Spreadsheet: ce66be1c-0cf7-435b-9db9-65fdd2a791a1
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
SEMA | Test | SEMA | Semen Analysis with WHO Morphology | Semen Analysis with WHO Morphology | Manual | Semen analysis kit: SemAnl |  |  |  | Varies | [NAME] must arrive within 24 hours of collection. Send specimen Monday through Thursday only and not the day before a holiday. If holiday falls on a Saturday, holiday will be observed on the preceding Friday. Sunday holidays are observed on the following Monday. [NAME] should be collected and packaged as close to shipping time as possible. Laboratory does not perform testing on weekends.   Container/Tube: Semen [NAME] (Supply T178) [NAME]: Total ejaculate Collection Instructions: Patient should have 2 to 7 days of sexual abstinence at the time of semen collection for accurate results. Additional Information: Include the following information: semen volume, viscosity, pH, appearance (color), and number of days of sexual abstinence. Forms: If not ordering electronically, submit a General Request Form (Supply T239) with the specimen. | Total ejaculate | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | Appearance: normal                Volume: > or =1.5 mL                    pH: > or =7.2                            Motile/mL: > or =6.0 x 10(6)           Sperm/mL: > or =15.0 x 10(6)         Motility: > or =40%                        Morphology: > or =15% normal oval sperm heads Germ cells: <4 x 10(6)/mL  WBC: <1 x 10(6)/mL Grade: > or =2.5      Motile/ejaculate: > or =9.0 x 10(6) Viscosity: > or =3.0 Agglutination: > or =3.0 Supravital: > or =58% live Fructose: positive Note: Fructose testing cannot be performed on semen analysis specimens shipped through Mayo Medical Laboratories. If patient is azoospermic, refer to FROS/81164 Fructose, [NAME] or Seminal Plasma. Submit separate specimen to rule out ejaculatory duct blockage. Positive result indicates no blockage. | Monday through Friday; 3 p.m.  Send specimen Monday through Thursday only and no | 1 day | 4 days |  | Profile |  |  |  |  | Rochester
SEMA | [NAME] | SEMEN | Semen |  |  |  | Ambient
SEMA | Component | FER | Semen Analysis | Semen Analysis | Manual | Semen analysis kit: SemAnl |  |  |  | Varies | [NAME] must arrive within 24 hours of collection. Send specimen Monday through Thursday only and not the day before a holiday. If holiday falls on a Saturday, holiday will be observed on the preceding Friday. Sunday holidays are observed on the following Monday. [NAME] should be collected and packaged as close to shipping time as possible. Laboratory does not perform testing on weekends.   Container/Tube: Semen [NAME] (Supply T178) [NAME]: Total ejaculate Collection Instructions: Patient should have 2 to 7 days of sexual abstinence at the time of semen collection for accurate results. Additional Information: Include the following information: semen volume, viscosity, pH, appearance (color), and number of days of sexual abstinence. Forms: If not ordering electronically, submit a General Request Form (Supply T239) with the specimen. | Total ejaculate | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | Appearance: normal                Volume: > or =1.5 mL                    pH: > or =7.2                            Motile/mL: > or =6.0 x 10(6)           Sperm/mL: > or =15.0 x 10(6)         Motility: > or =40%    		 Grade: > or =2.5      Motile/ejaculate: > or =9.0 x 10(6) Viscosity: > or =3.0 Agglutination: > or =3.0 Supravital: > or =58% live Fructose: positive Note: Fructose testing cannot be performed on semen analysis specimens shipped through Mayo Medical Laboratories. If patient is azoospermic, refer to FROS/81164 Fructose, [NAME] or Seminal Plasma. Submit separate specimen to rule out ejaculatory duct blockage. Positive result indicates no blockage. | Monday through Friday; 3 p.m. Send specimen Monday through Thursday only and not | 1 day | 4 days | 1 | 89310 |  |  | Yes | Yes
FER | [NAME] | SEMEN | Semen |  |  |  | Ambient
FER | Result | ABSTN | Abstinence | Abstinence | Numeric |  |  |  |  | d |  |  |  |  |  |  |  |  |  | 10587-4
FER | Result | CLST1 | Collection Site | Collection Site | Alphanumeric
FER | Result | TY | Study Type | Study Type | Alphanumeric
FER | Result | CNTN | Container Type | Container Type | Alphanumeric
FER | Result | APP3 | Appearance | Appearance | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 13359-5
FER | Result | VL53 | Semen Volume | Semen Volume | Numeric |  |  |  |  | mL |  |  |  |  |  |  |  |  |  | 3160-9
FER | Result | PH1 | pH | pH | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 2752-4
FER | Result | MOTML | Motile/mL | Motile/mL | Numeric |  |  |  |  | x10(6) |  |  |  |  |  |  |  |  |  | 42531-4
FER | Result | SPML | Sperm/mL | Sperm/mL | Numeric |  |  |  |  | x10(6) |  |  |  |  |  |  |  |  |  | 9780-8
FER | Result | MOTY | Motility | Motility | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 6800-7
FER | Result | GR2 | Grade | Grade | Numeric
FER | Result | MOTEJ | Motile/Ejaculate | Motile/Ejaculate | Numeric |  |  |  |  | x10(6) |  |  |  |  |  |  |  |  |  | In Process
FER | Result | VISC | Viscosity | Viscosity | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 32789-0
FER | Result | AGGLU | Agglutination | Agglutination | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 33217-1
FER | Result | STAIN | Supravital Stain | Supravital Stain | Numeric |  |  |  |  | % live |  |  |  |  |  |  |  |  |  | In Process
FER | Result | FRCT | Fructose | Fructose | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 13943-6
FER | Result | CMT45 | Comment | Comment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8
SEMA | Component | FER2 | WHO Morphology | WHO Morphology | Includes concentration, World Health Organization morphology, and presence of other cellular elements. | Semen analysis kit: SemAnl |  |  |  | Varies | Patient should have 2 to 7 days of sexual abstinence at the time of semen collection for accurate results.   Include the following information: semen volume, viscosity, pH, appearance (color), and number of days of sexual abstinence.   Submit only 1 of the following specimens:   Semen specimen must arrive within 24 hours of collection. Send specimen Monday through Thursday only and not the day before a holiday. If holiday falls on a Saturday, holiday will be observed on the preceding Friday. Sunday holidays are observed on the following Monday. [NAME] should be collected and packaged as close to shipping time as possible. Laboratory does not perform testing on weekends.   Specimen Type: Semen Container/Tube: Semen [NAME] (Supply T178) [NAME]: Total ejaculate Additional Information: Specimen volume is required.  	 [NAME]: Liquefied semen Container/Tube: Slides Specimen Volume: 2 slides-10 microL on each slide Collection Instructions: 1. If sperm concentration is <10 million/mL, centrifuge the specimen at 300 x G for 10 minutes before making slides. 2. Label 2 frosted slides in pencil with the patient's first and last name and the date of specimen collection. 3. Allow the semen to liquefy for 30 minutes. 4. Place 10 microL of liquefied semen on the labeled end of each slide, and evenly smear the specimen using a plain slide (this process is the same as making a blood smear). 5. Allow the smears to air dry for 15 minutes before placing the slides into a slide holder for shipment. Additional Information: Total sperm concentration is required. | See instructions above | Hemolysis	NA Thawing	NA Lipemia	NA Icterus	NA Other	NA | Morphology: > or =15% normal oval sperm heads Germ cells: <4 x10(6)/mL  WBC: <1 x10(6)/mL | Monday through Friday; 3 p.m. Send specimen Monday through Thursday only and not | 1 day | 4 days | 1 | 89398 |  |  | Yes | Yes
FER2 | [NAME] | SEMEN | Semen |  |  |  | Ambient
FER2 | Result | OVAL3 | WHO Morph NL | WHO Morph NL | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | In Process
FER2 | Result | OTH3 | Other | Other | Numeric |  |  |  |  | %
FER2 | Result | GERM2 | Germ Cells/mL | Germ Cells/mL | Numeric |  |  |  |  | x10(6) |  |  |  |  |  |  |  |  |  | In Process
FER2 | Result | WBC5 | WBC/mL | WBC/mL | Numeric |  |  |  |  | x10(6) |  |  |  |  |  |  |  |  |  | 10579-1
FER2 | Result | CMT24 | Comment | Comment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 48767-8