Spreadsheet: 1fdf8319-c661-4038-b674-a72bdb0c1d42
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
HSEP | Test | HSEP | Hereditary Spherocytosis Evaluation | Hereditary Spherocytosis Evaluation | FRAGO/9064: Osmotic Lysis BND3/83141: Flow Cytometry | EDTA (lavender-top) tube: EDTA |  |  | 5 | mL | See Recommendations for Collection of Control Specimens for FRAG, [NAME], and HAEVP in Special Instructions.  Forms: If not ordering electronically, please submit a Hematopathology/Molecular Oncology Request Form (Supply T241) with the specimen.  Specimens must arrive in the testing laboratory within 96 hours of draw.   A whole blood EDTA specimen and a control specimen are required.   Patient: Container/Tube: Lavender top (EDTA) [NAME]: 5 mL Collection Instructions: 1. Immediately refrigerate specimen after draw. 2. Do not transfer blood to other containers. 3. Rubber band patient specimen and control vial together. Additional Information: Patient's age and sex are required.   Normal Control: [NAME] blood Container/Tube: Lavender top (EDTA) [NAME]: 5 mL Collection Instructions: 1. Draw a control specimen at the same time from a normal, unrelated, non-smoking individual. 2. Clearly write normal control on outermost label and also indicate sex of control on same label. 3. Immediately refrigerate specimen after draw. 4. Do not transfer blood to other containers. 5. Rubber band control vial and patient specimen together. | 2 mL | Hemolysis	Mild OK; Gross reject Thawing	NA Lipemia	NA Icterus	NA Other	NA | 0.50 g/dL NaCl (unincubated) Males: 0.0-47.8% hemolysis Females: 0.0-31.1% hemolysis   0.60 g/dL NaCl (incubated) Males: 18.7-67.4% hemolysis Females: 10.9-65.5% hemolysis   0.65 g/dL NaCl (incubated) Males: 4.4-36.6% hemolysis Females: 0.2-39.3% hemolysis   0.75 g/dL NaCl (incubated) Males: 0.8-9.1% hemolysis Females: 0.0-10.9% hemolysis   An interpretive report will be provided. | Monday through Saturday; varies | 4 days (not reported on Saturday or Sunday) | 7 days | 1 | 85557 |  |  |  |  | Rochester
HSEP | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Refrigerated | 4 days
HSEP | [NAME] | CONT | Control |  |  |  | Refrigerated | 4 days
HSEP | Component | FRAGO | Osmotic Fragility | Osmotic Fragility | Osmotic Lysis |  |  |  |  |  | Specimens must arrive within 72 hours of draw.   Container/Tube: Lavender-top (EDTA) tube plus a lavender-top (EDTA) tube as a control specimen [NAME]: 5 mL of fresh whole blood plus 5 mL of whole blood as a control specimen Collection Instructions: 1. Immediately refrigerate specimens after draw. Do not transfer blood to other containers. 2. Include a control specimen drawn at the same time from a normal, unrelated, non-smoking individual. Clearly write normal control on outermost label and also indicate sex of control on same label.  3. Rubber band patient specimen and control vial together. Note: Patient's age and sex are required. | 2 mL | Specimens other than	Whole blood Anticoagulants other than	EDTA Hemolysis	Mild OK; Gross OK Thawing	NA Lipemia	NA Icteric	NA | 0.50 g/dL NaCl (unincubated) Males: 0.0-47.8% hemolysis Females: 0.0-31.1% Hemolysis   0.60 g/dL NaCl (incubated) Males: 18.7-67.4% hemolysis Females: 10.9-65.5% Hemolysis   0.65 g/dL NaCl (incubated) Males: 4.4-36.6% hemolysis Females: 0.2-39.3% Hemolysis   0.75 g/dL NaCl (incubated) Males: 0.8-9.1% hemolysis Females: 0.0-10.9% hemolysis | Monday through Saturday; 1 p.m. | 2 days (not reported Saturday or Sunday) | 5 days |  |  |  |  | Yes | No
FRAGO | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Refrigerated | 4 days
FRAGO | Result | 9064 | Osmotic Fragility, RBC | Osmotic Fragility, RBC | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 34964-7
FRAGO | Result | 3306 | Osmotic Fragility, 0.50 g/dL NaCl | Osmotic Fragility, 0.50 g/dL NaCl | Numeric |  |  |  |  | %hemol |  |  |  |  |  |  |  |  |  | 23915-2
FRAGO | Result | 3307 | Osmotic Fragility, 0.60 g/dL NaCl | Osmotic Fragility, 0.60 g/dL NaCl | Numeric |  |  |  |  | %hemol |  |  |  |  |  |  |  |  |  | 23917-8
FRAGO | Result | 3308 | Osmotic Fragility, 0.65 g/dL NaCl | Osmotic Fragility, 0.65 g/dL NaCl | Numeric |  |  |  |  | %hemol |  |  |  |  |  |  |  |  |  | 23919-4
FRAGO | Result | 3309 | Osmotic Fragility, 0.75 g/dL NaCl | Osmotic Fragility, 0.75 g/dL NaCl | Numeric |  |  |  |  | %hemol |  |  |  |  |  |  |  |  |  | 30543-3
FRAGO | Result | 3310 | Osmotic Fragility Comment | Osmotic Fragility Comment | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
HSEP | Component | SCTRL | Sex of Control Vial | Sex of Control Vial | Only orderable as part of a profile. For further information see #84157 "Hemolytic Anemia Evaluation", #9064 "Osmotic Fragility, Erythrocytes", #81087 "Hereditary Spherocytosis Evaluation". |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes | No
SCTRL | [NAME] | CONT | Control |  |  |  | Refrigerated | 4 days
SCTRL | Order Question | SCTRL | Sex of Control Vial |  | Answer List
SCTRL | Option | SCTRL-1 | Male
SCTRL | Option | SCTRL-2 | Female
SCTRL | Result | SCTRL | Sex of Control Vial | Sex of Control Vial | Alphanumeric
HSEP | Component | HSEV | Spherocytosis Interpretation | Spherocytosis Interpretation | Only Orderable as part of profile "Hereditary Spherocytosis Evaluation". For further information see #81087. | EDTA (lavender-top) tube: EDTA |  |  | 5 | mL |  |  |  | Definitive results and an interpretive report will be provided. | Monday through Friday; Varies | 4 days (not reported Saturday or Sunday) | 7 days |  |  |  |  | Yes | No
HSEV | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Refrigerated | 4 days
HSEV | Result | 13065 | Spherocytosis Interpretation | Spherocytosis Interpretation | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
HSEP | [NAME] | BND3 | Band 3 Fluorescence Staining | Band 3 [NAME], RBC | Flow Cytometry | EDTA (lavender-top) tube: EDTA |  |  | 4 | mL |  |  |  | > or =12 months: Normal (reported as normal or abnormal) Reference values have not been established for patients less than 12 months of age. |  |  |  | 1 | 88184 |  |  | No | No
BND3 | [NAME] | WBEDTA | [NAME] EDTA |  |  |  | Refrigerated | 7 days
BND3 | Result | 83141 | Band 3 [NAME], RBC | Band 3 [NAME], RBC | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process