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Helicobacter pylori (H. pylori) Urea Breath Test

Test Catalog Information

Test Catalog Synonyms

EPIC Synonyms UBT
ULCER
Cerner Primary MnemonicH. Pylori Urea Breath Test
EPIC Display NameHelicobacter pylori (H. pylori) Urea Breath Test
Allscripts (AEHR) Order Name

H. Pylori Urea Breath Test

Sunrise Clinical Manager (SCM) Order Name

H Pylori Urea Breath Test

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results H. Pylori Urea Breath Test
Clinical Info

For the detection of H. pylori infection.

Specimen Type

Other

Container

Blue baseline breath bag and Gray post ingestion breath bag

Collection Instructions

https://www.meridianbioscience.com/idkit-two-video/  1. Remind the patient that the Citrica contains 84mg of phenylalanine per packet of Citrica Powder. Test may not be suitable for patients with phenylketonuria whose dietary phenylalanine should be restricted. 2. The patient should have fasted at least one hour before administering the Citrica solution. The patient should not have taken antimicrobials, proton pump inhibitors (e.g., Prevacid, Prilosec, Protonix, AcipHex, Dexilant, Nexium etc.) or bismuth preparations (e.g., Pepto-Bismol) within two weeks prior to administering the test. If PPIs are used within two weeks of breath testing, false negative test results may occur, and the test should be repeated two weeks after discontinuation of PPI treatment. The use of antacids does not appear to affect the accuracy of the urea breath test. 3. Collect breath specimens using the BreathID IDkit Hp™ collection kit. Collect baseline breath specimen using the BLUE bag.  4. Dissolve the Citrica Powder and the 13C-enriched urea tablet in 5.1 to 6.8 oz. (150 to 200 ml) of water in the provided drinking cup.  The patient (including pediatric patients aged 3-17 regardless of age and bodyweight) must drink the solution within two minutes and consume the entire amount. 5. Collect post ingestion breath specimen using the GREY bag 15 minutes after drinking the Citrica solution. 

Transport Instructions

Room Temperature

Specimen Stability

14 Days Room Temperature

Methodology

Infrared Spectrophotometry

Days Performed

Monday through Friday

Performing Laboratory

Northwell Health Laboratories

CPT

83013

PDM

5700150

Desired Epic Build Helicobacter pylori (H. pylori) Urea Breath Test

Cerner Primary Mnemonic: H. Pylori Urea Breath Test
PDM 5700150
Informatics - WorkgroupID Serology
Synonyms *UBT
ULCER
Display Name *Helicobacter pylori (H. pylori) Urea Breath Test
Order Entry Specimen Sources *
Order Entry Specimen Types
Other
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)For the detection of H. pylori infection.
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
HPYLOR-UBT H. Pylori Urea Breath Test 5700150

Actual Epic build

Procedure Id 64470
Pdm 5700150
Order Display Name Helicobacter pylori (H. pylori) Urea Breath Test
Procedure Name H. PYLORI BREATH TEST
Procedure Master Number LAB572
Short Procedure Name H PYLORI BREATH TEST
Category Code 7.0
Category Code Record Name LAB BODY FLUIDS AND STOOLS ORDERABLES
Synonyms UBT ULCER
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics
Reference Link Url https://labs.northwell.edu/epic/test/64470
Ordering Instructions
Default Specimen Type Breath
Specimen Type Pick List Breath
Specimen Type List
Op Specimen Type List
Specimen Source Pick List Oral Cavity
Specimen Source Default - Male Oral Cavity
Specimen Source Default - Female Oral Cavity
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 Per Rectum
Edp Op Specimen Source Per Rectum
Edp Ip Specimen Type Stool Cerebrospinal Fluid
Edp Op Specimen Type Cerebrospinal Fluid Stool
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
3047802687.0 H. PYLORI UREA BREATH TEST HPYLORIIBRE H. PYLORI UREA BREATH TEST 5700150