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Paraneoplastic Autoantibody Evaluation, Serum

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms Paraneoplastic Neurological Autoimmunity
Cerner Primary MnemonicParaneoplastic Evaluation
EPIC Display NameParaneoplastic Autoantibody Evaluation, Serum
Allscripts (AEHR) Order Name

Paraneoplastic Evaluation, Serum

Sunrise Clinical Manager (SCM) Order Name

Paraneoplastic Autoantibody Evaluation, Serum

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results Interpretive Comments
Amphiphysin Ab, S
ANNA-3, S
AGNA-1, S
PCA-Tr, S
Reflex CRMP-5-IgG Western Blot, S
ANNA-1, S
ANNA-2, S
IFA Notes
PCA-1, S
P/Q-Type Antibody
Neuronal (V-G) K+ Channel Ab, S
PCA-2, S
Clinical Info

Serological evaluation of patients who present with a subacute neurological disorder of undetermined etiology,  especially those with known risk factors for cancer Directing a focused search for cancer Investigating neurological symptoms that appear during, or after, cancer therapy and are not explainable by metastasis Differentiating autoimmune neuropathies from neurotoxic effects of chemotherapy Monitoring the immune response of seropositive patients during cancer therapy Detecting early evidence of cancer recurrence in previously seropositive patients

Specimen Type

Blood

Container

Gold Top Tube

Collection Instructions

Container/Tube: Red top tube or Gold Top Tube Specimen : 4 mL serum (2 mL min) Transport Temperature: Refrigerated Patient Preparation: 1. For optimal antibody detection, specimen collection is recommended prior to initiation of immunosuppressant medication  or intravenous immunoglobulin treatment. 2. This test should not be requested for patients who have recently received radioisotopes, therapeutically or diagnostically,  because of potential assay interference.  The specific waiting period before specimen collection will depend on the isotope administered, the dose given, and the  clearance rate in the individual patient.  Specimens will be screened for radioactivity prior to analysis. Radioactive specimens received in the laboratory will be held  1 week and assayed if sufficiently decayed or canceled if radioactivity remains.

Transport Instructions

Refrigerated

Specimen Stability

3 days Room Temperature 28 Days Refrigerated or Frozen

Methodology

Indirect Immunofluorescence Assay (IFA) Radioimmunoassay (RIA) Western Blot (WB) Immunoblot (IB) Cell-Binding Assay (CBA)

Days Performed

TAT: 11-18 Days

Performing Laboratory

Mayo Medical Laboratories

CPT

83516 86596 86255 x 9 LOINC Code: 43104-9

PDM

5910633

Desired Epic Build Paraneoplastic Autoantibody Evaluation, Serum

Cerner Primary Mnemonic: Paraneoplastic Evaluation
PDM 5910633
Informatics - WorkgroupImmunology
Synonyms *Paraneoplastic Neurological Autoimmunity
Display Name *Paraneoplastic Autoantibody Evaluation, Serum
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)Serological evaluation of patients who present with a subacute neurological disorder of undetermined etiology,  especially those with known risk factors for cancer Directing a focused search for cancer Investigating neurological symptoms that appear during, or after, cancer therapy and are not explainable by metastasis Differentiating autoimmune neuropathies from neurotoxic effects of chemotherapy Monitoring the immune response of seropositive patients during cancer therapy Detecting early evidence of cancer recurrence in previously seropositive patients
IP Orderable Yes
OP Orderable Yes
AOEs *

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

Result DescResult displayResult PDM
Interp Comments Interpretive Comments 5910633A
ENS1AMPHS Amphiphysin Ab, S 1759374N
ENS1ANN3S ANNA-3, S 1759374I
ENS1AGN1S AGNA-1, S 1759374J
ENS1PCATR PCA-Tr, S 1759374M
REFLEXCRMP Reflex CRMP-5-IgG Western Blot, S 5905943
ENS1ANN1S ANNA-1, S 1759374F
ENS1ANN2S ANNA-2, S 1759374H
IFA Notes IFA Notes 225304B
ENS1PCABP PCA-1, S 1759374K
P/Q-Type Antibody P/Q-Type Antibody 5910944
ENS1VGKC Neuronal (V-G) K+ Channel Ab, S 1759374B
ENS1PCAB2 PCA-2, S 1759374L

Actual Epic build

Procedure Id 114154
Pdm 5910633
Order Display Name Paraneoplastic Autoantibody Evaluation, Serum
Procedure Name PARANEOPLASTIC EVALUATION
Procedure Master Number LAB10818
Short Procedure Name PARANEOPLASTIC EVALUATION
Category Code 1.0
Category Code Record Name LAB BLOOD ORDERABLES
Synonyms PARANEOPLASTIC NEUROLOGICAL AUTOIMMUNITY
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics
Reference Link Url https://labs.northwell.edu/epic/test/114154
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
3047803095.0 INTERPRETIVE COMMENTS INTERP INTERPRETIVE COMMENTS 5910633A
3048100167.0 AMPHIPHYSIN AB, S AMPHIPABS AMPHIP AB S 1759374N
3048100162.0 ANNA-3, S ANNA3S ANNA 3 S 1759374I
3048100163.0 AGNA-1, S AGNA1S AGNA 1 S 1759374J
3048100166.0 PCA-TR, S PCATRS PCA TR S 1759374M
3048100089.0 CRMP-5-IGG WESTERN BLOT CR5IGWESBLOT CR-5 IGG WES BLOT 5905943
3048100160.0 ANNA-1, S ANNA1S ANNA 1 S 1759374F
3048100161.0 ANNA-2, S ANNA2S ANNA 2 S 1759374H
3048100171.0 IFA NOTES IFANOTES IFA NOTES 225304B
3048100164.0 PCA-1, S PCA1S PCA 1 S 1759374K
3047803942.0 P/Q-TYPE ANTIBODY PQTYPEANTI P/Q-TYPE ANTIBODY 5910944
3047803728.0 NEURONAL (V-G) K+ CHANNEL AB, S NEURONCHAN NEURONAL (V-G) K+ CHANNEL AB, S 1759374B
3048100165.0 PCA-2, S PCA2S PCA 2 S 1759374L