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Random Urine, Glucotetrasaccharides

Test Catalog Information

Test Catalog Synonyms	HEX4 Glucose tetrasacchrides Hexose tetrasaccharides Glc4
EPIC Synonyms	GLUTETSACU Hexose tetrasaccharides Glucose tetrasacchrides HEX4
Cerner Primary Mnemonic	Glucotetrasaccharides, Urine
EPIC Display Name	Random Urine, Glucotetrasaccharides
Allscripts (AEHR) Order Name	Glucotetrasaccharides, Urine
Sunrise Clinical Manager (SCM) Order Name	Glucotetrasaccharides, Random, Urine
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	Glucotetrasaccharides, U REVIEW BY REF REASON Intepretation (HEX4)
Clinical Info	Diagnosing Pompe disease, when used in conjunction with acid alpha-glucosidase enzyme activity assays and molecular genetic analysis of the GAA gene Monitoring Pompe patients on enzyme replacement therapy May support the diagnosis and monitoring of other glycogen storage disorders; however, glucotetrasaccharide (Glc4) excretion appears to be less consistently elevated in glycogen storage disorders other than Pompe disease This test is not useful for carrier screening
Specimen Type	Urine
Container	Urine Tube
Collection Instructions	Container/Tube: Plastic Urine Collection Tube Specimen: 3 mL Random Urine (1mL min)
Transport Instructions	Refrigerated
Specimen Stability	14 Days Room Temperature 28 Days Refrigerated 87 Days Frozen
Methodology	Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS)
Days Performed	TAT: 5-11 Days
Performing Laboratory	Mayo Medical Laboratories
CPT	82542 82570
PDM	215299

Desired Epic Build Random Urine, Glucotetrasaccharides

Cerner Primary Mnemonic:

Glucotetrasaccharides, Urine

PDM

215299

Informatics - Workgroup

Endocrine

Synonyms *

GLUTETSACU
Hexose tetrasaccharides
Glucose tetrasacchrides
HEX4

Display Name *

Random Urine, Glucotetrasaccharides

Order Entry Specimen Sources *

Order Entry Specimen Types

Urine

Specimen Navigator Specimen Types

Specimen Navigator Specimen Sources

Specimen Navigator Short Name

Ordering info (EPIC SmartText)

Diagnosing Pompe disease, when used in conjunction with acid alpha-glucosidase enzyme activity assays and molecular genetic analysis of the GAA gene Monitoring Pompe patients on enzyme replacement therapy May support the diagnosis and monitoring of other glycogen storage disorders; however, glucotetrasaccharide (Glc4) excretion appears to be less consistently elevated in glycogen storage disorders other than Pompe disease This test is not useful for carrier screening

IP Orderable

Yes

OP Orderable

Yes

AOEs *

AOE PDM	AOE Display	AOE Description	Prompt
5912694A	REF REASON	Reason for Referral	X

AP AOEs

Special History

Build Comments

Filter *

Procedure Category Change

Cerner Results

Result Desc	Result display	Result PDM
GLUTETSACU	Glucotetrasaccharides, U	215299A
REVIEW BY	REVIEW BY	5912694G
REF REASON	REF REASON	5912694A
INTRP	Intepretation (HEX4)	215299B

Current Actual EPIC Build as of 10/28/2024

Procedure Id

115685

Pdm

215299

Order Display Name

Random Urine, Glucotetrasaccharides

Procedure Name

GLUCOTETRASACCHARIDES, RANDOM, URINE

Procedure Master Number

LAB11693

Short Procedure Name

GLUCOTETRASACCHARIDES, RANDOM, URINE

Category Code

6.0

Category Code Record Name

LAB URINE ORDERABLES

Synonyms

GLUTETSACU HEXOSE TETRASACCHARIDES GLUCOSE TETRASACCHRIDES HEX4

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/115685

Ordering Instructions

Default Specimen Type

Urine

Specimen Type Pick List

Urine

Specimen Type List

Op Specimen Type List

Specimen Source Pick List

Urine, Catheter Urine, Voided Urine, Foley Urine, Clean Catch Kidney, Left Kidney, Right Ureter, Left Ureter, Right Bladder

Specimen Source Default - Male

Urine, Clean Catch

Specimen Source Default - Female

Urine, Clean Catch

Specimen Source List

Op Specimen Source List

Ip Lab Test Components For Report

Op Lab Test Components For Report

Order Questions

["3048100000"]

Order Questions Record Name

NH IP REASON FOR REFERRAL

Inpatient Order Questions

["3048100000"]

Inpatient Order Questions Record Name

NH IP REASON FOR REFERRAL

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

Edp Ip Order Specific Questions Record Name

Edp Ip Specimen Source

Urine, Clean Catch Catheter

Edp Op Specimen Source

Edp Ip Specimen Type

Edp Op Specimen Type

Urine

Derived Edp Ip Buttons S

Urine, Clean Catch

Derived Edp Ip Buttons T

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
3048100000	NH IP REASON FOR REFERRAL	Reason for Referral	Custom List	Rule out Pompe disease Rule out GSDs other than Pompe disease Follow-up of abnormal newborn screening Follow-up of known Pompe patient Not provided	No

EPIC IP AOEs

Question ID	Question Name	Question	Response Type	Response List	Require Response
3048100000	NH IP REASON FOR REFERRAL	Reason for Referral	Custom List	Rule out Pompe disease Rule out GSDs other than Pompe disease Follow-up of abnormal newborn screening Follow-up of known Pompe patient Not provided	No

EPIC Components (results)

Component ID	Component Name	Base Name	Common Name	Cerner Result PDM
3047802617	GLUCOTETRASACCHARIDES, U	GLUCTETU	GLUCOTETRASACCHARIDES, U	215299A
3047805637	REVIEWED BY MPS	REVIEWEDBY	REVIEWEDBY, MPS	5912694G
3047804462	REASON FOR REFERRAL	RSNREF	REASON FOR REFERRAL	5912694A
3047803084	INTEPRETATION (HEX4)	INTERP	INTEPRETATION HEX4	215299B

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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Random Urine, Glucotetrasaccharides

Test Catalog Information

Desired Epic Build Random Urine, Glucotetrasaccharides

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.