EPIC Test Compendium Alpha
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Cytokine Panel

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms
Cerner Primary Mnemonic	Cytokine Panel
EPIC Display Name	Cytokine Panel
Allscripts (AEHR) Order Name	Cytokine Panel 13
Sunrise Clinical Manager (SCM) Order Name	Cytokine Panel
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	Interleukin 13 Interleukin 4 Interleukin 1 beta Interleukin 17 ARUP Interleukin 6 Interleukin 8 Interleukin 12 Interferon gamma ARUP Interleukin 10 Interleukin 2 Interleukin 5 Tumor Necrosis Factor - alpha Interleukin 2 Receptor CD25 Soluble
Clinical Info	Primarily for research and to support attempts to understand the pathogenesis of immune, infectious, allergic, or inflammatory disorders.
Specimen Type	Blood
Container	Gold Top Tube
Collection Instructions	Container/Tube: Gold Top or Red top tube Specimen: 1 mL serum ( 0.4 mL min) Transport Temperature: Frozen (Separate serum cells ASAP or within 2 hours of collection)
Transport Instructions	Frozen (Separate serum cells ASAP or within 2 hours of collection)
Specimen Stability	Room Temperature 30 minutes Refrigerated: Unacceptable Frozen: 1 year
Methodology	Quantitative Multiplex Bead Assay
Days Performed	TAT: 2 - 5 Days
Performing Laboratory	ARUP Laboratories
CPT	83520 x 13 83529
PDM	1559236

Desired Epic Build Cytokine Panel

Cerner Primary Mnemonic:

Cytokine Panel

PDM

1559236

Informatics - Workgroup

Immunology

Synonyms *

Display Name *

Cytokine 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)

Primarily for research and to support attempts to understand the pathogenesis of immune, infectious, allergic, or inflammatory disorders.

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
INTERL 13	Interleukin 13	1559236I
INTERL 4	Interleukin 4	1559236F
INTERL 1 B	Interleukin 1 beta	1559236J
Interleukin 17	Interleukin 17 ARUP	1759246A
INTERL 6	Interleukin 6	1559236K
INTERL 8	Interleukin 8	1559236L
INTERL 12	Interleukin 12	1559236D
Interferon gamma	Interferon gamma ARUP	1759235
INTERL 10	Interleukin 10	1559236H
INTERL 2	Interleukin 2	1559236B
INTERL 5	Interleukin 5	1559236G
TNF Alpha	Tumor Necrosis Factor - alpha	1559236A
INTERL 2 CD25	Interleukin 2 Receptor CD25 Soluble	1559236C

Current Actual EPIC Build as of 10/28/2024

Procedure Id

114102

Pdm

1559236

Order Display Name

Cytokine Panel

Procedure Name

CYTOKINE PANEL

Procedure Master Number

LAB10785

Short Procedure Name

CYTOKINE PANEL

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/114102

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
3048100208	INTERLEUKIN 13	INTERLEU13	INTERLEU 13	1559236I
3048100205	INTERLEUKIN 4	INTERLEU4	INTERLEU 4	1559236F
3048100199	INTERLEUKIN 1 BETA	INTERLEUBETA	INTERLEU BETA	1559236J
				1759246A
3048100200	INTERLEUKIN 6	INTERLEU6	INTERLEU 6	1559236K
3048100201	INTERLEUKIN 8	INTERLEU8	INTERLEU 8	1559236L
3048100203	INTERLEUKIN 12	INTERLEU12	INTERLEU 12	1559236D
3048100204	INTERFERON GAMMA	INTERGAMMA	INTER GAMMA	1759235
3048100207	INTERLEUKIN 10	INTERLEU10	INTERLEU 10	1559236H
3048100202	INTERLEUKIN 2	INTERLEU2	INTERLEU 2	1559236B
3048100206	INTERLEUKIN 5	INTERLEU5	INTERLEU 5	1559236G
3048100197	TUMOR NECROSIS FACTOR ALPHA	TUMNEFACALPH	TUMOR NEC FAC ALPHA	1559236A
3047803086	INTERLEUKIN 2 RECEPTOR, SOLUBLE, SERUM	INTERLEUKIN2	INTERLEUKIN 2 RECEPTOR, SOLUBLE, SERUM	1559236C

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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Cytokine Panel

Test Catalog Information

Desired Epic Build Cytokine Panel

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.