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Tree Pollen Allergen Panel

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms SEASONAL ALLERGEN,SPRING
RAST
RTREES
TREES PANEL
Cerner Primary MnemonicTrees Panel
EPIC Display NameTree Pollen Allergen Panel
Allscripts (AEHR) Order Name

Tree Pollen IgE

Sunrise Clinical Manager (SCM) Order Name

Tree Pollen RAST

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results White Ash (t15) Class
Cottonwood (t14) Class
White Ash (t15) Conc
Cottonwood (t14) Conc
Elm Tree (t8) Conc
Elm Tree (t8) Class
Box-Elder/Maple Tree (t1) Conc
Common Silver Birch (t3) Conc
Box-Elder/Maple Tree (t1) Class
Common Silver Birch (t3) Class
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 box-elder/maple tree (t1), common silver birch (t3), elm tree (t8), cottonwood (t14), and white ash (t15).

Days Performed

Monday - Friday

Performing Laboratory

Northwell Health Laboratories

CPT

86003 x 5

PDM

5710560

Desired Epic Build Tree Pollen Allergen Panel

Cerner Primary Mnemonic: Trees Panel
PDM 5710560
Informatics - WorkgroupAllergy
Synonyms *SEASONAL ALLERGEN,SPRING
RAST
RTREES
TREES PANEL
Display Name *Tree Pollen 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 No
Build Comments
Filter *
Procedure Category Change
Cerner Results

Result DescResult displayResult PDM
T15CLASS White Ash (t15) Class 5710326
T14CLASS Cottonwood (t14) Class 5710291
T15CONC White Ash (t15) Conc 5710325
T14CONC Cottonwood (t14) Conc 5710290
T8CONC Elm Tree (t8) Conc 5710000
T8CLASS Elm Tree (t8) Class 5710001
T1CONC Box-Elder/Maple Tree (t1) Conc 5710004
T3CONC Common Silver Birch (t3) Conc 5710150
T1CLASS Box-Elder/Maple Tree (t1) Class 5710005
T3CLASS Common Silver Birch (t3) Class 5710151

Current Actual EPIC Build as of 10/28/2024

Procedure Id 57863
Pdm 5710560
Order Display Name Tree Pollen Allergen Panel
Procedure Name ALLERGEN PROFILE, TREES
Procedure Master Number LAB1527
Short Procedure Name Allergen Pr
Category Code 1.0
Category Code Record Name LAB BLOOD ORDERABLES
Synonyms SEASONAL ALLERGEN, SPRING RAST RTREES Trees Panel
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics
Reference Link Url https://labs.northwell.edu/epic/test/57863
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 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
3047805276 WHITE ASH (T15) CLASS WHITEASH WHITE ASH T15 CLASS 5710326
3047802004 COTTONWOOD (T14) CLASS COTTONWOOD COTTONWOOD T14 CLASS 5710291
3047805277 WHITE ASH (T15) CONC WHITEASH WHITE ASH T15 CONC 5710325
3047802005 COTTONWOOD (T14) CONC COTTONWOOD COTTONWOOD T14 CONC 5710290
3047802297 ELM TREE (T8) CONC ELMTREE ELM TREE T8 CONC 5710000
3047802296 ELM TREE (T8) CLASS ELMTREE ELM TREE T8 CLASS 5710001
3047801421 BOX-ELDER/MAPLE TREE (T1) CONC BOXELDERMAPL BOX ELDER MAPLE TREE T1 CONC 5710004
3047801949 COMMON SILVER BIRCH (T3) CONC BIRCH COMMON SILVER BIRCH T3 CONC 5710150
3047801420 BOX-ELDER/MAPLE TREE (T1) CLASS BOXELDERMAPL BOX ELDER MAPLE TREE T1 CLASS 5710005
3047801948 COMMON SILVER BIRCH (T3) CLASS BIRCH COMMON SILVER BIRCH T3 CLASS 5710151