specimens and report results� Understand Evaluation Reports� Comply with CLIA

The Hematology, Clinical Microscopy and Body Fluids Glossary is a unique and invaluable reference designed to help youcorrectly identify:

� Blood cells and platelets� Morphologic abnormalities and artifacts� Objects found in the urine (cells, casts, crystals, and organisms)

Information is also included on vaginal preparations, stool and nasal smears, KOH preparations for fungi, and pinwormpreparations.

EXCEL BindersIf you would like to order a binder to store your proficiency testing reports, please add the product code XLBIND to your2010 order form. EXCEL program binders are not included as a part of your proficiency testing order.

Price ListFor your convenience, we have included prices in a consolidated list. Please see Section 10.

EXCEL Module Code Module Name Shipments Challenges/Shipment

XUX12 Amniotic Fluid Leakage (Nitrazine) XL-D, XL-G 3

2010 Module Changes

Product Code Description Price

XLBIND Three-ring binder $10

EXCEL Binders XLBIND

2 800-323-4040 Option 1 for Customer Contact Center

College of American Pathologists

Introduction

CAP EXCEL Acceptance by Accrediting AgenciesAnalytes/procedures in bold type are regulated for proficiency testing by the Centers for Medicare & MedicaidServices (CMS) and are accepted by COLA and many state regulatory agencies. Modules not containing analytesregulated for proficiency testing are recognized by the CMS and CMS designees as an external assessment of qualityassurance. State requirements may vary. To determine acceptance in your state, contact your state department of health.

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2010 EXCEL Catalog

Introduction


2 Continuing Education

Continuing Education

The College of American Pathologists (CAP) is the leading resource for education in the practice and science of pathologyand laboratory medicine. The CAP Point of Care Testing Committee has integrated educational resources into the EXCELprogram. Individuals may earn up to six continuing education (CE) credits by completing the related reading found in theParticipant Summary (online or paper-based) and the online learning assessment questions at www.cap.org.

Learn Without Leaving Your LaboratoryOnline education activities make it easy for you and your staff to earn CE credits/hours without leaving your lab, saving youtime and money.

Ensure You and Your Team Are at Your BestTopics across all major laboratory disciplines help you to stay current on practical, useful issues in clinical applications,scientific technology, and results interpretation. Because CAP education is developed by a team of renowned pathologists andcontent experts who work with the CAP’s own professional learning specialists, you get high-quality, clear, relevant education.

Fulfill Licensure and Education RequirementsYou can earn CE credits for participation in these activities. The CAP provides you with an online certificate of CE creditsclaimed and earned.

Free Personalized Online TranscriptEvery online education activity you complete from the CAP is automatically tracked for you on your personal CAPtranscript, a powerful Web-based tracking system. You can print your transcript or save it electronically any time, day ornight. You can even add courses that you take outside the CAP, so your transcript is up-to-date and complete.

Take Care of Your PatientsThe bottom line, of course, is the patients. Help ensure accurate patient test results by keeping you and your staff’s knowledgeand skills current!

All education activities are available to everyone!No matter what module you are enrolled in, you have access to all CAP EXCELeducation activities. All you need is a kit ID, CAP number, and an individual Web account.

Visit www.cap.org, under the Education tab, select EXCEL to view all available courses.

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2010 EXCEL Catalog


Learning Cycle InformationEach education activitiy provides information on common technical and nontechnical issues encountered in all laboratorysettings. To receive continuing education credit, you must complete the education reading provided in your ParticipantSummary (or online) and answer the online learning assessment questions. Each education activity will be available for sixmonths and must be completed within that time frame. Detailed information on how to access the online components will beincluded in each Participant Summary.

Overall Learning ObjectiveUpon completion of these education activities, the learner will be able to:

1. List preanalytic, analytic, and postanalytic variables that affect patient testing.

2. Identify quality improvement opportunities within his/her own laboratory setting.

3. Apply appropriate quality assurance measures to ensure accurate patient results.

Continuing Education (CE)The College of American Pathologists designates these education activities for a maximum of six credits of continuingeducation. Participants should only claim credit commensurate with the extent of their participation inthe activity.

These activities are acceptable to meet the continuing education requirements of the ASCP Board of Registry CertificationMaintenance Program.

These activities are approved for continuing education credit in the states of California and Florida.

All education activities are available to everyone!No matter what module you are enrolled in, you have access to all CAP EXCELeducation activities. All you need is a kit ID, CAP number, and an individual Web account.

Visit www.cap.org, under the Education tab, select EXCEL to view all available courses.




Clinical Chemistry3

Clinical Chemistry

General Chemistry..........................................................................................................8–9Hematology/Oncology ....................................................................................................10Neonatal Bilirubin ............................................................................................................10Waived Cholesterol/Lipids ................................................................................................10Whole Blood Glucose ......................................................................................................11Glycohemoglobin ............................................................................................................11Serum Alcohol ................................................................................................................11Blood Gases....................................................................................................................11Cardiac Markers ..............................................................................................................12Urine Drug Screen............................................................................................................12Reproductive Endocrinology ..............................................................................................13B-type Natriuretic Peptides ................................................................................................13Plasma Cardiac Markers ..................................................................................................13


Clinical ChemistryAnalytes/procedures in bold type are regulated for proficiency testing by the Centers for Medicare & Medicaid Services (CMS).

The matrix below contains commonly used whole blood chemistry instruments. It is not intended to be construed asapproval or disapproval of any product or instrument. Please contact a CAP Customer Contact Center representative at800-323-4040 option 1 or your instrument manufacturer for other compatibility questions.

Whole Blood Analyzer/Method Analyte Compatible EXCEL modules Incompaatible EXCEL Modules

HemoCue Glucose XL6 XL5, L20, L21

Roche Reflotron Cholesterol CH, CH3 N/AGlucose XL5, L20, L21

Cholestech L•D•X® Total cholesterol CH, CH3, L17 N/AHDL cholesterolTriglyceridesGlucose XL5, L20, L21

ALT CH, L17AST N/A

Whole blood cholesterol meters Cholesterol CH, CH3, L17 N/A

Whole blood glucose meters Glucose L20, L21, XL5 CH, CH3, L17, XL6

Whole Blood Chemistry Compatibility Matrix

Product Information• Five 5.0-mL liquid serum

specimens

• Conventional or InternationalSystem of Units (SI) reportingprovided

• Three shipments per year:B, E, and H

Analyte Product Code Challenges/Shipment

CH CH3

Albumin � 5

Alkaline phosphatase � 5

Alanine aminotransferase (ALT/SGPT) � 5

Amylase � 5

Aspartate aminotransferase (AST/SGOT) � 5

ß-hCG, qualitative and quantitative � � 5

Bilirubin, total � � 5

Calcium � � 5

Carbamazepine � 5

Carbon dioxide (CO2) � � 1

Chloride � � 5

Cholesterol, total � � 5

Cortisol � 5

Creatine kinase (CK) � 5

Creatinine � � 5

General Chemistry CH, CH3

Continued on the next page

This module does not fulfill the requirements for Neonatal Bilirubin proficiency testing; refer tomodules L11 or L14.



Clinical Chemistry


specimens

• Conventional or InternationalSystem of Units (SI) reportingprovided



CH CH3

Digoxin � 5

Gamma glutamyl transferase (GGT) � 2

Glucose � � 5

HDL cholesterol � � 5

Iron � 5

Lactate dehydrogenase (LD) � 5

LDL cholesterol � � 2

Lithium � 5

Magnesium � 5

Phenobarbital � 5

Phenytoin � 5

Phosphorus (inorganic) � 2

Potassium � � 5

Protein, total � 5

Sodium � � 5

T3, total (triiodothyronine, total) � 5

T3, (triiodothyronine, free) � 2

T3, uptake � 5

T4, total (thyroxine, total) � 5

T4, free (thyroxine, free) � 5

Theophylline � 5

Thyroid-stimulating hormone (TSH) � 5

Triglycerides � � 5

Urea nitrogen (BUN) � � 5

Uric acid � � 5

Valproic acid � 5

General Chemistry CH, CH3 continued

PRICE (USD) $402 $201

This module does not fulfill the requirements for neonatal bilirubin proficiency testing, refer tomodules L11 or L14.

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2010 EXCEL Catalog

Clinical Chemistry

Product Information• Three 5.0-mL liquid serum

specimens

• Two shipments per year:B and H


CH9

CEA � 3

Ferritin � 3

Folate � 3

PSA � 3

Vitamin B12 � 3

Hematology/Oncology CH9

PRICE (USD) $156

Product Information• Three 2.0-mL liquid serumspecimens

• For use with waived methodssuch as Cholestech L•D•Xand Roche ACCU-CHEKInstant Plus

•Not compatible with otherwhole blood glucose meters



L17

Alanine aminotransferase (ALT) � 3

Aspartate aminotransferase (AST) � 3

Cholesterol � 3

Glucose � 3

HDL cholesterol � 3

LDL cholesterol � 3

Triglycerides � 3

Waived Cholesterol/Lipids L17

PRICE (USD) $186

Product Information• L11 - Two 2.0-mL liquid

serum specimens

• L14 - Five 2.0-mL liquidserum specimens



L11 L14

Bilirubin, direct � � 2

Bilirubin, total � 5

Neonatal Bilirubin L11, L14

PRICE (USD) $120 $204



Clinical Chemistry

Product Information• L20 - Three 2.5-mL whole

blood specimens; twoshipments per year: B and H

• L21 - Five 2.5-mL wholeblood specimens; threeshipments per year:B, E and H

• Report up to five differenttesting sites/instruments

Analyte Challenges/Shipment

Product Code

L20 L21

Glucose 3 5

Whole Blood Glucose L20, L21

PRICE (USD) $154 $222

Product Information• Three lyophilized specimens

with a dropper-tipped vial ofdiluent



L22

Glycohemoglobin (HbA1c) � 3

Glycohemoglobin L22

PRICE (USD) $186


specimens



L23

Ethanol � 5

Serum Alcohol L23

PRICE (USD) $288

Product Information• Five 2.5-mL ampules of

aqueous specimens and five2.5-mL hematocrit specimens

• For conductivity methods only



L24

Calcium, ionized � 2

Chloride � 5

Hematocrit � 5

PCO2 � 5

pH � 5

PO2 � 5

Potassium � 5

Sodium � 5

Blood Gases L24

PRICE (USD) $441

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2010 EXCEL Catalog

Clinical Chemistry

Clinical Chemistry



Product Information• Three 10.0-mL urine

specimens

• Also for use with the BiositeTriage



L26

Acetaminophen � 3

Amphetamine group � 3

Amphetamine/methamphetamine group � 3

Barbiturate group � 3

Benzodiazepine group � 3

Benzoylecgonine/cocaine metabolites � 3

Buprenorphine � 3

Delta-9-THC-COOH � 3

Ethanol � 3

Lysergic acid diethylamide (LSD) � 3

Methadone � 3

Methadone metabolite (EDDP) � 3

Methaqualone � 3

Methamphetamine � 3

Methylenedioxymethamphetamine � 3(MDMA)

Opiate group � 3

Oxycodone � 3

Phencyclidine � 3

Propoxyphene � 3

Tricyclic group � 3

Urine Drug Screen L26

PRICE (USD) $286

Product Information• Five 2.0-mL serum specimens

• For immunochemical methodsonly



L25

Creatine kinase (CK) � 5

CK-MB � 5

Lactate dehydrogenase (LD) � 5

Myoglobin � 2

Troponin I � 2

Troponin T � 2

Cardiac Markers L25

PRICE (USD) $228

Clinical Chemistry

2010 EXCEL Catalog

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Product Information• Three 5.0-mL liquid serum

specimens



L27

Estradiol � 3

Follicle-stimulating hormone (FSH) � 3

Luteinizing hormone (LH) � 3

Progesterone � 3

Prolactin � 2

Reproductive Endocrinology L27

PRICE (USD) $314

Product Information• Two 1.0-mL liquid plasma

specimens

• Two shipments per year:E and H


L28

BNP � 2

NT-pro BNP � 2

B-type Natriuretic Peptides L28

PRICE (USD) $198

Product Information• Five 1.0-mL liquid EDTA

plasma specimens

• For use with the BioSite Triageand i-STAT instruments



L30

CK-MB � 5

BNP � 2

Myoglobin � 2

Troponin I � 2

Plasma Cardiac Markers L30

PRICE (USD) $255

Hematology4


Hematology

Routine Hematology ........................................................................................................15Comprehensive Hematology with Differential ......................................................................15Centrifugal Hematology ....................................................................................................16Erythrocyte Sedimentation Rate ..........................................................................................16Reticulocyte Count ............................................................................................................16

Hematology

2010 EXCEL Catalog

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Product Information• XH1 - Five 3.0-mL whole

blood specimens

• XHP - Six color photographs;five graded and oneeducational/ungraded

• Three shipments per year:A, D, and G

Analyte/Procedure Product Code Challenges/Shipment

XH1 XHP

Blood cell identification, colorphotographs � 6

Hematocrit � 5

Hemoglobin � 5

Platelet count � 5

RBC count � 5

WBC count � 5

Routine Hematology XH1, XHP

PRICE (USD) $213 $33

Product Information• Five 2.5-mL whole blood

specimens



XH3 XH4

Automated differential � � 5

Hematocrit � � 5

Hemoglobin � � 5

Platelet count � � 5

RBC count � � 5

WBC count � � 5

Comprehensive Hematology with DifferentialXH3, XH4

PRICE (USD) $300 $300

HematologyAnalytes/procedures in bold type are regulated for proficiency testing by the Centers for Medicare & Medicaid Services (CMS).

For method compatibility, see instrument matrix on page 16.

Hematology



Instrument Recommended Module

XH3 XH4 XH6

Sysmex K-Series, KX-21/21N, pocH-100i �

Abbott Cell-Dyn 900, 1200, 1600, 1700, 1800 �

Horiba ABX 9000/9100 Series (3-part diff) �

Horiba ABX Micros, Minos �

Siemens ADVIA 60 �

Coulter T-Series, ST, STKR, MD, ONYX, AC•T �

Danam DC-18/I-1800, Danam EXCELL Series,Danam HC-1020/I-1100 �

Becton-Dickinson QBC �

Pierceable cap � �

Hematology, Instrument Compatibility Matrix

Product Information• XH6 - Five 0.6-mL whole

blood specimens; notintended for spun hematocrits

• XH7 - Must be ordered inconjunction with module XH6

• For use with Becton-DickinsonQBC instruments



XH6 XH7

Hematocrit � 5

Hemoglobin � 5

Platelet count � 5

WBC count � 5

WBC differential (2-part) � 5

Centrifugal Hematology XH6, XH7

PRICE (USD) $252 $30

Product Information• Three 6.0-mL whole blood

specimens

• Two shipments per year:D and G

Procedure Product Code Challenges/Shipment

XH8

All methods except for Sedimat® 15 � 3

Erythrocyte Sedimentation Rate XH8

PRICE (USD) $198

Product Information• Three 1.0-mL stabilized

whole blood specimens

• For use with manual andmost automated reticulocytecount methods

• Two shipments per year:A and G


XH9

Reticulocyte count � 3

Reticulocyte Count XH9

PRICE (USD) $276

For method compatibility, see instrument matrix above.

Urinalysis andClinical Microscopy5


Urinalysis ........................................................................................................................18Urine Sediment and Clinical Microscopy ............................................................................18Provider-Performed Microscopy..........................................................................................19Occult Blood....................................................................................................................19Sperm Count and Presence/Absence..................................................................................20Urine Albumin (Microalbumin) Creatinine............................................................................20Amniotic Fluid Leakage ....................................................................................................20Rupture of Fetal Membrane Testing ....................................................................................20





Product Information• XU, XU1 - Two 10.0-mL urine

specimens

• XU2P - Three colorphotographs

• XU4P - Six colorphotographs


• XU6 - Five 1.0-mL urinespecimens; three shipmentsper year: A, D, and G


XU XU1 XU6 XU2P XU4P

Urine bilirubin � � 2

Urine blood/hemoglobin � � 2

Urine glucose � � 2

Urine ketones � � 2

Urine leukocyte esterase � � 2

Urine nitrite � � 2

Urine pH � � 2

Urine protein � � 2

Urine reducing substances � � 2

Urine specific gravity � � 2

Urine urobilinogen � � 2

Urine hCG, qualitative � � 2/5 (XU6)

Urine sediment,color photographs � 3

Clinical microscopy,color photographs* � 6

Urinalysis XU, XU1, XU6, XU2P, XU4P

PRICE (USD) $150 $100 $150 $38 $38

Urinalysis and Clinical MicroscopyAnalytes/procedures in bold type are regulated for proficiency testing by the Centers for Medicare & Medicaid Services (CMS).

*See page 19 for specimen types and shipment information.

Product Information• XU7P - Three color

photographs

• XU8P - Six color photographs

• Designed as stand-aloneoptions of modules XU2P andXU4P



XU7P XU8P

Clinical microscopy, color photographs � 6

Urine sediment, color photographs � 3

Urine Sediment and Clinical MicroscopyXU7P, XU8P

PRICE (USD) $92 $92


2010 EXCEL Catalog

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Specimen Type Shipment

XL-A XL-GFern test � �

KOH preparations � �

Nasal smears � �

Pinworm preparations � �

Stool for leukocytes � �

Vaginal wet preparations � �

Product Information• Nine color photographs:

three urine sediment and sixclinical microscopy challenges

• Designed to meet federalquality assurancerequirements for provider-performed microscopytechniques



XU5P XL-A XL-G

Fern test � 1 1

KOH preparations � 1 1

Nasal smears � 1 1

Pinworm preparations � 1 1

Stool for leukocytes � 1 1

Vaginal wet preparations � 1 1

Urine sediment � 3 3

Provider-Performed Microscopy XU5P

PRICE (USD) $166

Product Information• Three 2.0-mL simulated fecal

specimens



XU9

Occult blood � 3

Occult Blood XU9

PRICE (USD) $130

Clinical Microscopy, Information Matrix




Product Information• Two 0.3-mL liquid specimens



XU10

Sperm count and presence/absence � 2

Sperm Count and Presence/Absence XU10

PRICE (USD) $254

Product Information• Two 5.0-mL liquid urine

specimens

• For use with dipstick andsemi-quantitative methods



XUX11

Creatinine � 2

Urine albumin (microalbumin),semi-quantitative � 2

Urine albumin (microalbumin):creatinine ratio � 2

Urine Albumin (Microalbumin) Creatinine XUX11

PRICE (USD) $204

Product Information• Three 2.0-mL liquid

specimens

• For use with nitrazine paperand AmniotestTM



XUX12

pH interpretation � 3

Amniotic Fluid Leakage XUX12

PRICE (USD) $218

Product Information• Two 0.5-mL simulated vaginal

specimens

• For use with the AmniSureTM

test method



XUX13

Placental alpha microglobulin-1(PAMG-1) � 2

Rupture of Fetal Membrane Testing XUX13

PRICE (USD) $298

Coagulation6

Coagulation

Coagulation ....................................................................................................................22Whole Blood Coagulation ................................................................................................22Whole Blood D-dimer ......................................................................................................23


Coagulation



Product Information• Five 1.0-mL lyophilized

plasma specimens; requiresa 1.0-mL volumetric pipetteto perform testing

• Also compatible wtih theCVDI TAS instruments



XC XC1

Activated partial thromboplastin time � 5

Fibrinogen � 5

International Normalized Ratio (INR) � � 5

Prothrombin time � � 5

Coagulation XC, XC1

PRICE (USD) $168 $150

Participants reporting INR results will recieve a special evaluation to assess the INR calculation.

Product Information• XC3, XC18 - Five 0.5-mL

lyophilized whole bloodspecimens

• XC7 - Five 300.0-uLlyophilized plasma specimens

• XC19 - Five 1.0-mLlyophilized plasma specimens


• XC9, waived - Three 300.0-uLlyophilized plasmaspecimens; two shipments peryear: A and G

Price (USD)Whole Blood Coagulation, Instrument MatrixInstrument Recommended Module

XC3 XC7 XC9 XC18 XC19

ITC Hemochron® Jr. Signature/Signature +/Signature Elite, �

and Jr. II – Citrated cuvette

ITC Hemochron Jr. Signature/Signature +/Signature Elite, �

and Jr. – Non-citrated cuvette

IL GEM®, PCL Plus – Citrated �

IL GEM, PCL Plus – Non-citrated �

i-STAT® �

Roche CoaguChek®, CoaguChek® S �

Roche CoaguChek, waived; CoaguChek S, waived �

CoagulationAnalytes/procedures in bold type are regulated for proficiency testing by the Centers for Medicare & Medicaid Services (CMS).

For method compatibility, see instrument matrix below.

Whole Blood CoagulationXC3, XC7, XC9, XC18, XC19

Analyte Challenges/Shipment

Product CodeXC3 XC7 XC9 XC18 XC19

International Normalized

Ratio (INR)5 5 3 5 5

Prothrombin time 5 5 3 5 5PRICE (USD) $321 $309 $214 $285 $234

Coagulation

2010 EXCEL Catalog

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Product Information• Two 0.5-mL whole blood

specimens

• For use with the SimpliREDTM

and Clearview SimplifyD-dimer methods



XC20

D-dimer, qualitative � 2

Whole Blood D-dimer XC20

PRICE (USD) $234

Microbiology7


Microbiology

Hazardous Materials ..................................................................................................25–26Microbiology Flow Chart ..................................................................................................27Microbiology Combination................................................................................................28Throat Culture ..................................................................................................................28Rapid Group A Strep Antigen Detection..............................................................................28Gram Stain......................................................................................................................28Urine Colony Count/Urine Culture Identification ..................................................................29Throat and Urine Culture/Rapid A Strep Antigen Detection ..................................................29Clostridium difficile Toxin Antigen Detection ........................................................................29Viral Antigen Detection ....................................................................................................30

Microbiology

2010 EXCEL Catalog

www.cap.org 25

Biohazard InformationAll bacterial and viral strains used in PT challenges have been classified by the Centers for Disease Control and Prevention(CDC) as not greater than a Biosafety Level 2. A full description of Biosafety Level 2 (BSL-2) handling requirements, asdefined by the CDC Office of Health and Safety in Biosafety in Microbiological and Biomedical Laboratories, can be foundat the following Web site: www.cdc.gov/od/ohs/biosfty/bmbl5/bmbl5toc.htm.

Specimens included in products of an etiologic nature must be handled using precautions appropriate for BSL-2 facilities.

Key Elements of Biosafety Level 2 Compliance:

• Access to the laboratory is limited or restricted at the discretion of the laboratory director when experimentsare in progress.

• Persons wash their hands after they handle viable materials, after removing gloves, and before leaving thelaboratory.

• Eating, drinking, smoking, handling contact lenses, and applying cosmetics are not permitted in the workareas. Food is stored outside the work area in cabinets or refrigerators designated for this purpose only.

• Mouth pipetting is prohibited; mechanical pipetting devices are used.

• Policies for the safe handling of sharps are instituted.

• All procedures are performed carefully to minimize the creation of splashes or aerosols.

• Work surfaces are decontaminated on completion of work or at the end of the day and after any spill orsplash of viable material with disinfectants that are effective against the agents of concern.

• All cultures, stocks, and other regulated wastes are decontaminated before disposal by an approveddecontamination method such as autoclaving. Materials to be decontaminated outside of the immediatelaboratory are placed in a durable, leakproof container and closed for transport from the laboratory. Materials tobe decontaminated off-site from the facility are packaged in accordance with applicable local, state, and federalregulations, before removal from the facility.

• Biosafety procedures are incorporated into standard operating procedures or in a biosafety manual adoptedor prepared specifically for the laboratory by the laboratory director. Personnel are advised of special hazardsand are required to read and follow instructions on practices and procedures.

• Protective laboratory coats, gowns, smocks, or uniforms designated for lab use are worn while in thelaboratory. This protective clothing is removed and left in the laboratory before leaving for non-laboratoryareas (eg, cafeteria, library, administrative offices). All protective clothing is either disposed of in thelaboratory or laundered by the institution; it should never be taken home by personnel.

Product Code Module Name

MM, M20 Microbiology CombinationM1 Throat CultureM9 Urine Colony Count/Urine Culture IdentificationM10 Throat and Urine Culture/Rapid Strep AntigenM17 Urine Colony Count/Urine Culture Identification

EXCEL Modules with Hazardous Materials

MicrobiologyThe EXCEL modules listed below contain hazardous materials and may require special permits and additional fees.

Microbiology



If your laboratory is not Biosafety Level 2 compliant, please contact the CAP Customer Contact Center at 800-323-4040option 1 for further information regarding fulfillment of PT requirements.

Modules that contain material of an etiologic nature are designated as such by the following icon:

Biohazard Warning StatementsAll EXCEL modules include a biohazard warning statement appropriate for the handling of the materials included. Modulesthat do not include etiologic agents are still expected to be handled in keeping with CDC universal precautions and OSHAbloodborne pathogen rules.

Microbiology

2010 EXCEL Catalog

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This flowchart is provided as a guide to assist you in ordering the most appropriate Bacteriology module for yourlaboratory. If you have any questions, please call the Customer Contact Center at 800-323-4040 option 1.

If you use a Quanti-cult method for urine colony count and/or identification, see page 29 for availablemodules.

Microbiology



Product Information• MM, M20 - Five loop

specimens (two duplicate sets)and one swab for antigendetection

• Urine cultures will only haveone susceptibility challenge

• Three shipments per year:C, F, and I

Product Information• Five loop specimens



M1

Throat culture � 5

Throat Culture M1

PRICE (USD) $252

Product Information• M6 - Five swab specimens;

three shipments per year:C, F, and I

• M14 - Two swab specimens;two shipments per year:C and F

Product Information• Five air-dried, methanol

fixed, unstained slides



M8

Gram stain � 5

Gram Stain M8

PRICE (USD) $204

Handle With CarePlease be aware that EXCEL Modules MM, M1, M9, M10, M17, and M20 all contain hazardous materials and mayrequire special handling.

Microbiology Combination MM, M20Procedure Challenges/Shipment

Product CodeMM M20

Antimicrobial susceptibility 1 1GC culture 5Gram stain 2 1Rapid group A Streptococcusantigen detection 1 1

Throat culture 2 3Urine culture 3 5PRICE (USD) $294 $261

Rapid Group A Strep Antigen Detection M6, M14Procedure Challenges/Shipment

Product CodeM6 M14

Rapid group A Streptococcusantigen detection 5 2

PRICE (USD) $204 $138

Microbiology

2010 EXCEL Catalog

www.cap.org 29

Product Information• M9 - Two 2.0-mL urine

specimens

• M17 - Three loop specimens,three swab specimens, andfive urine specimens


Procedure Challenges/Shipment

Product CodeM9 M17

Urine colony count/ 2 5urine culture identification

Rapid group A Streptococcus 3antigen detection

Throat culture 3

Urine Colony Count/Urine Culture IdentificationM9, M17

PRICE (USD) $192 $327

Product Information• Six loop specimens and two

swabs for antigen detection



M10

Antimicrobial susceptibility � 1

Gram stain � 1

Rapid group A Streptococcus � 2antigen detection

Throat culture, � 3group A Streptococcus

Urine culture � 3

Throat and Urine Culture/Rapid Strep A Antigen Detection M10

PRICE (USD) $252

If you are using a waived method for Streptococcus testing, these results will not count towardsthe required five challenges per the subspeciality of bacteriology.

Product Information• One 1.0-mL lyophilized

specimen

• Must be ordered inconjunction with a regulatedmicrobiology module(MM, M1, M6, M8, M10,M17, or M20)



M18

Clostridium difficile toxin � 1

C. difficile Toxin Antigen Detection M18

PRICE (USD) $150


Microbiology



Product Information• Five 1.0-mL liquid specimens

• For use with enzymeimmunoassay and/or latexagglutination methods



M21

Influenza A antigen � 5

Influenza B antigen � 5

Respiratory syncytial virus (RSV) � 5antigen

Rotavirus antigen � 5

Viral Antigen Detection M21

PRICE (USD) $279


Immunology8

Immunology

Anti-HIV-1and Anti-HIV-1/2, Waived ..................................................................................32C-reactive Protein (CRP) ....................................................................................................32hCG, Serum ....................................................................................................................32Helicobacter pylori Antibody Detection ..............................................................................32Infectious Mononucleosis ..................................................................................................32Infectious Mononucleosis, Waived......................................................................................32Rheumatoid Factor............................................................................................................32


Immunology



Product Information• XS1 - Five 0.6-mL liquid

serum specimens and five1.0-mL liquid serumspecimens

• XS2 - Five 0.6-mL liquidserum specimens

• XS3 - One 0.5-mL liquidserum specimen

• XS4, XS5 - Five 1.0-mL liquidserum specimens


• XS7 - Two 1.0-mL liquidserum specimens

• XS9 - Three 0.6-mL liquidserum specimens

• Two shipments per year:C and F


XS1 XS2 XS3 XS4 XS5 XS7 XS9

C-reactive protein � 1(qualitative/quantitative)

Helicobacter pylori � 2antibody detection

hCG, serum � 5(qualitative/quantitative)

Infectious mononucleosis � � 5

Infectious mononucleosis, � 3waived

Rheumatoid factor* � � 5

Immunology XS1, XS2, XS3, XS4, XS5, XS7, XS9

PRICE (USD) $219 $150 $111 $153 $150 $174 $98

*Rheumatoid factor is a regulated analyte and is graded for both qualitative and quantitativemethods. Semi-quantitative and/or titer results are ungraded/educational in this module and donot meet regulatory requirements.

Product Information• Two 0.5-mL plasma

specimens; report up to fivedifferent locations within yourinstitution

• Two shipments per year:F and I


XB2 XB3

Anti-HIV-1, waived methods only � 2

Anti-HIV-1/2, waived methods only � 2

Anti-HIV-1 and Anti-HIV-1/2, Waived XB2, XB3

PRICE (USD) $156 $214

ImmunologyAnalytes/procedures in bold type are regulated for proficiency testing by the Centers for Medicare & Medicaid Services (CMS).

MultidisciplineCombinationSeries9


Multidiscipline



Product Information• Hematocit, hemoglobin, and

urinalysis/urine hCG testing -Two 3.0-mL whole bloodspecimens and two 10.0-mLurine specimens: twoshipments per year: A and G

• Whole blood glucose testing -Three 2.5-mL whole bloodspecimens; two shipments peryear: B and H


XL5

Hematocrit � 2

Hemoglobin � 2

Urinalysis/Urine hCG � 2

Whole blood glucose � 3

Waived Test Combination Series XL5

PRICE (USD) $376

MultidisciplineAnalytes/procedures in bold type are regulated for proficiency testing by the Centers for Medicare & Medicaid Services (CMS).

Product Information• Two 1.0-mL whole blood

specimens



XL6

Hemoglobin � 2

Whole blood glucose � 2

Waived Combination XL6

PRICE (USD) $154

Price List10


Price List



Clinical Chemistry

CH General Chemistry, comprehensive $402 8,9

CH3 General Chemistry, basic $201 8,9

CH9 Hematology/Oncology $156 10

L11 Neonatal Bilirubin, 2 challenges $120 10

L14 Neonatal Bilirubin, 5 challenges $204 10

L17 Waived Cholesterol/Lipids $186 10

L20 Whole Blood Glucose, 2 challenges $154 11

L21 Whole Blood Glucose, 5 challenges $222 11

L22 Glycohemoglobin $186 11

L23 Serum Alcohol $288 11

L24 Blood Gases $441 11

L25 Cardiac Markers $228 12

L26 Urine Drug Screen $286 12

L27 Reproductive Endocrinology $314 13

L28 B-type Natriuretic Peptides $198 13

L30 Plasma Cardiac Markers $255 13

Coagulation

XC Coagulation $168 22

XC1 Coagulation, limited $150 22

XC3 Whole Blood Prothrombin Time/INR $321 22


XC9 Whole Blood Prothrombin Time/INR, $214 22Waived



XC20 Whole Blood D-dimer $234 23

Hematology

XH1 Routine Hematology $213 15

XH3 Comprehensive Hematology $300 15with Differential

XH4 Comprehensive Hematology $300 15with Differential

XH6 Centrifugal Hematology $252 16

XH7 Centrifugal Hematology,WBC Differential $30 16

XH8 Erythrocyte Sedimentation Rate $198 16

XH9 Reticulocyte Count $276 16

XHP Routine Hematology, Blood Cell ID $33 15

Immunology

XB2 Anti-HIV-1, Waived $156 32

XB3 Anti-HIV-1/2, Waived $214 32

XS1 Infectious Mononucleosis and $219 32Rheumatoid Factor

XS2 Infectious Mononucleosis $150 32

XS3 C-reactive Protein $111 32

XS4 Serum hCG $153 32

XS5 Rheumatoid Factor $150 32

XS7 Helicobactor pylori, Antibody Detection $174 32

XS9 Infectious Mononucleosis, Waived $98 32

Microbiology

M1 Throat Culture $252 28

M6 Rapid Group A Strep Antigen $204 28Detection, 5 challenges

M8 Gram Stain $204 28

M9 Urine Colony Count/Urine Culture $192 29Identification

M10 Throat and Urine Culture/ $252 29Rapid Strep A Antigen Detection

M14 Rapid Group A Strep Antigen $138 28Detection, 2 challenges

M17 Urine Colony Count/ $327 29Urine Culture Identification

M18 C. difficile Toxin Antigen Detection $150 29

M20 Microbiology Combination, basic $261 28

MM Microbiology Combination, $294 28comprehensive

M21 Viral Antigen Detection $279 30


XU Urinalysis, comprehensive $150 18

XU1 Urinalysis, basic $100 18

XU2P Urine Sediment, with XU, XU1, XL5 $38 18

XU4P Clinical Microscopy, with XU, XU1, XL5 $38 18

XU5P Provider-Performed Microscopy $166 19

XU6 Urine hCG $150 18

XU7P Urine Sediment $92 18

XU8P Clinical Microscopy $92 18

XU9 Occult Blood $130 19

XU10 Sperm Count and Presence/Absence $254 20

2010 Price List

Product EXCEL 2010 Page Product EXCEL 2010 Page

Code Module Price Code Module Price

Price List

2010 EXCEL Catalog

www.cap.org 37

Urinalysis and Clinical Microscopy (cont.)

XUX11 Urine Albumin (Microalbumin) $204 20

XUX12 Amniotic Fluid Leakage $218 20

XUX13 Rupture of Fetal Membranes $298 20

Multidiscipline Combination Series

XL5 Waived Test Combination Series $376 34

XL6 Waived Test Combination $154 34

Supplemental Products

XLBIND EXCEL Binder $10 2

Product EXCEL 2010 Page Product EXCEL 2010 Page

Code Module Price Code Module Price No,

Indices11


The CAP Laboratory Accreditation ProgramEnrollment Guide has been incorporatedinto this catalog for your convenience.

No more paging through multiple reference documents! Select the proficiencytesting (PT) that your CAP accredited laboratory needs…Now you can refer toone easy-to-understand table!

The CAP’s Accreditation Program shares your commitment in striving for and achieving the highest qualitypossible when it comes to patient testing. Through proficiency testing, the CAP holds its accredited laboratoriesto the highest standards, the gold standard. Accredited laboratories can rely on the CAP to help them achievecontinuous compliance through enrollment, participation, and performance in proficiency testing.

How Does the CAP Monitor PT? How Can the CAP Help Accredited Laboratories Achieve Continuous Compliance?

Enrollment Verify that you are enrolled in the PT required for your laboratory by reviewingenrollment verification/missing enrollment reports now available through e-LAB Solutions.

Tips:-One subscription for any analyte is required for each CAP accredited laboratory.

-Proficiency testing performed using the laboratory’s primary method can be rotatedamong instruments using primary methodologies.

-Enrollment is often required for different matrices.

(More tips available online!)

Participation The CAP can help your laboratory ensure participation in the right PT productsmatched according to your CAP Activity Menu.

Performance CAP accredited laboratories can be confident that their laboratory is reporting accurateand reliable patient results, while adhering to standards set by CMS and the CAP.

Newfor2010

The following Indices are comprehensive listings of analytes and corresponding CAP product options.

The “X” in the LAP ENR column denotes the CAP products that can be used to fulfill the proficiency testing (PT)enrollment requirements for CAP accredited laboratories. Refer to the product descriptions in this catalog todetermine compatibility with your specific methodologies.

For analytes that are regulated by the Centers for Medicare and Medicaid Services (CMS), a laboratory isrequired to perform five challenges three times per year (as noted by bolding).

Indices



Analyte/Procedure by Discipline LAP ENR Module

Clinical Chemistry Pages 7–13

Acetaminophen X L26

Alanine aminotransferase (ALT/SGPT) X CH, L17

Albumin X CH

Alcohol, serum X L23

Alkaline phosphatase X CH

Amphetamine group L26

Amphetamine/methamphetamine group L26

Amylase X CH

Aspartate aminotransferase (AST/SGOT) X CH, L17

Barbiturate group L26

Benzodiazapine group L26

Benzoylecgonine/cocaine metabolites L26

Bilirubin, direct, neonatal X L11, L14

Bilirubin, total X CH, CH3

Bilirubin, total, neonatal X L14

B-type natriuretic peptides (BNP) X L28, L30

Calcium X CH, CH3

Calcium, ionized X L24

Carbamazepine X CH

Carbon dioxide (CO2) X CH, CH3

CEA X CH9

Chloride X CH, CH3, L24

Cholesterol, total X CH, CH3, L17

CK-MB X L25, L30

Cortisol X CH

Creatine kinase (CK) X CH, L25

Creatinine X CH, CH3

Delta-9-THC-COOH L26

Digoxin X CH

Estradiol X L27

Ethanol, serum X L23

Ethanol, urine L26

Ferritin X CH9

Folate X CH9

Follicle-stimulating homone (FSH) X L27

Gamma glutamyl transferase (GGT) X CH

IndicesAnalytes/procedures in bold type are regulated for proficiency testing by the Centers for Medicare & Medicaid Services (CMS).

Indices

2010 EXCEL Catalog

www.cap.org 41


Clinical Chemistry (cont.) Pages 7–13

Glucose, serum X CH, CH3

Glucose, whole blood, 5 challenges X L21

Glucose, whole blood, 3 challenges X L17, L20, XL5 (p. 34)

Glucose, whole blood, 2 challenges X XL6 (p. 34)

Glycohemoglobin (Hemoglobin A1c) X L22

hCG, serum, quantitative and qualitative X CH, CH3

HDL cholesterol X CH, CH3, L17

Hematocrit X L24

Iron X CH

Lactate dehydrogenase (LD) X CH, L25

LDL cholesterol X CH, CH3, L17

Lithium X CH

Luteinizing Hormone (LH) X L27

Lysergic acid diethylamide (LSD) L26

Magnesium X CH

Methadone L26

Methadone metabolite (EDDP) L26

Methaqualone L26

Methamphetamine L26

Methylenedioxymethamphetamine (MDMA) L26

Myoglobin X L25, L30

Neonatal bilirubun, direct X L11, L14

Neonatal bilirubin, total X L14

NT-pro BNP X L28

Opiate group L26

Oxycodone L26

PCO2 X L24

pH X L24

Phencyclidine L26

Phenobarbital X CH

Phenytoin X CH

Phosphorus X CH

PO2 X L24

Potassium X CH, CH3, L24

Progesterone X L27

Prolactin X L27

Propoxyphene L26

Prostate-specific antigen (PSA) X CH9

Protein, total X CH

Indices




Clinical Chemistry (cont.) Pages 7–13

Sodium X CH, CH3, L24

T3 (Triiodothyronine, total) X CH

T3, free (Triiodothyronine, free) X CH

T3 uptake X CH

T4 (Thyroxine, total) X CH

T4, free (Thyroxine, free) X CH

Theophylline X CH

Thyroid-stimulating hormone (TSH) X CH

Tricyclic group L26

Triglycerides X CH, CH3, L17

Troponin I X L25, L30

Troponin T X L25

Urea nitrogen (BUN) X CH, CH3

Uric acid X CH, CH3

Urine drug screen X L26

Valproic acid X CH

Vitamin B12 X CH9

Coagulation Pages 22–23

Activated partial thromboplastin time (APTT) X XC

D-dimer, whole blood XC20

Fibrinogen X XC

International Normalized Ratio (INR) X XC, XC1, XC3, XC7, XC9, XC18, XC19

Prothrombin time (PT), plasma X XC, XC1

Prothrombin time (PT), whole blood X XC3, XC7, XC18, XC19

Prothrombin time (PT), whole blood, waived X XC9

Hematology Pages 14–16

Automated differential X XH3, XH4, XH7

Blood cell identification X XHP

Erythrocyte sedimentation rate (ESR) XH8

Hematocrit X XH1, XH3, XH4, XH6

Hematocrit, waived X XL5 (p. 34)

Hemoglobin X XH1, XH3, XH4, XH6

Hemoglobin, waived X XL5, XL6 (p. 34)

Platelet count X XH1, XH3, XH4, XH6

Red blood cell count (RBC) X XH1, XH3, XH4

Reticulocyte count X XH9

WBC differential, automated X XH3, XH4, XH7

White blood cell count (WBC) X XH1, XH3, XH4, XH6

Indices

2010 EXCEL Catalog

www.cap.org 43


Immunology Pages 31–32

Anti-HIV-1, waived X XB2

Anti-HIV-1/2, waived X XB3

C-reactive protein (CRP), qualitative and quantitative X XS3

Helicobacter pylori antibody detection X XS7

hCG, serum, qualitative and quantitative X XS4

Infectious mononucleosis X XS1, XS2

Infectious mononucleosis, waived X XS9

Rheumatoid factor, qualitative and quantitative X XS1, XS5

Microbiology Pages 24–31

Antimicrobial susceptibility X MM, M10, M20

Beta-lactamase testing MM

C. difficile toxin antigen detection X M18

GC culture X MM

Gram stain X MM, M8, M10, M20

Influenza A and B antigen detection X M21

Rapid group A strep antigen detection X MM, M6, M10, M17, M20

Rapid group A strep antigen detection, waived X M14

Respiratory syncytial virus (RSV) antigen detection X M21

Rotavirus antigen detection X M21

Throat culture X MM, M1, M10, M17, M20

Urine colony count X M9, M17

Urine colony count/urine culture identification X M9, M17

Urine culture X MM, M20, M9, M10, M17Urinalysis and Clinical Microscopy Pages 17–20

Amniotic fluid leakage (Nitrazine) XUX12

Clinical microscopy, color photographs X XU4P, XU8P

Creatinine, semi-quantitative X XUX11

Fern test X XU4P, XU5P, XU8P

KOH preparations X XU4P, XU5P, XU8P

Nasal smears X XU4P, XU5P, XU8P

Occult blood XU9

Pinworm preparations X XU4P, XU5P, XU8P

Placental alpha microglobulin (PAMG-1) XUX13

Provider-performed microscopy, color photographs X XU4P, XU5P, XU8P

Sperm count X XU10

Sperm, presence/absence XU10

Stool for leukocytes X XU4P, XU5P, XU8P

Urine albumin (microalbumin), semi-quantitative X XUX11

Indices




Urinalysis and Clinical Microscopy (cont.) Pages 17–20

Urine albumin (microalbumin):creatinine ratio XUX11

Urine bilirubin X XU, XU1, XL5 (p. 34)

Urine blood/hemoglobin X XU, XU1, XL5 (p. 34)

Urine glucose X XU, XU1, XL5 (p. 34)

Urine hCG, qualitative X XU, XU6, XL5 (p. 34)

Urine ketones X XU, XU1, XL5 (p. 34)

Urine leukocyte esterase X XU, XU1, XL5 (p. 34)

Urine nitrite X XU, XU1, XL5 (p. 34)

Urine pH X XU, XU1, XL5 (p. 34)

Urine protein X XU, XU1, XL5 (p. 34)

Urine reducing substances X XU, XU1, XL5 (p. 34)

Urine sediment, color photographs X XU2P, XU5P, XU7P

Urine specific gravity X XU, XU1, XL5 (p. 34)

Urine urobilinogen X XU, XU1, XL5 (p. 34)

Vaginal wet preparations X XU4P, XU5P, XU8P

Indices

2010 EXCEL Catalog

www.cap.org 45

Analyte/Procedure LAP ENR Module Page

Acetaminophen L26 12

Activated partial thromboplastin time (APTT) X XC 22

Alanine aminotransferase (ALT/SGPT) X CH, L17 8, 10

Albumin X CH 8

Alcohol, serum X L23 11

Alkaline phosphatase X CH 8

Amniotic fluid leakage (Nitrazine) XUX12 20

Amphetamine group L26 12

Amphetamine/methamphetamine group L26 12

Amylase X CH 8

Anti-HIV-1, waived X XB2 32

Anti-HIV-1/2, waived X XB3 32

Antimicrobial susceptibility X MM, M10, M20 28

Aspartate aminotransferase (AST/SGOT) X CH, L17 8, 10

Automated differential X XH3, XH4, XH7 15, 16

Barbiturate group L26 12

Benzodiazepine group L26 12

Benzoylecgonine/cocaine metabolites L26 12

Beta-lactamase testing MM 28

Bilirubin, direct, neonatal X L11, L14 10

Bilirubin, total X CH, CH3 8

Bilirubin, total, neonatal X L14 10

Blood cell identification X XHP 15

Buprenorphine L26 12

B-type natriuretic peptides (BNP) X L28, L30 13

C. difficile toxin antigen detection X M18 19

Calcium X CH, CH3 8

Calcium, ionized X L24 11Carbamazepine X CH 8

Carbon dioxide (CO2) X CH, CH3 8

CEA X CH9 10

Chloride X CH, CH3, L24 8, 11

Cholesterol, total X CH, CH3, L17 8, 10

CK-MB X L25, L30 12,13

Clinical microscopy, color photographs X XU4P, XU8P 18

Coritsol X CH 8

C-reactive protein (CRP), qualitative & quantitative X XS3 32

Creatine kinase (CK) X CH, L25 8, 12

Creatinine X CH, CH3 8

Creatinine, urine, semi-quantitative X XUX11 20

Analytes/procedures in bold type are regulated for proficiency testing by the Centers for Medicare & Medicaid Services (CMS).

Indices




D-dimer, whole blood XC20 23

Delta-9-THC-COOH L26 12

Digoxin X CH 9

Erythrocyte sedimentation rate (ESR) XH8 16

Estradiol X L27 13

Ethanol, serum X L23 11

Ethanol, urine L26 12

Fern test X XU4P, XU5P XU8P 18, 19

Ferritin X CH9 10

Fibrinogen X XC 22

Folate X CH9 10

Follicle-stimulating hormone (FSH) X L27 13

Gamma glutamyl transferase (GGT) X CH 9

GC culture X MM 28

Glucose, serum X CH, CH3 9

Glucose, whole blood, 5 challenges X L21 11

Glucose, whole blood, 3 challenges X L17, L20, XL5 10,11,34

Glucose, whole blood, 2 challenges X XL6 34

Glycohemoglobin (Hemoglobin A1c) X L22 11

Gram stain X MM, M8, M10, M20 28

Helicobacter pylori antibody detection X XS7 32

hCG, serum, qualitative and quantitative X CH, CH3, XS4 8, 32

HDL cholesterol X CH, CH3, L17 9, 10

Hematocrit X L24, XH1, XH3, XH4, XH6 11,15,16

Hematocrit, waived X XL5 34

Hemoglobin X XH1, XH3, XH4, XH6 15, 16

Hemoglobin, waived X XL5, XL6 34

Infectious mononucleosis X XS1, XS2 32

Infectious mononucleosis, waived X XS9 32Influenza A and B antigen detection X M21 30

International Normalized Ratio (INR) X XC, XC1, XC3 ,XC7, XC9, XC18, XC19 22

Iron X CH 9

KOH preparations X XU4P, XU5P, XU8P 18, 19

Lactate dehydrogenase (LD) X CH, L25 9, 12

LDL cholesterol X CH, CH3, L17 9, 10

Lithium X CH 9

Luteinizing hormone (LH) X L27 13

Lysergic acid diethylamide (LSD) L26 12

Magnesium X CH 9Methadone L26 12

Indices

2010 EXCEL Catalog

www.cap.org 47


Methadone metabolite (EDDP) L26 12

Methamphetamine L26 12Methaqualone L26 12

Methylenedioxymethamphetamine (MDMA) L26 12

Microalbumin X XUX11 20

Myoglobin X L25, L30 12, 13

Nasal smears X XU4P, XU5P, XU8P 18, 19

Neonatal bilirubin, direct X L11, L14 10

Neonatal bilirubin, total X L14 10

NT-pro B-type natriuretic peptides (BNP) X L28 13

Occult blood XU9 19

Opiate group L26 12

Oxycodone L26 12

PCO2 X L24 11

pH X L24, XU, XU1, XL5 11,18,34

Phencyclidine L26 12

Phenobarbital X CH 9

Phenytoin X CH 9

Phosphorus X CH 9

Pinworm preparations X XU4P, XU5P, XU8P 18, 19

Placental alpha microglobulin (PAMG-1) XUX13 20

Platelet count X XH1, XH3, XH4, XH6 15, 16

PO2 X L24 11

Potassium X CH, CH3, L24 9, 11

Progesterone X L27 13

Prolactin X L27 13

Propoxyphene L26 12

Prostate-specific antigen (PSA) X CH9 10

Protein, total X CH 9

Prothrombin time (PT), plasma X XC, XC1 22

Prothrombin time (PT), whole blood X XC3, XC7, XC18, XC19 22

Prothrombin time (PT), whole blood, waived X XC9 22

Provider-performed microscopy, color photographs X XU4P, XU5P, XU8P 18, 19

Rapid group A strep antigen detection X MM, M6, M10, M17, M20 28, 29

Rapid group A strep antigen detection, waived X M14 28

Red blood cell count (RBC) X XH1, XH3, XH4 15

Respiratory syncytial virus (RSV) antigen detection X M21 30

Reticulocyte count X XH9 16

Rheumatoid factor, qualitative and quantitative X XS1, XS5 32

Rotavirus antigen detection X M21 30

Indices




Sodium X CH, CH3, L24 9, 11

Sperm count X XU10 20

Sperm presence/absence XU10 20

Stool for leukocytes X XU4P, XU5P, XU8P 18, 19

T3, total (Triiodothyronine, total) X CH 9

T3 uptake X CH 9

T3, free (Triiodothyronine, free) X CH 9

T4, total (Thyroxine, total) X CH 9

T4, free (Thyroxine, free) X CH 9

Theophylline X CH 9

Throat culture X MM, M1, M10, M17, M20 28, 29

Thyroid-stimulating hormone (TSH) X CH 9

Tricyclic group L26 12

Triglycerides X CH, CH3, L17 12

Troponin I X L25, L30 12, 13

Troponin T X L25 12

Urea nitrogen (BUN) X CH, CH3 9

Uric acid X CH, CH3 9

Urine albumin (microalbumin): creatinine ratio XUX11 20

Urine albumin (microalbumin), semiquantitative X XUX11 20

Urine bilirubin X XU, XU1, XL5 18, 34

Urine blood/hemoglobin X XU, XU1, XL5 18, 34

Urine colony count X M9, M17 29

Urine colony count/urine culture identification X M9, M17 29

Urine culture X MM, M9, M10, M17, M20 28, 29

Urine drug screen X L26 12

Urine glucose X XU, XU1, XL5 18, 34

Urine hCG, qualitative X XU, XU6, XL5 18, 34

Urine ketones X XU, XU1, XL5 18, 34

Urine leukocyte esterase X XU, XU1, XL5 18, 34

Urine nitrite x XU, XU1, XL5 18, 34

Urine pH X XU, XU1, XL5 18, 34

Urine protein X XU, XU1, XL5 18, 34

Urine reducing substances X XU, XU1, XL5 18, 34

Urine sediment, color photographs X XU2P, XU5P, XU7P 18

Urine specific gravity X XU, XU1, XL5 18, 34

Urine urobilinogen X XU, XU1, XL5 18, 34

Vaginal wet preparations X XU4P, XU5P, XU8P 18, 19

Valproic acid X CH 9

Vitamin B12 X CH9 10

WBC differential, automated X XH3, XH4, XH7 15, 16

White blood cell count (WBC) X XH1, XH3, XH4, XH6 15, 16

Customer SupportandOrdering Information12


Customer Support and Ordering Information

Customer Support ............................................................................................................50Ordering Information, Forms, Terms and Conditions........................................................51–54Additional Information for International and Non-Continental US Customers ......................55–57Shipping Calendar ..........................................................................................................58Order Forms ....................................................................................................................59

Customer Support



Customer Support

CAPTRAKerSM E-mailThe CAP’s electronic PT kit shipment-tracking service offers these services to your lab:

� Locate your PT kit in an instant� Receive CAPTRAKer e-mails notifying you of product shipments� CAPTRAKer e-mail will include a link to FedEx tracking information

To initiate the receipt of CAPTRAKer e-mails, please forward your name, account number, and e-mail address [email protected].

e-LAB Solutions™

Join over 10,000 laboratories that are using the CAP’s online proficiency testing service. Using e-LAB Solutions, your laboratorycan take advantage of the following benefits:

� Enter and view results online� View or print copies of evaluations, participant summary reports, kit instructions, and result forms� View or print your Analyte Reporting Selections document to ensure proper regulatory reporting� Access the “My PT Calendar” feature, which shows your customized proficiency testing shipping calendar� Access accreditation information, including your laboratory’s customized accreditation checklists

The site also contains a User’s Guide that will help walk you through the process. By opting in, your laboratory will receiveimportant e-mail notifications regarding proficiency testing events such as non-receipt of your result forms and evaluationavailability online.

Program CertificatesAt the completion of the program year, participating laboratories will receive a program certificate that recognizes eachinstitution’s participation in the CAP EXCEL Program and its commitment to patient care. Certificates are signed by the CAPpresident and are suitable for framing.

Contact Center Hours: Monday–Friday, 7:00 AM–5:30 PM CT

Call us for the following: 800-323-4040 option 1• Speak with a Contact Center representative 847-832-7000 option 1• Change contact information (telephone number,

e-mail address, fax number, or address)• Discuss special needs (International)• Initiate CAPTRAKerSM e-mail

To contact the CAP via e-mail Log on to www.cap.org and select “Contact Us” at the top ofthe home page.ORSend e-mail to [email protected].

To submit orders or permits Fax: 847-832-8168e-mail: [email protected]

Laboratory Accident Hotline 800-443-3244847-470-2812

Contact Information

Ordering Information, Forms, Terms and Conditions

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To ensure accurate and timely order placement, please:

� Return ALL pages of your renewal order form, including payment information.

� Please print legibly and follow all instructions for adding and canceling products. The order form is processedusing optical character recognition so legible printing will help ensure the accuracy of your order.

Order Deadline� Order by December 1, 2009, to ensure full participation.

� Order early. Some products have limited quantities.

� Orders received after December 1, 2009, will be processed by date of receipt and pro-rated per product availability.

Renewal Orders (for current customers)� Products ordered as of August 1, 2009, have been pre-printed on your order renewal form.

� Review all notes.

� Refer to this catalog for product changes, discontinuation, and new products.

� Complete form with payment information and fax all pages to Customer Data Management.

� An order acknowledgment will be e-mailed.

� Once processed, your order confirmation will be mailed to the shipping contact. Order changes can be madeat that time.

� You can also see a list of products under “My PT Shipping Calendar” at www.cap.org.

Order Additions and Cancellations� Every effort will be made to accommodate orders received after December 1, 2009, dependent on the shippingschedule and specimen availability.

� Due to vendor commitments, cancellations must be received no later than six weeks prior to the ship date to receivecredit for cancelled products.

CAP and CLIA Numbers� Please have your CAP number available when placing orders. If you are a new CAP customer, a CAP number will beassigned and will appear on your order confirmation.

� US Customers: Confirm or provide the laboratory’s CLIA identification number, which is assigned by the Centers forMedicare & Medicaid Services (CMS) and can be obtained from your laboratory director. Contact your CMS RegionalOffice if you do not have a CLIA ID number.

� Orders may be submitted pending assignment of your CLIA number. Forward the number to CAP once assigned.

� An additional blank order form is provided for your convenience.




Prices

� Prices are listed on the Price List in Section 10 of this catalog and on the product pages of the online virtual cataloglocated at www.cap.org.

� Prices are listed in US dollars.

� Prices exclude taxes, duties, and other applicable charges; all prices are subject to change without notice.

� The CAP reserves the right to change the published prices and ship dates for products in this catalog.

PaymentComplete the payment section of the order form. To avoid delay in the processing of your order, one of the following methods ofpayment is required:

� Check payable to the College of American Pathologists in US dollars.

� Credit Card number, expiration, cardholder’s name, and authorized signature.

� Purchase Order: Contact the CAP if a price quote is required prior to processing a purchase order.

� Letter of Authorization: If your institution does not use a PO system, a signed letter of authorization on institutionalletterhead will be accepted.

� Wire Transfer: If your institution will be paying with a wire transfer or ACH, a signed letter of notification oninstitutional letterhead should be included with your order.

Payment Terms and Conditions� For orders processed by October 31, 2009, payment terms are extended until December 1, 2009.

� After November 1, 2009, terms will be net 30 days from the invoice date.

� CAP terms and conditions supercede any terms and conditions supplied by the customer.

Wire Transfer Information� Include all bank fees with your payment.

� The CAP is not responsible for bank fees incurred while remitting payment.

� Remit wire transfer payment to:

• Harris Bank, 311 West Monroe Street, Chicago, Illinois 60606 USA

• Phone: 312-461-2121

• Account Number: 223-733-7

• ABA Number: 071000288

• SWIFT #: HATRUS44

� Include the following information:

• Customer name

• CAP number

• Account number

• Invoice and/or order number


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Tax Information

� Appropriate taxes for your locale will be assessed and added to your invoice if your institution is subject to sales tax.

� Include applicable taxes with your prepaid order.

� If your institution is not subject to sales tax and you have not previously notified the CAP, enclose your tax-exemptcertificate with your order form.

� The CAP federal tax identification number is 36-2118323.

Product Usage� All products are intended for proficiency testing (PT) use only.

� PT samples, their progeny, unmodified derivatives, or modifications thereof may not be transferred or incorporatedinto a product intended for sale.

� PT samples, their progeny, unmodified derivatives, or modifications thereof, reagents, and disposable equipment usedin proficiency testing, when disposed of, should be autoclaved or incinerated and disposed of as hazardous waste.

� All directions concerning use of the product are intended as guidance only.

� No license is either granted or implied by the sale of any product.

Laboratory Accident Hotline800-443-3244847-470-2812 (for International Customers)

Accidental exposures while processing specimens from the CAP, including cuts and contamination of mucous membranes ornon-intact skin, should be reported to the CAP hotline for evaluation and questions regarding prophylaxis. Please have availablethe identification number of the relevant specimen.

Biohazard Information/Warning Statements� All bacterial and viral strains used in PT challenges have been classified by the Centers for Disease Control andPrevention (CDC) as not greater than a Biosafety Level 2. A full description of Biosafety Level 2 handlingrequirements, as defined by the CDC Office of Health and Safety in Biosafety in Microbiological and BiomedicalLaboratories, can be found at www.cdc.gov/OD/ohs/biosfty/bmbl5/bmbl5toc.htm.

� All modules include a biohazard warning statement appropriate for handling of the material.

� Modules that do not include etiologic agents are still expected to be handled in keeping with CDC universalprecautions and OSHA blood borne pathogen rules.

Shipping� All shipments are made Freight On Board (FOB), origin Delivered Duty Unpaid (DDU).

� The CAP is not liable for loss or damage caused by force majeure.

� Provide a complete shipping address, telephone number, fax number, e-mail address, and contact name on yourorder form.

� Post office box numbers are not an acceptable address for product shipments.

� Most proficiency testing shipments will be sent via overnight or two-day service.




Prelicensure/Reinstatement Service� The CAP provides proficiency testing (PT) samples to laboratories that may need to perform prelicensure testing beforebeginning patient testing and/or reinstatement testing due to PT failures.

� PT samples with limited stability will not be available for prelicensure/reinstatement testing. Contact the CAP for costand availability.

� Reinstatement evaluations will be provided upon submission of results to the CAP.

CMS Reporting� The College of American Pathologists is required to submit proficiency testing (PT) results to the Centers for Medicareand Medicaid Services (CMS) for all laboratories providing a CLIA identification number.

� Your reporting preferences are outlined on the CMS Analyte Reporting Selections document, which is available onlinein e-LAB Solutions.

� If a laboratory does not notify the CAP in advance that they have discontinued testing of a regulated analyte, a scoreof zero will be given.

� To avoid any penalties, analytes listed on this report for which you do not perform testing must be noted to ensureappropriate reporting in the future.

PT ReferralProficiency testing referral has come under greater scrutiny from inspectors for the Centers for Medicare and Medicaid Services(CMS). The CAP’s PT Program reminds participants that per CLIA ’88, laboratories must test the PT specimens it receives in thesame manner as it tests patient specimens—specimens must be tested with the laboratory’s regular workload, using thelaboratory’s routine methods, and the same number of times it routinely tests patient specimens. However, laboratoriesmust not communicate results, share proficiency testing specimens, or refer proficiency testing specimens to a laboratorywith a different CLIA number for tests not on the laboratory’s menu even if the referral for testing is routinely performed forpatient specimens.

Information for International and Non-Continental US Customers

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Additional Information for International andNon-Continental US Customers

What you need to know before your PT product is shipped:

PermitsMany countries require import permits or certificates of origin for customs clearance (regardless of hazard status of a product).

� Import permits are obtained by you the recipient and forwarded to the CAP for inclusion with the product shipment.You will also need to give these documents to your broker or the local Federal Express office.

� Work with your local authorities to determine if any permits are required.

� Use product descriptions in the CAP catalog to prevent discrepancies in permit preparation and customs clearancedocuments.

� Products with hazardous materials may require special permits and incur additional charges.

� Products will not ship without required documentation.

� You are responsible for monitoring permit expiration dates and submitting a new permit.

Permits should be submitted at the time of ordering but minimally six weeks prior to the stated product ship date to ensureon-time delivery.

Canadian PermitsCurrent Canadian regulations require permits to import animal and human pathogens. These permits must be obtained by therecipient for all infectious modules from:

� The Public Health Agency of Canada

� The Canadian Food Inspection Agency

Products requiring Canadian import permits are listed below and are accurate as of May 1, 2009.


M1 Throat Culture

M9 Urine Colony Count/Urine Culture Identification

M10 Urine and Throat Culture/Rapid Strep A Antigen Detection

M17 Urine Colony Count/Urine Culture Identification, Rapid Group A Strep Antigen DetectionThroat Culture

M18 C. difficile Toxin Antigen Detection

M20 Microbiology Combination, basic

MM Microbiology Combination, comprehensive

Modules Requiring Canadian Import Permits

Hawaiian PermitsThe state of Hawaii requires import permits. You may obtain an import permit by contacting the Plant Quarantine Branch of theState of Hawaii Department of Agriculture. Form PQ-7 must be completed to obtain an import permit.





M1 Throat Culture

M9 Urine Colony Count/Urine Culture Identification

M10 Urine and Throat Culture/Rapid Strep A Antigen Detection

M17 Urine Colony Count/Urine Culture Identification, Rapid Group A Strep Antigen DetectionThroat Culture

M20 Microbiology Combination, basic

MM Microbiology Combination, comprehensive

EXCEL Modules with Hazardous Materials

Shipping and Handling ChargesAdditional fees of up to $140 (US dollars) are charged for products sent outside the United States to cover shipping costs andhandling requirements. All additional fees, duties, and taxes not reflected in CAP list prices may be imposed on orders;customers should check with the local customs office regarding these charges. Note: Refunds are not issued for this fee onceany of the shipments have been sent.

If a special or hazardous material shipping and handling charge is required for your order, the additional fee referencedabove will be waived. The calculation of the hazardous material shipping and handling charge is based upon the method ofproduct delivery designated for your country. The charge is $330 USD to ship via freight forwarder, $195 USD to ship airport-to-airport, or $85 USD to ship door-to-door via courier.

The following paper/online products are NOT subject to shipping and handling charges:

CarriersAll 2010 proficiency testing program shipments will be sent via Federal Express.

In select instances CAP must use a freight forwarder to ship products to your destination. If this is the case, the CAP will contactyou regarding additional fees. If your organization is specifically requesting shipment via a freight forwarder at your expense,provide the CAP with both your final shipment address and the freight forwarder’s US domestic address and contact information.

Tax Identification NumberProvide CAP with your federal tax identification number if your country requires that number be listed on the commercialinvoice.

Special RequirementsDiscuss any special shipping requirements or updates with the CAP Customer Contact Center staff.

All requests for special shipping arrangements must be received at the CAP a minimum of six weeks prior to the stated productship date.


XH7 Centrifugal Hematology

No Shipping and Handling Charges

The EXCEL modules listed below contain hazardous materials and may require special permits and additional charges:


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Product StabilitySome products have limited stability and may be difficult to transport to some locations.

Please note that replacements will not be available for products with limited stability. EXCEL materials that are liquid are shippedwith frozen cold packs or dry ice and need to be kept cold as much as possible. If transportation to your location does not allowfor these conditions to be met, replacements will not be available.

If the CAP accredits your international laboratory, please review options for addressing issues with material instability with theCAP Laboratory Accreditation Program staff.

Customers shall be liable for all costs and expenses related to the return of shipments to the CAP or its designated packagers, ifthe reason for such return is late product cancellation, shipment refusal, or invalid ship-to address.

Dry Ice

Some shipments are packed on dry ice to maintain product stability. Dry ice shipments are shipped as UN1845 dangerousgoods shipment. Due to sublimation, there may not be any dry ice present when you open your kit. This is not an indication thatthe product has been compromised. If your country does not allow dry ice shipments, your modules will be packaged with coolpacks that may not be as effective in maintaining a cool environment. Upon receipt, follow the kit storage instructions as soon aspossible.

Important Information Once Your PT Product Arrives in Your Country:

Duties and Taxes� Duties and import taxes imposed by countries outside of the United States are the responsibility of the customer andcannot be waived by the CAP.

� Shipments are processed Delivered Duty Unpaid (DDU).

Local ArrangementsThe CAP recommends you contact the carriers in your country to discuss delivery requirements. It may be necessary to completea power of attorney (POA) or identify your broker for customs clearance. Establishing an account with the appropriate carrier(s)will expedite delivery by allowing the carrier to charge duties and taxes direct to your account.

Commercial InvoiceCommercial invoices are affixed to packages as required by international shipping conventions. The commercial invoice is anofficial transaction record between an exporter and an importer. This is the form customs officials use to clear your shipment.

The invoice total listed on the commercial invoice is not an amount due to the CAP or your country. The invoice total is listed forthe purpose of computing duties and taxes.

DeliveryCAP products are shipped door-to-door service whenever possible. In instances where your country does not allow delivery toyour door, the CAP can only arrange shipment to an airport. In these instances you will be notified when a product has beencleared and is ready for pickup. You must take action at that point to pickup your shipments. Refusal to pick up your shipmentmay result in cancellation of your order for any remaining shipments.

Carrier ContactCarriers or customs officials may attempt to contact you if there are issues regarding clearing your shipment. Please respond tothese requests for additional information as soon as possible. Contact the CAP if you need additional product information toexpedite clearance.

Failure to respond to information requests from carriers and customs officials may result in the following:

� Additional charges to your organization may be incurred for storage and management fees.

� Disposal or return of your shipment may also cause you to incur additional fees.


L25 Cardiac Markers

L28 B-type Natriutetic Peptides Survey

Products Shipped on Dry Ice

2010 EXCEL Shipping Calendar

Discipline Mailing Kit Shipment Date Kit Replacement Deadline

Hematology/Urinalysis and Clinical Microscopy/ XL-A February 1 February 11Coagulation XL-D May 10 May 20

XL-G September 13 September 23

Chemistry XL-B March 9 March 19Xl-E June 8 June 18XL-H October 12 October 22

Immunology/Microbiology XL-C March 29 April 8XL-F August 9 August 19XL-I November 29 December 9

2010 EXCEL Program Shipment Schedule

If you do not receive your shipment—or you receive an incomplete or damaged shipment—please contact the CAP CustomerContact Center directly within 10 calendar days of the shipment date to order replacement specimens.

Shipping Calendar



The CAP is committed to the success of pathologists and the laboratorycommunity, both for today and tomorrow. We’ve recently launched a multiyeartransformation effort to create an enhanced and evolved role for pathologistsover the next generation—yielding a greater recognition as physicians activelyinvolved on the patient care team.

Learn more at cap.org/transformation

Primary role onthe clinical team…

Use of innovativetechnology…

Do you see yourself inthe center of patient care?

Central position in themedical team…

Involved inhealth care reform…

AccreditationOffers the "gold standard" for laboratoryaccreditation

Proficiency TestingEnsures precision and confidence for your lab

CAP 15189SM

Recognizes a sustainable Quality ManagementSystem

EducationServes as a leading resource for informationand education in the lab

Efficiency/Quality ToolsAllows more time for patient care

AdvocacyRepresents the interests of pathologists in thegovernment and regulatory arenas and in theprivate sector

MembershipProvides valuable benefits and leadership forall laboratory professionals

SNOMED Terminology Solutions™

Provides clinical and technical consultationservices, education, and health informationtechnology

Programs andResources

College of American Pathologists325 Waukegan RoadNorthfield, IL 60093-2750800-323-4040 or847-832-7000 option 1www.cap.org

6.8M/709/37180-2

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