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Clostridioides difficile (C. diff) GDH Toxin A/B with Reflex to Molecular Detection

Test Catalog Information

Test Catalog Synonyms

EPIC Synonyms Cdiff
C diff Toxin/GDH w/Rflx to PCR
Clostridium
CDIFFAB
Cerner Primary MnemonicC diff Toxin/GDH w/Rflx to PCR
EPIC Display NameClostridioides difficile (C. diff) GDH Toxin A/B with Reflex to Molecular Detection
Allscripts (AEHR) Order Name

C diff Toxin/GDH w/ Reflex to PCR

Sunrise Clinical Manager (SCM) Order Name

Not Orderable

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results GDHAG
TOXINA&B
CDIFFABREF
Clinical Info

This test detects two antigens produced by C. difficile: GDH and Toxin A/B.  This test reflexes to confirmation by molecular detection for C. difficile toxin. Formed stools will be rejected.

Specimen Type

Stool

Container

Stool Container

Collection Instructions

Collection Instructions Collect fresh stool in sterile, leak-proof container without media, preservative, or metal ion. Cap securely. Do not use any preservative, media or additive. For patients requiring the use of diapers, first line the diaper with clean plastic to prevent absorption. Then transfer 5 grams or 5 mL of the stool specimen from the plastic lined diaper to the sterile container. Do not submit the diaper itself.

Transport Instructions

Frozen

Specimen Stability

Room temperature: Unacceptable                  Refrigerated: 72 hours                   Frozen: 30 days

Methodology

Immunoassay (IA)

Days Performed

Sunday - Friday   TAT: 2 - 3 Days

Performing Laboratory

Quest Diagnostics' Nichols Institute, Inc. - Chantilly

CPT

87324,87449

PDM

1959728

Desired Epic Build Clostridioides difficile (C. diff) GDH Toxin A/B with Reflex to Molecular Detection

Cerner Primary Mnemonic: C diff Toxin/GDH w/Rflx to PCR
PDM 1959728
Informatics - WorkgroupID Serology
Synonyms *Cdiff
C diff Toxin/GDH w/Rflx to PCR
Clostridium
CDIFFAB
Display Name *Clostridioides difficile (C. diff) GDH Toxin A/B with Reflex to Molecular Detection
Order Entry Specimen Sources *
Stool
Order Entry Specimen Types
Stool
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)This test detects two antigens produced by C. difficile: GDH and Toxin A/B.  This test reflexes to confirmation by molecular detection for C. difficile toxin. Formed stools will be rejected.
IP Orderable Yes
OP Orderable Yes
AOEs *

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

Result DescResult displayResult PDM
GDHAG GDHAG 1959728A
TOXINA&B TOXINA&B 1959728B
CDIFFABREF CDIFFABREF 1959728C

Current Actual EPIC Build as of 10/28/2024

Procedure Id 111898
Pdm 1959728
Order Display Name Clostridioides difficile (C. diff) GDH Toxin A/B with Reflex to Molecular Detection
Procedure Name C DIFF TOXIN/GDH W/RFLX TO PCR
Procedure Master Number LAB10697
Short Procedure Name C DIFF TOXIN/GDH W/RFLX TO PCR
Category Code 4.0
Category Code Record Name LAB MICROBIOLOGY - GENERAL ORDERABLES
Synonyms CDIFF C DIFF TOXIN/GDH W/RFLX TO PCR CLOSTRIDIUM CDIFFAB
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics
Reference Link Url https://labs.northwell.edu/epic/test/111898
Ordering Instructions This test detects two antigens produced by C. difficile: GDH and Toxin A/B. This test reflexes to confirmation by molecular detection for C. difficile toxin.

Formed stools will be rejected.
Default Specimen Type Stool
Specimen Type Pick List Stool
Specimen Type List
Op Specimen Type List
Specimen Source Pick List Stool
Specimen Source Default - Male Stool
Specimen Source Default - Female Stool
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 ["30485150252", "30485150253"]
Inpatient Order Questions Record Name NH IP C DIFF RECENT POSITIVE TEST NH IP C DIFF RECENT LAXATIVES
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
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 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

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
30485150252 NH IP C DIFF RECENT POSITIVE TEST Reason for testing within 21 days of a positive result Custom List None
Urgent Exception
Yes
30485150253 NH IP C DIFF RECENT LAXATIVES Reason for testing with a laxative given in the last 48 hrs Custom List None
Unexplained high WBC
Ileus/Colonic Distention
Urgent Exception
Yes
EPIC Components (results)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3047802559 GDH ANTIGEN GDHANT GDH ANTIGEN 1959728A
3047805023 TOXIN A AND B TOXINAB TOXIN A AND B 1959728B
3047800403 C DIFF TOX B QL PCR RFLX CDIFFTOXBPCR C DIFF TOX B QL PCR RFLX 1959728C