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Arylsulfatase A, Leukocytes Epic Compendium  

▶ Desired Epic Build * = editable field  

Actual Epic Build 11/20/2025

PROCEDURE ID 115555
PDM 5906122
ORDER DISPLAY NAME Arylsulfatase A, Leukocytes
PROCEDURE NAME ARYLSULFATASE A, LEUKOCYTES
PROCEDURE MASTER NUMBER LAB11620
SHORT PROCEDURE NAME ARYLSULFATASE A, LEUKOCYTES
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS ARSA DEFICIENCY
ARYLSA
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS Not a Genomics Procedure
REFERENCE LINK URL https://labs.northwell.edu/epic/test/115555
ORDERING INSTRUCTIONS
Preferred enzymatic test for detection of arylsulfatase A deficiency





 This test is not suitable for carrier detection.
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 ARYLSA
ARYLSAREVBY
ARYLSULFALEU
OP LAB TEST COMPONENTS FOR REPORT ARYLSA
ARYLSAREVBY
ARYLSULFALEU
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, 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
3047801189.0 ARYLSA REASON FOR REFERRAL ARYLSA ARYLSA REASON FOR REFERRAL ARYLSA Reason for Referral 5906122C
3047801191.0 ARYLSULFATASE A LEUKOCYTES ARYLSULFALEU ARYLSULFATASE A LEUKOCYTES Arylsulfatase A Leukocytes 5906122A
3047801188.0 ARYLSA INTERPRETATION ARYLSA ARYLSA INTERPRETATION ARYLSA Interpretation 5906122B
3047801190.0 ARYLSA REVIEWED BY ARYLSAREVBY ARYLSA REVIEWED BY ARYLSA Reviewed By 5906122D