Spreadsheet: 0cd07e41-cee2-4343-861d-93d3673ae414
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
SEQU | Test | SEQU | [NAME], Part 1, Serum | [NAME], Part 1 | Two-Site Immunoenzymatic (Sandwich) Assay | Plain, Red-Top or serum gel tube: Red |  |  | 1 | mL | Approval to send specimens for sequential screening is required and may take up to 5 business days to complete. Part 1 of sequential screening involves an ultrasound measurement, in addition to the blood specimen. The ultrasound measurement requires advanced skill; therefore, results are only accepted from sonographers who have been approved by Mayo Medical Laboratories. Do not send specimens if the sonographer is not NT-certified or before completing the approval process. To begin the application process, visit the Sonographer Approval Process page at: http://www.MayoMedicalLaboratories.com/customer-service/forms/maternal-screening.html or complete the NT/CRL Data for First Trimester/Sequential Maternal Screening form in Special Instructions.   When Part 1 is negative, Part 2 must be completed in order to receive an interpretable result. If collecting a second-trimester specimen is expected to be difficult, order first-trimester screening instead (see 1STT/87857 First Trimester Maternal Screen).   The ultrasound and blood draw must be completed within a gestational window of 10 weeks, 0 days and 13 weeks, 6 days, which corresponds to a crown-rump length (CRL) range of 31 mm to 80 mm.    Container/Tube:  Preferred: Red top Acceptable: Serum gel [NAME]: 1 mL Collection Instructions: Immediately spin down. Forms: First Trimester/Sequential Maternal Screening Patient Information Sheet (Supply T593) is required; in Special Instructions. | 0.5 mL | Hemolysis	Mild OK; Gross reject Thawing		 	Warm reject; Cold OK  Lipemia	Mild OK; [NAME] OK Icterus	NA Other	NA | An interpretive report will be provided. See Interpretation section for more details. | Monday through Friday; 5 a.m.-5 p.m., Saturday; 6 a.m.-1 p.m. | 1 day | 3 days | 1 | 84163 |  |  |  |  | Rochester
SEQU | [NAME] | SERUM | Serum |  |  |  | Refrigerated | 7 days
SEQU | Order Question | MTWT | Patient Weight |  | Plain Text
SEQU | Order Question | LBKGS | Units (lbs or kg) |  | Plain Text
SEQU | Order Question | SONON | Sonographer Name |  | Plain Text
SEQU | Order Question | SNCD1 | Sonographer Code |  | Plain Text
SEQU | Order Question | SNDT1 | Scan Date |  | Plain Text
SEQU | Order Question | CRL1A | CRL Measure 1 |  | Plain Text
SEQU | Order Question | NT1 | NT |  | Plain Text
SEQU | Order Question | CRL2A | CRL Measure 2 |  | Plain Text
SEQU | Order Question | NTTB1 | NT Twin B |  | Plain Text
SEQU | Order Question | FET1 | Number of Fetuses |  | Answer List
SEQU | Option | FET1-1 | 1
SEQU | Option | FET1-2 | 2
SEQU | Option | FET1-3 | 3 or more
SEQU | Order Question | CHOR1 | Chorions |  | Answer List
SEQU | Option | CHOR1-1 | Monochorionic
SEQU | Option | CHOR1-2 | Dichorionic
SEQU | Option | CHOR1-3 | Unknown
SEQU | Option | CHOR1-4 | Not applicable
SEQU | Order Question | DIAB1 | [NAME] |  | Answer List
SEQU | Option | DIAB1-1
SEQU | Option | DIAB1-2 | Diabetic
SEQU | Order Question | RACE_ | Black Race |  | Answer List
SEQU | Option | [NAME] | Black
SEQU | Option | [NAME] | non-Black
SEQU | Order Question | IVF1 | IVF |  | Answer List
SEQU | Option | IVF1-1 | No
SEQU | Option | IVF1-2 | Yes
SEQU | Order Question | EGGDR | IVF Egg Donor Date of Birth |  | Plain Text
SEQU | Order Question | EGGFR | IVF Egg or Embryo Freeze Date |  | Plain Text
SEQU | Order Question | PRHIS | Prev Down (T21) / Trisomy Pregnancy |  | Answer List
SEQU | Option | PRHIS-1 | No
SEQU | Option | PRHIS-2 | Yes
SEQU | Option | PRHIS-3 | Unknown
SEQU | Option | PRHIS-4 | If MAFP - Not applicable
SEQU | Order Question | PRNTD | Prev Pregnancy w/ Neural Tube Defect |  | Answer List
SEQU | Option | PRNTD-1 | No
SEQU | Option | PRNTD-2 | Yes
SEQU | Option | PRNTD-3 | Unknown
SEQU | Order Question | PTNTD | Patient or father of baby has a NTD |  | Answer List
SEQU | Option | PTNTD-1 | No
SEQU | Option | [NAME] | Yes
SEQU | Option | PTNTD-3 | Unknown
SEQU | Order Question | DRPHN | Physician Phone Number |  | Plain Text
SEQU | Result | 29451 | Recalculated Maternal Serum Screen | Recalculated Maternal Serum Screen | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
SEQU | Result | 29452 | Collection Date 1 | Collection Date 1 | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 51953-8 | Collection date:TmStp:Pt:[NAME]:Qn:
SEQU | Result | 29453 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 21112-8 | Birth date:TmStp:Pt:^Patient:Qn:
SEQU | Result | 29890 | Calculated Age at EDD | Calculated Age at EDD | Alphanumeric |  |  |  |  | yr |  |  |  |  |  |  |  |  |  | 43993-5 | Age.at delivery:Time:Pt:^Patient:Qn:
SEQU | Result | 29454 | Maternal Weight | Maternal Weight | Numeric |  |  |  |  | lbs |  |  |  |  |  |  |  |  |  | 29463-7 | Body weight:Mass:Pt:^Patient:Qn:
SEQU | Result | 29455 | Maternal Weight | Maternal Weight | Alphanumeric |  |  |  |  | [NAME] |  |  |  |  |  |  |  |  |  | 29463-7 | Body weight:Mass:Pt:^Patient:Qn:
SEQU | Result | DIAB1 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 33248-6 | Diabetes status:Prid:Pt:^Patient:Nom:
SEQU | Result | RACE_ | Black Race | Black Race | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 32624-9 | Race:Type:Pt:^Patient:Nom:
SEQU | Result | IVF1 | IVF | IVF | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 47224-1 | In vitro fertilization pregnancy:Acnc:Pt:^Patient:[NAME]:
SEQU | Result | SNDT1 | Scan Date | Scan Date | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 34970-4 | Date ultrasound:TmStp:Pt:^Patient:Qn:
SEQU | Result | FET1 | Number of Fetuses | Number of Fetuses | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 11878-6 | Fetuses:Num:Pt:^Patient:Qn:US
SEQU | Result | CRL1A | CRL Measure 1 | CRL Measure 1 | Alphanumeric |  |  |  |  | [NAME] |  |  |  |  |  |  |  |  |  | 11957-8 | Length.crown rump:[NAME]:Pt:^Fetus:Qn:US.measured
SEQU | Result | CRL2A | CRL Measure 2 | CRL Measure 2 | Alphanumeric |  |  |  |  | [NAME] |  |  |  |  |  |  |  |  |  | 11957-8 | Length.crown rump:[NAME]:Pt:^Fetus:Qn:US.measured
SEQU | Result | CHOR1 | Chorions | Chorions | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
SEQU | Result | 29891 | GA on Collection by U/S Scan | GA on Collection by U/S Scan | Alphanumeric |  |  |  |  | wk,d |  |  |  |  |  |  |  |  |  | 11888-5 | Gestational age:Time:Pt:^Fetus:Qn:US.composite.estimated
SEQU | Result | NT1 | NT | NT | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 33069-6 | Width.translucency:[NAME]:Pt:Neck.soft tissue^fetus:Qn:US.measured
SEQU | Result | NTTB1 | NT Twin B | NT Twin B | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
SEQU | Result | 29468 | PAPP-A | PAPP-A | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 32123-2 | Pregnancy associated plasma protein A:MoM:Pt:Ser/Plas:Qn:
SEQU | Result | 29469 | Down Syndrome Screen Risk Estimate | Down Syndrome Screen Risk Estimate | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 43995-0 | Trisomy 21 risk:Find:Pt:^Fetus:Qn:
SEQU | Result | 29470 | Down Syndrome Maternal Age Risk | Down Syndrome Maternal Age Risk | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49090-4 | Trisomy 21 risk based on maternal age:Find:Pt:^Fetus:Qn:
SEQU | Result | 29471 | Trisomy 18 Screen Risk Estimate | Trisomy 18 Screen Risk Estimate | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 43994-3 | Trisomy 18 risk:Find:Pt:^Fetus:Qn:
SEQU | Result | 29472 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49586-1 | First & Second trimester integrated maternal screen:Imp:Pt:^Patient:Nom:
SEQU | Result | 29473 | Additional Comments | Additional Comments | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 55107-7 | [NAME]:Find:Pt:^Patient:Doc:
SEQU | Result | 29474 | Recommended Follow Up | Recommended Follow Up | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49544-0 | Newborn screening recommended follow-up:Imp:Pt:^Patient:Nom:
SEQU | Result | 29487 | General Test Information | General Test Information | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 62364-5 | Test performance information:Find:Pt:XXX:Nar:
SEQU | Result | 32344 | Other Information | Other Information | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process