EPIC Test Compendium Alpha
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Serum Monoclonal Protein Screen

Test Catalog Information

Test Catalog Synonyms

SPEP, SPE, IFE, Free light, kappa, lambda

EPIC Synonyms monoclonal gammopathies
Protein electrophoresis
SPE
SPEP
Free light chains
Kappa
Lambda
Immunoelect with Reflex
IMEL
IFE
Cerner Primary MnemonicImmunoelect with Reflex
EPIC Display NameSerum Monoclonal Protein Screen
Allscripts (AEHR) Order Name

Immunoelectrophoresis, Serum

Sunrise Clinical Manager (SCM) Order Name

Immunoelectrophoresis, Serum

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results SPEINTERP
ALPHA2SPE
Immunoglob Lambda FLC
Kappa Lambda FLC Ratio
ALPHA1SPE
Immunoglobulin A
Immunoglobulin G
%BETASPE
%ALPHA2SPE
M SPIKE
TPSPE
Protein Total, Serum
Immunoglob Kappa FLC
%GAMMASPE
GAMMASPE
Immunoglobulin M
BETASPE
ALBSPE
IMMFIX
%ALBSPE
%ALPHA1SPE
SPE A/G
%M SPIKE
Clinical Info

Preferred initial screening test to aid in the diagnosis of monoclonal gammopathies. This test includes serum protein electrophoresis, Immunofixation/Immunotyping, serum free light chains (free kappa and free lambda-light chains) and quantitative immunoglobulins (IgA, IgG, IgM)

Specimen Type

Blood

Container

Gold Top Tube

Collection Instructions

Container/Tube:  Gold-top tube(s) Specimen:  1 mL of serum

Transport Instructions

Refrigerate

Specimen Stability

Refrigerated: 10 Days

Methodology

Capillary Electrophoresis turbidimetry 

Days Performed

Monday through Saturday

Performing Laboratory

Northwell Health Laboratories

CPT

83521 x2 82784 x3 84155 x1 84165 x1 86334 x1

PDM

5302235

Desired Epic Build Serum Monoclonal Protein Screen

Cerner Primary Mnemonic: Immunoelect with Reflex
PDM 5302235
Informatics - WorkgroupChemistry
Synonyms *monoclonal gammopathies
Protein electrophoresis
SPE
SPEP
Free light chains
Kappa
Lambda
Immunoelect with Reflex
IMEL
IFE
Display Name *Serum Monoclonal Protein Screen
Order Entry Specimen Sources *
Order Entry Specimen Types
Blood
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)Preferred initial screening test to aid in the diagnosis of monoclonal gammopathies. This test includes serum protein electrophoresis, Immunofixation/Immunotyping, serum free light chains (free kappa and free lambda-light chains) and quantitative immunoglobulins (IgA, IgG, IgM)
IP Orderable Yes
OP Orderable Yes
AOEs *

AP AOEs
Special History No
Build Comments
Filter *
Procedure Category Change
Cerner Results

Result DescResult displayResult PDM
SPEINTERP SPEINTERP 5300297
ALPHA2SPE ALPHA2SPE 5300285
IGLFLC Immunoglob Lambda FLC 5912702
KLFLCR Kappa Lambda FLC Ratio 5912723
ALPHA1SPE ALPHA1SPE 5300280
IGA Immunoglobulin A 5302233
IGG Immunoglobulin G 5302231
Percent BETASPE %BETASPE 5300281
Percent ALPHA2SPE %ALPHA2SPE 5300279
M SPIKE M SPIKE 5300296
TPSPE TPSPE 5300270
TP Protein Total, Serum 5300105
IGKFLC Immunoglob Kappa FLC 5912701
Percent GAMMASPE %GAMMASPE 5300282
GAMMASPE GAMMASPE 5300295
IGM Immunoglobulin M 5302232
BETASPE BETASPE 5300290
ALBSPE ALBSPE 5300275
IMMFIX IMMFIX 5300298
Percent ALBSPE %ALBSPE 5300276
Percent ALPHA1SPE %ALPHA1SPE 5300278
SPE A/G SPE A/G 5300277
Percent M SPIKE %M SPIKE 5300283

Current Actual EPIC Build as of 10/28/2024

Procedure Id 111368
Pdm 5302235
Order Display Name Serum Monoclonal Protein Screen
Procedure Name IMMUNOELECTROPHORESIS, SERUM
Procedure Master Number LAB10432
Short Procedure Name IMMUNOELECTROPHORESIS, SERUM
Category Code 1.0
Category Code Record Name LAB BLOOD ORDERABLES
Synonyms MONOCLONAL GAMMOPATHIES PROTEIN ELECTROPHORESIS SPE SPEP FREE LIGHT CHAINS KAPPA LAMBDA IMMUNOELECT WITH REFLEX IMEL IFE
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics
Reference Link Url https://labs.northwell.edu/epic/test/111368
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, Central Line Blood, Venous
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
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, Central Line Blood, Venous Blood, Capillary Blood, Arterial
Derived Edp Ip Buttons T Blood
Derived Edp Op Buttons S
Derived Edp Op Buttons T
Ip Orderable 1
Op Orderable 1
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)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3047800286 SERUM PROTEIN ELECTROPHORESIS INTERP SPEP SPEP INTERP 5300297
3047800348 ALPHA 2 ALPHA2 ALPHA 2 5300285
3047800557 IFE LAMBDA IFELAMBDA IFE LAMBDA 5912702
3047800568 KAPPA/LAMBDA FREE LIGHT CHAIN RATIO, SER LIGHTCHAIN LIGHT CHAIN RATIO 5912723
3047800347 ALPHA 1 ALPHA1 ALPHA 1 5300280
3047800659 IMMUNOGLOBULIN A IMMIGA IMMUNOGLOBULIN A 5302233
3047800660 IMMUNOGLOBULIN G IMMUNOG IMMUNOGLOBULIN G Immunoglobulin G 5302231
3047800327 % BETA BETAPCT BETA PCT 5300281
3047800326 % ALPHA 2 ALPHA2PCT ALPHA 2 PCT 5300279
5300296
3047805013 TOTAL PROTEIN, SPE TOTALPROTSP TOTAL PROTEIN, SPE 5300270
3047800272 PROTEIN TOTAL, SERUM PROT PROTEIN TOTAL Protein Total 5300105
3047800556 IFE KAPPA IFEKAPPA IFE KAPPA 5912701
3047800328 % GAMMA GAMMAPCT GAMMA PCT 5300282
3047800184 GAMMA GLOBULIN BETA2 GAMMA GLOBULIN 5300295
3047800661 IMMUNOGLOBULIN M IMMUNOM IMMUNOGLOBULIN M 5302232
3047800005 BETA GLOBULIN BETAGLOB BETA GLOBULIN 5300290
3047800904 ALBUMIN, SPE ALBUMINSPE ALBUMIN SPE Albumin SPE 5300275
3047800560 IMMUNOFIXATION, SERUM IMMUNOFIX IMMUNOFIXATION 5300298
3047800001 % ALBUMIN PCTALBUR PCT ALBUMIN 5300276
3047800325 % ALPHA 1 ALPHA1PCT ALPHA 1 PCT 5300278
3047800097 ALBUMIN/GLOBULIN RATIO AGRATIO A G RATIO 5300277
3047800752 % M SPIKE MSPIKEPCT M SPIKE PCT 5300283