EPIC Test Compendium Alpha
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HIV-1 Resistance, Proviral DNA (RTI, PI, Integrase Inhibitors) (Quest)

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms
Cerner Primary Mnemonic	HIV-1 Genotype (RTI,PI,Integrase Inhibitors)
EPIC Display Name	HIV-1 Resistance, Proviral DNA (RTI, PI, Integrase Inhibitors) (Quest)
Allscripts (AEHR) Order Name	HIV-1 Genotype (RTI,PI,Integrase Inhibitors)
Sunrise Clinical Manager (SCM) Order Name	HIV-1 Genotype (RTI,PI,Integrase Inhibitors)
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	RALTEGRAVIR ELVITEGRAVIR VL DATE HIV-1 Genotypic Drug Resistance HIV-1 Genotype Drug Resistance DOLUTEGRAVIR BICTEGRAVIR Cabotegravir Resistance HIV-1 Integrase Genotype
Clinical Info	Identify drug resitance mutations in HIV-1 patients failing antiretroviral regimens containing RT, PR or Integrase inhibitors. Identify transmitted drug resistance mutations in the RT, PR or integrase genes in treatment-naive patients prior to initiation of antiretroviral therapy.
Specimen Type	Blood
Container	Lavender Top Tube
Collection Instructions	Container/Tube: Lavender top tube or PPT (white top tube) Specimen: 4 mL plasma ( 1.2 mL min) Transport Temperature: Frozen Stability: Room temperature: 24 hours Refrigerated: 6 days Frozen: 42 days Collection Instructions Freshly drawn specimens (whole blood) may be stored at 2°C to 25°C for up to 24 hours prior to centrifugation. Separate plasma from cells within 24 hours of collection by centrifugation..
Transport Instructions	Frozen
Specimen Stability	Room temperature: 24 hours Refrigerated: 6 days Frozen: 42 days Collection Instructions Freshly drawn specimens (whole blood) may be stored at 2°C to 25°C for up to 24 hours prior to centrifugation
Methodology	Reverse Transcriptase Polymerase Chain Reaction (RT-PCR) • Sequencing Includes HIV-1 Integrase Genotype HIV-1 Genotype
Days Performed
Performing Laboratory	Quest Diagnostics' Nichols Institute, Inc. - Chantilly
CPT	87900 87901 87906
PDM	5920205

Desired Epic Build HIV-1 Resistance, Proviral DNA (RTI, PI, Integrase Inhibitors) (Quest)

Cerner Primary Mnemonic:

HIV-1 Genotype (RTI,PI,Integrase Inhibitors)

PDM

5920205

Informatics - Workgroup

ID Sendouts

Synonyms *

Display Name *

HIV-1 Resistance, Proviral DNA (RTI, PI, Integrase Inhibitors) (Quest)

Order Entry Specimen Sources *

Blood Peripheral

Order Entry Specimen Types

Blood

Specimen Navigator Specimen Types

Specimen Navigator Specimen Sources

Specimen Navigator Short Name

Ordering info (EPIC SmartText)

Identify drug resitance mutations in HIV-1 patients failing antiretroviral regimens containing RT, PR or Integrase inhibitors. Identify transmitted drug resistance mutations in the RT, PR or integrase genes in treatment-naive patients prior to initiation of antiretroviral therapy.

IP Orderable

Yes

OP Orderable

Yes

AOEs *

AP AOEs

Special History

Build Comments

Filter *

Procedure Category Change

Cerner Results

Result Desc	Result display	Result PDM
RALTEGRAVIR	RALTEGRAVIR	5950973A
ELVITEGRAVIR	ELVITEGRAVIR	5950973B
VL DATE	VL DATE	5950973D
HIVG	HIV-1 Genotypic Drug Resistance	5920205A
HIV-1 G	HIV-1 Genotype Drug Resistance	5950973W
DOLUTEGRAVIR	DOLUTEGRAVIR	5950973C
BICTEGRAVIR	BICTEGRAVIR	5950973Y
CABOTEGRAVIR	Cabotegravir Resistance	5950973Z
HIV-1 Integ G	HIV-1 Integrase Genotype	5950973X

Actual Epic build

Procedure Id

115819

Pdm

5920205

Order Display Name

HIV-1 Resistance, Proviral DNA (RTI, PI, Integrase Inhibitors) (Quest)

Procedure Name

HIV-1 GENOTYPE (RTI,PI,INTEGRASE INHIBITORS)

Procedure Master Number

LAB11784

Short Procedure Name

HIV-1 GENOTYPE (RTI,PI,INTEGRASE INHIBITORS)

Category Code

4.0

Category Code Record Name

LAB MICROBIOLOGY - GENERAL ORDERABLES

Synonyms

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/115819

Ordering Instructions

Default Specimen Type

Blood

Specimen Type Pick List

Blood

Specimen Type List

Op Specimen Type List

Specimen Source Pick List

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

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

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

EPIC Components (results)

Component ID	Component Name	Base Name	Common Name	Cerner Result PDM
3047804422.0	RALTEGRAVIR	RALTEGRAVIR	RALTEGRAVIR	5950973A
3047802298.0	ELVITEGRAVIR	ELVITEGRAVIR	ELVITEGRAVIR	5950973B
3047805235.0	VL DATE	VLDATE	VL DATE	5950973D
3047802841.0	HIV-1 GENOTYPIC DRUG RESISTANCE	HIV1GDR	HIV-1 GENOTYPIC DRUG RESISTANCE	5920205A
3047802840.0	HIV-1 GENOTYPE DRUG RESISTANCE	HIV1GDR	HIV-1 GENOTYPE DRUG RESISTANCE	5950973W
3047802192.0	DOLUTEGRAVIR	DOLUTEGRAV	DOLUTEGRAVIR	5950973C
3047801381.0	BICTEGRAVIR RESISTANCE	BICTEGRAVIR	BICTEGRAVIR RESISTANCE	5950973Y
3047801583.0	CABOTEGRAVIR RESISTANCE	CABOTRESIST	CABOTEGRAVIR RESISTANCE	5950973Z
3047802842.0	HIV-1 INTEGRASE GENOTYPE	HIV1INTGEN	HIV-1 INTEGRASE GENOTYPE	5950973X

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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HIV-1 Resistance, Proviral DNA (RTI, PI, Integrase Inhibitors) (Quest)

Test Catalog Information

Desired Epic Build HIV-1 Resistance, Proviral DNA (RTI, PI, Integrase Inhibitors) (Quest)

Actual Epic build

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.