EPIC Test Compendium Alpha
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Body Fluid, Herpes Simplex Virus 1/2 (HSV1/2) Molecular Detection

Test Catalog Information

Test Catalog Synonyms

Vitreous
Amniotic
Bronchoalveolar Lavage/BAL
Pericardial
Pleural

EPIC Synonyms Bronchoalveolar Lavage
Pericardial
Amniotic
Herpes Simplex Virus DNA, PCR, Fluid
Pleural
Vitreous
Herpes Fluid, PCR
BAL
Cerner Primary MnemonicHerpes Simplex Virus DNA, PCR, Fluid
EPIC Display NameBody Fluid, Herpes Simplex Virus 1/2 (HSV1/2) Molecular Detection
Allscripts (AEHR) Order Name

Herpes Simplex Virus DNA, PCR, Fluid

Sunrise Clinical Manager (SCM) Order Name

Herpes Simplex Virus DNA, PCR, Fluid

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results HSSOURCE
HSV1DNA
HSV2DNA
Clinical Info

Neonates, who have been exposed to HSV, can develop disseminated infection and encephalitis; molecular amplification testing is useful in the diagnosis of HSV infection. Skin/mucosa, blood, and CSF molecular tests have been validated and are available at Northwell Health Laboratories.

Specimen Type

Blood, Body Fluid

Container

Sterile

Collection Instructions

Submit one of the following Preferred Specimen(s) 1 mL(0.3mL min) pleural fluid, pericardial fluid, amniotic fluid in sterile leak proof container and refrigerated Vitreous Fluid 0.5 mL (0.35 min) Swab or 0.5 mL vitreous fluids collected in a viral transport media, VCM or M4 1mL (0.35mL min) Bronchoalveolar lavage or bronchial wash collected in a sterile leak proof container. Stability , Serum, Swab- 7 days Refrigerated (frozen- 30 days) Collection Instructions Serum: Collect blood in sterile tubes with no anticoagulants; serum separator tubes (SST®) are recommended. Transfer serum into sterile plastic leak-proof container and store refrigerated or frozen.

Transport Instructions

Specimen Stability

Methodology

Real-Time Polymerase Chain Reaction This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.   This test was developed and its analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or approved by the U.S. Food and Drug Administration. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.

Days Performed

TAT: 7 - 8 days Skin/mucosa, blood, and CSF molecular tests have been validated and are available at Northwell Health Laboratories. 1) For skin and mucosal swab specimens, order HSV 1/2 VZV Lesion PCR (HSV12 VZV PCR). 2) For whole blood specimens, order Herpes Simplex Virus 1/2 by PCR, Blood (HSV 12 BLD). 3) For CSF specimens, order CSF PCR Panel OR. Herpes Simplex Virus DNA, PCR FLUID is performed at an reference laboratory and is only intended for the testing of special case specimens such as amniotic fluid, bronchoalveolar lavage, vitreous fluid, pleural fluid, pericardial fluid, and serum (if whole blood is not available).

Performing Laboratory

Quest Diagnostics Nichols Institute Chantilly VA

CPT

87529 x 2 ;

PDM

5915650

Desired Epic Build Body Fluid, Herpes Simplex Virus 1/2 (HSV1/2) Molecular Detection

Cerner Primary Mnemonic: Herpes Simplex Virus DNA, PCR, Fluid
PDM 5915650
Informatics - WorkgroupID Sendouts
Synonyms *Bronchoalveolar Lavage
Pericardial
Amniotic
Herpes Simplex Virus DNA, PCR, Fluid
Pleural
Vitreous
Herpes Fluid, PCR
BAL
Display Name *Body Fluid, Herpes Simplex Virus 1/2 (HSV1/2) Molecular Detection
Order Entry Specimen Sources *
Amniotic Sac
BAL
Eye L
Eye R
Pericardium
Pleura L
Pleura R
Vitreous
Order Entry Specimen Types
Body Fluid
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)Neonates, who have been exposed to HSV, can develop disseminated infection and encephalitis; molecular amplification testing is useful in the diagnosis of HSV infection. Skin/mucosa, blood, and CSF molecular tests have been validated and are available at Northwell Health Laboratories.
IP Orderable Yes
OP Orderable Yes
AOEs *

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

Result DescResult displayResult PDM
HSSOURCE HSSOURCE 5915650A
HSV1DNA HSV1DNA 5915650B
HSV2DNA HSV2DNA 5915650C

Current Actual EPIC Build as of 10/28/2024

Procedure Id 115317
Pdm 5915650
Order Display Name Body Fluid, Herpes Simplex Virus 1/2 (HSV1/2) Molecular Detection
Procedure Name HERPES SIMPLEX VIRUS DNA, PCR, FLUID
Procedure Master Number LAB11496
Short Procedure Name HERPES SIMPLEX VIRUS DNA, PCR, FLUID
Category Code 4.0
Category Code Record Name LAB MICROBIOLOGY - GENERAL ORDERABLES
Synonyms BRONCHOALVEOLAR LAVAGE PERICARDIAL AMNIOTIC HERPES SIMPLEX VIRUS DNA, PCR, FLUID PLEURAL VITREOUS HERPES FLUID, PCR BAL
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics
Reference Link Url https://labs.northwell.edu/epic/test/115317
Ordering Instructions
Default Specimen Type Body Fluid
Specimen Type Pick List Body Fluid
Specimen Type List
Op Specimen Type List
Specimen Source Pick List Amniotic Sac BAL Eye, Left Eye, Right Pericardium Pleura, Left Pleura, Right Vitreous
Specimen Source Default - Male
Specimen Source Default - Female
Specimen Source List
Op Specimen Source List
Ip Lab Test Components For Report
Op Lab Test Components For Report
Order Questions ["3046700008"]
Order Questions Record Name NH IP HERPES SIMPLEX SPECIMEN SOURCE
Inpatient Order Questions ["3046700008"]
Inpatient Order Questions Record Name NH IP HERPES SIMPLEX SPECIMEN SOURCE
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
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
3046700008 NH IP HERPES SIMPLEX SPECIMEN SOURCE Herpes Simplex Specimen Source Custom List Amniotic Fluid
BAL
Bronch Wash
Pericardial fl
Pleural fluid
Vitreous Fl
Yes
EPIC IP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
3046700008 NH IP HERPES SIMPLEX SPECIMEN SOURCE Herpes Simplex Specimen Source Custom List Amniotic Fluid
BAL
Bronch Wash
Pericardial fl
Pleural fluid
Vitreous Fl
Yes
EPIC Components (results)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3047802786 HERPES SIMPLEX SPECIMEN SOURCE HERPSIMSS HERPES SIMPLEX SPECIMEN SOURCE 5915650A
3047802782 HERPES SIMPLEX 1 DNA HERPSIMDNA HERPES SIMPLEX 1 DNA 5915650B
3047802785 HERPES SIMPLEX 2 DNA HERPSIMDNA2 HERPES SIMPLEX 2 DNA 5915650C