EPIC Test Compendium Alpha
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Ganglioside Antibodies

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	GM1 Panel
Cerner Primary Mnemonic	Ganglioside Antibodies
EPIC Display Name	Ganglioside Antibodies
Allscripts (AEHR) Order Name	Ganglioside Antibodies
Sunrise Clinical Manager (SCM) Order Name	Ganglioside Antibodies
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	GM1ABGM GM2ABGM GM1ASIALOGM GD1AABGM GD1BABGM GQ1BABGM
Clinical Info	May be useful in the comprehensive evaluation of patients with autoimmune neuropathies. Test by itself is not diagnostic and should be used in conjunction with other clinical parameters to confirm disease.
Specimen Type	Blood
Container	Gold Top Tube
Collection Instructions	Container/Tube: Gold Top Tube Specimen: 0.3 mL serum (0.1 mL min) Transport Temperature: Refrigerated Stability: 14 Days Refrigerated 1 Year Frozen Unacceptable Room Temperature
Transport Instructions	Refrigerated
Specimen Stability	14 Days Refrigerated 1 Year Frozen Unacceptable Room Temperature
Methodology	Semi-Quantitative Enzyme-Linked Immunosorbent Assay
Days Performed
Performing Laboratory	ARUP Laboratories
CPT	83516 x 6
PDM	5903910

Desired Epic Build Ganglioside Antibodies

Cerner Primary Mnemonic:

Ganglioside Antibodies

PDM

5903910

Informatics - Workgroup

Chemistry

Synonyms *

GM1 Panel

Display Name *

Ganglioside Antibodies

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)

May be useful in the comprehensive evaluation of patients with autoimmune neuropathies. Test by itself is not diagnostic and should be used in conjunction with other clinical parameters to confirm disease.

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
GM1ABGM	GM1ABGM	5903910B
GM2ABGM	GM2ABGM	5903910C
GM1ASIALOGM	GM1ASIALOGM	5903910A
GD1AABGM	GD1AABGM	5903910D
GD1BABGM	GD1BABGM	5903910E
GQ1BABGM	GQ1BABGM	5903910F

Current Actual EPIC Build as of 10/28/2024

Procedure Id

169662

Pdm

5903910

Order Display Name

Ganglioside Antibodies

Procedure Name

GANGLIOSIDE (GM1) ANTIBODIES

Procedure Master Number

LAB10021

Short Procedure Name

GANGLIOSIDE (GM1) ANTIBODIES

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

GM1 PANEL

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/169662

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, Central Line Blood, Arterial Blood, Capillary

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, 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

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
3048100177	GM1 ANTIBODIES, IGG/IGM	GM1ABIGIGM	GM1 AB IGG IGM	5903910B
3048100178	GM2 ANTIBODIES, IGG/IGM	GM2ABIGIGM	GM2 AB IGG IGM	5903910C
3048100176	ASIALO-GM1 ANTIBODIES, IGG/IGM	ASGM1ABIGIGM	AS GM1 AB IGG IGM	5903910A
3048100179	GD1A ANTIBODIES, IGG/IGM	GD1AABIGIGM	GD1A AB IGG IGM	5903910D
3048100180	GD1B ANTIBODIES, IGG/IGM	GD1BABIGIGM	GD1B AB IGG IGM	5903910E
3048100181	GQ1B ANTIBODIES, IGG/IGM	GQ1BABIGIGM	GQ1B AB IGG IGM	5903910F

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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Ganglioside Antibodies

Test Catalog Information

Desired Epic Build Ganglioside Antibodies

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.