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Amitriptyline level

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	ELAVIL Triavil Amitriptyline & Metabolite Limbitrol Amitril Endep Etrafon
Cerner Primary Mnemonic	Amitriptyline, Quantitative
EPIC Display Name	Amitriptyline level
Allscripts (AEHR) Order Name	Amitriptyline Level, Serum
Sunrise Clinical Manager (SCM) Order Name	Amitriptyline Level, Serum
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	Amitrip/Nortriptyline Total Nortriptyline Quantitative Amitrip/Nortripyline Note AMITRIPQX
Clinical Info	The tricyclics are used to treat depression. Therapeutic drug levels are monitored to assist the physician assessing therapeutic response and to avoid toxicity.
Specimen Type	Blood
Container	Red Top Tube
Collection Instructions	Container/Tube: Plain, red-top tube(s) Specimen: 3mL of serum ( 1.5 mL min) Transport Temperature: Refrigerate Instructions: Collect at stady-state trough concentration. Specimen should be collect 12 hours after dose.
Transport Instructions	Refrigerate
Specimen Stability
Methodology	Liquid Chromatography/Tandem Mass Spectrometry (LC/MS/MS) Includes: Amitriptyline, Nortriptyline and Total
Days Performed	Monday through Friday
Performing Laboratory	Quest Diagnostics' Nichols Institute, Inc. - Chantilly
CPT	80152
PDM	5915001

Desired Epic Build Amitriptyline level

Cerner Primary Mnemonic:

Amitriptyline, Quantitative

PDM

5915001

Informatics - Workgroup

Tox/TDM

Synonyms *

ELAVIL
Triavil
Amitriptyline & Metabolite
Limbitrol
Amitril
Endep
Etrafon

Display Name *

Amitriptyline level

Order Entry Specimen Sources *

Order Entry Specimen Types

Blood

Specimen Navigator Specimen Types

Specimen Navigator Specimen Sources

Specimen Navigator Short Name

Ordering info (EPIC SmartText)

The tricyclics are used to treat depression. Therapeutic drug levels are monitored to assist the physician assessing therapeutic response and to avoid toxicity.

IP Orderable

Yes

OP Orderable

Yes

AOEs *

AP AOEs

Special History

Build Comments

Filter *

Procedure Category Change

Cerner Results

Result Desc	Result display	Result PDM
AMITOTAL	Amitrip/Nortriptyline Total	5915003
NORTRIPQX	Nortriptyline Quantitative	5915002
AMINOTE	Amitrip/Nortripyline Note	5915004
AMITRIPQX	AMITRIPQX	5915000

Current Actual EPIC Build as of 10/28/2024

Procedure Id

64579

Pdm

5915001

Order Display Name

Amitriptyline Level

Procedure Name

AMITRIPTYLINE LEVEL

Procedure Master Number

LAB681

Short Procedure Name

AMITRIPTYLINE LEVEL

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

ELAVIL Triavil Amitriptyline & Metabolite Limbitrol Amitril Endep Etrafon

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/64579

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, 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

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
3047800991	AMITRIP/NORTRIPTYLINE TOTAL	AMITNORTTOT	AMITRIP NORTRIPTYLINE TOTAL	5915003
3047803801	NORTRIPTYLINE QUANTITATIVE	NORTRIPT	NORTRIPTYLINE QUANTITATIVE	5915002
3047800992	AMITRIP/NORTRIPYLINE NOTE	AMITNORTNOTE	AMITRIP NORTRIPTYLINE NOTE	5915004
3047800993	AMITRIPTYLINE, QUANTITATIVE	AMITRIPQNT	AMITRIPTYLINE, QUANTITATIVE	5915000

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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Amitriptyline level

Test Catalog Information

Desired Epic Build Amitriptyline level

Current Actual EPIC Build as of 10/28/2024

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.