Spreadsheet: d498d7b7-0aa3-4462-83ac-8540b3ef8eb2
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] | Medium-Chain Acyl-CoA Dehydrogenase (MCAD) Deficiency, Known Mutation | MCAD, Known Mutation | Polymerase chain reaction (PCR) amplification/DNA sequencing are utilized to test for the presence of a specific mutation previously identified in an affected family member. (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | Varies: Var |  |  |  | Varies | This test can only be performed if a mutation has previously been identified in a family member of this individual.   Forms:	 1. Molecular Genetics-Biochemical Disorders Patient Information Sheet (Supply T527) 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. 3. If not ordering electronically, submit a Molecular Genetics Request Form (Supply T245) with the specimen.   [NAME] must arrive within 96 hours of draw.   Submit only 1 of the following specimens:   Specimen Type: Whole blood Container/Tube: Preferred: Lavender top (EDTA) or yellow top (ACD) Acceptable: Any anticoagulant  [NAME]: 3 mL  Collection Instructions:	 1. Invert several times to mix blood. 2. Send specimen in original tube. Specimen Stability Information: Ambient (preferred)/Frozen/Refrigerated 	 Specimen Type: Blood spot Container/Tube: Preferred: Collection card (Whatman Protein Saver 903 Paper) Acceptable: Ahlstrom 226 filter paper, or Supplemental Newborn Screening Card (Supply T493) [NAME]: 2 to 5 Blood Spots on collection card (Whatman Protein Saver 903 Paper; Ahlstrom 226 filter paper; or Supplemental Newborn Screening Card, Supply T493) Collection Instructions: 1. An alternative blood collection option for a patient >1 year of age is finger stick. 2. Let blood dry on the filter paper at ambient temperature in a horizontal position for 3 hours.  3. Do not expose specimen to heat or direct sunlight.  4. Do not stack wet specimens.  5. Keep specimen dry Specimen Stability Information: Ambient (preferred)/Refrigerated   Specimen Type: Cultured fibroblasts Container/Tube: T-75 or T-25 flask [NAME]: 1 full T-75 or 2 full T-25 flasks Specimen Stability Information: Ambient (preferred)/Refrigerated <24 hours | Blood: 1 mL; Blood Spots: 5 punc | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	NA | An interpretive report will be provided. | Wednesday; 10 a.m. | 10 days | 16 days | 1 | 81403 |  |  |  |  | Rochester
[NAME] | [NAME] | VARIES | Varies |  |  |  | See instructions
[NAME] | Result | 22951 | [NAME] | [NAME] | Alphanumeric
[NAME] | Result | 22952 | [NAME] | [NAME] | Alphanumeric
[NAME] | Result | 22953 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
[NAME] | Result | 22954 | Order Date | Order Date | Alphanumeric
[NAME] | Result | 22955 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
[NAME] | Result | 22956 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9
[NAME] | Result | 22957 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
[NAME] | Result | 22958 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69047-9 | Service comment 01:Imp:Pt:[NAME]:Nom:
[NAME] | Result | 22959 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
[NAME] | Result | 22960 | Reviewed By: | Reviewed By: | Alphanumeric
[NAME] | Result | 22961 | Release Date | Release Date | Alphanumeric