Spreadsheet: 526c1026-6a8e-4457-82bb-1fd066057fe5
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
83363 | Test | 83363 | Ewing Sarcoma/Primitive Neuroectodermal Tumors (ES/PNET) by Reverse Transcriptase PCR (RT-PCR), Paraffin | Ewings Sarcoma, RT-PCR, Paraffin | Reverse Transcriptase Polymerase Chain Reaction (RT-PCR)/Gel Electrophoresis (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | Formalin-fixed, paraffin-embedded tissue: FFPET |  |  |  | Varies | A pathology/diagnostic report including a brief history is required.    Specimen Type: Preferred: Formalin-fixed, paraffin-embedded (FFPE) tissue with a minimum of 5% tumor cell population Acceptable: Unstained slides with a minimum of 5% tumor cell population; slides may be stained and/or scraped Container/Tube: Surgical Pathology Packaging Kit (Supply T554) requested, but not required Collection Instructions: 1. Process all specimens into FFPE blocks prior to submission. 2. If submitting slides, a minimum of ten, 4- to 5-micron thick, unstained slides are required. Additional Information: 1. A quality specimen is essential for evaluation. Submit only tissue containing tumor cells; minimal tissue is required for evaluation. 2. Special stains performed outside Mayo Medical Laboratories and included with the case may be repeated and charged at the reviewing pathologist's discretion. Testing requested by the referring physician may not be performed if deemed unnecessary by Mayo Clinic pathologist. Forms: If not ordering electronically, submit a Pathology/Cytology Request Form (Supply T246) with the specimen. |  | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	Decalcified specimens | Negative | Monday through Friday; 8 a.m.-5 p.m. | 3 days | 8 days | 2 | 81401 |  |  |  |  | Rochester
83363 | [NAME] | VARIES | Varies |  |  |  | Ambient
83363 | Result | 83363 | Ewings Sarcoma, RT-PCR, Paraffin | Ewings Sarcoma, RT-PCR, Paraffin |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
83363 | [NAME] | 60254 | Anatomic Pathology Special Studies Review | AP Special Studies Review |  | H & E Slide: HE |  |  |  |  | This is not an orderable test by anyone other than the Department of Anatomic Pathology. |  | Specimens other than	Paraffin blocks, unstained slides, or formalin fixed tissue Anticoagulants other than	NA Hemolysis	NA Thawing	NA Lipemia	NA Icteric	NA |  | Monday through Friday |  |  | 1 |  |  |  | Yes | No
60254 | [NAME] | VARIES | Varies |  |  |  | Ambient
60254 | Result | 20365 | Accession Number | Accession Number
60254 | Result | 20366 | Referring Pathologist/Physician | Referring Pathologist/Physician |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 46608-6 | Primary referring physician ID:ID:Pt:Provider:Nom:
60254 | Result | 20367 | Ref Path/Phys Address | Ref Path/Phys Address |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
60254 | Result | 20368 | Place of Death: | Place of Death: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 21987-3 | Geographic place of death:Type:Pt:^Patient:Nom:
60254 | Result | 20369 | Date and Time of Death: | Date and Time of Death: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31211-6 | Date of death:TmStp:Pt:^Patient:Qn:
60254 | Result | 20370 | Date of Autopsy: | Date of Autopsy: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
60254 | Result | 20371 | Specimen: | Specimen: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
60254 | Result | 20372 | Material: | Material:
60254 | Result | 20373 | Tissue Description: | Tissue Description: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22634-0 | [NAME] observation:Find:Pt:[NAME]:Nar:
60254 | Result | 20374 | Microscopic Description: | Microscopic Description: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
60254 | Result | 20375 | Clinical History: | Clinical History: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
60254 | Result | 20376 | Final Diagnosis: | Final Diagnosis: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 34574-4 | Path report.final diagnosis:Imp:Pt:[NAME]:Nom:
60254 | Result | 20377 | Final Diagnosis: | Final Diagnosis: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 34574-4 | Path report.final diagnosis:Imp:Pt:[NAME]:Nom:
60254 | Result | 20378 | Comment: | Comment: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22638-1 | Path report.comments:Imp:Pt:[NAME]:Nar:
60254 | Result | 20379 | Revision Description: | Revision Description:
60254 | Result | 20380 | Signing Pathologist: | Signing Pathologist: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 19139-5 | Pathologist name:Pn:Pt:Provider:Nom:
60254 | Result | 20381 | Special Procedures: | Special Procedures:
60254 | Result | 20382 | SP Signing Pathologist: | SP Signing Pathologist:
60254 | Result | 20383 | *Previous Report Follows* | *Previous Report Follows*
60254 | Result | 20384 | [NAME]: | [NAME]: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 35265-8 | Path report.addendum:Find:Pt:[NAME]:Nar:
60254 | Result | 20385 | [NAME] Comment: | [NAME] Comment: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 22638-1 | Path report.comments:Imp:Pt:[NAME]:Nar:
60254 | Result | 20386 | [NAME] Pathologist: | [NAME] Pathologist: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 19139-5 | Pathologist name:Pn:Pt:Provider:Nom:
83363 | [NAME] | 70011 | Slide Review | Slide Review |  |  |  |  |  |  | For billing purposes only. |  |  |  |  |  |  | 1 | 88381 |  |  | Yes | No
70011 | Result | 70011 | Slide Review | Slide Review | Alphanumeric
83363 | [NAME] | FEWS | Ewing Sarcoma (EWS) 22q12 Rearrangement, FISH, Tissue | EWSR1, 22q12, FISH | Fluorescence In Situ Hybridization (FISH) |  |  |  |  |  | Please provide a pathology report with each specimen. The laboratory will not reject a specimen that arrives without this information but will hold the specimen until a pathology report is received.   Submit only 1 of the following specimens:   Container/Tube: Preferred: Formalin-fixed, paraffin-embedded tumor tissue block and 1 hematoxylin and [NAME] (H and E)-stained slide Acceptable: Four consecutive, unstained, 5 micron-thick sections placed on positively-charged slides and 1 H and E-stained slide Forms: If not ordering electronically, complete and submit a Hematopathology/Molecular Oncology Request Form (Supply T241) with the specimen. | 2 unstained slides and 1 hematox | Note: No specimen should be rejected. If specimen not received at appropriate temperature or in wrong anticoagulant, include note to laboratory. If questions, contact laboratory. | An interpretive report will be provided. | Samples processed Monday through Sunday. Results reported Monday through Friday 8am-5pm CST | 7 days | 10 days |  | Profile |  |  | No | Yes
FEWS | [NAME] | TISSUE | Tissue |  |  |  | Ambient
FEWS | Order Question | CG072 | Reason For Referral |  | Plain Text
FEWS | Result | 22657 | [NAME] | [NAME] | Alphanumeric
FEWS | Result | 22658 | [NAME] | [NAME] | Alphanumeric
FEWS | Result | 22659 | Source | Source | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
FEWS | Result | 22660 | Order Date | Order Date | Alphanumeric
FEWS | Result | CG072 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1 | Reason for referral:Find:Pt:^Patient:Nar:
FEWS | Result | 22661 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49549-9
FEWS | Result | 22663 | Results | Results | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 21783-6 | Cells.t(12,22)(ATF1,EWSR1)/Cells.total:NFr:Pt:Bld/Tiss:Qn:Molgen
FEWS | Result | 22664 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69965-2
FEWS | Result | 22665 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FEWS | Result | 22666 | Consultant | Consultant | Alphanumeric
FEWS | Result | 22667 | Report Date | Report Date | Alphanumeric