Spreadsheet: 6c068ba8-1b6b-4daa-ad99-d8a3d4358d24
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
EPU | Test | EPU | Electrophoresis, Protein, [NAME] | Electrophoresis, Protein, U | PTU/8261: [NAME] (Pyrogallol Red) PEU/8244: Agarose Gel Electrophoresis IFXU/82025: Immunofixation | [NAME], 24-hour graduated: 24Urine |  |  | 50 | mL | Collection Container/Tube: Clean, plastic urine collection container Submission Container/Tube: Plastic, 60-mL urine bottle  [NAME]: 50 mL Collection Instructions:  1. Collect a 24-hour urine specimen.  2. No preservative. Additional Information:  1. 24-Hour volume is required. 2. If a serum specimen on the same patient will also be submitted, order PEL/80085 Electrophoresis, Protein, Serum under a separate order. 3. See [NAME] in Special Instructions for multiple collections.  NOTE: The addition of preservative or application of temperature controls must occur within 4 hours of the collection.     Urine Preservative Collection Options Ambient	Yes Refrigerated	Preferred Frozen	Yes 6N HCl	No 50% Acetic Acid	No Na2CO3	No Toluene	Yes 6N HNO3	No Boric Acid	No Thymol	Yes | 25 mL | Hemolysis	NA Thawing	Warm OK; Cold OK  Lipemia	NA Icterus	NA Other	NA | PROTEIN, TOTAL > or =18 years: <102 mg/24 hours Reference values have not been established for patients that are <18 years of age.   ELECTROPHORESIS, PROTEIN If protein concentration is abnormal, the following fractions, if present, will be reported as a percent of the protein, total. [NAME] Alpha-1-globulin Alpha-2-globulin Beta-globulin Gamma-globulin  Reference value applies to 24-hour collection. Specimens collected for periods other than 24 hours will be reported in concentration units. | Protein, total: Monday through Sunday; [NAME], protein: Mon | 2 days | 3 days |  | Profile |  |  |  |  | Rochester
EPU | [NAME] | URINE | [NAME] |  |  |  | Refrigerated | 14 days
EPU | Component | PTU | Protein, Total, [NAME] | Protein, Total, U | [NAME] (Pyrogallol Red) | [NAME], 24-hour graduated: 24Urine |  |  | 5 | mL | Container/Tube: Plastic, 6-mL tube (Supply T465) [NAME]: 5 mL Collection Instructions: 1. Collect urine for 24 hours. 2. No preservative.  Additional Information: 1. 24-Hour volume is required. 2. See [NAME] in Special Instructions for multiple collections.   Urine Preservative Collection Options Ambient	Preferred Refrigerated	Yes Frozen	Yes 6N HCl	No 50% Acetic Acid	No Na2CO3	Yes Toluene	Yes 6N HNO3	No Boric Acid	Yes Thymol	Yes | 1 mL | Hemolysis	NA Thawing	Warm OK; Cold OK Lipemia	NA Icterus	NA Other	NA | > or =18 years: <102 mg/24 hours Reference values have not been established for patients that are <18 years of age.   Reference value applies to 24-hour collection. | Monday through Sunday; Continuously | Same day/1 day | Same day/1 day | 1 | 84156 |  |  | Yes | Yes
PTU | [NAME] | URINE | [NAME] |  |  |  | Refrigerated | 14 days
PTU | Order Question | TM23 | Collection Duration |  | Plain Text
PTU | Order Question | VL21 | [NAME] |  | Plain Text
PTU | Result | TP2 | Total Protein | Total Protein | Numeric |  |  |  |  | mg/24 h |  |  |  |  |  |  |  |  |  | 2889-4 | Protein:MRat:24H:[NAME]:Qn:
PTU | Result | TM23 | Collection Duration | Collection Duration | Numeric |  |  |  |  | h |  |  |  |  |  |  |  |  |  | 13362-9 | Collection duration:Time:*:Urine:Qn:
PTU | Result | VL21 | [NAME] | [NAME] | Numeric |  |  |  |  | mL |  |  |  |  |  |  |  |  |  | 19153-6 | [NAME] volume:Vol:XXX:[NAME]:Qn:
PTU | Result | CONC1 | Concentration | Concentration | Numeric |  |  |  |  | mg/dL |  |  |  |  |  |  |  |  |  | 35663-4 | Protein:MCnc:XXX:[NAME]:Qn:
EPU | Component | PEU | Electrophoresis, Protein, [NAME] | Protein Electrophoresis, U | Agarose gel electrophoresis | [NAME], 24-hour graduated: 24Urine |  |  | 50 | mL | 50 mL from a 24-hour urine collection.  No preservative.  Although a 24-hour specimen is recommended, a random specimen will be tested if sent. See "Urine Preservatives" in Special Instructions for multiple collections.  Aliquot specimen between one plastic, 60-mL urine bottle and one plastic, 10-mL urine tube (Supply T068), and send refrigerated.  NOTE:	24-HOUR VOLUME IS REQUIRED ON REQUEST 	FORM FOR PROCESSING.   Urine Preservative Collection Options  Ambient:	Yes Refrigerate:	Preferred Frozen:	Yes 6N HCl:	No 50% Acetic Acid:	No Na2CO3:	No Toluene:	Yes 6N HNO3:	No Boric Acid:	No Thymol:	No | 20 mL | Specimens Other Than: Urine Anticoagulants Other Than: N/A Hemolysis: N/A Thawing: No Lipemia: N/A |  | Monday through Saturday; 12 p.m. | 2 days | 4 days | 1 | 84166 |  |  | Yes | No
PEU | [NAME] | URINE | [NAME] |  |  |  | Refrigerated | 14 days
PEU | Result | 2776 | Albumin | Albumin | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 17819-4 | Albumin/Protein.total:MFr:XXX:[NAME]:Qn:Electrophoresis
PEU | Result | 2777 | Alpha 1-Globulin | Alpha 1-Globulin | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 17811-1 | Alpha 1 globulin/Protein.total:MFr:XXX:[NAME]:Qn:Electrophoresis
PEU | Result | 2779 | Alpha 2-Globulin | Alpha 2-Globulin | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 17813-7 | Alpha 2 globulin/Protein.total:MFr:XXX:[NAME]:Qn:Electrophoresis
PEU | Result | 2780 | Beta-Globulin | Beta-Globulin | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 17815-2 | Beta globulin/Protein.total:MFr:XXX:[NAME]:Qn:Electrophoresis
PEU | Result | 2781 | Gamma-Globulin | Gamma-Globulin | Numeric |  |  |  |  | % |  |  |  |  |  |  |  |  |  | 17817-8 | Gamma globulin/Protein.total:MFr:XXX:[NAME]:Qn:Electrophoresis
PEU | Result | 2833 | A/G Ratio | A/G Ratio | Numeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 44293-9 | Albumin/Globulin:MCrto:Pt:[NAME]:Qn:Electrophoresis
PEU | Result | 21446 | M spike | M spike | Numeric |  |  |  |  | mg/24 h |  |  |  |  |  |  |  |  |  | 42482-0 | Protein.monoclonal:MRat:24H:Urine:Qn:Electrophoresis
PEU | Result | 22307 | M spike | M spike | Numeric |  |  |  |  | mg/24 h |  |  |  |  |  |  |  |  |  | 42482-0 | Protein.monoclonal:MRat:24H:Urine:Qn:Electrophoresis
PEU | Result | 21447 | Impression | Impression | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 32210-7 | Protein pattern:Imp:24H:[NAME]:Nom:Electrophoresis
PEU | [NAME] | IFXU | Immunofixation, [NAME] | Immunofixation, U | Immunofixation | [NAME], 24-hour graduated: 24Urine |  |  | 50 | mL | -50 mL from a 24-hour urine collection. No preservative. See "Urine Preservatives" in Special Instructions for multiple collections. Although a 24-hour specimen is recommended, a random specimen will be tested if sent. Aliquot specimen between 1 plastic,  60-mL urine bottle and 1 plastic, 13-mL urine tube and send refrigerated.   NOTE: 24-HOUR VOLUME IS REQUIRED ON REQUEST  	FORM FOR PROCESSING.   Urine Preservative Collection Options  Ambient:		Yes Refrigerate:		Preferred Frozen:		Yes 6N HCl:		No 50% Acetic Acid:		No Na2CO3:		No Toluene:		Yes 6N HNO3:		No Boric Acid:		No Thymol:		Yes | 10 mL | Specimens Other Than: Urine Anticoagulants Other Than: N/A Hemolysis: N/A Thawing: N/A Lipemia: N/A |  | Monday through Saturday; 8 a.m. | 2 days | 4 days | 1 | 86335 |  |  | No | No
IFXU | [NAME] | URINE | [NAME] |  |  |  | Refrigerated | 14 days
IFXU | Result | 82025 | Immunofixation, U | Immunofixation, U | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49277-7 | Interpretation:Imp:24H:Urine:Nar:Immunofixation
EPU | [NAME] | IFXU | Immunofixation, [NAME] | Immunofixation, U | Immunofixation | [NAME], 24-hour graduated: 24Urine |  |  | 50 | mL | -50 mL from a 24-hour urine collection. No preservative. See "Urine Preservatives" in Special Instructions for multiple collections. Although a 24-hour specimen is recommended, a random specimen will be tested if sent. Aliquot specimen between 1 plastic,  60-mL urine bottle and 1 plastic, 13-mL urine tube and send refrigerated.   NOTE: 24-HOUR VOLUME IS REQUIRED ON REQUEST  	FORM FOR PROCESSING.   Urine Preservative Collection Options  Ambient:		Yes Refrigerate:		Preferred Frozen:		Yes 6N HCl:		No 50% Acetic Acid:		No Na2CO3:		No Toluene:		Yes 6N HNO3:		No Boric Acid:		No Thymol:		Yes | 10 mL | Specimens Other Than: Urine Anticoagulants Other Than: N/A Hemolysis: N/A Thawing: N/A Lipemia: N/A |  | Monday through Saturday; 8 a.m. | 2 days | 4 days | 1 | 86335 |  |  | No | No
IFXU | [NAME] | URINE | [NAME] |  |  |  | Refrigerated | 14 days
IFXU | Result | 82025 | Immunofixation, U | Immunofixation, U | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 49277-7 | Interpretation:Imp:24H:Urine:Nar:Immunofixation