Hepatitis A – Serology Test Ordering Instructions
Conformément au Règl. de l’Ont. 671/92 pris en application de la Loi sur les services en français, l’information sur la commande de tests et les instructions connexes fournies sur la présente page sont disponibles en anglais seulement parce qu’elles sont de nature scientifique ou technique et qu’elles sont destinées à l’usage exclusif des fournisseurs de soins de santé qualifiés et non des membres du public.
All sections of the General Test Requisition must be completed by authorized health care providers for each specimen submitted. Testing may be delayed or cancelled if clinical information is not provided.
Refer to Hepatitis A Virus Serology Test Information Sheet for detailed testing indications, specimens, methods and reports information.
| Requisition selection(s) | Tests Performed | Notes | Requisition Demonstration |
|---|---|---|---|
Requisition selection(s) Immune Status Immune Status |
Tests Performed HAV IgG HAV IgG |
Notes |
Requisition Demonstration 
|
Requisition selection(s) Immune Status Acute Infection |
Tests Performed HAV IgG HAV IgM |
Notes Clinical information pertaining to acute viral hepatitis must be provided. If not, only HAV IgG will be performed. |
Requisition Demonstration
Example:  |
Requisition selection(s) Immune Status Acute infection and
Immune Status |
Tests Performed HAV IgG HAV IgG
HAV IgM |
Notes Indicate clinical information pertaining to a recent HAV exposure, outbreak investigation, contact with known case etc. under ‘Relevant Exposure(s)’ Clinical information and/or exposure information (if asymptomatic) must be provided. If no clinical or exposure information is provided, only HAV IgG will be performed. |
Requisition Demonstration
Example:
|
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