Spreadsheet: 2477c7f7-b311-4ba2-9452-9b3183a3de75
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
PWDNA | Test | PWDNA | Prader-Willi/Angelman Syndrome, Molecular Analysis | [NAME] | Methylation-Sensitive Multiple Ligation-Dependent Probe Amplification (MLPA) (PCR is utilized pursuant to a license agreement with Roche Diagnostic Systems, Inc.) | Varies: Var |  |  |  | Varies | Mayo Medical Laboratories highly recommends that this test be ordered along with a routine chromosome analysis, CMS/8696 Chromosome Analysis, for Congenital Disorders, Blood, if the diagnosis of [NAME] syndrome or Angelman syndrome is not certain and chromosome analysis has not already been done.   Forms: 1. New York Clients-Informed consent is required. Please document on the request form or electronic order that a copy is on file. An Informed Consent for Genetic Testing (Supply T576) is available in Special Instructions. 2. Molecular Genetics-Congenital Inherited Diseases Patient Information Sheet (Supply T521) in Special Instructions 3. If not ordering electronically, submit a Molecular Genetics Request Form (Supply T245) with the specimen.   [NAME] must arrive within 96 hours of collection.   Submit only 1 of the following specimens:   Specimen Type: Whole blood Container/Tube:	 Preferred: Lavender top (EDTA) or yellow top (ACD) Acceptable: Any anticoagulant [NAME]: 3 mL		 Collection Instructions:			 1. Invert several times to mix blood. 2. Send specimen in original tube. Specimen Stability Information: Ambient (preferred)/Refrigerated   Due to the complexity of prenatal testing, consultation with the laboratory is required for all prenatal testing. Prenatal specimens can be sent Monday through Thursday and must be received by 5 p.m. CST on Friday in order to be processed appropriately. All prenatal specimens must be accompanied by a maternal blood specimen. Order MCC/88636 Maternal Cell Contamination, Molecular Analysis on the maternal specimen.   Specimen Type: Amniotic fluid Container/Tube: Amniotic fluid container [NAME]: 20 mL	 Specimen Stability Information: Refrigerated (preferred)/Ambient   Acceptable: [NAME] Confluent cultured cells	 Container/Tube: T-25 flask [NAME]: 2 flasks Collection Instructions: Submit confluent cultured cells from another laboratory. Specimen Stability Information: Ambient (preferred)/Refrigerated | Blood: 1 mL/Amniotic Fluid: 10 m | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	NA | An interpretive report will be provided. | Monday, Wednesday | 14 days | 21 days | 1 | 81331 |  |  |  |  | Rochester
PWDNA | [NAME] | VARIES | Varies |  |  |  | See instructions
PWDNA | Result | 16648 | [NAME] | [NAME] | Alphanumeric
PWDNA | Result | 16649 | [NAME] | [NAME] | Alphanumeric
PWDNA | Result | 16650 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
PWDNA | Result | 16651 | Order Date | Order Date | Alphanumeric
PWDNA | Result | 16652 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
PWDNA | Result | 16653 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9
PWDNA | Result | 16654 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 38907-2 | [NAME] gene mutation analysis:Prid:Pt:Bld/Tiss:Nom:Molgen
PWDNA | Result | 16655 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69047-9 | Service comment 01:Imp:Pt:[NAME]:Nom:
PWDNA | Result | 16656 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 38907-2 | [NAME] gene mutation analysis:Prid:Pt:Bld/Tiss:Nom:Molgen
PWDNA | Result | 16657 | Reviewed By: | Reviewed By: | Alphanumeric
PWDNA | Result | 16658 | Release Date | Release Date | Alphanumeric
PWDNA | [NAME] | AFC | Amniotic Fluid Culture for Genetic Testing | Amniotic Fluid Culture/Genetic Test | Cell Culture | [NAME], sterile container: SrwStlCont |  |  | 10 | mL | Provide a reason for referral and gestational age with each specimen. The laboratory will not reject testing if this information is not provided, but appropriate testing and interpretation may be compromised or delayed.   Optimal timing for specimen collection is during 14 to 18 weeks of gestation, but specimens collected at other weeks of gestation are also accepted.   Container/Tube: Amniotic fluid container [NAME]: 5-10 mL Collection Instructions:  1. Discard the first 2 mL of amniotic fluid. If the culture will be performed in conjunction with chromosome analysis and alpha-fetoprotein, a total of approximately 25 mL to 30 mL will be needed for the combined studies. 2. Place the tubes in a [NAME] container (Supply T329). 3. Fill remaining space with packing material. 4. Unavoidably, about 1% to 2% of mailed-in specimens are not viable. 5. Bloody specimens are undesirable. 6. If the specimen does not grow in culture, you will be notified within 7 days of receipt.  Additional Information:  1. Advise Express Mail or equivalent if not on courier service 2. Results will be reported and also telephoned or faxed, if requested. Forms: 1. New York Clients-Informed consent is required. Please document on the request form or electronic order that a copy is on file. An Informed Consent for Genetic Testing (Supply T576) is available in Special Instructions. 2. If not ordering electronically, submit a Cytogenetics/AFP Congenital Disorders Request Form (Supply T238) with the specimen. | 5 mL | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | Not applicable | Samples processed Monday through Sunday. Results reported Monday through Friday, 8 a.m.-5 p.m. CST. | 23 days | 24 days |  | Profile |  |  | No | Yes
AFC | [NAME] | AMNIOTIC | Amniotic Fld |  |  |  | Ambient
AFC | Order Question | CG132 | Reason For Referral |  | Plain Text
AFC | Result | 16179 | [NAME] | [NAME] | Alphanumeric
AFC | Result | 16338 | [NAME] | [NAME] | Alphanumeric
AFC | Result | 16793 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
AFC | Result | 16180 | Order Date | Order Date | Alphanumeric
AFC | Result | CG132 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
AFC | Result | 16184 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9
AFC | Result | 16187 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69965-2
AFC | Result | 16188 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
AFC | Result | 16189 | Consultant | Consultant | Alphanumeric
AFC | Result | 16190 | Report Date | Report Date | Alphanumeric
PWDNA | [NAME] | MCC | Maternal Cell Contamination, Molecular Analysis | Maternal Cell Contamination, B | Polymerase Chain Reaction (PCR)-Based Comparison of Microsatellite Markers (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | EDTA (lavender-top) tube: EDTA |  |  | 3 | mL | A maternal specimen and a prenatal specimen are required. MCC / Maternal Cell Contamination, Molecular Analysis must be ordered on both the prenatal and maternal specimens under separate order numbers.   Forms: New York Clients-Informed consent is required. Please document on the request form or electronic order that a copy is on file. An Informed Consent for Genetic Testing (Supply T576) is available in Special Instructions.   [NAME] must arrive within 96 hours of collection.   Specimen Type: Maternal blood Container/Tube: Preferred: Lavender top (EDTA) or yellow top (ACD) Acceptable: Any anticoagulant [NAME]: 3 mL	 Collection Instructions:	 1. Invert several times to mix blood. 2. Send specimen in original tube. Specimen Stability Information: Ambient (preferred)/Refrigerated   If a prenatal specimen has already been submitted as part of another diagnostic test, a second prenatal specimen is not required. If a prenatal specimen has not yet been submitted, submit only 1 of the following specimens:   Specimen Type: [NAME] blood Container/Tube: Preferred: Lavender top (EDTA) or yellow top (ACD) Acceptable: Any anticoagulant [NAME]: 3 mL	 Collection Instructions:	 1. Invert several times to mix blood. 2. Send specimen in original tube. Specimen Stability Information: Ambient (preferred)/Refrigerated   Specimen Type: Amniotic fluid Container/Tube: Amniotic fluid container [NAME]: 20 mL		 Specimen Stability Information: Refrigerated (preferred)/Ambient Additional Information: A separate culture charge will be assessed under AFC / Amniotic Fluid Culture for Genetic Testing.   Specimen Type: Cultured amniocytes Container/Tube: T-25 flask [NAME]: 2 full flasks Collection Instructions: Submit confluent cultured cells from another laboratory. Specimen Stability Information: Ambient (preferred)/Refrigerated   Specimen Type: Chorionic villi Container/Tube: 15-mL tube containing 15 mL of transport media [NAME]: 20 mg Specimen Stability Information: Refrigerated Additional Information: A separate culture charge will be assessed under FBC / Fibroblast Culture for Genetic Testing.   Specimen Type: Cultured chorionic villi Container/Tube: T-25 flasks [NAME]: 2 full flasks Collection Instructions: Submit confluent cultured cells from another laboratory. Specimen Stability Information: Ambient (preferred)/Refrigerated | Amniotic Fluid: 10 mL/Blood: 0.5 | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	NA | An interpretative report will be provided. | Monday, Wednesday; 10 a.m. | 5 days | 11 days | 1 | 81265 |  |  | No | Yes
MCC | [NAME] | VARIES | Varies |  |  |  | See instructions
MCC | Result | 23332 | [NAME] | [NAME] | Alphanumeric
MCC | Result | 23333 | [NAME] | [NAME] | Alphanumeric
MCC | Result | 23334 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
MCC | Result | 23335 | Order Date | Order Date | Alphanumeric
MCC | Result | 23338 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 40704-9 | Maternal cell contamination:Prid:Pt:[NAME]:Nom:
MCC | Result | 23337 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 40704-9 | Maternal cell contamination:Prid:Pt:[NAME]:Nom:
MCC | Result | 23341 | Reviewed By: | Reviewed By: | Alphanumeric
MCC | Result | 23339 | Release Date | Release Date | Alphanumeric