TABEL
PEMERIKSAAN KIMIA KLINIK
|
NO
|
NAMA
TEST
|
BAHAN
|
|
HEMATOLOGI
|
||
|
1
|
Darah
Rutin CBC/FBC
|
1
ml darah EDTA
|
|
2
|
Hemoglobin
|
0,5
ml darah EDTA
|
|
3
|
Trombosit
|
0,5
ml darah EDTA
|
|
4
|
Hitung
Jenis
|
0,5
ml darah EDTA
|
|
5
|
Laju
Endap Darah
|
2
ml darah EDTA
|
|
6
|
Leukosit
|
0,5
ml darah EDTA
|
|
7
|
Eri,
Leuko, Trom, Ht
|
2
ml darah EDTA
|
|
8
|
Gambaran
Darah Tepi
|
0,5
ml darah EDTA
|
|
9
|
Retikulosit
dan RPI
|
2
ml darah EDTA
|
|
10
|
Resistensi
Osmotik
|
4
ml darah EDTA
|
|
11
|
T
Lymphocyte – CD4 Count
|
2
ml darah EDTA
|
|
12
|
Eosinophil
Count
|
0,5
ml darah EDTA
|
|
13
|
Golongan
Darah (ABO) dan Rhesis
|
0,5
ml darah EDTA
|
|
ANEMIA
|
||
|
1
|
Haptoglobin,
intravascular hemolysis
|
0,5
ml serum
|
|
2
|
LDH
|
0,5
ml serum
|
|
3
|
Fe/serum
iron, saturasi besi
|
0,5
ml serum
|
|
4
|
TIBC
|
0,5
ml serum
|
|
5
|
Ferritin
|
0,5
ml serum
|
|
6
|
Transferin
|
0,5
ml serum
|
|
7
|
Asam
Folat/Folate Serum
|
0,5
ml serum
|
|
8
|
Vit
B-12
|
0,5
ml serum
|
|
9
|
G6PD
eritrosit defisiensi
|
0,5
ml darah EDTA
|
|
10
|
Elektroforesa
Hemoglobin, HPLC
|
2
ml darah EDTA
|
|
11
|
Coombs’
direk anti human (IgG & C3)
|
0,5
ml darah EDTA
|
|
12
|
HPLC
Thal Hb-paties Screen
|
0,5
ml darah EDTA
|
|
KOAGULASI
|
||
|
1
|
Agregasi
Trombosit
|
9
ml darah citras (1-9) fresh
|
|
2
|
Anti
– Trombin (AT) 111
|
3
ml darah citras (1-9) fresh
|
|
3
|
PT/PPT
|
2
ml darah citras (1-9) fresh
|
|
4
|
APTT
|
2
ml darah citras (1-9) fresh
|
|
5
|
D-Dimer
|
2
ml darah citras (1-9) fresh
|
|
6
|
INR
|
2
ml darah citras (1-9) fresh
|
|
7
|
Trombosit
Owren
|
3
ml darah citras (1-9) fresh
|
|
8
|
Lupus
Anticoagulant (LA), lihat ACA
|
3
ml darah citras (1-9) fresh
|
|
9
|
Masa
perdarahan (BT)
|
|
|
10
|
Masa
pembekuan (CT)
|
|
|
11
|
Platelet/trombosit
antibody
|
10
cc darah beku+3 ml EDTA
|
|
12
|
Trombin
Time (TT)
|
3
ml darah citras (1-9) fresh
|
|
13
|
Fibrinogen
|
2
ml darah citras (1-9) fresh
|
|
14
|
Viscositas
darah
|
2
ml darah EDTA
|
|
15
|
Viscositas
plasma
|
3
ml darah citras (1-9)
|
|
LEMAK
|
||
|
1
|
Apo
A1
|
0,5
ml serum
|
|
2
|
Apo
B
|
0,5
ml serum
|
|
3
|
HDL
kolesterol (direk)
|
0,5
ml serum
|
|
4
|
LDL
kolesterol (direk)
|
0,5
ml serum
|
|
5
|
Kolesterol
total
|
0,5
ml serum
|
|
6
|
Lipid
profile (kolesterol, tg, HDL, LDL)
|
0,5
ml serum
|
|
7
|
Lp
(a)
|
0,5
ml serum
|
|
8
|
Small
dense LDL, indirek LDL/ApoB ratio
|
0,5
ml serum
|
|
9
|
Small
dense LDL, direk mg/dL
|
0,5
ml serum
|
|
10
|
Trigliserida
|
0,5
ml serum
|
|
11
|
Total
lipid
|
0,5
ml serum
|
|
12
|
Adiponectin
|
0,5
ml serum
|
|
13
|
Leptin
|
2
ml serum
|
|
DIABETES
MELLITUS/ENDOKRIN
|
||
|
1
|
C-peptide
2 jam pp
|
0,5
ml serum
|
|
2
|
C-peptide
puasa
|
0,5
ml serum
|
|
3
|
Fruktosamin
|
0,5
ml serum
|
|
4
|
AIC/HbAIC
|
0,5
ml darah EDTA (fresh)
|
|
5
|
Insulin
puasa
|
0,5
ml serum
|
|
6
|
Insulin
2 jam pp
|
0,5
ml serum
|
|
7
|
Homa
B
|
0,5
ml serum+0.5 ml plasma NaF
|
|
8
|
Homa
IR
|
0,5
ml serum+0.5 ml plasma NaF
|
|
9
|
Glukosa
puasa
|
0,5
ml serum
|
|
10
|
Glukosa
2 jam pp
|
0,5
ml serum
|
|
11
|
Glukosa
sewaktu
|
0,5
ml serum
|
|
GINJAL
ELEKTROLIT
|
||
|
1
|
Kreatinin
|
0,5
ml serum
|
|
2
|
BUN/ureum
|
0,5
ml serum
|
|
3
|
Keatinin,
e GFR-MDRD
|
0,5
ml serum
|
|
4
|
Creatinin
Clearance
|
0,5
ml serum, 5 ml urine 24 jam
|
|
5
|
Urea
Clearance
|
0,5
ml serum, 5 ml urine 24 jam
|
|
6
|
Asam
urat
|
0,5
ml serum
|
|
7
|
|
0,5
ml serum
|
|
9
|
Mikroba
non urine
|
0,5
ml serum
|
|
10
|
Calcium
|
0,5
ml serum
|
|
11
|
Calcium
ion
|
0,5
ml serum
|
|
12
|
Fosfor
|
0,5
ml serum
|
|
13
|
Magnesium
|
0,5
ml serum
|
|
14
|
Natrium
|
0,5
ml serum
|
|
15
|
Kalium
|
0,5
ml serum
|
|
16
|
Clorida
|
0,5
ml serum
|
|
17
|
Bikarbonat
|
0,5
ml serum
|
|
JANTUNG
|
||
|
1.
|
CK-MB,
Activity
|
0,5 mL Serum
|
|
2.
|
CK-MB Mass
|
1 mL darah
EDTA
|
|
3.
|
Troponin I
|
0,5 mL Serum
|
|
4.
|
Troponin T
|
3 mL darah
heparin
|
|
5.
|
Homocystein
|
0,5 mL Serum
|
|
6.
|
NT-Pro 8NP
|
1 mL darah
EDTA
|
|
7.
|
CK-NAC
|
0,5 mL Serum
|
|
8.
|
LDH
|
0,5 mL Serum
|
|
9.
|
Hs-CRP
|
0,5 mL Serum
|
|
10.
|
Rekam jantung
/ EKG
|
|
|
11.
|
Fibrinogen
|
1 mL darah
citras (1-9) fresh
|
|
12.
|
α – H8OH
|
1 mL Serum
|
|
FUNGSI HATI
|
||
|
1.
|
Albumin
|
0,5 mL Serum
|
|
2.
|
Globulin
|
0,5 mL Serum
|
|
3.
|
Bilirubin
Direct
|
0,5 mL Serum
|
|
4.
|
Bilirubin
Total
|
0,5 mL Serum
|
|
5.
|
Bile Acid
|
0,5 mL Serum
|
|
6.
|
Cholinesterase
(CHE)
|
0,5 mL Serum
|
|
7.
|
Fosfatase
Alkali (ALP)
|
0,5 mL Serum
|
|
8.
|
Gamma GT
|
0,5 mL Serum
|
|
9.
|
LDH
|
0,5 mL Serum
|
|
10.
|
Protein
Elektroforesa Serum
|
0,5 mL Serum
|
|
11.
|
Protein Total
|
0,5 mL Serum
|
|
12.
|
SGOT / AST
|
0,5 mL Serum
|
|
13.
|
SGPT / ALT
|
0,5 mL Serum
|
|
14.
|
Amonia (NH3)
|
3 mL plasma
EDTA dingin
|
|
HEPATITIS
VIRUS A - B - C
|
||
|
1.
|
Anti HAV / IgM
|
0,5 mL Serum
|
|
2.
|
Anti HAV IgG
|
0,5 mL Serum
|
|
3.
|
HBsAg II
Mutant
|
0,5 mL Serum
|
|
4.
|
HBsAg
Konfirmasi
|
1 mL Serum
|
|
5.
|
Anti HBs
|
0,5 mL Serum
|
|
6.
|
Anti Hbe
|
0,5 mL Serum
|
|
7.
|
HbeAg
|
0,5 mL Serum
|
|
8.
|
Anti HBs Titer
|
0,5 mL Serum
|
|
9.
|
Anti HBc IgM
|
0,5 mL Serum
|
|
10.
|
Anti HBc
|
0,5 mL Serum
|
|
11.
|
Anti HCV
|
0,5 mL Serum
|
|
12.
|
Anti HCV IgM
|
Tidak berlaku
lagi
|
|
BIOLOGI
MOLEKULER
|
||||
|
1.
|
HBV
- DNA Kuantitatif
|
1
Serum steril
|
||
|
2.
|
HBV
– DNA Kualitatif
|
1
Serum steril
|
||
|
3.
|
HBV
DNA Genotipe + HBV DNA Kuantitatif = hrs dengan sampel yang sama
|
1
Serum steril / plasma EDTA
|
||
|
4.
|
HCV
– RNA Kualitatif
|
1
Serum steril / 1 mL darah EDTA
|
||
|
5.
|
HCV
– RNA Kuantitatif
|
1
Serum steril / 1 mL darah EDTA
|
||
|
6.
|
HCV
– RNA Genotipe + RNA Kuantitatif = dengan sampel yang sama
|
1
Serum steril
|
||
|
7.
|
PCR
Salmonella
|
1
mL darah EDTA
|
||
|
8.
|
PCR
– TB
|
|
||
|
9.
|
PCR
CMV
|
|
||
|
10.
|
PCR
H2V
|
|
||
|
11.
|
PCR
HSV 1 & 2
|
|
||
|
12.
|
PCR
Chlamydia Trachomatis
|
|
||
|
13.
|
Dengue
virus RNA (RT - PCR)
|
|
||
|
14.
|
PCR
Malaria
|
3
mL Darah EDTA
|
||
|
15.
|
HPV
DNA Screening
|
|
||
|
16.
|
ADA
|
|
||
|
AUTOANTIBODI
– AUTOIMMUNE DISEASE – ANTIPHOSPOLIPID SHYNDROM (APS)
|
||||
|
1.
|
ANA
Detect (EIA)
|
0,5
mL Serum
|
||
|
2.
|
ANA
Biochip Combi (IFA)
|
0,5
mL Serum
|
||
|
3.
|
ANA
Profile – 3 Euroline, Test konfirmasi ACTD
|
0,5
mL Serum
|
||
|
4.
|
Anti
Nuclear Antibody (ANA), Anti ku
|
0,5
mL Serum
|
||
|
5.
|
Anti
Nuclear Antibody (ANA), Anti Nuclear Dots
|
0,5
mL Serum
|
||
|
6.
|
Anti
Nuclear Antibody (ANA), CENP B
|
0,5
mL Serum
|
||
|
7.
|
Anti
Nuclear Antibody (ANA), dsDNA
|
0,5
mL Serum
|
||
|
8.
|
Anti
Nuclear Antibody (ANA), histones
|
0,5
mL Serum
|
||
|
9.
|
Anti
Nuclear Antibody (ANA), Jo-1
|
0,5
mL Serum
|
||
|
10.
|
Anti
Nuclear Antibody (ANA), nRNP / Sm
|
0,5
mL Serum
|
||
|
11.
|
Anti
Nuclear Antibody (ANA), nucleosome
|
0,5
mL Serum
|
||
|
12.
|
Anti
Nuclear Antibody (ANA), Ribosomal P – proteins
|
0,5
mL Serum
|
||
|
13.
|
Anti
Nuclear Antibody (ANA), Ro – S2
|
0,5
mL Serum
|
||
|
14.
|
Anti
Nuclear Antibody (ANA), Scl – 70
|
0,5
mL Serum
|
||
|
15.
|
Anti
Nuclear Antibody (ANA), Sm
|
0,5
mL Serum
|
||
|
16.
|
Anti
Nuclear Antibody (ANA), SS – A (Ro)
|
0,5
mL Serum
|
||
|
17.
|
Anti
Nuclear Antibody (ANA), SS – B (La)
|
0,5
mL Serum
|
||
|
18.
|
Anti
Nuclear Antibody (ANA), PCNA
|
0,5
mL Serum
|
||
|
19.
|
Anti
Nuclear Antibody (ANA), PM - Scl
|
0,5
mL Serum
|
||
|
20.
|
Anti
Nuclear Antibody (ANA), AMA – M2
|
0,5
mL Serum
|
||
|
21.
|
Anti
Nuclear Antibody (ANA), Anti F – actin
|
0,5
mL Serum
|
||
|
22.
|
Anti
Nuclear Antibody (ANA), Anti Few Nuclear Dots
|
0,5
mL Serum
|
||
|
23.
|
Anti
Nuclear Antibody (ANA), Anti Fibrillarin / anti Nucleolar Clumpy
|
0,5
mL Serum
|
||
|
24.
|
Anti
Nuclear Antibody (ANA), Anti Golgi Apparatus
|
0,5
mL Serum
|
||
|
25.
|
Anti
Nuclear Antibody (ANA), Anti Lysosomes
|
0,5
mL Serum
|
||
|
26.
|
Anti
Nuclear Antibody (ANA), Anti Nuclear Membrane
|
0,5
mL Serum
|
||
|
27.
|
Anti
Nuclear Antibody (ANA), Anti RNA Polymerase 1
|
0,5
mL Serum
|
||
|
28.
|
Anti
Nuclear Antibody (ANA), Anti Vimentin
|
0,5
mL Serum
|
||
|
29.
|
Anti
ds – DNA
|
0,5
mL Serum
|
||
|
30.
|
ACA
IgG (dengan lupus anticoagulant = APS)
|
0,5
mL Serum
|
||
|
31.
|
ACA
IgM (dengan lupus anticoagulant = APS)
|
0,5
mL Serum
|
||
|
32.
|
Anti
Mitochondrial Antibody (AMA)
|
-
|
||
|
33.
|
ANCA
(vasculitis)
|
0,5
mL Serum
|
||
|
34.
|
Anti
Thyroglobulin (autoimmune thyroiditis)
|
1
mL Serum
|
||
|
35.
|
Lupus
Anticoagulant (LA 1 & LA 2)
|
3
mL Darah Citras (1 - 9) Fresh
|
||
|
36.
|
Smooth
Muscle Antibody (SMA)
|
0,5
mL Serum
|
||
|
37.
|
Complement
3 (C3)
|
0,5
mL Serum
|
||
|
38.
|
Complement
4 (C4)
|
0,5
mL Serum
|
||
|
39.
|
LE
sel, lihat ANA profile 3 Euroline
|
5
mL darah beku
|
||
|
HORMON
ENDOKRIN (HIPERTENSI-METABOLISME-REPRODUKSI-LAKTASI-PERTUMBUHAN-STRESS)
|
||||
|
1
|
Beta
HCG Serum
|
0,5
mL Serum
|
||
|
2
|
Cortisol
|
0,5
mL Serum
|
||
|
3
|
Estradiol
(E2)
|
0,5
mL Serum
|
||
|
4
|
FSH
|
0,5
mL Serum
|
||
|
5
|
Growth
Hormone (GH)
|
0,5
mL Serum
|
||
|
6
|
Insulin
– Like Growth Factor 1 (IGF-1)
|
0,5
mL Serum
|
||
|
7
|
Insulin
|
0,5
mL Serum
|
||
|
8
|
LH
(Luteinising Hormone)
|
0,5
mL Serum
|
||
|
9
|
Progesterone
|
0,5
mL Serum
|
||
|
10
|
Prolactin
(PRL)
|
0,5
mL Serum
|
||
|
11
|
Testostherone
|
0,5
mL Serum
|
||
|
12
|
Free
Testostherone
|
0,5
mL Serum
|
||
|
13
|
Dehydro
Testostherone / DHT
|
1
mL Serum
|
||
|
14
|
SHBG
|
0,5
mL Serum
|
||
|
15
|
DHEAS
|
1
mL Serum
|
||
|
16
|
ACTH
|
1
mL Plasma EDTA
|
||
|
OSTEOPOROSIS
|
||||
|
1
|
Vitamin
D3 total / Calcidiol (25 OH)
|
0,5
mL Serum
|
||
|
2
|
Ostheocalcin
|
1
mL Serum
|
||
|
VITAMIN
|
||||
|
1
|
Vitamin
A&E
|
1
mL Serum
|
||
|
2
|
Vitamin
B12
|
0,5
mL Serum
|
||
|
PENANDA
TUMOR / TUMOR MARKER
|
||||
|
1
|
Prostatic
Acid Phospatase (PAP)
|
0,5
mL Serum
|
||
|
2
|
Acid
Phospatase (ACP)
|
0,5
mL Serum
|
||
|
3
|
AFP
– HCC
|
0,5
mL Serum
|
||
|
4
|
Ca
125 : Ovarian Ca, Endometrial
|
0,5
mL Serum
|
||
|
5
|
Ca
15-3 : Breast Ca
|
0,5
mL Serum
|
||
|
6
|
Ca
19-9 : Gastric or Prancreatic Ca
|
0,5
mL Serum
|
||
|
7
|
Ca
72-4 : Lambung / Gastric Ca
|
0,5
mL Serum
|
||
|
8
|
Calcitonin
: Medulary Thyroid Ca
|
0,5
mL Serum
|
||
|
9
|
Cyfra
21-1 : Paru
|
0,5
mL Serum
|
||
|
10
|
HCG
: Tropoblastic
|
0,5
mL Serum
|
||
|
11
|
CEA
: Colorectal, Breast, Lung, HCC
|
0,5
mL Serum
|
||
|
12
|
NSE
: Small Ca of Lung
|
0,5
mL Serum
|
||
|
13
|
SCC
: Serviks Ca
|
0,5
mL Serum
|
||
|
14
|
CEA,
NSE, SCC
|
0,5
mL Serum
|
||
|
15
|
HE4
|
0,5
mL Serum
|
||
|
16
|
PSA
: Ca Prostat
|
0,5
mL Serum
|
||
|
17
|
Free
PSA
|
0,5
mL Serum
|
||
|
URINALISIS
|
||||
|
1
|
Graviditas
/ Pregnancy Test
|
5
mL Urine
|
||
|
2
|
Urine
Asam Urat
|
10
mL Urine 24jam
|
||
|
3
|
Urine
Calsium
|
10
mL Urine 24jam
|
||
|
4
|
Urine
Chlorida
|
10
mL Urine 24jam
|
||
|
5
|
Urine
Kalium
|
10
mL Urine 24jam
|
||
|
6
|
Urine
Lengkap/Rutin
|
10
mL Urine
|
||
|
7
|
Urine
Natrium
|
10
mL Urine 24jam
|
||
|
8
|
Urine
Phospor
|
10
mL Urine 24jam
|
||
|
9
|
Urine
Ureum
|
10
mL Urine 24jam
|
||
|
10
|
Urine
Glukosa
|
10
mL Urine
|
||
|
11
|
Mikroalbumin
(Urine 24 Jam)
|
20
mL Urine 24jam
|
||
|
12
|
Mikroalbumin
(Urine Sewaktu)
|
10
mL Urine
|
||
|
13
|
Esbach
|
30
mL Urine 24jam
|
||
|
14
|
Protein
Total Kuantitatif
|
20
mL Urine
|
||
|
15
|
Analisa
Batu Ginjal
|
Batu
Ginjal
|
||
|
16
|
Protein
Bence Jones
|
30
mL Urine fresh
|
||
|
STOOL
|
||||
|
1
|
Feses
Rutin
|
Feses
|
||
|
2
|
Darah
Samar / Occult Blood
|
Feses
|
||
|
3
|
H-Pylori
Stool Antigen
|
Feses
|
||
|
RHEUMATOID
ARTHRITIS
|
||||
|
1.
|
RF
& anti MCV
|
1
mL darah EDTA
|
||
|
2.
|
RF
/ RA kualitatif
|
0,5 mL serum
|
||
|
3.
|
igM
RF, sensitifitas = anti CCP
|
mL
serum
|
||
|
4.
|
Rose
waaler semi kualitatif
|
0,5 mL serum
|
||
|
5.
|
Anti
CCP (lihat igM / RF )
|
1
mL
|
||
|
MALNUTRISI
PROTEIN –KALORI, DIFUNGSI HATI
|
||||
|
1.
|
Prealbumin
(Transthiretin)
|
1
mL serum
|
||
|
LAMBUNG-PANKREAS-VIRUS
|
||||
|
1.
|
Anti
H-phylori (igG)
|
|
||
|
2.
|
Anti
H-phylori igG (titer), lihat anti H-phylori igG CIM
|
|
||
|
3.
|
Anti
H-phylori igM (titer), lihat anti H-phylori igG CIM
|
|
||
|
4.
|
Anti
H-phylori Antigen (HPSA)=UBT
|
|
||
|
5.
|
Helocoblot
(protein immunoblot H-phylor)
|
0,5
mL serum/ plasma
|
||
|
6.
|
Analisa
Batu Empedu
|
Batu
empedu
|
||
|
7.
|
Amylase
Pancreatic
|
0,5
mL serum
|
||
|
8.
|
Lipase
|
0,5
mL serum
|
||
|
9.
|
Asam
Empedu
|
0,5
mL serum
|
||
|
TORCH
|
||||
|
1.
|
Toxoplasma
igG
|
0,5
mL serum
|
||
|
2.
|
Toxoplasma
igM
|
0,5
mL serum
|
||
|
3.
|
Toxo
avidity igG
|
0,5
mL serum
|
||
|
4.
|
Rubella
igG
|
0,5
mL serum
|
||
|
5.
|
Rubella
igM
|
0,5
mL serum
|
||
|
6.
|
Anti
CMV igG
|
0,5
mL serum
|
||
|
7.
|
Anti
CMV igM
|
0,5
mL serum
|
||
|
8.
|
CMV
avidity igG
|
0,5
mL serum
|
||
|
9.
|
Anti
HSV-1 igG
|
0,5
mL serum
|
||
|
10.
|
Anti
HSV-1 igM
|
0,5
mL serum
|
||
|
11.
|
Anti
HSV-2 igG
|
0,5
mL serum
|
||
|
12
|
Anti
HSV-2 igM
|
0,5
mL serum
|
||
|
IMUNOLOGI-SEROLOGI-PROTEIN
SPESIFIK
|
||||
|
1.
|
Anti
Dengu igG Elisa
|
0,5
mL serum
|
||
|
2.
|
Anti
Dengu igG Rapid
|
0,5
mL serum
|
||
|
3.
|
Anti
Dengu igM Elisa
|
0,5
mL serum
|
||
|
4.
|
Anti
Dengu igM Rapid
|
0,5
mL serum
|
||
|
5.
|
Anti
Dengu igG/igM Rapid
|
0,5
mL serum
|
||
|
6.
|
Anti
HIV
|
0,5
mL serum
|
||
|
7.
|
HIV
Duo Ultra : Ag p24 dan Ab
|
0,5
mL serum
|
||
|
8.
|
HIV
Konfirmasi tes : RIBA/Westerblot
(protein immunoblot)
|
0,5
mL serum
|
||
|
9.
|
ICT
Malaria
|
2
Darah EDTA
|
||
|
10.
|
Malaria
Tetes Tebal
|
2
Darah EDTA
|
||
|
11.
|
ICT TB
|
0,5
mL serum
|
||
|
12.
|
TB
Antigen
|
0,5
mL serum
|
||
|
13.
|
NS1
Ag Dengue
|
0,5
mL serum
|
||
|
14.
|
TPHA
|
0,5
mL serum
|
||
|
15.
|
VDRL
|
0,5
mL serum
|
||
|
16
|
Widal,
lihat salmonella thypi igM
|
0,5
mL serum
|
||
|
17.
|
Salmonella
thypi igM (IPS 69)
|
0,5
mL serum
|
||
|
18.
|
Seramoeba
titer
|
0,5
mL serum
|
||
|
19.
|
Chlamydia
trachomatis igG
|
0,5
mL serum
|
||
|
20.
|
Chlamydia
trachomatis igM
|
0,5
mL serum
|
||
|
21.
|
Anti
mycoplasma igG
|
1
mL Serum
|
||
|
22.
|
Anti
mycoplasma igM
|
1
mL Serum
|
||
|
23.
|
Measles
igG
|
0,5
mL serum
|
||
|
24.
|
Measles
igM
|
0,5
mL serum
|
||
|
25.
|
Lactospira
igM
|
1
mL serum
|
||
|
26.
|
EBV
VCA igM
|
1
mL serum
|
||
|
27.
|
EBV
VCA igG
|
2
mL serum
|
||
|
28.
|
EBV
VCA igA
|
2
mL serum
|
||
|
29.
|
ASTO kulaitatif
|
0,5
mL serum
|
||
|
30.
|
ASTO
kadar (IU/ml)
|
0,5
mL serum
|
||
|
31.
|
CRP
kualitatif
|
0,5
mL serum
|
||
|
32.
|
CRP
kuantitatif
|
0,5
mL serum
|
||
|
34.
|
IgA
|
0,5
mL serum
|
||
|
35.
|
IgG
|
0,5
mL serum
|
||
|
36.
|
IgM
|
0,5
mL serum
|
||
|
38.
|
Protein
A
|
3
mL serum
|
||
|
39.
|
Protein
S
|
1
mL serum
|
||
|
40.
|
Seruloplasmin
|
|
||
|
HORMON
ENDOKRIN (HIPERTENSI-METABOLISME-REPRODUKSI-LAKTASI-PERTUMBUHAN-STRESS)
|
||
|
1
|
Beta
HCG Serum
|
0,5
mL Serum
|
|
2
|
Cortisol
|
0,5
mL Serum
|
|
3
|
Estradiol
(E2)
|
0,5
mL Serum
|
|
4
|
FSH
|
0,5
mL Serum
|
|
5
|
Growth
Hormone (GH)
|
0,5
mL Serum
|
|
6
|
Insulin
– Like Growth Factor 1 (IGF-1)
|
0,5
mL Serum
|
|
7
|
Insulin
|
0,5
mL Serum
|
|
8
|
LH
(Luteinising Hormone)
|
0,5
mL Serum
|
|
9
|
Progesterone
|
0,5
mL Serum
|
|
10
|
Prolactin
(PRL)
|
0,5
mL Serum
|
|
11
|
Testostherone
|
0,5
mL Serum
|
|
12
|
Free
Testostherone
|
0,5
mL Serum
|
|
13
|
Dehydro
Testostherone / DHT
|
1
mL Serum
|
|
14
|
SHBG
|
0,5
mL Serum
|
|
15
|
DHEAS
|
1
mL Serum
|
|
16
|
ACTH
|
1
mL Plasma EDTA
|
|
OSTEOPOROSIS
|
||
|
1
|
Vitamin
D3 total / Calcidiol (25 OH)
|
0,5
mL Serum
|
|
2
|
Ostheocalcin
|
1
mL Serum
|
|
VITAMIN
|
||
|
1
|
Vitamin
A&E
|
1
mL Serum
|
|
2
|
Vitamin
B12
|
0,5
mL Serum
|
|
PENANDA
TUMOR / TUMOR MARKER
|
||
|
1
|
Prostatic
Acid Phospatase (PAP)
|
0,5
mL Serum
|
|
2
|
Acid
Phospatase (ACP)
|
0,5
mL Serum
|
|
3
|
AFP
– HCC
|
0,5
mL Serum
|
|
4
|
Ca
125 : Ovarian Ca, Endometrial
|
0,5
mL Serum
|
|
5
|
Ca
15-3 : Breast Ca
|
0,5
mL Serum
|
|
6
|
Ca
19-9 : Gastric or Prancreatic Ca
|
0,5
mL Serum
|
|
7
|
Ca
72-4 : Lambung / Gastric Ca
|
0,5
mL Serum
|
|
8
|
Calcitonin
: Medulary Thyroid Ca
|
0,5
mL Serum
|
|
9
|
Cyfra
21-1 : Paru
|
0,5
mL Serum
|
|
10
|
HCG
: Tropoblastic
|
0,5
mL Serum
|
|
11
|
CEA
: Colorectal, Breast, Lung, HCC
|
0,5
mL Serum
|
|
12
|
NSE
: Small Ca of Lung
|
0,5
mL Serum
|
|
13
|
SCC
: Serviks Ca
|
0,5
mL Serum
|
|
14
|
CEA,
NSE, SCC
|
0,5
mL Serum
|
|
15
|
HE4
|
0,5
mL Serum
|
|
16
|
PSA
: Ca Prostat
|
0,5
mL Serum
|
|
17
|
Free
PSA
|
0,5
mL Serum
|
|
URINALISIS
|
||
|
1
|
Graviditas
/ Pregnancy Test
|
5
mL Urine
|
|
2
|
Urine
Asam Urat
|
10
mL Urine 24jam
|
|
3
|
Urine
Calsium
|
10
mL Urine 24jam
|
|
4
|
Urine
Chlorida
|
10
mL Urine 24jam
|
|
5
|
Urine
Kalium
|
10
mL Urine 24jam
|
|
6
|
Urine
Lengkap/Rutin
|
10
mL Urine
|
|
7
|
Urine
Natrium
|
10
mL Urine 24jam
|
|
8
|
Urine
Phospor
|
10
mL Urine 24jam
|
|
9
|
Urine
Ureum
|
10
mL Urine 24jam
|
|
10
|
Urine
Glukosa
|
10
mL Urine
|
|
11
|
Mikroalbumin
(Urine 24 Jam)
|
20
mL Urine 24jam
|
|
12
|
Mikroalbumin
(Urine Sewaktu)
|
10
mL Urine
|
|
13
|
Esbach
|
30
mL Urine 24jam
|
|
14
|
Protein
Total Kuantitatif
|
20
mL Urine
|
|
15
|
Analisa
Batu Ginjal
|
Batu
Ginjal
|
|
16
|
Protein
Bence Jones
|
30
mL Urine fresh
|
|
STOOL
|
||
|
1
|
Feses
Rutin
|
Feses
|
|
2
|
Darah
Samar / Occult Blood
|
Feses
|
|
3
|
H-Pylori
Stool Antigen
|
Feses
|
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