Epic Build / Desired Build Test Compendium
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MTB IGRA-Immunocompromise Epic Compendium  

▶ Desired Epic Build * = editable field  

Actual Epic Build 12/05/2025

PROCEDURE ID 171901
PDM 235040
ORDER DISPLAY NAME MTB IGRA-Immunocompromise
PROCEDURE NAME MTB IGRA-IMMUNOCOMPROMISE
PROCEDURE MASTER NUMBER LAB13362
SHORT PROCEDURE NAME MTB IGRA-IMMUNOCOMPROMISE
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS MTBIGRA
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/171901
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, Arterial
Blood, Peripheral
Blood, Central Line
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 NEGCONTROL
PANELASPOT
PANELBSPOT
POSCONTROL
TSPOTTB
OP LAB TEST COMPONENTS FOR REPORT NEGCONTROL
PANELASPOT
PANELBSPOT
POSCONTROL
TSPOTTB
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 ["1910000003"]
INPATIENT ORDER QUESTIONS RECORD NAME NH IP RULE OUT PULMONARY TB
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, Peripheral
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
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
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
3047807986.0 POSITIVE CONTROL POSCONTROL POSITIVE CONTROL Positive Control 235040E
3047807985.0 NEGATIVE CONTROL NEGCONTROL NEGATIVE CONTROL Negative Control 235040D
3047807982.0 T-SPOT. TB TSPOTTB T SPOT TB T-SPOT.TB 235040A
3047807983.0 PANEL A SPOT CT CORR FOR NEG CTRL PANELASPOT PANEL A SPOT CT CORR FOR NEG CTRL Panel A Spot Ct Corr for Neg Ctrl 235040B
3047807984.0 PANEL B SPOT CT CORR FOR NEG CTRL PANELBSPOT PANEL B SPOT CT CORR FOR NEG CTRL Panel B Spot Ct Corr for Neg Ctrl 235040C