EPIC Test Compendium Alpha
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Herpes Simplex Virus 1/2 (HSV1/2) Molecular Detection, Blood

Test Catalog Information

Test Catalog Synonyms

EPIC Synonyms HSV-2
HSV12BLD
HSV-1
HSV12 PCR Blood
disseminated HSV
Cerner Primary MnemonicHSV12 PCR Blood
EPIC Display NameHerpes Simplex Virus 1/2 (HSV1/2) Molecular Detection, Blood
Allscripts (AEHR) Order Name

HSV12 PCR BLOOD

Sunrise Clinical Manager (SCM) Order Name

Herpes Simplex Virus 1/2 by PCR, Blood

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results HSV1-DNA
Source HSV12BLD
HSV2-DNA
Clinical Info

This molecular blood test is intended for the diagnosis of disseminated or severe infections by HSV-1 and HSV-2 in neonates and other high-risk patients.

Specimen Type

Blood

Container

Lavender Top Tube

Collection Instructions

Container/Tube: Lavender (EDTA) Top Tube Specimen: 1 mL Whole Blood (0.5 mL min)

Transport Instructions

Refrigerated

Specimen Stability

3 Days Refrigerated

Methodology

Real-Time PCR

Days Performed

Monday to Sunday. TAT 24 hours

Performing Laboratory

Northwell Health Laboratoires

CPT

87529 x 2

PDM

1953787

Desired Epic Build Herpes Simplex Virus 1/2 (HSV1/2) Molecular Detection, Blood

Cerner Primary Mnemonic: HSV12 PCR Blood
PDM 1953787
Informatics - WorkgroupID Molecular
Synonyms *HSV-2
HSV12BLD
HSV-1
HSV12 PCR Blood
disseminated HSV
Display Name *Herpes Simplex Virus 1/2 (HSV1/2) Molecular Detection, Blood
Order Entry Specimen Sources *
Blood Peripheral
Order Entry Specimen Types
Blood
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)This molecular blood test is intended for the diagnosis of disseminated or severe infections by HSV-1 and HSV-2 in neonates and other high-risk patients.
IP Orderable Yes
OP Orderable Yes
AOEs *

AP AOEs
Special History No
Build Comments
Filter *micro
Procedure Category Change
Cerner Results

Result DescResult displayResult PDM
HSV1-DNA HSV1-DNA 1953787A
Source HSV12BLD Source HSV12BLD 1953787C
HSV2-DNA HSV2-DNA 1953787B

Current Actual EPIC Build as of 10/28/2024

Procedure Id 111712
Pdm 1953787
Order Display Name Herpes Simplex Virus 1/2 (HSV1/2) Molecular Detection, Blood
Procedure Name HSV12 PCR BLOOD
Procedure Master Number LAB10604
Short Procedure Name HSV12 PCR BLOOD
Category Code 1.0
Category Code Record Name LAB BLOOD ORDERABLES
Synonyms HSV-2 HSV12BLD HSV-1 HSV12 PCR BLOOD DISSEMINATED HSV
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics
Reference Link Url https://labs.northwell.edu/epic/test/111712
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
Op Lab Test Components For Report
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, Venous Blood, Capillary Blood, Arterial
Derived Edp Ip Buttons T Blood
Derived Edp Op Buttons S
Derived Edp Op Buttons T
Ip Orderable 1
Op Orderable 1
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)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
1953787A
3046200021 SOURCE HSV12BLD HSV12BLD SOURCE HSV12BLD 1953787C
1953787B