| 1751-7 | Albumin SerPl-mCnc | optional |
| 49049-0 | Collect Tme Spec | conditional |
| 68900-0 | Albumin lab method:Type:Pt:Ser/Plas:Nom: | optional |
| 2160-0 | Creat SerPl-mCnc | required |
| 718-7 | Hgb Bld-mCnc | optional |
| 4548-4 | HbA1c MFr Bld | optional |
| 2093-3 | Cholest SerPl-mCnc | optional |
| 13457-7 | LDLc SerPl Calc-mCnc | optional |
| 2085-9 | HDLc SerPl-mCnc | optional |
| 2571-8 | Trigl SerPl-mCnc | optional |