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[null,null,null,null,null,"FN Brno, Transfuzní a tkáňové oddělení, Jihlavská 20, 625 00 Brno, primář MUDr. Eva Tesařová, tel. 532 233 933"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"HLA laboratoř, vedoucí laboratoří RNDr. Libuše Janků, tel. 532 233 541"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"laboratoř typizační, tel. 532 233 540, laboratoř protilátková, tel. 532 232 647, fax: 532 233 568"]
[]
[null,null,null,null,null,null,null,null,null,null,"ŽÁDANKA NA VYŠETŘENÍ - HLA LABORATOŘ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"   Vyplňte čitelně nebo nalepte štítek"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Jméno a příjmení:"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Rodné číslo:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," Datum a čas odběru ",null,null,null,null,null,null,null,null,null,null," Datum a čas příjmu laboratoře"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Pojišťovna:"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Diagnóza 1:",null,null,null,null,null,null,"Dg. 2.",null,null,null,null,null,null,null,null,null,null,"Podpis odebírající osoby",null,null,null,null,null,null,null,null,null,null,"Biohazard"]
[]
[null,"Status:",null,null,null,null," □",null,"Pacient"]
[null,null,null,null,null,null,null,null,"Příjemce:",null,null,null,null,null,"□",null,"kostní dřeň",null,null,null,null,null,null,null,"□",null,"srdce",null,null,null,null,"□",null,"játra",null,null,null,null,"□",null,"ledvina",null,null,null,null,null,"□",null,"jiné"]
[null,null,null,null,null,null," □",null,"Příbuzný pro pacienta (jméno + r.č.):  ………………………………………………………………………………………………………………"]
[null,null,null,null,null,null,null,null,"                                  vztah k pacientovi:  ………………………………………………...……………………………………………………………"]
[]
[null,null,null,null,null,null,null,null,"Ordinující lékař:"]
[null,null,null,null,null,null,null,null,"IČP:"]
[null,null,null,null,null,null,null,null,"Odbornost:"]
[null,null,null,null,null,null,null,null,"Adresa, telefon:"]
[null,null,null,null,"Materiál k vyšetření:"]
[null,null,null,null,null,null,null,"□","periferní krev v heparinu         ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Odběr vzorků v ambulanci TO a KB:",null,null,null,null,"TTO"]
[null,null,null,null,null,null,null,"□","periferní krev v EDTA",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"HLA typizace: Po - Čt 7:00 - 8:00"]
[null,null,null,null,null,null,null,"□","periferní krev srážlivá",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"          HLA B27: Út - Čt 7:00 - 8:00"]
[null,null,null,null,null,null,null,"□","jiný",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Vyšetření označeno ' nutno předem telefonicky objednat."]
[null,"Požadované vyšetření označte x"]
[null,null,null,null,null,null,null,null,null,null,null,"Typ vyšetření",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Metoda",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Množství, odběrová zkumavka"]
["HLA typizace"]
[null,"□","I. třída serologicky",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"'",null,null,null,null,null,null,"LCT",null,null,null,null,null,"odběr na TTO, při zaslání vzorků - 10ml v heparinu"]
[null,"□","I. třída serologicky, II. třída PCR",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"'",null,null,null,null,null,null,"LCT, PCR",null,null,null,null,null,"odběr na TTO, při zaslání vzorků - 10ml v heparinu ,3ml EDTA"]
[null,"□","I. + II. třída PCR",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"'",null,null,null,null,null,null,"PCR",null,null,null,null,null,"3ml EDTA"]
[null,"□","II. třída PCR",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"'",null,null,null,null,null,null,"PCR",null,null,null,null,null,"3ml EDTA"]
["Vztah HLA antigenů k chorobám"]
[null,"□","HLA - B27 metoda serologická",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LCT",null,null,null,null,null,"odběr na TTO"]
[null,"□","HLA - B27 metoda PCR",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PCR",null,null,null,null,null,"3ml EDTA"]
[null,"□","Celiakie (DQ2 typ, DQ8 typ)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PCR",null,null,null,null,null,"3ml EDTA"]
[null,"□","Narkolepsie (DRB1*02, DQB1*06)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PCR",null,null,null,null,null,"3ml EDTA"]
[null,"□","IDDM I. typu (DRB1*03, *04, DQB1*02, *03)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PCR",null,null,null,null,null,"3ml EDTA"]
[null,"□","DRB1*04:01",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PCR",null,null,null,null,null,"3ml EDTA"]
[null,"□","ostatní"]
["Imunní protilátky"]
[null,"□","antileukocytární",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"GIFT, GA, LCT ",null,null,null,null,null,"10ml sražená krev"]
[null,"□","antigranulocytární",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"GIFT, GA",null,null,null,null,null,"10ml sražená krev"]
[null,"□","antitrombocytární",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DIFT, ELISA, LCT",null,null,null,null,null,null,null,null,null,"10ml sražená krev"]
[null,"□","anti-HLA (PRA)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LCT",null,null,null,null,null,"10ml sražená krev"]
[null,"□","antitrombocytární autoprotilátky vázané",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"'",null,null,null,null,null,"FC",null,null,null,null,null,"5ml EDTA"]
[null,"□","antitrombocytární autoprotilátky volné",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FC",null,null,null,null,null,"5ml sražená krev"]
["Vyšetření RHD genu metodou PCR"]
[null,"□","slabé",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PCR",null,null,null,null,null,"3ml EDTA"]
[null,"□","variantní",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PCR",null,null,null,null,null,"3ml EDTA"]
[null,"□","zygozita",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PCR",null,null,null,null,null,"3ml EDTA"]
["Cross-match"]
[null,"□","křížová zkouška (sérum pacienta + lymfocyty dárce)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LCT",null,null,null,null,null,"sražená krev pacienta + 5ml krve dárce v heparinu "]
[null,"Vysvětlivky:"]
[null,"DIFT - destičkový imunofluorescenční test",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"GA - granuloaglutinační test",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PCR - polymerázová řetezová reakce"]
[null,"EDTA - ethylendiamintetraacetylát",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"GIFT - granuloimunofluorescenční test",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"PRA - panel reaktivních protilátek"]
[null,"ELISA - destičkový imunoenzymatický test",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"HLA - lidské leukocytární antigeny"]
[null,"FC - flow cytometrie",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"LCT - lymfocytotoxický test"]
[null,"Odběr krve k vyšetření lidské DNA metodou PCR musí být proveden s informovaným souhlasem pacienta, který"]
[null," je  založen v lékařské dokumentaci."]

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