Epic Build / Desired Build Test Compendium
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CSF Pediatric Autoimmune Encephalopathy/CNS Disorder Evaluation Epic Compendium  

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Actual Epic Build 12/05/2025

PROCEDURE ID 114722
PDM 225304
ORDER DISPLAY NAME CSF Pediatric Autoimmune Encephalopathy/CNS Disorder Evaluation
PROCEDURE NAME PEDS AUTOIMMUNE ENCEPHALOPATHY CNS, CSF
PROCEDURE MASTER NUMBER LAB11170
SHORT PROCEDURE NAME CSF, PEDIATRIC AUTOIMMUNE ENCEPHALOPATHY/CNS DISORDER EVALUATION
CATEGORY CODE 7.0
CATEGORY CODE RECORD NAME LAB BODY FLUIDS AND STOOLS ORDERABLES
SYNONYMS PCDEC
MYELITIS
ENCEPHALITIS
PEDS AUTOIMM ENCEPH CNS, CSF
MYELOPATHY, PEDIATRIC
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/114722
ORDERING INSTRUCTIONS
DEFAULT SPECIMEN TYPE Cerebrospinal Fluid
SPECIMEN TYPE PICK LIST Cerebrospinal Fluid
SPECIMEN TYPE LIST Cerebrospinal Fluid
OP SPECIMEN TYPE LIST
SPECIMEN SOURCE PICK LIST CSF Reservoir
Lumbar Puncture
VP Shunt Aspirate
SPECIMEN SOURCE DEFAULT - MALE Lumbar Puncture
SPECIMEN SOURCE DEFAULT - FEMALE Lumbar Puncture
SPECIMEN SOURCE LIST
OP SPECIMEN SOURCE LIST
IP LAB TEST COMPONENTS FOR REPORT AMPARABCBA
ANNAB1
CASPR2
GABABRCSF
GAD65
GFAP
IFANOTES
LG1IGGCSF
MGLUR1
NEURCHAB
NMDARABCBA
NMOAQP4
PEDAUTCNSCSF
PURCYTOTR
OP LAB TEST COMPONENTS FOR REPORT AMPARABCBA
ANNAB1
CASPR2
GABABRCSF
GAD65
GFAP
IFANOTES
LG1IGGCSF
MGLUR1
NEURCHAB
NMDARABCBA
NMOAQP4
PEDAUTCNSCSF
PURCYTOTR
ORDER QUESTIONS []
ORDER QUESTIONS RECORD NAME
INPATIENT ORDER QUESTIONS []
INPATIENT ORDER QUESTIONS RECORD NAME
ORDER SPECIFIC QUESTION OVERRIDE
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 Per Rectum
EDP OP SPECIMEN SOURCE Per Rectum
EDP IP SPECIMEN TYPE Stool
Cerebrospinal Fluid
EDP OP SPECIMEN TYPE Cerebrospinal Fluid
Stool
DERIVED EDP IP BUTTONS S
DERIVED EDP IP BUTTONS T Cerebrospinal Fluid
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

EPIC IP AOEs

EPIC Components (results - crosswalked through Cerner)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3047803760.0 NMO/AQP4 FACS, CSF NMOAQP4 NMO AQP4 FACS, CSF NMO/AQP4 FACS, CSF 1759172A
3048100171.0 IFA NOTES IFANOTES IFA NOTES IFA Notes 225304B
3047802536.0 GAD65 AB ASSAY, CSF GAD65 GAD65 AB ASSAY, CSF GAD65 Ab Assay, CSF 1659067
3047801661.0 CASPR2-IGG CBA, CSF CASPR2 CASPR2 IGG CBA, CSF CASPR2-IgG CBA, CSF 1759170E
3047802579.0 GFAP IFA, CSF GFAP GFAP IFA, CSF GFAP IFA Titer, CSF 1659071M
3047808283.0 DPPX AB CBA, CSF DPPXABCBACSF DPPX AB CBA, CSF 1959207A
3047803277.0 LGI1-IGG CBA, CSF LG1IGGCSF LGI1 IGG CBA, CSF LGI1-IgG CBA, CSF 1759170D
3047803754.0 NMDA-R AB CBA, CSF NMDARABCBA NMDA R AB CBA, CSF NMDA-R Ab CBA, CSF 1759170B
3047803723.0 NEUROCHONDRIN IFA, CSF NEURCHAB NEUROCHONDRIN IFA, CSF Neurochondrin IFA, CSF 225304C
3047801009.0 AMPA-R AB CBA, CSF AMPARABCBA AMPA R AB CBA, CSF AMPA-R Ab CBA, CSF 1759170H
3047801103.0 ANTI-NEURONAL NUCLEAR AB, TYPE 1 ANNAB1 ANTI NEURONAL NUCLEAR AB, TYPE 1 ANNA-1, CSF 1659071A
3047802530.0 GABA-B-R AB CBA, CSF GABABRCSF GABA B R AB CBA, CSF GABA-B-R Ab CBA, CSF 1759170G
3047804389.0 PURKINJE CELL CYTOPLASMIC AB TYPE TR PURCYTOTR PURKINJE CELL CYTOPLASMIC AB TYPE TR PCA-Tr, CSF 1659071G
3047804004.0 PEDS AUTOIMMUNE CNS INTERP, CSF PEDAUTCNSCSF PEDS AUTOIMMUNE CNS INTERP, CSF Peds Autoimmune CNS Interp, CSF 225304A
3047803511.0 MGLUR1 AB IFA, CSF MGLUR1 MGLUR1 AB IFA, CSF mGluR1 Ab IFA, CSF 1659071O