Spreadsheet: bbbdd885-17e6-45dc-adef-5d67c676ee81
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
UPD | Test | UPD | Uniparental Disomy | Uniparental Disomy | Polymerase Chain Reaction (PCR)/Microsatellite markers on the chromosome of interest are used to test DNA from parents and child for the presence of uniparental disomy. (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | EDTA (lavender-top) tube: EDTA OR Yellow-Top (ACD) Tube: ACD OR |  |  | 3 | mL | Forms: 1. Molecular Genetics-Congenital Inherited Diseases Patient Information Sheet (Supply T521) 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.   For optimal interpretation of results, 3 specimens are required to perform Uniparental Disomy testing. In addition to child or fetal specimen, a blood specimen from both parents is required. Each specimen must have a separate order for UPD / Uniparental Disomy. Each specimen will be charged separately.    [NAME] must arrive within 96 hours of collection.   Submit only 1 of the following specimens:   Specimen Type: Whole blood 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)/Refrigerated   Due to the complexity of prenatal testing, consultation with the laboratory is required for all prenatal testing. Prenatal specimens can be sent Monday through Thursday and must be received by 5 p.m. CST on Friday in order to be processed appropriately. All prenatal specimens must be accompanied by a maternal blood specimen. Order MCC / Maternal Cell Contamination, Molecular Analysis on both the prenatal and the maternal specimens.   Specimen Type: Amniotic fluid Container/Tube: Amniotic fluid container [NAME]: 20 mL	 Specimen Stability Information: Refrigerated (preferred)/Ambient   Specimen Type: Chorionic villi	 Container/Tube: 15-mL tube containing 15 mL of transport media [NAME]: 20 mg		 Specimen Stability Information: Refrigerated   Acceptable: [NAME] Confluent cultured cells	 Container/Tube: T-25 flask [NAME]: 2 Flasks Collection Instructions: Submit confluent cultured cells from another laboratory. Specimen Stability Information: Ambient (preferred)/Refrigerated | Blood: 0.5 mL/Amniotic Fluid: 10 | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	NA | An interpretive report will be provided. | Thursday; 2 p.m. | 5 days | 21 days | 1 | 81402 |  |  |  |  | Rochester
UPD | [NAME] | VARIES | Varies |  |  |  | See instructions
UPD | Result | 17269 | Sepcimen | Sepcimen | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
UPD | Result | 17270 | [NAME] | [NAME] | Alphanumeric
UPD | Result | 17271 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
UPD | Result | 17272 | Order Date | Order Date | Alphanumeric
UPD | Result | 17273 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
UPD | Result | 17274 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9
UPD | Result | 17275 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 36917-3 | Chromosome uniparental disomy:Prid:Pt:Bld/Tiss:Nar:Molgen
UPD | Result | 17276 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69047-9 | Service comment 01:Imp:Pt:[NAME]:Nom:
UPD | Result | 17277 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 36917-3 | Chromosome uniparental disomy:Prid:Pt:Bld/Tiss:Nar:Molgen
UPD | Result | 17278 | Reviewed By | Reviewed By | Alphanumeric
UPD | Result | 17279 | Release Date | Release Date | Alphanumeric
UPD | [NAME] | FBC | Fibroblast Culture for Genetic Testing | Fibroblast Culture for Genetic Test | Cell Culture | Medium: Med |  |  | 30 | mg | Provide a reason for referral with each specimen. The laboratory will not reject testing if this information is not provided, but appropriate testing and interpretation may be compromised or delayed.  Forms: If not ordering electronically, submit a Cytogenetics/AFP Congenital Disorders Request Form (Supply T238) with the specimen.  Advise Express Mail or equivalent if not on courier service.   Submit only 1 of the following specimens:   Specimen Type: Autopsy Container/Tube: Sterile container with sterile Hank's balanced salt solution (Supply T132), [NAME]'s solution, or normal saline [NAME]: 4-mm diameter Collection Instructions: 1. Wash biopsy site with an antiseptic soap. 2. Thoroughly rinse area with sterile water. 3. Do not use alcohol or iodine preparations. 4. Biopsy specimens are best taken by [NAME] to include full thickness of dermis.   	 [NAME]: 15-mL tube containing 15 mL of transport media [NAME]: 20-30 mg Collection Instructions: 1. Collect specimen by the transabdominal or transcervical method. 2. Transfer the chorionic villi specimen to a Petri dish containing transport medium (Supply T095). 3. Using a stereomicroscope and sterile forceps, assess the quality and quantity of the villi and remove any blood clots and maternal decidua.    [NAME] of conception or stillbirth Container/Tube: Sterile container with sterile Hank's balanced salt solution (Supply T132), [NAME]'s solution, or normal saline [NAME]: 1 cm(3) of placenta (including 20 mg of chorionic villi) and a 1 cm(3) biopsy specimen of muscle/fascia from the thigh Collection Instructions: If a fetus cannot be specifically identified, collect 50 mg villus material or tissue that appears to be of fetal origin. Additional Information: Do not send entire fetus. Forms: Final Disposition of Fetal/Stillborn Remains form (if fetal specimen is sent) in Special Instructions.  	 [NAME]: Skin biopsy Container/Tube: Sterile container with sterile Hank's balanced salt solution (Supply T132), [NAME]'s solution, or normal saline [NAME]: 4-mm diameter Collection Instructions: 1. Wash biopsy site with an antiseptic soap. 2. Thoroughly rinse area with sterile water. 3. Do not use alcohol or iodine preparations. 4. A local anesthetic may be used. 5. Biopsy specimens are best taken by [NAME] to include full thickness of dermis. | [NAME]: 5 mg/Products o | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | Not applicable | Samples processed Monday through Sunday. Results reported Monday through Friday, 8 a.m.-5 p.m. CST. | 41 days | 42 days |  | Profile |  |  | No | Yes
FBC | [NAME] | TISSUE | Tissue |  |  |  | Refrigerated
FBC | Order Question | CG030 | Source |  | Answer List
FBC | Option | CG030-1 | Autopsy
FBC | Option | CG030-2 | [NAME]
FBC | Option | CG030-3 | Products of Conception or Stillbirth
FBC | Order Question | CG033 | Reason for Referral |  | Plain Text
FBC | Result | 16167 | [NAME] | [NAME] | Alphanumeric
FBC | Result | 16337 | [NAME] | [NAME] | Alphanumeric
FBC | Result | CG030 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
FBC | Result | 16168 | Order Date | Order Date | Alphanumeric
FBC | Result | CG033 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
FBC | Result | 16172 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9
FBC | Result | 16175 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69965-2
FBC | Result | 16176 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FBC | Result | 16177 | Consultant | Consultant | Alphanumeric
FBC | Result | 16178 | Report Date | Report Date | Alphanumeric
UPD | [NAME] | AFC | Amniotic Fluid Culture for Genetic Testing | Amniotic Fluid Culture/Genetic Test | Cell Culture | [NAME], sterile container: SrwStlCont |  |  | 10 | mL | Provide a reason for referral and gestational age with each specimen. The laboratory will not reject testing if this information is not provided, but appropriate testing and interpretation may be compromised or delayed.   Optimal timing for specimen collection is during 14 to 18 weeks of gestation, but specimens collected at other weeks of gestation are also accepted.   Container/Tube: Amniotic fluid container [NAME]: 5-10 mL Collection Instructions:  1. Discard the first 2 mL of amniotic fluid. If the culture will be performed in conjunction with chromosome analysis and alpha-fetoprotein, a total of approximately 25 mL to 30 mL will be needed for the combined studies. 2. Place the tubes in a [NAME] container (Supply T329). 3. Fill remaining space with packing material. 4. Unavoidably, about 1% to 2% of mailed-in specimens are not viable. 5. Bloody specimens are undesirable. 6. If the specimen does not grow in culture, you will be notified within 7 days of receipt.  Additional Information:  1. Advise Express Mail or equivalent if not on courier service 2. Results will be reported and also telephoned or faxed, if requested. Forms: 1. 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. 2. If not ordering electronically, submit a Cytogenetics/AFP Congenital Disorders Request Form (Supply T238) with the specimen. | 5 mL | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | Not applicable | Samples processed Monday through Sunday. Results reported Monday through Friday, 8 a.m.-5 p.m. CST. | 23 days | 24 days |  | Profile |  |  | No | Yes
AFC | [NAME] | AMNIOTIC | Amniotic Fld |  |  |  | Ambient
AFC | Order Question | CG132 | Reason For Referral |  | Plain Text
AFC | Result | 16179 | [NAME] | [NAME] | Alphanumeric
AFC | Result | 16338 | [NAME] | [NAME] | Alphanumeric
AFC | Result | 16793 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
AFC | Result | 16180 | Order Date | Order Date | Alphanumeric
AFC | Result | CG132 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
AFC | Result | 16184 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9
AFC | Result | 16187 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69965-2
AFC | Result | 16188 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
AFC | Result | 16189 | Consultant | Consultant | Alphanumeric
AFC | Result | 16190 | Report Date | Report Date | Alphanumeric