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Free Thyroxine by Equilibrium Dialysis

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms
Cerner Primary MnemonicFree T4 Dialysis
EPIC Display NameFree Thyroxine by Equilibrium Dialysis
Allscripts (AEHR) Order Name

Free Thyroxine by Equilibrium Dialysis

Sunrise Clinical Manager (SCM) Order Name

Free Thyroxine by Equilibrium Dialysis

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results Free T4 Dialysis
T4, Total
FT4 Dialysis
Clinical Info

Specimen Type

Blood

Container

Red Top Tube

Collection Instructions

Container/Tube:  Gold-top tube(s) or Red-to tube(s)
Specimen:  1 mL of serum ( 0.5 mL min)
Transport Temperature:  Freeze
-

Transport Instructions

Freeze

Specimen Stability

Methodology

Direct dialysis mass spectrometry; high-pressure liquid chromatography/mass spectrometry (HPLC/MS)
 

Days Performed

Tuesday, Friday

Performing Laboratory

Labcorp-Esoterix

CPT

84439

PDM

5910668

Desired Epic Build Free Thyroxine by Equilibrium Dialysis

Cerner Primary Mnemonic: Free T4 Dialysis
PDM 5910668
Informatics - WorkgroupChemistry
Synonyms *
Display Name *Free Thyroxine by Equilibrium Dialysis
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 *
Procedure Category Change
Cerner Results

Result DescResult displayResult PDM
FT4DIALX Free T4 Dialysis 5910670
T4TOT T4, Total 5910671
FT4DIAL FT4 Dialysis 5910668

Actual Epic build

Procedure Id 172753
Pdm 5910668
Order Display Name Free Thyroxine by Equilibrium Dialysis
Procedure Name T4, FREE, DIRECT DIALYSIS
Procedure Master Number LAB3037
Short Procedure Name T4, FREE, DIRECT DIALYSIS
Category Code 1.0
Category Code Record Name LAB BLOOD ORDERABLES
Synonyms
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics
Reference Link Url https://labs.northwell.edu/epic/test/172753
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
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, Capillary Blood, Venous Blood, Central Line Blood, Arterial
Derived Edp Ip Buttons T Blood
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
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 IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3047800500.0 FREE T4 DIALYSIS RESULT FREET4DIAL FREE T4 DIALYSIS 5910670
3047800691.0 T4, SERUM T4TOTAL T4 TOTAL 5910671
3047802525.0 FT4 DIALYSIS FT4DIALYS FT4 DIALYSIS 5910668