EPIC Test Compendium Alpha
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Mold Allergen Panel

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	Mold Profile IgE Mold Profile RAST
Cerner Primary Mnemonic	Molds Panel
EPIC Display Name	Mold Allergen Panel
Allscripts (AEHR) Order Name	Mold Profile IgE
Sunrise Clinical Manager (SCM) Order Name	Mold Profile RAST
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	Mold (Penicillium Notatum) (m1) Class Mold (Alternaria Alternata) (m6) Conc Mold (Penicillium Notatum) (m1) Conc Mold (Cladosporium) (m2) Class Mold (Asperg Fumigatus) (m3) Class Mold (Asperg Fumigatus) (m3) Conc Mold (Cladosporium) (m2) Conc Mold (Alternaria Alternata) (m6) Class Mold (Helminth Halodes) (m8) Class Mold (Helminth Halodes) (m8) 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: 0.5 mL (minimum volume: 0.2 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 mold (Alternaria alternata) (m6), mold (Aspergillus fumigatus) (m3), mold (Cladosporium herbarum) (m2), mold (Helminthosporium halodes) (m8), mold (Penicillium notatum) (m1).
Days Performed	Monday - Friday
Performing Laboratory	Northwell Health Laboratories
CPT	86003 - each
PDM	5710530

Desired Epic Build Mold Allergen Panel

Cerner Primary Mnemonic:

Molds Panel

PDM

5710530

Informatics - Workgroup

Allergy

Synonyms *

Mold Profile IgE
Mold Profile RAST

Display Name *

Mold 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
M1CLASS	Mold (Penicillium Notatum) (m1) Class	5710171
M6CONC	Mold (Alternaria Alternata) (m6) Conc	5710055
M1CONC	Mold (Penicillium Notatum) (m1) Conc	5710170
M2CLASS	Mold (Cladosporium) (m2) Class	5710041
M3CLASS	Mold (Asperg Fumigatus) (m3) Class	5710111
M3CONC	Mold (Asperg Fumigatus) (m3) Conc	5710110
M2CONC	Mold (Cladosporium) (m2) Conc	5710040
M6CLASS	Mold (Alternaria Alternata) (m6) Class	5710056
M8CLASS	Mold (Helminth Halodes) (m8) Class	5710371
M8CONC	Mold (Helminth Halodes) (m8) Conc	5710370

Current Actual EPIC Build as of 10/28/2024

Procedure Id

172849

Pdm

5710530

Order Display Name

Mold Allergen Panel

Procedure Name

ALLERGEN PROFILE, MOLD

Procedure Master Number

LAB3085

Short Procedure Name

ALLERGEN PROFILE, MOLD

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

MOLD PROFILE IGE MOLD PROFILE RAST

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/172849

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, 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
3047803575	MOLD (PENICILLIUM NOTATUM) (M1) CLASS	MOLD	MOLD PENICILLIUM NOTATUM M1 CLASS	5710171
3047803556	MOLD (ALTERNARIA ALTERNATA) (M6) CONC	MOLD	MOLD ALTERNARIA ALTERNATA M6 CONC	5710055
3047803576	MOLD (PENICILLIUM NOTATUM) (M1) CONC	MOLD	MOLD PENICILLIUM NOTATUM M1 CONC	5710170
3047803565	MOLD (CLADOSPORIUM) (M2) CLASS	MOLD	MOLD CLADOSPORIUM M2 CLASS	5710041
3047803557	MOLD (ASPERG FUMIGATUS) (M3) CLASS	MOLD	MOLD ASPERG FUMIGATUS M3 CLASS	5710111
3047803558	MOLD (ASPERG FUMIGATUS) (M3) CONC	MOLD	MOLD ASPERG FUMIGATUS M3 CONC	5710110
3047803566	MOLD (CLADOSPORIUM) (M2) CONC	MOLD	MOLD CLADOSPORIUM M2 CONC	5710040
3047803555	MOLD (ALTERNARIA ALTERNATA) (M6) CLASS	MOLD	MOLD ALTERNARIA ALTERNATA M6 CLASS	5710056
3047803571	MOLD (HELMINTH HALODES) (M8) CLASS	MOLD	MOLD HELMINTH HALODES M8 CLASS	5710371
3047803572	MOLD (HELMINTH HALODES) (M8) CONC	MOLD	MOLD HELMINTH HALODES M8 CONC	5710370

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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Mold Allergen Panel

Test Catalog Information

Desired Epic Build Mold 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.