EPIC Test Compendium Alpha
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Immune Complex Profile

Test Catalog Information

Test Catalog Synonyms

EPIC Synonyms IMCP
Immune Complex Panel
Cerner Primary MnemonicImmune Complex Panel
EPIC Display NameImmune Complex Profile
Allscripts (AEHR) Order Name

Immune Complex Panel

Sunrise Clinical Manager (SCM) Order Name

Immune Complex Panel

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results C1q Immune Complex
C3d Immune Complexes
Clinical Info

Detect circulating immune complexes (CIC)

Specimen Type

Blood

Container

Red Top Tube

Collection Instructions

Container/ Tube:   RED top tube(s). Specimen: 1 ml (x2)  mL of serum in two separate plastic vials (2 mL total volume of serum) Transport Temperature:  Frozen serum Stability: 5 hours Room Temperature               14 Days Frozen .

Transport Instructions

Frozen serum

Specimen Stability

5 hours Room Temperature               14 Days Frozen .

Methodology

Ezyme immunoassay (EIA)   Test Includes: C1q binding; immune complexes, C3d circulating  

Days Performed

TAT: 5-10 Days

Performing Laboratory

LabCorp

CPT

86332 x 2 

PDM

5913684

Desired Epic Build Immune Complex Profile

Cerner Primary Mnemonic: Immune Complex Panel
PDM 5913684
Informatics - WorkgroupImmunology
Synonyms *IMCP
Immune Complex Panel
Display Name *Immune Complex Profile
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)Detect circulating immune complexes (CIC)
IP Orderable Yes
OP Orderable Yes
AOEs *

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

Result DescResult displayResult PDM
C1q Immune C1q Immune Complex 5710476A
C3d Immune Complexes C3d Immune Complexes 5913684A

Actual Epic build

Procedure Id 111676
Pdm 5913684
Order Display Name Immune Complex Profile
Procedure Name IMMUNE COMPLEX PANEL
Procedure Master Number LAB10586
Short Procedure Name IMMUNE COMPLEX PANEL
Category Code 1.0
Category Code Record Name LAB BLOOD ORDERABLES
Synonyms IMCP IMMUNE COMPLEX PANEL
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics
Reference Link Url https://labs.northwell.edu/epic/test/111676
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, Capillary Blood, Venous Blood, Central Line 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
3047801541.0 C1Q IMMUNE COMPLEX C1QIMMCOMP C1Q IMMUNE COMPLEX 5710476A
3047801552.0 C3D IMMUNE COMPLEXES C3DIC C3D IMMUNE COMPLEXES 5913684A