Spreadsheet: 968bad36-ce70-454f-b8ed-aace09409d92
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
PHESP | Test | PHESP | Previous Hepatitis Exposure Profile | Previous Hepatitis Exposure Profile | Chemiluminescence Immunoassay | Serum Gel Tube: SGT |  |  | 3 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: Plastic vial [NAME]: 3 mL Collection Instructions: Spin down within 6 hours of draw. Additional Information: Date of draw is required. | 2.5 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	Plasma, red-top serum, heat-inactivated specimen | HEPATITIS B SURFACE ANTIGEN Negative   HEPATITIS B SURFACE ANTIBODY, QUALITATIVE/QUANTITATIVE Hepatitis B Surface Antibody Unvaccinated: negative Vaccinated: positive Hepatitis B Surface Antibody, Quantitative Unvaccinated: <10.0 mIU/mL Vaccinated: > or =10.0 mIU/mL   HEPATITIS B CORE TOTAL ANTIBODIES Negative   HEPATITIS A TOTAL ANTIBODIES Negative   HEPATITIS C ANTIBODY SCREEN Negative   Interpretation depends on clinical setting. See Viral Hepatitis Serologic Profiles in Special Instructions. | Monday through Friday; Varies | 1 day | 3 days |  | Profile |  |  |  |  | Rochester
PHESP | [NAME] | SST | Serum SST |  |  |  | Frozen
PHESP | Component | HBAG | Hepatitis B Surface Antigen, Serum | HBs Antigen, S | [NAME] | Serum Gel Tube: SGT OR |  |  | 2 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: Plastic vial [NAME]: 2 mL Collection Instructions: Spin down and remove serum from gel within 24 hours. Additional Information: 1. Date of draw is required.  2. Indicate if specimens are from autopsy/cadaver or hemolyzed sources so that the proper FDA-licensed assay can be performed. Forms: If not ordering electronically, submit a General Request Form (Supply T239) with the specimen. | 0.5 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	Plasma or red-top serum | Negative See Viral Hepatitis Serologic Profiles in Special Instructions. | Monday through Saturday; Varies | 1 day | 2 days | 1 | 87340 |  |  | Yes | Yes
HBAG | [NAME] | SST | Serum SST |  |  |  | Frozen
HBAG | Result | H_BAG | HBs Antigen, S | HBs Antigen, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5195-3 | Hepatitis B virus surface Ag:ACnc:Pt:Ser:Ord:
HBAG | [NAME] | HBGNT | Hepatitis B Surface Antigen Confirmation, Serum | HBs Antigen Confirmation, S | Chemiluminescence Immunoassay | Serum Gel Tube: SGT OR |  |  | 2 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: Plastic vial [NAME]: 2 mL Collection Instructions: Spin down and remove serum from gel within 24 hours. Additional Information: Date of draw is required. | 1.5 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	Plasma or red-top serum | Negative | Monday through Saturday; Varies | 2 days | 4 days | 1 | 87341 |  |  | No | No
HBGNT | [NAME] | SST | Serum SST |  |  |  | Frozen
HBGNT | Result | HBGNT | HBs Antigen Confirmation, S | HBs Antigen Confirmation, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5195-3 | Hepatitis B virus surface Ag:ACnc:Pt:Ser:Ord:
PHESP | Component | HBAB | Hepatitis B Surface Antibody, Qualitative/Quantitative, Serum | [NAME], S | Chemiluminescent Immunoassay (CIA) | Serum Gel Tube: SGT |  |  | 1 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: Plastic vial [NAME]: 1 mL Collection Instructions: Spin down and remove serum from clot. Additional Information: Date of draw is required.  Forms: If not ordering electronically, submit a General Request Form (Supply T239) with the specimen. | 0.5 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	Plasma | HEPATITIS B SURFACE ANTIBODY Unvaccinated: negative Vaccinated: positive   HEPATITIS B SURFACE ANTIBODY, QUANTITATIVE Unvaccinated: <10.0 mIU/mL Vaccinated: > or =10.0 mIU/mL   See Viral Hepatitis Serologic Profiles in Special Instructions. | Monday through Saturday; Varies | 1 day | 2 days | 1 | 86706 |  |  | Yes | Yes
HBAB | [NAME] | SST | Serum SST |  |  |  | Frozen
HBAB | Result | HB_AB | [NAME], S | [NAME], S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22322-2 | Hepatitis B virus surface [NAME]:ACnc:Pt:Ser:Ord:
HBAB | Result | HBSQN | [NAME], Quantitative, S | [NAME], Quantitative, S | Alphanumeric |  |  |  |  | mIU/mL |  |  |  |  |  |  |  |  |  | 16935-9 | Hepatitis B virus surface [NAME]:ACnc:Pt:Ser:Qn:
PHESP | Component | HBC | Hepatitis B Core Total Antibodies, Serum | HBc Total Ab, S | Chemiluminescence Immunoassay | Serum Gel Tube: SGT |  |  | 1 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: Plastic vial [NAME]: 1 mL Collection Instructions: Spin down and remove serum from gel within 24 hours. Additional Information: Date of draw is required. | 0.4 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	NA | Negative Interpretation depends on clinical setting. See Viral Hepatitis Serologic Profiles in Special Instructions. | Monday through Saturday; Varies | 1 day | 2 days | 1 | 86704 |  |  | Yes | Yes
HBC | [NAME] | SST | Serum SST |  |  |  | Frozen
HBC | Result | HBC | HBc Total Ab, S | HBc Total Ab, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22327-1 | Hepatitis C virus Ab:ACnc:Pt:Ser:Qn:
PHESP | Component | HAV | Hepatitis A Total Antibodies, Serum | Hepatitis A Total Ab, S | Chemiluminescence Immunoassay | Serum Gel Tube: SGT |  |  | 2 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: Plastic vial [NAME]: 1 mL Collection Instructions: Spin down and remove serum from gel within 24 hours. Additional Information: Date of draw is required. | 0.3 mL | Hemolysis	Mild reject; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	NA | Negative  See Viral Hepatitis Serologic Profiles in Special Instructions. | Monday through Saturday; Varies | 1 day | 2 days | 1 | 86708 |  |  | Yes | Yes
HAV | [NAME] | SST | Serum SST |  |  |  | Frozen
HAV | Result | HAV | Hepatitis A Total Ab, S | Hepatitis A Total Ab, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 20575-7 | Hepatitis A virus Ab:ACnc:Pt:Ser:Ord:
PHESP | Component | HCV | Hepatitis C Antibody Screen, Serum | HCV Ab Screen, S | Chemiluminescence Immunoassay | Serum Gel Tube: SGT |  |  | 1 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: Plastic vial [NAME]: 1 mL Collection Instructions: Spin down within 6 hours of draw. Forms: If not ordering electronically, submit a General Request Form (Supply T239) with the specimen. | 0.5 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	NA | Negative Interpretation depends on clinical setting. See Viral Hepatitis Serologic Profiles in Special Instructions. | Monday through Saturday; 8 a.m.-12:30 a.m. Sunday; 8 a.m.-4:30 p.m. | 1 day | 2 days | 1 | 86803 |  |  | Yes | Yes
HCV | [NAME] | SST | Serum SST |  |  |  | Frozen
HCV | Result | HCVA | HCV Ab Screen, S | HCV Ab Screen, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 16128-1 | Hepatitis C virus Ab:ACnc:Pt:Ser:Ord:
PHESP | [NAME] | HBGNT | Hepatitis B Surface Antigen Confirmation, Serum | HBs Antigen Confirmation, S | Chemiluminescence Immunoassay | Serum Gel Tube: SGT OR |  |  | 2 | mL | Collection Container/Tube: Serum gel Submission Container/Tube: Plastic vial [NAME]: 2 mL Collection Instructions: Spin down and remove serum from gel within 24 hours. Additional Information: Date of draw is required. | 1.5 mL | Hemolysis	Mild OK; Gross reject Thawing	Warm reject; Cold OK Lipemia	Mild OK; Gross reject Icterus	Mild OK; Gross reject Other	Plasma or red-top serum | Negative | Monday through Saturday; Varies | 2 days | 4 days | 1 | 87341 |  |  | No | No
HBGNT | [NAME] | SST | Serum SST |  |  |  | Frozen
HBGNT | Result | HBGNT | HBs Antigen Confirmation, S | HBs Antigen Confirmation, S | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5195-3 | Hepatitis B virus surface Ag:ACnc:Pt:Ser:Ord: