Spreadsheet: 08798485-608c-42f5-8354-f85b41c64b10
Sheet: Sheet1

Test Referenced | Entry Type | Mayo ID | Description | Reporting Description | Method | Collection Container | Temperature | Stability | [NAME] | Unit of Measure | [NAME] | Minimum Volume | Reject Due To | Reference Values | Days/Times Performed | Analytic Time | Maximum Lab Time | CPT Units | CPT Code | LOINC® Code | LOINC® Attributes | Always Performed | Orderable Separately | Performing Location
5434 | Test | 5434 | Hematopathology Consultation | Hematopathology Consultation | All requests will be processed as a consultation first. Special studies will be performed only if diagnostically indicated. If the need for enzyme cytochemical stains, immunophenotyping, and/or immunohistochemical stains is anticipated, appropriate specimen requirements should be followed as indicated below. Note: Special stains performed outside of Mayo Medical Laboratories and included with the case may be repeated and charged at the reviewing pathologist's discretion. | Varies: Var |  |  |  | Varies | Forms: If not ordering electronically, please submit a Hematopathology/Molecular Oncology Request Form (Supply T241) with the specimen.  Consultation Specimen Type: Peripheral blood, bone marrow aspirate, [NAME]-stained slides of bone marrow biopsy, paraffin blocks Container/Tube: Wright-Giemsa-stained slides  Collection Instructions: 1. Send stained slides of peripheral blood with CBC/differential. 2. When appropriate, include special stains and/or unstained slides. 3. Label with specimen type. Additional Information: 1. Collection date is required. 2. A pathology/diagnostic report, the name and phone number of the ordering physician, and a brief history are essential to achieve a consultation fully relevant to the ordering physician's needs.   Enzyme Cytochemical Stains Specimen Type: Bone marrow aspirate Container/Tube: Plastic slide container [NAME]: 2 or more smears Collection Instructions:  1. All smears for cytochemical stains should be air-dried, unfixed, unstained, and no more than 2 weeks old. 2. Label specimen as bone marrow aspirate. Additional Information: Cytochemical stains will be performed only if diagnostically indicated.   [NAME] [NAME]: Tissue Container/Tube: Paraffin blocks or appropriate number of unstained tissue sections on charged slides Collection Instructions: Label specimen as tissue. Additional Information: Immunohistochemical stains will be performed only if diagnostically indicated.   Leukemia Immunophenotyping by Flow Cytometry Specimen Type: Peripheral blood Container/Tube: Green top (heparin) or yellow top (ACD solution B) [NAME]: 10 mL Collection Instructions:  1. Do not transfer blood to other containers.  2. Include 5 to 10 unstained peripheral blood smears, if possible. 3. Label specimen as blood. Additional Information: Immunophenotyping will be performed only if diagnostically indicated.   Specimen Type: Bone marrow Container/Tube: Yellow top (ACD solution B) [NAME]: 1-5 mL Collection Instructions:  1. Include 2 to 5 unstained bone marrow aspirate smears, if possible. 2. Label specimen as bone marrow. Additional Information: Immunophenotyping will be performed only if diagnostically indicated.   Specimen Type: Tissue (eg, lymph nodes) other than blood and bone marrow Container/Tube: Sterile container with tissue culture medium (eg, Hank's balanced salt solution [Supply T132], RPMI, or equivalent) [NAME]: 1 cm(3) biopsy Collection Instructions: Label specimen as tissue. Additional Information: If, in the opinion of the Mayo hematopathology consultant, the tissue is not adequate for flow cytometric immunophenotyping, a call will be made to the referring pathologist. The specimen can be snap-frozen for phenotyping by immunohistochemistry. |  | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | This request will be processed as a consultation. An interpretation will be provided for every case. Appropriate studies and/or stains (as described in Specimen Required) will be performed, only if indicated, and charged separately. | Monday through Friday; Varies | 3 days | 7 days | 1 | 88325 |  |  |  |  | Rochester
5434 | [NAME] | VARIES | Varies |  |  |  | Ambient
5434 | Result | 18503 | Accession Number | Accession Number
5434 | Result | 18504 | Referring Pathologist/Physician | Referring Pathologist/Physician |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 46608-6
5434 | Result | 18505 | Ref Path/Phys Address | Ref Path/Phys Address |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
5434 | Result | 18506 | Material: | Material: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
5434 | Result | 18528 | Specimen: | Specimen: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2
5434 | Result | 18507 | Peripheral Blood: | Peripheral Blood:
5434 | Result | 18508 | Bone Marrow Differential: | Bone Marrow Differential: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 47286-0
5434 | Result | 18509 | Aspirate: | Aspirate:
5434 | Result | 18510 | Biopsy: | Biopsy: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 52121-1
5434 | Result | 18511 | Microscopic Description: | Microscopic Description: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
5434 | Result | 18512 | Special Studies: | Special Studies: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
5434 | Result | 18513 | Final Diagnosis: | Final Diagnosis: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 34574-4
5434 | Result | 18514 | Comment: | Comment: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8
5434 | Result | 18515 | Revision Description: | Revision Description: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
5434 | Result | 18516 | Signing Pathologist: | Signing Pathologist: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 19139-5
5434 | Result | 18517 | Special Procedures: | Special Procedures:
5434 | Result | 18518 | SP Signing Pathologist: | SP Signing Pathologist:
5434 | Result | 18519 | *Previous Report Follows* | *Previous Report Follows*
5434 | Result | 18520 | [NAME]: | [NAME]: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35265-8
5434 | Result | 19191 | [NAME] Comment: | [NAME] Comment: | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22638-1
5434 | Result | 18521 | [NAME] Pathologist: | [NAME] Pathologist: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 19139-5