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Herpes Simplex Virus 1/2 (HSV1/2)/Varicella Zoster Virus (VZV) Molecular Detection, Lesions

Test Catalog Information

Test Catalog Synonyms

EPIC Synonyms HSV 1/2 VZV Lesions, PCR
shingles
HSV12 VZV PCR
HSV-2
genital lesion
HSV-1
vesicle
Cerner Primary MnemonicHSV 1/2 VZV Lesions, PCR
EPIC Display NameHerpes Simplex Virus 1/2 (HSV1/2)/Varicella Zoster Virus (VZV) Molecular Detection, Lesions
Allscripts (AEHR) Order Name

HSV 1/2 VZV Lesions, PCR

Sunrise Clinical Manager (SCM) Order Name

Herpes Simplex Virus 1/2 VZV Lesions, PCR

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results HSV1/2 VZV PCR Result
HSV1/2 VZV PCR Source
Clinical Info

Specimen Type

Tissue, Vaginal/Rectal

Container

Universal Transport Medium (UTM) or Viral Transport Media (VTM)

Collection Instructions

Container/Tube: Universal Transport Medium (UTM) or Viral Transport Media (VTM) Specimen: Swab of cutaneous or mucocutaneous lesion, including skin, genital, oral, and rectal sites.   Collect specimen using a polyester swab in UTM/VTM.  To optimize collection, unroof vesicle then rotate swab on lesion bed. If possible, sample additional lesions with swab to increase test sensitivity. Return swab to sterile culture Send specimen refrigerated. Maintain sterility and forward promptly.

Transport Instructions

Refrigerated

Specimen Stability

3 Days  Refrigerated (preferred) 7 Days Frozen (-20°C)

Methodology

Real-Time Polymerase Chain Reaction (PCR)/DNA Probe Hybridization,  Qualitative detection and identification of Herpes simplex virus-1, Herpes simplex virus-2  and Varicella zoster virus.

Days Performed

Monday through Sunday

Performing Laboratory

Northwell Health Laboratories

CPT

87529 x 2 87798

PDM

5700489

Desired Epic Build Herpes Simplex Virus 1/2 (HSV1/2)/Varicella Zoster Virus (VZV) Molecular Detection, Lesions

Cerner Primary Mnemonic: HSV 1/2 VZV Lesions, PCR
PDM 5700489
Informatics - WorkgroupID Molecular
Synonyms *HSV 1/2 VZV Lesions, PCR
shingles
HSV12 VZV PCR
HSV-2
genital lesion
HSV-1
vesicle
Display Name *Herpes Simplex Virus 1/2 (HSV1/2)/Varicella Zoster Virus (VZV) Molecular Detection, Lesions
Order Entry Specimen Sources *
Ankle L
Ankle R
Arm L
Arm R
Axilla Left
Axilla Right
Back L
Back U
Breast L
Breast R
Buttock L
Buttock R
Cheek Left
Cheek Right
Chest
Chin
Ear L
Ear R
Elbow L
Elbow R
Finger Left
Finger Right
Foot L
Foot R
Forehead
Groin
Hand L
Hand R
Hip L
Hip R
Jaw Left
Jaw Right
Knee L
Knee R
Labia
Leg L
Leg R
Lip L
Lip U
Neck
Nose
Oral Mucosa
Oropharynx/Throat
Pelvis
Penis
Rectum
Scalp
Scrotum
Shoulder L
Shoulder R
Stomach
Toe L
Toe R
Tongue
Vagina
Wrist L
Wrist R
Order Entry Specimen Types
Swab
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)
IP Orderable Yes
OP Orderable Yes
AOEs *

AOE PDMAOE DisplayAOE DescriptionPrompt
HSVVZVSRCE HSV VZV SRCE HSV1/2 ?VZV PCR Source X
AP AOEs
Special History No
Build Comments
Filter *micro
Procedure Category ChangeLAB BODY FLUIDS AND STOOLS ORDERABLES
Cerner Results

Result DescResult displayResult PDM
HSV12VZVPCRX HSV1/2 VZV PCR Result 5700489B
HSV VZV SRCE HSV1/2 VZV PCR Source 5700489A

Actual Epic build

Procedure Id 111724
Pdm 5700489
Order Display Name Herpes Simplex Virus 1/2 (HSV1/2)/Varicella Zoster Virus (VZV) Molecular Detection, Lesions
Procedure Name HSV 1/2 VZV LESIONS, PCR
Procedure Master Number LAB10610
Short Procedure Name HSV 1/2 VZV LESIONS, PCR
Category Code 7.0
Category Code Record Name LAB BODY FLUIDS AND STOOLS ORDERABLES
Synonyms HSV 1/2 VZV LESIONS, PCR SHINGLES HSV12 VZV PCR HSV-2 GENITAL LESION HSV-1 VESICLE
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics
Reference Link Url https://labs.northwell.edu/epic/test/111724
Ordering Instructions
Default Specimen Type Swab
Specimen Type Pick List Swab
Specimen Type List
Op Specimen Type List
Specimen Source Pick List Ankle, Left Ankle, Right Arm, Left Arm, Right Axilla, Left Axilla, Right Back, Lower Back, Upper Breast, Left Breast, Right Buttock, Left Buttock, Right Cheek, Left Cheek, Right Chest Chin Ear, Left Ear, Right Elbow, Left Elbow, Right Finger, Left Finger, Right Foot, Left Foot, Right Forehead Groin Hand, Left Hand, Right Hip, Left Jaw, Left Jaw, Right Knee, Left Knee, Right Labia Leg, Left Leg, Right Lip, Lower Lip, Upper Neck Nose Oral Mucosa Oropharynx/Throat Pelvis Penis Rectum Scalp Scrotum Shoulder, Left Shoulder, Right Stomach Toe, Left Toe, Right Tongue Vagina Wrist, Left Wrist, 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 ["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 Per Rectum
Edp Op Specimen Source Per Rectum
Edp Ip Specimen Type Stool Cerebrospinal Fluid
Edp Op Specimen Type Cerebrospinal Fluid Stool
Derived Edp Ip Buttons S
Derived Edp Ip Buttons T
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
3048100112.0 HERPES SIMPLEX VIRUS 1/2 VZV PCR RESULT HSV12VZVPCR HSV 1/2 VZV PCR RSLT 5700489B
3047802946.0 HSV1/2 VZV PCR SOURCE HSV12 HSV1/2 VZV PCR SOURCE 5700489A