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Food Allergy Panel with Reflex

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	Food Allergy Panel w/Reflex FOODX RFOODX
Cerner Primary Mnemonic	Food Allergy Panel w/Reflex
EPIC Display Name	Food Allergy Panel with Reflex
Allscripts (AEHR) Order Name	Food Allergy Panel with Reflex
Sunrise Clinical Manager (SCM) Order Name	Food Allergy Panel with Reflex
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	Peanuts (f13) Conc Soybean (f14) Class Hazel Nut (f17) Class Brazil Nut (f18) Conc Cashew Nut (f202) Class Cashew Nut (f202) Conc Fish, Cod (f3) Class Tuna (f40) Conc ImmunoCAP Total IgE Sesame Seed (f10) Class Wheat (f4) Class Scallop (f338) Class Salmon (f41) Conc Soybean (f14) Conc Tuna (f40) Class Salmon (f41) Class Egg White (f1) Class Shrimp (f24) Conc Walnut (f256) Conc Milk (f2) Conc Wheat (f4) Conc Peanuts (f13) Class Brazil Nut (f18) Class Egg White (f1) Conc Walnut (f256) Class Hazel Nut (f17) Conc Almond (f20) Class Scallop (f338) Conc Sesame Seed (f10) Conc Almond (f20) Conc Fish, Cod (f3) Conc Shrimp (f24) Class Milk (f2) Class
Clinical Info
Specimen Type	Blood
Container	Gold Top Tube
Collection Instructions	Specimen Volume: 3.0 mL (minimum volume: 2.0 mL) of serum
Transport Instructions	Refrigerate
Specimen Stability
Methodology	ImmunoCAP Fluorescence Enzyme Immunoassay This panel includes: • Total Immunoglobulin E (IgE) • Egg white (f1) • Milk (f2) • Wheat (f4) • Peanut (f13) • Soybean (f14) • Cod Fish (f3) • Sesame Seed (f10) • Hazel Nut (f17) • Brazil Nut (f18) • Almond (f20) • Shrimp (f24) • Tuna (f40) • Salmon (f41) • Cashew Nut (f202) • Walnut (f256) • Scallop (f338) If the concentration of Egg White (f1), Milk (f2), Peanut (f13), Soybean (f14), Hazel Nut (f17), Brazil Nut (f18), Cashew Nut (f202), Walnut (f256), Wheat (f4), and/or Sesame Seed (f10) is >= 0.10 kUA/L, the corresponding individual molecular allergen components will be added.
Days Performed	Momday - Friday
Performing Laboratory	Northwell Health Laboratories
CPT	86003 - each whole allergen 86008 - each allergen component
PDM	1553500

Desired Epic Build Food Allergy Panel with Reflex

Cerner Primary Mnemonic:

Food Allergy Panel w/Reflex

PDM

1553500

Informatics - Workgroup

Allergy

Synonyms *

Food Allergy Panel w/Reflex
FOODX
RFOODX

Display Name *

Food Allergy Panel with Reflex

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
F13CONC	Peanuts (f13) Conc	5710065
F14CLASS	Soybean (f14) Class	5710091
F17CLASS	Hazel Nut (f17) Class	5710181
F18CONC	Brazil Nut (f18) Conc	5710175
F202CLASS	Cashew Nut (f202) Class	5710146
F202CONC	Cashew Nut (f202) Conc	5710145
F3CLASS	Fish, Cod (f3) Class	5710101
F40CONC	Tuna (f40) Conc	5710195
RIGE	ImmunoCAP Total IgE	5710011
F10CLASS	Sesame Seed (f10) Class	5710206
F4CLASS	Wheat (f4) Class	5710096
F338CLASS	Scallop (f338) Class	5710802
F41CONC	Salmon (f41) Conc	5710791
F14CONC	Soybean (f14) Conc	5710090
F40CLASS	Tuna (f40) Class	5710196
F41CLASS	Salmon (f41) Class	5710792
F1CLASS	Egg White (f1) Class	5710086
F24CONC	Shrimp (f24) Conc	5710080
F256CONC	Walnut (f256) Conc	5710075
F2CONC	Milk (f2) Conc	5710012
F4CONC	Wheat (f4) Conc	5710095
F13CLASS	Peanuts (f13) Class	5710066
F18CLASS	Brazil Nut (f18) Class	5710176
F1CONC	Egg White (f1) Conc	5710085
F256CLASS	Walnut (f256) Class	5710076
F17CONC	Hazel Nut (f17) Conc	5710180
F20CLASS	Almond (f20) Class	5710136
F338CONC	Scallop (f338) Conc	5710801
F10CONC	Sesame Seed (f10) Conc	5710205
F20CONC	Almond (f20) Conc	5710135
F3CONC	Fish, Cod (f3) Conc	5710100
F24CLASS	Shrimp (f24) Class	5710081
F2CLASS	Milk (f2) Class	5710013

Actual Epic build

Procedure Id

172759

Pdm

1553500

Order Display Name

Food Allergy Panel with Reflex

Procedure Name

FOOD ALLERGY PROFILE

Procedure Master Number

LAB3040

Short Procedure Name

FOOD ALLERGY PROFILE

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

FOOD ALLERGY PANEL W/REFLEX FOODX RFOODX

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/172759

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

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
3047803999.0	PEANUTS (F13) CONC	PEANUT	PEANUTS (F13) CONC	5710065
3047804782.0	SOYBEAN (F14) CLASS	SOYBEAN	SOYBEAN (F14) CLASS	5710091
3047802702.0	HAZEL NUT (F17) CLASS	HAZELNUT	HAZEL NUT (F17) CLASS	5710181
3047801427.0	BRAZIL NUT (F18) CONC	BRAZILNUT	BRAZIL NUT (F18) CONC	5710175
3047801657.0	CASHEW NUT (F202) CLASS	CASHEW	CASHEW NUT (F202) CLASS	5710146
3047801658.0	CASHEW NUT (F202) CONC	CASHEW	CASHEW NUT (F202) CONC	5710145
3047802473.0	FISH, COD (F3) CLASS	COD	FISH, COD (F3) CLASS	5710101
3047805136.0	TUNA (F40) CONC	TUNA	TUNA (F40) CONC	5710195
3047803047.0	IMMUNOCAP TOTAL IGE	IMMUNOCAP	IMMUNOCAP TOTAL IGE	5710011
3047804713.0	SESAME SEED (F10) CLASS	SESAMESEED	SESAME SEED (F10) CLASS	5710206
3047805272.0	WHEAT (F4) CLASS	WHEAT	WHEAT (F4) CLASS	5710096
3047804664.0	SCALLOP (F338) CLASS	SCALLOP	SCALLOP (F338) CLASS	5710802
3047804649.0	SALMON (F41) CONC	SALMON	SALMON (F41) CONC	5710791
3047804783.0	SOYBEAN (F14) CONC	SOYBEAN	SOYBEAN (F14) CONC	5710090
3047805135.0	TUNA (F40) CLASS	TUNA	TUNA (F40) CLASS	5710196
3047804648.0	SALMON (F41) CLASS	SALMON	SALMON (F41) CLASS	5710792
3048100016.0	EGG WHITE CLASS	EGGWHTCL	EGG WHITE CL	5710086
3047804733.0	SHRIMP (F24) CONC	SHRIMP	SHRIMP (F24) CONC	5710080
3047805252.0	WALNUT (F256) CONC	WALNUT	WALNUT (F256) CONC	5710075
3047803526.0	MILK (F2) CONC	MILK	MILK (F2) CONC	5710012
3047805273.0	WHEAT (F4) CONC	WHEAT	WHEAT (F4) CONC	5710095
3047803998.0	PEANUTS (F13) CLASS	PEANUT	PEANUTS (F13) CLASS	5710066
3047801426.0	BRAZIL NUT (F18) CLASS	BRAZILNUT	BRAZIL NUT (F18) CLASS	5710176
3048100015.0	ALLERGEN - EGG WHITE	EGGWHT	ALL EGG WHITE	5710085
3047805251.0	WALNUT (F256) CLASS	WALNUT	WALNUT (F256) CLASS	5710076
3047802703.0	HAZEL NUT (F17) CONC	HAZELNUT	HAZEL NUT (F17) CONC	5710180
3047800917.0	ALMOND (F20) CLASS	ALMOND	ALMOND (F20) CLASS	5710136
3047804665.0	SCALLOP (F338) CONC	SCALLOP	SCALLOP (F338) CONC	5710801
3047804714.0	SESAME SEED (F10) CONC	SESAMESEED	SESAME SEED (F10) CONC	5710205
3047800918.0	ALMOND (F20) CONC	ALMOND	ALMOND (F20) CLASS	5710135
3047802474.0	FISH, COD (F3) CONC	COD	FISH, COD (F3) CONC	5710100
3047804732.0	SHRIMP (F24) CLASS	SHRIMP	SHRIMP (F24) CLASS	5710081
3047803525.0	MILK (F2) CLASS	MILK	MILK (F2) CLASS	5710013

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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Food Allergy Panel with Reflex

Test Catalog Information

Desired Epic Build Food Allergy Panel with Reflex

Actual Epic build

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.