Epic Build / Desired Build Test Compendium
Welcome to the new Northwell Health Labs Epic Build / Desired Build Test Directory! Please email ClinicalLabInformatics@northwell.edu with any typos, corrections or issues.

Herpes Simplex Virus 1/2 (HSV1/2) Molecular Detection, Blood Epic Compendium  

▶ Desired Epic Build * = editable field  

Actual Epic Build 12/08/2025

PROCEDURE ID 111712
PDM 1953787
ORDER DISPLAY NAME Herpes Simplex Virus 1/2 (HSV1/2) Molecular Detection, Blood
PROCEDURE NAME HSV12 PCR BLOOD
PROCEDURE MASTER NUMBER LAB10604
SHORT PROCEDURE NAME HSV12 PCR BLOOD
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS HSV-2
HSV12BLD
HSV-1
HSV12 PCR BLOOD
DISSEMINATED HSV
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/111712
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 HSV12BLD
HSV1DNA
HSV2DNA
SPECAPPEAR
OP LAB TEST COMPONENTS FOR REPORT HSV12BLD
HSV1DNA
HSV2DNA
SPECAPPEAR
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 ["19100001"]
INPATIENT ORDER QUESTIONS RECORD NAME NH IP EXTENT OF LESIONS
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
Blood, Peripheral
EDP OP SPECIMEN SOURCE
EDP IP SPECIMEN TYPE Blood
EDP OP SPECIMEN TYPE
DERIVED EDP IP BUTTONS S Blood, Central Line
Blood, Arterial
Blood, Venous
Blood, Capillary
DERIVED EDP IP BUTTONS T Blood
DERIVED EDP OP BUTTONS S
DERIVED EDP OP BUTTONS T
IP ORDERABLE 1
OP ORDERABLE 1
STANDARD LAB COMPONENTS
STANDARD LAB COMPONENTS RECORD NAME
COMPONENT DATA REQUIREMENT
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

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
19100001 NH IP EXTENT OF LESIONS Extent of lesions? Custom List Localized
Disseminated		 Yes
EPIC Components (results - crosswalked through Cerner)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3048100110.0 HSV1 DNA HSV1DNA HSV1 DNA HSV-1 1953787A
3046200021.0 SOURCE HSV12BLD HSV12BLD SOURCE HSV12BLD HSV-1/2 Blood, Source 1953787C
3048100111.0 HSV2 DNA HSV2DNA HSV2 DNA HSV-2 1953787B
3048100111.0 HSV2 DNA HSV2DNA HSV2 DNA HSV-2 1953787B
3048100110.0 HSV1 DNA HSV1DNA HSV1 DNA HSV-1 1953787A