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4K PSA Total with Reflex 4K Score

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: 4K PSA Total with Reflex 4K Score
PDM 1859233
Informatics - WorkgroupMolecular-send outs
Synonyms *
Display Name *4K PSA Total with Reflex 4K Score
Specimen Sources (combined Order Entry and Specimen Navigator) *
Specimen Types (combined Order Entry and Specimen Navigator) *
Blood
Body Fluids (types sent through AOEs)
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText) High Grade (Gleason 7+) Prostate Cancer Risk Evaluation The 4K score should only be ordered when medically reasonable for consideration of biopsy after excluding benign    cause of PSA elevation.   Limitation an Exclusions for the 4Kscore Do not use this test for a patient:   1) With a previous diagnosis of prostate cancer   2) That has received a DRE in a previous 96 hours (4Days) before phlebotomy. A DRE performed    after phlebotomy is acceptable.   3) That has received within the previous six (6) months 5-alpha reductase inhibitor such as (5-ARI) therapy such an Avedaart(R) (dutasteride) or Proscar (R) (finasteride).   4)  That has undergone within the previous six (6) months any procedure or therapy to treat symptomatic BPH or any invasive, urologic procedure that many be associated with a secondary PSA elevation prior to phlebotomy.   5)  Test is limited to patients age 45 and over.           The 4Kscore Test will not be performed with a positive biopsy result
IP Orderable (inpatient) Yes
OP Orderable (outpatient) Yes
AOEs *

AOE PDM AOE Display AOE Description Prompt
17598331 Prior Bx Hx What is the patient's prior Biopsy History X
17598332 DRE Results What was the patient's DRE Results X
17598333 Patient Hx Patient History (select all that apply) X
17598334 Patient Hx Other Patient History Other X
17598335 4K Test discussed 4K test order discussed with patient X
AP AOEs

    
Special History No 
 
    
Build Comments

    
Filter *genetics

    
    
Cerner Site RestrictBioReference Health LLC

    
Cerner Results


                

            

                Result Desc
                Result display
                Result PDM
            

                        

                4K % Free PSA
                4K % Free PSA
                1859233C
            

                        

                4K PSA rflx >3.0
                4K PSA rflx >3.0
                1859233A
            

                        

                4K Score Calculation
                4K Score
                1759833A
            

                        

                4K Free PSA
                4K Free PSA
                1859233B
            

                    

            


     





    Actual Epic Build 4/21/2025
    






                

        PROCEDURE ID
        114900
    

        

        PDM
        1859233
    

        

        ORDER DISPLAY NAME
        4K PSA Total with Reflex 4K Score
    

        

        PROCEDURE NAME
        4K PSA TOTAL WITH REFLEX 4K SCORE
    

        

        PROCEDURE MASTER NUMBER
        LAB11268
    

        

        SHORT PROCEDURE NAME
        4K PSA TOTAL WITH REFLEX 4K SCORE
    

        

        CATEGORY CODE
        1.0
    

        

        CATEGORY CODE RECORD NAME
        LAB BLOOD ORDERABLES
    

        

        SYNONYMS
        
    

        

        CLINICALLY ACTIVE
        Yes
    

        

        ORDERABLE
        Yes
    

        

        PERFORMABLE
        Yes
    

        

        FILTER GENOMICS
        Generic Genomics Procedure
    

        

        REFERENCE LINK URL
        https://labs.northwell.edu/epic/test/114900
    

        

        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
        4KPSARFLX3
4KFREEPSA
4KFREEPSAPCT
4KSCORECALC		
    

        

        OP LAB TEST COMPONENTS FOR REPORT
        4KPSARFLX3
4KFREEPSA
4KFREEPSAPCT
4KSCORECALC		
    

        

        ORDER QUESTIONS
        ["3046000032", "3046000031", "3046200000", "3046200001"]
    

        

        ORDER QUESTIONS RECORD NAME
        NH IP PRIOR BX HX
NH IP DRE RESULTS
NH IP ORDERS PT AUTHORIZATION
NH IP ORDERS CLINICAL INDICATION FOR ORDERING		
    

        

        INPATIENT ORDER QUESTIONS
        ["3046000032", "3046000031", "3046200000", "3046200001"]
    

        

        INPATIENT ORDER QUESTIONS RECORD NAME
        NH IP PRIOR BX HX
NH IP DRE RESULTS
NH IP ORDERS PT AUTHORIZATION
NH IP ORDERS CLINICAL INDICATION FOR ORDERING		
    

        

        ORDER SPECIFIC QUESTION OVERRIDE
        
    

        

        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, Venous
Blood, Central Line
Blood, Arterial
Blood, Capillary		
    

        

        DERIVED EDP IP BUTTONS T
        Blood
    

        

        DERIVED EDP OP BUTTONS S
        
    

        

        DERIVED EDP OP BUTTONS T
        
    

        

        IP ORDERABLE
        1
    

        

        OP ORDERABLE
        1
    

        

        STANDARD LAB COMPONENTS
        
    

        

        STANDARD LAB COMPONENTS RECORD NAME
        
    

        

        COMPONENT DATA REQUIREMENT
        
    

    
    
EPIC OP AOEs


                

            
Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response

                        

                3046000031
                NH IP DRE RESULTS
                What was the patient's DRE Results
                Custom List
                No Nodule

Not Performed

Not Provided		
                Yes
            

                        

                3046000032
                NH IP PRIOR BX HX
                What is the patient's prior Biopsy History
                Custom List
                Not Provided

Yes, Negative

Yes, Positive		
                Yes
            

                        

                3046200000
                NH IP ORDERS PT AUTHORIZATION
                Patient Authorization:
                Custom List
                No

Not Given

Yes		
                No
            

                        

                3046200001
                NH IP ORDERS CLINICAL INDICATION FOR ORDERING
                Clinical Indication for ordering:
                Custom List
                45-54 years old and total PSA>=2 ng/mL

55-75 years old and total PSA >=3 ng/mL

>=76 years old and total PSA >4 ng/mL		
                No
            

                    

            


    
EPIC IP AOEs


                

            
Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response

                        

                3046000031
                NH IP DRE RESULTS
                What was the patient's DRE Results
                Custom List
                No Nodule

Not Performed

Not Provided		
                Yes
            

                        

                3046000032
                NH IP PRIOR BX HX
                What is the patient's prior Biopsy History
                Custom List
                Not Provided

Yes, Negative

Yes, Positive		
                Yes
            

                        

                3046200000
                NH IP ORDERS PT AUTHORIZATION
                Patient Authorization:
                Custom List
                No

Not Given

Yes		
                No
            

                        

                3046200001
                NH IP ORDERS CLINICAL INDICATION FOR ORDERING
                Clinical Indication for ordering:
                Custom List
                45-54 years old and total PSA>=2 ng/mL

55-75 years old and total PSA >=3 ng/mL

>=76 years old and total PSA >4 ng/mL		
                No
            

                    

            


    
EPIC Components (results - crosswalked through Cerner)


                

            
Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM

                        

                3047800788.0
                4K % FREE PSA
                4KFREEPSAPCT
                4K PCT FREE PSA
                4K % Free Psa
                1859233C
            

                        

                3047800790.0
                4K PSA RFLX >3.0
                4KPSARFLX3
                4K PSA RFLX GREATER THAN 3
                4K Psa Rflx >3.0
                1859233A
            

                        

                3047800791.0
                4K SCORE CALCULATION
                4KSCORECALC
                4K SCORE CALCULATION
                4K Score Calculation
                1759833A
            

                        

                3047800789.0
                4K FREE PSA
                4KFREEPSA
                4K FREE PSA
                4K Free Psa
                1859233B