Epic Build / Desired Build Test Compendium
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CNS Demyelinating Disease Evaluation Epic Compendium  

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: CNS Demyelinating Disease Evaluation
PDM 255525
Informatics - WorkgroupImmunology
Synonyms *
Display Name *CNS Demyelinating Disease 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) Diagnosis of inflammatory demyelinating diseases (IDDs) with similar phenotype to neuromyelitis optica spectrum disorder (NMOSD), including optic neuritis (single or bilateral) and transverse myelitis Diagnosis of autoimmune myelin oligodendrocyte glycoprotein-opathy Diagnosis of neuromyelitis optica Distinguishing NMOSD, acute disseminated encephalomyelitis (ADEM), optic neuritis, and transverse myelitis  from multiple sclerosis early in the course of disease Diagnosis of ADEM Prediction of a relapsing disease course
IP Orderable (inpatient) Yes
OP Orderable (outpatient) Yes
AOEs *

AP AOEs
Special History No
Build Comments
Filter *
Cerner Site RestrictAML/Quest Labs
ARUP Laboratory
Gene DX Laboratory
LabCorp
Mayo Medical Labs
Medtox Laboratories
Northwell Health Laboratories
Cerner Results

Result Desc Result display Result PDM
Neuromyelitis Optica (NMO) Ab NMO 5900015
MOG Ab Titer, Serum MOG Ab Titer 1959034A
Reflex-NMO/AQP4 REFNMOFS 1759393A
MOG Ab CBA, Serum MOG Ab CBA 1959033A
CNS Demyelinating Disease Interp, S CDS1 Interp 255525B

Actual Epic Build 10/28/2025

PROCEDURE ID 194414
PDM 255525
ORDER DISPLAY NAME CNS Demyelinating Disease Evaluation
PROCEDURE NAME CNS DEMYELINATING DISEASE EVAL
PROCEDURE MASTER NUMBER LAB4235
SHORT PROCEDURE NAME CNS DEMYELINATING DISEASE EVAL
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS CDS1
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/194414
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
OP LAB TEST COMPONENTS FOR REPORT
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, Arterial
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
3047803725.0 NEUROMYELITIS OPTICA (NMO) AB NMOAB NEUROMYELITIS OPTICA NMO AB NMO/AQP4 FACS, S 5900015
3047803553.0 MOG AB TITER, SERUM MOGAB MOG AB TITER, SERUM MOG Ab Titer, Serum 1959034A
3047804517.0 NMO/AQP4 FACS, SERUM NMOAQP4 NMO AQP4 FACS NMO/AQP4 FACS, S 1759393A
3047803551.0 MOG AB CBA, SERUM MOGABCBA MOG AB CBA, SERUM MOG Ab CBA, Serum 1959033A
3046200127.0 CNS DEMYELINATING DISEASE INTERP, S CNSDEMDINTER CNS DEMYELINATING DISEASE INTERP, S CNS Demyelinating Disease Interp, S 255525B