EPIC Test Compendium Alpha
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Mycobacterium tuberculosis complex (MTB) and Rifampin Resistance, Molecular Detection, Non-Respiratory

Test Catalog Information

Test Catalog Synonyms

EPIC Synonyms
Cerner Primary MnemonicMycobacterium tuberculosis Complex and Rifampin Resistance, PCR, Non-Sputum
EPIC Display NameMycobacterium tuberculosis complex (MTB) and Rifampin Resistance, Molecular Detection, Non-Respiratory
Allscripts (AEHR) Order Name

Mycobacterium Tuberculosis PCR, Non-Respiratory

Sunrise Clinical Manager (SCM) Order Name

Mycobacterium tuberculosis Complex and Rifampin

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results MTNRPCR
Rifampin Res
Clinical Info

  Not for Sputum samples order MTBPCR

Specimen Type

Body Fluid, CSF, Urine, Tissue

Container

CSF Tube

Collection Instructions

Container/Tube: Sterile leak-proof container Specimen: 1 mL CSF, body fluid (specify)(0.5 mL min) or tissue    or 5 mL bronchial bush/wash, tracheal aspirate or urine (3 mL min) Reject Criteria • Sputum sample • Specimen received in formalin and/or alcohol • Processed/concentrated specimen from client

Transport Instructions

Refrigerated

Specimen Stability

72 hours Room temperature 7 days Refrigerated Unacceptable Frozen

Methodology

Real-Time Polymerase Chain Reaction .

Days Performed

TAT: 2-4 Days

Performing Laboratory

Quest Diagnostics' Nichols Institute, Inc. - Chantilly

CPT

87801   LOINC Code: 38379-4

PDM

1759548

Desired Epic Build Mycobacterium tuberculosis complex (MTB) and Rifampin Resistance, Molecular Detection, Non-Respiratory

Cerner Primary Mnemonic: Mycobacterium tuberculosis Complex and Rifampin Resistance, PCR, Non-Sputum
PDM 1759548
Informatics - WorkgroupID Sendouts
Synonyms *
Display Name *Mycobacterium tuberculosis complex (MTB) and Rifampin Resistance, Molecular Detection, Non-Respiratory
Order Entry Specimen Sources *
Amniotic Sac
Ankle L
Ankle R
Aortic Valve
Arm L
Arm R
Axilla Left
Axilla Right
Back L
Back U
Bladder
Blood Central Line
Blood Peripheral
Brain
Breast L
Breast R
Buttock L
Buttock R
Cheek Left
Cheek Right
Chest
Chin
Clean catch
Decubitus ulcer
Duodenum
Ear L
Ear R
Elbow L
Elbow R
Eye L
Eye R
Fibroids
Finger Left
Finger Right
Foot L
Foot R
Forehead
Frontal sinus
Gastric
Groin
Hand L
Hand R
Heart
Hip L
Hip R
Jaw Left
Jaw Right
Kidney L
Kidney R
Knee L
Knee R
Larynx
Leg L
Leg R
Lip L
Lip U
Liver
Lumbar Puncture
Lung LLL
Lung LUL
Lung RLL
Lung RML
Lung RUL
Lymph Node
Mitral Valve
Navel
Neck
Nose
Oral Mucosa
Ovarian Cyst
Ovary
Pancreas
Penis
Pericardium
Peritoneal
Placenta
Pleura L
Pleura R
Prostate
Prosthetic valve
Rectum
Scalp
Scrotum
Shoulder L
Shoulder R
Sinus
Spleen
Stomach
Testicle
Thyroid
Toe L
Toe R
Tongue
Tonsil
Trachea
Tricuspid valve
Urethra
Urine Nephrostomy
Urine Suprapubic
Uterus
Vagina
Vertebra
Vitreous
Vulva
Wrist L
Wrist R
Order Entry Specimen Types
Abscess
Aspirate
Body Fluid
Bone
CSF
Respiratory
Tissue
Urine
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)  Not for Sputum samples order MTBPCR
IP Orderable Yes
OP Orderable Yes
AOEs *

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

Result DescResult displayResult PDM
MTNRPCR MTNRPCR 1759548A
Rifampin Res Rifampin Res 1759548C

Current Actual EPIC Build as of 10/28/2024

Procedure Id 115901
Pdm 1759548
Order Display Name Mycobacterium tuberculosis complex (MTB) and Rifampin Resistance, Molecular Detection, Non-Respiratory
Procedure Name MYCOBACTERIUM TUBERCULOSIS PCR, NON-RESPIRATORY
Procedure Master Number LAB11830
Short Procedure Name MYCOBACTERIUM TUBERCULOSIS PCR, NON-RESPIRATORY
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/115901
Ordering Instructions
Default Specimen Type Body Fluid
Specimen Type Pick List Aspirate Body Fluid Bone Cerebrospinal Fluid Tissue Urine Abscess Respiratory
Specimen Type List
Op Specimen Type List
Specimen Source Pick List Amniotic Sac Ankle, Left Ankle, Right Aortic Valve Arm, Left Arm, Right Axilla, Left Axilla, Right Back, Lower Back, Upper Bladder Blood, Central Line Blood, Peripheral Brain Breast, Left Breast, Right Buttock, Left Buttock, Right Cheek, Left Cheek, Right Chest Chin Decubitus ulcers Duodenum Ear, Left Ear, Right Elbow, Left Elbow, Right Eye, Left Eye, Right Fibroids Finger, Left Finger, Right Foot, Left Foot, Right Forehead Frontal sinus Gastric Groin Hand, Left Hand, Right Hip, Right Jaw, Left Jaw, Right Kidney, Left Kidney, Right Knee, Left Knee, Right Larynx Leg, Left Leg, Right Lip, Lower Lip, Upper Liver Lumbar Puncture Lung, Left Lower Lobe Lung, Left Upper Lobe Lung, Right Lower Lobe Lung, Right Middle Lobe Lung, Right Upper Lobe Lymph Node Mitral Valve Navel Neck Ovarian Cyst Ovary Pancreas Penis Pericardium Peritoneal Placenta Pleura, Left Pleura, Right Prostate Prosthetic valve Rectum Scalp Scrotum Shoulder, Left Shoulder, Right Sinus, Nasal Spleen Thyroid Toe, Left Toe, Right Tongue Tonsil Trachea Tricuspid valve Urethra Urine, Suprapubic Vertebra Vitreous Vulva Wrist, Left Wrist, Right Hip, Left Lung, Left Lower Lobe Nose Oral Mucosa Stomach Testicle Urine, Clean Catch Urine, Nephrostomy Uterus Vagina
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 []
Order Questions Record Name
Inpatient Order Questions ["1910000003"]
Inpatient Order Questions Record Name NH IP RULE OUT PULMONARY TB
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

EPIC IP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
1910000003 NH IP RULE OUT PULMONARY TB Ruling out Pulmonary TB? Yes/No Yes
EPIC Components (results)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3047803626 MYCOBACTERIUM TUBERCULOSIS COMPLEX, PCR, NON-RESPIRATORY MTNRPCR MTNRPCR 1759548A
3047805641 RIFAMPIN RESISTANCE RIFAPINRES RIFAPINRES, RESISTANCE 1759548C