| Cerner Primary Mnemonic: | CNS Demyelinating Disease Evaluation |
| PDM | 255525 |
| Informatics - Workgroup | Immunology |
| 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 Restrict | AML/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 |
|
| 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
Blood, Peripheral |
| EDP OP SPECIMEN SOURCE |
|
| EDP IP SPECIMEN TYPE |
Blood |
| EDP OP SPECIMEN TYPE |
|
| DERIVED EDP IP BUTTONS S |
Blood, Capillary
Blood, Arterial
Blood, Central Line
Blood, Venous |
| 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 |
|---|
| 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 |
|
