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Random Urine, Glucotetrasaccharides

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: Glucotetrasaccharides, Urine
PDM 215299
Informatics - WorkgroupEndocrine
Synonyms *GLUTETSACU
Hexose tetrasaccharides
Glucose tetrasacchrides
HEX4
Display Name *Random Urine, Glucotetrasaccharides
Specimen Sources (combined Order Entry and Specimen Navigator) *
Specimen Types (combined Order Entry and Specimen Navigator) *
Urine
Body Fluids (types sent through AOEs)
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)Diagnosing Pompe disease, when used in conjunction with acid alpha-glucosidase enzyme activity assays and molecular genetic analysis of the GAA gene Monitoring Pompe patients on enzyme replacement therapy May support the diagnosis and monitoring of other glycogen storage disorders; however, glucotetrasaccharide (Glc4) excretion appears to be less consistently elevated in glycogen storage disorders other than Pompe disease                    This test is not useful for carrier screening
IP Orderable (inpatient) Yes
OP Orderable (outpatient) Yes
AOEs *

AOE PDM AOE Display AOE Description Prompt
5912694A REF REASON Reason for Referral X
AP AOEs

    
Special History No 
 
    
Build Comments

    
Filter *

    
    
Cerner Site RestrictMayo Medical Labs

    
Cerner Results


                

            

                Result Desc
                Result display
                Result PDM
            

                        

                Glucotetrasaccharides, U
                GLUTETSACU
                215299A
            

                        

                Reviewed By
                REVIEW BY
                5912694G
            

                        

                Reason for Referral
                REF REASON
                5912694A
            

                        

                Intepretation (HEX4)
                INTRP
                215299B
            

                    

            


     





    Actual Epic Build 3/11/2025
    






                

        PROCEDURE ID
        115685
    

        

        PDM
        215299
    

        

        ORDER DISPLAY NAME
        Random Urine, Glucotetrasaccharides
    

        

        PROCEDURE NAME
        GLUCOTETRASACCHARIDES, RANDOM, URINE
    

        

        PROCEDURE MASTER NUMBER
        LAB11693
    

        

        SHORT PROCEDURE NAME
        GLUCOTETRASACCHARIDES, RANDOM, URINE
    

        

        CATEGORY CODE
        6.0
    

        

        CATEGORY CODE RECORD NAME
        LAB URINE ORDERABLES
    

        

        SYNONYMS
        GLUTETSACU
HEXOSE TETRASACCHARIDES
GLUCOSE TETRASACCHRIDES
HEX4		
    

        

        CLINICALLY ACTIVE
        Yes
    

        

        ORDERABLE
        Yes
    

        

        PERFORMABLE
        Yes
    

        

        FILTER GENOMICS
        
    

        

        REFERENCE LINK URL
        https://labs.northwell.edu/epic/test/115685
    

        

        ORDERING INSTRUCTIONS
        
    

        

        DEFAULT SPECIMEN TYPE
        Urine
    

        

        SPECIMEN TYPE PICK LIST
        Urine
    

        

        SPECIMEN TYPE LIST
        
    

        

        OP SPECIMEN TYPE LIST
        
    

        

        SPECIMEN SOURCE PICK LIST
        Urine, Catheter
Urine, Voided
Urine, Foley
Urine, Clean Catch
Kidney, Left
Kidney, Right
Ureter, Left
Ureter, Right
Bladder		
    

        

        SPECIMEN SOURCE DEFAULT - MALE
        Urine, Clean Catch
    

        

        SPECIMEN SOURCE DEFAULT - FEMALE
        Urine, Clean Catch
    

        

        SPECIMEN SOURCE LIST
        
    

        

        OP SPECIMEN SOURCE LIST
        
    

        

        IP LAB TEST COMPONENTS FOR REPORT
        GLUCTETU
INTERP
RSNREF
REVIEWEDBY		
    

        

        OP LAB TEST COMPONENTS FOR REPORT
        GLUCTETU
INTERP
RSNREF
REVIEWEDBY		
    

        

        ORDER QUESTIONS
        ["3048100000"]
    

        

        ORDER QUESTIONS RECORD NAME
        NH IP REASON FOR REFERRAL
    

        

        INPATIENT ORDER QUESTIONS
        ["3048100000"]
    

        

        INPATIENT ORDER QUESTIONS RECORD NAME
        NH IP REASON FOR REFERRAL

    

        

        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
        Urine, Clean Catch
Catheter

    

        

        EDP OP SPECIMEN SOURCE
        
    

        

        EDP IP SPECIMEN TYPE
        
    

        

        EDP OP SPECIMEN TYPE
        Urine
    

        

        DERIVED EDP IP BUTTONS S
        Urine, Clean Catch
    

        

        DERIVED EDP IP BUTTONS T
        
    

        

        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

                        

                3048100000
                NH IP REASON FOR REFERRAL
                Reason for Referral
                Custom List
                Rule out Pompe disease

Rule out GSDs other than Pompe disease

Follow-up of abnormal newborn screening

Follow-up of known Pompe patient

Not provided		
                No
            

                    

            


    
EPIC IP AOEs


                

            
Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response

                        

                3048100000
                NH IP REASON FOR REFERRAL
                Reason for Referral
                Custom List
                Rule out Pompe disease

Rule out GSDs other than Pompe disease

Follow-up of abnormal newborn screening

Follow-up of known Pompe patient

Not provided		
                No
            

                    

            


    
EPIC Components (results - crosswalked through Cerner)


                

            
Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM

                        

                3047802617.0
                GLUCOTETRASACCHARIDES, U
                GLUCTETU
                GLUCOTETRASACCHARIDES, U
                
                215299A
            

                        

                3047805637.0
                REVIEWED BY MPS
                REVIEWEDBY
                REVIEWEDBY, MPS
                
                5912694G
            

                        

                3047804462.0
                REASON FOR REFERRAL
                RSNREF
                REASON FOR REFERRAL
                
                5912694A
            

                        

                3047803084.0
                INTEPRETATION (HEX4)
                INTERP
                INTEPRETATION HEX4
                
                215299B