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 Introduction of Laboratory Categorization

Here we are talking about medical laboratory and laboratory categorization depends on tests doing inside it. No doubt,  if there is a large number of tests, manpower ( staffs) and infrastructures required according to that.

Types of Laboratory Categorization

Laboratory categorization fully depends on a load of laboratory tests and it is of the following types of groups-

1. Group A Medical Laboratory
2. Group B Medical Laboratory
3. Group C Medical Laboratory
4. Group D Medical Laboratory
5. Group E Medical Laboratory

Related tests according to Laboratory Categorization

Group E Medical Laboratory may only proceed following tests-

•  Hemoglobin (Hb)
• Total Lymphocyte Count
• Differential Count
• ESR
• Blood Group
• Bleeding Time
• Clotting Time
• Blood Sugar
• Urea
• Serum Bilirubin
• Serum Uric Acid
• Serum Total Protein
• Serum Albumin
• Sputum AFB
• Urine Biochemical Test
  (sugar, protein, pH)
• Urine Routine Microscopy
• Stool Routine
• Stool for Reducing Substance
  Urine Pregnancy Test (RDT)

Group D Medical Laboratory may only proceed following tests-

Hematology

•  Hemoglobin (Hb)
• Total Lymphocyte Count
• Differential Count
• ESR
• Blood Group
• Bleeding Time
• Clotting Time
• RBC count
• PT
• APTT
• Platelet count
• Red cell indices
• Hematocrit

Biochemistry 

• Blood Sugar
• Urea
• Serum Bilirubin
• Serum Uric Acid
• Serum Total Protein
• Serum Albumin
• SGPT, SGOT, ALP
• Lipid profile (TG, Cholesterol, HDL, LDL )
• LDL (if other than calculation)
• Creatinine
• Sodium, potassium

Microbiology

• Sputum AFB
• Gram Stain
• KOH mount

Serology

• RPR
• Widal
• ASO
• RA factor
• CRP

Miscellaneous

• Urine Biochemical Test
  (sugar, protein, pH)
• Urine Routine Microscopy
• Urine ketone, urobilinogen, bile salt, bile pigment
• Urine Bence Jones protein
• Stool Routine
• Stool for Reducing Substance
• Stool for Occult blood
• Urine Pregnancy Test (RDT)
• HIV, HBsAg, HCV (RDT)

Group C Medical Laboratory may only proceed following tests-

Hematology

• Hemoglobin (Hb)
• Total Lymphocyte Count
• Differential Count
• ESR
• Blood Group
• Bleeding Time &
• Clotting Time
• RBC count
• PT
• APTT
• Platelet count
• Red cell indices
• Hematocrit
• Absolute count ( eosinophil, neutrophil, etc.)
• Retic count
• Peripheral smear
• Crossmatch
• Bone marrow examination

Biochemistry 

• Blood Sugar
• Urea
• Serum Bilirubin
• Serum Uric Acid
• Serum Total Protein
• Serum Albumin
• SGPT, SGOT, ALP
• Lipid profile (TG, Cholesterol, HDL, LDL )
• LDL (if other than calculation)
• Creatinine
• Sodium, potassium
• TFT
• Cardiac enzymes (CK, CKMB)]
• Other enzymes ( provide the name as well)

Microbiology

• Sputum AFB
• Gram Stain
• KOH mount
• Culture (bacteriology)

Serology

• RPR
• Widal]
• ASO
• RA factor
• CRP
• Infectious disease marker by ELISA or another method (except by RDT kit)

Miscellaneous

• Urine Biochemical Test (sugar, protein, pH)
• Urine Routine Microscopy
• Urine ketone, urobilinogen, bile salt, bile pigment
• Urine Bence Jones protein
• Stool Routine
• Stool for Reducing Substance
• Stool for Occult blood
• Urine Pregnancy Test (RDT)
• HIV, HBsAg, HCV (RDT)
• Body fluid analysis
• Semen analysis

Histocytopathology

• Gynae cytology
• Non-gynae cytology
• FNAC
• Histopathology

Group B and A Medical Laboratory may only proceed following tests-

Hematology

•  Hemoglobin (Hb)
• Total Lymphocyte Count
• Differential Count
• ESR
• Blood Group
• Bleeding Time
• Clotting Time
• RBC count
• PT
• APTT
• Platelet count
• Red cell indices
• Hematocrit
• Absolute count ( eosinophil, neutrophil, etc.)
• Retic count
• Peripheral smear
• Crossmatch
• Bone marrow examination

Biochemistry

• Blood Sugar
• Urea
• Serum Bilirubin
• Serum Uric Acid
• Serum Total Protein
• Serum Albumin
• SGPT, SGOT, ALP
• Lipid profile (TG, Cholesterol, HDL, LDL )
• LDL (if other than calculation)
• Creatinine
• Sodium, potassium
• TFT
• Cardiac enzymes (CK, CKMB)
• other enzymes ( provide the name as well)

Microbiology

• Sputum AFB
• Gram Stain
• KOH mount
• Culture (bacteriology)

Serology

• RPR
• Widal
• ASO
• RA factor
• CRP
• Infectious disease marker by ELISA or another method (except by RDT kit)

Miscellaneous

• Urine Biochemical Test
  (sugar, protein, pH)
• Urine Routine Microscopy
• Urine ketone, urobilinogen, bile salt, bile pigment
• Urine Bence Jones protein
• Stool Routine
• Stool for Reducing Substance
• Stool for Occult blood
• Urine Pregnancy Test (RDT)
• HIV, HBsAg, HCV (RDT)
• Body fluid analysis
• Semen analysis

Histo-cytopathology

• Gynae cytology
• Non-gynae cytology
• FNAC
• Histopathology

Other special tests

• Coagulation profile
• Hormones (except TFT)
• Tumor marker
• IHC
• Molecular test
• Other specialized tests/superspecialized tests

Key Notes

1. In group A level laboratory, there might be extra tests than group B in superspecialization tests.
2. Laboratory categorization has just been taken from a developing country that may vary from country to country.