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Serum Monoclonal Protein Screen

Desired Epic Build * = editable field

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

Build Comments

Filter *

Cerner Site Restrict

Forest Hills Hospital Laboratory
Glen Cove Hospital Laboratory
Huntington Hospital Laboratory
LIJ Valley Stream Hospital Laboratory
LabCorp
LabCorp Lab
Lenox Health Greenwich Village
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 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
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
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
Immunoglobulin M	IGM	5302232
Beta Globulin Fraction	BETASPE	5300290
Albumin For Spe	ALBSPE	5300275
Immunofixation, Serum	IMMFIX	5300298
%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

Actual Epic Build 3/11/2025

PROCEDURE ID

111368

PDM

5302235

ORDER DISPLAY NAME

Serum Monoclonal Protein Screen

PROCEDURE NAME

IMMUNOELECTROPHORESIS, SERUM

PROCEDURE MASTER NUMBER

LAB10432

SHORT PROCEDURE NAME

IMMUNOELECTROPHORESIS, SERUM

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, Central Line
Blood, Arterial
Blood, Capillary
Blood, Venous

DERIVED EDP IP BUTTONS T

Blood

DERIVED EDP OP BUTTONS S

DERIVED EDP OP BUTTONS T

IP ORDERABLE

OP ORDERABLE

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
3047800286.0	SERUM PROTEIN ELECTROPHORESIS INTERP	SPEP	SPEP INTERP		5300297
3047800348.0	ALPHA 2	ALPHA2	ALPHA 2		5300285
3047800557.0	IFE LAMBDA	IFELAMBDA	IFE LAMBDA		5912702
3047800568.0	KAPPA/LAMBDA FREE LIGHT CHAIN RATIO, SER	LIGHTCHAIN	LIGHT CHAIN RATIO		5912723
3047800347.0	ALPHA 1	ALPHA1	ALPHA 1		5300280
3047800659.0	IMMUNOGLOBULIN A	IMMIGA	IMMUNOGLOBULIN A		5302233
3047800660.0	IMMUNOGLOBULIN G	IMMUNOG	IMMUNOGLOBULIN G	Immunoglobulin G	5302231
3047800327.0	% BETA	BETAPCT	BETA PCT		5300281
3047800326.0	% ALPHA 2	ALPHA2PCT	ALPHA 2 PCT		5300279
3046000112.0	M-SPIKE	MSPIKE	M SPIKE		5300296
3047805013.0	TOTAL PROTEIN, SPE	TOTALPROTSP	TOTAL PROTEIN, SPE		5300270
3047800272.0	PROTEIN TOTAL, SERUM	PROT	PROTEIN TOTAL	Protein Total	5300105
3047800556.0	IFE KAPPA	IFEKAPPA	IFE KAPPA		5912701
3047800328.0	% GAMMA	GAMMAPCT	GAMMA PCT		5300282
3047800184.0	GAMMA GLOBULIN	BETA2	GAMMA GLOBULIN		5300295
3047800661.0	IMMUNOGLOBULIN M	IMMUNOM	IMMUNOGLOBULIN M		5302232
3047800005.0	BETA GLOBULIN	BETAGLOB	BETA GLOBULIN		5300290
3047800904.0	ALBUMIN, SPE	ALBUMINSPE	ALBUMIN SPE	Albumin SPE	5300275
3047800560.0	IMMUNOFIXATION, SERUM	IMMUNOFIX	IMMUNOFIXATION		5300298
3047800001.0	% ALBUMIN	PCTALBUR	PCT ALBUMIN		5300276
3047800325.0	% ALPHA 1	ALPHA1PCT	ALPHA 1 PCT		5300278
3047800097.0	ALBUMIN/GLOBULIN RATIO	AGRATIO	A G RATIO		5300277
3047800752.0	% M SPIKE	MSPIKEPCT	M SPIKE PCT		5300283

Epic Build / Desired Build Test Compendium Welcome to the new Northwell Health Labs Epic Build / Desired Build Test Directory! Please email ClinicalLabInformatics@northwell.edu with any typos, corrections or issues.

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Serum Monoclonal Protein Screen

Desired Epic Build * = editable field

Actual Epic Build 3/11/2025 Save Test to CSV

Epic Build / Desired Build Test Compendium
Welcome to the new Northwell Health Labs Epic Build / Desired Build Test Directory! Please email ClinicalLabInformatics@northwell.edu with any typos, corrections or issues.

Actual Epic Build 3/11/2025