EPIC Test Compendium Alpha
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Quantiferon-TB Gold Plus

Test Catalog Information

Test Catalog Synonyms

EPIC Synonyms TST
Interferon gamma release assay
MTb
IGRA
Tuberculosis
QFT
PPD
Cerner Primary MnemonicQuantiferon Plus TB
EPIC Display NameQuantiferon-TB Gold Plus
Allscripts (AEHR) Order Name

Quantiferon Plus TB

Sunrise Clinical Manager (SCM) Order Name

Quantiferon Gold Plus TB

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results QTFPLUS
QTFPTB1ADJ
QTFPTB2ADJ
QTFPNIL
QTFPMITADJ
Clinical Info

This test is to aid in the diagnosis of patients with latent Mycobacterium tuberculosis infection. This test is effective in individuals who  have received BCG vaccination.

Specimen Type

Blood

Container

Nil Grey

Collection Instructions

Container/Tube: QuantiFERON® QTB Gold in-tube Collection Kit ( containers four tubes) Specimen Volume: 1 mL whole blood-Fill up to fill line on each tube- remember the vacuum is not strong so be careful to look at the volume. Make sure it is filled up to the black line. Transport Temperature: Room Temperature Note: Maintain QTF PLUS tubes- four tubes per patient, 1 Nil (gray), 1 TB1 (Green),1 TB2 (Yellow) and 1 Mitogen (purple) tubes at room temperature (ambient). Tubes must be filled to the fill line ( 1mL ( 0.8 - 1.2 ml). Please gently mix the tubes to mix the antigens with the blood. Please indicate collection time on container.

Transport Instructions

Room Temperature

Specimen Stability

16 Hours Room Temperature

Methodology

Enzyme-Linked Immunosorbent Assay (ELISA)

Days Performed

Monday through Sunday TAT:3-5 Days

Performing Laboratory

Northwell Health Laboratories

CPT

86480

PDM

1853780, 2153003

Desired Epic Build Quantiferon-TB Gold Plus

Cerner Primary Mnemonic: Quantiferon Plus TB
PDM 1853780
Informatics - WorkgroupID Serology
Synonyms *TST
Interferon gamma release assay
MTb
IGRA
Tuberculosis
QFT
PPD
Display Name *Quantiferon-TB Gold Plus
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)This test is to aid in the diagnosis of patients with latent Mycobacterium tuberculosis infection. This test is effective in individuals who  have received BCG vaccination.
IP Orderable Yes
OP Orderable Yes
AOEs *

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

Result DescResult displayResult PDM
QTFPLUS QTFPLUS 1853780A
QTFPTB1ADJ QTFPTB1ADJ 1853780C
QTFPTB2ADJ QTFPTB2ADJ 1853780D
QTFPNIL QTFPNIL 1853780B
QTFPMITADJ QTFPMITADJ 1853780E

Current Actual EPIC Build as of 10/28/2024

Procedure Id 169666
Pdm 1853780
Order Display Name Quantiferon-TB Gold Plus
Procedure Name QUANTIFERON TB GOLD
Procedure Master Number LAB10025
Short Procedure Name QUANTIFERON TB GOLD
Category Code 1.0
Category Code Record Name LAB BLOOD ORDERABLES
Synonyms TST INTERFERON GAMMA RELEASE ASSAY MTB IGRA TUBERCULOSIS QFT PPD
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics
Reference Link Url https://labs.northwell.edu/epic/test/169666
Ordering Instructions
Default Specimen Type Blood
Specimen Type Pick List Blood
Specimen Type List
Op Specimen Type List
Specimen Source Pick List Blood, Venous Blood, Central Line Blood, Arterial Blood, Capillary
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 Blood, Venous Blood, Central Line Blood, Arterial Blood, Capillary
Edp Op Specimen Source
Edp Ip Specimen Type Blood
Edp Op Specimen Type
Derived Edp Ip Buttons S Blood, Central Line Blood, Venous Blood, Capillary Blood, Arterial
Derived Edp Ip Buttons T Blood
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
3047800656 QUANTIFERON PLUS QTFPLUS QUANTIFERON PLUS Quantiferon Plus 1853780A
1853780C
1853780D
3047804403 QTFPNIL QTFPNIL QTFPNIL 1853780B
3047804402 QUANTIFERON TB PLUS MITOGEN MINUS NIL QFTMITOGEN QUANTIFERON TB PLUS MITOGEN MINUS NIL 1853780E