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Hepatitis C Virus (HCV) FibroSure (LabCorp)

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: Hepatitis C Virus - Fibrosure
PDM 5907810
Informatics - WorkgroupID Sendouts
Synonyms *
Display Name *Hepatitis C Virus (HCV) FibroSure (LabCorp)
Specimen Sources (combined Order Entry and Specimen Navigator) *
Blood Peripheral
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)For the assessment of liver status following a diagnosis of HCV as well as post-treatment assessment of liver status six months after completion of antiviral therapy. For use in patients who are at risk of complications from a liver biopsy.
IP Orderable (inpatient) Yes
OP Orderable (outpatient) Yes
AOEs *

AP AOEs

    
Special History No 
 
    
Build Comments

    
Filter *

    
    
Cerner Site RestrictLabCorp
Northwell Health Laboratories

    
Cerner Results


                

            

                Result Desc
                Result display
                Result PDM
            

                        

                FibroSure Necroinflammat Activity Score
                FIB NECROSC
                5907810D
            

                        

                Apolipoprotein A-1
                FIB APOA1
                5907810I
            

                        

                Methodology
                Methodology
                1559233T
            

                        

                Haptoglobin
                FIB HAPTO
                5907810H
            

                        

                Fibrosis Scoring
                FIB SCORING
                5907810N
            

                        

                Alpha 2-Macroglobulins, Qn
                FIB A2MACRO
                5907810G
            

                        

                Fibrosis Score
                FIB SCORE
                5907810B
            

                        

                ALT (SGPT) P5P
                FIB ALT
                5907810L
            

                        

                GGT
                FIB GGT
                5907810K
            

                        

                FibroSure Necroinflammat Activity GrpFibroSure Necroinflamma
                FIB NECROGRP
                5907810E
            

                        

                Bilirubin, Total
                FIB TBIL
                5907810J
            

                        

                FibroSure Necroinflamm Activity Scoring
                FIB NECROSCRING
                5907810O
            

                        

                FibroSure Comment 1
                FIB COMM1
                5907810Q
            

                        

                FibroSure Limitations
                FIB LIMIT
                5907810P
            

                        

                FibroSure Interpretations
                FIB INTERP
                5907810M
            

                        

                Fibrosis Stage
                FIB STAGE
                5907810C
            

                        

                FibroSure Comment 2
                FIB COMM2
                5907810R
            

                    

            


     





    Actual Epic Build 3/11/2025
    






                

        PROCEDURE ID
        115833
    

        

        PDM
        5907810
    

        

        ORDER DISPLAY NAME
        Hepatitis C Virus (HCV) FibroSure (LabCorp)
    

        

        PROCEDURE NAME
        HEPATITIS C VIRUS FIBROSURE
    

        

        PROCEDURE MASTER NUMBER
        LAB11792
    

        

        SHORT PROCEDURE NAME
        HEPATITIS C VIRUS FIBROSURE
    

        

        CATEGORY CODE
        1.0
    

        

        CATEGORY CODE RECORD NAME
        LAB BLOOD ORDERABLES
    

        

        SYNONYMS
        
    

        

        CLINICALLY ACTIVE
        Yes
    

        

        ORDERABLE
        Yes
    

        

        PERFORMABLE
        Yes
    

        

        FILTER GENOMICS
        
    

        

        REFERENCE LINK URL
        https://labs.northwell.edu/epic/test/115833
    

        

        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
        FIBROSIS
NECROINFLAM
METHOD
A2MACROGLQN
HAPTOGLOBIN
APOA1
BILITOT
GGT
ALT
INTERP
FIBROSISSCR
LIMITA
COMMENT		
    

        

        OP LAB TEST COMPONENTS FOR REPORT
        FIBROSIS
NECROINFLAM
METHOD
A2MACROGLQN
HAPTOGLOBIN
APOA1
BILITOT
GGT
ALT
INTERP
FIBROSISSCR
LIMITA
COMMENT		
    

        

        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, Arterial
Blood, Capillary
Blood, Venous		
    

        

        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

                        

                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 - crosswalked through Cerner)


                

            
Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM

                        

                3047803711.0
                NECROINFLAMMAT ACTIVITY SCORE
                NECROINFLAM
                NECROINFLAMMAT ACTIVITY SCORE
                
                5907810D
            

                        

                3047801148.0
                APOLIPOPROTEIN A-1
                APOA1
                APOLIPOPROTEIN A 1
                
                5907810I
            

                        

                3047803488.0
                METHODOLOGY (LABCORP)
                METHOD
                METHODOLOGY LABCORP
                
                1559233T
            

                        

                3047800514.0
                HAPTOGLOBIN, SERUM
                HAPTOGLOBIN
                HAPTOGLOBIN
                Haptoglobin
                5907810H
            

                        

                3047802452.0
                FIBROSIS SCORING:
                FIBROSISSCR
                FIBROSIS SCORING
                
                5907810N
            

                        

                3047800927.0
                ALPHA 2-MACROGLOBULINS, QN
                A2MACROGLQN
                ALPHA 2 MACROGLOBULINS QN
                
                5907810G
            

                        

                3047805486.0
                FIBROSIS SCORE
                FIBROSIS
                FIBROSIS SCORE
                
                5907810B
            

                        

                3047800973.0
                ALT (SGPT) P5P
                ALT
                ALT SGPT P5P
                
                5907810L
            

                        

                3047802584.0
                GGT
                GGT
                GGT
                GGT
                5907810K
            

                        

                3047803710.0
                NECROINFLAMMAT ACTIVITY GRADE
                NECROINFLAM
                NECROINFLAMMAT ACTIVITY GRADE
                
                5907810E
            

                        

                3047801389.0
                BILIRUBIN, TOTAL
                BILITOT
                BILIRUBIN TOTAL
                Total Bilirubin
                5907810J
            

                        

                3047803709.0
                NECROINFLAMM ACTIVITY SCORING:
                NECROINFLAM
                NECROINFLAMM ACTIVITY SCORING
                
                5907810O
            

                        

                3047805438.0
                COMMENT:
                COMMENT
                COMMENT
                Comment
                5907810Q
            

                        

                3047803295.0
                LIMITATIONS:
                LIMITA
                LIMITATIONS
                
                5907810P
            

                        

                3047803094.0
                INTERPRETATIONS:
                INTERP
                INTERPRETATIONS
                
                5907810M
            

                        

                3047805488.0
                FIBROSIS STAGE
                FIBROSIS
                FIBROSIS STAGE
                
                5907810C
            

                        

                3047805439.0
                COMMENT 2:
                COMMENT
                COMMENT 2
                
                5907810R