Test Definition: SAT24 Supersaturation Profile, 24 Hour, Urine

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1 Reporting Title: Supersaturation, U Performing Location: Rochester Specimen Requirements: Container/Tube: Plastic, 60-mL urine bottle Specimen Volume: 35 ml Collection Instructions: 1. Collect urine for 24 hours. 2. Add 30 ml of toluene as preservative at start of collection, or refrigerate specimen during and after collection. 3. Specimen ph should be between 4.5 and 8 and will stay in this range if kept refrigerated. Specimens with ph >8 indicate bacterial contamination, and testing will be cancelled. Do not attempt to adjust ph as it will adversely affect results. Additional Information: Hour volume is required. 2. Patient's height in centimeters and weight in kilograms are required if patient is <18 years old. 3. See Urine Preservatives in Special Instructions for multiple collections. Forms: If not ordering electronically, submit a General Request Form (Supply T239) with the specimen. Urine Preservative Collection Options Ambient No Refrigerated Yes Frozen Yes 6N HCl No 50% Acetic Acid No Na2CO3 No Toluene Preferred 6N HNO3 No Boric Acid No Thymol No Specimen Type Temperature Time Urine Refrigerated (preferred) 14 days Frozen 14 days Ask at Order Entry (AOE) Questions: Test ID Question ID Description Type Reportable SUPST CLDUR Collection Duration Plain Text Yes SUPST VL38 Volume Plain Text Yes Document generated August 12, 2016 at 2:49pm CDT Page 1 of 6

2 Result Codes: Result ID Reporting Name Type Unit LOINC Calcium Oxalate Crystal Numeric DG Brushite Crystal Numeric DG Hydroxyapatite Crystal Numeric DG In Process Uric Acid Crystal Numeric DG Sodium Urate Crystal Numeric DG CLDUR Collection Duration Alphanumeric VL38 Volume Alphanumeric Interpretation Alphanumeric NA24 Sodium, U Numeric mmol/24 h Also used by tests: NAUP K24U Potassium, U Numeric mmol/24 h Also used by tests: KUP CAL24 Calcium, 24 Hr, U Numeric mg/24 h Also used by tests: CALCP MAG24 Magnesium, 24 Hr, U Numeric mg/24 h In Process Also used by tests: MAGP CL24 Chloride, U Numeric mmol/24 h Also used by tests: CLUP PHS_U Phosphorus, U Numeric mg/24 h Also used by tests: POUP SULF_ Sulfate, Urine Numeric mmol/24 h Also used by tests: SULFP CITRE Citrate Excretion, U Numeric mg/24 h Also used by tests: CITP OXLT Oxalate, U (mmol/24 h) Numeric mmol/24 h Also used by tests: OXUP OXU2 Oxalate, mg/24 h Numeric mg/24 h Also used by tests: OXUP Document generated August 12, 2016 at 2:49pm CDT Page 2 of 6

3 Result ID Reporting Name Type Unit LOINC UPHU ph, U Numeric Also used by tests: UPHP URACI Uric Acid, U Numeric mg/24 h Also used by tests: URCP CRETU Creatinine, U Numeric mg/24 h Also used by tests: CTUP UOSMP Osmolality Numeric mosm/kg Also used by tests: UOSMP AMM24 Ammonium, 24 Hr, U Numeric mmol/24 h Also used by tests: AMMP UN24 Urea Nitrogen, U Numeric g/24 h In Process PCTR Protein Catabolic Rate, U Numeric g/24 h In Process Also used by tests: PCTR LOINC and CPT codes are provided by the performing laboratory. Supplemental Report: Supplemental Components: Test ID Reporting Name CPT Units CPT Code Always Performed Orderable Separately SUPST Supersaturation, U Yes No NAUP Sodium, U Yes Yes (order NAU) KUP Potassium, U Yes Yes (order KUR) CALCP Calcium, U Yes Yes (order CALU) MAGP Magnesium, U Yes Yes (order MAGU) CLUP Chloride, U Yes Yes (order CLU) Document generated August 12, 2016 at 2:49pm CDT Page 3 of 6

4 Test ID Reporting Name CPT Units CPT Code Always Performed Orderable Separately POUP Phosphorus, U Yes Yes (order POU) SULFP Sulfate, U Yes Yes (order SULFU) CITP Citrate Excretion, U Yes Yes (order CITR) OXUP Oxalate, U Yes Yes (order OXU) UPHP ph, U Yes Yes (order PHU_) URCP Uric Acid, U Yes Yes (order URCU) CTUP Creatinine, U Yes Yes (order CTU) UOSMP Osmolality Yes Yes (order UOSMU) AMMP Ammonium, 24 Hr, U Yes Yes (order AMMO) UNP Urea Nitrogen, U Yes No PCTR Protein Catabolic Rate, U Yes No Reference Values: SUPERSATURATION REFERENCE MEANS (DG) Calcium oxalate: 1.77 Brushite: 0.21 Hydroxyapatite: 3.96 Uric acid: 1.04 Sodium urate: 1.76 INDIVIDUAL URINE ANALYTES OSMOLALITY 0-11 months: mosm/kg > or =12 months: 150-1,150 mosm/kg ph ALL REFERENCE RANGES BELOW ARE BASED ON 24-HOUR COLLECTIONS. SODIUM mmol/24 h Document generated August 12, 2016 at 2:49pm CDT Page 4 of 6

5 Reference values have not been established for patients <16 years of age. POTASSIUM mmol/24 h Reference values have not been established for patients <16 years of age. CALCIUM Males: <250 mg/24 h Females: <200 mg/24 h Reference values have not been established for patients <18 years and >83 years of age MAGNESIUM mg/24 h Reference values have not been established for patients <18 years and >83 years of age CHLORIDE mmol/24 h Reference values have not been established for patients <16 years of age. PHOSPHORUS <1,100 mg/24 h SULFATE 7-47 mmol/24 h CITRATE EXCRETION 0-19 years: not established 20 years: 150-1,191 mg/24 h 21 years: 157-1,191 mg/24 h 22 years: 164-1,191 mg/24 h 23 years: 171-1,191 mg/24 h 24 years: 178-1,191 mg/24 h 25 years: 186-1,191 mg/24 h 26 years: 193-1,191 mg/24 h 27 years: 200-1,191 mg/24 h 28 years: 207-1,191 mg/24 h 29 years: 214-1,191 mg/24 h 30 years: 221-1,191 mg/24 h 31 years: 228-1,191 mg/24 h 32 years: 235-1,191 mg/24 h 33 years: 242-1,191 mg/24 h 34 years: 250-1,191 mg/24 h 35 years: 257-1,191 mg/24 h 36 years: 264-1,191 mg/24 h 37 years: 271-1,191 mg/24 h 38 years: 278-1,191 mg/24 h 39 years: 285-1,191 mg/24 h 40 years: 292-1,191 mg/24 h 41 years: 299-1,191 mg/24 h 42 years: 306-1,191 mg/24 h 43 years: 314-1,191 mg/24 h Document generated August 12, 2016 at 2:49pm CDT Page 5 of 6

6 44 years: 321-1,191 mg/24 h 45 years: 328-1,191 mg/24 h 46 years: 335-1,191 mg/24 h 47 years: 342-1,191 mg/24 h 48 years: 349-1,191 mg/24 h 49 years: 356-1,191 mg/24 h 50 years: 363-1,191 mg/24 h 51 years: 370-1,191 mg/24 h 52 years: 378-1,191 mg/24 h 53 years: 385-1,191 mg/24 h 54 years: 392-1,191 mg/24 h 55 years: 399-1,191 mg/24 h 56 years: 406-1,191 mg/24 h 57 years: 413-1,191 mg/24 h 58 years: 420-1,191 mg/24 h 59 years: 427-1,191 mg/24 h 60 years: 434-1,191 mg/24 h >60 years: not established OXALATE mmol/24 h URIC ACID Diet-dependent: <750 mg/24 h CREATININE Normal values mg per 24 hours: Males: mg/24 hours Females: mg/24 hours Reference ranges for male and female patients <18 and >83 years of age have not been established. The expected urine creatinine excretion per 24 hours: Males: mg/kg of body weight/24 hours Females: 9-26 mg/kg of body weight/24 hours Reference ranges for male and female patients <18 and >83 years of age have not been established. Note: To convert to mg/kg of body weight/24 hours, divide the mg/24 h result by body weight in kg. AMMONIUM mmol/24 hour Reference values have not been established for patients <18 years and >77 years of age. UREA NITROGEN g/24 hour PROTEIN CATABOLIC RATE g/24 hour Document generated August 12, 2016 at 2:49pm CDT Page 6 of 6

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