Lab update: Urine drug screen options consolidation

30 Sep 2018

Salem Health now offers three urine panels

By: Daryl Vogel, MD, PhD, laboratory medical director

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Salem Health now offers three urine drug screen panels, and UDS 6 is no longer available. Please note:

All three include the nine drug classes available at Salem Health.
Pricing remains the same regardless of the number of drug classes.
This includes urine creatinine level to assess concentration of the urine.
Specimens with lower creatinine concentration may contain drugs below the detection limit or may be a substituted specimen.

Salem Health Laboratory UDS Options
Name	LIS code	Epic code	Notes
Urine drug screen 9	UDS9	LAB8281	Reflex confirmation of positive results Lower cut-off limit for opiates than the UDS6
Pediatric urine drug screen	PUDS	LAB3951	Reflex confirmation of positive results Lower cut-off limits for some drugs than UDS9
Emergency urine drug screen	EUD9	LAB8280	Used only in the ED. No automatic reflex confirmation of positive results. Urine held up to seven days for add-on confirmation testing.

Salem Health UDS cut-off detection limits (ng/mL)
UDS	Amph/ Methamph	Barbs.	Benzo.	THC	Cocaine	Metha-done	Opiate (morphine)	Oxy-codone	TCA
UDS9/EUD9	500	200	200	50	150	300	300	100	300
PUDS	300	200	100	20	150	300	300	100	300

For compliance testing, we recommend quantitative testing for the specific drug as it is more sensitive and specific than an immunoassay screen. This testing is available through our reference lab, ARUP. Pain Management testing is also available through ARUP.

Call or visit our test directory online for more information.

Daryl Vogel, MD, PhD, laboratory medical director

Brenda Crawford, MT (ASCP) SC, senior laboratory specialist, chemistry

Cecelia Morrow, supervisor, laboratory outreach, (503) 814-1608