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Respiratory Allergy Panel, Northeast with Reflex

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	ImmunoCAP Respiratory Allergy Profile, Northeast with Reflex RUPPER RNE
Cerner Primary Mnemonic	Respiratory Allergy Profile, NE w/ Reflex
EPIC Display Name	Respiratory Allergy Panel, Northeast with Reflex
Allscripts (AEHR) Order Name	Respiratory Allergy Profile, NE w/Reflex
Sunrise Clinical Manager (SCM) Order Name	Respiratory Allergy Profile, NE w/Reflex
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	Mold (Alternaria Alternata) (m6) Conc Oak Tree (t7) Conc Walnut Tree (t10) Conc Mulberry (t70) Class White Ash (t15) Conc Timothy Grass (g6) Class Cottonwood (t14) Class Common Ragweed (w1) Class RIGE Box-Elder/Maple Tree (t1) Class Box-Elder/Maple Tree (t1) Conc E72CLASS Walnut Tree (t10) Class Mulberry (t70) Conc House Dust Mite (Farinea) (d2) Conc Mold (Penicillium Notatum) (m1) Class Mold (Asperg Fumigatus) (m3) Class Mugwort (w6) Class Mugwort (w6) Conc Oak Tree (t7) Class Cat Dander (e1) Class Sheep sorrel (w18) Conc Timothy Grass (g6) Conc Mold (Cladosporium) (m2) Conc Common Silver Birch (t3) Class Goosefoot, Lambs Quarter (w10) Conc ML Sycamore, London Plane (t11) Conc Bermuda Grass (g2) Class Mold (Alternaria Alternata) (m6) Class Common Ragweed (w1) Conc E72CONC Sheep sorrel (w18) Class Mold (Penicillium Notatum) (m1) Conc Mold (Asperg Fumigatus) (m3) Conc House Dust Mite (Pterony) (d1) Class White Ash (t15) Class Dog Dander (e5) Conc Bermuda Grass (g2) Conc Cockroach (i6) Conc Mold (Cladosporium) (m2) Class Cottonwood (t14) Conc Common Silver Birch (t3) Conc Elm Tree (t8) Conc Goosefoot, Lambs Quarter (w10) Class Juniper (Red Cedar t6) Class Juniper (Red Cedar t6) Conc Cat Dander (e1) Conc House Dust Mite (Pterony) (d1) Conc House Dust Mite (Farinea) (d2) Class Dog Dander (e5) Class Cockroach (i6) Class Elm Tree (t8) Class Common Pigweed (w14) Class Common Pigweed (w14) Conc ML Sycamore, London Plane (t11) Class
Clinical Info	Northeast Regional Respiratory Allergen profile.
Specimen Type	Blood
Container	Gold Top Tube
Collection Instructions	Specimen Volume: 3.0 mL (minimum volume: 2.0 mL) of serum
Transport Instructions	Refrigerate
Specimen Stability
Methodology	ImmunoCAP® System Fluorescence Enzyme Immunoassay (FEIA) This panel includes the following: • Dermatophagoides pteronyssinus (d1) • Dermatophagoides farinea (d2) • Cat dander (e1) • Dog dander (e5) • Mouse urine proteins (e72) • Bermuda grass (g2) • Timothy grass (g6) • Cockroach (i6) • Penicillium notatum mold (m1) • Cladosporium herbarum mold (m2) • Aspergillus fumigatus mold (m3) • Alternaria alternata mold (m6) • Maple (t1) • Birch (t3) • Mountain juniper (t6) • Oak (t7) • Elm (t8) • Walnut tree (t10) • Maple leaf sycamore (t11) • Cottonwood (t14) • White ash (t15) • Mulberry tree (t70) • Common ragweed (w1) • Mugwort (w6) • Goosefoot, Lamb's quarters (w10) • Common pigweed (w14) • Sheep sorrel (w18) • Total Immunoglobulin E (IgE) If the concentration of Cat dander (e1), and/or Dog dander (e5) is >= 0.10 kUA/L, the corresponding individual molecular allergen components will be added at an additional charge
Days Performed	Monday - Friday
Performing Laboratory	Northwell Health Laboratories
CPT	86003 for each individual allergen
PDM	5710010

Desired Epic Build Respiratory Allergy Panel, Northeast with Reflex

Cerner Primary Mnemonic:

Respiratory Allergy Profile, NE w/ Reflex

PDM

5710010

Informatics - Workgroup

Allergy

Synonyms *

ImmunoCAP
Respiratory Allergy Profile, Northeast with Reflex
RUPPER
RNE

Display Name *

Respiratory Allergy Panel, Northeast with Reflex

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)

Northeast Regional Respiratory Allergen profile.

IP Orderable

Yes

OP Orderable

Yes

AOEs *

AP AOEs

Special History

Build Comments

Filter *

Procedure Category Change

Cerner Results

Result Desc	Result display	Result PDM
M6CONC	Mold (Alternaria Alternata) (m6) Conc	5710055
T7CONC	Oak Tree (t7) Conc	5710007
T10CONC	Walnut Tree (t10) Conc	5718044
T70CLASS	Mulberry (t70) Class	5718045
T15CONC	White Ash (t15) Conc	5710325
G6CLASS	Timothy Grass (g6) Class	5710036
T14CLASS	Cottonwood (t14) Class	5710291
W1CLASS	Common Ragweed (w1) Class	5710021
RIGE	RIGE	5710011
T1CLASS	Box-Elder/Maple Tree (t1) Class	5710005
T1CONC	Box-Elder/Maple Tree (t1) Conc	5710004
E72CLASS	E72CLASS	5700352B
T10CLASS	Walnut Tree (t10) Class	5718043
T70CONC	Mulberry (t70) Conc	5788045
D2CONC	House Dust Mite (Farinea) (d2) Conc	5710125
M1CLASS	Mold (Penicillium Notatum) (m1) Class	5710171
M3CLASS	Mold (Asperg Fumigatus) (m3) Class	5710111
W6CLASS	Mugwort (w6) Class	5710321
W6CONC	Mugwort (w6) Conc	5710320
T7CLASS	Oak Tree (t7) Class	5710008
E1CLASS	Cat Dander (e1) Class	5710026
W18CONC	Sheep sorrel (w18) Conc	5700881
G6CONC	Timothy Grass (g6) Conc	5710035
M2CONC	Mold (Cladosporium) (m2) Conc	5710040
T3CLASS	Common Silver Birch (t3) Class	5710151
W10CONC	Goosefoot, Lambs Quarter (w10) Conc	5710045
T11CONC	ML Sycamore, London Plane (t11) Conc	5710841
G2CLASS	Bermuda Grass (g2) Class	5710016
M6CLASS	Mold (Alternaria Alternata) (m6) Class	5710056
W1CONC	Common Ragweed (w1) Conc	5710020
E72CONC	E72CONC	5700352A
W18CLASS	Sheep sorrel (w18) Class	5700882
M1CONC	Mold (Penicillium Notatum) (m1) Conc	5710170
M3CONC	Mold (Asperg Fumigatus) (m3) Conc	5710110
D1CLASS	House Dust Mite (Pterony) (d1) Class	5710031
T15CLASS	White Ash (t15) Class	5710326
E5CONC	Dog Dander (e5) Conc	5710050
G2CONC	Bermuda Grass (g2) Conc	5710015
I6CONC	Cockroach (i6) Conc	5710060
M2CLASS	Mold (Cladosporium) (m2) Class	5710041
T14CONC	Cottonwood (t14) Conc	5710290
T3CONC	Common Silver Birch (t3) Conc	5710150
T8CONC	Elm Tree (t8) Conc	5710000
W10CLASS	Goosefoot, Lambs Quarter (w10) Class	5710046
T6CLASS	Juniper (Red Cedar t6) Class	5718102
T6CONC	Juniper (Red Cedar t6) Conc	5718101
E1CONC	Cat Dander (e1) Conc	5710025
D1CONC	House Dust Mite (Pterony) (d1) Conc	5710030
D2CLASS	House Dust Mite (Farinea) (d2) Class	5710126
E5CLASS	Dog Dander (e5) Class	5710051
I6CLASS	Cockroach (i6) Class	5710061
T8CLASS	Elm Tree (t8) Class	5710001
W14CLASS	Common Pigweed (w14) Class	5710486
W14CONC	Common Pigweed (w14) Conc	5710485
T11CLASS	ML Sycamore, London Plane (t11) Class	5710842

Current Actual EPIC Build as of 10/28/2024

Procedure Id

114018

Pdm

5710010

Order Display Name

Respiratory Allergy Panel, Northeast with Reflex

Procedure Name

NORTH EAST PANEL

Procedure Master Number

LAB10336

Short Procedure Name

NORTH EAST PANEL

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

IMMUNOCAP RESPIRATORY ALLERGY PROFILE, NORTHEAST WITH REFLEX RUPPER RNE

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/114018

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

Op Orderable

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)

Component ID	Component Name	Base Name	Common Name	Cerner Result PDM
3047803556	MOLD (ALTERNARIA ALTERNATA) (M6) CONC	MOLD	MOLD ALTERNARIA ALTERNATA M6 CONC	5710055
3047803833	OAK TREE (T7) CONC	OAKCNC	OAK TREE T7 CONC	5710007
3047805254	WALNUT TREE (T10) CONC	WALNUT	WALNUT TREE T10 CONC	5718044
3047803647	MULBERRY (T70) CLASS	MULBERRY	MULBERRY T70 CLASS	5718045
3047805277	WHITE ASH (T15) CONC	WHITEASH	WHITE ASH T15 CONC	5710325
3047804989	TIMOTHY GRASS (G6) CLASS	TIMGRASS	TIMOTHY GRASS G6 CLASS	5710036
3047802004	COTTONWOOD (T14) CLASS	COTTONWOOD	COTTONWOOD T14 CLASS	5710291
3047801946	COMMON RAGWEED (W1) CLASS	RAGWEED	COMMON RAGWEED W1 CLASS	5710021
3047803047	IMMUNOCAP TOTAL IGE	IMMUNOCAP	IMMUNOCAP TOTAL IGE	5710011
3047801420	BOX-ELDER/MAPLE TREE (T1) CLASS	BOXELDERMAPL	BOX ELDER MAPLE TREE T1 CLASS	5710005
3047801421	BOX-ELDER/MAPLE TREE (T1) CONC	BOXELDERMAPL	BOX ELDER MAPLE TREE T1 CONC	5710004
3047803600	MOUSE URINE PROTEIN (E72) CLASS	MOUSE	MOUSE URINE PROTEIN E72 CLASS	5700352B
3047805253	WALNUT TREE (T10) CLASS	WALNUT	WALNUT TREE T10 CLASS	5718043
3047803648	MULBERRY (T70) CONC	MULBERRY	MULBERRY T70 CONC	5788045
3047802920	HOUSE DUST MITE (FARINEA) (D2) CONC	DERMFAR	HOUSE DUST MITE FARINEA D2 CONC	5710125
3047803575	MOLD (PENICILLIUM NOTATUM) (M1) CLASS	MOLD	MOLD PENICILLIUM NOTATUM M1 CLASS	5710171
3047803557	MOLD (ASPERG FUMIGATUS) (M3) CLASS	MOLD	MOLD ASPERG FUMIGATUS M3 CLASS	5710111
3047803645	MUGWORT (W6) CLASS	MUGWORT	MUGWORT W6 CLASS	5710321
3047803646	MUGWORT (W6) CONC	MUGWORT	MUGWORT W6 CONC	5710320
3047803832	OAK TREE (T7) CLASS	OAKCL	OAK TREE T7 CLASS	5710008
3047801662	CAT DANDER (E1) CLASS	CATDANDER	CAT DANDER E1 CLASS	5710026
3047804726	SHEEP SORREL (W18) CONC	SHEEPSORR	SHEEP SORREL W18 CONC	5700881
3047804990	TIMOTHY GRASS (G6) CONC	TIMGRASS	TIMOTHY GRASS G6 CONC	5710035
3047803566	MOLD (CLADOSPORIUM) (M2) CONC	MOLD	MOLD CLADOSPORIUM M2 CONC	5710040
3047801948	COMMON SILVER BIRCH (T3) CLASS	BIRCH	COMMON SILVER BIRCH T3 CLASS	5710151
3047802656	GOOSEFOOT, LAMBS QUARTER (W10) CONC	LAMBQUART	GOOSEFOOT, LAMBS QUARTER W10 CONC	5710045
3047803541	ML SYCAMORE, LONDON PLANE (T11) CONC	SYCAMORE	ML SYCAMORE, LONDON PLANE T11 CONC	5710841
3047801360	BERMUDA GRASS (G2) CLASS	BERMUDAGRASS	BERMUDA GRASS G2 CLASS	5710016
3047803555	MOLD (ALTERNARIA ALTERNATA) (M6) CLASS	MOLD	MOLD ALTERNARIA ALTERNATA M6 CLASS	5710056
3047801947	COMMON RAGWEED (W1) CONC	RAGWEED	COMMON RAGWEED W1 CONC	5710020
3047803601	MOUSE URINE PROTEIN (E72) CONC	MOUSE	MOUSE URINE PROTEIN E72 CONC	5700352A
3047804725	SHEEP SORREL (W18) CLASS	SHEEPSORR	SHEEP SORREL W18 CLASS	5700882
3047803576	MOLD (PENICILLIUM NOTATUM) (M1) CONC	MOLD	MOLD PENICILLIUM NOTATUM M1 CONC	5710170
3047803558	MOLD (ASPERG FUMIGATUS) (M3) CONC	MOLD	MOLD ASPERG FUMIGATUS M3 CONC	5710110
3047802921	HOUSE DUST MITE (PTERONY) (D1) CLASS	NDERP1	HOUSE DUST MITE PTERONY D1 CLASS	5710031
3047805276	WHITE ASH (T15) CLASS	WHITEASH	WHITE ASH T15 CLASS	5710326
3047802176	DOG DANDER (E5) CONC	DOGDANDER	DOG DANDER E5 CONC	5710050
3047801361	BERMUDA GRASS (G2) CONC	BERMUDAGRASS	BERMUDA GRASS G2 CONC	5710015
3047801898	COCKROACH (I6) CONC	COCKROACH	COCKROACH I6 CONC	5710060
3047803565	MOLD (CLADOSPORIUM) (M2) CLASS	MOLD	MOLD CLADOSPORIUM M2 CLASS	5710041
3047802005	COTTONWOOD (T14) CONC	COTTONWOOD	COTTONWOOD T14 CONC	5710290
3047801949	COMMON SILVER BIRCH (T3) CONC	BIRCH	COMMON SILVER BIRCH T3 CONC	5710150
3047802297	ELM TREE (T8) CONC	ELMTREE	ELM TREE T8 CONC	5710000
3047802655	GOOSEFOOT, LAMBS QUARTER (W10) CLASS	LAMBQUART	GOOSEFOOT, LAMBS QUARTER W10 CLASS	5710046
3047803161	JUNIPER (RED CEDAR T6) CLASS	CEDAR	JUNIPER RED CEDAR T6 CLASS	5718102
3047803162	JUNIPER (RED CEDAR T6) CONC	CEDAR	JUNIPER RED CEDAR T6 CONC	5718101
3047801663	CAT DANDER (E1) CONC	CATDANDER	CAT DANDER E1 CONC	5710025
3047802922	HOUSE DUST MITE (PTERONY) (D1) CONC	NDERP1	HOUSE DUST MITE PTERONY D1 CONC	5710030
3047802919	HOUSE DUST MITE (FARINEA) (D2) CLASS	DERMFAR	HOUSE DUST MITE FARINEA D2 CLASS	5710126
3047802175	DOG DANDER (E5) CLASS	DOGDANDER	DOG DANDER E5 CLASS	5710051
3047801897	COCKROACH (I6) CLASS	COCKROACH	COCKROACH I6 CLASS	5710061
3047802296	ELM TREE (T8) CLASS	ELMTREE	ELM TREE T8 CLASS	5710001
3047801944	COMMON PIGWEED (W14) CLASS	PIGWEET	COMMON PIGWEED W14 CLASS	5710486
3047801945	COMMON PIGWEED (W14) CONC	PIGWEET	COMMON PIGWEED W14 CONC	5710485
3047803540	ML SYCAMORE, LONDON PLANE (T11) CLASS	SYCAMORE	ML SYCAMORE, LONDON PLANE T11 CLASS	5710842

EPIC Test Compendium Alpha Welcome to the new Northwell Health Labs Test Directory, please call our Client Services Department at 1-800-472-5757 with any typos, corrections or issues.

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Respiratory Allergy Panel, Northeast with Reflex

Test Catalog Information

Desired Epic Build Respiratory Allergy Panel, Northeast with Reflex

Current Actual EPIC Build as of 10/28/2024

EPIC Test Compendium Alpha
Welcome to the new Northwell Health Labs Test Directory, please call our Client Services Department at 1-800-472-5757 with any typos, corrections or issues.