Respiratory Panel Film Array

Infectious Disease Laboratories - : Virology

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. Respiratory Panel Film Array
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SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

RFILM

Test Workstation :

VIR1

Specimen Type:

One flocked swab in 3.0 mL M4 Viral Transport Medium collected from nasopharyngeal source.

Cause for Rejection:

Improper specimen type, improper storage/transport, improper swab, dry swab, swab not present, multiple swabs per vial, mislabeled, or unlabeled.

Storage:

Transport refrigerated required from off campus location. Upon arrival in laboratory, store refrigerated.

Availability:

Mon-Sun

Methodology:

Multiplexed nucleic acid test intended for the simultaneous qualitative detection and differentiation of nucleic acids from multiple viral and bacterial respiratory organisms

Lab/Phone:

330-543-4863

TAT:

Two hours from the time the specimen arrives in the Akron laboratory.

CPT Code:

87633

Panel Includes:

Targets include the following: Adenovirus, Bordetella parapertussis, Bordetella pertussis, Chlamydia pneumoniae, Coronavirus 229E, Coronavirus HKU1, Coronavirus NL63, Coronavirus OC43, Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), Human metapneumovirus, Human Rhinovirus/Enterovirus, Influenza A and B, Mycoplasma pneumoniae, Parainfluenza Viruses 1,2,3 and 4, and Respiratory Syncytial Virus (RSV). Coronavirus strains 229E, HKU1, NL63, and OC43 normally occur in the U.S.

Synonyms:

RFA; RFILM

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Respiratory Panel Film Array

Infectious Disease Laboratories - : Virology

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