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MCL PKLR Gene Sequencing Patient Information MC1235231
MCL PKLR Gene Sequencing Patient Information Complete print Reset Form PKLR Gene Sequencing Patient Information Instructions accurate interpretation reporting genetic results
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 Familial Mutation Testing Required Patient Information MC1235202
MCL Familial Mutation Testing Required Patient Information Complete print Familial Variant Testing Required Patient Information Reset Form Instructions accurate interpretation reporting genetic results
MCL - Final Disposition of Fetal/Stillborn Remains - MC1235-228
MCL - Final Disposition Fetal/Stillborn Remains - Final Disposition Fetal Stillborn Remains Date mm dd yyyy understand signing Clinic dispose
MCL Erythrocytosis Patient Information MC1235177
MCL Erythrocytosis Patient Information Complete print Reset Form Erythrocytosis Patient Information Instructions accurate interpretation reporting results contingent
MCL Nerve Biopsy Patient Information MC123590
MCL Nerve Biopsy Patient Information Complete print Reset Form Nerve Biopsy Patient Information Instructions information completed copy
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 Biochemical Genetics Patient Information MC1235116
MCL Biochemical Genetics Patient Information Complete print Reset Form Biochemical Genetics Patient Information Complete information Send paperwork specimen return
MCL Hematopathology Patient Information MC1235175
MCL Hematopathology Patient Information Complete print Reset Form Hematopathology Patient Information Instructions Send paperwork pathology test reports
MCL Platelet Antibody Screen Serum Information MC1235242
MCL Platelet Antibody Screen Serum Information Complete print Platelet Antibody Screen Serum Patient Information Reset Form Patient Information Patient Middle Birth Date
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...
MCL Chimerism Analysis Information MC1235124
MCL Chimerism Analysis Information Complete print Reset Form Chimerism Analysis Information separate form specimen submitted Note results
MCL GATA2 Gene Sequencing Patient Information MC1235249
MCL GATA2 Gene Sequencing Patient Information Complete print GATA2 Gene Sequencing Patient Information Reset Form Instructions accurate interpretation reporting genetic results
MCL Familial Chromosomal Microarray FISH Testing Information MC1235236
MCL Familial Chromosomal Microarray FISH Testing Information Family Member Phenotype Information Genomic Testing Instructions accurate interpretation reporting familial genetic results highly contingent
MCL Molecular Genetics Neurology Patient Information MC1235235
MCL Molecular Genetics Neurology Patient Information Complete print Molecular Genetics Neurology Patient Information Reset Form Instructions accurate interpretation reporting genetic results
MCL Brutons Tyrosine Kinase BTK Genotype Patient Information MC1235132
MCL Brutons Tyrosine Kinase BTK Genotype Patient Information Complete print Bruton Tyrosine Kinase BTK Gene Sequencing Patient Information Reset Form Instructions accurate interpretation reporting
MCL Molecular Hematopathology Patient Information MC1235189
MCL Molecular Hematopathology Patient Information Complete print Reset Form Molecular Hematopathology Patient Information Cell Chronic Lymphocytic Leukemia CLL IGVH TP53
MCL Rare Coagulation Disorder Patient Information MC1235264
MCL Rare Coagulation Disorder Patient Information Complete print Reset Form Rare Coagulation Disorder Patient Information Instructions Genetic testing rare hereditary disorders blood coagulation
MCL - Informed Consent for Genetic Testing for Deceased Individuals - MC1235-243
MCL - Informed Consent Genetic Testing Deceased Individuals - Informed Consent Genetic Testing Deceased Individuals Testing genetic conditions complex Prior providing consent
MCL Von Willebrand Disease Patient Information MC1235265
MCL Von Willebrand Disease Patient Information Complete print Reset Form von Willebrand Disease Patient Information Instructions von Willebrand factor VWF gene testing von Willebrand
MCL Lead and Heavy Metals Reporting MC123569
MCL Lead Heavy Metals Reporting Complete print Lead Heavy Metals Reporting Reset Form information Lead
fabry_disease_testing_algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 06/2024 Fabry Disease Diagnostic Testing Algorithm FMTT / Familial Variant, Targeted Testing, Varies Clinical suspicion or family history of Fabry...
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...
platelet_antibody_algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 05/2024 Platelet Antibody Testing Algorithm Autoimmune cause of thrombocytopenia suspected, such as: ■ Idiopathic thrombocytopenia purpura (ITP) ■ Secondary...
12/2019© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. NOYES Alpha1 Antitrypsin—A Comprehensive Testing Algorithm A1AT serum level and proteotype Order A1ALC / Alpha-1-Antitrypsin Proteotype S/Z by...
laboratory_approach_to_the_diagnosis_of_amyloidosis.pdf
04/2024© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Amyloidosis: Laboratory Approach to Diagnosis Possible patient presentations: ■ Nephrotic-range proteinuria with or without renal insufficiency...
tay_sachs_and_related_disorders_diagnostic_testing_algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Hexosaminidase A enzyme activity is indeterminate or indicates carrier for Tay-Sachs disease (TSD) Sandhoff disease excluded MUGS is performed 2...
multiple_myeloma_laboratory_screening.pdf
02/2024© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Multiple Myeloma: Laboratory Screening * PATHC / Pathology Consultation may be added at the discretion of the reviewing pathologist. If any of the...
acute_myeloid_leukemia_testing_algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 08/2023 Acute Myeloid Leukemia: Testing Algorithm YES YES NO NO Clinical suspicion for acute leukemia (peripheral blood vs bone marrow) Follow the World...
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...
celiac_disease_diagnostic_testing_algorithm.pdf
08/2024© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Celiac Disease Diagnostic Testing Algorithm Testing for selective IgA deficiency IGA / Immunoglobulin A (IgA), Serum TTGA / Tissue...
infectious_endocarditis_diagnostic_testing_for_identification_of_microbiological_etiology.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 08/2023 This algorithm is intended for use in patients with clinical and/or echocardiographic findings suggestive of infective endocarditis, based on the...
acute_myeloid_leukemia_relapsed_with_previous_remission_testing_algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 08/2023 Acute Myeloid Leukemia: Relapsed with Previous Remission Algorithm YES YES NO NO Previously diagnosed acute myeloid leukemia (AML) More than 6...
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...
aggressive_b_cell_lymphoma_diagnostic_algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 03/2022 Aggressive B-cell Lymphoma Diagnostic Algorithm Morphology: diffuse large B-cell lymphoma (DLBCL), high grade B-cell lymphoma (HGBCL), or Burkitt...
porphyria__cutaneous__testing_algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 05/2024 Porphyria (Cutaneous) Testing Algorithm Symptom: Skin manifestations restricted to sun-exposed areas Symptoms: ■ Edema ■ Sun-induced erythema ■...
amyloidosis__familial__test_algorithm.pdf
12/2022© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Amyloidosis (Familial) Test Algorithm* *Interpretive report provided for all tests in this algorithm. Clinical findings suggestive of familial...
lynch_syndrome_testing_algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 03/2024 Lynch Syndrome Testing Algorithm Pathogenic variant identified Testing in family member was negative or variant of uncertain significance...
parasitic_investigation_of_stool_specimens_algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 06/2023 Parasitic Investigation of Stool Specimens Algorithm Patients with watery diarrhea Risk factors for parasitic infection include: ■ AIDS ■ ≤5 years...
HIV-1 Ab Negative HIV-2 Ab Negative HIV-1 RNA Negative HIV-2 RNA Negative HIV-1 Ab Negative HIV-2 Ab Indeterminate HIV-1 RNA Negative HIV-2 RNA Positive HIV-1 Ab Indeterminate HIV-2 Ab Indeterminate HIV-1 RNA Positive HIV-2 RNA...
01/2024© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Steroid Pathways Mineralocorticoids CYP17A1 = Cytochrome P450 Family 17 Subfamily A Member 1 HSD3B1/HSD3B2 = 3ß Hydroxysteroid...
gastric_malt_lymphoma_diagnostic_algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 01/2022 Questionable gastric MALT lymphoma diagnostic biopsy Diagnosis: Negative for lymphoma Diagnostic or suspicious for other subtype of lymphoma Follow...
ganglioside_antibody_panel_algorithm.pdf
08/2024© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Ganglioside Antibody Panel Algorithm IgG Monosialo GM1 titer is performed IgM Monosialo GM1 titer is performed IgG Disialo GD1b titer is...
lysosomal_storage_disorders_screen_interpretive_algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 04/2022 Lysosomal Storage Disorders Screen Interpretive Algorithm One of the following: ■ α-Mannosidosis ■ Aspartyglucosaminuria ■ β-Mannosidosis ■ Gaucher...
Malaria Laboratory Testing.indd
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 04/2021 Malaria Laboratory Testing Algorithm 1 Malaria can be a rapidly fatal disease, particularly when due to Plasmodium falciparum, and less commonly...
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. AATHR / Thrombophilia Profile, Plasma and Whole Blood Testing begins with: ■ Prothrombin Time (PT), Plasma ■ Activated Partial Thromboplastin Time (APTT),...
testing_algorithm_for_the_screening_and_diagnosis_of_hepatitis_c.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 02/2022 Hepatitis C: Testing Algorithm for Screening and Diagnosis HCVQN / Hepatitis C Virus (HCV) RNA Detection and Quantification by Real-Time Reverse...
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...
lupus_anticoagulant_profile_testing_algorithm.pdf
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 05/2023 Lupus Anticoagulant Profile Testing Algorithm *Weak lupus anticoagulant may not inhibit DRVVT Mix ** Additional assays may be performed if...
© Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. 10/2019 Adulterant Survey Algorithm ■ ADULT / Adulterants Survey, Random, Urine ■ ADLTX / Adulterants Survey, Chain of Custody, Random, Urine Urine specimen...