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Hemoglobin Electrophoresis with Interpretation

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	HGB E HGB Elec
Cerner Primary Mnemonic	HGB ELECT w Intrp and Reflex
EPIC Display Name	Hemoglobin Electrophoresis with Interpretation
Allscripts (AEHR) Order Name	Hemoglobin Electrophoresis
Sunrise Clinical Manager (SCM) Order Name	Hemoglobin Electrophoresis
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	Hemoglobin Variant 1 Solubility Hemoglobin E Hemoglobin Variant 2 Hemoglobin D HE Comment Hemoglobin A Hemoglobin C Hemoglobin F Hemoglobin A2 Hemoglobin S
Clinical Info
Specimen Type	Blood
Container	Lavender Top Tube
Collection Instructions	Container/Tube: Lavender-top (EDTA) tube(s) Specimen: 3 mL of EDTA whole blood(1.5 mL min) Transport Temperature: Refrigerate Stability: 7 Days Refrigerated.
Transport Instructions	Refrigerate
Specimen Stability	7 Days Refrigerated.
Methodology	Capillary Electrophoresis Includes identification and quantitation of hemoglobin A, hemoglobin F, hemoglobin A2, and variants and Pathologist interpretation
Days Performed	Sunday - Friday
Performing Laboratory	Northwell Health Laboratories
CPT	83020
PDM	5604000

Desired Epic Build Hemoglobin Electrophoresis with Interpretation

Cerner Primary Mnemonic:

HGB ELECT w Intrp and Reflex

PDM

5604000

Informatics - Workgroup

Hematology

Synonyms *

HGB E
HGB Elec

Display Name *

Hemoglobin Electrophoresis with Interpretation

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
Variant 1%	Hemoglobin Variant 1	5604000C
SOLUBILITY	Solubility	5604035
E%	Hemoglobin E	5604000B
Variant 2%	Hemoglobin Variant 2	5604000D
D%	Hemoglobin D	5604000A
HE Interp	HE Comment	5604050
A%	Hemoglobin A	5604005
C%	Hemoglobin C	5604025
F%	Hemoglobin F	5604015
A2%	Hemoglobin A2	5604010
S%	Hemoglobin S	5604020

Actual Epic build

Procedure Id

89660

Pdm

5604000

Order Display Name

Hemoglobin Electrophoresis with Interpretation

Procedure Name

HEMOGLOBIN ELECTROPHORESIS

Procedure Master Number

LAB2900

Short Procedure Name

HEMOGLOBIN ELEC

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/89660

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

HEMOGLOBIN A2 QUANTITATION HEMOGLOBIN F QUANTITATION HEMOGLOBIN OTHER HEMOGLOBIN A1C HEMOGLOBIN C QUANTITATION HEMOGLOBIN S QUANTITATION HEMOGLOBIN E QUANTITATION

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
3047800019.0	HEMOGLOBIN VARIANT 1%	HGBVAR1PCT	HEMOGLOBIN VAR 1PCT	5604000C
3046000239.0	SOLUBILITY	SOLUBILITY	SOLUBILITY	5604035
3047802744.0	HEMOGLOBIN E	HGBE	HEMOGLOBIN E	5604000B
3047802749.0	HEMOGLOBIN VARIANT 2%	HGBV2	HEMOGLOBIN VAR 2PCT	5604000D
3047802743.0	HEMOGLOBIN D	HGBD	HEMOGLOBIN D	5604000A
3047802732.0	HE COMMENT	HECOMM	HE COMMENT	5604050
3047800014.0	HEMOGLOBIN A%	HGBAPCT	HEMOGLOBIN A PCT	5604005
3047800016.0	HEMOGLOBIN C%	HGBCPCT	HEMOGLOBIN C PCT	5604025
3047800017.0	HEMOGLOBIN F%	HGBFPCT	HEMOGLOBIN F PCT	5604015
3047800015.0	HEMOGLOBIN A2%	HGBA2PCT	HEMOGLOBIN A2 PCT	5604010
3047800018.0	HEMOGLOBIN S%	HGBSPCT	HEMOGLOBIN S PCT	5604020

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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Hemoglobin Electrophoresis with Interpretation

Test Catalog Information

Desired Epic Build Hemoglobin Electrophoresis with Interpretation

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.