Spreadsheet: f5cb1240-efe2-4eec-802b-a2946795a876
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
FECHK | Test | FECHK | Ferrochelatase (FECH) Gene, Known Mutation | FECH Gene, Known Mutation | Polymerase Chain Reaction (PCR) Followed by DNA Sequence Analysis (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | EDTA (lavender-top) tube: EDTA |  |  | 3 | mL | This test can only be performed if a mutation has previously been identified in a family member of this individual.   Forms: 1. Molecular Genetics-Biochemical Disorders Patient Information Sheet (Supply T527) in Special Instructions 2. 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. 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:   Preferred: Blood Container/Tube: Lavender top (EDTA) or yellow top (ACD) [NAME]: 3 mL Collection Instructions: 1. Invert several times to mix blood. 2. Send specimen in original tube. Specimen Stability Information: Ambient (preferred)/Refrigerated   Acceptable: Blood Spots Container/Tube: Whatman Protein Saver 903 Paper [NAME]: 5 blood spots Collection Instructions: 1. Let blood dry on the filter paper at ambient temperature in a horizontal position for 3 hours. 2. Do not expose specimen to heat or direct sunlight. 3. Do not stack wet specimens. 4. Keep specimen dry. Specimen Stability Information: Ambient (preferred)/Refrigerated | Blood: 1 mL/Blood Spots: 3 | No specimen should be rejected. If specimen is not received at the appropriate temperature or in the wrong anticoagulant, include note to laboratory. If questions, contact laboratory. | An interpretive report will be provided. | Tuesday, 10 a.m. | 10 days | 16 days | 1 | 81479 |  |  |  |  | Rochester
FECHK | [NAME] | VARIES | Varies |  |  |  | See instructions
FECHK | Result | 51049 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2
FECHK | Result | 51050 | [NAME] | [NAME] | Alphanumeric
FECHK | Result | 51051 | Source | Source | Alphanumeric
FECHK | Result | 51052 | Order Date | Order Date | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FECHK | Result | 51053 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1
FECHK | Result | 51054 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FECHK | Result | 51055 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 57962-3
FECHK | Result | 51056 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69047-9
FECHK | Result | 51057 | Extraction Performed? | Extraction Performed? | Alphanumeric
FECHK | Result | 51058 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FECHK | Result | 51059 | Reviewed By | Reviewed By | Alphanumeric
FECHK | Result | 51060 | Release Date | Release Date | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process