| Cerner Primary Mnemonic: | Immunoelect with Reflex |
| PDM | 5302235 |
| Informatics - Workgroup | Chemistry |
| Synonyms * | monoclonal gammopathies
Protein electrophoresis
SPE
SPEP
Free light chains
Kappa
Lambda
Immunoelect with Reflex
IMEL
IFE |
| Display Name * | Serum Monoclonal Protein Screen |
| Specimen Sources (combined Order Entry and Specimen Navigator) * |
|
| Specimen Types (combined Order Entry and Specimen Navigator) * |
Blood
|
| Body Fluids (types sent through AOEs) |
|
| Specimen Navigator Specimen Types |
|
| Specimen Navigator Specimen Sources |
|
| Specimen Navigator Short Name | |
| Ordering info (EPIC SmartText) | Preferred initial screening test to aid in the diagnosis of monoclonal gammopathies. This test includes serum protein electrophoresis, Immunofixation/Immunotyping, serum free light chains (free kappa and free lambda-light chains) and quantitative immunoglobulins (IgA, IgG, IgM) |
| IP Orderable (inpatient) | Yes |
| OP Orderable (outpatient) | Yes |
AOEs *
|
| AP AOEs | |
| Special History | No |
| Build Comments | |
| Filter * | |
| Cerner Site Restrict | ARUP Laboratory Forest Hills Hospital Laboratory Glen Cove Hospital Lab Huntington Hospital Laboratory LIJ Valley Stream Hospital Laboratory LabCorp LabCorp Lab Lenox Hill Laboratory Long Island Jewish Med Ctr
Manhattan Eye Ear & Throat Hospital Lab Mayo Medical Labs Monter Lab New Island Lab North Shore University Laboratory Northern Westchester Hospital Labs Northwell Greenwich Village Hospital Northwell Health Laboratories Peconic Bay Medical Center Laboratory Phelps Memorial Hospital Labs Plainview Hospital Laboratory Quest Diagnostics SIUH North Laboratory SIUH Pouch Terminal Laboratory SIUH Prince’s Bay Division Laboratory SSUH Laboratory Sunrise Lab Syosset Hospital Laboratory |
Cerner Results
| Result Desc |
Result display |
Result PDM |
| Immunoglobulin M |
BC IGM |
5302232 |
| Serum Prot Electroph Interp |
SPEINTERP |
5300297 |
| Alpha 2 Globulin Fraction |
ALPHA2SPE |
5300285 |
| IG Lambda Free Light Chains |
IGLFLC |
5912702 |
| Kappa Lambda FLC Ratio |
KLFLCR |
5912723 |
| Alpha 1 Globulin Fraction |
ALPHA1SPE |
5300280 |
| Immunoglobulin A |
IGA |
5302233 |
| Immunoglobulin G |
IGG |
5302231 |
| %BETA GLOBULIN FRACTION |
Percent BETASPE |
5300281 |
| %Alpha 2 Globulin Fraction |
Percent ALPHA2SPE |
5300279 |
| M-Spike Spe |
M SPIKE |
5300296 |
| Immunofixation Result, Serum |
BC IFEINT |
225278L |
| Tot Protein For Spe |
TPSPE |
5300270 |
| Protein Total Serum |
TP |
5300105 |
| IG Kappa Free Light Chains |
IGKFLC |
5912701 |
| %Gammaspe |
Percent GAMMASPE |
5300282 |
| Gamma Globulin Fraction |
GAMMASPE |
5300295 |
| Globulin, Total |
BC GLOBUL |
225278J |
| Immunoglobulin A |
BC IGA |
5302233 |
| Immunoglobulin M |
IGM |
5302232 |
| Beta Globulin Fraction |
BETASPE |
5300290 |
| Albumin For Spe |
ALBSPE |
5300275 |
| PDF |
PDF SPE |
225278M |
| Immunofixation, Serum |
IMMFIX |
5300298 |
| Immunoglobulin G |
BC IGG |
5302231 |
| %Albumin for SPE |
Percent ALBSPE |
5300276 |
| %Alpha 1 Globulin Fraction |
Percent ALPHA1SPE |
5300278 |
| SPE A/G |
SPE A/G |
5300277 |
| %M-SPIKE SPE |
Percent M SPIKE |
5300283 |
| Please note: |
NOTE SPE |
225278N |
|
| PROCEDURE ID |
111368 |
| PDM |
5302235 |
| ORDER DISPLAY NAME |
Serum Monoclonal Protein Screen |
| PROCEDURE NAME |
IMMUNOELECT WITH REFLEX |
| PROCEDURE MASTER NUMBER |
LAB10432 |
| SHORT PROCEDURE NAME |
IMEL |
| CATEGORY CODE |
1.0 |
| CATEGORY CODE RECORD NAME |
LAB BLOOD ORDERABLES |
| SYNONYMS |
MONOCLONAL GAMMOPATHIES PROTEIN ELECTROPHORESIS SPE SPEP FREE LIGHT CHAINS KAPPA LAMBDA IMMUNOELECT WITH REFLEX IMEL IFE |
| CLINICALLY ACTIVE |
Yes |
| ORDERABLE |
Yes |
| PERFORMABLE |
Yes |
| FILTER GENOMICS |
|
| REFERENCE LINK URL |
https://labs.northwell.edu/epic/test/111368 |
| ORDERING INSTRUCTIONS |
|
| DEFAULT SPECIMEN TYPE |
Blood |
| SPECIMEN TYPE PICK LIST |
Blood |
| SPECIMEN TYPE LIST |
|
| OP SPECIMEN TYPE LIST |
|
| SPECIMEN SOURCE PICK LIST |
Blood, Arterial Blood, Capillary Blood, Central Line Blood, Venous |
| SPECIMEN SOURCE DEFAULT - MALE |
Blood, Venous |
| SPECIMEN SOURCE DEFAULT - FEMALE |
Blood, Venous |
| SPECIMEN SOURCE LIST |
|
| OP SPECIMEN SOURCE LIST |
|
| IP LAB TEST COMPONENTS FOR REPORT |
AGRATIO ALBUMINSPE ALPHA1 ALPHA1PCT ALPHA2 ALPHA2PCT BETA2 BETAGLOB BETAPCT GAMMAPCT GLOB IFEKAPPA IFELAMBDA IMMIGA IMMUNOFIX IMMUNOG IMMUNOM LIGHTCHAIN MSPIKE MSPIKEPCT PCTALBUR PDFSPE PLEASENOTE PROT SPECAPPEAR SPEP TOTALPROTSP |
| OP LAB TEST COMPONENTS FOR REPORT |
AGRATIO ALBUMINSPE ALPHA1 ALPHA1PCT ALPHA2 ALPHA2PCT BETA2 BETAGLOB BETAPCT GAMMAPCT GLOB IFEKAPPA IFELAMBDA IMMIGA IMMUNOFIX IMMUNOG IMMUNOM LIGHTCHAIN MSPIKE MSPIKEPCT PCTALBUR PDFSPE PLEASENOTE PROT SPECAPPEAR SPEP TOTALPROTSP |
| ORDER QUESTIONS |
["3045300170", "3045300171", "3045300173"] |
| ORDER QUESTIONS RECORD NAME |
NH IP HOME COLLECT DATE NH IP HOME COLLECT DAYS NH IP HOME COLLECT MEDICALLY NECESSARY |
| INPATIENT ORDER QUESTIONS |
[] |
| INPATIENT ORDER QUESTIONS RECORD NAME |
|
| ORDER SPECIFIC QUESTION OVERRIDE |
Yes |
| INPATIENT QUESTION OVERRIDE |
|
| LOCATION RESTRICT LIST IP |
|
| LOCATION RESTRICT LIST IP RECORD NAME |
|
| LOCATION RESTRICT LIST INCLUDE IP |
|
| LOCATION RESTRICT LIST OP |
|
| LOCATION RESTRICT LIST OP RECORD NAME |
|
| LOCATION RESTRICT LIST INCLUDES OP |
|
| EDP AMB ORDER SPECIFIC QUESTIONS RECORD NAME |
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| EDP IP ORDER SPECIFIC QUESTIONS RECORD NAME |
|
| EDP IP SPECIMEN SOURCE |
Blood, Venous Blood, Central Line Blood, Arterial Blood, Capillary Blood, Peripheral |
| EDP OP SPECIMEN SOURCE |
|
| EDP IP SPECIMEN TYPE |
Blood |
| EDP OP SPECIMEN TYPE |
|
| DERIVED EDP IP BUTTONS S |
Blood, Central Line Blood, Arterial Blood, Venous Blood, Capillary |
| DERIVED EDP IP BUTTONS T |
Blood |
| DERIVED EDP OP BUTTONS S |
|
| DERIVED EDP OP BUTTONS T |
|
| IP ORDERABLE |
1 |
| OP ORDERABLE |
1 |
| STANDARD LAB COMPONENTS |
|
| STANDARD LAB COMPONENTS RECORD NAME |
|
| COMPONENT DATA REQUIREMENT |
|
EPIC OP AOEs
| Question ID | Question Name | Question | Response Type | Response List | Require Response |
| 3045300170 |
NH IP HOME COLLECT DATE |
Start Date |
Date |
|
Yes |
| 3045300171 |
NH IP HOME COLLECT DAYS |
Days |
Custom List |
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday |
Yes |
| 3045300173 |
NH IP HOME COLLECT MEDICALLY NECESSARY |
Medically Necessary? |
Yes/No |
|
Yes |
|
EPIC IP AOEs
|
EPIC Components (results - crosswalked through Cerner)
| Component ID | Component Name | Base Name | Common Name | External Name | Cerner Result PDM |
| 3047800661.0 |
IMMUNOGLOBULIN M |
IMMUNOM |
IMMUNOGLOBULIN M |
Immunoglobulin M |
5302232 |
| 3047800286.0 |
SERUM PROTEIN ELECTROPHORESIS INTERP |
SPEP |
SPEP INTERP |
SPE Interpretation |
5300297 |
| 3047800348.0 |
ALPHA 2 GLOBULIN FRACTION |
ALPHA2 |
ALPHA 2 |
Alpha 2 Globulin Fraction |
5300285 |
| 3047800557.0 |
IMMUNOGLOB LAMBDA FLC |
IFELAMBDA |
IFE LAMBDA |
Lambda Free Light Chain, Serum |
5912702 |
| 3047800568.0 |
KAPPA LAMBDA FLC RATIO |
LIGHTCHAIN |
LIGHT CHAIN RATIO |
Kappa/Lambda Free Light Chain Ratio |
5912723 |
| 3047800347.0 |
ALPHA 1 GLOBULIN FRACTION |
ALPHA1 |
ALPHA 1 |
Alpha 1 Globulin Fraction |
5300280 |
| 3047800659.0 |
IMMUNOGLOBULIN A |
IMMIGA |
IMMUNOGLOBULIN A |
Immunoglobulin A |
5302233 |
| 3047800660.0 |
IMMUNOGLOBULIN G |
IMMUNOG |
IMMUNOGLOBULIN G |
Immunoglobulin G |
5302231 |
| 3047800327.0 |
% BETA SPE |
BETAPCT |
BETA PCT |
% Beta Globulin Fraction, SPE |
5300281 |
| 3047800326.0 |
% ALPHA 2 SPE |
ALPHA2PCT |
ALPHA 2 PCT |
% Alpha 2 Globulin Fraction, SPE |
5300279 |
| 3046000112.0 |
M-SPIKE |
MSPIKE |
M SPIKE |
M-Spike |
5300296 |
| 3047806062.0 |
IMMUNOFIXATION RESULT: |
IMMUNOFIX |
IMMUNOFIXATION RESULT |
Immunofixation Result, Serum |
225278L |
| 3047805013.0 |
TOTAL PROTEIN, SPE |
TOTALPROTSP |
TOTAL PROTEIN, SPE |
Total Protein, SPE |
5300270 |
| 3047800272.0 |
TOTAL PROTEIN |
PROT |
PROTEIN TOTAL |
Total Protein |
5300105 |
| 3047800556.0 |
IMMUNOGLOB KAPPA FLC |
IFEKAPPA |
IFE KAPPA |
Kappa Free Light Chain, Serum |
5912701 |
| 3047800328.0 |
% GAMMA SPE |
GAMMAPCT |
GAMMA PCT |
% Gamma Globulin Fraction, SPE |
5300282 |
| 3047800184.0 |
GAMMA GLOBULIN FRACTION |
BETA2 |
GAMMA GLOBULIN |
Gamma Globulin Fraction |
5300295 |
| 2600000036.0 |
GLOBULIN TOTAL G/DL (LABCORP) |
GLOB |
GLOB LABCORP |
Globulin Total |
225278J |
| 3047800659.0 |
IMMUNOGLOBULIN A |
IMMIGA |
IMMUNOGLOBULIN A |
Immunoglobulin A |
5302233 |
| 3047800661.0 |
IMMUNOGLOBULIN M |
IMMUNOM |
IMMUNOGLOBULIN M |
Immunoglobulin M |
5302232 |
| 3047800005.0 |
BETA GLOBULIN FRACTION |
BETAGLOB |
BETA GLOBULIN |
Beta Globulin Fraction |
5300290 |
| 3047800904.0 |
ALBUMIN, SPE |
ALBUMINSPE |
ALBUMIN SPE |
Albumin, SPE |
5300275 |
| 3047807835.0 |
PDF SPE |
PDFSPE |
PDF SPE |
PDF |
225278M |
| 3047800560.0 |
IMMUNOFIXATION, SERUM |
IMMUNOFIX |
IMMUNOFIXATION |
Immunofixation, Serum |
5300298 |
| 3047800660.0 |
IMMUNOGLOBULIN G |
IMMUNOG |
IMMUNOGLOBULIN G |
Immunoglobulin G |
5302231 |
| 3047800001.0 |
% ALBUMIN SPE |
PCTALBUR |
PCT ALBUMIN |
% Albumin, SPE |
5300276 |
| 3047800325.0 |
% ALPHA 1 SPE |
ALPHA1PCT |
ALPHA 1 PCT |
% Alpha 1 Globulin Fraction, SPE |
5300278 |
| 3047800097.0 |
ALBUMIN/GLOBULIN SPE |
AGRATIO |
A G RATIO |
Albumin/Globulin Ratio |
5300277 |
| 3047800752.0 |
% M SPIKE |
MSPIKEPCT |
M SPIKE PCT |
% M-Spike, SPE |
5300283 |
| 3047804110.0 |
PLEASE NOTE: |
PLEASENOTE |
PLEASE NOTE |
Please Note |
225278N |
|