Centralized Core Laboratory - Mayo Clinic Laboratories :
Send Out
PATIENT INFO
Patient Name:
Medical Record #:
BD: //Sex: F M
PHYSICIAN INFO
Physician Name :
Address:
Ph: ()-Fax: ()-
Additional Report to:
Ph: ()-Fax: ()-
TESTS REQUESTED
Test Name:
ICD9 Code: (required)
1. HIV-1 Genotype
2.
3.
4.
5.
6.
SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
HVGEN
Test Workstation :
MAYO
Specimen Type:
Plasma
Tube Type:
Purple top (EDTA) tube
Collection Volume:
6.0 mL (minimum 3.0 mL)
Cause for Rejection:
Drawn in Greentop (heparin) tube
Storage:
Frozen
Availability:
Sent to Reference Laboratory
Methodology:
Reverse Transcription Polymerase Chain Reaction (RT-PCR) followed by Targeted Next-Generation Sequencing (NGS)
Special Instructions:
Centrifuge and separate plasma from cells within 2 hours of collection.
If collected at an offsite location, send by a STAT Courier to Hospital lab
Specimens submitted for HIV1 genotyping must contain 1000 copies/mL or more of HIV1 RNA.
Lab/Phone:
330-543-8418
TAT:
3-10 days
Additional Info:
Reference range is available on patient report
This test is intended to be used to monitor known HIV-positive infections. It is not intended for primary detection of HIV infections. Specimens submitted for HIV-1 genotyping should contain > or =1000 copies/mL of HIV-1 RNA.
CPT Code:
0219U
HIV-1 Genotype
Test ID/Workstation :
HVGEN
Specimen Type:
Plasma
Tube Type:
Purple top (EDTA) tube
Collection Volume:
6.0 mL (minimum 3.0 mL)
Cause for Rejection:
Drawn in Greentop (heparin) tube
Storage:
Frozen
Availability:
Sent to Reference Laboratory
Methodology:
Reverse Transcription Polymerase Chain Reaction (RT-PCR) followed by Targeted Next-Generation Sequencing (NGS)
Special Instructions:
Centrifuge and separate plasma from cells within 2 hours of collection.
If collected at an offsite location, send by a STAT Courier to Hospital lab
Specimens submitted for HIV1 genotyping must contain 1000 copies/mL or more of HIV1 RNA.
Lab/Phone:
330-543-8418
TAT:
3-10 days
Additional Info:
Reference range is available on patient report
This test is intended to be used to monitor known HIV-positive infections. It is not intended for primary detection of HIV infections. Specimens submitted for HIV-1 genotyping should contain > or =1000 copies/mL of HIV-1 RNA.
CPT Code:
0219U
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There are 10 nurses in the picture.
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The five differences are:
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The two matching doctors are 9 and 14.
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The correct path:
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