PEDIATRIC FOOD ALLERGY PANEL
Test ID
1045160701
Test Name
PEDIATRIC FOOD ALLERGY PANEL
Test Report Name
PEDIATRIC FOOD ALLERGY
Test Synonyms
FAPP|PEDIATRIC FOOD ALLERGY PANEL|ALLERGY|PEDS
Collection Requirements
Shipping and Handling Instructions
Notes
Last Edit Instant
9/12/2023 12:00 PM
Last Edit Reason
TRE Updated via Data Courier
Test Information
1045160701
Test Name
PEDIATRIC FOOD ALLERGY PANEL
Test Report Name
PEDIATRIC FOOD ALLERGY
Test Synonyms
FAPP|PEDIATRIC FOOD ALLERGY PANEL|ALLERGY|PEDS
Collection Requirements
Shipping and Handling Instructions
Notes
Last Edit Instant
9/12/2023 12:00 PM
Last Edit Reason
TRE Updated via Data Courier
Test Information
Orderable
| Procedure Name | Procedure Code/ID | Procedure Display Name | MPI Type^MPI ID | Default Specimen Type | Orderable? | Performable? |
|---|---|---|---|---|---|---|
| PEDIATRIC FOOD ALLERGY PANEL | LABPAP | WARDEEAP^3070420|STAREAP^LABPAP | BLOOD | Yes | Yes |
Lab
| Authorized Lab | Section | Container Type | Default Container Type? | Temperature | Volume | Method | Priority | Turnaround Time (Minutes) | Expiration Time (Minutes) |
|---|---|---|---|---|---|---|---|---|---|
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | PHADIA250 | ASAP | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | APTIO | ASAP | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | ATELLICA ADM | ASAP | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | PHADIA250 | STAT | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | APTIO | STAT | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | ATELLICA ADM | STAT | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | PHADIA250 | Routine | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | APTIO | Routine | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | ATELLICA ADM | Routine | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | PHADIA250 | Add-On | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | APTIO | Add-On | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | ATELLICA ADM | Add-On | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | PHADIA250 | Timed | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | APTIO | Timed | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | ATELLICA ADM | Timed | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | PHADIA250 | Research | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | APTIO | Research | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | ATELLICA ADM | Research | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | PHADIA250 | Research | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | APTIO | Research | No TAT | 720 |
| MHH LABORATORY CORE | SPECIALTY TESTING | SST | Yes | FRIG | 3 | ATELLICA ADM | Research | No TAT | 720 |
Component
| Report Type | LRR ID | Component Name | Abbrev | Data Type | Units | Decimal Places/Precision (N) | Cat. INI (C) | Cat. Item (C) | Base Name | Common Name | External Name | LOINC | TRE ID | Parameter Summary | Method | Container Type | Species | Sex | Age (From) | Age Units (From) | Age (To) | Age Units (To) | Specimen Source | Organism Genus | Organism Species | Organism Group | Extension | Result Checking Type | Low (N) | High (N) | Numeric Range (N) | Match Logic (MC) | Values (C/S) | Delta - Applicable Low Value (N) | Delta - Applicable High Value (N) | Delta - Applicable Range (N) | Delta - Change (N) | Delta - Direction (N) | Delta - From (C) | Delta - To (C) | Delta - Look Back Days | Delta - Look Back Results | Override - Ref. Range & Abn | Override - Reportable Flag | Override - Accreditation Status | Ref Range Display Text |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Report | 5964 | EGG WHITE ALLERGEN | Number | kU/L | 2 | EGGWHITEALL | EGG WHITE ALLERGEN | 6106-9 | 6399 | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | Reference Range | 0.10 | <0.10 | |||||||||||||||||||||
| Report | 5964 | EGG WHITE ALLERGEN | Number | kU/L | 2 | EGGWHITEALL | EGG WHITE ALLERGEN | 6106-9 | 6399 | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | Valid Checking [1.1] | 0.10 | 100.00 | 0.10-100.00 | ||||||||||||||||||||
| Report | 5964 | EGG WHITE ALLERGEN | Number | kU/L | 2 | EGGWHITEALL | EGG WHITE ALLERGEN | 6106-9 | 6399 | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | Abnormality - Abnormal [2.2] | 0.10 | >=0.10 | |||||||||||||||||||||
| Report | 5963 | MILK ALLERGEN | Number | kU/L | 2 | MILKZALL | MILK ALLERGEN | 7258-7 | 6398 | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | Reference Range | 0.10 | <0.10 | |||||||||||||||||||||
| Report | 5963 | MILK ALLERGEN | Number | kU/L | 2 | MILKZALL | MILK ALLERGEN | 7258-7 | 6398 | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | Valid Checking [1.1] | 0.10 | 100.00 | 0.10-100.00 | ||||||||||||||||||||
| Report | 5963 | MILK ALLERGEN | Number | kU/L | 2 | MILKZALL | MILK ALLERGEN | 7258-7 | 6398 | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | Abnormality - Abnormal [2.2] | 0.10 | >=0.10 | |||||||||||||||||||||
| Report | 5962 | PEANUT ALLERGEN | Number | kU/L | 2 | PEANUTALL | PEANUT ALLERGEN | 6206-7 | 6397 | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | Reference Range | 0.10 | <0.10 | |||||||||||||||||||||
| Report | 5962 | PEANUT ALLERGEN | Number | kU/L | 2 | PEANUTALL | PEANUT ALLERGEN | 6206-7 | 6397 | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | Valid Checking [1.1] | 0.10 | 100.00 | 0.10-100.00 | ||||||||||||||||||||
| Report | 5962 | PEANUT ALLERGEN | Number | kU/L | 2 | PEANUTALL | PEANUT ALLERGEN | 6206-7 | 6397 | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | Abnormality - Abnormal [2.2] | 0.10 | >=0.10 | |||||||||||||||||||||
| Report | 5959 | SOYBEAN ALLERGEN | Number | kU/L | 2 | SOYBEANALL | SOYBEAN ALLERGEN | 6248-9 | 6394 | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | Reference Range | 0.10 | <0.10 | |||||||||||||||||||||
| Report | 5959 | SOYBEAN ALLERGEN | Number | kU/L | 2 | SOYBEANALL | SOYBEAN ALLERGEN | 6248-9 | 6394 | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | Valid Checking [1.1] | 0.10 | 100.00 | 0.10-100.00 | ||||||||||||||||||||
| Report | 5959 | SOYBEAN ALLERGEN | Number | kU/L | 2 | SOYBEANALL | SOYBEAN ALLERGEN | 6248-9 | 6394 | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | Abnormality - Abnormal [2.2] | 0.10 | >=0.10 | |||||||||||||||||||||
| Report | 5957 | WHEAT ALLERGEN | Number | kU/L | 2 | WHEATALL | WHEAT ALLERGEN | 6276-0 | 6392 | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | Reference Range | 0.10 | <0.10 | |||||||||||||||||||||
| Report | 5957 | WHEAT ALLERGEN | Number | kU/L | 2 | WHEATALL | WHEAT ALLERGEN | 6276-0 | 6392 | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | Valid Checking [1.1] | 0.10 | 100.00 | 0.10-100.00 | ||||||||||||||||||||
| Report | 5957 | WHEAT ALLERGEN | Number | kU/L | 2 | WHEATALL | WHEAT ALLERGEN | 6276-0 | 6392 | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | ~ | Abnormality - Abnormal [2.2] | 0.10 | >=0.10 |
Chargeable
| Chargeable Name | Chargeable Code/ID | Chargeable Display Name | Chargeable CPT Code | Chargeable Quantity |
|---|---|---|---|---|
| HB ALLERGEN SPECIFIC IGE, CRUDE ALLERGEN EXTRACT, EACH | 30200004 | 86003 | 1 | |
| HB ALLERGEN SPECIFIC IGE, CRUDE ALLERGEN EXTRACT, EACH | 30200004 | 86003 | 1 | |
| HB ALLERGEN SPECIFIC IGE, CRUDE ALLERGEN EXTRACT, EACH | 30200004 | 86003 | 1 | |
| HB ALLERGEN SPECIFIC IGE, CRUDE ALLERGEN EXTRACT, EACH | 30200004 | 86003 | 1 | |
| HB ALLERGEN SPECIFIC IGE, CRUDE ALLERGEN EXTRACT, EACH | 30200004 | 86003 | 1 |