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Hepatitis C Virus (HCV) FibroSure (LabCorp)

Test Catalog Information

Test Catalog Synonyms

Liver Fibrosis, Fibro Test
ActiTest
Fibro Test

EPIC Synonyms
Cerner Primary MnemonicHepatitis C Virus - Fibrosure
EPIC Display NameHepatitis C Virus (HCV) FibroSure (LabCorp)
Allscripts (AEHR) Order Name

HEPATITIS C VIRUS (HCV) FIBROSURE

Sunrise Clinical Manager (SCM) Order Name

Hepatitis C Virus Fibrosure

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results Comment:
Interpretations:
Limitations:
GGT
Necroinflammat Activity Grade
Fibrosis Stage
Methodology (LabCorp)
ALT (SGPT) P5P
Necroinflamm Activity Scoring:
Alpha 2-Macroglobulins, Qn
Fibrosis Scoring:
Apolipoprotein A-1
Comment:
Bilirubin, Total
Haptoglobin
Fibrosis Score
Necroinflammat Activity Score
Clinical Info

For the assessment of liver status following a diagnosis of HCV as well as post-treatment assessment of liver status six months after completion of antiviral therapy. For use in patients who are at risk of complications from a liver biopsy.

Specimen Type

Blood

Container

Gold Top Tube

Collection Instructions

Container/Tube: 2 Gold top tube- serum gel top Specimen: 3.5 mL serum (2 mL min) - Separate serum from cells within two hours of collection. Transport Temperature: Frozen Stability: 72 Hours Room Temperature or Refrigerated 7 Days Frozen Patient should be fasting for at least eight hours. Note: Please submit Two aliquots: 2.5 ml frozen serum in one & 0.5 ml in other tube ( minimum volume: 1.5 mL Frozen serum + 0.5 mL Frozen serum) Patient Preparation Patient should be fasting for at least eight hours Causes for Rejection Gross hemolysis; gross lipemia; improper labeling; nonfasting specimen; patient less than 14 years of age

Transport Instructions

Frozen

Specimen Stability

72 Hours Room Temperature or Refrigerated 7 Days Frozen Patient should be fasting for at least eight hours. Note: Please submit Two aliquots: 2.5 ml frozen serum in one & 0.5 ml in other tube ( minimum volume: 1.5 mL

Methodology

FibroSURE

Days Performed

Monday - Friday, 7 Day TAT

Performing Laboratory

LabCorp of America

CPT

81596
 
 

PDM

5907810

Desired Epic Build Hepatitis C Virus (HCV) FibroSure (LabCorp)

Cerner Primary Mnemonic: Hepatitis C Virus - Fibrosure
PDM 5907810
Informatics - WorkgroupID Serology
Synonyms *
Display Name *Hepatitis C Virus (HCV) FibroSure (LabCorp)
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)For the assessment of liver status following a diagnosis of HCV as well as post-treatment assessment of liver status six months after completion of antiviral therapy. For use in patients who are at risk of complications from a liver biopsy.
IP Orderable Yes
OP Orderable Yes
AOEs *

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

Result DescResult displayResult PDM
FIB COMM1 Comment: 5907810Q
FIB INTERP Interpretations: 5907810M
FIB LIMIT Limitations: 5907810P
FIB GGT GGT 5907810K
FIB NECROGRP Necroinflammat Activity Grade 5907810E
FIB STAGE Fibrosis Stage 5907810C
Methodology Methodology (LabCorp) 1559233T
FIB ALT ALT (SGPT) P5P 5907810L
FIB NECROSCRING Necroinflamm Activity Scoring: 5907810O
FIB A2MACRO Alpha 2-Macroglobulins, Qn 5907810G
FIB SCORING Fibrosis Scoring: 5907810N
FIB APOA1 Apolipoprotein A-1 5907810I
FIB COMM2 Comment: 5907810R
FIB TBIL Bilirubin, Total 5907810J
FIB HAPTO Haptoglobin 5907810H
FIB SCORE Fibrosis Score 5907810B
FIB NECROSC Necroinflammat Activity Score 5907810D

Actual Epic build

Procedure Id 115833
Pdm 5907810
Order Display Name Hepatitis C Virus (HCV) FibroSure (LabCorp)
Procedure Name HEPATITIS C VIRUS FIBROSURE
Procedure Master Number LAB11792
Short Procedure Name HEPATITIS C VIRUS FIBROSURE
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/115833
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 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
3047805438.0 COMMENT: COMMENT COMMENT 5907810Q
3047803094.0 INTERPRETATIONS: INTERP INTERPRETATIONS 5907810M
3047803295.0 LIMITATIONS: LIMITA LIMITATIONS 5907810P
3047802584.0 GGT GGT GGT 5907810K
3047803710.0 NECROINFLAMMAT ACTIVITY GRADE NECROINFLAM NECROINFLAMMAT ACTIVITY GRADE 5907810E
3047805488.0 FIBROSIS STAGE FIBROSIS FIBROSIS STAGE 5907810C
3047803488.0 METHODOLOGY (LABCORP) METHOD METHODOLOGY (LABCORP) 1559233T
3047800973.0 ALT (SGPT) P5P LABALT ALT (SGPT) P5P 5907810L
3047803709.0 NECROINFLAMM ACTIVITY SCORING: NECROINFLAM NECROINFLAMM ACTIVITY SCORING 5907810O
3047800927.0 ALPHA 2-MACROGLOBULINS, QN A2MACROGLQN ALPHA 2 MACROGLOBULINS QN 5907810G
3047802452.0 FIBROSIS SCORING: FIBROSISSCR FIBROSIS SCORING 5907810N
3047801148.0 APOLIPOPROTEIN A-1 APOA1 APOLIPOPROTEIN A-1 5907810I
3047805439.0 COMMENT 2: COMMENT COMMENT 2 5907810R
3047801389.0 BILIRUBIN, TOTAL BILITOT BILIRUBIN TOTAL Total Bilirubin 5907810J
3047800514.0 HAPTOGLOBIN, SERUM HAPTOGLOBIN HAPTOGLOBIN 5907810H
3047805486.0 FIBROSIS SCORE FIBROSIS FIBROSIS SCORE 5907810B
3047803711.0 NECROINFLAMMAT ACTIVITY SCORE NECROINFLAM NECROINFLAMMAT ACTIVITY SCORE 5907810D