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Lymphocyte Proliferation to Mitogens

Test Catalog Information

Test Catalog Synonyms

EPIC Synonyms
Cerner Primary MnemonicLymphocyte Mitogen Prolif
EPIC Display NameLymphocyte Proliferation to Mitogens
Allscripts (AEHR) Order Name

Lymphocyte Mitogen Stimulation Assay

Sunrise Clinical Manager (SCM) Order Name

Lymphocyte Mitogen Stimulation Assay

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results Lymphocyte Mitogen Profile
Clinical Info

Assessing T-cell function in patients on immunosuppressive therapy, including solid-organ transplant patients Evaluating patients suspected of having impairment in cellular immunity Evaluation of T-cell function in patients with primary immunodeficiencies, either cellular (DiGeorge syndrome, T-negative severe combined immunodeficiency: SCID, etc) or combined T- and B-cell immunodeficiencies (T- and B-negative SCID, Wiskott Aldrich syndrome, ataxia telangiectasia, common variable immunodeficiency, among others) where T-cell function may be impaired Evaluation of T-cell function in patients with secondary immunodeficiency, either disease related or iatrogenic Evaluation of recovery of T-cell function and competence following bone marrow transplantation or hematopoietic stem cell transplantation

Specimen Type

Blood

Container

Green Top Tube

Collection Instructions

NOTE: DO NOT COLLECT FRIDAY, SATURDAY AND SUNDAYS Container/Tube: Dark Green (Sodium Heparin) Tube Specimen: Less than 3 months: 1 mL 3 months-5 years: 2 mL 6-18 years: 3 mL Greater than 18 years: 10 mL Minimum Volume: 1 mL whole blood Stability: 24 Hrs Room Temperature Collection Instructions: Send specimen is original tube. Do not aliquot.

Transport Instructions

Specimen Stability

24 Hrs Room Temperature

Methodology

Flow Cytometry

Days Performed

Monday through Friday

Performing Laboratory

Mayo Medial Laboratories NOTE: DO NOT COLLECT FRIDAY, SATURDAY AND SUNDAYS

CPT

86353 86353 (if appropriate) LOINC Code: 69018-0

PDM

5901660

Desired Epic Build Lymphocyte Proliferation to Mitogens

Cerner Primary Mnemonic: Lymphocyte Mitogen Prolif
PDM 5901660
Informatics - WorkgroupImmunology
Synonyms *
Display Name *Lymphocyte Proliferation to Mitogens
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)Assessing T-cell function in patients on immunosuppressive therapy, including solid-organ transplant patients Evaluating patients suspected of having impairment in cellular immunity Evaluation of T-cell function in patients with primary immunodeficiencies, either cellular (DiGeorge syndrome, T-negative severe combined immunodeficiency: SCID, etc) or combined T- and B-cell immunodeficiencies (T- and B-negative SCID, Wiskott Aldrich syndrome, ataxia telangiectasia, common variable immunodeficiency, among others) where T-cell function may be impaired Evaluation of T-cell function in patients with secondary immunodeficiency, either disease related or iatrogenic Evaluation of recovery of T-cell function and competence following bone marrow transplantation or hematopoietic stem cell transplantation
IP Orderable Yes
OP Orderable Yes
AOEs *

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

Result DescResult displayResult PDM
MITOGEN Lymphocyte Mitogen Profile 5901660

Actual Epic build

Procedure Id 114198
Pdm 5901660
Order Display Name Lymphocyte Proliferation to Mitogens
Procedure Name LYMPHOCYTE MITOGEN PROLIF
Procedure Master Number LAB10844
Short Procedure Name LYMPHOCYTE MITOGEN PROLIF
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/114198
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
3047803358.0 LYMPHOCYTE MITOGEN PROFILE LYMPHMIT LYMPHOCYTE MITOGEN PROFILE 5901660