2018 EPIC Custom Test Panels
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1 The test components for 2018 Epic Custom Test Panels are listed below. Questions regarding any panel components may be found at: East Community (St. Louis Area): North Central Community (Springfield Area): South Central Community (Ft. Smith Area): West Community (Oklahoma Area): LAB2008 Alcohol Panel, Volatile Methanol Acetone Isopropanol Ethanol LAB1533 Allergy Panel, Food Beef, IgE Chicken, IgE Corn-Food, IgE Egg White, IgE Milk, IgE Oat, IgE Peanut, IgE Rye, IgE Soybean, IgE Wheat, IgE LAB3171 Allergy Panel, Midwest Allergens Bermuda Grass, IgE Silver Birch, IgE Boxelder-Maple, IgE Cedar, IgE English Plantain, IgE Elm, IgE June Grass, IgE Oak, IgE Rough Pigweed, IgE Russian Thistle, IgE Short Ragweed, IgE Timothy Grass, IgE Walnut Tree, IgE White Hickory, IgE Page 1 of 9
2 LAB3174 Allergy Panel, Peds <3 yrs Egg White, IgE Milk, IgE Peanut, IgE Soybean, IgE LAB3170 Allergy Panel, Perennial Alternaria Tenuis, IgE Aspergillus Fumigauts, IgE Cat Epithelium, IgE Cladosporium, IgE Cockroach, IgE House Dust Mites/D.F., IgE Dog Dander, IgE House Dust Mites/D.P., IgE Epicoccum Purpurascens Fusarium Moniliforme, IgE Penicillium, IgE LAB3172 Allergy Panel, Seafood Codfish, IgE Crab, IgE Lobster, IgE Shrimp, IgE Tuna, IgE LAB3173 Allergy Panel, Tree Nuts Almond, IgE Walnut-Food, IgE Brazil Nut, IgE Cashew Nut, IgE Chestnut, Sweet, IgE Hazelnut-Food, IgE Pecan-Food, IgE Pine Nut, Pignoles, IgE Pistachio, IgE LAB2248 Bacterial Vaginitis Panel Basic Candida Trichomonas Vaginalis Gardnerella Vaginalis Page 2 of 9
3 LAB2250 Basic Metabolic Panel Plus Total Protein (Add-on CMP to BMP) Albumin Total Bilirubin Alkaline Phosphatase ALT AST LAB2257 C1 Esterase Inhibitor, Total & C1 Esterase Inhibitor Functional Functional C1 Esterase Inhibitor Ag, Serum LAB2050 Complement Panel C3 Complement Serum C4 Complement Serum LAB2768 CSF Panel With Culture CSF Cell Count Protein, CSF Glucose, CSF CSF Culture CSF Gram Stain LAB2767 CSF Panel Without Culture CSF Cell Count Protein, CSF Glucose, CSF LAB2286 DIC Profile Protime w/ INR PTT Fibrinogen D. Dimer LAB500 Drug Screen Urine Amphetamine, Qual or 80301* Barbiturate, Qual Benzodiazepine, Qual Cocaine, Qual Opiate, Qual THC, Qual Phencyclidine, Qual Creatinine, Urine *CPT based on methodology available at performing lab. Page 3 of 9
4 **Supplementary components may be performed based on the performing laboratory. Refer to your communities Mercy Lab Test Menu for additional details. LAB1239 Electrolytes, Random Urine Sodium Potassium Chloride LAB1240 ENA Antibodies RNP Ab, IgG, Serum Sm Ab, IgG, Serum LAB3251 GI Pathogen PCR Panel Campylobacter species Clostridium difficile toxin A/B Plesiomonas shigelloides Salmonella species Vibrio species Vibrio cholerae Yersinia enterocolitica Enteroaggregative Escherichia coli (EAEC) Enteropathogenic Escherichia coli (EPEC) Enterotoxigenic Escherichia coli (ETEC) Shiga toxin Escherichia coli O157 Shigella/Enteroinvasive Escherichia coli(eiec) Cryptosporidium species Cyclospora cayetanensis Entamoeba histolytica Giardia Adenovirus F 40/41 Astrovirus Norovirus GI/GII Rotavirus A Sapovirus Page 4 of 9
5 LAB1838 Inflammatory Bowel Disease Panel ASCA IgA ASCA IgG Anti-OmpC IgA Anti-CBir1 IgG Anti-A4-Fla2 IgG Anti-FlaX IgG panca IFA Perinuclear Pattern panca IFA DNAse Sensitivity ATG16L1 SNP (rs ) ECM1 SNP (rs ) NKX2-3 SNP (rs ) STAT3 SNP (rs744166) ICAM VCAM VEGF CRP SAA LAB1944 Inflammatory Bowel Disease Saccharomyces cerevisiae IgA Screen Saccharomyces cerevisiae IgG Neutrophil Specific Antibodies LAB1944 Inflammatory Bowel Disease Saccharomyces cerevisiae IgA Screen Saccharomyces cerevisiae IgG Neutrophil Specific Antibodies LAB3157 Medication Compliance Drug Screen Amphetamines Anticonvulsants Barbiturates Benzodiazepines Buprenorphine Cannabinoids Cocaine & Metabolites Fentanyl Methadone Muscle Relaxants Opiates Other Sedatives Oxycodone Class Tapentadol Billing done thru Quest or LabCorp Page 5 of 9
6 LAB3157 Medication Compliance Drug Analgesics/NSAIDs LabCorp only Screen cont. Antidepressants Antihistamines Antipsychotics Local Anesthestics Other Hallucinogens Sympathomimetics LAB3410 Meningitis Pathogen PCR Panel Escherichia coli K Haemophilus influenza Listeria monocytogenes Neisseria meningitidis Streptococcus agalactiae Streptococcus pneumonia Cytomegalovirus (CMV) Enterovirus Herpes simplex virus 1 (HSV-1) Herpes simplex virus 2 (HSV-2) Human herpes virus 6 (HHV-6) Human parechovirus Varicella zoster virus (VZV) Cryptococcus neoformans/gattii LAB1026 Mycoplasma & Ureaplasma Detect Agent NOS DNA AMP 87798x2 or 87109* Detection Mycoplasma hominis PCR *CPT based on methodology available at performing lab. LAB1840 Needlestick Exposure Panel Rapid HIV 1,2 or HIV 1,2 Ab/Ag Hepatitis B Surface Ag Hepatitis C RNA PCR Page 6 of 9
7 LAB2597 Neonatal Basic Chem/Bili Profile Sodium Chloride Potassium CO2 Calcium BUN Creatinine Glucose Total Bilirubin Direct Bilirubin LAB2598 Neonatal BMP, Liver Chem Plus Sodium Chloride Potassium CO2 Calcium BUN Creatinine Glucose Total Bilirubin Direct Bilirubin Total Protein Alkaline Phosphatase AST ALT GGT Magnesium Phosphorus LAB2489 Neonatal Lytes Glucose BUN Sodium Profile Chloride Potassium CO2 BUN Glucose Page 7 of 9
8 LAB2344 Nutrition Panel Sodium Chloride Potassium CO2 Calcium BUN Creatinine Glucose Total Protein Albumin Total Bilirubin Alkaline Phosphatase ALT AST Triglyceride Cholesterol Phosphorus Magnesium LAB279 Obstetric Panel CBC w/ Differential Hepatitis B Surface Ag RPR Rubella IgG Type & Screen, Prenatal 86900; 86901; HIV 1&2 Ab/Ag LAB1865 Protein C & S Activity Protein C Activity, Plasma Protein S Activity, Plasma LAB1994 Respiratory Pathogen PCR Panel Bordetella pertussis Chlamydophila pneumoniae Mycoplasma pneumoniae Adenovirus Coronavirus HKU1 Coronavirus NL63 Coronavirus 229E Coronavirus OC43 Influenza A Page 8 of 9
9 LAB1994 Respiratory Pathogen PCR Panel cont. Influenza A subtype H1 Influenza A subtype H3 Influenza A subtype 2009 H1 Influenza B Metapneumovirus Parainfluenza 1 Parainfluenza 2 Parainfluenza 3 Parainfluenza 4 RSV Rhinovirus/Enterovirus LAB1571 Saccharomyces cervasiae IgG & IgA Saccharomyces Cer Ab, IgA Saccharomyces Cer Ab, IgG LAB2089 Testosterone Free & Total Albumin Testosterone Total Sex Hormone Binding Globulin LAB3592 Vaginosis/Vaginitis Panel Plus Bacterial Vaginosis Candida species Candida glabrata Trichomonas Vaginalis Chlamydia trachomatis Neisseria gonorrhoeae Page 9 of 9
2017 EPIC Custom Test Panels Rev 11/2017
The test components for 2017 Epic Custom Test Panels are listed below. Questions regarding any panel components may be found at: East Community (St. Louis Area): North Central Community (Springfield Area):
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