EPIC Test Compendium Alpha
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Engraftment-Pre Transplant Evaluation

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms Chimerism
VNTR
Cerner Primary MnemonicEngraftment-Pre
EPIC Display NameEngraftment-Pre Transplant Evaluation
Allscripts (AEHR) Order Name

Engraftment Pre

Sunrise Clinical Manager (SCM) Order Name

Engraftment Pre

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results Engraftment Pre
Clinical Info

Specimen Type

Blood
Container

Lavender Top Tube
Collection Instructions

Container/Tube: Lavender top EDTA
Specimen: 5 mL Bone Marrow or Whole Blood ( 2 mL min)
Transport Temperature: Room Temperature
 
Transport Instructions

Room Temperature
Specimen Stability

Methodology

PCR and Fragment Analysis
Days Performed

Monday - Friday
  8 day TAT
Performing Laboratory

Versiti Wisconsin, Inc
CPT

81265
PDM

5910039

Desired Epic Build Engraftment-Pre Transplant Evaluation

Cerner Primary Mnemonic: Engraftment-Pre
PDM 5910039
Informatics - WorkgroupMolecular-send outs
Synonyms *Chimerism
VNTR
Display Name *Engraftment-Pre Transplant Evaluation
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)
IP Orderable Yes
OP Orderable Yes
AOEs *

AP AOEs

    
    
    
    
    
    
Special History No 
 
    
Build Comments

    
Filter *genetics

    
Procedure Category Change



    
    
    
    
Cerner Results


    
        

    
Result DescResult displayResult PDM

        

    VNTR
    Engraftment Pre
    
    5910039
    

        

        



            
         
    

    
    
Actual Epic build

    

        
                  

            
                Procedure Id
            
            
                115265
            
        

            

            
                Pdm
            
            
                5910039
            
        

            

            
                Order Display Name
            
            
                Engraftment-Pre Transplant Evaluation
            
        

            

            
                Procedure Name
            
            
                ENGRAFTMENT PRE
            
        

            

            
                Procedure Master Number
            
            
                LAB11464
            
        

            

            
                Short Procedure Name
            
            
                ENGRAFTMENT PRE
            
        

            

            
                Category Code
            
            
                5.0
            
        

            

            
                Category Code Record Name
            
            
                LAB BLOOD BANK TEST ORDERABLES
            
        

            

            
                Synonyms
            
            
                CHIMERISM
VNTR
            
        

            

            
                Clinically Active
            
            
                
            
        

            

            
                Orderable
            
            
                
            
        

            

            
                Performable
            
            
                
            
        

            

            
                Filter Genomics
            
            
                Not a Genomics Procedure
            
        

            

            
                Reference Link Url
            
            
                https://labs.northwell.edu/epic/test/115265
            
        

            

            
                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
Blood, Cord
            
        

            

            
                Specimen Source Default - Male
            
            
                
            
        

            

            
                Specimen Source Default - Female
            
            
                
            
        

            

            
                Specimen Source List
            
            
                
            
        

            

            
                Op Specimen Source List
            
            
                
            
        

            

            
                Ip Lab Test Components For Report
            
            
                
            
        

            

            
                Op Lab Test Components For Report
            
            
                
            
        

            

            
                Order Questions
            
            
                ["3046700020", "3046700021", "3046700022", "3046700025", "3046700024", "3046700023", "30468000021", "3045300060"]
            
        

            

            
                Order Questions Record Name
            
            
                
            
        

            

            
                Inpatient Order Questions
            
            
                ["3046700020", "3046700021", "3046700022", "3046700025", "3046700024", "3046700023", "30468000021", "3045300060"]
            
        

            

            
                Inpatient Order Questions Record Name
            
            
                
            
        

            

            
                Order Specific Question Override
            
            
                
            
        

            

            
                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
            
            
                NH IP DATE OF SURGERY/TRANSFUSION
NH IP HISTORY OF TRANSFUSION
NH IP HX PRIOR TRANSFUSION RXN
NH IP TRANSPLANT
NH IP PREGANT 3 MONTHS
NH IP HX RH IMM GLOB
NH IP ADDITIONAL INFORMATION 
NH IP BLOOD BANK PROVIDER CONTACT
            
        

            

            
                Edp Ip Order Specific Questions Record Name
            
            
                NH IP DATE OF SURGERY/TRANSFUSION
NH IP HISTORY OF TRANSFUSION
NH IP HX PRIOR TRANSFUSION RXN
NH IP TRANSPLANT
NH IP PREGANT 3 MONTHS
NH IP HX RH IMM GLOB
NH IP ADDITIONAL INFORMATION 
NH IP BLOOD BANK PROVIDER CONTACT
            
        

            

            
                Edp Ip Specimen Source
            
            
                
            
        

            

            
                Edp Op Specimen Source
            
            
                
            
        

            

            
                Edp Ip Specimen Type
            
            
                
            
        

            

            
                Edp Op Specimen Type
            
            
                Blood

            
        

            

            
                Derived Edp Ip Buttons S
            
            
                
            
        

            

            
                Derived Edp Ip Buttons T
            
            
                
            
        

            

            
                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

        

    3045300060
    NH IP BLOOD BANK PROVIDER CONTACT
    Ordering Provider's Pager/Contact #
    Free Text
    
    No
    

        

    3046700020
    NH IP DATE OF SURGERY/TRANSFUSION
    Scheduled Date of Surg/Transfusion:
    Date
    
    No
    

        

    3046700021
    NH IP HISTORY OF TRANSFUSION
    History of Transfusion in last 3 Months?
    Custom List
    Yes

No

Unknown		
    Yes
    

        

    3046700022
    NH IP HX PRIOR TRANSFUSION RXN
    History of Prior Transfusion Reaction?
    Custom List
    Yes

No

Unknown		
    Yes
    

        

    3046700023
    NH IP HX RH IMM GLOB
    History of Rh Immune Glob in Last 3 Mos?
    Custom List
    Yes

No

Unknown		
    Yes
    

        

    3046700024
    NH IP PREGANT 3 MONTHS
    History of Pregnancy in Last 3 Months?
    Custom List
    Yes

No

Unknown		
    Yes
    

        

    3046700025
    NH IP TRANSPLANT
    Has Patient Received a Transplant?
    Custom List
    Yes

No

Unknown		
    Yes
    

        

    30468000021
    NH IP ADDITIONAL INFORMATION 
    Additional Information
    Free Text
    
    No
    

        

        

    
EPIC IP AOEs


    
        

    
Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response

        

    3045300060
    NH IP BLOOD BANK PROVIDER CONTACT
    Ordering Provider's Pager/Contact #
    Free Text
    
    No
    

        

    3046700020
    NH IP DATE OF SURGERY/TRANSFUSION
    Scheduled Date of Surg/Transfusion:
    Date
    
    No
    

        

    3046700021
    NH IP HISTORY OF TRANSFUSION
    History of Transfusion in last 3 Months?
    Custom List
    Yes

No

Unknown		
    Yes
    

        

    3046700022
    NH IP HX PRIOR TRANSFUSION RXN
    History of Prior Transfusion Reaction?
    Custom List
    Yes

No

Unknown		
    Yes
    

        

    3046700023
    NH IP HX RH IMM GLOB
    History of Rh Immune Glob in Last 3 Mos?
    Custom List
    Yes

No

Unknown		
    Yes
    

        

    3046700024
    NH IP PREGANT 3 MONTHS
    History of Pregnancy in Last 3 Months?
    Custom List
    Yes

No

Unknown		
    Yes
    

        

    3046700025
    NH IP TRANSPLANT
    Has Patient Received a Transplant?
    Custom List
    Yes

No

Unknown		
    Yes
    

        

    30468000021
    NH IP ADDITIONAL INFORMATION 
    Additional Information
    Free Text
    
    No
    

        

        

    
EPIC Components (results)


    
        

    
Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM

        

    3047802305.0
    ENGRAFTMENT PRE
    ENGRAFPRE
    ENGRAFTMENT PRE
    
    5910039