EPIC Test Compendium Alpha
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Allergic Asthma Panel

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	RASTHMA
Cerner Primary Mnemonic	Asthma Panel
EPIC Display Name	Allergic Asthma Panel
Allscripts (AEHR) Order Name	Asthma Profile
Sunrise Clinical Manager (SCM) Order Name	Asthma Profile
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	Dog Dander (e5) Conc Cockroach (i6) Class Mold (Asperg Fumigatus) (m3) Conc Mold (Cladosporium) (m2) Conc Common Ragweed (w1) Conc Mold (Mucor Racemosus) (m4) Conc House Dust Mite (Pterony) (d1) Conc Mold (Alternaria Alternata) (m6) Class Mold (Alternaria Alternata) (m6) Conc Oak Tree (t7) Class Timothy Grass (g6) Conc Mold (Asperg Fumigatus) (m3) Class Mold (Candida Albicans) (m5) Conc Dog Dander (e5) Class Mold (Cladosporium) (m2) Class Mold (Mucor Racemosus) (m4) Class Timothy Grass (g6) Class Cockroach (i6) Conc Mold (Candida Albicans) (m5) Class Common Ragweed (w1) Class Oak Tree (t7) Conc Cat Dander (e1) Class Cat Dander (e1) Conc House Dust Mite (Farinea) (d2) Conc House Dust Mite (Pterony) (d1) Class House Dust Mite (Farinea) (d2) Class
Clinical Info
Specimen Type	Blood
Container	Gold Top Tube
Collection Instructions	Container/Tube: Gold-top tube(s) or plain, red-top tube(s) Specimen: 0.5 mL (minimum volume: 0.2 mL) of serum Transport Temperature: Refrigerate Collection Instructions: Note: Each additional allergen requires 0.1 mL of serum.
Transport Instructions	Refrigerate
Specimen Stability
Methodology	ImmunoCAP® System Fluorescence Enzyme Immunoassay (FEIA) Includes mold (Alternaria alternata) (m6), mold (Aspergillus fumigatus) (m3), mold (Candida albicans) (m5), cat dander (e1), mold (Cladosporium) (m2), cockroach (l6), common ragweed (w1), house dust mite (d. farinae) (d2), house dust mite (d. pterony) (d1), dog dander (e5), immunoglobulin E (IgE), total, mold (Mucor racemosus) (m4), oak, tree (t7) and timothy grass (g6).
Days Performed	Monday - Friday
Performing Laboratory	Northwell Health Laboratories
CPT	86003 - each
PDM	5710520

Desired Epic Build Allergic Asthma Panel

Cerner Primary Mnemonic:

Asthma Panel

PDM

5710520

Informatics - Workgroup

Allergy

Synonyms *

RASTHMA

Display Name *

Allergic Asthma Panel

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)

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
E5CONC	Dog Dander (e5) Conc	5710050
I6CLASS	Cockroach (i6) Class	5710061
M3CONC	Mold (Asperg Fumigatus) (m3) Conc	5710110
M2CONC	Mold (Cladosporium) (m2) Conc	5710040
W1CONC	Common Ragweed (w1) Conc	5710020
M4CONC	Mold (Mucor Racemosus) (m4) Conc	5710115
D1CONC	House Dust Mite (Pterony) (d1) Conc	5710030
M6CLASS	Mold (Alternaria Alternata) (m6) Class	5710056
M6CONC	Mold (Alternaria Alternata) (m6) Conc	5710055
T7CLASS	Oak Tree (t7) Class	5710008
G6CONC	Timothy Grass (g6) Conc	5710035
M3CLASS	Mold (Asperg Fumigatus) (m3) Class	5710111
M5CONC	Mold (Candida Albicans) (m5) Conc	5710120
E5CLASS	Dog Dander (e5) Class	5710051
M2CLASS	Mold (Cladosporium) (m2) Class	5710041
M4CLASS	Mold (Mucor Racemosus) (m4) Class	5710116
G6CLASS	Timothy Grass (g6) Class	5710036
I6CONC	Cockroach (i6) Conc	5710060
M5CLASS	Mold (Candida Albicans) (m5) Class	5710121
W1CLASS	Common Ragweed (w1) Class	5710021
T7CONC	Oak Tree (t7) Conc	5710007
E1CLASS	Cat Dander (e1) Class	5710026
E1CONC	Cat Dander (e1) Conc	5710025
D2CONC	House Dust Mite (Farinea) (d2) Conc	5710125
D1CLASS	House Dust Mite (Pterony) (d1) Class	5710031
D2CLASS	House Dust Mite (Farinea) (d2) Class	5710126

Actual Epic build

Procedure Id

114024

Pdm

5710520

Order Display Name

Allergic Asthma Panel

Procedure Name

ASTHMA PROFILE

Procedure Master Number

LAB10339

Short Procedure Name

ASTHMA PROFILE

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

RASTHMA

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/114024

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
3047802176.0	DOG DANDER (E5) CONC	DOGDANDER	DOG DANDER (E5) CONC	5710050
3047801897.0	COCKROACH (I6) CLASS	COCKROACH	COCKROACH (I6) CLASS	5710061
3047803558.0	MOLD (ASPERG FUMIGATUS) (M3) CONC	MOLD	MOLD (ASPERG FUMIGATUS) (M3) CONC	5710110
3047803566.0	MOLD (CLADOSPORIUM) (M2) CONC	MOLD	MOLD (CLADOSPORIUM) (M2) CONC	5710040
3047801947.0	COMMON RAGWEED (W1) CONC	RAGWEED	COMMON RAGWEED (W1) CONC	5710020
3047803574.0	MOLD (MUCOR RACEMOSUS) (M4) CONC	MOLD	MOLD (MUCOR RACEMOSUS) (M4) CONC	5710115
3047802922.0	HOUSE DUST MITE (PTERONY) (D1) CONC	NDERP1	HOUSE DUST MITE (PTERONY) (D1) CONC	5710030
3047803555.0	MOLD (ALTERNARIA ALTERNATA) (M6) CLASS	MOLD	MOLD (ALTERNARIA ALTERNATA) (M6) CLASS	5710056
3047803556.0	MOLD (ALTERNARIA ALTERNATA) (M6) CONC	MOLD	MOLD (ALTERNARIA ALTERNATA) (M6) CONC	5710055
3047803832.0	OAK TREE (T7) CLASS	OAKCL	OAK TREE (T7) CLASS	5710008
3047804990.0	TIMOTHY GRASS (G6) CONC	TIMGRASS	TIMOTHY GRASS (G6) CONC	5710035
3047803557.0	MOLD (ASPERG FUMIGATUS) (M3) CLASS	MOLD	MOLD (ASPERG FUMIGATUS) (M3) CLASS	5710111
3047803562.0	MOLD (CANDIDA ALBICANS) (M5) CONC	MOLD	MOLD (CANDIDA ALBICANS) (M5) CONC	5710120
3047802175.0	DOG DANDER (E5) CLASS	DOGDANDER	DOG DANDER (E5) CLASS	5710051
3047803565.0	MOLD (CLADOSPORIUM) (M2) CLASS	MOLD	MOLD (CLADOSPORIUM) (M2) CLASS	5710041
3047803573.0	MOLD (MUCOR RACEMOSUS) (M4) CLASS	MOLD	MOLD (MUCOR RACEMOSUS) (M4) CLASS	5710116
3047804989.0	TIMOTHY GRASS (G6) CLASS	TIMGRASS	TIMOTHY GRASS (G6) CLASS	5710036
3047801898.0	COCKROACH (I6) CONC	COCKROACH	COCKROACH (I6) CONC	5710060
3047803561.0	MOLD (CANDIDA ALBICANS) (M5) CLASS	MOLD	MOLD (CANDIDA ALBICANS) (M5) CLASS	5710121
3047801946.0	COMMON RAGWEED (W1) CLASS	RAGWEED	COMMON RAGWEED (W1) CLASS	5710021
3047803833.0	OAK TREE (T7) CONC	OAKCNC	OAK TREE (T7) CONC	5710007
3047801662.0	CAT DANDER (E1) CLASS	CATDANDER	CAT DANDER (E1) CLASS	5710026
3047801663.0	CAT DANDER (E1) CONC	CATDANDER	CAT DANDER (E1) CONC	5710025
3047802920.0	HOUSE DUST MITE (FARINEA) (D2) CONC	DERMFAR	HOUSE DUST MITE (FARINEA) (D2) CONC	5710125
3047802921.0	HOUSE DUST MITE (PTERONY) (D1) CLASS	NDERP1	HOUSE DUST MITE (PTERONY) (D1) CLASS	5710031
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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Allergic Asthma Panel

Test Catalog Information

Desired Epic Build Allergic Asthma Panel

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.