Spreadsheet: 550aa7ac-3923-4ad0-8526-3d6765ce4114
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
89118 | Test | 89118 | ThinPrep Screen with HPV for Women 30 Years and [NAME] | ThinPrep Screen W/HPV>=30yr | ThinPrep with Hybrid Capture/Nucleic Acid Hybridization/Signal Amplification |  |  |  |  |  | For optimal interpretation, pap smears should be collected near the middle of the menstrual cycle. No douching or sexual intercourse for 24 hours prior to specimen collection.   Submit only 1 of the following specimens:   Broom Collection Device		 Container/Tube: Cervix broom (Supply T056) [NAME] specimen Collection Instructions: 1. Specimen containers must be labeled with a minimum of 2 unique identifiers (patient's name and clinic number). 2. Collect specimen from cervix.	 3. Rinse broom in PreservCyt solution vial by pushing broom into bottom of vial 10 times forcing bristles apart.  4. As final step, swirl broom vigorously to further release material. Discard device.  5. Tighten cap on vial.  6. Record patient's name and identification number on vial.   Endocervical Brush/Spatula Collection Device Container/Tube: Plastic spatula and cytobrush (Supply T434) [NAME] specimen Collection Instructions: 1. Specimen containers must be labeled with a minimum of 2 unique identifiers (patient's name and clinic number).  2. Collect specimen from ectocervix and [NAME]. 3. Rinse spatula in PreservCyt solution by swirling spatula vigorously into vial 10 times. [NAME] spatula.  4. Next, obtain specimen from endocervix using endocervical brush.  5. Rinse brush in PreservCyt vial by rotating brush 10 times while pushing against side of vial.  6. Swirl brush vigorously as final step to further release material. [NAME] brush.  7. [NAME] cap on vial.  8. Record patient's name and identification number on vial.   Additional Information: 1. An acceptable cytology request form must accompany specimen containers and include the following: [NAME]'s name, medical record number, date of birth, sex, source (exact location and procedure used), date specimen was taken, name of ordering physician and pager number. 2. Submit any pertinent history or clinical information. |  | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | ThinPrep PAP Test Screen: Satisfactory for evaluation. Negative for intraepithelial lesion or malignancy.   High Risk HPV DNA Detection: Negative for types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, and 68 | Monday through Friday; Varies | 5 days | 8 days | 1 | 88142 |  |  |  |  | Rochester
89118 | [NAME] | CERVICAL | Cervical |  |  |  | Ambient
89118 | Order Question | Q0000048 | Pap smear source? |  | Answer List
89118 | Option | Q0000048-1 | Cervical
89118 | Option | [NAME] | Endocervical
89118 | Option | Q0000048-3 | Vaginal
89118 | Order Question | Q0000050 | Date of Last Menstrual Period (LMP) |  | Plain Text
89118 | Order Question | Q0000031 | Clinical history? |  | Plain Text
89118 | Order Question | Q0000052 | Does name on specimen match name entered? |  | Answer List
89118 | Option | [NAME] | Yes
89118 | Option | Q0000052 -2 | No
89118 | Order Question | Q0000025 | Contact physician name? |  | Plain Text
89118 | Result | 19795 | Accession Number | Accession Number
89118 | Result | 19796 | Final Diagnosis | Final Diagnosis |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22637-3 | Path report.final diagnosis:Imp:Pt:[NAME]:Nar:
89118 | Result | 19797 | Cytotechnologist | Cytotechnologist |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
89118 | Result | 19798 | Revision Description | Revision Description |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
89118 | Result | 19799 | Signing Pathologist | Signing Pathologist |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 19139-5 | Pathologist name:ID:Pt:Provider:Nom:
89118 | Result | 19800 | [NAME]: | [NAME]: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 33511-7 | Appearance:Aper:Pt:[NAME]:Nom:
89118 | Result | 19801 | *Previous Report Follows* | *Previous Report Follows*
89118 | Result | 19802 | [NAME] | [NAME] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35265-8 | Path report.addendum:Find:Pt:[NAME]:Nar:
89118 | Result | 19803 | [NAME] Comment: | [NAME] Comment: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22638-1 | Path report.comments:Imp:Pt:[NAME]:Nar:
89118 | [NAME] | 82100 | Physician Interpretation of ThinPrep, PAP | [NAME] of ThinPrep, PAP |  | PreservCyt vial: PrvCyt |  |  |  | Varies | Refer to test code #82037 "Thin Prep Pap, Screen" for requirements. NOTE: Test to be ordered by Internal Cytology Lab staff only. |  |  | Satisfactory for evaluation; within normal limits. | Monday through Friday; Varies | 2 days | 5 days | 1 | G0124 |  |  | No | No
82100 | Result | 82100 | [NAME] of ThinPrep, PAP | [NAME] of ThinPrep, PAP
89118 | [NAME] | 19167 | High Risk HPV DNA Detection | High Risk HPV DNA Detection |  |  |  |  |  |  | Only to be ordered by internal pathology client 70000005 |  |  |  |  |  |  | 1 | 87621 |  |  | Yes | Yes (order #83344)