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Influenza A/Influenza B/RSV/COVID-19 (Respiratory 4-plex) Panel Molecular Detection

Test Catalog Information

Test Catalog Synonyms	4 PLEX Flu A B & RSV & Covid panel
EPIC Synonyms	SARS-CoV-2 FluB Flu A B & RSV & Covid panel FluA Flu Panel and COVID 4plex Fluvid
Cerner Primary Mnemonic	FluA/FluB/RSV/COVID PCR
EPIC Display Name	Influenza A/Influenza B/RSV/COVID-19 (Respiratory 4-plex) Panel Molecular Detection
Allscripts (AEHR) Order Name	FluA/FluB/RSV/COVID PCR (FLU PANEL)
Sunrise Clinical Manager (SCM) Order Name	FluA/FluB/RSV/COVID PCR
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	RSVRES FluARES FluBRES FluRES SARSCoV2RES
Clinical Info	This panel is intended for patients suspected of COVID-19 virus (SARS-CoV-2), Influenza A, Influenza B, and RSV (Respiratory syncytial virus).
Specimen Type	Conjucntival/Corneal, Other
Container	Viral Trn
Collection Instructions	Specimen Required: Nasopharyngeal swab or nasal wash/aspirate 1. Collect specimen using a flexible shaft nasopharyngeal flocked swab. A Dacron, rayon, or nylon swab with plastic or wire shafts is also acceptable. (Calcium alginate, charcoal, or cotton tipped swab with wooden or metal shaft are not acceptable.) 2. Gently slide swab along floor of nose with very light pressure to nasopharyngeal wall to allow the swab to absorb secretions. 3. Rotate swab slowly two to three times and withdraw it. 4. Place the swab into a tube containing 2mL or 3 mL of viral transport medium (M4 or UTM), close tightly. Mix the specimen by rapidly inverting several times. 5. Label tube with patient’s name (first and last), date and time of collection, and specimen type. Specimen can be stored at RT(15-30°C) for 8 hours and refrigerated (2°C to 8°C) for up to 7 days Acceptable source Conjunctiva Swab
Transport Instructions	Refrigerated
Specimen Stability	Specimen can be stored at RT(15-30°C) for 8 hours and refrigerated (2°C to 8°C) for up to 7 days
Methodology	Reverse Transcription PCR (RT-PCR)
Days Performed	TAT: 2-3 Days
Performing Laboratory	Northwell Health Laboratories
CPT	87631 87635
PDM	2063700

Desired Epic Build Influenza A/Influenza B/RSV/COVID-19 (Respiratory 4-plex) Panel Molecular Detection

Cerner Primary Mnemonic:

FluA/FluB/RSV/COVID PCR

PDM

2063700

Informatics - Workgroup

ID Molecular

Synonyms *

SARS-CoV-2
FluB
Flu A B & RSV & Covid panel
FluA
Flu Panel and COVID
4plex
Fluvid

Display Name *

Influenza A/Influenza B/RSV/COVID-19 (Respiratory 4-plex) Panel Molecular Detection

Order Entry Specimen Sources *

Nares

Nasopharynx

Order Entry Specimen Types

Respiratory

Swab

Specimen Navigator Specimen Types

Specimen Navigator Specimen Sources

Specimen Navigator Short Name

Ordering info (EPIC SmartText)

This panel is intended for patients suspected of COVID-19 virus (SARS-CoV-2), Influenza A, Influenza B, and RSV (Respiratory syncytial virus).

IP Orderable

Yes

OP Orderable

Yes

AOEs *

AOE PDM	AOE Display	AOE Description	Prompt
AOE000021	Race1:	Race:	X
AOE000022	Ethnicity:	Ethnicity:	X
5302680A	PregStatus	Pregnancy Status	X

AP AOEs

Special History

Build Comments

Filter *

Procedure Category Change

Cerner Results

Result Desc	Result display	Result PDM
RSVRES	RSVRES	2063700E
FluARES	FluARES	2063700C
FluBRES	FluBRES	2063700D
FluRES	FluRES	2063700B
SARSCoV2RES	SARSCoV2RES	2063700A

Current Actual EPIC Build as of 10/28/2024

Procedure Id

115279

Pdm

2063700

Order Display Name

Influenza A/Influenza B/RSV/COVID-19 (Respiratory 4-plex) Panel Molecular Detection

Procedure Name

FLUA/FLUB/RSV/COVID PCR

Procedure Master Number

LAB11473

Short Procedure Name

FLUA/FLUB/RSV/COVID PCR

Category Code

7.0

Category Code Record Name

LAB BODY FLUIDS AND STOOLS ORDERABLES

Synonyms

SARS-COV-2 FLUB FLU A B & RSV & COVID PANEL FLUA FLU PANEL AND COVID 4PLEX FLUVID

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/115279

Ordering Instructions

This panel is intended for patients suspected of COVID-19 virus (SARS-CoV-2), Influenza A, Influenza B, and RSV (Respiratory syncytial virus).

Default Specimen Type

Respiratory

Specimen Type Pick List

Swab Respiratory

Specimen Type List

Op Specimen Type List

Specimen Source Pick List

Nasopharynx Nares

Specimen Source Default - Male

Nasopharynx

Specimen Source Default - Female

Nasopharynx

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

["3048500000", "3048500033", "3048500004", "3048500005", "3048500037", "3048500036", "3048500003", "3048500006", "3048500007", "3048500008", "3048500009", "3048500010", "3048500011", "3048500012", "3048500013", "3048500014", "3048500015", "3048500016", "3048500019", "3048500020", "3048500022", "3048500021"]

Inpatient Order Questions Record Name

NH IP PATIENT COMPLETED CONSENT NH IP LEAD GUARDIANS PHONE NH IP PATIENTS EMAIL ADDRESS NH IP TEXT OR EMAIL PREFERRED NH IP RACE CUSTOM LIST NH IP ETHNICITY CUSTOM LIST NH IP PREGNANCY STATUS NH IP OCCUPATION NH IP EMPLOYER NAME NH IP EMPLOYER ADDRESS NH IP EMPLOYER PHONE NUMBER NH IP FIRST COVID TEST NH IP EMPLOYED IN HEALTHCARE NH IP SYMPTOMATIC COVID NH IP HOSPITALIZED NH IP ICU COVID NH IP RESIDENT IN CONGREGATE CARE SETTING NH IP PATIENT RESIDENCE COUNTY NH IP PATIENT ATTENDS SCHOOL NH IP NAME OF SCHOOL NH IP SCHOOL LOCATION NH IP LOCAL ADDRESS IF DIFFERENT THAN PERMANENT

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

Op Orderable

EPIC OP AOEs

Question ID	Question Name	Question	Response Type	Response List	Require 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 ID	Question Name	Question	Response Type	Response List	Require Response
3048500000	NH IP PATIENT COMPLETED CONSENT	Patient completed consent?	Yes/No		Yes
3048500003	NH IP PREGNANCY STATUS	Pregnancy Status	Custom List	Yes No Probable	No
3048500004	NH IP PATIENTS EMAIL ADDRESS	Patient's Email Address	Free Text		No
3048500005	NH IP TEXT OR EMAIL PREFERRED	Text or Email Preferred	Custom List	Text E-mail	No
3048500006	NH IP OCCUPATION	Occupation	Free Text		No
3048500007	NH IP EMPLOYER NAME	Employer Name	Free Text		No
3048500008	NH IP EMPLOYER ADDRESS
3048500009	NH IP EMPLOYER PHONE NUMBER	Employer Phone Number	Free Text		No
3048500010	NH IP FIRST COVID TEST	First COVID Test	Yes/No		No
3048500011	NH IP EMPLOYED IN HEALTHCARE
3048500012	NH IP SYMPTOMATIC COVID	Symptomatic as defined by the CDC	Yes/No		No
3048500013	NH IP HOSPITALIZED
3048500014	NH IP ICU COVID	ICU	Yes/No		No
3048500015	NH IP RESIDENT IN CONGREGATE CARE SETTING	Resident in a congregate care setting	Yes/No		No
3048500016	NH IP PATIENT RESIDENCE COUNTY	Patient Residence County	Free Text		No
3048500019	NH IP PATIENT ATTENDS SCHOOL	Patient attends School?	Yes/No		No
3048500020	NH IP NAME OF SCHOOL	Name of School	Free Text		No
3048500021	NH IP LOCAL ADDRESS IF DIFFERENT THAN PERMANENT
3048500022	NH IP SCHOOL LOCATION	School Location (city, state, zip)	Free Text		No
3048500033	NH IP LEAD GUARDIANS PHONE	Lead Guardian's Phone	Free Text		Yes
3048500036	NH IP ETHNICITY CUSTOM LIST
3048500037	NH IP RACE CUSTOM LIST	Race:	Custom List	African American Asian Native American Hawaiin Caucasian Other Unknown	No

EPIC Components (results)

Component ID	Component Name	Base Name	Common Name	Cerner Result PDM
3047804542	RESP SYN VIRUS RESULT	RSV	RESP SYN VIRUS RESULT	2063700E
3047800319	INFLUENZA A	FLUA	FLU A RESULT	2063700C
3047800318	INFLUENZA B	FLUB	FLU B RESULT	2063700D
3047803061	INFLUENZA RESULT	FLU	INFLUENZA RESULT	2063700B
3047804662	SARS-COV-2 RESULT	SARSCOV2	SARS COV 2 RESULT	2063700A

EPIC Test Compendium Alpha Welcome to the new Northwell Health Labs Test Directory, please call our Client Services Department at 1-800-472-5757 with any typos, corrections or issues.

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Influenza A/Influenza B/RSV/COVID-19 (Respiratory 4-plex) Panel Molecular Detection

Test Catalog Information

Desired Epic Build Influenza A/Influenza B/RSV/COVID-19 (Respiratory 4-plex) Panel Molecular Detection

Current Actual EPIC Build as of 10/28/2024

EPIC Test Compendium Alpha
Welcome to the new Northwell Health Labs Test Directory, please call our Client Services Department at 1-800-472-5757 with any typos, corrections or issues.