EPIC Test Compendium Alpha
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CL DAT POLY

Test Catalog Information

Test Catalog Synonyms	CL DAT POLY Direct Coombs
EPIC Synonyms
Cerner Primary Mnemonic	zzCL DAT POLY
EPIC Display Name	CL DAT POLY
Allscripts (AEHR) Order Name	Direct Coombs
Sunrise Clinical Manager (SCM) Order Name	Not Orderable
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results
Clinical Info
Specimen Type	Blood
Container	Pink Top Tube
Collection Instructions	Container/Tube: Pink-top (K2 EDTA) tube Specimen: Full tube Transport Temperature: Refrigerate Note: Patient's name, date of birth, date and time of collection and the Initals of the person drawing specimen are required on tube for processing. Serum gel top or Yellow ACD not acceptable
Transport Instructions	Refrigerate
Specimen Stability
Methodology
Days Performed	Sunday through Thursday
Performing Laboratory	Northwell Health Laboratories
CPT	86880
PDM	5930164

Desired Epic Build CL DAT POLY

Cerner Primary Mnemonic:	zzCL DAT POLY
PDM	5930164
Informatics - Workgroup	Blood Bank
Synonyms *
Display Name *	CL DAT POLY
Order Entry Specimen Sources *
Order Entry Specimen Types
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 *
Procedure Category Change
Cerner Results

Current Actual EPIC Build as of 10/28/2024

Procedure Id

117441

Pdm

5930230

Order Display Name

DAT Polyspecific

Procedure Name

DIRECT ANTIGLOBULIN TEST POLYSPECIFIC

Procedure Master Number

LAB10301

Short Procedure Name

DIRECT ANTIGLOBULIN TEST POLYSPECIFIC

Category Code

5.0

Category Code Record Name

LAB BLOOD BANK TEST ORDERABLES

Synonyms

DIRECT COOMBS DAT POLY Direct Antiglobulin Poly Direct Coombs Poly

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/117441

Ordering Instructions

Default Specimen Type

Blood

Specimen Type Pick List

Blood

Specimen Type List

Op Specimen Type List

Specimen Source Pick List

Blood, Venous Blood, Peripheral Blood, Arterial Blood, Central Line

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

["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

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

Op Orderable

EPIC OP AOEs

Question ID	Question Name	Question	Response Type	Response List	Require 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 ID	Question Name	Question	Response Type	Response List	Require 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)

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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CL DAT POLY

Test Catalog Information

Desired Epic Build CL DAT POLY

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.