EPIC Test Compendium Alpha
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Hypersensitivity Pneumonitis Profile

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	Hypersensitivity Pneumonitis Panel Hypersensitivity Panel
Cerner Primary Mnemonic	Hypersensitivity pneumonitis Panel
EPIC Display Name	Hypersensitivity Pneumonitis Profile
Allscripts (AEHR) Order Name	Hypersensitivity Panel
Sunrise Clinical Manager (SCM) Order Name	Hypersensitivity Pneumonitis Panel
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	HS Aspergillus Flavus AB HS Pigeon Serum AB HS Acremonium (Cephalosp) SP HS Faenia Retivirgula Aspergillus fumigatus IgG Trichoderma viride IgG HS Aurebasidium Pullulan AB HS Thermoactinonomyces Candisu HS Aspergillus Niger AB HS Micropolyspora Rectivirgula HS Thermoactinonomyces Sacchar Alternaria tenuis/alternata IgG Phoma betae IgG HS Micropolyspora Faeni Hypersensitivity Panel HS Thermoactinonomyces Vulgari Penicillium Chrysogenum/notatum IgG Aureobasidium pullulans IgG Micropolyspora faeni IgG HS Saccaromonospora Viridus AB Laceyella sacchari IgG HS Aspergillus Fumigatus AB
Clinical Info	Hypersensitivity pneumonitis (HP) or extrinsic allergic alveolitis is a diffuse inflammation of the peripheral airways of the lung. It is caused by repeated inhalation of a variety of organic dust allergens including animal and vegetable products, fungi and bacteria. Frequently the etiologic agents are associated with the patient's occupational environment.
Specimen Type	Blood
Container	Gold Top Tube
Collection Instructions	Container/Tube: Gold top tube Specimen: 0.6 mL serum 0.5 mL min) Transport Temperature: Refrigerated Stability: 5 Days Room Temperature, Refirgerted or Frozen
Transport Instructions	Refrigerated
Specimen Stability	5 Days Room Temperature, Refirgerted or Frozen
Methodology	FEIA Includes: Alternaria tenuis/alternata IgG Aspergillus fumigatus IgG Aureobasidium pullulans IgG Micropolyspora faeni IgG Penicillium Chrysogenum/notatum IgG Phoma betae IgG Thermoactinomyces vulgaris IgG Trichoderma viride IgG
Days Performed	TAT: 3 - 4 Days
Performing Laboratory	Viracor Eurofins Clinical Diagnostics
CPT	86001 x 8
PDM	5900573

Desired Epic Build Hypersensitivity Pneumonitis Profile

Cerner Primary Mnemonic:

Hypersensitivity pneumonitis Panel

PDM

5900573

Informatics - Workgroup

Allergy

Synonyms *

Hypersensitivity Pneumonitis Panel
Hypersensitivity Panel

Display Name *

Hypersensitivity Pneumonitis Profile

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)

Hypersensitivity pneumonitis (HP) or extrinsic allergic alveolitis is a diffuse inflammation of the peripheral airways of the lung. It is caused by repeated inhalation of a variety of organic dust allergens including animal and vegetable products, fungi and bacteria. Frequently the etiologic agents are associated with the patient's occupational environment.

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
HSAFL	HS Aspergillus Flavus AB	5904050
HSPG	HS Pigeon Serum AB	5904100
HSAC	HS Acremonium (Cephalosp) SP	5904143
HSFR	HS Faenia Retivirgula	5904142
ACM3	Aspergillus fumigatus IgG	5900573B
TCM15	Trichoderma viride IgG	5900573H
HSAP	HS Aurebasidium Pullulan AB	5904080
HSTC	HS Thermoactinonomyces Candisu	5904120
HSAN	HS Aspergillus Niger AB	5904070
HSMR	HS Micropolyspora Rectivirgula	5904090
HSTS	HS Thermoactinonomyces Sacchar	5904130
ACM6	Alternaria tenuis/alternata IgG	5900573A
PCM13	Phoma betae IgG	5900573F
HSMF	HS Micropolyspora Faeni	5904141
HSPPRES	Hypersensitivity Panel	5904144
HSTV	HS Thermoactinonomyces Vulgari	5904140
PCM1	Penicillium Chrysogenum/notatum IgG	5900573E
ACM12	Aureobasidium pullulans IgG	5900573C
MCM22	Micropolyspora faeni IgG	5900573D
HSSV	HS Saccaromonospora Viridus AB	5904110
LSACCHARIIGG	Laceyella sacchari IgG	5900573I
HSAFU	HS Aspergillus Fumigatus AB	5904060

Actual Epic build

Procedure Id

56520

Pdm

5900573

Order Display Name

Hypersensitivity Pneumonitis Profile

Procedure Name

HYPERSENSITIVITY PNUEMONITIS PROFILE

Procedure Master Number

LAB1202

Short Procedure Name

HYPERSENSITI

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

HYPERSENSITIVITY PNEUMONITIS PANEL HYPERSENSITIVITY PANEL

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/56520

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
3047802929.0	HS ASPERGILLUS FLAVUS AB	AFLAVUSHS	HS ASPERGILLUS FLAVUS AB	5904050
3047802936.0	HS PIGEON SERUM AB	PIGSERUM	HS PIGEON SERUM AB	5904100
3047802928.0	HS ACREMONIUM (CEPHALOSP) SP	HSACRSP	HS ACREMONIUM (CEPHALOSP) SP	5904143
3047802933.0	HS FAENIA RETIVIRGULA	FAENRETIV	HS FAENIA RETIVIRGULA	5904142
3047801202.0	ASPERGILLUS FUMIGATUS IGG	ASPERFUMIG	ASPERGILLUS FUMIGATUS IGG	5900573B
3047805060.0	TRICHODERMA VIRIDE IGG	TRICHVIR	TRICHODERMA VIRIDE IGG	5900573H
3047802932.0	HS AUREBASIDIUM PULLULAN AB	AUREBPULLAL	HS AUREBASIDIUM PULLULAN AB	5904080
3047802938.0	HS THERMOACTINONOMYCES CANDISU	THERMOCAND	HS THERMOACTINONOMYCES CANDISU	5904120
3047802931.0	HS ASPERGILLUS NIGER AB	ASPERNIGHS	HS ASPERGILLUS NIGER AB	5904070
3047802935.0	HS MICROPOLYSPORA RECTIVIRGULA	MICRORECT	HS MICROPOLYSPORA RECTIVIRGULA	5904090
3047802939.0	HS THERMOACTINONOMYCES SACCHAR	THERMOSACC	HS THERMOACTINONOMYCES SACCHAR	5904130
3047800974.0	ALTERNARIA TENUIS/ALTERNATA IGG	ALTERNARIA	ALTERNARIA ALTERNATA	5900573A
3047804082.0	PHOMA BETAE IGG	PBETAE	PHOMA BETAE IGG	5900573F
3047802934.0	HS MICROPOLYSPORA FAENI	MICROPFAE	HS MICROPOLYSPORA FAENI	5904141
3047802979.0	HYPERSENSITIVITY PANEL	HYPERSENS	HYPERSENSITIVITY PANEL	5904144
3047802940.0	HS THERMOACTINONOMYCES VULGARI	THERMOVULG	HS THERMOACTINONOMYCES VULGARI	5904140
3047804006.0	PENICILLIUM CHRYSOGENUM/NOTATUM IGG	PENCHRYIGG	PENICILLIUM CHRYSOGENUM/NOTATUM IGG	5900573E
3047801216.0	AUREOBASIDIUM PULLULANS IGG	AUREOPULLIGG	AUREOBASIDIUM PULLULANS IGG	5900573C
3047803519.0	MICROPOLYSPORA FAENI IGG	MICROPOLY	MICROPOLYSPORA FAENI IGG	5900573D
3047802937.0	HS SACCAROMONOSPORA VIRIDUS AB	SACCARVIR	HS SACCAROMONOSPORA VIRIDUS AB	5904110
3047803203.0	LACEYELLA SACCHARI IGG	LACEYSACIGG	LACEYELLA SACCHARI IGG	5900573I
3047802930.0	HS ASPERGILLUS FUMIGATUS AB	ASPERFUMIGHS	HS ASPERGILLUS FUMIGATUS AB	5904060

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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Hypersensitivity Pneumonitis Profile

Test Catalog Information

Desired Epic Build Hypersensitivity Pneumonitis Profile

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.