Ordering Instructions

A patient should not have this testing performed more frequently than once every 7 days.

Test Includes

Campylobacter, Salmonella, Vibrio, Yersinia enterocolitica, Shiga-Like Toxin-Producing E. coli (STEC), Shigella/Enteroinvasive E. coli (EIEC), Cryptosporidium, Cyclospora cayetanensis, Giardia lamblia, Norovirus

Turnaround Time

Performed daily; results are reported within 24 hours.

Use

The FilmArray Gastrointestinal (GI) Panel Mid is a qualitative, multiplexed, nucleic acid-based in vitro diagnostic test capable of the simultaneous detection and identification of nucleic acids from multiple bacteria, viruses, and parasites directly from stool samples in Cary-Blair transport media.

Specimen Type

Feces

Collection Containers

Cary Blair Transport Media (Para Pak C&S Orange) (Fecal swab for low volume stools only)

Collection Instructions

Feces: Collect in clean, dry bedpan or onto newspaper placed over toilet seat. Those portions of stool containing blood, pus or mucus are especially significant. Immediately place specimen in Cary Blair Transport Media (Para Pak C&S Orange); place at 2-8 C until transport to the lab. Sample must be placed in Cary-Blair within 2 hours of collection.

Patient Collection Instructions Handout

Collection Volume

3 mL

Minimum Collection Volume

0.5 mL

Specimen Preparation

Sample must be placed in Cary Blair Transport Media (Para Pak C&S Orange) within 2 hours of collection. Preserved specimens must arrive in IDDL (performing laboratory) within 96 hours of collection. Store specimens at refrigerated temperature.

Unacceptable Conditions

Samples received in sterile containers more than 2 hours from collection.
Preserved stool not received at performing laboratory within 96 hours will be cancelled.
Specimen received in Cary Blair Transport Media (Para Pak C&S Orange) that is filled above the specimen fill line will be cancelled.
Samples received on patients hospitalized for greater than 3 days will be cancelled without prior consultation with Infectious Diseases Diagnostic Laboratory.

Shipping Instructions

Ship specimens at refrigerated temperature. Must arrive within 96 hours.

Containers

Cary Blair Transport Media or C&S (fecal swab for low volume stools only)

Reference Interval

Negative for all targets.

Limitations

The presence of blood or mucus in the sample may interfere with testing.
Cary-Blair media used for dilution and processing of clinical stools, is screened by manufacturers for viable organisms but may not be specifically tested for microbial nucleic acids. The presence of nucleic acids at levels that can be detected by the FilmArray GI Panel Mid may lead to false positive test results.


Observed or Predicted Cross-Reactivity with Off-Panel Organisms

BIOFIRE GI Panel Test ResultCross-Reactive Organism(s)
Giardia lambliaBifidobacterium sppa
Ruminococcus sppa
Norovirus GI/GII [NORO 1 assay]Prevotella spp (sequences from unculturable/uncharacterized species)b

Mediterraneibacter (Ruminococcus) gnavus

Parabacteroides spp.

Anaerostipes hadrus (select sequences)

Enterobacter hormaechei (select sequences)
SalmonellaE. coli with variant type III secretion proteinc
Vibrio (V. parahaemolyticus/V. vulnificus/V. cholerae)Vibrio alginolyticus
Vibrio fluvialis
d
Vibrio mimucusd
Grimontia (formerly Vibriohollisae
Yersinia enterocoliticaYersinia frederikseniia, e
Yersinia kristenseniie


a Cross-reactivity was not observed when tested at high concentration (1.5x109 cells/mL). However, cross-reactivity was suspected or confirmed in clinical specimens and/or the potential for cross-reactivity is supported by in silico predictions.


b Identified by investigation of suspected non-specific Noro 1 assay reactivity in clinical specimens. Cross-reactive sequences are inconsistent with other Prevotella sequence data, suggesting the non-specific interaction is with atypical Prevotella species and/or sequences.


c Cross-reactivity resulting in false positive Salmonella results has not been observed in analytic or clinical testing. However, non-specific amplification products with Tm values close to the assay specific Tm range have been observed and the potential for false positive Salmonella test results exists.


d Detected at concentrations near the Vibrio assay LoD.


e Y. kristensenii and Y. fredericksenii are difficult to distinguish from Y. enterocolitica by standard laboratory methods.

CPT Disclaimer

The Current Procedural Terminology (CPT) Codes published in the M Health Fairview Test Directory are based on American Medical Association (AMA) guidelines and are provided for informational purposes only. CPT codes are provided only as guidance to assist clients with billing. CPT coding is the responsibility of the billing party. M Health Fairview Laboratories does not assume responsibility for billing errors due to reliance on the CPT codes listed in this Test Directory. Charges may vary due to reflexing, susceptibilities, specimen source, patient age, methodology requirements, etc..

Patient Price Inquiries

Requester Contact Information
Patient and UMP/FV Care Team Fairview Consumer Line at 612-672-1048
MRL Outreach Client dept-mrl-business-assessment@fairview.org
Research research@fairview.org

CPT Codes

CPT Qty HC Hospital PR Clinic Note
87506 1 3008750601 8750601 HC ENTERIC BACTERIA AND VIRUS BY NAT PANEL

Methodology

Real-time polymerase chain reaction (PCR)

MRL Test Build

Test NameComponentRequiredDescriptionTypeLOINC
LAB8444  Focused Enteric Pathogen Panel by PCROrderable 
 SRC_STLMYSpecimen source:Prompt 
 1230005766 Campylobacter speciesResult49614-1
 1230005769 Salmonella speciesResult79383-6
 1230005770 Vibrio speciesResult49609-1
 1230005772 Yersinia enterocoliticaResult92723-6
 1230005776 Shiga-like-toxin-producing E. coli (STEC)Result82203-1
 1230005778 Shigella/Enteroinvasive E. coli (EIEC)Result80350-2
 1230005779 Cryptosporidium speciesResult82205-6
 1230005780 Cyclospora cayetanensisResult82206-4
 1230005782 Giardia lambliaResult82208-0
 1230005785 Norovirus Gl/GllResult82211-4

Data Type / Multiple Choice Response

SRC_STLM
Large Intestine, Colon|Meconium|Ostomy Pouch|Per Rectum|Per Stoma

Contact

For questions regarding the test code Interface Map, please contact DEPT-LAB-CLIENT-INTERFACE@fairview.org
Ordering

Ordering Instructions

A patient should not have this testing performed more frequently than once every 7 days.

Test Includes

Campylobacter, Salmonella, Vibrio, Yersinia enterocolitica, Shiga-Like Toxin-Producing E. coli (STEC), Shigella/Enteroinvasive E. coli (EIEC), Cryptosporidium, Cyclospora cayetanensis, Giardia lamblia, Norovirus

Turnaround Time

Performed daily; results are reported within 24 hours.

Use

The FilmArray Gastrointestinal (GI) Panel Mid is a qualitative, multiplexed, nucleic acid-based in vitro diagnostic test capable of the simultaneous detection and identification of nucleic acids from multiple bacteria, viruses, and parasites directly from stool samples in Cary-Blair transport media.

Collection & Processing

Specimen Type

Feces

Collection Containers

Cary Blair Transport Media (Para Pak C&S Orange) (Fecal swab for low volume stools only)

Collection Instructions

Feces: Collect in clean, dry bedpan or onto newspaper placed over toilet seat. Those portions of stool containing blood, pus or mucus are especially significant. Immediately place specimen in Cary Blair Transport Media (Para Pak C&S Orange); place at 2-8 C until transport to the lab. Sample must be placed in Cary-Blair within 2 hours of collection.

Patient Collection Instructions Handout

Collection Volume

3 mL

Minimum Collection Volume

0.5 mL

Specimen Preparation

Sample must be placed in Cary Blair Transport Media (Para Pak C&S Orange) within 2 hours of collection. Preserved specimens must arrive in IDDL (performing laboratory) within 96 hours of collection. Store specimens at refrigerated temperature.

Unacceptable Conditions

Samples received in sterile containers more than 2 hours from collection.
Preserved stool not received at performing laboratory within 96 hours will be cancelled.
Specimen received in Cary Blair Transport Media (Para Pak C&S Orange) that is filled above the specimen fill line will be cancelled.
Samples received on patients hospitalized for greater than 3 days will be cancelled without prior consultation with Infectious Diseases Diagnostic Laboratory.

Shipping Instructions

Ship specimens at refrigerated temperature. Must arrive within 96 hours.

Containers

Containers

Cary Blair Transport Media or C&S (fecal swab for low volume stools only)

Result Interpretation

Reference Interval

Negative for all targets.

Limitations

The presence of blood or mucus in the sample may interfere with testing.
Cary-Blair media used for dilution and processing of clinical stools, is screened by manufacturers for viable organisms but may not be specifically tested for microbial nucleic acids. The presence of nucleic acids at levels that can be detected by the FilmArray GI Panel Mid may lead to false positive test results.


Observed or Predicted Cross-Reactivity with Off-Panel Organisms

BIOFIRE GI Panel Test ResultCross-Reactive Organism(s)
Giardia lambliaBifidobacterium sppa
Ruminococcus sppa
Norovirus GI/GII [NORO 1 assay]Prevotella spp (sequences from unculturable/uncharacterized species)b

Mediterraneibacter (Ruminococcus) gnavus

Parabacteroides spp.

Anaerostipes hadrus (select sequences)

Enterobacter hormaechei (select sequences)
SalmonellaE. coli with variant type III secretion proteinc
Vibrio (V. parahaemolyticus/V. vulnificus/V. cholerae)Vibrio alginolyticus
Vibrio fluvialis
d
Vibrio mimucusd
Grimontia (formerly Vibriohollisae
Yersinia enterocoliticaYersinia frederikseniia, e
Yersinia kristenseniie


a Cross-reactivity was not observed when tested at high concentration (1.5x109 cells/mL). However, cross-reactivity was suspected or confirmed in clinical specimens and/or the potential for cross-reactivity is supported by in silico predictions.


b Identified by investigation of suspected non-specific Noro 1 assay reactivity in clinical specimens. Cross-reactive sequences are inconsistent with other Prevotella sequence data, suggesting the non-specific interaction is with atypical Prevotella species and/or sequences.


c Cross-reactivity resulting in false positive Salmonella results has not been observed in analytic or clinical testing. However, non-specific amplification products with Tm values close to the assay specific Tm range have been observed and the potential for false positive Salmonella test results exists.


d Detected at concentrations near the Vibrio assay LoD.


e Y. kristensenii and Y. fredericksenii are difficult to distinguish from Y. enterocolitica by standard laboratory methods.

Administrative

CPT Disclaimer

The Current Procedural Terminology (CPT) Codes published in the M Health Fairview Test Directory are based on American Medical Association (AMA) guidelines and are provided for informational purposes only. CPT codes are provided only as guidance to assist clients with billing. CPT coding is the responsibility of the billing party. M Health Fairview Laboratories does not assume responsibility for billing errors due to reliance on the CPT codes listed in this Test Directory. Charges may vary due to reflexing, susceptibilities, specimen source, patient age, methodology requirements, etc..

Patient Price Inquiries

Requester Contact Information
Patient and UMP/FV Care Team Fairview Consumer Line at 612-672-1048
MRL Outreach Client dept-mrl-business-assessment@fairview.org
Research research@fairview.org

CPT Codes

CPT Qty HC Hospital PR Clinic Note
87506 1 3008750601 8750601 HC ENTERIC BACTERIA AND VIRUS BY NAT PANEL

Methodology

Real-time polymerase chain reaction (PCR)
Interface Mapping

MRL Test Build

Test NameComponentRequiredDescriptionTypeLOINC
LAB8444  Focused Enteric Pathogen Panel by PCROrderable 
 SRC_STLMYSpecimen source:Prompt 
 1230005766 Campylobacter speciesResult49614-1
 1230005769 Salmonella speciesResult79383-6
 1230005770 Vibrio speciesResult49609-1
 1230005772 Yersinia enterocoliticaResult92723-6
 1230005776 Shiga-like-toxin-producing E. coli (STEC)Result82203-1
 1230005778 Shigella/Enteroinvasive E. coli (EIEC)Result80350-2
 1230005779 Cryptosporidium speciesResult82205-6
 1230005780 Cyclospora cayetanensisResult82206-4
 1230005782 Giardia lambliaResult82208-0
 1230005785 Norovirus Gl/GllResult82211-4

Data Type / Multiple Choice Response

SRC_STLM
Large Intestine, Colon|Meconium|Ostomy Pouch|Per Rectum|Per Stoma

Contact

For questions regarding the test code Interface Map, please contact DEPT-LAB-CLIENT-INTERFACE@fairview.org
Private Details