Spreadsheet: a7de9938-eb82-40f4-89b5-e6151aabb10e
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
DASM5 | Test | DASM5 | Drugs of Abuse Screen, Meconium 5 | Drugs of Abuse Screen, Meconium 5 | Enzyme-Linked Immunosorbent Assay (ELISA) |  |  |  | 5 | g | Chain of Custody is recommended for this test. Chain-of-Custody Meconium Kit (Supply T653) is available upon request.   Container/Tube: Stool container (Supply T288) [NAME]: 1 g (approximately 1 teaspoon) Collection Instructions: Collect entire random meconium specimen. Additional Information:  1. For chain-of-custody information, see Chain-of-Custody Meconium Kit (Supply T653). 2. Specimen that arrives with a broken seal does not meet the chain-of-custody requirements. 3. The laboratory recommends sending chain-of-custody specimens by overnight shipment. 4. If heroin use is suspected, specimen must be sent frozen to prevent loss of 6-monoacetylmorphine ([NAME], [NAME]). When refrigerated, a significant percentage of 6MAM will convert to morphine in <24 hours. | 0.45 g (approximately 0.5 teaspo | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	Grossly bloody reject; Pink OK | Negative Positives are reported with a quantitative LC-MS/MS result. [NAME] concentrations Amphetamines by [NAME]: >100 ng/g Methamphetamine by [NAME]: >100 ng/g Benzoylecgonine (cocaine metabolite) by [NAME]: >100 ng/g Opiates by [NAME]: >100 ng/g Tetrahydrocannabinol carboxylic acid ([NAME]) by [NAME]: >20 ng/g Phencyclidine by [NAME]: >20 ng/g | Monday through Saturday | 2 days | 3 days | 1 | 80104 |  |  |  |  | Rochester
DASM5 | [NAME] | [NAME] | Meconium |  |  |  | Frozen | 14 days
DASM5 | Result | 32197 | Amphetamine | Amphetamine | Alphanumeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 26895-3 | Amphetamines:MCnt:Pt:Meconium:Qn:
DASM5 | Result | 32199 | Methamphetamine | Methamphetamine | Alphanumeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 27289-8 | Methamphetamine:MCnt:Pt:Meconium:Qn:
DASM5 | Result | 32201 | Cocaine | Cocaine | Alphanumeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 26956-3 | Cocaine:MCnt:Pt:Meconium:Qn:
DASM5 | Result | 32203 | Opiate | Opiate | Alphanumeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 26744-3 | Opiates:MCnt:Pt:Meconium:Qn:Screen
DASM5 | Result | 32205 | Phencyclidine | Phencyclidine | Alphanumeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 26829-2 | Phencyclidine:MCnt:Pt:Meconium:Qn:Screen
DASM5 | Result | 32207 | Tetrahydrocannabinol | Tetrahydrocannabinol | Alphanumeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | In Process
DASM5 | Result | 32208 | Chain of Custody | Chain of Custody | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
DASM5 | [NAME] | AMPHM | Amphetamine-Type Stimulants, Confirmation, Meconium | Amphetamines, Confirmation, M | Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) | Stool Container: Stool |  |  | 1 | g | Chain of custody is recommended for this test. Chain-of-Custody Meconium Kit (Supply T653) is available upon request.      Container/Tube: Stool container (Supply T288) [NAME]: 1 g (approximately 1 teaspoon) Collection Instructions: Collect entire random meconium specimen. Additional Information: 1. For chain-of-custody information, see Chain-of-Custody Meconium Kit (Supply T653). 2. Specimen that arrives with a broken seal does not meet the chain-of-custody requirements. 3. The laboratory recommends sending chain-of-custody specimens by overnight shipment. | 0.3 g (approximately 1/4 teaspoo | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	Grossly bloody reject; Pink OK | Negative Positives are reported with a quantitative LC-MS/MS result. [NAME] concentrations: Amphetamine by LC-MS/MS: >50 ng/g Methamphetamine by LC-MS/MS: >50 ng/g 3,4-Methylenedioxyamphetamine by LC-MS/MS: >50 ng/g 3,4-Methylenedioxyethylamphetamine by LC-MS/MS: >50 ng/g 3,4-Methylenedioxymethamphetamine by LC-MS/MS: >50 ng/g | Monday through Friday, Sunday; Varies | 2 days |  | 2 | 82145 |  |  | No | Yes
AMPHM | [NAME] | [NAME] | Meconium |  |  |  | Frozen | 14 days
AMPHM | Result | 31854 | Amphetamine | Amphetamine | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 43934-9 | Amphetamines:MCnt:Pt:Meconium:Qn:Confirm
AMPHM | Result | 31855 | Methamphetamine | Methamphetamine | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 27289-8 | Methamphetamine:MCnt:Pt:Meconium:Qn:
AMPHM | Result | 31856 | 3,4-methylenedioxyamphetamine | 3,4-methylenedioxyamphetamine | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 27244-3 | Methylenedioxyamphetamine:MCnt:Pt:Meconium:Qn:
AMPHM | Result | 31858 | 3,4-methylene-dioxyethylamphetamine | 3,4-methylene-dioxyethylamphetamine | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 27080-1 | [NAME]:MCnt:Pt:Meconium:Qn:
AMPHM | Result | 31857 | 3,4-methylene-dioxy-methamphetamine | 3,4-methylene-dioxy-methamphetamine | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 69025-5 | Methylenedioxymethamphetamine:MCnt:Pt:Meconium:Qn:Confirm
AMPHM | Result | 31882 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69050-3
AMPHM | Result | 31883 | Chain of Custody | Chain of Custody | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
DASM5 | [NAME] | COKEM | Cocaine and Metabolites Confirmation, Meconium | Cocaine and [NAME], Confirm, M | Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) | Stool Container: Stool |  |  | 2 | g | Chain of custody is recommended for this test. Chain-of-Custody Meconium Kit (Supply T653) is available upon request.   Container/Tube: Stool container (Supply T288) [NAME]: 1 g (approximately 1 teaspoon) Collection Instructions: Collect entire random meconium specimen. Additional Information:  1. For chain-of-custody information, see Chain-of-Custody Meconium Kit (Supply T653). 2. Specimen that arrives with a broken seal does not meet the chain-of-custody requirements. 3. The laboratory recommends sending chain-of-custody specimens by overnight shipment. | 0.3 g (approximately 1/4 teaspoo | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	Grossly bloody reject; Pink OK | Negative Positives are reported with a quantitative LC-MS/MS result. [NAME] concentrations Cocaine by LC-MS/MS: >50 ng/g Benzoylecgonine by LC-MS/MS: >50 ng/g Cocaethylene by LC-MS/MS: >50 ng/g m-Hydroxybenzoylecgonine by LC-MS/MS: >50 ng/g | Monday through Friday, Sunday; Varies | 2 days |  | 1 | 82520 |  |  | No | Yes
COKEM | [NAME] | [NAME] | Meconium |  |  |  | Frozen | 14 days
COKEM | Result | 31859 | Cocaine | Cocaine | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 26956-3 | Cocaine:MCnt:Pt:Meconium:Qn:
COKEM | Result | 31860 | Benzoylecgonine | Benzoylecgonine | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 27026-4 | Benzoylecgonine:MCnt:Pt:Meconium:Qn:
COKEM | Result | 31861 | Cocaethylene | Cocaethylene | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 26815-1 | Cocaethylene:MCnt:Pt:Meconium:Qn:
COKEM | Result | 31862 | m-Hydroxybenzoylecgonine | m-Hydroxybenzoylecgonine | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | In Process
COKEM | Result | 31864 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69050-3
COKEM | Result | 31865 | Chain of Custody | Chain of Custody | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
DASM5 | [NAME] | OPATM | Opiate Confirmation, Meconium | Opiate Confirmation, M | Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) |  |  |  | 5 | g | Chain of custody is recommended for this test. Chain-of-Custody Meconium Kit (Supply T653) is available upon request.   Container/Tube: Stool container (Supply T288) [NAME]: 1 g (approximately 1 teaspoon) Collection Instructions: Collect entire random meconium specimen. Additional Information:  1. For chain-of-custody information, see Chain-of-Custody Meconium Kit (Supply T653). 2. Specimen that arrives with a broken seal does not meet the chain-of-custody requirements. 3. The laboratory recommends sending chain-of-custody specimens by overnight shipment. | 0.3 g (approximately 1/4 teaspoo | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	Grossly bloody reject; Pink OK | Negative Positives are reported with a quantitative LC-MS/MS result. [NAME] concentrations Codeine by LC-MS/MS: >50 ng/mL Hydrocodone by LC-MS/MS: >50 ng/mL Hydromorphone by LC-MS/MS: >50 ng/mL [NAME] by LC-MS/MS: >50 ng/mL Oxycodone by LC-MS/MS: >50 ng/mL Oxymorphone by LC-MS/MS: >50 ng/mL | Monday through Friday, Sunday; Varies | 2 days | 3 days | 1 | 83925 |  |  | No | Yes
OPATM | [NAME] | [NAME] | Meconium |  |  |  | Frozen | 14 days
OPATM | Result | 31848 | [NAME] | [NAME] | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 26860-7 | Morphine:MCnt:Pt:Meconium:Qn:
OPATM | Result | 31850 | Oxymorphone | Oxymorphone | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 69028-9 | Oxymorphone:MCnt:Pt:Meconium:Qn:Confirm
OPATM | Result | 31849 | Hydromorphone | Hydromorphone | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 26862-3 | Hydromorphone:MCnt:Pt:Meconium:Qn:
OPATM | Result | 31847 | Codeine | Codeine | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 26865-6 | Codeine:MCnt:Pt:Meconium:Qn:
OPATM | Result | 31852 | Oxycodone | Oxycodone | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 26869-8 | Oxycodone:MCnt:Pt:Meconium:Qn:
OPATM | Result | 31851 | Hydrocodone | Hydrocodone | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 26863-1 | Hydrocodone:MCnt:Pt:Meconium:Qn:
OPATM | Result | 31868 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69050-3
OPATM | Result | 31869 | Chain of Custody | Chain of Custody | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
DASM5 | [NAME] | PCPMC | Phencyclidine Confirmation, Meconium | PCP Confirmation, Meconium | Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) |  |  |  | 5 | g | Chain-of-custody is recommended for this test. Chain-of-Custody Meconium Kit (Supply T653) is available upon request.   Container/Tube: Stool container (Supply T288) [NAME]: 1 g (approximately 1 teaspoon) Collection Instructions: Collect entire random meconium specimen. Additional Information:  1. For chain of custody information, see Chain-of-Custody Meconium Kit (Supply T653). 2. Specimen that arrives with a broken seal does not meet the chain-of-custody requirements. 3. The laboratory recommends sending chain-of-custody specimens by overnight shipment. | 0.3 g (approximately 1/4 teaspoo | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	Grossly bloody reject; Pink OK | Negative Positives are reported with a quantitative LC-MS/MS result. [NAME] concentrations PCP by LC-MS/MS: >10 ng/g | Monday through Friday; Varies | 2 days | 3 days | 1 | 83992 |  |  | No | Yes
PCPMC | [NAME] | [NAME] | Meconium |  |  |  | Frozen | 14 days
PCPMC | Result | 89069 | PCP Confirmation, Meconium | PCP Confirmation, Meconium | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 26859-9 | Phencyclidine:MCnt:Pt:Meconium:Qn:
PCPMC | Result | 29905 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69050-3
PCPMC | Result | 29906 | Chain of Custody | Chain of Custody | Numeric
DASM5 | [NAME] | THCM | 11-nor-Delta-9-Tetrahydrocannabinol-9-Carboxylic Acid (Carboxy-THC), Confirmation, Meconium | Carboxy-THC Confirmation, M | Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS) | Stool Container: Stool |  |  | 0.5 | g | Chain of custody is recommended for this test. Chain-of-Custody Meconium Kit (Supply T653) is available upon request.   Container/Tube: Stool container (Supply T288) [NAME]: 1 g (approximately 1 teaspoon) Collection Instructions: Collect entire random meconium specimen. Additional Information:  1. For chain-of-custody information, see Chain-of-Custody Meconium Kit (Supply T653). 2. Specimen that arrives with a broken seal does not meet the chain-of-custody requirements. 3. The laboratory recommends sending chain-of-custody specimens by overnight shipment. | 0.3 g (approximately 1/4 teaspoo | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	Grossly bloody reject; Pink OK | Negative Positives are reported with a quantitative LC-MS/MS result. [NAME] concentrations Tetrahydrocannabinol carboxylic acid ([NAME]) by LC-MS/MS: >10 ng/g | Monday through Friday, Sunday; Varies | 2 days |  | 1 | 80299 |  |  | No | Yes
THCM | [NAME] | [NAME] | Meconium |  |  |  | Frozen | 14 days
THCM | Result | 31863 | THC | THC | Numeric |  |  |  |  | ng/g |  |  |  |  |  |  |  |  |  | 69007-3 | Carboxy tetrahydrocannabinol:MCnt:Pt:Meconium:Qn:Confirm
THCM | Result | 31876 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69050-3
THCM | Result | 31877 | Chain of Custody | Chain of Custody | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process