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Hemoglobin Electrophoresis with Interpretation

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms HGB E
HGB Elec
Cerner Primary MnemonicHGB ELECT w Intrp and Reflex
EPIC Display NameHemoglobin 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 Hgb Elect Comment
Variant 1%
F%
SOLUBILITY
D%
C%
A%
E%
S%
A2%
Variant 2%
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 - WorkgroupHematology
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 No
Build Comments
Filter *
Procedure Category Change
Cerner Results

Result DescResult displayResult PDM
HE Interp Hgb Elect Comment 5604050
Variant 1% Variant 1% 5604000C
F% F% 5604015
SOLUBILITY SOLUBILITY 5604035
D% D% 5604000A
C% C% 5604025
A% A% 5604005
E% E% 5604000B
S% S% 5604020
A2% A2% 5604010
Variant 2% Variant 2% 5604000D

Current Actual EPIC Build as of 10/28/2024

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, 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
3047802732 HE COMMENT HECOMM HE COMMENT 5604050
3047800019 HEMOGLOBIN VARIANT 1% HGBVAR1PCT HEMOGLOBIN VAR 1PCT 5604000C
3047800017 HEMOGLOBIN F% HGBFPCT HEMOGLOBIN F PCT 5604015
5604035
3047802743 HEMOGLOBIN D HGBD HEMOGLOBIN D 5604000A
3047800016 HEMOGLOBIN C% HGBCPCT HEMOGLOBIN C PCT 5604025
3047800014 HEMOGLOBIN A% HGBAPCT HEMOGLOBIN A PCT 5604005
3047802744 HEMOGLOBIN E HGBE HEMOGLOBIN E 5604000B
3047800018 HEMOGLOBIN S% HGBSPCT HEMOGLOBIN S PCT 5604020
3047800015 HEMOGLOBIN A2% HGBA2PCT HEMOGLOBIN A2 PCT 5604010
3047802749 HEMOGLOBIN VARIANT 2% HGBVAR2PCT HEMOGLOBIN VAR 2PCT 5604000D