EPIC Test Compendium Alpha
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Pollen Allergen Panel

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	RPOLLEN
Cerner Primary Mnemonic	Pollen Allergy Panel
EPIC Display Name	Pollen Allergen Panel
Allscripts (AEHR) Order Name	Pollen Allergen Panel
Sunrise Clinical Manager (SCM) Order Name	Pollen Allergy Panel
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	Redtop, Bentgrass (g9) Class Giant Ragweed (w3) Conc Cedar (Rt212) Class Giant Ragweed (w3) Class Oak Tree (t7) Class Box-Elder/Maple Tree (t1) Conc Common Silver Birch (t3) Conc Hickory (t22) Conc June Grass (g8) Class Common Ragweed (w1) Conc Hickory (t22) Conc June Grass (g8) Conc Timothy Grass (g6) Class Timothy Grass (g6) Conc Hickory (t22) Class Orchard Grass (g3) Class Redtop, Bentgrass (g9) Conc Common Ragweed (w1) Class Common Silver Birch (t3) Class Cedar (Rt212) Conc Box-Elder/Maple Tree (t1) Class Orchard Grass (g3) Conc Oak Tree (t7) Conc
Clinical Info
Specimen Type	Blood
Container	Gold Top Tube
Collection Instructions	Container/Tube: Gold-top tube(s) or plain, red-top tube(s) Specimen: 0.1.5 mL (minimum volume: 0.7 mL) of serum Transport Temperature: Refrigerate Collection Instructions: Note: Each additional allergen requires 0.1 mL of serum.
Transport Instructions	Refrigerate
Specimen Stability
Methodology	ImmunoCAP® System Fluorescence Enzyme Immunoassay (FEIA) Includes; orchard grass (g30); timothy grass (g6); meadow/kentucky blue/june grass (g8); red top grass (g9); maple (box elder) (t1); birch (t3); oak (t7); hickory, pecan (t122); cedar (Rt212); common ragweed (w1); giant ragweed (w3)
Days Performed	Monday - Friday
Performing Laboratory	Northwell Health Laboratories
CPT	86003 - each
PDM	135302005

Desired Epic Build Pollen Allergen Panel

Cerner Primary Mnemonic:

Pollen Allergy Panel

PDM

135302005

Informatics - Workgroup

Allergy

Synonyms *

RPOLLEN

Display Name *

Pollen Allergen Panel

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

Build Comments

Filter *

Procedure Category Change

Cerner Results

Result Desc	Result display	Result PDM
G9CLASS	Redtop, Bentgrass (g9) Class	5710331
W3CONC	Giant Ragweed (w3) Conc	5710200
RT212CLASS	Cedar (Rt212) Class	5718032
W3CLASS	Giant Ragweed (w3) Class	5710201
T7CLASS	Oak Tree (t7) Class	5710008
T1CONC	Box-Elder/Maple Tree (t1) Conc	5710004
T3CONC	Common Silver Birch (t3) Conc	5710150
T22CONC	Hickory (t22) Conc	57180410
G8CLASS	June Grass (g8) Class	5710456
W1CONC	Common Ragweed (w1) Conc	5710020
T22CONC	Hickory (t22) Conc	5718041
G8CONC	June Grass (g8) Conc	5710455
G6CLASS	Timothy Grass (g6) Class	5710036
G6CONC	Timothy Grass (g6) Conc	5710035
T22CLASS	Hickory (t22) Class	5718042
G3CLASS	Orchard Grass (g3) Class	5710401
G9CONC	Redtop, Bentgrass (g9) Conc	5710330
W1CLASS	Common Ragweed (w1) Class	5710021
T3CLASS	Common Silver Birch (t3) Class	5710151
RT212CONC	Cedar (Rt212) Conc	5718031
T1CLASS	Box-Elder/Maple Tree (t1) Class	5710005
G3CONC	Orchard Grass (g3) Conc	5710400
T7CONC	Oak Tree (t7) Conc	5710007

Current Actual EPIC Build as of 10/28/2024

Procedure Id

136333

Pdm

135302005

Order Display Name

Pollen Allergen Panel

Procedure Name

POLLEN ALLERGY PANEL

Procedure Master Number

LAB12316

Short Procedure Name

POLLEN ALLERGY PANEL

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

RPOLLEN

Clinically Active

Yes

Orderable

Yes

Performable

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/136333

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

Blood, Venous Blood, Central Line Blood, Arterial Blood, Capillary

Op Specimen Source List

Ip Lab Test Components For Report

Op Lab Test Components For Report

Order Questions

[]

Order Questions Record Name

Inpatient Order Questions

[]

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

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, Central Line Blood, Venous Blood, Capillary 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

EPIC IP AOEs

EPIC Components (results)

Component ID	Component Name	Base Name	Common Name	Cerner Result PDM
3047804470	REDTOP, BENTGRASS (G9) CLASS	REDBNTGRS	REDTOP, BENTGRASS G9 CLASS	5710331
3047802587	GIANT RAGWEED (W3) CONC	GIANTRAGWEED	GIANT RAGWEED W3 CONC	5710200
3047801700	CEDAR (RT212) CLASS	CEDAR	CEDAR RT212 CLASS	5718032
3047802586	GIANT RAGWEED (W3) CLASS	GIANTRAGWEED	GIANT RAGWEED W3 CLASS	5710201
3047803832	OAK TREE (T7) CLASS	OAKCL	OAK TREE T7 CLASS	5710008
3047801421	BOX-ELDER/MAPLE TREE (T1) CONC	BOXELDERMAPL	BOX ELDER MAPLE TREE T1 CONC	5710004
3047801949	COMMON SILVER BIRCH (T3) CONC	BIRCH	COMMON SILVER BIRCH T3 CONC	5710150
3047802812	HICKORY (T22) CONC	HICKORY	HICKORY T22 CONC	57180410
3047803159	JUNE GRASS (G8) CLASS	JUNEGRASS	JUNE GRASS G8 CLASS	5710456
3047801947	COMMON RAGWEED (W1) CONC	RAGWEED	COMMON RAGWEED W1 CONC	5710020
				5718041
3047803160	JUNE GRASS (G8) CONC	JUNEGRASS	JUNE GRASS G8 CONC	5710455
3047804989	TIMOTHY GRASS (G6) CLASS	TIMGRASS	TIMOTHY GRASS G6 CLASS	5710036
3047804990	TIMOTHY GRASS (G6) CONC	TIMGRASS	TIMOTHY GRASS G6 CONC	5710035
3047802811	HICKORY (T22) CLASS	HICKORY	HICKORY T22 CLASS	5718042
3047803879	ORCHARD GRASS (G3) CLASS	ORCHGRASSCL	ORCHARD GRASS G3 CLASS	5710401
3047804471	REDTOP, BENTGRASS (G9) CONC	REDBNTGRS	REDTOP, BENTGRASS G9 CONC	5710330
3047801946	COMMON RAGWEED (W1) CLASS	RAGWEED	COMMON RAGWEED W1 CLASS	5710021
3047801948	COMMON SILVER BIRCH (T3) CLASS	BIRCH	COMMON SILVER BIRCH T3 CLASS	5710151
3047801701	CEDAR (RT212) CONC	CEDAR	CEDAR RT212 CONC	5718031
3047801420	BOX-ELDER/MAPLE TREE (T1) CLASS	BOXELDERMAPL	BOX ELDER MAPLE TREE T1 CLASS	5710005
3047803880	ORCHARD GRASS (G3) CONC	ORCHGRASSCNC	ORCHARD GRASS G3 CONC	5710400
3047803833	OAK TREE (T7) CONC	OAKCNC	OAK TREE T7 CONC	5710007

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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Pollen Allergen Panel

Test Catalog Information

Desired Epic Build Pollen Allergen Panel

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.