EPIC Test Compendium Alpha
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Clostridioides difficile (C. diff) Molecular Detection

Test Catalog Information

Test Catalog Synonyms

Clostridioides, Clostridium, difficile

EPIC Synonyms CDIFFPCR
CDIFF BY PCR
Clostridium
Cerner Primary MnemonicCDIFF BY PCR
EPIC Display NameClostridioides difficile (C. diff) Molecular Detection
Allscripts (AEHR) Order Name

Cdiff Toxin PCR

Sunrise Clinical Manager (SCM) Order Name

Clostridium difficile Toxin by PCR

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results C. difficile PCR Result
C. difficile PCR Interp
Clinical Info

This test aids in the diagnosis of C. difficile colitis. Do not order on patients hospitalized for more than three days. Stool specimens must be unformed/liquid.

Specimen Type

Stool

Container

Sterile

Collection Instructions

Container: Screw-capped, sterile container Specimen: 5 g (minimum volume: 1 g) of liquid or soft stool (specimen should conform to shape of container) Transport Temperature: Refrigerate Specimens with addictive or in leaky containers will be rejected Collection Instructions: Note: Formed stools should not be tested, as positive results in asymptomatic patients generally represent colonization rather than Clostridioides (Clostridium) difficile infection (CDI). Submit only 1 specimen per episode. Repeat testing will offer no further useful clinical information. Unacceptable Collections: ESwab or any similar specimen with a liquid or gel. Added media may interfere with PCR assay.

Transport Instructions

Refrigerate

Specimen Stability

5 days at 2-8 C

Methodology

Polymerase Chain Reaction/BDMAXTM

Days Performed

Monday through Sunday

Performing Laboratory

Northwell Health Laboratories

CPT

87493

PDM

6350700

Desired Epic Build Clostridioides difficile (C. diff) Molecular Detection

Cerner Primary Mnemonic: CDIFF BY PCR
PDM 6350700
Informatics - WorkgroupID Molecular
Synonyms *CDIFFPCR
CDIFF BY PCR
Clostridium
Display Name *Clostridioides difficile (C. diff) 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 aids in the diagnosis of C. difficile colitis. Do not order on patients hospitalized for more than three days. Stool specimens must be unformed/liquid.
IP Orderable Yes
OP Orderable Yes
AOEs *

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

Result DescResult displayResult PDM
CDIFF RES C. difficile PCR Result 6350705
I CDIFFPCR C. difficile PCR Interp 6350710

Actual Epic build

Procedure Id 115291
Pdm 6350700
Order Display Name Clostridioides difficile (C. diff) Molecular Detection
Procedure Name CLOSTRIDIUM DIFFICILE TOXIN BY PCR
Procedure Master Number LAB11480
Short Procedure Name CLOSTRIDIUM DIFFICILE TOXIN BY PCR
Category Code 4.0
Category Code Record Name LAB MICROBIOLOGY - GENERAL ORDERABLES
Synonyms CDIFFPCR CDIFF BY PCR CLOSTRIDIUM
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics
Reference Link Url https://labs.northwell.edu/epic/test/115291
Ordering Instructions
Default Specimen Type Stool
Specimen Type Pick List Stool
Specimen Type List
Op Specimen Type List
Specimen Source Pick List Per Rectum Per Stoma
Specimen Source Default - Male Per Rectum
Specimen Source Default - Female Per Rectum
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 ["30485150250", "30485150252", "30485150253"]
Inpatient Order Questions Record Name NH IP C DIFF INDICATION 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 100010 100013 100016 100017 100002 100006 100014 100019 100003 100008 100018
Location Restrict List Ip Record Name Northern Westchester Hospital Phelps Memorial Hospital Staten Island University Hospital North Staten Island University Hospital Princes Bay Glen Cove Hospital Long Island Jewish Forest Hills Plainview Hospital Syosset Hospital Huntington Hospital Mather Hospital South Shore University Hospital
Location Restrict List Include Ip Yes
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
30485150250 NH IP C DIFF INDICATION Indication Custom List >=3 unexplained loose stools & recent antibiotic use
Ileus/Colonic Distention
Urgent Exception
Yes
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
3047800402.0 C DIFF BY PCR RESULT CDIFFPCR C DIFF PCR 6350705
3047800425.0 CLOSTRIDIUM DIFFICILE TOXIN BY PCR CDIFFTOXPCR CLOSTRIDUM DIFFICILE TOXIN PCR 6350710