| PROCEDURE ID |
136053 |
| PDM |
5500290 |
| ORDER DISPLAY NAME |
CBC with Auto Diff (Reflex to Man Diff) |
| PROCEDURE NAME |
CBC WITH AUTO DIFF (REFLEX TO MAN DIFF) |
| PROCEDURE MASTER NUMBER |
LAB12246 |
| SHORT PROCEDURE NAME |
CBC WITH AUTO DIFF (REFLEX TO MAN DIFF) |
| CATEGORY CODE |
1.0 |
| CATEGORY CODE RECORD NAME |
LAB BLOOD ORDERABLES |
| SYNONYMS |
NCBCA
CBC/D
CBC with Auto Diff |
| CLINICALLY ACTIVE |
Yes |
| ORDERABLE |
Yes |
| PERFORMABLE |
Yes |
| FILTER GENOMICS |
|
| REFERENCE LINK URL |
https://labs.northwell.edu/epic/test/136053 |
| ORDERING INSTRUCTIONS |
|
| DEFAULT SPECIMEN TYPE |
Blood |
| SPECIMEN TYPE PICK LIST |
Blood |
| SPECIMEN TYPE LIST |
|
| OP SPECIMEN TYPE LIST |
|
| SPECIMEN SOURCE PICK LIST |
Blood, Peripheral
Blood, Venous
Blood, Central Line
Blood, Capillary |
| 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 |
WBC
RBC
HGB
HCT
MCV
MCH
MCHC
RDW
PLT
MPV
NRBC
NEUTROPCT
LYMPHOPCT
EOSPCT
MONOPCT
NEUTROABS
BASOPCT
IMMATUREGRAN
LYMPHOABS
MONOABS
EOSABS
BASOSABS
IMMGRANABS
PATHREVIEW |
| OP LAB TEST COMPONENTS FOR REPORT |
WBC
RBC
HGB
HCT
MCV
MCH
MCHC
RDW
PLT
MPV
NRBC
NEUTROPCT
LYMPHOPCT
EOSPCT
MONOPCT
NEUTROABS
BASOPCT
IMMATUREGRAN
LYMPHOABS
MONOABS
EOSABS
BASOSABS
IMMGRANABS
PATHREVIEW |
| 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, Venous
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 ID | Question Name | Question | Response Type | Response List | Require 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 ID | Component Name | Base Name | Common Name | External Name | Cerner Result PDM |
|---|
| 3047808090.0 |
REFLEX TO MAN DIFF? |
MANDIFF |
REFLEX TO MAN DIFF |
Reflex to Man Diff? |
5500143 |
| 3047800312.0 |
WBC COUNT |
WBC |
WBC |
WBC Count |
5500015 |
| 3047800111.0 |
AUTO IMMATURE GRANULOCYTE % |
IMMATUREGRAN |
IMMATURE GRAN PCT AUTO |
Auto Immature Granulocyte % |
5500206 |
| 3047800107.0 |
AUTO BASOPHIL % |
BASOPCT |
BASOS PCT AUTO |
Auto Basophil % |
5500079 |
| 3047800220.0 |
MEAN CELL VOLUME |
MCV |
MCV |
Mean Cell Volume |
5500035 |
| 3047800218.0 |
MEAN CELL HEMOGLOBIN |
MCH |
MCH |
Mean Cell Hemoglobin |
5500040 |
| 3047800114.0 |
AUTO MONOCYTE # |
MONOABS |
MONO ABS AUTO |
Auto Monocyte # |
5500083 |
| 3047800110.0 |
AUTO IMMATURE GRANULOCYTE # |
IMMGRANABS |
IMMATURE GRAN ABS AUTO |
Auto Immature Granulocyte # |
5500310F |
| 304700904.0 |
IMMATURE PLATELET FRACTION # |
IPFHASHTAG |
IPF# |
Immature Platelet Fraction # |
242286B |
| 3047808095.0 |
AUTO BASOPHIL % |
BASOPCT |
BASOS PCT AUTO |
Auto Basophil % |
232285E |
| 3046700903.0 |
IMMATURE PLATELET FRACTION % |
IPFPERCENT |
IPF# |
|
242286A |
| 3047800219.0 |
MEAN CELL HEMOGLOBIN CONC |
MCHC |
MCHC |
Mean Cell Hemoglobin Concentration |
5500045 |
| 3047801219.0 |
AUTO NRBC |
NRBC |
NRBC PCT AUTO |
Auto Percent NRBC |
5500132 |
| 3047800113.0 |
AUTO LYMPHOCYTE % |
LYMPHOPCT |
LYMPHO PCT AUTO |
Auto Lymphocyte % |
5500070 |
| 3047800112.0 |
AUTO LYMPHOCYTE # |
LYMPHOABS |
LYMPHO ABS AUTO |
Auto Lymphocyte # |
5500082 |
| 3047800115.0 |
AUTO MONOCYTE % |
MONOPCT |
MONO PCT AUTO |
Auto Monocyte % |
5500075 |
| 3047800277.0 |
RED BLOOD CELL COUNT |
RBC |
RBC |
Red Blood Cell Count |
5500020 |
| 3047808101.0 |
AUTO BASOPHIL # |
BASOSABS |
BASOS ABS AUTO |
Auto Basophil # |
232285K |
| 3047808100.0 |
AUTO EOSINOPHIL # |
EOSABS |
EOS ABS AUTO |
Auto Eosinophil # |
232285J |
| 3047808091.0 |
AUTO NEUTROPHIL % |
NEUTROPCT |
NEUTRO PCT AUTO |
Auto Neutrophil % |
232285A |
| 3048800687.0 |
HEMOGLOBIN |
HGB |
HEMOGLOBIN |
Hemoglobin |
5500025 |
| 3048800686.0 |
HEMATOCRIT |
HCT |
HEMATOCRIT |
Hematocrit |
5500030 |
| 3047800109.0 |
AUTO EOSINOPHIL % |
EOSPCT |
EOS PCT AUTO |
Eosinophils Relative |
5500078 |
| 3047800117.0 |
AUTO NEUTROPHIL % |
NEUTROPCT |
NEUTRO PCT AUTO |
Auto Neutrophil % |
5500065 |
| 3047800116.0 |
AUTO NEUTROPHIL # |
NEUTROABS |
NEUTRO ABS AUTO |
Auto Neutrophil # |
5500081 |
| 3047800864.0 |
ADD PATH REVIEW? |
PATHREVIEW |
ADD PATH REVIEW |
Add Path Review? |
5500300B |
| 3047808092.0 |
AUTO LYMPHOCYTE % |
LYMPHOPCT |
LYMPHO PCT AUTO |
Auto Lymphocyte % |
232285B |
| 3047808093.0 |
AUTO MONOCYTE % |
MONOPCT |
MONO PCT AUTO |
Auto Monocyte % |
232285D |
| 3048800690.0 |
PLATELET COUNT - AUTOMATED |
PLT |
PLATELETS AUTO |
Platelet Count Automated |
5500050 |
| 3047800280.0 |
RED CELL DISTRIB WIDTH |
RDW |
RDW |
RDW |
5500060 |
| 3047800106.0 |
AUTO BASOPHIL # |
BASOSABS |
BASOS ABS AUTO |
Auto Basophil # |
5500086 |
| 3047808098.0 |
AUTO LYMPHOCYTE # |
LYMPHOABS |
LYMPHO ABS AUTO |
Auto Lymphocyte # |
232285H |
| 3047808097.0 |
AUTO NEUTROPHIL # |
NEUTROABS |
NEUTRO ABS AUTO |
Auto Neutrophil # |
232285G |
| 3047800108.0 |
AUTO EOSINOPHIL # |
EOSABS |
EOS ABS AUTO |
Eosinophils Absolute |
5500084 |
| 3047800227.0 |
MEAN PLATELET VOLUME |
MPV |
MPV |
Mean Platelet Volume |
5500055 |
| 3047800231.0 |
NUCLEATED RBC # |
NRBC |
NRBC ABS AUTO |
Auto Absolute NRBC |
2054736 |
| 3047808099.0 |
AUTO MONOCYTE # |
MONOABS |
MONO ABS AUTO |
Auto Monocyte # |
232285I |
| 3047808094.0 |
AUTO EOSINOPHIL % |
EOSPCT |
EOS PCT AUTO |
Auto Eosinophil % |
232285C |
|
