Spreadsheet: c86d1947-23e6-4e38-825e-adc3e25a3d9c
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
UGT2O | Test | UGT2O | UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Hyperbilirubinemia, Saliva | UGT1A1 Sequence, Hyperbili, Saliva | Polymerase Chain Reaction (PCR) Followed by DNA Sequence Analysis  (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) |  |  |  | 4 | mL | Multiple saliva genotype tests can be performed on a single specimen after a single extraction. See Multiple Saliva Genotype Tests in Special Instructions for a list of tests that can be ordered together.  Container/Tube: [NAME] DNA Self-Collection Kit (Supply T651)  [NAME]: Full tube Collection Instructions: 1. Fill tube to line. 2. Send specimen in original container per kit instructions. Additional Information: Liver transplants will interfere with testing. Call Mayo Medical Laboratories at [PHONE] or [PHONE] for instructions. Forms:  1. UGT1A1 Gene Testing for Hyperbilirubinemia Patient Information Sheet (Supply T664) is required in Special Instructions 2. Forms: 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. | 1 mL | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	NA | An interpretive report will be provided. | Monday through Friday; Varies | 7 days | 14 days | 1 | 81350 |  |  |  |  | Rochester
UGT2O | [NAME] | SALIVA | Saliva |  |  |  | Ambient
UGT2O | Component | UGTHO | UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Hyperbilirubinemia | UGT1A1 Sequence, Hyperbilirubinemia | Only orderable as part of a profile. For further information see UGT2O/60350 UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], [NAME], [NAME]. |  |  |  |  |  | Only orderable as part of a profile. For further information see UGT2O/60350 UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], [NAME], [NAME]. |  |  | Only orderable as part of a profile. For further information see UGT2O/60350 UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], [NAME], [NAME]. |  |  |  | 1 | 81350 |  |  | Yes | No
UGTHO | [NAME] | SALIVA | Saliva |  |  |  | Ambient
UGTHO | Result | 33028 | UGT1A1 Hyperbilirubinemia Result | UGT1A1 Hyperbilirubinemia Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
UGTHO | Result | 33029 | Reviewed by | Reviewed by | Numeric
UGTHO | Result | 33030 | UGT1A1 Hyperbilirubinemia Interp | UGT1A1 Hyperbilirubinemia Interp | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69047-9 | Service comment 01:Imp:Pt:[NAME]:Nom:
UGT2O | Component | UGTSQ | UGT, [NAME] | UGT, [NAME] | Only orderable as part of a profile. For further information see #89397 "UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Irinotecan Hypersensitivity" |  |  |  |  |  | Only orderable as part of a profile. For further information see #89397 "UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Irinotecan Hypersensitivity." |  |  | Only orderable as part of a profile. For further information see #89397 "UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Irinotecan Hypersensitivity". |  |  |  | 1 | 81350 |  |  | Yes | No
UGTSQ | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Ambient
UGTSQ | Result | UGTSQ | UGT, [NAME] | UGT, [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process