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Serum Monoclonal Protein Screen Epic Compendium  

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: Immunoelect with Reflex
PDM 5302235
Informatics - WorkgroupChemistry
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 RestrictARUP Laboratory
Forest Hills Hospital Laboratory
Glen Cove Hospital Laboratory
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

Actual Epic Build 8/27/2025

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
OP LAB TEST COMPONENTS FOR REPORT
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
EDP IP ORDER SPECIFIC QUESTIONS RECORD NAME
EDP IP SPECIMEN SOURCE Blood, Venous
Blood, Central Line
Blood, Arterial
Blood, Capillary
EDP OP SPECIMEN SOURCE
EDP IP SPECIMEN TYPE Blood
EDP OP SPECIMEN TYPE
DERIVED EDP IP BUTTONS S Blood, Venous
Blood, Arterial
Blood, Central Line
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 IDQuestion NameQuestionResponse TypeResponse ListRequire 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 IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3047800661.0 IMMUNOGLOBULIN M IMMUNOM IMMUNOGLOBULIN M Immunoglobulin M 5302232
3047800286.0 SERUM PROTEIN ELECTROPHORESIS INTERP SPEP SPEP INTERP SPE Interpreation 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: 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 Spe 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