Spreadsheet: bd3a52ad-be27-44bd-8710-0598662cdd1b
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
AHEPR | Test | AHEPR | Acute Hepatitis Profile with Hepatitis C Virus Reflex | Acute Hepatitis Prof w/HCV Reflex | HBAG/9013, HAVM/8342, HBIM/9015, HCPCR/60707, HBGNT/84396: Chemiluminescence Immunoassay HCVQU/83142: Real-Time Reverse Transcription-Polymerase Chain Reaction (RT-PCR) (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | Serum Gel Tube: SGT |  |  | 3 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: Plastic vial [NAME]: 3 mL Collection Instructions: Spin down and remove serum from clot within 6 hours. Additional Information: Date of draw is required. | 2.5 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	Plasma | HEPATITIS B SURFACE ANTIGEN Negative   HEPATITIS A IgM ANTIBODY Negative   HEPATITIS B CORE ANTIBODY, IgM Negative   HEPATITIS C ANTIBODY SCREEN Negative  Interpretation depends on clinical setting. | Monday through Saturday; varies | 1 day | 2 days |  | Profile |  |  |  |  | Rochester
AHEPR | [NAME] | SST | Serum SST |  |  |  | Frozen
AHEPR | Component | HBAG | Hepatitis B Surface Antigen, Serum | HBs Antigen, S | [NAME] | Serum Gel Tube: SGT OR |  |  | 2 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: Plastic vial [NAME]: 2 mL Collection Instructions: Spin down and remove serum from clot within 24 hours. Additional Information: 1. Date of draw is required.  2. Indicate if specimens are from autopsy/cadaver or hemolyzed sources so that the proper FDA-licensed assay can be performed. Forms: If not ordering electronically, submit a General Request Form (Supply T239) with the specimen. | 0.5 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	NA | Negative See Viral Hepatitis Serologic Profiles in Special Instructions. | Monday through Sunday; Varies | 1 day | 2 days | 1 | 87340 |  |  | Yes | Yes
HBAG | [NAME] | SST | Serum SST |  |  |  | Frozen
HBAG | Result | H_BAG | HBs Antigen, S | HBs Antigen, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5195-3
HBAG | [NAME] | HBGNT | Hepatitis B Surface Antigen Confirmation, Serum | HBs Antigen Confirmation, S | Chemiluminescence Immunoassay | Serum Gel Tube: SGT OR |  |  | 2 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: Plastic vial [NAME]: 2 mL Collection Instructions: Spin down and remove serum from clot within 24 hours. Additional Information: Date of draw is required. | 1.5 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	NA | Negative | Monday through Saturday; Varies | 2 days | 4 days | 1 | 87341 |  |  | No | No
HBGNT | [NAME] | SST | Serum SST |  |  |  | Frozen
HBGNT | Result | HBGNT | HBs Antigen Confirmation, S | HBs Antigen Confirmation, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5195-3
AHEPR | Component | HAVM | Hepatitis A IgM Antibody, Serum | Hepatitis A IgM Ab, S | Chemiluminescence Immunoassay | Serum Gel Tube: SGT |  |  | 2 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: Plastic vial [NAME]: 1 mL Collection Instructions: Spin down and remove serum from clot. Additional Information: Date of draw is required. | 0.5 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	NA | Negative  See Viral Hepatitis Serologic Profiles in Special Instructions. | Monday through Saturday; Varies | 1 day | 2 days | 1 | 86709 |  |  | Yes | Yes
HAVM | [NAME] | SST | Serum SST |  |  |  | Frozen
HAVM | Result | HAVM | Hepatitis A IgM Ab, S | Hepatitis A IgM Ab, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22314-9
AHEPR | Component | HBIM | Hepatitis B Core Antibody, IgM, Serum | HBc IgM Ab, S | Chemiluminescence Immunoassay | Serum Gel Tube: SGT |  |  | 1 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: Plastic vial [NAME]: 1 mL Collection Instructions: Spin down and remove serum from clot.  Additional Information: Date of draw is required. | 0.5 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	NA | Negative  See Viral Hepatitis Serologic Profiles in Special Instructions. | Monday through Saturday; Varies | 1 day | 2 days | 1 | 86705 |  |  | Yes | Yes
HBIM | [NAME] | SST | Serum SST |  |  |  | Frozen
HBIM | Result | HBIM | HBc IgM Ab, S | HBc IgM Ab, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31204-1
AHEPR | Component | HCPCR | Hepatitis C Antibody Screen with Reflex to HCV RNA by PCR, Serum | HCV [NAME] w/Reflex to HCV PCR, S | HCPCR/60707: Chemiluminescence Immunoassay HCVQU/83142: Real-Time Reverse Transcription-Polymerase Chain Reaction (RT-PCR) (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | Serum Gel Tube: SGT |  |  | 2 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: Plastic vial [NAME]: 2 mL Collection Instructions: Spin down within 6 hours of draw, immediately refrigerate specimen, and freeze specimen within 12 hours of draw. Forms: If not ordering electronically, submit a General Request Form (Supply T239) with the specimen. | 1.7 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold reject Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	Heparinized specimen or red top tube | Negative See Viral Hepatitis Serologic Profiles in Special Instructions. | HCV antibody screen: Monday through Saturday; 8 a.m.-12:30 a.m., Sunday; 8 a.m.- | 1 day | 2 days | 1 | 86803 |  |  | Yes | Yes
HCPCR | [NAME] | SST | Serum SST |  |  |  | Frozen
HCPCR | Result | HCVA2 | HCV Ab Screen, S | HCV Ab Screen, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 16128-1
HCPCR | [NAME] | HCVQU | Hepatitis C Virus (HCV) RNA Detection and Quantification by Real-Time Reverse Transcription-PCR (RT-PCR), Serum | HCV RNA Detect/Quant, S | Real-Time Reverse Transcription-Polymerase Chain Reaction (RT-PCR) (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | Serum Gel Tube: SGT |  |  | 2.2 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: [NAME] vial (Supply T465) [NAME]: 2.2 mL Collection Instructions: 1. Spin down and separate serum from cells within 6 hours of collection. 2. Freeze serum immediately, and ship specimen frozen on dry ice only. 3. If shipment will be delayed for >24 hours, freeze serum at [NAME] (up to 35 days) until shipment on dry ice. Forms: If not ordering electronically, submit a General Request Form (Supply T239) with the specimen. | 1.2 mL | Hemolysis	Mild OK; Gross OK Thawing	Warm reject; Cold OK <24 hours, refreeze with note to lab Lipemia	Mild OK; [NAME] OK Icterus	Mild OK; [NAME] OK Other	Red top tube, any anticoagulant | Undetected | Monday through Saturday; 7 a.m.-4 p.m. | Monday through Friday; 1 day Saturday; 3 days | 3 days | 1 | 87522 |  |  | No | Yes
HCVQU | [NAME] | SST | Serum SST |  |  |  | Frozen
HCVQU | Result | 83142 | HCV RNA Detect/Quant, S | HCV RNA Detect/Quant, S | Numeric |  |  |  |  | IU/mL |  |  |  |  |  |  |  |  |  | 11011-4
AHEPR | [NAME] | HCVQU | Hepatitis C Virus (HCV) RNA Detection and Quantification by Real-Time Reverse Transcription-PCR (RT-PCR), Serum | HCV RNA Detect/Quant, S | Real-Time Reverse Transcription-Polymerase Chain Reaction (RT-PCR) (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | Serum Gel Tube: SGT |  |  | 2.2 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: [NAME] vial (Supply T465) [NAME]: 2.2 mL Collection Instructions: 1. Spin down and separate serum from cells within 6 hours of collection. 2. Freeze serum immediately, and ship specimen frozen on dry ice only. 3. If shipment will be delayed for >24 hours, freeze serum at [NAME] (up to 35 days) until shipment on dry ice. Forms: If not ordering electronically, submit a General Request Form (Supply T239) with the specimen. | 1.2 mL | Hemolysis	Mild OK; Gross OK Thawing	Warm reject; Cold OK <24 hours, refreeze with note to lab Lipemia	Mild OK; [NAME] OK Icterus	Mild OK; [NAME] OK Other	Red top tube, any anticoagulant | Undetected | Monday through Saturday; 7 a.m.-4 p.m. | Monday through Friday; 1 day Saturday; 3 days | 3 days | 1 | 87522 |  |  | No | Yes
HCVQU | [NAME] | SST | Serum SST |  |  |  | Frozen
HCVQU | Result | 83142 | HCV RNA Detect/Quant, S | HCV RNA Detect/Quant, S | Numeric |  |  |  |  | IU/mL |  |  |  |  |  |  |  |  |  | 11011-4
AHEPR | [NAME] | HBGNT | Hepatitis B Surface Antigen Confirmation, Serum | HBs Antigen Confirmation, S | Chemiluminescence Immunoassay | Serum Gel Tube: SGT OR |  |  | 2 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: Plastic vial [NAME]: 2 mL Collection Instructions: Spin down and remove serum from clot within 24 hours. Additional Information: Date of draw is required. | 1.5 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	NA | Negative | Monday through Saturday; Varies | 2 days | 4 days | 1 | 87341 |  |  | No | No
HBGNT | [NAME] | SST | Serum SST |  |  |  | Frozen
HBGNT | Result | HBGNT | HBs Antigen Confirmation, S | HBs Antigen Confirmation, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5195-3