Epic Build / Desired Build Test Compendium
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IBD sgi Diagnostic

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: IBD sgi Diagnostic
PDM 5901354
Informatics - WorkgroupImmunology
Synonyms *
Display Name *IBD sgi Diagnostic
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)Must draw both a Lavender and Gold top tube for this assay Combines serologic, genetic, and inflammation markers to help differentiate IBD vs non-IBD and ulcerative colitis vs Crohn’s disease. This test aids healthcare providers in differentiating IBD vs non-IBD and CD vs UC in one comprehensive blood test. This assay includes 9 serological markers ASCA IgA, ASCA IgG and proprietary markers anti-Fla-X, anti-A4-Fla2, anti-CBir1, anti-OMPC, and DNAse-sensitive pANCA that helps identify patients with IBD and utilizes Smart Diagnostic Algorithm Technology to improve the predictive accuracy. Genetic susceptibility influences immune responses and this assay includes evaluation of ATG16L1, STAT3, NKX2-3, and ECM1. Inflammatory markers include VEGF, ICAM-1, VCAM-1, CRP, SAA. While most other labs only offer assay values, PROMETHEUS® IBD sgi Diagnostic® provides added clarity in diagnosing IBD, UC, and CD.
IP Orderable (inpatient) Yes
OP Orderable (outpatient) Yes
AOEs *

AP AOEs
Special History No
Build Comments
Filter *
Cerner Site RestrictNorthwell Health Laboratories
Prometheus Bioscience
Sunrise Lab
Cerner Results

Result Desc Result display Result PDM
Anti-CBir1 ELISA Anti-CBir1ELISA 5901354E
ICAM-1 Prometheus ICAM-1 5901354I
SAA Prometheus SAA 5901354Q
CRP Prometheus CRP Promtheus 5901354L
NKX2-3 SNP (rs10883365) NKX2-3 SNP 5901354N
STAT3 SNP (rs744166) STAT3 SNP 5901354P
Anti-FlaX IgG ELISA Anti-FlaX IgG 5901354H
VEGF Prometheus VEGF 5901354K
ECM1 SNP (rs3737240) ECM1 SNP 5901354O
VCAM-1 Prometheus VCAM-1 5901354J
ATG16L1 SNP (rs2241880) ATG16L1 SNP 5901354M
ASCA IgG ELISA ASCA IgG ELISA 5901354D
Anti-A4 Fla2 IgG ELISA Anti-A4Fla2 IgG 5901354G
Anti-OmpC IgA ELISA Anti-OmpC IgA 5901354F
ASCA IgA ELISA ASCA IgA ELISA 5901354C
IBD sgi Diagnostic IBD 5901354
Prometheus Laboratory Footer PLI Footer 1759071D
IBD-specific pANCA IFA Perinuclear Pattern IBD pANCA IFA 5901354B
IBD-specific pANCA IFA Pattern DNAse Sensitivity IBD pANCA DNAse 5901354A

Actual Epic Build 3/11/2025

PROCEDURE ID 114156
PDM 5901354
ORDER DISPLAY NAME IBD sgi Diagnostic
PROCEDURE NAME IBD SGI DIAGNOSTIC
PROCEDURE MASTER NUMBER LAB10820
SHORT PROCEDURE NAME IBD SGI DIAGNOSTIC
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS Generic Genomics Procedure
REFERENCE LINK URL https://labs.northwell.edu/epic/test/114156
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 IBDSGI
PROMLABFT
IBDPANCADNA
IBDPANCAIFA
ASCAA
ASCAG
CBIR1ELISA
OMPCIGA
A4FLA2IGG
ANTIFLAXIGG
ICAM1
VCAM1
VEGF
CRP
ATG16L1SNP
NKX2SNP
ECM1SNP
SNP
SAA
OP LAB TEST COMPONENTS FOR REPORT IBDSGI
PROMLABFT
IBDPANCADNA
IBDPANCAIFA
ASCAA
ASCAG
CBIR1ELISA
OMPCIGA
A4FLA2IGG
ANTIFLAXIGG
ICAM1
VCAM1
VEGF
CRP
ATG16L1SNP
NKX2SNP
ECM1SNP
SNP
SAA
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 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
3047801086.0 ANTI-CBIR1ELISA CBIR1ELISA ANTI CBIR1ELISA 5901354E
3047803000.0 ICAM-1 ICAM1 ICAM 1 5901354I
3047804641.0 SAA PROMETHEUS SAA SAA 5901354Q
3047802051.0 CRP PROMTHEUS CRP CRP PROMTHEUS 5901354L
3047803750.0 NKX2-3 SNP NKX2SNP NKX2 3 SNP 5901354N
3047804812.0 STAT3 SNP (RS744166) SNP STAT3 SNP 5901354P
3047801092.0 ANTI-FLAX IGG ELISA ANTIFLAXIGG ANTI FLAX IGG 5901354H
3047805221.0 VEGF VEGF VEGF 5901354K
3047802265.0 ECM1 SNP ECM1SNP ECM1 SNP 5901354O
3047805214.0 VCAM-1 PROMETHEUS VCAM1 VCAM 1 PROMETHEUS 5901354J
3047801212.0 ATG16L1 SNP (RS2241880) ATG16L1SNP ATG16L1 SNP 5901354M
3047801193.0 ASCA IGG ELISA ASCAG ASCA IGG ELISA 5901354D
3047801074.0 ANTI-A4FLA2 IGG A4FLA2IGG ANTI A4FLA2 IGG 5901354G
3047801112.0 ANTI-OMPC IGA ELISA OMPCIGA ANTI OMPC IGA 5901354F
3047801192.0 ASCA IGA ELISA ASCAA ASCA IGA ELISA 5901354C
3047802998.0 IBD SGI DIAGNOSTIC IBDSGI IBD SGI DIAGNOSTIC 5901354
3047804278.0 PROMETHEUS LABORATORY FOOTER PROMLABFT PROMETHEUS LABORATORY FOOTER 1759071D
3047802997.0 IBD PANCA IFA IBDPANCAIFA IBD PANCA IFA 5901354B
3047802996.0 IBD PANCA DNASE IBDPANCADNA IBD PANCA DNASE 5901354A