Spreadsheet: 170a2349-2daf-4a29-8d12-0397e8c208d5
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
SCADM | Test | SCADM | Short-Chain Acyl-CoA Dehydrogenase (SCAD) Deficiency, Mutation Screen | SCAD Mutation Screen | Polymerase Chain Reaction (PCR)/DNA Sequence Analysis (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | Varies: Var |  |  |  | Varies | 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. Molecular Genetics-Biochemical Disorders Patient Information Sheet (Supply T527) 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 collection.  	 Submit only 1 of the following specimens:   Preferred:	 [NAME] 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)/Refrigerated  	 [NAME] fibroblasts Container/Tube: T-25 flask	 [NAME]: 2 full flasks Specimen Stability Information: Ambient (preferred)/Refrigerated 24 hours   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 | Blood: 1 mL; Blood Spots: 5 punc | No specimen should be rejected. If specimen is received in wrong anticoagulant or at an inappropriate temperature, include note to lab. If questions, contact lab. | An interpretive report will be provided. | Tuesday; 10 a.m. | 14 days | 20 days | 1 | 81405 |  |  |  |  | Rochester
SCADM | [NAME] | VARIES | Varies |  |  |  | See instructions
SCADM | Result | 23175 | [NAME] | [NAME] | Alphanumeric
SCADM | Result | 23176 | [NAME] | [NAME] | Alphanumeric
SCADM | Result | 23177 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
SCADM | Result | 23178 | Order Date | Order Date | Alphanumeric
SCADM | Result | 23179 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
SCADM | Result | 23180 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9
SCADM | Result | 23181 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
SCADM | Result | 23182 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69047-9 | Service comment 01:Imp:Pt:[NAME]:Nom:
SCADM | Result | 23183 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
SCADM | Result | 23184 | Reviewed By: | Reviewed By: | Alphanumeric
SCADM | Result | 23185 | Release Date | Release Date | Alphanumeric