Spreadsheet: 0c31f56a-acc9-4e2f-973a-5544bf8d91b0
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
MTBRP | Test | MTBRP | Mycobacterium tuberculosis Complex, Molecular Detection, PCR | M tuberculosis Complex PCR | Real-Time Polymerase Chain Reaction (PCR) (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) |  |  |  |  |  | The high sensitivity of amplification by PCR requires the specimen to be processed in an environment in which contamination of the specimen by Mycobacterium tuberculosis DNA is not likely. 	 Forms: If not ordering electronically, submit a Microbiology Request Form (Supply T244) with the specimen.  Preferred Specimens: Body fluid, cerebrospinal fluid, respiratory (eg, bronchoalveolar lavage fluid, bronchial washing, sputum), stool, tissue (fresh or paraffin) or bone, urine   Acceptable Specimens: If no fresh specimen is available, some digested respiratory specimens treated with N-acetyl-L-cysteine (NALC)/NaOH are acceptable (eg, bronchoalveolar lavage fluid, bronchial washing, gastric washing, respiratory fluid, sputum, or tracheal secretion)   	 Unacceptable Specimens: Blood, bone marrow, specimen in anaerobe vial or viral transport medium (including but not limited to M4, M5, BD viral transport media, thioglycolate broth), swab, tissue in formalin fluid, specimen >7 days old (with the exception of paraffin tissue)   [NAME] must arrive within 7 days of collection; specimen >7 days will be rejected.   [NAME] source is required.   Submit only 1 of the following specimens:   Preferred: [NAME] fluid Sources: Body fluid or cerebrospinal fluid Container/Tube: Sterile container [NAME]: 1 mL  Specimen Stability Information: Refrigerated (preferred) 7 days/Ambient 7 days/Frozen 7 days Additional Information: Only fresh, non-NALC/NaOH-digested body fluid is acceptable.   Specimen Type: Gastric Washing Container/Tube: Sterile container [NAME]: 10 mL Collection Instructions: Neutralize specimen within 4 hours of collection with 100 mg of sodium carbonate per 5-10 mL of gastric washing. Specimen Stability Information: Refrigerated (preferred) 7 days/Ambient 7 days/Frozen 7 days   Specimen Type: Respiratory Sources: Bronchoalveolar lavage fluid, bronchial washing, or sputum Container/Tube: Sterile container [NAME]: 3 mL Specimen Stability Information: Refrigerated (preferred) 7 days/Ambient 7 days/Frozen 7 days   Specimen Type: Stool Container/Tube: Sterile container [NAME]: 5-10 g Specimen Stability Information: Refrigerated (preferred) 7 days/Ambient 7 days/Frozen 7 days Additional Information: Only fresh, non-NALC/NaOH-digested stool is acceptable.   Specimen Type: Tissue Sources: Fresh, paraffin, or bone Container/Tube:  Preferred: Sterile container  Acceptable: Biopsy specimen of tissue fixed with formalin in a paraffin block [NAME]: 5-10 mm Collection Instructions: Block must be sent for sectioning. Specimen Stability Information: Fresh tissue: Refrigerated (preferred) 7 days/Ambient 7 days/Frozen 7 days Fixed tissue (paraffin): Ambient Additional Information: Only fresh, non-NALC/NaOH-digested tissue is acceptable.   Specimen Type: Urine Container/Tube: Sterile container [NAME]: 2 mL Collection Instructions: Collect a random urine specimen. Specimen Stability Information: Refrigerated (preferred) 7 days/Ambient 7 days/Frozen 7 days Additional Information: Only fresh, non-NALC/NaOH-digested urine is acceptable.  	 Acceptable: NALC/NaOH-digested specimen must arrive within 7 days of digestion.  	 [NAME]: NALC/NaOH-digested respiratory specimens Sources: Lavage fluid, bronchial washing, gastric washing, respiratory fluid, sputum, or tracheal secretion Container/Tube: Sterile container [NAME]: 2 mL Collection Instructions:  1. Submit digested specimen treated with NALC/NaOH. 2. Clearly indicate on container and order form that specimen is a digested specimen. Specimen Stability Information: Refrigerated (preferred) 7 days/Ambient 7 days/Frozen 7 days Additional Information: If a single specimen is being shared between mycobacteria culture, acid-fast smear, and/or Mycobacterium tuberculosis PCR, a minimum volume of 1.5 mL for body fluid, 3 mL for respiratory specimen, or a pea-sized piece of tissue should be obtained. Specimen volumes less than indicated may decrease sensitivity of testing. If insufficient volume is submitted, test or tests will be canceled. | Body Fluid: 0.5 mL/Bone: 5 mm/Ga | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	Blood, bone marrow, specimen in anaerobe vial or viral transport medium (including but not limited to M4, M5, BD viral transport media, thioglycolate broth), swab, tissue in formalin fluid, specimen >7 d | Not applicable | Monday through Friday | 1 day (3 days for embedded tissue) | 3 days (5 days for embedded tissue) | 1 | 87556 |  |  |  |  | Rochester
MTBRP | [NAME] | VARIES | Varies |  |  |  | See instructions
MTBRP | Order Question | SRC62 | [NAME] |  | Plain Text
MTBRP | Result | SRC62 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
MTBRP | Result | 56044 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48174-7 | Mycobacterium tuberculosis complex rRNA:ACnc:Pt:[NAME]:[NAME]:Probe.amp.tar
MTBRP | Result | 56045 | Special Information | Special Information | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8 | Annotation comment:Imp:Pt:{system}:Nar:
MTBRP | Result | 56046 | Report Status | Report Status | Alphanumeric