Spreadsheet: 2bcad7ee-7aba-405b-b324-24399cf1754d
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
[NAME] | Test | [NAME] | HIV-1 Genotypic Drug Resistance Mutation Analysis, with Reflex to Phenotypic Drug Resistance Prediction, Plasma | HIV-1 Geno Reflex to Pheno Predict | GHIVR/88782: [NAME] Reaction (RT-PCR)/DNA Sequencing (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) VPHIV/88781: Virtual Phenotype |  |  |  |  |  | Collection Container/Tube: Lavender top (EDTA) Submission Container/Tube: Plastic vial [NAME]: 2 mL Collection Instructions: 1. Spin down and separate plasma from cells within 6 hours of collection. 2. Freeze plasma immediately and ship specimen frozen on dry ice. 3. If shipment will be delayed for >24 hours, freeze plasma at [NAME] (up to 35 days) until shipment on dry ice. Additional Information: 1. This test is intended to be used to monitor known HIV-positive infections. It is not intended for primary detection of HIV infections. 2. Specimens submitted for HIV-1 genotyping should contain > or =1,000 copies/mL of HIV-1 RNA. 3. Viral load results and date of viral load testing are required. Viral load must have been performed within last 14 days with results > or =1,000 copies/mL. | 0.6 mL | Hemolysis	Mild OK; Gross OK Thawing	Warm reject; Cold <24 hrs OK, refreeze with note to lab Lipemia	Mild OK; [NAME] OK Icterus	NA Other	Green top (heparin) tube | Not applicable | Varies; test will be performed in batches of 4 | 2-3 days | 10 days | 1 | 87901 |  |  |  |  | Rochester
[NAME] | [NAME] | PLEDTA | [NAME] |  |  |  | Frozen
[NAME] | Order Question | GHIVD | Last viral load date ([NAME]/dd/yyyy): |  | Date Value
[NAME] | Order Question | GHIVL | Was last HIV-1 viral load >1,000? |  | Answer List
[NAME] | Option | GHIVL-1 | Yes
[NAME] | Option | GHIVL-2 | No
[NAME] | Result | 82340 | HIV-1 Genotypic Drug Resistance, P | HIV-1 Genotypic Drug Resistance, P | Alphanumeric
[NAME] | Result | 21395 | Reverse Transcriptase Mutations | Reverse Transcriptase Mutations | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 30554-0
[NAME] | Result | 21411 | Abacavir | Abacavir | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 30287-7
[NAME] | Result | 21406 | Didanosine | Didanosine | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 30284-4
[NAME] | Result | 21412 | Lamivudine/Emtricitabine | Lamivudine/Emtricitabine | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 30283-6
[NAME] | Result | 21408 | Stavudine | Stavudine | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 30286-9
[NAME] | Result | 21530 | Tenofovir | Tenofovir | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 41396-3
[NAME] | Result | 21405 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 30282-8
[NAME] | Result | 21414 | Efavirenz | Efavirenz | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 30291-9
[NAME] | Result | 31267 | Etravirine | Etravirine | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 52749-9
[NAME] | Result | 21410 | Nevirapine | Nevirapine | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 30289-3
[NAME] | Result | 21400 | Protease Mutations | Protease Mutations | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 33630-5
[NAME] | Result | 23624 | Atazanavir | Atazanavir | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 41403-7
[NAME] | Result | 28076 | Atazanavir with [NAME] | Atazanavir with [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49618-2
[NAME] | Result | 26784 | Darunavir with [NAME] | Darunavir with [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49630-7
[NAME] | Result | 26732 | Fosamprenavir | Fosamprenavir | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 43736-8
[NAME] | Result | 26733 | Fosamprenavir with [NAME] | Fosamprenavir with [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 51409-1
[NAME] | Result | 21415 | Indinavir | Indinavir | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 30292-7
[NAME] | Result | 26734 | Indinavir with [NAME] | Indinavir with [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49619-0
[NAME] | Result | 21532 | Lopinavir with [NAME] | Lopinavir with [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42000-0
[NAME] | Result | 21416 | Nelfinavir | Nelfinavir | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 30294-3
[NAME] | Result | 26735 | Saquinavir with [NAME] | Saquinavir with [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49621-6
[NAME] | Result | 28201 | [NAME] with [NAME] | [NAME] with [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49622-4
[NAME] | Result | GHIVD | Last viral load date ([NAME]/dd/yyyy): | Last viral load date ([NAME]/dd/yyyy): | Alphanumeric
[NAME] | Result | GHIVL | Was last HIV-1 viral load >1,000? | Was last HIV-1 viral load >1,000? | Alphanumeric
[NAME] | [NAME] | VPHIV | HIV-1 Phenotypic Drug Resistance Prediction (Add-On) | HIV-1 Phenotypic Resist Prediction | Virtual Phenotype |  |  |  |  |  | No additional specimen is required. Laboratory will use DNA sequencing data from the HIV-1 genotyping test result (GHIV/82340 HIV-1 Genotypic Drug Resistance Mutation Analysis, [NAME]) obtained within the previous 3 months at MML. |  |  | An interpretive report will be provided.   Test performed by:  [NAME] BVBA Turnhoutseweg 30 2340 Beerse Belgium | Monday through Sunday; Varies | 24 hours | 7 days | 1 | 87900 |  |  | No | No
VPHIV | [NAME] | PLEDTA | [NAME] |  |  |  | Frozen
VPHIV | Result | 88781 | HIV-1 Phenotypic Resist Prediction | HIV-1 Phenotypic Resist Prediction | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process