Drug Screen - Urine

CLS processes 4 types of urine drug screens.

Refer to the following table to determine which drug screen to order and collect.

Urine Drug Screen Information

Test	Full Name	Trigger Words	Definition
UDS	Drugs of Abuse Screen - Urine Medical Use No History Form	"STAT", "RRL", "Triage", "Baby", "Mom", "Neonate (< 1 month old)"	STAT test ordered at Acute Care Hospitals, Sheldon M. Chumir Urgent Care, Cochrane Urgent Care, and Calgary Rural Labs Expensive slide test called "Triage" If test is routine, order UDSR which is less expensive Qualitative test (reported as Presumptive Positive or Negative) Sometimes upgraded to FDSU when physician requests confirmation
	Turn Around Time: 1 hour
UDSR	Drugs of Abuse Screen - Urine Routine orders Medical Use No History Form	"Drugs of Abuse Screen", all following tests listed: "AMP, THC, COC, OPI, BENZ, BARB, Oxycodone & Methadone Metabolite (EDDP)", "Screen only", "Routine", "ASAP"	Routine test performed in Chemistry at DSC on the Integra Qualitative test (reported as Presumptive Positive or Negative) Screen includes all drug classes that may be abused: Amphetamines, Cannabinoids (THC, marijuana), Cocaine, Opiates, Benzodiazepines, Barbiturates, Oxycodone, Methadone Metabolites Sometimes upgraded to FDSU when physician requests confirmation Note: May be ordered as a single analyte
	Turm Around Time: 24 hours
FDSU	Drug Screen, Comprehensive - Urine Medical Use Requires a History Form DS #3601	A specific drug or a list of drugs, "Cannabinoid level", "GCMS", "Baby", "Mom", "CSART", "Neonate", "Full Drug Screen", "Comprehensive", "Confirmation", "Quantitation", "Complete", "Full Scan"	Test performed in Analytical/Toxicology at DSC on a GCMS (Gas Chromatography Mass Spectrometry) GCMS prints out a graph with peaks; each peak represents a specific drug Tests for 200+ analytes (see Clinical Toxicology Testing for list) Some substances may interfere with Triage and Integra analysis; GCMS is used to confirm Triage and Integra readings GCMS is also used if a specifiic drug(s) needs to be detected/reported or if a cannabinoid level (actual number or quantitation) is required.
	Turn Around Time: 1 - 5 days
DRSCMISC	Drug Screen, Non-Medical Chain of Custody Collection Non-medical use No History Form	"Patient pay", "Work", "Employment", "Divorce", "Custody", "Legal", "Drivers licence", "Personal", "Family issues", "Contract", "Social services", "Court order" "Insurance"	Specimen is colllected at a "Chain of Custody Collection" site and sent to Gamma Dynacare Laboratories in London, Ontario Donor is instructed to follow a clearly defined collection process and the urine specimen must be secured and tracked NOTE - CLS does not endorse or recommend testing physicians agreeing to order 'preliminary' drug tests simply to reassure patients that they will test negative when a subsequent employment or forensic drug screen is performed.
	Turn Around Time: Daily

CLS Staff: If a specific drug screen is not indicated on the requisition, see Flowchart to Determine Type of Drug Screen Collection.