Epic Build / Desired Build Test Compendium
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Amitriptyline level

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: Amitriptyline, Quantitative
PDM 5915001
Informatics - WorkgroupTox/TDM
Synonyms *ELAVIL
Triavil
Amitriptyline & Metabolite
Limbitrol
Amitril
Endep
Etrafon
Display Name *Amitriptyline level
Specimen Sources (combined Order Entry and Specimen Navigator) *
Specimen Types (combined Order Entry and Specimen Navigator) *
Blood
Body Fluids (types sent through AOEs)
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)The tricyclics are used to treat depression. Therapeutic drug levels are monitored to assist the physician assessing therapeutic response and to avoid toxicity.
IP Orderable (inpatient) Yes
OP Orderable (outpatient) Yes
AOEs *

AP AOEs
Special History No
Build Comments
Filter *
Cerner Site RestrictAML/Quest Labs
LabCorp
Cerner Results

Result Desc Result display Result PDM
Amitrip/Nortriptyline Total AMITOTAL 5915003
Nortriptyline Quantitative NORTRIPQX 5915002
Amitrip/Nortripyline Note AMINOTE 5915004
Amitriptyline Quantitative AMITRIPQX 5915000

Actual Epic Build 3/11/2025

PROCEDURE ID 64579
PDM 5915001
ORDER DISPLAY NAME Amitriptyline Level
PROCEDURE NAME AMITRIPTYLINE LEVEL
PROCEDURE MASTER NUMBER LAB681
SHORT PROCEDURE NAME AMITRIPTYLINE LEVEL
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS ELAVIL
Triavil
Amitriptyline & Metabolite
Limbitrol
Amitril
Endep
Etrafon
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/64579
ORDERING INSTRUCTIONS
DEFAULT SPECIMEN TYPE Blood
SPECIMEN TYPE PICK LIST Blood
SPECIMEN TYPE LIST
OP SPECIMEN TYPE LIST
SPECIMEN SOURCE PICK LIST Blood, Arterial
Blood, Capillary
Blood, Central Line
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 AMITRIPQNT
NORTRIPT
AMITNORTTOT
AMITNORTNOTE
OP LAB TEST COMPONENTS FOR REPORT AMITRIPQNT
NORTRIPT
AMITNORTTOT
AMITNORTNOTE
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
EDP OP SPECIMEN SOURCE
EDP IP SPECIMEN TYPE Blood
EDP OP SPECIMEN TYPE
DERIVED EDP IP BUTTONS S Blood, Central Line
Blood, Arterial
Blood, Capillary
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

EPIC Components (results - crosswalked through Cerner)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3047800991.0 AMITRIP/NORTRIPTYLINE TOTAL AMITNORTTOT AMITRIP NORTRIPTYLINE TOTAL 5915003
3047803801.0 NORTRIPTYLINE QUANTITATIVE NORTRIPT NORTRIPTYLINE QUANTITATIVE 5915002
3047800992.0 AMITRIP/NORTRIPYLINE NOTE AMITNORTNOTE AMITRIP NORTRIPTYLINE NOTE 5915004
3047800993.0 AMITRIPTYLINE, QUANTITATIVE AMITRIPQNT AMITRIPTYLINE, QUANTITATIVE 5915000