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SensoriMotor Neuropathy Profile with Recombx Epic Compendium  

Desired Epic Build * = editable field  

Actual Epic Build 12/05/2025

PROCEDURE ID 114296
PDM 1959266
ORDER DISPLAY NAME SensoriMotor Neuropathy Profile with Recombx
PROCEDURE NAME SENSORIMOTOR NEUROPATHY PROFILE WITH RECOMBX CO
PROCEDURE MASTER NUMBER LAB10899
SHORT PROCEDURE NAME SENSORIMOTOR NEUROPATHY PROFILE WITH RECOMBX CO
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/114296
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 SENNEUPROF
OP LAB TEST COMPONENTS FOR REPORT SENNEUPROF
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
Blood, Peripheral
EDP OP SPECIMEN SOURCE
EDP IP SPECIMEN TYPE Blood
EDP OP SPECIMEN TYPE
DERIVED EDP IP BUTTONS S Blood, Capillary
Blood, Arterial
Blood, Central Line
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
3048100179.0 GD1A ANTIBODIES, IGG/IGM GD1AABIGIGM GD1A AB IGG IGM GD1a Antibodies, IgG/IgM 5903910D
3048100177.0 GM1 ANTIBODIES, IGG/IGM GM1ABIGIGM GM1 AB IGG IGM GM1 Antibodies, IgG/IgM 5903910B
3048100176.0 ASIALO-GM1 ANTIBODIES, IGG/IGM ASGM1ABIGIGM AS GM1 AB IGG IGM Asialo-GM1 Antibodies, IgG/IgM 5903910A
3047808978.0 MAG ANTIBODY, IGM ELISA MAGIGMELISA MAG ANTIBODY IGM ELISA MAG Antibody, IgM Elisa 1959266B
3047808980.0 PURKINJE CELL/NEURONAL NUCLEAR IGG SCRN PCNNIGGSCRN PURKINJE CELL NEURONAL NUCLEAR IGG SCRN Purkinje Cell/Neuronal Nuclear IgG Scrn 1959266D
3048100181.0 GQ1B ANTIBODIES, IGG/IGM GQ1BABIGIGM GQ1B AB IGG IGM GQ1b Antibodies, IgG/IgM 5903910F
3047804690.0 SENSORIMOTOR NEUROPATHY PROFILE W/ RECOM SENNEUPROF SENSORIMOTOR NEUROPATHY PROFILE W RECOM SensoriMotor Neuropathy Profile w/ Recombx 1959266A
3048100180.0 GD1B ANTIBODIES, IGG/IGM GD1BABIGIGM GD1B AB IGG IGM GD1b Antibodies, IgG/IgM 5903910E
3047808979.0 SGPG ANTIBODY, IGM SGPGABIGM SGPG ANTIBODY IGM SGPG Antibody, IgM 1959266C