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HIV-1 Resistance, Proviral DNA (RTI, PI, Integrase Inhibitors) (Quest) Epic Compendium  

Desired Epic Build * = editable field  

Actual Epic Build 11/28/2025

PROCEDURE ID 115819
PDM 5920205
ORDER DISPLAY NAME HIV-1 Resistance, Proviral DNA (RTI, PI, Integrase Inhibitors) (Quest)
PROCEDURE NAME HIV-1 GENOTYPE (RTI,PI,INTEGRASE INHIBITORS)
PROCEDURE MASTER NUMBER LAB11784
SHORT PROCEDURE NAME HIV-1 GENOTYPE (RTI,PI,INTEGRASE INHIBITORS)
CATEGORY CODE 4.0
CATEGORY CODE RECORD NAME LAB MICROBIOLOGY - GENERAL ORDERABLES
SYNONYMS
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/115819
ORDERING INSTRUCTIONS
DEFAULT SPECIMEN TYPE Blood
SPECIMEN TYPE PICK LIST Blood
SPECIMEN TYPE LIST
OP SPECIMEN TYPE LIST
SPECIMEN SOURCE PICK LIST 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 BICTEGRAVIR
CABOTRESIST
DOLUTEGRAV
ELVITEGRAVIR
HIV1GDR
HIV1INTGEN
RALTEGRAVIR
SPECAPPEAR
VLDATE
OP LAB TEST COMPONENTS FOR REPORT BICTEGRAVIR
CABOTRESIST
DOLUTEGRAV
ELVITEGRAVIR
HIV1GDR
HIV1INTGEN
RALTEGRAVIR
SPECAPPEAR
VLDATE
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
EDP OP SPECIMEN SOURCE
EDP IP SPECIMEN TYPE
EDP OP SPECIMEN TYPE
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
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

EPIC Components (results - crosswalked through Cerner)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3047802298.0 ELVITEGRAVIR ELVITEGRAVIR ELVITEGRAVIR Elvitegravir Resistance 5950973B
3047804422.0 RALTEGRAVIR RALTEGRAVIR RALTEGRAVIR Raltegravir Resistance 5950973A
3047805235.0 VL DATE VLDATE VL DATE Date Viral Load Collected 5950973D
3047802841.0 HIV-1 GENOTYPIC DRUG RESISTANCE HIV1GDR HIV 1 GENOTYPE DRUG RESISTANCE HIV-1 Genotypic Drug Resistance 5920205A
3047802840.0 HIV-1 GENOTYPE DRUG RESISTANCE HIV1GDR HIV 1 GENOTYPE DRUG RESISTANCE HIV-1 Genotype Drug Resistance 5950973W
3047802192.0 DOLUTEGRAVIR DOLUTEGRAV DOLUTEGRAVIR Dolutegravir Resistance 5950973C
3047801381.0 BICTEGRAVIR RESISTANCE BICTEGRAVIR BICTEGRAVIR RESISTANCE Bictegravir Resistance 5950973Y
3047801583.0 CABOTEGRAVIR RESISTANCE CABOTRESIST CABOTEGRAVIR RESISTANCE Cabotegravir Resistance 5950973Z
3047802842.0 HIV-1 INTEGRASE GENOTYPE HIV1INTGEN HIV 1 INTEGRASE GENOTYPE HIV-1 Genotype 5950973X