EPIC Test Compendium Alpha
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Epstein-Barr Virus (EBV) Serology Panel

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	mononucleosis monospot heterophile Epstein-Barr Virus Serologic Test mono
Cerner Primary Mnemonic	Epstein-Barr Virus Profile
EPIC Display Name	Epstein-Barr Virus (EBV) Serology Panel
Allscripts (AEHR) Order Name	Epstein-Barr Virus Serologic Test
Sunrise Clinical Manager (SCM) Order Name	Epstein-Barr Virus Serologic Test
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	EBV Interpretation EBV VCA IgG CLIA EBV EA IgG CLIA EBV VCA IgG Interp EBV NA IgG Interp EBV VCA IgM Interp EBV NA IgG CLIA EBV VCA IgM CLIA EBV EA IgG Interp
Clinical Info	For serological determination of EBV VCA IgM, VCA IgG, EA IgG, and EBNA IgG.
Specimen Type	Blood
Container	Gold Top Tube
Collection Instructions	Container/Tube: Gold-top tube(s) or plain, red-top tube(s) Specimen: 1 mL of serum Transport Temperature: Refrigerate
Transport Instructions	Refrigerate
Specimen Stability
Methodology	Chemiluminescent Immunoassay (CLIA) Includes EBV early antigen, nuclear antigen IgG, viral capsid antigen (VCA) IgG antibody, and VCA IgM antibody.
Days Performed
Performing Laboratory	Northwell Health Laboratories
CPT	86664 - EBNA 86665 x 2 - VCA, IgG & IgM 83663 - EBV EA
PDM	5700640

Desired Epic Build Epstein-Barr Virus (EBV) Serology Panel

Cerner Primary Mnemonic:

Epstein-Barr Virus Profile

PDM

5700640

Informatics - Workgroup

ID Serology

Synonyms *

mononucleosis
monospot
heterophile
Epstein-Barr Virus Serologic Test
mono

Display Name *

Epstein-Barr Virus (EBV) Serology Panel

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 serological determination of EBV VCA IgM, VCA IgG, EA IgG, and EBNA IgG.

IP Orderable

Yes

OP Orderable

Yes

AOEs *

AP AOEs

Special History

Build Comments

Filter *

micro

Procedure Category Change

Cerner Results

Result Desc	Result display	Result PDM
INTERPRET	EBV Interpretation	5700645
EBV IGG RES	EBV VCA IgG CLIA	5701642
EBV EA RES	EBV EA IgG CLIA	5701643
EBVIGG	EBV VCA IgG Interp	5700642
EBV NA	EBV NA IgG Interp	5700644
EBVIGM	EBV VCA IgM Interp	5700641
EBV NA RES	EBV NA IgG CLIA	5701644
EBV IGM RES	EBV VCA IgM CLIA	5701641
EBV EA	EBV EA IgG Interp	5700643

Actual Epic build

Procedure Id

172787

Pdm

5700640

Order Display Name

Epstein-Barr Virus (EBV) Serology Panel

Procedure Name

EPSTEIN-BARR VIRUS ANTIBODY PANEL

Procedure Master Number

LAB3054

Short Procedure Name

EPSTEIN-BARR VIRUS ANTIBODY PANEL

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

MONONUCLEOSIS MONOSPOT HETEROPHILE EPSTEIN-BARR VIRUS SEROLOGIC TEST MONO

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/172787

Ordering Instructions

Default Specimen Type

Blood

Specimen Type Pick List

Blood

Specimen Type List

Op Specimen Type List

Specimen Source Pick List

Blood, Arterial Blood, Capillary Blood, Central Line 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

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, Capillary Blood, Venous Blood, Central Line Blood, Arterial

Derived Edp Ip Buttons T

Blood

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
3047800468.0	EBV INTERPRETATION	EBVINTERP	EBV INTERP	5700645
3047800469.0	EBV VCA IGG EIA	EBVVCAIGGEIA	EBV VCA IGG EIA	5701642
3047800467.0	EBV EA AB EIA	EBVEAABEIA	EBV EA AB EIA	5701643
3047800483.0	EPSTEIN-BARR VIRUS CAPSID ANTIGEN IGG	EBVCAPAGIGG	EBV CAP AG IGG	5700642
3047800482.0	EPSTEIN-BARR NUCLEAR ANTIGEN	ANTIGEN	EBV NUCLEAR AG AB	5700644
3047800481.0	EPSTEIN BARR VIRUS IGM ANTIBODY	EBVABIGM	EBV AB IGM	5700641
3047800466.0	EBNA IGG EIA	EBNAIGGEIA	EBNA IGG EIA	5701644
3047800470.0	EBV VCA IGM EIA	EBVVCAIGMEIA	EBV VCA IGM EIA	5701641
3047800484.0	EPSTEIN-BARR VIRUS EARLY ANTIGEN	EBVEAAG	EBV EA AG	5700643

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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Epstein-Barr Virus (EBV) Serology Panel

Test Catalog Information

Desired Epic Build Epstein-Barr Virus (EBV) Serology Panel

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.