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.

IBD sgi Diagnostic

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms
Cerner Primary Mnemonic	IBD sgi Diagnostic
EPIC Display Name	IBD sgi Diagnostic
Allscripts (AEHR) Order Name	IBD sgi Diagnostics
Sunrise Clinical Manager (SCM) Order Name	IBD sgi Diagnostic
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	Anti-CBir1ELISA ICAM-1 SAA CRP Promtheus NKX2-3 SNP STAT3 SNP Anti-FlaX IgG VEGF ECM1 SNP VCAM-1 ATG16L1 SNP ASCA IgG ELISA Anti-A4Fla2 IgG Anti-OmpC IgA ASCA IgA ELISA IBD Prometheus Laboratory Footer IBD pANCA IFA IBD pANCA DNAse
Clinical Info	Must draw both a Lavender and Gold top tube for this assay Combines serologic, genetic, and inflammation markers to help differentiate IBD vs non-IBD and ulcerative colitis vs Crohn’s disease. This test aids healthcare providers in differentiating IBD vs non-IBD and CD vs UC in one comprehensive blood test. This assay includes 9 serological markers ASCA IgA, ASCA IgG and proprietary markers anti-Fla-X, anti-A4-Fla2, anti-CBir1, anti-OMPC, and DNAse-sensitive pANCA that helps identify patients with IBD and utilizes Smart Diagnostic Algorithm Technology to improve the predictive accuracy. Genetic susceptibility influences immune responses and this assay includes evaluation of ATG16L1, STAT3, NKX2-3, and ECM1. Inflammatory markers include VEGF, ICAM-1, VCAM-1, CRP, SAA. While most other labs only offer assay values, PROMETHEUS® IBD sgi Diagnostic® provides added clarity in diagnosing IBD, UC, and CD.
Specimen Type	Blood
Container	Requires both Lavender and Gold top Collection
Collection Instructions	Container/ Tube: Lavender (EDTA ) Top Tube and Gold Top Tube. Specimen: 2 mL serum and 2 mL EDTA whole blood Transport Temperature: Refrigerated Stability: 7 Days Room Temperature 30 Days Refrigerated
Transport Instructions	Refrigerated
Specimen Stability	7 Days Room Temperature 30 Days Refrigerated
Methodology	Enzyme-linked Immunosorbant Assay (ELISA) Indirect Immunofluorenscence Assay (IFA)
Days Performed
Performing Laboratory	Prometheus Therapeutics & Diagnostics Must draw both a Lavender and Gold top tube for this assay Test Code 1800
CPT	81405 83520 x 6 82397 x 4 86140 88346 81479 x 3 88350
PDM	5901354

Desired Epic Build IBD sgi Diagnostic

Cerner Primary Mnemonic:

IBD sgi Diagnostic

PDM

5901354

Informatics - Workgroup

Immunology

Synonyms *

Display Name *

IBD sgi Diagnostic

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)

Must draw both a Lavender and Gold top tube for this assay Combines serologic, genetic, and inflammation markers to help differentiate IBD vs non-IBD and ulcerative colitis vs Crohn’s disease. This test aids healthcare providers in differentiating IBD vs non-IBD and CD vs UC in one comprehensive blood test. This assay includes 9 serological markers ASCA IgA, ASCA IgG and proprietary markers anti-Fla-X, anti-A4-Fla2, anti-CBir1, anti-OMPC, and DNAse-sensitive pANCA that helps identify patients with IBD and utilizes Smart Diagnostic Algorithm Technology to improve the predictive accuracy. Genetic susceptibility influences immune responses and this assay includes evaluation of ATG16L1, STAT3, NKX2-3, and ECM1. Inflammatory markers include VEGF, ICAM-1, VCAM-1, CRP, SAA. While most other labs only offer assay values, PROMETHEUS® IBD sgi Diagnostic® provides added clarity in diagnosing IBD, UC, and CD.

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
Anti-CBir1ELISA	Anti-CBir1ELISA	5901354E
ICAM-1	ICAM-1	5901354I
SAA	SAA	5901354Q
CRP Promtheus	CRP Promtheus	5901354L
NKX2-3 SNP	NKX2-3 SNP	5901354N
STAT3 SNP	STAT3 SNP	5901354P
Anti-FlaX IgG	Anti-FlaX IgG	5901354H
VEGF	VEGF	5901354K
ECM1 SNP	ECM1 SNP	5901354O
VCAM-1	VCAM-1	5901354J
ATG16L1 SNP	ATG16L1 SNP	5901354M
ASCA IgG ELISA	ASCA IgG ELISA	5901354D
Anti-A4Fla2 IgG	Anti-A4Fla2 IgG	5901354G
Anti-OmpC IgA	Anti-OmpC IgA	5901354F
ASCA IgA ELISA	ASCA IgA ELISA	5901354C
IBD	IBD	5901354
PLI Footer	Prometheus Laboratory Footer	1759071D
IBD pANCA IFA	IBD pANCA IFA	5901354B
IBD pANCA DNAse	IBD pANCA DNAse	5901354A

Current Actual EPIC Build as of 10/28/2024

Procedure Id

114156

Pdm

5901354

Order Display Name

IBD sgi Diagnostic

Procedure Name

IBD SGI DIAGNOSTIC

Procedure Master Number

LAB10820

Short Procedure Name

IBD SGI DIAGNOSTIC

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Generic Genomics Procedure

Reference Link Url

https://labs.northwell.edu/epic/test/114156

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
3047801086	ANTI-CBIR1ELISA	CBIR1ELISA	ANTI CBIR1ELISA	5901354E
3047803000	ICAM-1	ICAM1	ICAM 1	5901354I
3047804641	SAA PROMETHEUS	SAA	SAA	5901354Q
3047802051	CRP PROMTHEUS	CRP	CRP PROMTHEUS	5901354L
3047803750	NKX2-3 SNP	NKX2SNP	NKX2 3 SNP	5901354N
3047804812	STAT3 SNP (RS744166)	SNP	STAT3 SNP	5901354P
3047801092	ANTI-FLAX IGG ELISA	ANTIFLAXIGG	ANTI FLAX IGG	5901354H
3047805221	VEGF	VEGF	VEGF	5901354K
3047802265	ECM1 SNP	ECM1SNP	ECM1 SNP	5901354O
3047805214	VCAM-1 PROMETHEUS	VCAM1	VCAM 1 PROMETHEUS	5901354J
3047801212	ATG16L1 SNP (RS2241880)	ATG16L1SNP	ATG16L1 SNP	5901354M
3047801193	ASCA IGG ELISA	ASCAG	ASCA IGG ELISA	5901354D
3047801074	ANTI-A4FLA2 IGG	A4FLA2IGG	ANTI A4FLA2 IGG	5901354G
3047801112	ANTI-OMPC IGA ELISA	OMPCIGA	ANTI OMPC IGA	5901354F
3047801192	ASCA IGA ELISA	ASCAA	ASCA IGA ELISA	5901354C
3047802998	IBD SGI DIAGNOSTIC	IBDSGI	IBD SGI DIAGNOSTIC	5901354
3047804278	PROMETHEUS LABORATORY FOOTER	PROMLABFT	PROMETHEUS LABORATORY FOOTER	1759071D
3047802997	IBD PANCA IFA	IBDPANCAIFA	IBD PANCA IFA	5901354B
3047802996	IBD PANCA DNASE	IBDPANCADNA	IBD PANCA DNASE	5901354A

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.

Search

IBD sgi Diagnostic

Test Catalog Information

Desired Epic Build IBD sgi Diagnostic

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.