Palmetto GBA Test Identifier (PTI) Application Guide

Fields ReferenceField NameState License #Description Column entry is optional. Provide any state and state license numbers that are used bythe performing laboratory. For NY State indicate the Lab ID if alicense exists. Acceptable format: free-text entry. If more than one license isentered, comma-delimit the entries (i.e. separated by commas). This information will be exposed for public view.Lab Tests TabThe fields on the Lab Tests tab are grouped into the following categories: General Test information Procedure coding information Algorithm FDA Instructions Additional Test / Assay informationGeneral Test Information FieldsField NameTest CodeTest TitleTest DescriptionDescription Column entry is required; however, if no code is available, onewill be automatically assigned. Assignments will be a mixture ofperforming lab name and test name (i.e.) SAGTTT. Provide the code, the LIS, or other primary system uses toidentify the test/assay. A corresponding code used in HL7 electronic transmissions isacceptable. This code must be unique for every test/assay. Acceptable formats: alphabetic, numeric, alphanumeric, orcontaining special characters. This information will be exposed for public view. Column entry is required. Provide the name of the test/assay that may be ordered. Acceptable formats: alphabetic, alphanumeric, or containingspecial characters. This information will be exposed for public view. Column entry is required. Provide the usage statement for the associated test/assayincluding indications for ordering, limitations, etc. Acceptable format: free-text entry. This information will be exposed for public view.9