Technical Bulletins

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2026 Technical Bulletins


  • New Gram Positive Cocci Susceptibility Panels

    • New Chemistry & Immunology Instrumentation and Reference Ranges

    • Update to Coagulation reference ranges (BNP)

    • Update to Coagulation reference ranges (TnI)

    2025 Technical Bulletins


    • Discontinuation of Respiratory syncytial virus (RSV) Antigen testing

    • Respiratory Disease (Influenza AB, COVID-19 & RSV) NAAT Testing Updates

    • Clostridioides (Clostridium) difficile PCR now available at Queen’s Manamana and Queen’s West Oahu laboratories

    • Updates to PT/INR Result Reporting – Effective October 7, 2025

    • Transition to New von Willebrand, Factor Assays and Introduction of von Willebrand Activity Assay

    • BIOFIRE FILMARRAY GI Panel Update: Vibrio targets

    • NGS Oncology Tumor Profile Update - ComboMATCH Approved

    • UPDATE: Rapid Preliminary Identification from Positive Blood Culture Bottles

    • Lupus Anticoagulant Testing (dRVVT) and Introduction of Activated Protein C Resistance (APCR) Testing

    • New Chemistry & Immunology Instrumentation and Reference Ranges

    • Curian® Campy Rapid Fluorescent Immunoassay

    • Sending out Prolactin with Reflex to Monomeric Prolactin

    • Acceptable Group B Streptococcus (GBS) Source

    • UPDATE: Medical Device Recall: BIOFIRE FILMARRAY Pneumonia Panel

    • UPDATE: Medical Device Recall: BIOFIRE FILMARRAY GI Panel

    2024 Technical Bulletins


    • Sending out SARS-Cov-2 Nucleocapsid Total Ab, Qualitative and SARS-Cov-2 Spike Total Ab, Semi-Quantitative Testing

    • Replacement of the Melanoma NGS Profile

    • New Gram-Negative Bacillus Susceptibility Panels

    • Outsourcing Blood Cultures for Fungi and Acid Fast Bacilli (AFB)

    • Acceptable Fecal Occult Blood Collection Devices

    • Procalcitonin Biomarker for Serious Infections – Update #1

    • Reflex test algorithms for Hepatitis B and Hepatitis C

    • Aerococcus Susceptibility to Antimicrobics

    • Rapid PCR Testing for Mycobacterium tuberculosis

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    • Pyrazinamide (PZA) Testing for Mycobacterium tuberculosis

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    • Sexually Transmitted Infection Testing in Young Patients

    • Legionella Testing by Urine Antigen & Legionella Culture

    • Sending Out Mitochondrial M2 Antibody Testing

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    2023 Technical Bulletins


    • No Longer Covered: Respiratory Panel & Stool GI Pathogen Panel

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    • HCV Panels simplify compliance with Public Health recommendations

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    • Discontinuation of DNA/RNA Shield Collection Media and DLS Central Testing for COVID-19 on ThermoFisher High-Throughput Platform

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    • Update to HSV Serology Testing and STI Panels

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    • Updated Interpretive Comments for QuantiFERON-TB Gold Plus

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    • Testing for Sexually Transmitted Infections - Update

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    • Testing for Sexually Transmitted Infections - Expansion

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    • New Testing for Carbapenemase Genes Improves Inpatient Management

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    • SARS-CoV-2 EUA Fact Sheets for Providers

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    2022 Technical Bulletins


    • HIV Antigen/Antibody Screen Test Provides Analyte-Specific Results

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    • QuantiFeron IGRA Demonstrates Uncertainty Around the Cutoff

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    • Outsourcing Ova and Parasite Test for Intestinal Parasites

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    • Medicare Coverage Restriction for Combination Orders of Tumor Antigen CA 15-3 (TC 207) and CA 27.29 (TC 4659)

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    • Taxonomy Changes in the MALDI-TOF/MS Database

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    • Interpretation of SARS-CoV-2 (COVID-19) PCR Presumptive Positive

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    2021 Technical Bulletins


    • Remove race from eGFR Calculation

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    • RAPIDPoint 500e Blood Gas Analyzer

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    • Suppression of Clostridioides difficile Result in Multiplex GI Panel

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    • Temporary Discontinuation of VerifyNow

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    • Update: Kappa and Lambda Light Chains, Free testing performed in house

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    • Fecal Lactoferrin Replacing WBC-Stool (Fecal Leukocytes) to Indicate Inflammation in the Bowel

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    • Discontinuation of Hemoccult Fecal Occult Blood Test

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    • Updated Albumin / Globulin Ratio Reference Range

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    • Tissue Oncology Testing is available in CARE*Link

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    • Oncology Testing Supports QMC Precision Medicine Program

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    • Discontinuation of In-house Hepatitis B envelope Ag and Ab Testing

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    2020 Technical Bulletins


    • Updated Kappa and Lambda Light Chains, Free

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    • The VDRL Test Performed on CSF will Automatically Reflex to Provide a Titer

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    • Discontinuation of Streptozyme Testing

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    • Antimicrobic Susceptibility Interpretations

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    • Change in Ordering Practice for Outpatient Transfusions

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    • Tests Unavailable for Add-on Requests

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    • Troponin T Generation 5 STAT Assay

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    • Rapid Multiplex Pneumonia Panel Now Available at Central

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    2019 Technical Bulletins


    • Local testing for procalcitonin is available in Guam beginning December 17, 2019

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    • Update on Testing for Helicobacter Pylori Infections

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    • Rapid PCR replaces Antigen Testing for Influenza in Guam

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    • Availability of QuantiFERON-TB Gold Plus in Guam and Saipan

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    • Update for Urinalysis Result Reporting

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    • Quantitative CMV testing by qPCR available at DLS Central Laboratory

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    • Clostridioides (Clostridium) difficile screening now available at Queen’s Punchbowl and Queen’s West Oahu laboratories

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    • New Bood Culture Instruments and Bottles

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    • Updated Fluoroquinolone Susceptibility Interpretation

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    • Genotyping for HIV Drug Resistance now includes Integrase Inhibitors

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    • Routine and Special Circumstance use of Throat Culture

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    • Next Generation Hepatitis B Surface Antigen Assay

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    • Pneumococcus Testing by Rapid Antigen Compliments Laboratory Approach to Community-Acquired Pneumonia (CAP) and Meningitis

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    • Update to Protime INR reporting range

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    • Reflex test algorithms for Hepatitis B and Hepatitis C

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