Spreadsheet: 4525ebf6-53ae-4651-9fb0-e2762d5a9f87
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
MTBRP | Test | MTBRP | Mycobacterium tuberculosis Complex, Molecular Detection, PCR | M tuberculosis Complex PCR | Real-Time Polymerase Chain Reaction (PCR) (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) |  |  |  |  |  | The high sensitivity of amplification by PCR requires the specimen to be processed in an environment in which contamination of the specimen by Mycobacterium tuberculosis DNA is not likely. 	 Forms: If not ordering electronically, submit a Microbiology Request Form (Supply T244) with the specimen.   Preferred Specimens: Body fluid, cerebrospinal fluid (CSF), respiratory (eg, bronchoalveolar lavage fluid: BAL, bronchial washing, sputum), stool, tissue (fresh or paraffin),bone, bone marrow, or urine   Acceptable Specimens: If no fresh specimen is available, digested respiratory specimens treated with N-acetyl-L-cysteine (NALC)/NaOH are acceptable (eg, BAL, bronchial washing, respiratory fluid, sputum, or tracheal secretion), as are NALC/NaOH-treated gastric washings.  	 Unacceptable Specimens: Blood, specimen in anaerobe vial or viral transport medium (including but not limited to M4, M5, BD viral transport media, thioglycolate broth), swab, tissue in formalin fluid, specimen >7 days old (with the exception of paraffin tissue)   [NAME] must arrive within 7 days of collection; specimen >7 days will be rejected.   [NAME] source is required.   Submit only 1 of the following specimens:   Preferred: [NAME] fluid Sources: Body, bone marrow aspirate, or CSF Container/Tube: Sterile container [NAME]: 1 mL  Specimen Stability Information: Refrigerated (preferred) 7 days/Ambient 7 days/Frozen 7 days Additional Information: Only fresh, non-NALC/NaOH-digested body fluid is acceptable.   Specimen Type: Gastric washing Container/Tube: Sterile container [NAME]: 10 mL Collection Instructions: Neutralize specimen within 4 hours of collection with 100 mg of sodium carbonate per 5 to 10 mL of gastric washing. Specimen Stability Information: Refrigerated (preferred) 7 days/Ambient 7 days/Frozen 7 days   Specimen Type: Respiratory Sources: BAL, bronchial washing, or sputum Container/Tube: Sterile container [NAME]: 3 mL Specimen Stability Information: Refrigerated (preferred) 7 days/Ambient 7 days/Frozen 7 days   Specimen Type: Stool Container/Tube: Sterile container [NAME]: 5-10 g Specimen Stability Information: Refrigerated (preferred) 7 days/Ambient 7 days/Frozen 7 days Additional Information: Only fresh, non-NALC/NaOH-digested stool is acceptable.   Specimen Type: Tissue Sources: Fresh, paraffin, bone, bone marrow biopsy Container/Tube:  Preferred: Sterile container  Acceptable: Biopsy specimen of tissue fixed with formalin in a paraffin block [NAME]: 5-10 mm Collection Instructions: Block must be sent for sectioning. Specimen Stability Information: Fresh tissue: Refrigerated (preferred) 7 days/Ambient 7 days/Frozen 7 days Fixed tissue (paraffin): Ambient Additional Information: Only fresh, non-NALC/NaOH-digested tissue is acceptable.   Specimen Type: Urine Container/Tube: Sterile container [NAME]: 2 mL Collection Instructions: Collect a random urine specimen. Specimen Stability Information: Refrigerated (preferred) 7 days/Ambient 7 days/Frozen 7 days Additional Information: Only fresh, non-NALC/NaOH-digested urine is acceptable.  	 Acceptable: NALC/NaOH-digested specimen must arrive within 7 days of digestion.  	 [NAME]: NALC/NaOH-digested respiratory specimens Sources: Lavage fluid, bronchial washing, gastric washing, respiratory fluid, sputum, or tracheal secretion Container/Tube: Sterile container [NAME]: 2 mL Collection Instructions:  1. Submit digested specimen treated with NALC/NaOH. 2. Clearly indicate on container and order form that specimen is a digested specimen. Specimen Stability Information: Refrigerated (preferred) 7 days/Ambient 7 days/Frozen 7 days Additional Information: If a single specimen is being shared between mycobacteria culture, acid-fast smear, and/or Mycobacterium tuberculosis PCR, a minimum volume of 1.5 mL for body fluid, 3 mL for respiratory specimen, or a pea-sized piece of tissue should be obtained. Specimen volumes less than indicated may decrease sensitivity of testing. If insufficient volume is submitted, test or tests will be canceled. | Body Fluid: 0.5 mL/Bone: 5 mm/Ga | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	Blood, specimen in anaerobe vial or viral transport medium (including but not limited to M4, M5, BD viral transport media, thioglycolate broth), swab, tissue in formalin fluid, specimen >7 days old (with | Not applicable | Monday through Sunday | 1 day (5 days for paraffin-embedded tissue) | 3 days (7 days for paraffin-embedded tissue) | 1 | 87556 |  |  |  |  | Rochester
MTBRP | [NAME] | VARIES | Varies |  |  |  | See instructions
MTBRP | Order Question | SRC62 | [NAME] |  | Plain Text
MTBRP | Result | SRC62 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2 | [NAME] source:Prid:Pt:[NAME]:Nom:
MTBRP | Result | 56044 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48174-7 | Mycobacterium tuberculosis complex rRNA:ACnc:Pt:[NAME]:[NAME]:Probe.amp.tar
MTBRP | Result | 56045 | Special Information | Special Information | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8 | Annotation comment:Imp:Pt:{system}:Nar:
MTBRP | Result | 56046 | Report Status | Report Status | Alphanumeric