EPIC Test Compendium Alpha
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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 Timothy Grass (g6) Class Cottonwood (t14) Class Common Ragweed (w1) Class White Ash (t15) Conc Box-Elder/Maple Tree (t1) Class Box-Elder/Maple Tree (t1) Conc Walnut Tree (t10) Class Mouse Urine Protein (e72) Class Mulberry (t70) 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 House Dust Mite (Farinea) (d2) 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 Mouse Urine Protein (e72) Conc Sheep sorrel (w18) Conc Bermuda Grass (g2) Class Mold (Alternaria Alternata) (m6) Class Common Ragweed (w1) Conc ImmunoCAP Total IgE Mold (Penicillium Notatum) (m1) Conc Mold (Asperg Fumigatus) (m3) Conc Sheep sorrel (w18) Class Dog Dander (e5) Conc Bermuda Grass (g2) Conc Cockroach (i6) Conc Mold (Cladosporium) (m2) Class Cottonwood (t14) Conc White Ash (t15) Class Common Silver Birch (t3) Conc Elm Tree (t8) Conc Goosefoot, Lambs Quarter (w10) Class Cat Dander (e1) Conc House Dust Mite (Pterony) (d1) Class Juniper (Red Cedar t6) Class Juniper (Red Cedar t6) Conc 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 House Dust Mite (Pterony) (d1) Conc House Dust Mite (Farinea) (d2) 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
G6CLASS	Timothy Grass (g6) Class	5710036
T14CLASS	Cottonwood (t14) Class	5710291
W1CLASS	Common Ragweed (w1) Class	5710021
T15CONC	White Ash (t15) Conc	5710325
T1CLASS	Box-Elder/Maple Tree (t1) Class	5710005
T1CONC	Box-Elder/Maple Tree (t1) Conc	5710004
T10CLASS	Walnut Tree (t10) Class	5718043
E72CLASS	Mouse Urine Protein (e72) Class	5700352B
T70CONC	Mulberry (t70) Conc	5788045
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
D2CONC	House Dust Mite (Farinea) (d2) Conc	5710125
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
E72CONC	Mouse Urine Protein (e72) Conc	5700352A
W18CONC	Sheep sorrel (w18) Conc	5700881
G2CLASS	Bermuda Grass (g2) Class	5710016
M6CLASS	Mold (Alternaria Alternata) (m6) Class	5710056
W1CONC	Common Ragweed (w1) Conc	5710020
RIGE	ImmunoCAP Total IgE	5710011
M1CONC	Mold (Penicillium Notatum) (m1) Conc	5710170
M3CONC	Mold (Asperg Fumigatus) (m3) Conc	5710110
W18CLASS	Sheep sorrel (w18) Class	5700882
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
T15CLASS	White Ash (t15) Class	5710326
T3CONC	Common Silver Birch (t3) Conc	5710150
T8CONC	Elm Tree (t8) Conc	5710000
W10CLASS	Goosefoot, Lambs Quarter (w10) Class	5710046
E1CONC	Cat Dander (e1) Conc	5710025
D1CLASS	House Dust Mite (Pterony) (d1) Class	5710031
T6CLASS	Juniper (Red Cedar t6) Class	5718102
T6CONC	Juniper (Red Cedar t6) Conc	5718101
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
D1CONC	House Dust Mite (Pterony) (d1) Conc	5710030
D2CLASS	House Dust Mite (Farinea) (d2) Class	5710126

Actual Epic build

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, 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

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
3047803556.0	MOLD (ALTERNARIA ALTERNATA) (M6) CONC	MOLD	MOLD (ALTERNARIA ALTERNATA) (M6) CONC	5710055
3047803833.0	OAK TREE (T7) CONC	OAKCNC	OAK TREE (T7) CONC	5710007
3047805254.0	WALNUT TREE (T10) CONC	WALNUT	WALNUT TREE (T10) CONC	5718044
3047803647.0	MULBERRY (T70) CLASS	MULBERRY	MULBERRY (T70) CLASS	5718045
3047804989.0	TIMOTHY GRASS (G6) CLASS	TIMGRASS	TIMOTHY GRASS (G6) CLASS	5710036
3047802004.0	COTTONWOOD (T14) CLASS	COTTONWOOD	COTTONWOOD (T14) CLASS	5710291
3047801946.0	COMMON RAGWEED (W1) CLASS	RAGWEED	COMMON RAGWEED (W1) CLASS	5710021
3047805277.0	WHITE ASH (T15) CONC	WHITEASH	WHITE ASH (T15) CONC	5710325
3047801420.0	BOX-ELDER/MAPLE TREE (T1) CLASS	BOXELDERMAPL	BOX-ELDER/MAPLE TREE (T1) CLASS	5710005
3047801421.0	BOX-ELDER/MAPLE TREE (T1) CONC	BOXELDERMAPL	BOX-ELDER/MAPLE TREE (T1) CONC	5710004
3047805253.0	WALNUT TREE (T10) CLASS	WALNUT	WALNUT TREE (T10) CLASS	5718043
3047803600.0	MOUSE URINE PROTEIN (E72) CLASS	MOUSE	MOUSE URINE PROTEIN (E72) CLASS	5700352B
3047803648.0	MULBERRY (T70) CONC	MULBERRY	MULBERRY (T70) CONC	5788045
3047803575.0	MOLD (PENICILLIUM NOTATUM) (M1) CLASS	MOLD	MOLD (PENICILLIUM NOTATUM) (M1) CLASS	5710171
3047803557.0	MOLD (ASPERG FUMIGATUS) (M3) CLASS	MOLD	MOLD (ASPERG FUMIGATUS) (M3) CLASS	5710111
3047803645.0	MUGWORT (W6) CLASS	MUGWORT	MUGWORT (W6) CLASS	5710321
3047803646.0	MUGWORT (W6) CONC	MUGWORT	MUGWORT (W6) CONC	5710320
3047803832.0	OAK TREE (T7) CLASS	OAKCL	OAK TREE (T7) CLASS	5710008
3047801662.0	CAT DANDER (E1) CLASS	CATDANDER	CAT DANDER (E1) CLASS	5710026
3047802920.0	HOUSE DUST MITE (FARINEA) (D2) CONC	DERMFAR	HOUSE DUST MITE (FARINEA) (D2) CONC	5710125
3047804990.0	TIMOTHY GRASS (G6) CONC	TIMGRASS	TIMOTHY GRASS (G6) CONC	5710035
3047803566.0	MOLD (CLADOSPORIUM) (M2) CONC	MOLD	MOLD (CLADOSPORIUM) (M2) CONC	5710040
3047801948.0	COMMON SILVER BIRCH (T3) CLASS	BIRCH	COMMON SILVER BIRCH (T3) CLASS	5710151
3047802656.0	GOOSEFOOT, LAMBS QUARTER (W10) CONC	LAMBQUART	GOOSEFOOT, LAMBS QUARTER (W10) CONC	5710045
3047803541.0	ML SYCAMORE, LONDON PLANE (T11) CONC	SYCAMORE	ML SYCAMORE, LONDON PLANE (T11) CONC	5710841
3047803601.0	MOUSE URINE PROTEIN (E72) CONC	MOUSE	MOUSE URINE PROTEIN (E72) CONC	5700352A
3047804726.0	SHEEP SORREL (W18) CONC	SHEEPSORR	SHEEP SORREL (W18) CONC	5700881
3047801360.0	BERMUDA GRASS (G2) CLASS	BERMUDAGRASS	BERMUDA GRASS (G2) CLASS	5710016
3047803555.0	MOLD (ALTERNARIA ALTERNATA) (M6) CLASS	MOLD	MOLD (ALTERNARIA ALTERNATA) (M6) CLASS	5710056
3047801947.0	COMMON RAGWEED (W1) CONC	RAGWEED	COMMON RAGWEED (W1) CONC	5710020
3047803047.0	IMMUNOCAP TOTAL IGE	IMMUNOCAP	IMMUNOCAP TOTAL IGE	5710011
3047803576.0	MOLD (PENICILLIUM NOTATUM) (M1) CONC	MOLD	MOLD (PENICILLIUM NOTATUM) (M1) CONC	5710170
3047803558.0	MOLD (ASPERG FUMIGATUS) (M3) CONC	MOLD	MOLD (ASPERG FUMIGATUS) (M3) CONC	5710110
3047804725.0	SHEEP SORREL (W18) CLASS	SHEEPSORR	SHEEP SORREL (W18) CLASS	5700882
3047802176.0	DOG DANDER (E5) CONC	DOGDANDER	DOG DANDER (E5) CONC	5710050
3047801361.0	BERMUDA GRASS (G2) CONC	BERMUDAGRASS	BERMUDA GRASS (G2) CONC	5710015
3047801898.0	COCKROACH (I6) CONC	COCKROACH	COCKROACH (I6) CONC	5710060
3047803565.0	MOLD (CLADOSPORIUM) (M2) CLASS	MOLD	MOLD (CLADOSPORIUM) (M2) CLASS	5710041
3047802005.0	COTTONWOOD (T14) CONC	COTTONWOOD	COTTONWOOD (T14) CONC	5710290
3047805276.0	WHITE ASH (T15) CLASS	WHITEASH	WHITE ASH (T15) CLASS	5710326
3047801949.0	COMMON SILVER BIRCH (T3) CONC	BIRCH	COMMON SILVER BIRCH (T3) CONC	5710150
3047802297.0	ELM TREE (T8) CONC	ELMTREE	ELM TREE (T8) CONC	5710000
3047802655.0	GOOSEFOOT, LAMBS QUARTER (W10) CLASS	LAMBQUART	GOOSEFOOT, LAMBS QUARTER (W10) CLASS	5710046
3047801663.0	CAT DANDER (E1) CONC	CATDANDER	CAT DANDER (E1) CONC	5710025
3047802921.0	HOUSE DUST MITE (PTERONY) (D1) CLASS	NDERP1	HOUSE DUST MITE (PTERONY) (D1) CLASS	5710031
3047803161.0	JUNIPER (RED CEDAR T6) CLASS	CEDAR	JUNIPER (RED CEDAR T6) CLASS	5718102
3047803162.0	JUNIPER (RED CEDAR T6) CONC	CEDAR	JUNIPER (RED CEDAR T6) CONC	5718101
3047802175.0	DOG DANDER (E5) CLASS	DOGDANDER	DOG DANDER (E5) CLASS	5710051
3047801897.0	COCKROACH (I6) CLASS	COCKROACH	COCKROACH (I6) CLASS	5710061
3047802296.0	ELM TREE (T8) CLASS	ELMTREE	ELM TREE (T8) CLASS	5710001
3047801944.0	COMMON PIGWEED (W14) CLASS	PIGWEET	COMMON PIGWEED (W14) CLASS	5710486
3047801945.0	COMMON PIGWEED (W14) CONC	PIGWEET	COMMON PIGWEED (W14) CONC	5710485
3047803540.0	ML SYCAMORE, LONDON PLANE (T11) CLASS	SYCAMORE	ML SYCAMORE, LONDON PLANE (T11) CLASS	5710842
3047802922.0	HOUSE DUST MITE (PTERONY) (D1) CONC	NDERP1	HOUSE DUST MITE (PTERONY) (D1) CONC	5710030
3047802919.0	HOUSE DUST MITE (FARINEA) (D2) CLASS	DERMFAR	HOUSE DUST MITE (FARINEA) (D2) CLASS	5710126

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

Actual Epic build

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.