Hepatitis B – 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 B Virus Serology Test Information Sheet for detailed testing indications, specimens, methods and reports information.

Requisition selection(s)	Tests Performed	Notes
Chronic Infection	HBsAg, HBcAb Total (IgG+IgM)
Acute Infection	HBsAg, HBcAb Total (IgG+IgM)	HBcIgM will be performed only if HBcAb Total (IgG+IgM) is reactive
Immune Status	Anti-HBs
Pre-chemotherapy screening	HBsAg, HBcAb Total (IgG+IgM), Anti-HBs	For cancer patients prior to commencing systemic therapy (chemotherapy, targeted therapy, immunotherapy)
Chronic and Immunity	HBsAg, HBcAb Total (IgG+IgM), Anti-HBs	A reason for testing must be indicated under Testing Indication(s) / Criteria (e.g. Dialysis)
Acute and Immunity	HBsAg, HBcAb Total (IgG+IgM), Anti-HBs	A reason for testing must be indicated under Testing Indications(s) / Criteria (e.g. Dialysis) HBcIgM will be performed only if HBcAb Total (IgG+IgM) is reactive
Chronic Infection and Test(s) Requested: HBeAg, HBeAb	HBsAg HBcAb Total (IgG+IgM)	Testing for HBeAg and HBeAb will only be performed if HBsAg is reactive
Acute Infection and Test(s) Requested: HBeAg, HBeAb	HBsAg HBcAb Total (IgG+IgM)	Testing for HBeAg and HBeAb will only be performed if HBsAg is reactive
Test(s) Requested: HBsAg, Anti-HBS	HBsAg Anti-HBS	Do not complete the Hepatitis Serology section. Enter the specific test(s) under Test(s) Requested. Under Testing Indication(s) / Criteria, specify “Hepatitis B Exposure” under Other
Test(s) Requested: HBeAg and HBeAb or HBcIgM	HBeAg/HBeAb or HBcIgM	Do not complete the Hepatitis Serology section. Enter the specific test(s) under Test(s) Requested

Requisition selection(s)

Tests Performed

Notes

Requisition Demonstration

Chronic Infection

HBsAg,

HBcAb Total (IgG+IgM)

Hep B-1 Chronic Infection