Epic Build / Desired Build Test Compendium
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Quantiferon-TB Gold Plus Epic Compendium  

▶ Desired Epic Build * = editable field  

Actual Epic Build 12/05/2025

PROCEDURE ID 169666
PDM 1853780
ORDER DISPLAY NAME Quantiferon-TB Gold Plus
PROCEDURE NAME QUANTIFERON TB GOLD
PROCEDURE MASTER NUMBER LAB10025
SHORT PROCEDURE NAME QUANTIFERON TB GOLD
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS TST
INTERFERON GAMMA RELEASE ASSAY
MTB
IGRA
TUBERCULOSIS
QFT
PPD
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/169666
ORDERING INSTRUCTIONS
DEFAULT SPECIMEN TYPE Blood
SPECIMEN TYPE PICK LIST Blood
SPECIMEN TYPE LIST
OP SPECIMEN TYPE LIST
SPECIMEN SOURCE PICK LIST Blood, Venous
Blood, Central Line
Blood, Arterial
Blood, Capillary
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 QFTCRIT
QFTMITOGEN
QFTTB1
QFTTB2
QTFPLUS
QTFPNIL
OP LAB TEST COMPONENTS FOR REPORT QFTCRIT
QFTMITOGEN
QFTTB1
QFTTB2
QTFPLUS
QTFPNIL
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 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, Capillary
Blood, Arterial
Blood, Central Line
Blood, Venous
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 3047800656
3048800844
3048800845
3048800846
3048800847
STANDARD LAB COMPONENTS RECORD NAME EXTERNAL QUANTIFERON PLUS
EXTERNAL QTFPNIL
EXTERNAL QUANTIFERON TB PLUS TB1 MINUS NIL
EXTERNAL QUANTIFERON TB PLUS TB2 MINUS NIL
EXTERNAL QUANTIFERON TB PLUS MITOGEN MINUS NIL
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
3048800694.0 QUANTIFERON PLUS QTFPLUS QUANTIFERON PLUS QuantiFERON Plus Interpretation 1853780A
3048100244.0 QUANTIFERON TB PLUS TB1 MINUS NIL QFTTB1 QUANTIFERON TB PLUS TB1 MINUS NIL QuantiFERON TB1 Minus Nil 1853780C
3048800210.0 QUANTIFERON CRITERIA QFTCRIT QUANTIFERON CRITERIA QuantiFERON Criteria 255343A
3048100245.0 QUANTIFERON TB PLUS TB2 MINUS NIL QFTTB2 QUANTIFERON TB PLUS TB2 MINUS NIL QuantiFERON TB2 Minus Nil 1853780D
3047804403.0 QUANTIFERON TB PLUS NIL QTFPNIL QUANTIFERON TB PLUS NIL QuantiFERON Nil 1853780B
3047804402.0 QUANTIFERON TB PLUS MITOGEN MINUS NIL QFTMITOGEN QUANTIFERON TB PLUS MITOGEN MINUS NIL QuantiFERON Mitogen Minus Nil 1853780E