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Random Urine, Vanillylmandelic Acid (VMA)/Creatinine Ratio

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms VMACR
VMA/Creatinine Ratio
Cerner Primary MnemonicVMA/Creatinine Ratio
EPIC Display NameRandom Urine, Vanillylmandelic Acid (VMA)/Creatinine Ratio
Allscripts (AEHR) Order Name

VMA/Creatinine Ratio

Sunrise Clinical Manager (SCM) Order Name

VMA/Creatinine Ratio

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results Creatinine, Random Urine
Creat Random Urine
VMA/ g Creatinine
Clinical Info

Vanillylmandelic acid (VMA) is the major urinary product resulting from the metabolic degradation of catecholamine, norepinephrine and epinephrine. Elevated concentrations of VMA are commonly found in cases of catecholamine secreting tumors such as pheochromocytoma, neuroblastoma, and ganglioneuroma.

Specimen Type

Urine

Container

Urine Cup

Collection Instructions

Container/Tube:  Urine container
Specimen:  10 mL from a random urine collection (5 mL min)
Transport Temperature:  Frozen
Stability:  Room temperature: 10 days
                  Refrigerated: 14 days
                  Frozen: 1 year
 
Note:  pH adjusted to <3.0 using 6N HCl Urine without preservative is acceptable if pH is below 6 and the sample is shipped frozen.
 
Patient Preparation
It is preferable for the patient to be off medications for three days prior to collection. However, common antihypertensives (diuretics, ACE inhibitors, calcium channel blockers, alpha and beta blockers) cause minimal or no interference. Patient should avoid alcohol, coffee, tea, tobacco (including use of nicotine patch), bananas, citrus fruits and strenuous exercise prior to collection.

Transport Instructions

Frozen

Specimen Stability

Room temperature: 10 days
                  Refrigerated: 14 days
                  Frozen: 1 year
 
Note:  pH adjusted to <3.0 using 6N HCl Urine without preservative is acceptable if pH is below 6 and the sample is shipped frozen.

Methodology

High-Pressure Liquid Chromatography (HPLC)

Days Performed

Monday through Friday

Performing Laboratory

Quest Diagnostics' Nichols Institute, Inc. - Chantilly

CPT

82570 - creatinine
84585 - VMA
 
LONIC: 3124-5

PDM

5901380

Desired Epic Build Random Urine, Vanillylmandelic Acid (VMA)/Creatinine Ratio

Cerner Primary Mnemonic: VMA/Creatinine Ratio
PDM 5901380
Informatics - WorkgroupChemistry
Synonyms *VMACR
VMA/Creatinine Ratio
Display Name *Random Urine, Vanillylmandelic Acid (VMA)/Creatinine Ratio
Order Entry Specimen Sources *
Order Entry Specimen Types
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)Vanillylmandelic acid (VMA) is the major urinary product resulting from the metabolic degradation of catecholamine, norepinephrine and epinephrine. Elevated concentrations of VMA are commonly found in cases of catecholamine secreting tumors such as pheochromocytoma, neuroblastoma, and ganglioneuroma.
IP Orderable Yes
OP Orderable Yes
AOEs *

AP AOEs
Special History No
Build CommentsDo not build - JBK asked to build 3/12/24
Filter *
Procedure Category Change
Cerner Results

Result DescResult displayResult PDM
CRRUQ Creatinine, Random Urine 5908882
VMACREAT Creat Random Urine 5901371
VMACREATR VMA/ g Creatinine 1459879A

Actual Epic build

Procedure Id 114516
Pdm 5901380
Order Display Name Random Urine, Vanillylmandelic Acid (VMA)/Creatinine Ratio
Procedure Name RANDOM URINE VANILLYLMANDELIC ACID (VMA)/CREATININE RATIO
Procedure Master Number LAB11056
Short Procedure Name RANDOM URINE VANILLYLMANDELIC ACID (VMA)/CREATININE RATIO
Category Code 6.0
Category Code Record Name LAB URINE ORDERABLES
Synonyms
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics
Reference Link Url https://labs.northwell.edu/epic/test/114516
Ordering Instructions
Default Specimen Type Urine
Specimen Type Pick List Urine
Specimen Type List
Op Specimen Type List Urine
Specimen Source Pick List Urine, Catheter Urine, Clean Catch
Specimen Source Default - Male Urine, Clean Catch
Specimen Source Default - Female Urine, Clean Catch
Specimen Source List
Op Specimen Source List
Ip Lab Test Components For Report
Op Lab Test Components For Report
Order Questions []
Order Questions Record Name
Inpatient Order Questions []
Inpatient Order Questions Record Name
Order Specific Question Override
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 Urine, Clean Catch Catheter
Edp Op Specimen Source
Edp Ip Specimen Type
Edp Op Specimen Type Urine
Derived Edp Ip Buttons S Urine, Clean Catch
Derived Edp Ip Buttons T
Derived Edp Op Buttons S
Derived Edp Op Buttons T Urine
Ip Orderable 1
Op Orderable 1
EPIC OP AOEs

EPIC IP AOEs

EPIC Components (results)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3047800084.0 CREATININE, RANDOM URINE CREATU CREATININE U 5908882
3047802019.0 CREAT RANDOM URINE CREATRANUR CREAT RANDOM URINE 5901371
3047805237.0 VMA/ G CREATININE VMAGCREAT VMA/ G CREATININE 1459879A