Spreadsheet: 6feb0b38-1d2f-4e58-9a3c-ab25c9d5460a
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
60198 | Test | 60198 | HER2, Gastric/Esophageal, Semi-Quantitative Immunohistochemistry, Manual | [NAME], Manual | US Food and Drug Administration (FDA)-Approved Ventana Pathway Immunoperoxidase Stain | Paraffin block: PB |  |  |  |  | If being ordered for diagnostic purposes, you must order a surgical pathology consultation test (5439) and then request the stain.   If being ordered for prognostic purposes: [NAME]: Paraffin-embedded tissue block containing invasive gastric or esophageal adenocarcinoma tissue that has been fixed in 10% neutral buffered formalin shipped at ambient temperature Acceptable: 2 unstained sections, containing gastric or esophageal adenocarcinoma, on charged slides cut at 4 microns <1 month ago and shipped at ambient temperature. Tissue on the slides should be fixed in 10% neutral buffered formalin. Container/Tube: Surgical Pathology Packaging Kit (Supply T554) Collection Instructions: 1. Submit paraffin-embedded gastric or esophageal adenocarcinoma tissue. 2. Include accompanying pathology report stating the final diagnosis. If not available, a preliminary diagnosis is acceptable only if it refers to invasive or metastatic gastric or esophageal adenocarcinoma. 3. Attach the green pathology address label included in the kit to the outside of the transport container. Additional Information: 1. Only paraffin-embedded (FFPE) gastric or esophageal adenocarcinoma specimens will be accepted. Fixation in 10% neutral buffered formalin is preferred. For breast cancer specimens, order 81504 HER2, Breast, Quantitative Immunohistochemistry, Automated. 2. The performance and quality of immunohistochemical stains in 10% neutral buffered FFPE tissue depends on proper fixation. It is recommended (not required) for surgical specimens to be fixed between 18 and 24 hours and biopsy specimens between 6 and 8 hours. 3. Paraffin blocks will be returned with final report. Forms: If not ordering electronically, submit a Pathology/Cytology Request Form (Supply T246) with the specimen. |  | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | Reported as negative (0, 1+), equivocal (2+), and positive (3+) | Monday through Friday | 2 days | 10 days | 1 | 88360 |  |  |  |  | Rochester
60198 | [NAME] | VARIES | Varies |  |  |  | Ambient
60198 | Result | 20327 | Accession Number | Accession Number
60198 | Result | 20328 | Referring Pathologist/Physician | Referring Pathologist/Physician |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 46608-6 | Primary referring physician ID:ID:Pt:Provider:Nom:
60198 | Result | 20329 | Ref Path/Phys Address | Ref Path/Phys Address |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
60198 | Result | 20330 | Material: | Material: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
60198 | Result | 20331 | Tissue: | Tissue: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
60198 | Result | 20332 | Interpretation: | Interpretation: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
60198 | Result | 20333 | Comment: | Comment: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22638-1 | Path report.comments:Imp:Pt:[NAME]:Nar:
60198 | Result | 20334 | SP Signing Pathologist: | SP Signing Pathologist:
60198 | Result | 20335 | *Previous Report Follows* | *Previous Report Follows*
60198 | Result | 20336 | [NAME]: | [NAME]: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35265-8 | Path report.addendum:Find:Pt:[NAME]:Nar:
60198 | Result | 20337 | [NAME] Comment: | [NAME] Comment: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22638-1 | Path report.comments:Imp:Pt:[NAME]:Nar:
60198 | Result | 20338 | [NAME] Pathologist: | [NAME] Pathologist: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 19139-5 | Pathologist name:Pn:Pt:Provider:Nom:
60198 | [NAME] | [NAME] | HER2 Amplification Associated with Gastroesophageal Cancer, FISH, Tissue | [NAME], Gastroesophageal FISH | Fluorescence In Situ Hybridization (FISH) | Paraffin blocks or appropriate number of unstained sections slides: PBorUnS |  |  |  |  | Provide a pathology report with each tissue specimen. The pathology report must include type of fixation used (ie, >6 hours and <48 hours). The laboratory will not reject a specimen that arrives without this information but will hold analysis of the specimen until a pathology report is received.   [NAME]: Tissue block Collection Instructions: Submit formalin-fixed, paraffin-embedded gastroesophageal cancer tissue. Forms: If not ordering electronically, submit a Cytogenetics Hematologic Disorders Request Form (Supply T607) with the specimen. |  | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | An interpretative report will be provided. | Samples processed Monday through Sunday. Results reported Monday through Friday, 8 a.m.-5 p.m. CST. | 8 days | 11 days |  | Profile |  |  | No | Yes
[NAME] | [NAME] | TISSUE | Tissue |  |  |  | Ambient
[NAME] | Order Question | CG555 | Reason For Referral |  | Plain Text
[NAME] | Result | 51117 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
[NAME] | Result | 51118 | [NAME] | [NAME] | Alphanumeric
[NAME] | Result | 51119 | Source | Source | Alphanumeric
[NAME] | Result | 51120 | Order Date | Order Date | Alphanumeric
[NAME] | Result | CG555 | Reason for Referral | Reason for Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
[NAME] | Result | 51122 | Fixative | Fixative | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
[NAME] | Result | 51123 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
[NAME] | Result | 51124 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
[NAME] | Result | 51125 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69965-2
[NAME] | Result | 51126 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
[NAME] | Result | 51127 | Reviewed By | Reviewed By | Alphanumeric
[NAME] | Result | 51128 | Release Date | Release Date | Alphanumeric