Medical Review Officers Information
Clinical Substance Abuse Panels
Workplace Forensic Substance Abuse Panels
State of Hawaii and Federal Workplace Substance Abuse Testing Cutoff Levels

Workplace Forensic Substance Abuse Panels

For employment evaluations and legal situations, Forensic Substance Abuse Panels (SAP) should be ordered and testing performed only in certified forensic laboratories. Specimens must be collected in accordance with State and/or Federal regulations utilizing a Chain-of-Custody form. Upon completion of testing, results will be sent to only physicians licensed as Medical Review Officers (MRO) by the State of Hawaii.

Federal Panel

NIDA/SAMHSA 5
Amphetamine
Cocaine Metabolite (Benzoylecgonine)
Opiates
Phencyclidine (PCP)
THC (Marijuana)

Non-Federal Panel

Substance Abuse Panel 5 (SAP5)
Amphetamines
Cocaine Metabolite (Benzoylecgonine)
Opiates
Phencyclidine (PCP)
THC (Marijuana)

Substance Abuse Panel 10 (SAP10)
Same as analytes as SAP 5 plus:
Barbiturates
Benzodiazepines
Methadone
Methaqualone
Propoxyphene

For the initial drug test, DLS uses EMIT immunoassay. This highly automated and computerized procedure allows the best possible turnaround time while providing accurate results. All positive test results are confirmed using gas chromatography/mass spectrometry (GC/MS). GC/MS is an extremely sensitive and accurate procedure that identifies each chemical compound in a manner similar to molecular "fingerprinting."