Spreadsheet: f22ac649-055b-44a8-bb6c-c51b46aed749
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
FXAT | Test | FXAT | Xylose Absorption Test (Child) | Xylose Absorption Test, Child | Quantitative Spectrophotometry |  |  |  |  |  | SUBMIT ALL OF THE FOLLOWING (Read ALL collection information prior to start of test and collection of specimens.)   Serum-Required: Fasting serum and One hour specimen Collect blood in plain, red-top tube(s), allow to clot completely at room temperature. Separate from cells ASAP and label tube with "Fasting serum" or "One-hour serum" as appropriate. Ship specimens refrigerate.    Urine Collect all urine for five hours. Measure and record the volume, mix well and remove a 5 mL aliquot, label sample "Five-hour urine". Ship specimen refrigerate.   REQUIRED COLLECTION INSTRUCTIONS - Read ALL  collection information prior to start of test.   *  Children are defined as less than 17 years old for the purposes     of this test.   *  [NAME] dose must be obtained from a pharmacy, 0.5 g xylose     per kilogram of body weight up to 25g.   *  Patient should fast for eight hours (4 hours min) prior to start of test.   *  Patient should empty bladder prior to start of test. (do not collect)   *  Prior to xylose administration, , collect fasting serum sample, label tube     clearly "Fasting Serum"   *  Give xylose in water, (5 mL of water per 0.5 g of xylose up to     250 mL water). Encourage the patient to drink additional water     following xylose dose. The patient may have water as desired,     but no other food or fluids. The patient should rest in a chair or     on a bed until completion of test. Mild diarrhea is common     following xylose ingestion.   * Collect the second serum sample one hour after giving the     xylose dose. Label tube clearly "One-hour [NAME]".   *  Immediately following xylose dose, COLLECT ALL URINE FOR THE      NEXT  FIVE HOURS.  Measure and record the volume, mix     well and remove a 5 mL aliquot. Label sample "Five-hour     [NAME]", record total volume and the xylose dose given.     NOTE: if unable to collect peds urine, testing will be ran with     disclaimer, provided both serum specimens are received. | Serum: 0.5 mL Urine: 3 mL | Hemolysis:	Mild OK; Gross reject Thawing:		Warm reject; Cold OK Lipemia:	NA Icterus:	NA Other:	NA | Serum fasting specimen: No reference intervals for the fasting serum: it is used as a blank when testing the one-hour specimen.   Serum xylose at 60 min: 0-5 months:                   15-58  mg/dL 6 months-16 years:        20-58  mg/dL   Xylose excretion, g/5 hr: 0-16 years:                    depends on dose given   [NAME] excretion, % dose 5 hr: 0-16 years:                    16-40 %   Test Performed By:  ARUP Laboratories                               500 [NAME]                               Salt Lake City, UT  84108 | Tuesday, Thursday | 1-5 days | 3-7 days | 1 | 84620 |  |  |  |  | ARUP Laboratories
FXAT | [NAME] | URINE | [NAME] |  |  |  | Refrigerated | 7 days
FXAT | [NAME] | SERUM | Serum |  |  |  | Refrigerated | 7 days
FXAT | [NAME] | TIMES | [NAME] |  |  |  | Refrigerated | 7 days
FXAT | Component | FXAT1 | Total Volume | Total Volume | Only orderable as a profile. For further information see FXAT (57325) "Xylose Absorption Test, Child" |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes | No
FXAT1 | [NAME] | URINE | [NAME] |  |  |  | Refrigerated | 7 days
FXAT1 | Order Question | [NAME] | Total Volume |  | Plain Text
FXAT1 | Result | [NAME] | Total Volume | Total Volume | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FXAT | Component | FXAT2 | Dosage | Dosage | Only orderable as a profile. For further information see FXAT (57325) "Xylose Absorption Test, Child" |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes | No
FXAT2 | [NAME] | SERUM | Serum |  |  |  | Refrigerated | 7 days
FXAT2 | Order Question | Z2665 | Dosage |  | Plain Text
FXAT2 | Result | Z2665 | Dosage | Dosage | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FXAT | Component | FXAT3 | [NAME] at 2 hours | [NAME] at 2 hours | Only orderable as a profile. For further information see FXAT (57325) "Xylose Absorption Test, Child" |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Yes | No
FXAT3 | [NAME] | TIMES | [NAME] |  |  |  | Refrigerated | 7 days
FXAT3 | Result | [NAME] | [NAME] 60 Minutes | [NAME] 60 Minutes | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FXAT3 | Result | Z2667 | [NAME], g/5 hr | [NAME], g/5 hr | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process
FXAT3 | Result | [NAME] | [NAME], % Dose 5 hr | [NAME], % Dose 5 hr | Alphanumeric |  |  |  |  |  |  |  |  |  |  |  |  |  |  | In Process