Measles (Rubeola) Antibody, IgM

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. Measles (Rubeola) Antibody, IgM
2.
3.
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5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

LAB801

Specimen Type:

Collect 1.5 mL (minimum 0.6 mL) in a Red top (no anticoagulant) tube.

Tube Type:

Red top (no anticoagulant)

Alternate Tube Type:

Serum separator tube (SST)

Preferred Volume:

1.5 mL

Cause for Rejection:

Quantity not sufficient; collected in wrong tube type; unlabeled or mislabeled sample

Storage:

Refrigerated

Availability:

Sent to reference laboratory (Mayo)

Methodology:

Immunofluorescence Assay (IFA)

TAT:

3 days

Synonyms:

Rubeola IgM; Measles Antibody IgM