Spreadsheet: 1c030b68-08e4-4abd-beb6-3a7b7761687e
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
ADHP | Test | ADHP | Familial Hypercholesterolemia/Autosomal Dominant Hypercholesterolemia Genetic Testing Reflex Panel | FH/ADH Genetic Reflex Panel | APOBP/29283: Polymerase Chain Reaction (PCR) with Allele-Specific Primer Extension (ASPE) LDLSP/29284: Polymerase Chain Reaction (PCR) Followed by DNA Sequence Analysis LDLMP/29285: Dosage Analysis by [NAME] (MLPA) LDLPQ/29286: DNA Sequencing Analysis by Polymerase Chain Reaction (PCR) (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | Lavender-top (EDTA) Tube: EDTA |  |  | 3 | mL | Multiple cardiovascular-related gene sequencing tests can be performed on a single specimen after a single extraction. See Multiple Cardiovascular-Related Gene Sequencing Tests in Special Instructions for a list of tests that can be ordered together.  Container/Tube: Lavender top (EDTA) [NAME]: 3 mL Collection Instructions: Send specimen in original tube. Additional Information: 1. Include physician name and phone number with the specimen. 2. Transfusions will interfere with testing for up to 4 to 6 weeks. DNA obtained from white cells may not provide useful information for patients who received a recent transfusion of blood that was not leukocyte-reduced. Wait 4 to 6 weeks until transfused cells have left the patient's circulation before drawing the patient's blood specimen for genotype testing. Forms: 1. Familial/Autosomal Dominant Hypercholesterolemia Patient Information Sheet (Supply T637) 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. | 0.5 mL | Hemolysis	NA Thawing	Warm reject; Cold reject Lipemia	NA Icterus	NA Other	NA | An interpretive report will be provided. | Varies | 14 days |  | 1 | 81479 |  |  |  |  | Rochester
ADHP | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Ambient
ADHP | Component | ADHI | Familial Hypercholesterolemia/Autosomal Dominant Hypercholesterolemia Genetic Interpretation | FH/ADH Genetic Interpretation |  |  |  |  | 3 | mL | "Familial/Autosomal Dominant Hypercholesterolemia  Patient Information Sheet" (Supply T637) is required for all  orders. See Special Instructions for a copy of the form.   Draw blood in a lavender-top (EDTA) tube(s), and send 3 mL of EDTA whole blood in original VACUTAINER(S). Note:	1.	The recommended assay for protein levels of  		Apolipoprotein B is test #80308, "Apolipoprotein B, Plasma".   2.  Include physician name and phone number with specimen. 	3.	Bone marrow transplants will interfere with testing.  		 		For bone marrow transplant patients, buccal cells  		should be provided from the recipient to obtain  		an accurate genotype. 	4.	Transfusions will interfere with testing for up to 4 to 6 weeks.    		DNA obtained from white cells may not provide useful  		information for patients who received a recent transfusion of  		blood that was not leukocyte-reduced. Wait 4-6 weeks  		until transfused cells have left the patient's circulation before  		drawing the patient's blood specimen for genotype testing. 	5.	An "Informed Consent for DNA Testing" (Supply T576) is 		available. See Special Instructions for a copy of the form.   Only orderable as part of a profile. For further information see #83375 "Familial Hypercholesterolemia/Autosomal Dominant  Hypercholesterolemia Genetic Testing Reflex Panel." |  |  | Only orderable as part of a profile. For further information see #83375 "Familial Hypercholesterolemia/Autosomal Dominant  Hypercholesterolemia Genetic Testing Reflex Panel." |  |  |  | 1 |  |  |  | Yes | No
ADHI | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Ambient
ADHI | Result | 29282 | FH/ADH Genetic Interpretation | FH/ADH Genetic Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69047-9
ADHI | Result | 29286 | Reviewed By | Reviewed By | Numeric
ADHP | Component | APOBP | Apolipoprotein B-100 Molecular Analysis, R3500Q and R3500W | APOB Genotype | Polymerase Chain Reaction (PCR) with Allele-Specific Primer Extension (ASPE) (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | Lavender-top (EDTA) Tube: EDTA |  |  | 3 | mL | Only orderable as part of a profile. For further information see ADHP/83375 Familial Hypercholesterolemia/Autosomal Dominant Hypercholesterolemia Genetic Testing Reflex Panel. | 0.5 mL | Hemolysis	NA Thawing	Reject Lipemia	NA Icterus	NA Other	NA | Only orderable as part of a profile. For further information see ADHP/83375 Familial Hypercholesterolemia/Autosomal Dominant Hypercholesterolemia Genetic Testing Reflex Panel. | Friday | 5 days |  | 1 | 81479 |  |  | Yes | Yes (order APOB)
APOBP | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Ambient
APOBP | Result | 29283 | APOB Genotype (Result) | APOB Genotype (Result) | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
ADHP | [NAME] | [NAME] | Familial Hypercholesterolemia, LDLR Large Deletion/Duplication, Molecular Analysis | [NAME] | Dosage Analysis by [NAME] (MLPA) (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) |  |  |  | 3 | mL | Only orderable as part of a reflex. For further information  see #83375 "Familial Hypercholesterolemia/Autosomal  Dominant Hypercholesterolemia Genetic Testing Reflex  Panel." |  |  | Only orderable as part of a reflex. For further information  see #83375 "Familial Hypercholesterolemia/Autosomal  Dominant Hypercholesterolemia Genetic Testing Reflex  Panel." |  |  |  | 1 | 81479 |  |  | No | Yes (order [NAME])
[NAME] | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | See instructions
[NAME] | Result | 28485 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69486-9
ADHP | [NAME] | LDLSP | Familial Hypercholesterolemia, LDLR Full Gene Sequencing | [NAME], Full Gene Sequence | Polymerase Chain Reaction (PCR) Followed by DNA Sequence Analysis (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) |  |  |  | 3 | mL | Only orderable as part of a reflex. For further information  see #83375 "Familial Hypercholesterolemia/Autosomal  Dominant Hypercholesterolemia Genetic Testing Reflex  Panel." |  |  | Only orderable as part of a profile. For further information see #83375 "Familial Hypercholesterolemia/Autosomal Dominant  Hypercholesterolemia Genetic Testing Reflex Panel." |  |  |  | 1 | 81479 |  |  | No | Yes (order [NAME])
LDLSP | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | See instructions
LDLSP | Result | 30380 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
LDLSP | Result | 15598 | Comment | Comment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process