Spreadsheet: 59a038a4-78b5-42cf-a553-21dde482f27d
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
1STT | Test | 1STT | First Trimester Maternal Screen | First Trimester Maternal Screen | Immunoenzymatic Assay | Plain, Red-Top or serum gel tube: Red |  |  | 1 | mL | Approval to send specimen for first-trimester screening is required and may take up to 5 business days to complete. Nuchal translucency (NT) measurements are only accepted from NT-certified sonographers. Do not send specimen to Mayo Medical Laboratories if the sonographer is not NT-certified or before completing the application process. To begin the application process, visit the Sonographer Approval Process page at: http://www.MayoMedicalLaboratories.com/customer-service/forms/maternal-screening.html or complete the NT/CRL Data for First Trimester/Sequential Maternal Screening form in Special Instructions.   Container/Tube:  Preferred: Red top Acceptable: Serum gel [NAME]: 1 mL Collection Instructions: Immediately spin down. Additional Information:  1. Blood draw and ultrasound must be completed between 10 weeks, 0 days and 13 weeks, 6 days, which corresponds to a crown-rump length (CRL) range of 31 to 80 mm. 2. Initial or repeat testing is determined in the laboratory at the time of report and will be reported accordingly. To be considered a repeat test for the patient, the testing must be within the same pregnancy and trimester, with interpretable results for the same test and both tests are performed at Mayo Clinic. Forms: First Trimester/Sequential Maternal Screening Patient Information Sheet (Supply T593) is required in Special Instructions. | 0.75 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; [NAME] OK Icterus	NA Other	NA | DOWN SYNDROME Calculated screen risks <1/230 are reported as screen negative. Risks > or =1/230 are reported as screen positive.   TRISOMY 18 Calculated screen risks <1/100 are reported as screen negative. Risks > or =1/100 are reported as screen positive. A numeric risk for trisomy 18 risk is provided with positive results on non-diabetic, non-twin pregnancies.   An interpretive report will be provided. | Monday through Friday; 5 a.m.-5 p.m., Saturday; 6 a.m.-1 p.m. | Same day/1 day |  | 1 | 81508 |  |  |  |  | Rochester
1STT | [NAME] | SERUM | Serum |  |  |  | Refrigerated | 7 days
1STT | Order Question | MTWT | Patient Weight |  | Plain Text
1STT | Order Question | LBKGS | Units (lbs or kg) |  | Plain Text
1STT | Order Question | SONON | Sonographer Name |  | Plain Text
1STT | Order Question | SONOC | Sonographer Code |  | Plain Text
1STT | Order Question | DT3 | Scan Date (mm/dd/yy) |  | Plain Text
1STT | Order Question | CRL1 | CRL Measure A (mm) |  | Plain Text
1STT | Order Question | NT_ | NT A (Nuchal Translucency) [NAME] |  | Plain Text
1STT | Order Question | CRL2 | CRL Measure Twin B (mm) |  | Plain Text
1STT | Order Question | NT_B | NT Twin B (Nuchal Translucency) [NAME] |  | Plain Text
1STT | Order Question | NUMF | Number of Fetuses |  | Answer List
1STT | Option | NUMF-1 | 1
1STT | Option | NUMF-2 | 2
1STT | Option | NUMF-3 | 3 or more
1STT | Order Question | CHOR | Number of Chorions |  | Answer List
1STT | Option | CHOR-1 | Monochorionic
1STT | Option | CHOR-2 | Dichorionic
1STT | Option | CHOR-3 | Unknown
1STT | Option | CHOR-4 | Not applicable
1STT | Order Question | IDD_ | Insulin dependent diabetes |  | Answer List
1STT | Option | IDD_-1
1STT | Option | IDD_-2 | Diabetic
1STT | Order Question | B_RCE | Black race |  | Answer List
1STT | Option | B_RCE-1 | Black
1STT | Option | B_RCE-2 | non-Black
1STT | Order Question | IVF | IVF |  | Answer List
1STT | Option | IVF-1 | No
1STT | Option | IVF-2 | Yes
1STT | Order Question | EGGDR | IVF Egg Donor Date of Birth |  | Plain Text
1STT | Order Question | EGGFR | IVF Egg or Embryo Freeze Date |  | Plain Text
1STT | Order Question | PRHIS | Prev Down (T21) / Trisomy Pregnancy |  | Answer List
1STT | Option | PRHIS-1 | No
1STT | Option | PRHIS-2 | Yes
1STT | Option | PRHIS-3 | Unknown
1STT | Option | PRHIS-4 | If MAFP - Not applicable
1STT | Order Question | DRPHN | Physician Phone Number |  | Plain Text
1STT | Result | 26428 | Recalculated Maternal Serum Screen | Recalculated Maternal Serum Screen | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 43995-0 | Trisomy 21 risk:Find:Pt:^Fetus:Qn:
1STT | Result | 26411 | Collection Date | Collection Date | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 51953-8 | Collection date:TmStp:Pt:[NAME]:Qn:
1STT | Result | 26412 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 21112-8 | Birth date:TmStp:Pt:^Patient:Qn:
1STT | Result | 26429 | Calculated Age at EDD | Calculated Age at EDD | Alphanumeric |  |  |  |  | yr |  |  |  |  |  |  |  |  |  | 43993-5 | Age.at delivery:Time:Pt:^Patient:Qn:
1STT | Result | 26413 | Maternal Weight | Maternal Weight | Numeric |  |  |  |  | lbs |  |  |  |  |  |  |  |  |  | 29463-7 | Body weight:Mass:Pt:^Patient:Qn:
1STT | Result | 26880 | Maternal Weight | Maternal Weight | Alphanumeric |  |  |  |  | [NAME] |  |  |  |  |  |  |  |  |  | 29463-7 | Body weight:Mass:Pt:^Patient:Qn:
1STT | Result | IDD_ | Insulin dependent diabetes | Insulin dependent diabetes | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 33248-6 | Diabetes status:Prid:Pt:^Patient:Nom:
1STT | Result | B_RCE | Black race | Black race | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 21484-1 | Race:Type:Pt:^Mother:Nom:
1STT | Result | IVF | IVF | IVF | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 47224-1 | In vitro fertilization pregnancy:Acnc:Pt:^Patient:[NAME]:
1STT | Result | DT3 | Scan Date | Scan Date | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 34970-4 | Date ultrasound:TmStp:Pt:^Patient:Qn:
1STT | Result | NUMF | Number of Fetuses | Number of Fetuses | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 55281-0 | Fetuses:Num:Pt:^Patient:Qn:
1STT | Result | CRL1 | CRL Measure 1 | CRL Measure 1 | Alphanumeric |  |  |  |  | [NAME] |  |  |  |  |  |  |  |  |  | 11957-8 | Length.crown rump:[NAME]:Pt:^Fetus:Qn:US.measured
1STT | Result | CRL2 | CRL Measure 2 | CRL Measure 2 | Alphanumeric |  |  |  |  | [NAME] |  |  |  |  |  |  |  |  |  | 11957-8 | Length.crown rump:[NAME]:Pt:^Fetus:Qn:US.measured
1STT | Result | CHOR | Chorions | Chorions | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
1STT | Result | 26430 | GA on Collection by U/S Scan | GA on Collection by U/S Scan | Alphanumeric |  |  |  |  | wk,d |  |  |  |  |  |  |  |  |  | 11888-5 | Gestational age:Time:Pt:^Fetus:Qn:US.composite.estimated
1STT | Result | NT_ | NT | NT | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48803-1 | Neural tube defect risk:Find:Pt:^Fetus:Qn:
1STT | Result | NT_B | NT Twin B | NT Twin B | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48803-1 | Neural tube defect risk:Find:Pt:^Fetus:Qn:
1STT | Result | 26426 | PAPP-A | PAPP-A | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 32046-5 | Pregnancy associated plasma protein A:ACnc:Pt:Ser/Plas:Qn:
1STT | Result | 26427 | THCG | THCG | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 19080-1 | Choriogonadotropin:ACnc:Pt:Ser/Plas:Qn:
1STT | Result | 26434 | Down Syndrome Screen Risk Estimate | Down Syndrome Screen Risk Estimate | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 43995-0 | Trisomy 21 risk:Find:Pt:^Fetus:Qn:
1STT | Result | 26435 | Down Syndrome Maternal Age Risk | Down Syndrome Maternal Age Risk | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49090-4 | Trisomy 21 risk based on maternal age:Find:Pt:^Fetus:Qn:
1STT | Result | 26436 | Trisomy 18 Screen Risk Estimate | Trisomy 18 Screen Risk Estimate | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 43994-3 | Trisomy 18 risk:Find:Pt:^Fetus:Qn:
1STT | Result | 26437 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 59462-2
1STT | Result | 26438 | Additional Comments | Additional Comments | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 55107-7 | [NAME]:Find:Pt:^Patient:Doc:
1STT | Result | 26439 | Recommended Follow Up | Recommended Follow Up | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process