EPIC Test Compendium Alpha
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AVISE MTX

Test Catalog Information

Test Catalog Synonyms

EPIC Synonyms methotrexate (MTX) metabolites
methotrexate polyglutamates (MTXPGs)
Cerner Primary MnemonicAVISE MTX
EPIC Display NameAVISE MTX
Allscripts (AEHR) Order Name

AVISE MTX

Sunrise Clinical Manager (SCM) Order Name

AVISE MTX

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results Methotrexate Polyglutamates Concentratio
Clinical Info

Measurement of active methotrexate (MTX) metabolites, methotrexate polyglutamates (MTXPGs

Specimen Type

Blood

Container

Lavender Top Tube

Collection Instructions

Container/Tube: Lavender (EDTA) Top Tube Specimen: 5 mL whole Blood( 3 mL min) Transport Temperature: Refrigerated

Transport Instructions

Refrigerated

Specimen Stability

5 Days Refrigerated

Methodology

Chromatography Quant multi

Days Performed

Performing Laboratory

Exagen

CPT

80204 Medicare 84999

PDM

235303

Desired Epic Build AVISE MTX

Cerner Primary Mnemonic: AVISE MTX
PDM 235303
Informatics - WorkgroupEndocrine
Synonyms *methotrexate (MTX) metabolites
methotrexate polyglutamates (MTXPGs)
Display Name *AVISE MTX
Order Entry Specimen Sources *
Order Entry Specimen Types
Blood
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)Measurement of active methotrexate (MTX) metabolites, methotrexate polyglutamates (MTXPGs
IP Orderable Yes
OP Orderable Yes
AOEs *

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

Result DescResult displayResult PDM
AVISEMTX Methotrexate Polyglutamates Concentratio 235303A

Actual Epic build

Procedure Id 114576
Pdm 235303
Order Display Name AVISE MTX
Procedure Name AVISE MTX
Procedure Master Number LAB11090
Short Procedure Name AVISE MTX
Category Code 1.0
Category Code Record Name LAB BLOOD ORDERABLES
Synonyms AVISEMTX
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics
Reference Link Url https://labs.northwell.edu/epic/test/114576
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, Capillary Blood, Venous Blood, Central Line 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
3047803491.0 METHOTREXATE POLYGLUTAMATES CONCENTRATIO METHPOLYGLUT METHOTREXATE POLYGLUTAMATES CONCENTRATIO 235303A