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Influenza A (H5) Virus, Molecular Detection, Qualitative, Conjunctiva Epic Compendium  

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: Influenza A (H5) Virus RNA, Qual RT-PCR-Conjunctiva
PDM 255300
Informatics - WorkgroupID Sendouts
Synonyms *H5PCR-Conj, Avian Flu H5-Conjunctiva
Display Name *Influenza A (H5) Virus, Molecular Detection, Qualitative, Conjunctiva
Specimen Sources (combined Order Entry and Specimen Navigator) *
Specimen Types (combined Order Entry and Specimen Navigator) *
Swab
Body Fluids (types sent through AOEs)
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)
IP Orderable (inpatient) No
OP Orderable (outpatient) No
AOEs *

AP AOEs

    
Special History No 
 
    
Build Comments

    
Filter *

    
    
Cerner Site RestrictAML/Quest Labs

    
Cerner Results


                

            

                Result Desc
                Result display
                Result PDM
            

                        

                Comment (Conjunctiva)
                Comment conj
                255300C
            

                        

                Influenza A (Conjunctiva)
                FluA Conj
                255300A
            

                        

                Influenza H5 (Conjunctiva)
                Flu H5 Conj
                255300B
            

                    

            


     





    Actual Epic Build 8/27/2025
    






                

        PROCEDURE ID
        192055
    

        

        PDM
        255300
    

        

        ORDER DISPLAY NAME
        Influenza A (Avian H5) Virus RNA, Qual RT-PCR-Conjunctiva
    

        

        PROCEDURE NAME
        INFLUENZA A (H5) VIRUS RNA, QUAL RT-PCR-CONJUNCTIVA
    

        

        PROCEDURE MASTER NUMBER
        LAB4191
    

        

        SHORT PROCEDURE NAME
        INFLUENZA A (H5) VIRUS RNA, QUAL RT-PCR-CONJUNCTIVA
    

        

        CATEGORY CODE
        21.0
    

        

        CATEGORY CODE RECORD NAME
        LAB MOLECULAR DIAGNOSTICS ORDERABLES
    

        

        SYNONYMS
        H5PCR-CONJ
FLU H5-CONJUNCTIVA
BIRD FLU		
    

        

        CLINICALLY ACTIVE
        Yes
    

        

        ORDERABLE
        Yes
    

        

        PERFORMABLE
        Yes
    

        

        FILTER GENOMICS
        
    

        

        REFERENCE LINK URL
        https://labs.northwell.edu/epic/test/192055
    

        

        ORDERING INSTRUCTIONS
        
    

        

        DEFAULT SPECIMEN TYPE
        Conjunctiva
    

        

        SPECIMEN TYPE PICK LIST
        Conjunctiva
    

        

        SPECIMEN TYPE LIST
        Swab
    

        

        OP SPECIMEN TYPE LIST
        
    

        

        SPECIMEN SOURCE PICK LIST
        Eye, Left
Eye, Right		
    

        

        SPECIMEN SOURCE DEFAULT - MALE
        
    

        

        SPECIMEN SOURCE DEFAULT - FEMALE
        
    

        

        SPECIMEN SOURCE LIST
        
    

        

        OP SPECIMEN SOURCE LIST
        
    

        

        IP LAB TEST COMPONENTS FOR REPORT
        
    

        

        OP LAB TEST COMPONENTS FOR REPORT
        
    

        

        ORDER QUESTIONS
        ["3046200010", "3046200011", "3046200012", "3046200013", "3046200014", "3046701000", "3046701001", "3045300170", "3045300171", "3045300173"]
    

        

        ORDER QUESTIONS RECORD NAME
        NH IP LAB SCREENED FOR FLU A/B
NH IP LAB EMPLOYED IN FARMING
NH IP LAB SYMPTOMATIC
NH IP LAB DATE OF SYMPTOM ONSET
NH IP LAB PREGNANT
NH IP LAB RACE
NH IP LAB ETHNICITY
NH IP HOME COLLECT DATE
NH IP HOME COLLECT DAYS
NH IP HOME COLLECT MEDICALLY NECESSARY		
    

        

        INPATIENT ORDER QUESTIONS
        ["3046200010", "3046200011", "3046200012", "3046200013", "3046200014", "3046701000", "3046701001", "3048500000"]
    

        

        INPATIENT ORDER QUESTIONS RECORD NAME
        NH IP LAB SCREENED FOR FLU A/B
NH IP LAB EMPLOYED IN FARMING
NH IP LAB SYMPTOMATIC
NH IP LAB DATE OF SYMPTOM ONSET
NH IP LAB PREGNANT
NH IP LAB RACE
NH IP LAB ETHNICITY		
    

        

        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
        NH IP PATIENT COMPLETED CONSENT
    

        

        EDP IP ORDER SPECIFIC QUESTIONS RECORD NAME
        NH IP PATIENT COMPLETED CONSENT
    

        

        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
        
    

        

        OP ORDERABLE
        
    

        

        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
            

                        

                3046200010
                NH IP LAB SCREENED FOR FLU A/B
                Screened for Flu A/B?
                Yes/No
                
                No
            

                        

                3046200011
                NH IP LAB EMPLOYED IN FARMING
                Employed in Farming?
                Yes/No
                
                No
            

                        

                3046200012
                NH IP LAB SYMPTOMATIC
                Symptomatic?
                Yes/No
                
                No
            

                        

                3046200013
                NH IP LAB DATE OF SYMPTOM ONSET
                Date of symptom onset?
                Date
                
                No
            

                        

                3046200014
                NH IP LAB PREGNANT
                Pregnant?
                Yes/No
                
                No
            

                        

                3046701000
                NH IP LAB RACE
                Race
                Category - INI
                
                No
            

                        

                3046701001
                NH IP LAB ETHNICITY
                Ethnicity?
                Category - INI
                
                No
            

                    

            


    
EPIC IP AOEs


                

            
Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response

                        

                3046200010
                NH IP LAB SCREENED FOR FLU A/B
                Screened for Flu A/B?
                Yes/No
                
                No
            

                        

                3046200011
                NH IP LAB EMPLOYED IN FARMING
                Employed in Farming?
                Yes/No
                
                No
            

                        

                3046200012
                NH IP LAB SYMPTOMATIC
                Symptomatic?
                Yes/No
                
                No
            

                        

                3046200013
                NH IP LAB DATE OF SYMPTOM ONSET
                Date of symptom onset?
                Date
                
                No
            

                        

                3046200014
                NH IP LAB PREGNANT
                Pregnant?
                Yes/No
                
                No
            

                        

                3046701000
                NH IP LAB RACE
                Race
                Category - INI
                
                No
            

                        

                3046701001
                NH IP LAB ETHNICITY
                Ethnicity?
                Category - INI
                
                No
            

                        

                3048500000
                NH IP PATIENT COMPLETED CONSENT
                Patient completed consent?
                Yes/No
                
                Yes
            

                    

            


    
EPIC Components (results - crosswalked through Cerner)


                

            
Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM

                        

                3047805438.0
                COMMENT:
                COMMENT
                COMMENT
                FibroSure Comment 1
                255300C
            

                        

                3046200110.0
                INFLUENZA A (CONJUNCTIVA)
                FLUACONJ
                INFLUENZA A (CONJUNCTIVA)
                Influenza A (Conjunctiva)
                255300A
            

                        

                3046200111.0
                INFLUENZA H5 (CONJUNCTIVA)
                FLUH5CONJ
                INFLUENZA H5 (CONJUNCTIVA)
                Influenza H5 (Conjunctiva)
                255300B