Ordering Guidance

This test is orderable for the Sudden Cardiac Death Pathology Evaluation study.

Shipping Instructions

Attach the green "Attention Pathology" address label (T498) to the outside of the transport container before putting into the courier mailer.

Necessary Information

All requisition and supporting information must be submitted in English.

Each of the following items is required:

1. All requisitions must be labeled with:

-Patient name, date of birth, date of death, and medical record number

-Name and phone number of the referring pathologist, ordering provider, or medical examiner

-Anatomic site and collection date

2. A preliminary/final autopsy report and brief patient history are essential to achieve a consultation fully relevant to the ordering provider's needs.

3. A specific diagnostic question is required. Include diagnostic question in a cover letter or in the requisition notes/comments. For ease of submission, the Pathology Consultation Cover Letter form can be completed and sent with the specimen.

Specimen Required

1. The heart specimen is required for testing.

2. Send whole blood in addition to heart specimen, if available.

Specimen Type: Heart specimen

Supplies:

-Pathology Packaging Kit (T554)

-Ambient Shipping Box, 5 lb (T970)

Specimen Volume: Entire specimen

Collection Instructions:

1. Fix entire specimen in formalin for a minimum of 24 hours.

2. Following fixation, lightly wrap specimen in formalin-soaked paper towel, place in a leak-proof sealable bag with a small amount of formalin, seal, and ship ambient in a sturdy shipping container.

Additional Information: Paraffin block may be accepted.

Specimen Type: Whole blood

Container/Tube: Lavender top (EDTA)

Specimen Volume: 10 mL

Collection Instructions:

1. Invert several times to mix blood.

2. Send whole blood specimen.