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Pediatric Autoimmune Encephalopathy/CNS Disorder Evaluation, Serum Epic Compendium  

Desired Epic Build * = editable field  

Actual Epic Build 12/08/2025

PROCEDURE ID 182694
PDM 235274
ORDER DISPLAY NAME Pediatric Autoimmune Encephalopathy/CNS Disorder Evaluation, Serum
PROCEDURE NAME PEDIATRIC AUTOIMMUNE ENCEPHALOPATHY/CNS DISORDER EVALUATION, SERUM
PROCEDURE MASTER NUMBER LAB13904
SHORT PROCEDURE NAME PEDS AUTOIMMUNE CNS EVAL, SERUM
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS PCDES
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/182694
ORDERING INSTRUCTIONS
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, Venous
Blood, Central Line
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 AMPARABCBA
ANNA1S
CASPR2IGCBAS
DPPXABCBAS
GABABABCBA
GADAB
GFAPIFA
IFANOTES
LGI1IGGCBAS
MGLUR1ABIFA
MOGABCBA
NEUROCHIFA
NMDARABCBA
NMOAB
PCATRS
PEDSAUTOCNSI
OP LAB TEST COMPONENTS FOR REPORT AMPARABCBA
ANNA1S
CASPR2IGCBAS
DPPXABCBAS
GABABABCBA
GADAB
GFAPIFA
IFANOTES
LGI1IGGCBAS
MGLUR1ABIFA
MOGABCBA
NEUROCHIFA
NMDARABCBA
NMOAB
PCATRS
PEDSAUTOCNSI
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 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

EPIC IP AOEs

EPIC Components (results - crosswalked through Cerner)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3048511014.0 METABOTROPIC GLUTAMATE RECEPTOR 1 AB IGG MGLUR1ABIFA METABOTROPIC GLUTAMATE RECEPTOR 1 AB IGG mGluR1 Ab IFA, S 1759374P
3048511017.0 NEUROCHONDRIN AB NEUROCHIFA NEUROCHONDRIN AB Neurochondrin IFA, S 235274B
3048100159.0 CASPR2-IGG CBA, S CASPR2IGCBAS CASPR2 IGG CBA S CASPR2-IgG CBA, S 1759374D
3048100160.0 ANNA-1, S ANNA1S ANNA 1 S ANNA-1, S 1759374F
3048100158.0 LGI1-IGG CBA, S LGI1IGGCBAS LGGI1 IGG CBA S LGI1-IgG CBA, S 1759374C
3048511016.0 GLIAL FIBRILLARY ACIDIC PROTEIN.ALPHA SUBUNIT AB IGG GFAPIFA GLIAL FIBRILLARY ACIDIC PROTEIN ALPHA SUBUNIT AB IGG GFAP IFA, S 1759374Q
3048100248.0 PEDS AUTOIMMUNE CNS INTERP, S PEDSAUTOCNSI PEDS AUTOIMMUNE CNS INTERP, S Peds Autoimmune CNS Interp, S 235274A
3047803725.0 NEUROMYELITIS OPTICA (NMO) AB NMOAB NEUROMYELITIS OPTICA NMO AB NMO/AQP4 FACS, S 5900015
3047803551.0 MOG AB CBA, SERUM MOGABCBA MOG AB CBA, SERUM MOG Ab CBA, Serum 1959033A
3048100250.0 DPPX AB CBA, S DPPXABCBAS DPPX AB CBA, S DPPX Ab CBA, S 235275A
3048100056.0 GLUTAMIC ACID DECARBOXYLASE ANTIBODY GADAB GLUTAMIC ACID DECARB AB GAD65 Ab Assay, S 5910600
3048100166.0 PCA-TR, S PCATRS PCA TR S PCA-Tr, S 1759374M
3048100171.0 IFA NOTES IFANOTES IFA NOTES IFA Notes 225304B
3048100153.0 NMDA-R ABCBA NMDARABCBA NMDA R ABCBA NMDA-R Ab CBA, S 1459836A
3048100151.0 AMPA-R ABCBA AMPARABCBA AMPA R ABCBA AMPA-R Ab CBA, S 1459833A
3048100152.0 GABA-B- RECEPTOR ANTIBODY BY CBA, SERUM GABABABCBA GABA B ABCBA GABA-B Ab CBA, S 1459835A