| 66164-5 | Eat or drink PhenX | |
| 66165-2 | Last ate or drank D/T | |
| 66166-0 | Coffee tea PhenX | |
| 66167-8 | Coffee tea time PhenX | |
| 66168-6 | Alcohol PhenX | |
| 66169-4 | Alcohol time PhenX | |
| 66170-2 | Gum PhenX | |
| 66171-0 | Gum time PhenX | |
| 66172-8 | Antacids PhenX | |
| 66173-6 | Antacids time PhenX | |
| 66182-7 | DS PhenX | |
| 66183-5 | DS time PhenX | |
| 66174-4 | Pregnant currently PhenX | |
| 66175-1 | Taking insulin PhenX | |
| 66176-9 | Diabetic pills PhenX | |
| 66177-7 | Hx of Hemophilia | |
| 66178-5 | Chemotherapy rcvd past 4W or next 4W | |
| 66504-2 | Exclusion criteria present PhenX | |
| 8251-1 | Service Cmnt-Imp | |
| 8251-1 | Service Cmnt-Imp | |
| 29463-7 | Weight | optional |
| 66203-1 | Amount of dextrose solution PhenX | |
| 66204-9 | Amount of dextrose consumed PhenX | |
| 66205-6 | All solution consumed 10M PhenX | |
| 66206-4 | Ms between dextrose blood draw PhenX | |
| 66208-0 | Make of equipment used PhenX | |
| 74719-6 | Manufacturer name | |
| 66240-3 | Blood draw PhenX | |