Epic Build / Desired Build Test Compendium
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Ganglioside Antibodies Epic Compendium  

▶ Desired Epic Build * = editable field  

Actual Epic Build 12/08/2025

PROCEDURE ID 169662
PDM 5903910
ORDER DISPLAY NAME Ganglioside Antibodies
PROCEDURE NAME GANGLIOSIDE (GM1) ANTIBODIES
PROCEDURE MASTER NUMBER LAB10021
SHORT PROCEDURE NAME GANGLIOSIDE (GM1) ANTIBODIES
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS GM1 PANEL
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/169662
ORDERING INSTRUCTIONS
DEFAULT SPECIMEN TYPE Blood
SPECIMEN TYPE PICK LIST Blood
SPECIMEN TYPE LIST
OP SPECIMEN TYPE LIST
SPECIMEN SOURCE PICK LIST Blood, Venous
Blood, Central Line
Blood, Arterial
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 ASGM1ABIGIGM
GD1AABIGIGM
GD1BABIGIGM
GM1ABIGIGM
GM2ABIGIGM
GQ1BABIGIGM
OP LAB TEST COMPONENTS FOR REPORT ASGM1ABIGIGM
GD1AABIGIGM
GD1BABIGIGM
GM1ABIGIGM
GM2ABIGIGM
GQ1BABIGIGM
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, Central Line
Blood, Arterial
Blood, Venous
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
3048100177.0 GM1 ANTIBODIES, IGG/IGM GM1ABIGIGM GM1 AB IGG IGM GM1 Antibodies, IgG/IgM 5903910B
3048100178.0 GM2 ANTIBODIES, IGG/IGM GM2ABIGIGM GM2 AB IGG IGM GM2 Antibodies, IgG/IgM 5903910C
3048100176.0 ASIALO-GM1 ANTIBODIES, IGG/IGM ASGM1ABIGIGM AS GM1 AB IGG IGM Asialo-GM1 Antibodies, IgG/IgM 5903910A
3048100179.0 GD1A ANTIBODIES, IGG/IGM GD1AABIGIGM GD1A AB IGG IGM GD1a Antibodies, IgG/IgM 5903910D
3048100180.0 GD1B ANTIBODIES, IGG/IGM GD1BABIGIGM GD1B AB IGG IGM GD1b Antibodies, IgG/IgM 5903910E
3048100181.0 GQ1B ANTIBODIES, IGG/IGM GQ1BABIGIGM GQ1B AB IGG IGM GQ1b Antibodies, IgG/IgM 5903910F