| Cerner Primary Mnemonic: | Dysautonomia Autoimmune/Paraneo Eval |
| PDM | 255267 |
| Informatics - Workgroup | Immunology |
| Synonyms * | |
| Display Name * | Dysautonomia, Autoimmune/Paraneoplastic Evaluation |
| Specimen Sources (combined Order Entry and Specimen Navigator) * |
Blood, Arterial
Blood, Capillary
Blood, Central Line
Blood, Venous
|
| Specimen Types (combined Order Entry and Specimen Navigator) * |
Blood
|
| Body Fluids (types sent through AOEs) |
|
| Specimen Navigator Specimen Types |
|
| Specimen Navigator Specimen Sources |
|
| Specimen Navigator Short Name | |
| Ordering info (EPIC SmartText) | Investigating autonomic symptoms that appear in the course or wake of cancer therapy and are not explainable by recurrent cancer or metastasis
(detection of autoantibodies in this profile helps differentiate autoimmune dysautonomia from the effects of chemotherapy) |
| IP Orderable (inpatient) | Yes |
| OP Orderable (outpatient) | Yes |
AOEs *
|
| AP AOEs | |
| Special History | No |
| Build Comments | |
| Filter * | |
| Cerner Site Restrict | Mayo Medical Labs |
Cerner Results
| Result Desc |
Result display |
Result PDM |
| PCA-2, S |
ENS1PCAB2 |
1759374L |
| LGI1-IgG CBA, S |
ENS1LG1CS |
1759374C |
| IFA Notes |
IFA Notes |
225304B |
| DPPX Ab CBA, S |
DPPCSX |
235275A |
| AP3B2 IFA, S |
AP3B2 IFA, S |
255267B |
| AChR Ganglionic Neuronal Ab, S |
ACHR |
5905942 |
| CRMP-5-IgG, S |
CRMP-5-IgG, S |
5905943 |
| Dysautonomia Interpretation, S |
DYS2X |
255267A |
| ANNA-1, S |
ENS1ANN1S |
1759374F |
| CASPR2-IgG CBA, S |
ENS1CS2CS |
1759374D |
|
| PROCEDURE ID |
194072 |
| PDM |
255267 |
| ORDER DISPLAY NAME |
Dysautonomia, Autoimmune/Paraneoplastic Evaluation |
| PROCEDURE NAME |
DYSAUTONOMIA AUTOIMMUNE/PARANEO EVAL |
| PROCEDURE MASTER NUMBER |
LAB4211 |
| SHORT PROCEDURE NAME |
DYSAUTONOMIA AUTOIMMUNE/PARANEO EVAL |
| CATEGORY CODE |
21.0 |
| CATEGORY CODE RECORD NAME |
LAB MOLECULAR DIAGNOSTICS ORDERABLES |
| SYNONYMS |
DYS2 |
| CLINICALLY ACTIVE |
Yes |
| ORDERABLE |
Yes |
| PERFORMABLE |
Yes |
| FILTER GENOMICS |
|
| REFERENCE LINK URL |
https://labs.northwell.edu/epic/test/194072 |
| ORDERING INSTRUCTIONS |
|
| DEFAULT SPECIMEN TYPE |
Blood |
| SPECIMEN TYPE PICK LIST |
Blood |
| SPECIMEN TYPE LIST |
Blood |
| 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 |
Blood, Venous |
| OP SPECIMEN SOURCE LIST |
|
| IP LAB TEST COMPONENTS FOR REPORT |
ANNA1S
CASPR2IGCBAS
CR5IGWESBLOT
DPPXABCBAS
IFANOTES
LGI1IGGCBAS
PCA2S
REFAGNAB |
| OP LAB TEST COMPONENTS FOR REPORT |
ANNA1S
CASPR2IGCBAS
CR5IGWESBLOT
DPPXABCBAS
IFANOTES
LGI1IGGCBAS
PCA2S
REFAGNAB |
| 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 |
["3048500000"] |
| 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 |
NH IP PATIENT COMPLETED CONSENT |
| EDP IP ORDER SPECIFIC QUESTIONS RECORD NAME |
NH IP PATIENT COMPLETED CONSENT |
| EDP IP SPECIMEN SOURCE |
|
| EDP OP SPECIMEN SOURCE |
|
| EDP IP SPECIMEN TYPE |
|
| EDP OP SPECIMEN TYPE |
|
| DERIVED EDP IP BUTTONS S |
|
| 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 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
| Question ID | Question Name | Question | Response Type | Response List | Require Response |
|---|
| 3048500000 |
NH IP PATIENT COMPLETED CONSENT |
Patient completed consent? |
Yes/No |
|
Yes |
|
EPIC Components (results - crosswalked through Cerner)
| Component ID | Component Name | Base Name | Common Name | External Name | Cerner Result PDM |
|---|
| 3048100165.0 |
PCA-2, S |
PCA2S |
PCA 2 S |
PCA-2, S |
1759374L |
| 3048100158.0 |
LGI1-IGG CBA, S |
LGI1IGGCBAS |
LGGI1 IGG CBA S |
LGI1-IgG CBA, S |
1759374C |
| 3048100171.0 |
IFA NOTES |
IFANOTES |
IFA NOTES |
IFA Notes |
225304B |
| 3048100250.0 |
DPPX AB CBA, S |
DPPXABCBAS |
DPPX AB CBA, S |
DPPX Ab CBA, S |
235275A |
| 3046700403.0 |
AP3B2 IFA, S |
AP3B2IFAS |
AP3B2 IFA, S |
AP3B2 IFA, S |
255267B |
| 3047804498.0 |
REFLEX ACHR GANGLIONIC NEURONAL AB |
REFAGNAB |
REFLEX ACHR GANGLIONIC NEURONAL AB |
AChR Ganglionic Neuronal Ab, S |
5905942 |
| 3048100089.0 |
CRMP-5-IGG WESTERN BLOT |
CR5IGWESBLOT |
CR 5 IGG WES BLOT |
CRMP-5-IgG, S |
5905943 |
| 3046700402.0 |
DYSAUTONOMIA INTERPRETATION, S |
DYS2X |
DYSAUTONOMIA INTERPRETATION, S |
Dysautonomia Interpretation, S |
255267A |
| 3048100160.0 |
ANNA-1, S |
ANNA1S |
ANNA 1 S |
ANNA-1, S |
1759374F |
| 3048100159.0 |
CASPR2-IGG CBA, S |
CASPR2IGCBAS |
CASPR2 IGG CBA S |
CASPR2-IgG CBA, S |
1759374D |
|
