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Mycobacterium tuberculosis complex (MTB) and Rifampin Resistance, Molecular Detection, Sputum

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: MTB and Rifampin PCR
PDM 1562067
Informatics - WorkgroupID Molecular
Synonyms *MTBPCR
MTB and Rifampin PCR
TB PCR
Display Name *Mycobacterium tuberculosis complex (MTB) and Rifampin Resistance, Molecular Detection, Sputum
Specimen Sources (combined Order Entry and Specimen Navigator) *
Expectorated Sputum
Induced Sputum
Specimen Types (combined Order Entry and Specimen Navigator) *
Respiratory
Body Fluid
Body Fluids (types sent through AOEs)
Specimen Navigator Specimen Types
B
Body Fluid
Specimen Navigator Specimen Sources
Left
No Laterality
Right
Abdomen/Peritoneum
Abscess
Adrenal
Amniotic Sac
Anus
Ascites
Autopsy
Autopsy Brain Only
Autopsy Pediatric
Axilla
Bile
Bile Duct
Bone
Breast
Bronchial
Bronchoalveolar
Buccal
CSF
Colon
Cul de sac
Dialysate
Duodenum
Endometrium
Eye
Fallopian Tube
Gingiva
Joint
Kidney
Misc
N
Nasopharynx
Nipple
Nose
Specimen Navigator Short NamePCR Sputum MTB & RIF
Ordering info (EPIC SmartText)
IP Orderable (inpatient) Yes
OP Orderable (outpatient) Yes
AOEs *

AP AOEs

    
Special History No 
 
    
Build Comments

    
Filter *

    
    
Cerner Site RestrictNorthwell Health Laboratories

    
Cerner Results


                

            

                Result Desc
                Result display
                Result PDM
            

                        

                I RIFPCR
                I RIFPCR
                1562067E
            

                        

                Source MTB
                Source MTB
                1562067A
            

                        

                I MTBPCR
                I MTBPCR
                1562067C
            

                        

                RIFPCR
                RIFPCR
                1562067D
            

                        

                MTBPCR
                MTBPCR
                1562067B
            

                    

            


     





    Actual Epic Build 3/11/2025
    






                

        PROCEDURE ID
        115919
    

        

        PDM
        1562067
    

        

        ORDER DISPLAY NAME
        Mycobacterium tuberculosis complex (MTB) and Rifampin Resistance, Molecular Detection, Sputum
    

        

        PROCEDURE NAME
        MYCOBACTERIUM TUBERCULOSIS COMPLEX PCR AND RIF
    

        

        PROCEDURE MASTER NUMBER
        LAB11839
    

        

        SHORT PROCEDURE NAME
        MYCOBACTERIUM TUBERCULOSIS COMPLEX PCR AND RIF
    

        

        CATEGORY CODE
        4.0
    

        

        CATEGORY CODE RECORD NAME
        LAB MICROBIOLOGY - GENERAL ORDERABLES
    

        

        SYNONYMS
        MTBPCR
MTB AND RIFAMPIN PCR
TB PCR		
    

        

        CLINICALLY ACTIVE
        Yes
    

        

        ORDERABLE
        Yes
    

        

        PERFORMABLE
        Yes
    

        

        FILTER GENOMICS
        
    

        

        REFERENCE LINK URL
        https://labs.northwell.edu/epic/test/115919
    

        

        ORDERING INSTRUCTIONS
        
    

        

        DEFAULT SPECIMEN TYPE
        Respiratory
    

        

        SPECIMEN TYPE PICK LIST
        Respiratory
Body Fluid		
    

        

        SPECIMEN TYPE LIST
        Respiratory
    

        

        OP SPECIMEN TYPE LIST
        
    

        

        SPECIMEN SOURCE PICK LIST
        Expectorated Sputum
Induced Sputum
Sputum		
    

        

        SPECIMEN SOURCE DEFAULT - MALE
        Induced Sputum
    

        

        SPECIMEN SOURCE DEFAULT - FEMALE
        Induced Sputum
    

        

        SPECIMEN SOURCE LIST
        Expectorated Sputum
Induced Sputum		
    

        

        OP SPECIMEN SOURCE LIST
        
    

        

        IP LAB TEST COMPONENTS FOR REPORT
        MTBCMPLXPCR
MTBPCR
RIFAPINPCR
RIFARESINT
SRCEMTB		
    

        

        OP LAB TEST COMPONENTS FOR REPORT
        MTBCMPLXPCR
MTBPCR
RIFAPINPCR
RIFARESINT
SRCEMTB		
    

        

        ORDER QUESTIONS
        []
    

        

        ORDER QUESTIONS RECORD NAME
        
    

        

        INPATIENT ORDER QUESTIONS
        ["1910000003"]
    

        

        INPATIENT ORDER QUESTIONS RECORD NAME
        NH IP RULE OUT PULMONARY TB
    

        

        ORDER SPECIFIC QUESTION OVERRIDE
        
    

        

        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


            


    
EPIC IP AOEs


                

            
Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response

                        

                1910000003
                NH IP RULE OUT PULMONARY TB
                Ruling out Pulmonary TB?
                Yes/No
                
                Yes
            

                    

            


    
EPIC Components (results - crosswalked through Cerner)


                

            
Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM

                        

                3047804572.0
                RIFAMPIN RESISTANCE INTERPRETATION
                RIFARESINT
                RIFAMPIN RESISTANCE INTERPRETATION
                
                1562067E
            

                        

                3047804770.0
                MYCOBACTERIUM TUBERCULOSIS COMPLEX SOURCE
                SRCEMTB
                SOURCE MTB
                
                1562067A
            

                        

                3047803623.0
                MYCOBACTERIUM TUBERCULOSIS COMPLEX PCR-INTERPRETATION
                MTBPCR
                MTB PCR INTERPRETATION
                
                1562067C
            

                        

                3047805640.0
                RIFAMPIN PCR
                RIFAPINPCR
                RIFAPINPCR, PCR
                
                1562067D
            

                        

                3047803367.0
                MYCOBACTERIUM TUBERCULOSIS COMPLEX PCR
                MTBCMPLXPCR
                MTB COMPLEX
                
                1562067B