EPIC Test Compendium Alpha
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Platelet Antibody Profile

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	PLT Antibodies PLAA Antiplatelet
Cerner Primary Mnemonic	Platelet Antibodies
EPIC Display Name	Platelet Antibody Profile
Allscripts (AEHR) Order Name	Platelet Antibodies Test
Sunrise Clinical Manager (SCM) Order Name	Platelet Antibodies Test
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	HLA Class 1 Ab IIb/IIIa Ab Glycoprotein IV Antibody Ib/IX Ab Ia/IIa Ab
Clinical Info	Screen for the presence of circulating antibodies to platelets (not bound to the platelet surface), that may be associated with the destruction of platelets.
Specimen Type	Blood
Container	Red Top Tube
Collection Instructions	Container/Tube: Gold top or Red top tube Specimen: 0.5 mL serum Transport Temperature: Refrigerate serum Stability: 48 hrs Refrigerated, if longer please freeze serum. Special Instructions If a newborn child has a significantly low platelet count and the physician suspects neonatal alloimmune thrombocytopenia purpura (NAIT), a serum platelet antibody test should be ordered on both the mother and the child (patient). The work-up for NAIT is best accomplished by not only evaluation for platelet reactive antibodies, but also typing maternal and paternal platelet glycoproteins.
Transport Instructions	Refrigerate serum
Specimen Stability	48 hrs Refrigerated, if longer please freeze serum. Special Instructions If a newborn child has a significantly low platelet count and the physician suspects neonatal alloimmune thrombocytopenia purpura (NAIT), a serum platelet antibody test
Methodology	Solid-phase enzyme-linked immunoassay
Days Performed
Performing Laboratory	LabCorp of America
CPT	86022 x 5 LOINC Code: 95270-5
PDM	5901078

Desired Epic Build Platelet Antibody Profile

Cerner Primary Mnemonic:

Platelet Antibodies

PDM

5901078

Informatics - Workgroup

Hematology

Synonyms *

PLT Antibodies
PLAA
Antiplatelet

Display Name *

Platelet Antibody Profile

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)

Screen for the presence of circulating antibodies to platelets (not bound to the platelet surface), that may be associated with the destruction of platelets.

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
HLAC1AX	HLA Class 1 Ab	5901078A
IIBIIIAX	IIb/IIIa Ab	5901078B
GLYCOIVAB	Glycoprotein IV Antibody	5901078E
IBIXX	Ib/IX Ab	5901078C
IAIIAX	Ia/IIa Ab	5901078D

Actual Epic build

Procedure Id

114258

Pdm

5901078

Order Display Name

Platelet Antibody Profile

Procedure Name

PLATELET ANTIBODIES

Procedure Master Number

LAB10877

Short Procedure Name

PLATELET ANTIBODIES

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

PLT ANTIBODIES PLAA ANTIPLATELET

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/114258

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
3046000209.0	HLA CLASS 1 AB W/LOW/INTER/RES	HLACL1ABLIR	HLA CLASS 1 AB W LOW INTER RES	5901078A
3047803026.0	IIB/IIIA AB	IIGIIAAB	IIB/IIIA AB	5901078B
3047802643.0	GLYCOPROTEIN IV ANTIBODY	GLYCOIVANT	GLYCOPROTEIN IV ANTIBODY	5901078E
3047802995.0	IB/IX AB	IBIXAB	IB/IX AB	5901078C
3047802991.0	IA/IIA AB	IAIIAAB	IA/IIA AB	5901078D

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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Platelet Antibody Profile

Test Catalog Information

Desired Epic Build Platelet Antibody Profile

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.