Spreadsheet: 262d26fc-1978-481a-9df6-362bec1d9daf
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
[NAME] | Test | [NAME] | Medium-Chain Acyl-CoA Dehydrogenase (MCAD) Deficiency, Known Mutation | MCAD, Known Mutation | Polymerase chain reaction (PCR) amplification/DNA sequencing are utilized to test for the presence of a specific mutation previously identified in an affected family member. (PCR is utilized pursuant to a license agreement with Roche Molecular Systems, Inc.) | Varies: Var |  |  |  | Varies | This test can only be performed if a mutation has previously been identified in a family member of this individual.   Forms:	 1. Molecular Genetics-Biochemical Disorders Patient Information Sheet (Supply T527) in Special Instructions 2. 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. 3. If not ordering electronically, submit a Molecular Genetics Request Form (Supply T245) with the specimen.   [NAME] must arrive within 96 hours of draw.   Submit only 1 of the following specimens:   Specimen Type: Whole blood Container/Tube: Preferred: Lavender top (EDTA) or yellow top (ACD) Acceptable: Any anticoagulant  [NAME]: 3 mL  Collection Instructions:	 1. Invert several times to mix blood. 2. Send specimen in original tube. Specimen Stability Information: Ambient (preferred)/Frozen/Refrigerated 	 Acceptable: [NAME] spots Container/Tube: Whatman Protein Saver 903 Paper [NAME]: 5 blood spots Collection Instructions: 1. Let blood dry on the filter paper at ambient temperature in a horizontal position for 3 hours. 2. Do not expose specimen to heat or direct sunlight. 3. Do not stack wet specimens. 4. Keep specimen dry. Specimen Stability Information: Ambient (preferred)/Refrigerated   Specimen Type: Cultured fibroblasts Container/Tube: T-75 or T-25 flask [NAME]: 1 full T-75 or 2 full T-25 flasks Specimen Stability Information: Ambient (preferred)/Refrigerated <24 hours | Blood: 1 mL/Blood Spots: 3 | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	NA | An interpretive report will be provided. | Wednesday; 10 a.m. | 10 days | 16 days | 1 | 81403 |  |  |  |  | Rochester
[NAME] | [NAME] | VARIES | Varies |  |  |  | See instructions
[NAME] | Result | 22951 | [NAME] | [NAME] | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 31208-2
[NAME] | Result | 22952 | [NAME] | [NAME] | Alphanumeric
[NAME] | Result | 22953 | Source | Source | Alphanumeric
[NAME] | Result | 22954 | Order Date | Order Date | Alphanumeric
[NAME] | Result | 22955 | Reason For Referral | Reason For Referral | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 42349-1
[NAME] | Result | 22956 | Method | Method | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
[NAME] | Result | 22957 | Result | Result | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
[NAME] | Result | 22958 | Interpretation | Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 69047-9
[NAME] | Result | 22959 | Amendment | Amendment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
[NAME] | Result | 22960 | Reviewed By: | Reviewed By: | Alphanumeric
[NAME] | Result | 22961 | Release Date | Release Date | Alphanumeric