Spreadsheet: 09b98fd8-81c2-4b7d-b6de-2b177be909b9
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
UGTI | Test | UGTI | UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Irinotecan Hypersensitivity | UGT1A1 [NAME], Irinotecan | Polymerase Chain Reaction (PCR) Followed by [NAME] (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | EDTA (lavender-top) tube: EDTA |  |  | 3 | mL | Multiple whole blood EDTA genotype tests can be performed on a single specimen after a single extraction. See Multiple Whole Blood EDTA Genotype Tests in Special Instructions for a list of tests that can be ordered together.  Container/Tube: Lavender top (EDTA)	 [NAME]: 3 mL	 Collection Instructions: Send specimen in original tube. Additional Information: 1. Bone marrow and liver transplants will interfere with testing. Call Mayo Medical Laboratories at [PHONE] or [PHONE] for instructions. 2. Transfusions will interfere with testing for up to 4 to 6 weeks. DNA obtained from white cells may not provide useful information for patients who received a recent transfusion of blood that was not leukocyte-reduced. Wait 4 to 6 weeks until transfused cells have left the patient's circulation before drawing the patient's blood specimen for genotype testing. 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. | 0.3 mL | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | An interpretive report will be provided. | Monday through Friday; Varies | 7 days | 14 days | 1 | 81350 |  |  |  |  | Rochester
UGTI | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Ambient
UGTI | Component | UGT1 | UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Irinotecan Hypersensitivity | UGT1A1 [NAME], Irinotecan | Full Gene Sequencing Only orderable as part of a profile. For further information see #89397 "UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Irinotecan Hypersensitivity" |  |  |  |  |  | 3.0 mL of EDTA whole blood Only orderable as part of a profile. For further information see #89397 "UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Irinotecan Hypersensitivity." | 0.3 mL |  | Only orderable as part of a profile. For further information see #89397 "UDP-Glucuronosyl Transferase 1A1 (UGT1A1), [NAME], Irinotecan Hypersensitivity". |  | 7 days | 14 days | 1 | 81350 |  |  | Yes | No
UGT1 | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Ambient
UGT1 | Result | 89397 | UGT1A1 Irinotecan Result | UGT1A1 Irinotecan Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 34509-0
UGT1 | Result | 29339 | UGT1A1 Irinotecan Interp | UGT1A1 Irinotecan Interp | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69047-9
UGT1 | Result | 29340 | Reviewed by | Reviewed by | Numeric
UGTI | 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