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Influenza A/Influenza B/RSV/COVID-19 (Respiratory 4-plex) Panel Molecular Detection Epic Compendium  

Desired Epic Build * = editable field  

Actual Epic Build 12/05/2025

PROCEDURE ID 115279
PDM 2063700
ORDER DISPLAY NAME Influenza A/Influenza B/RSV/COVID-19 (Respiratory 4-plex) Panel Molecular Detection
PROCEDURE NAME FLUA/FLUB/RSV/COVID PCR
PROCEDURE MASTER NUMBER LAB11473
SHORT PROCEDURE NAME FLUA/FLUB/RSV/COVID PCR
CATEGORY CODE 7.0
CATEGORY CODE RECORD NAME LAB BODY FLUIDS AND STOOLS ORDERABLES
SYNONYMS SARS-COV-2
FLUB
FLU A B & RSV & COVID PANEL
FLUA
FLU PANEL AND COVID
4PLEX
FLUVID
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/115279
ORDERING INSTRUCTIONS
This panel is intended for patients suspected of COVID-19 virus (SARS-CoV-2), Influenza A, Influenza B, and RSV (Respiratory syncytial virus).
DEFAULT SPECIMEN TYPE Respiratory
SPECIMEN TYPE PICK LIST Swab
Respiratory
Conjunctiva
SPECIMEN TYPE LIST Swab
Respiratory
Conjunctiva
OP SPECIMEN TYPE LIST
SPECIMEN SOURCE PICK LIST Nasopharynx
Nares
Eye, Right
Eye, Left
SPECIMEN SOURCE DEFAULT - MALE Nasopharynx
SPECIMEN SOURCE DEFAULT - FEMALE Nasopharynx
SPECIMEN SOURCE LIST
OP SPECIMEN SOURCE LIST
IP LAB TEST COMPONENTS FOR REPORT FLU
FLUA
FLUB
RSVPCR
SARSCOV2
SOURCE
SPECAPPEAR
OP LAB TEST COMPONENTS FOR REPORT FLU
FLUA
FLUB
RSVPCR
SARSCOV2
SOURCE
SPECAPPEAR
ORDER QUESTIONS ["3045300170", "3045300171", "3045300173", "3048500000", "3048500004", "3048500005", "3048500033", "3048500003"]
ORDER QUESTIONS RECORD NAME NH IP HOME COLLECT DATE
NH IP HOME COLLECT DAYS
NH IP HOME COLLECT MEDICALLY NECESSARY
NH IP PATIENT COMPLETED CONSENT
NH IP PATIENTS EMAIL ADDRESS
NH IP TEXT OR EMAIL PREFERRED
NH IP LEAD GUARDIANS PHONE
NH IP PREGNANCY STATUS
INPATIENT ORDER QUESTIONS ["3048500000", "3048500004", "3048500005", "3048500033", "3048500003", "191000005"]
INPATIENT ORDER QUESTIONS RECORD NAME NH IP PATIENT COMPLETED CONSENT
NH IP PATIENTS EMAIL ADDRESS
NH IP TEXT OR EMAIL PREFERRED
NH IP LEAD GUARDIANS PHONE
NH IP PREGNANCY STATUS
NH IP IS PATIENT IMMUNOCOMPROMISED
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 Per Rectum
EDP OP SPECIMEN SOURCE Per Rectum
EDP IP SPECIMEN TYPE Stool
Cerebrospinal Fluid
EDP OP SPECIMEN TYPE Cerebrospinal Fluid
Stool
DERIVED EDP IP BUTTONS S
DERIVED EDP IP BUTTONS T
DERIVED EDP OP BUTTONS S
DERIVED EDP OP BUTTONS T
IP ORDERABLE 1
OP ORDERABLE 1
STANDARD LAB COMPONENTS 3048800851
3048800852
3048800853
3048800854
3048800855
STANDARD LAB COMPONENTS RECORD NAME EXTERNAL SARS-COV-2 RESULT
EXTERNAL INFLUENZA RESULT
EXTERNAL INFLUENZA A
EXTERNAL INFLUENZA B
EXTERNAL RESP SYN VIRUS RESULT
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
3048500000 NH IP PATIENT COMPLETED CONSENT Patient completed consent? Yes/No Yes
3048500003 NH IP PREGNANCY STATUS Pregnancy Status Custom List Yes
No
Probable
No
3048500004 NH IP PATIENTS EMAIL ADDRESS Patient's Email Address Free Text No
3048500005 NH IP TEXT OR EMAIL PREFERRED Text or Email Preferred Custom List Text
E-mail
No
3048500033 NH IP LEAD GUARDIANS PHONE Guardian's Phone Free Text No
EPIC IP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
191000005 NH IP IS PATIENT IMMUNOCOMPROMISED Is patient immunocompromised? Yes/No Yes
3048500000 NH IP PATIENT COMPLETED CONSENT Patient completed consent? Yes/No Yes
3048500003 NH IP PREGNANCY STATUS Pregnancy Status Custom List Yes
No
Probable
No
3048500004 NH IP PATIENTS EMAIL ADDRESS Patient's Email Address Free Text No
3048500005 NH IP TEXT OR EMAIL PREFERRED Text or Email Preferred Custom List Text
E-mail
No
3048500033 NH IP LEAD GUARDIANS PHONE Guardian's Phone Free Text No
EPIC Components (results - crosswalked through Cerner)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3047804542.0 RESP SYN VIRUS RESULT RSVPCR RESP SYN VIRUS RESULT Respiratory Syncytial Virus 2063700E
3047800319.0 INFLUENZA A FLUA FLU A RESULT Influenza virus A 2063700C
3047800318.0 INFLUENZA B FLUB FLU B RESULT Influenza virus B 2063700D
3047803061.0 INFLUENZA RESULT FLU INFLUENZA RESULT Influenza 2063700B
3047804662.0 SARS-COV-2 RESULT SARSCOV2 SARS COV 2 RESULT SARS-CoV-2 2063700A
3047805652.0 SOURCE SOURCE SOURCE, SOURCE Source 241435