EPIC Test Compendium Alpha
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Lyme Antibody, Western Blot

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms
Cerner Primary Mnemonic	LYME WESTERN BLOT PAN IGG, IGM
EPIC Display Name	Lyme Antibody, Western Blot
Allscripts (AEHR) Order Name	Not Orderable
Sunrise Clinical Manager (SCM) Order Name	Not Orderable
EPIC Inpatient Orderable	No
EPIC Outpatient Orderable	No
Cerner Results	Lyme IgG Band 41 Lyme IgG Band 45 Lyme IgG Band 66 Lyme IgM Band 23/25 Lyme IgG Band 23/25 Lyme IgG Band 31 Lyme IgG Band 58 Lyme IgM Band 66 Lyme IgG Band 30 Lyme IgM Band 45 Lyme IgM Band 39 Lyme IgG Band 18/21 Lyme IgG Band 28 Lyme IgM Band 28 Lyme Western Blot IgM Lyme IgG Band 83/93 Lyme IgM Band 18/21 Lyme IgM Band 31 Lyme IgM Band 30 Lyme IgM Band 41 Lyme IgG Band 39 Lyme IgM Band 83/93 Lyme IgM Band 58 Lyme WB IgG Interp
Clinical Info	THIS IS A LAB ODERABLE ONLY \ Lyme disease is transmitted by a tick vector carrying Borrelia burgdorferi. Immunoblot testing qualitatively examines, with high specificity, antibodies in a patient's specimen. Immunoblot testing is appropriate for confirming a detected EIA or IFA test result.
Specimen Type	Blood
Container	Gold Top Tube
Collection Instructions	Container/Tube: Gold-top tube(s) Specimen: 1 mL of serum (0.5 mL min) Transport Temperature: Refrigerate
Transport Instructions	Refrigerate
Specimen Stability	7 days Room Temperature 14 Days Refrigerated 30 Days Frozen
Methodology	Immunoblot (IB)
Days Performed	Tuesday - Saturday
Performing Laboratory	Quest Diagnostic Nichols Institute
CPT	86617 x 2
PDM	5304325

Desired Epic Build Lyme Antibody, Western Blot

Cerner Primary Mnemonic:

LYME WESTERN BLOT PAN IGG, IGM

PDM

5304325

Informatics - Workgroup

ID Sendouts

Synonyms *

Display Name *

Lyme Antibody, Western Blot

Order Entry Specimen Sources *

Blood Peripheral

Order Entry Specimen Types

Blood

Specimen Navigator Specimen Types

Specimen Navigator Specimen Sources

Specimen Navigator Short Name

Ordering info (EPIC SmartText)

** THIS IS A LAB ODERABLE ONLY **\ Lyme disease is transmitted by a tick vector carrying Borrelia burgdorferi. Immunoblot testing qualitatively examines, with high specificity, antibodies in a patient's specimen. Immunoblot testing is appropriate for confirming a detected EIA or IFA test result.

IP Orderable

OP Orderable

AOEs *

AP AOEs

Special History

Build Comments

Filter *

micro

Procedure Category Change

Cerner Results

Result Desc	Result display	Result PDM
LYME41IGG	Lyme IgG Band 41	5304316
LYME45IGG	Lyme IgG Band 45	5304315
LYME66IGG	Lyme IgG Band 66	5304313
LYME23/25IGM	Lyme IgM Band 23/25	5304310
LYME23/25IGG	Lyme IgG Band 23/25	5304321
LYME31IGG	Lyme IgG Band 31	5304318
LYME58IGG	Lyme IgG Band 58	5304314
LYME66IGM	Lyme IgM Band 66	5304302
LYME30IGG	Lyme IgG Band 30	5304319
LYME45IGM	Lyme IgM Band 45	5304304
LYME39IGM	Lyme IgM Band 39	5304306
LYME18/21IGG	Lyme IgG Band 18/21	5304322
LYME28IGG	Lyme IgG Band 28	5304320
LYME28IGM	Lyme IgM Band 28	5304309
LYMEWBINTP IGM	Lyme Western Blot IgM	5304329
LYME83/93IGG	Lyme IgG Band 83/93	5304312
LYME18/21IGM	Lyme IgM Band 18/21	5304311
LYME31IGM	Lyme IgM Band 31	5304307
LYME30IGM	Lyme IgM Band 30	5304308
LYME41IGM	Lyme IgM Band 41	5304305
LYME39IGG	Lyme IgG Band 39	5304317
LYME83/93IGM	Lyme IgM Band 83/93	5304301
LYME58IGM	Lyme IgM Band 58	5304303
LYMEWBINTP IGG	Lyme WB IgG Interp	5304323

Actual Epic build

Procedure Id

64687

Pdm

5304325

Order Display Name

Lyme Antibody, Western Blot

Procedure Name

LYME DISEASE, WESTERN BLOT

Procedure Master Number

LAB787

Short Procedure Name

LYME DISEASE-WESTERN BLO

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

ANTIBODY BORRELIA BURGDORFERI

Clinically Active

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/64687

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

[]

Order Questions Record Name

Inpatient Order Questions

[]

Inpatient Order Questions Record Name

Order Specific Question Override

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

EPIC IP AOEs

EPIC Components (results)

Component ID	Component Name	Base Name	Common Name	Cerner Result PDM
3047803334.0	LYME IGG BAND 41	LYME	LYME IGG BAND 41	5304316
3047803335.0	LYME IGG BAND 45	LYME	LYME IGG BAND 45	5304315
3047803337.0	LYME IGG BAND 66	LYME	LYME IGG BAND 66	5304313
3047803342.0	LYME IGM BAND 23/25	LYME	LYME IGM BAND 23/25	5304310
3047803329.0	LYME IGG BAND 23/25	LYME	LYME IGG BAND 23/25	5304321
3047803332.0	LYME IGG BAND 31	LYME	LYME IGG BAND 31	5304318
3047803336.0	LYME IGG BAND 58	LYME	LYME IGG BAND 58	5304314
3046000039.0	LYME AB WESTERN BLOT 66KD IGM	LYME	LYME	5304302
3047803331.0	LYME IGG BAND 30	LYME	LYME IGG BAND 30	5304319
3047803348.0	LYME IGM BAND 45	LYME	LYME IGM BAND 45	5304304
3047803346.0	LYME IGM BAND 39	LYME	LYME IGM BAND 39	5304306
3047803328.0	LYME IGG BAND 18/21	LYME	LYME IGG BAND 18/21	5304322
3047803330.0	LYME IGG BAND 28	LYME	LYME IGG BAND 28	5304320
3047803343.0	LYME IGM BAND 28	LYME	LYME IGM BAND 28	5304309
3047803355.0	LYME WESTERN BLOT IGM	LYME	LYME WESTERN BLOT IGM	5304329
3047803338.0	LYME IGG BAND 83/93	LYME	LYME IGG BAND 83/93	5304312
3047803341.0	LYME IGM BAND 18/21	LYME	LYME IGM BAND 18/21	5304311
3047803345.0	LYME IGM BAND 31	LYME	LYME IGM BAND 31	5304307
3047803344.0	LYME IGM BAND 30	LYME	LYME IGM BAND 30	5304308
3047803347.0	LYME IGM BAND 41	LYME	LYME IGM BAND 41	5304305
3047803333.0	LYME IGG BAND 39	LYME	LYME IGG BAND 39	5304317
3046000038.0	LYME AB WESTERN BLOT 93KD IGM	LYMEABWB93IM	LYME AB WESTER BLOT 93KD IGM	5304301
3047803349.0	LYME ANTIBODY WESTERN BLOT 58KD IGM	LYME	LYME IGM BAND 58	5304303
3047803321.0	LYME WB IGG INTERP	LYME	LYME WB IGG INTERP	5304323

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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Lyme Antibody, Western Blot

Test Catalog Information

Desired Epic Build Lyme Antibody, Western Blot

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.