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mdazl-rhode-island-certification.pdf
0 Q £ IS l -t1 .,. ... ';.� +"'" ¾liNT 0� State of Rhode Island DEPARTMENT OF HEALTH Center for Health Facilities Regulation This is to certify that MAYO CLINIC MOLECULAR...
newborn_screen_follow-up_for_x-linked_adrenoleukodystrophy.pdf
(MFMER). All rights reserved. 03/2023 Newborn screen result: Elevated lysophosphatidylcholines C24:0, C26:0 Order POX / Fatty Acid Profile, Peroxisomal (C22-C26), Serum Elevated very long chain fatty a....
cystic_fibrosis_molecular_diagnostic_testing_algorithm.pdf
03/2024© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 2 mutations detected Cystic Fibrosis Molecular Diagnostic Testing Algorithm Suspicion of cystic fibrosis (CF) due to clinical history and/or sweat...
galactosemia_testing_algorithm.pdf
07/2024 GALT <24.5 nmol/h/mg of hemoglobin GALT ≥24.5 nmol/h/mg of hemoglobin 2 variants identified 0–1 variants identified and discordant enzyme results 1 variant identif......
vitamin_b12_deficiency_evaluation.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 03/2022 Vitamin B12 Deficiency Evaluation <150 ng/L>400 ng/L 150-400 ng/L ≤0.4 nmol/mL >0.4 nmol/mL INDETERMINATE ACASM / Pernicious Anemia Cascade,...
acute_tick-borne_disease_testing_algorithm.pdf
04/2024© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Acute Tickborne Disease Testing Algorithm Order: SFGP / Spotted Fever Group Antibody, IgG and IgM, Serum Empiric treatment encouraged for high...
MCL - Renal Biopsy Patient Information - MC1235-45
MCL - Renal Biopsy Patient Information
sequential-maternal-serum-screening-testing-algorithm.pdf
03/2023© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Sequential Maternal Serum Screening Testing Algorithm Diagnostic testing should be offered Screen-positive: results...
newborn-screen-follow-up-elevated-leucine-algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 04/2025 Newborn screen result: Elevated leucine Perform urine ketones Order both of the following: ■ AAQP / Amino Acids, Quantitative, Plasma ■ OAU /...
MCL Hereditary Hemorrhagic Telangiectasia Vascular Malformations Gene Panel Patient Information Complete print Reset Form Hereditary Hemorrhagic Telangiectasia Vascular Malformations Gene Panel Patient Information Instructions Accurate...
celiac-disease-comprehensive-cascade-test-algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 05/2022 Celiac Disease Comprehensive Cascade Test Algorithm Selective IgA deficiency ■ Tissue transglutaminase antibody, IgG ■ Gliadin (deamidated)...
newborn_screen_followup_elevated_normal_tyrosine_elevated_succinylacetone.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 12/2024 YES NO Newborn Screen Follow-up for Elevated/Normal Tyrosine, Elevated Succinylacetone* Newborn screen results: ■ Elevated or normal tyrosine ■...
culture_referred_for_identification_and_susceptibility_for_mycobacterium_and_nocardia_algorithm.pdf
04/2025© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. STOP STOP Culture Referred for Identification and Susceptibility for Mycobacterium and Nocardia Algorithm Organism identification...
MCL Pricing Custom Gene Ordering MC4091141
MCL Pricing Custom Gene Ordering Custom Gene Panel Ordering Pricing Tiers CGPH Custom Gene Panel Hereditary Generation Sequencing NGS Varies Explanation Pricing
MCL Platelet Esoteric Testing Patient Information MC1235209
MCL Platelet Esoteric Testing Patient Information Complete print Platelet Esoteric Testing Patient Information Reset Form Note PTEM Platelet Transmission
MCL Quantitative CMV Immune Competence Assay Patient Information MC1235121
MCL Quantitative CMV Immune Competence Assay Patient Information Complete print Reset Form Quantitative CMV Immune Competence Assay Patient Information CMVC8 Cytomegalovirus CMV CD8 Cell Immune Competence
MCL Erythrocytosis Patient Information MC1235177
MCL Erythrocytosis Patient Information Complete print Reset Form Erythrocytosis Patient Information Instructions accurate interpretation reporting results contingent
MCL Molecular Genetics Hereditary Custom Gene Panel Patient Information MC1235282
MCL Molecular Genetics Hereditary Custom Gene Panel Patient Information Complete print Reset Form Molecular Genetics Hereditary Custom Gene Panel Patient Information Instructions accurate interpretation reporting
MCL Hematopathology Patient Information MC1235175
MCL Hematopathology Patient Information Complete print Reset Form Hematopathology Patient Information Instructions Send paperwork pathology test reports
nt_crl_data_for_first_trimester_sequential_maternal_screening.pdf
Client Information MCL Account Number Account Name Contact Phone Street Address City State ZIP Code MCL will provide sonographer QC data on a regular basis. Select one of the following: Client agrees to distribute QC data to the...
tp53_mutation_testing_algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 04/2023 Patient diagnosed with either chronic lymphocytic leukemia (CLL) or a lymphoid or hematologic neoplasm other than CLL Patient diagnosed with...
myeloproliferative_neoplasm_a_diagnostic_approach_to_peripheral_blood_evaluation.pdf
05/2023© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. *A minor criterion for PV **In the appropriate clinicopathologic setting Myeloproliferative Neoplasm: A Diagnostic Approach to Peripheral Blood...
Lyme Neuroborreliosis Diagnostic Algorithm.indd
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 10/2019 Neuroinvasive Lyme disease should be considered in patients, with exposure to ticks in a Lyme-endemic region, who present with 1 or more of the...
bile_acid-associated_tests_ordering_guide.pdf
Bile Acid-Associated Tests Ordering Guide Evaluation of Bowel Dysfunction Use to identify individuals with bile acid diarrhea (1) For screening order 7AC4 / 7AC4, Bile Acid Synthesis, Serum (2) For diagnosis order BAMRP / Bile...
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 07/2021 Hepatitis E: Testing Algorithm for Diagnosis and Management Immunocompetent patients with abnormal liver enzyme levels and at risk for hepatitis E...
hemophilia_carrier_testing_algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 07/2024 Hemophilia Carrier Testing Algorithm F8 gene variant previously identified in family? ■ If known variant is an Intron 1 Inversion variant, order...
newborn_screen_followup_elevated_tyrosine_normal_succinylacetone.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 12/2024 Newborn Screen Follow-up for Elevated Tyrosine, Normal Succinylacetone* Newborn screen results: ■ Elevated tyrosine ■ Normal...
the_heme_biosynthetic_pathway.pdf
Reviewed 05/2025 © Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Porphobilinogen Succinyl Co-enzyme A Uroporphyrinogen I Uroporphyrinogen III Heptacarboxylporphyrinogen I Heptacarboxylporphyrinogen...
newborn_screen_follow-up_for_mucopolysaccharidosis_type_i.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 03/2024 Newborn screen result: decreased alpha-L-iduronidase (IDUA) Order 1 from each of the following groups: ■ IDUAW / Alpha-L-Iduronidase,...
celiac_disease_gluten-free_cascade_test_algorithm.pdf
05/2022© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. STOP No further testing required Celiac Disease Gluten-Free Cascade Test Algorithm Patient following a gluten-free diet with uncertain or...
newborn_screen_follow-up_for_krabbe_disease_galactocerebrosidase.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 08/2024 Newborn Screen Follow-up for Krabbe Disease: Galactocerebrosidase Newborn screening result: decreased galactocerebrosidase (GALC) ■ GALC...
MCL Pathology Consultation Request Form MC014901
MCL Pathology Consultation Request Form Complete print Reset Form Pathology Consultation Request PATHC Pathology Consultation Client Information required Client Client Account Client
MCL Hemophilia B Patient Information MC123599
MCL Hemophilia B Patient Information Complete print Hemophilia Patient Information Reset Form accurate interpretation reporting genetic results contingent
b-lymphoblastic_leukemia-lymphoma_algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 04/2025 B-Lymphoblastic Leukemia/Lymphoma Genetic Testing Guidelines *For patients being considered for enrollment in Children’s Oncology Group (COG)...
newborn-screen-follow-up-acid-sphingomyelinase-deficiency.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 03/2023 Newborn screen result: decreased sphingomyelinase with or without abnormal 2nd-tier testing Order: ■ ASMW / Acid Sphingomyelinase, Leukocytes AND 1...
MCL Congenital Disorders of Glycosylation Patient Information MC1235293
MCL Congenital Disorders Glycosylation Patient Information Complete print Reset Form Congenital Disorders Glycosylation Patient Information Instructions Complete information Send paperwork
newborn-screen-follow-up-elevated-methionine.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Reviewed 06/2025 Newborn screen result: Elevated methionine Order: ■ AAQP / Amino Acids, Quantitative, Plasma ■ HCYSP / Homocysteine, Total,...
newborn-screen-follow-up-elevated-citrulline.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Reviewed 06/2025 Newborn Screen Follow-up for Elevated Citrulline Newborn screen result: Elevated citrulline Perform: ■ Plasma ammonia ■ Plasma...
newborn-screen-follow-up-for-metachromatic-leukodystrophy.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 07/2025 Newborn Screen Follow-up For Metachromatic Leukodystrophy STOP False-positive newborn screen Newborn screen result: Elevated sulfatides and/or...
MCL Renal Biopsy Procedure Handling Tissue Light Microscopy Immunoflorescent Histology Electron Microscopy Renal Biopsy Procedure Handling Tissue Light Microscopy Immunofluorescent Histology Electron Microscopy Biopsy specimens typically...
autoimmune-paraneoplastic-myelopathy-evaluation-algorithm-serum.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 05/2024 Autoimmune/Paraneoplastic Myelopathy Evaluation Algorithm-Serum ■ TRIM46 antibody by CBA ■ TRIM46 antibody by IF titer assay ■ Amphiphysin...
autoimmune-paraneoplastic-axonal-neuropathy-evaluation-algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 05/2024 Autoimmune/Paraneoplastic Axonal Neuropathy Evaluation Algorithm ■ AGNA immunoblot ■ AGNA IFA Titer ■ GFAP antibody CBA ■ GFAP antibody IFA...
beckwith-wiedemann-and-russell-silver-syndrome-algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 03/2025 Beckwith-Wiedemann and Russell-Silver Syndromes: Laboratory Approach to Diagnosis Order BWRS / Beckwith-Wiedemann Syndrome/Russell-Silver Syndrome,...
newborn-screen-follow-up-elevated-c3-isolated.pdf
Reviewed 05/2025 © Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Newborn Screen Follow-up for Isolated Elevation of C3 Newborn screen result: Isolated elevation of propionylcarnitine...
mc1235-69-lead-and-heavy-metals-reporting-spanish.pdf
T956 ©2023 Mayo Foundation for Medical Education and Research MC1235-69SPrev0823 Informes sobre plomo y metales pesados Lead and Heavy Metals Reporting (Spanish) Page 1 of 2 La siguiente información debe ser proporcionada para todas las...
newborn-screen-elevated-c16-oh-c18-oh.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 08/2023 Newborn screen result: ■ Elevated C16-OH acylcarnitine ■ Possible elevated C18-OH acylcarnitine Perform: Glucose, electrolytes, blood gas, lactate,...
autoimmune-paraneoplastic-epilepsy-evaluation-algorithm-spinal-fluid.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 05/2024 Autoimmune/Paraneoplastic Epilepsy Evaluation Algorithm-Spinal Fluid ■ Glutamic acid decarboxylase (GAD65) antibody assay ■ Antineuronal nuclear...
MCL Congenital Heart Disease Genetic Testing Patient Information MC1235298
MCL Congenital Heart Disease Genetic Testing Patient Information Complete print Reset Form Congenital Heart Disease Genetic Testing Patient Information Instructions Accurate interpretation reporting genetic results
newborn-screen-follow-up-elevated-c3-dc-isolated.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Reviewed 05/2025 Newborn screen result: Isolated elevation of malonylcarnitine (C3-DC) Perform: Blood gas, glucose, electrolytes Order: ■ OAU / Organic...
MCL Combined Immunodeficiency Severe Combined Immunodeficiency BCellAntibody Deficiency Patient Information Complete print Reset Form Combined Immunodeficiency Severe Combined Immunodeficiency Cell Antibody Deficiency Patient Information...