Spreadsheet: 801b4dcc-2818-42c5-8667-8e96181e64cd
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
EGFRX | Test | EGFRX | [NAME], EGFR with [NAME], Tumor | [NAME], EGFR with [NAME] | Polymerase Chain Reaction (PCR) and Fluorescence In Situ Hybridization (FISH) (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) |  |  |  |  |  | Pathology report must accompany specimen in order for testing to be performed.   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.   Preferred: [NAME]: Tissue Container/Tube: Tissue block Collection Instructions: Submit a formalin-fixed, paraffin-embedded tissue block.   Acceptable: [NAME]: Tissue Container/Tube: Slides Specimen Volume: 12 unstained, unbaked slides or 2 H&E stained slides (will not be returned) and 10 unstained, unbaked slides Collection Instructions: Submit 12 unstained, unbaked slides cut at 5-microns or 2 slides stained with hematoxylin-and-eosin and 8 unstained, non-baked slides with 5-micron thick sections of the tumor tissue. | Formalin-fixed, paraffin-embedde | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | An interpretive report will be provided. | Monday through Friday; 10 am | 5 days (EGFR only)  10 days (if ALK is added on) | 7 days (EGFR only)  14 days (if ALK is added on) | 1 | 81235 |  |  |  |  | Rochester
EGFRX | [NAME] | VARIES | Varies |  |  |  | Ambient
EGFRX | Result | 51462 | [NAME] | [NAME] | Alphanumeric
EGFRX | Result | 51463 | [NAME] | [NAME] | Alphanumeric
EGFRX | Result | 51464 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
EGFRX | Result | 51465 | Order Date | Order Date | Alphanumeric
EGFRX | Result | 51466 | Reason for Referral | Reason for Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
EGFRX | Result | 51467 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9 | Reference lab test method:Type:XXX:Reference lab test:Nar:
EGFRX | Result | 51468 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 21665-5 | EGFR gene mutation analysis:Prid:Pt:Bld/Tiss:Nom:Molgen
EGFRX | Result | 51469 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69047-9 | Geneticist review:Imp:Pt:XXX:Nar:
EGFRX | Result | 51470 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 21665-5 | EGFR gene mutation analysis:Prid:Pt:Bld/Tiss:Nom:Molgen
EGFRX | Result | 51471 | Reviewed By: | Reviewed By: | Alphanumeric
EGFRX | Result | 51472 | Release Date | Release Date | Alphanumeric
EGFRX | [NAME] | SLRVW | Slide Review ([NAME] Only) | Slide Review |  |  |  |  |  |  | For billing purposes only. |  |  |  |  |  |  | 1 | 88381 |  |  | Yes | No
EGFRX | [NAME] | FLCA | [NAME], ALK (2p23) Rearrangement, FISH, Tissue | [NAME], ALK (2p23), FISH, Ts | Fluorescence In Situ Hybridization (FISH) |  |  |  |  | Varies | Provide a pathology report with each specimen. The laboratory will not reject specimens that arrive without this information but will hold the specimen until a pathology report is received.   [NAME] Type: Formalin-fixed, paraffin-embedded unknown primary tumor cancer tissue block Forms: If not ordering electronically, submit a Cytogenetics Hematologic Disorders Request Form (Supply T607) with the specimen. |  | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | An interpretative report will be provided. | Samples processed Monday through Sunday. Results reported Monday through Friday, 8 a.m.-5 p.m. CST. | 7 days | 9 days |  | Profile |  |  | No | Yes
FLCA | [NAME] | TISSUE | Tissue |  |  |  | Ambient
FLCA | Order Question | CG583 | Reason For Referral |  | Plain Text
FLCA | Result | 51141 | [NAME] | [NAME] | Alphanumeric
FLCA | Result | 51142 | [NAME] | [NAME] | Alphanumeric
FLCA | Result | 51143 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
FLCA | Result | 51144 | Order Date | Order Date | Alphanumeric
FLCA | Result | CG583 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
FLCA | Result | 51146 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9 | Reference lab test method:Type:XXX:Reference lab test:Nar:
FLCA | Result | 51147 | Result | Result | Alphanumeric
FLCA | Result | 51148 | Interpretation | Interpretation | Alphanumeric
FLCA | Result | 51149 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FLCA | Result | 51150 | Reviewed By | Reviewed By | Alphanumeric
FLCA | Result | 51151 | Release Date | Release Date | Alphanumeric