Epic Build / Desired Build Test Compendium
Welcome to the new Northwell Health Labs Epic Build / Desired Build Test Directory! Please email ClinicalLabInformatics@northwell.edu with any typos, corrections or issues.

CL DAT POLY

Desired Epic Build * = editable field  

DO NOT BUILD

Actual Epic Build 3/11/2025

PROCEDURE ID 117441
PDM 5930230
ORDER DISPLAY NAME DAT Polyspecific
PROCEDURE NAME DIRECT ANTIGLOBULIN TEST POLYSPECIFIC
PROCEDURE MASTER NUMBER LAB10301
SHORT PROCEDURE NAME DIRECT ANTIGLOBULIN TEST POLYSPECIFIC
CATEGORY CODE 5.0
CATEGORY CODE RECORD NAME LAB BLOOD BANK TEST ORDERABLES
SYNONYMS DIRECT COOMBS
DAT POLY
Direct Antiglobulin Poly
Direct Coombs Poly
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/117441
ORDERING INSTRUCTIONS
DEFAULT SPECIMEN TYPE Blood
SPECIMEN TYPE PICK LIST Blood
SPECIMEN TYPE LIST
OP SPECIMEN TYPE LIST
SPECIMEN SOURCE PICK LIST Blood, Venous
Blood, Peripheral
Blood, Arterial
Blood, Central Line
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
OP LAB TEST COMPONENTS FOR REPORT
ORDER QUESTIONS ["3046700020", "3046700021", "3046700022", "3046700025", "3046700024", "3046700023", "30468000021", "3045300060"]
ORDER QUESTIONS RECORD NAME
INPATIENT ORDER QUESTIONS ["3046700020", "3046700021", "3046700022", "3046700025", "3046700024", "3046700023", "30468000021", "3045300060"]
INPATIENT ORDER QUESTIONS RECORD NAME
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 NH IP DATE OF SURGERY/TRANSFUSION
NH IP HISTORY OF TRANSFUSION
NH IP HX PRIOR TRANSFUSION RXN
NH IP TRANSPLANT
NH IP PREGANT 3 MONTHS
NH IP HX RH IMM GLOB
NH IP ADDITIONAL INFORMATION
NH IP BLOOD BANK PROVIDER CONTACT
EDP IP ORDER SPECIFIC QUESTIONS RECORD NAME NH IP DATE OF SURGERY/TRANSFUSION
NH IP HISTORY OF TRANSFUSION
NH IP HX PRIOR TRANSFUSION RXN
NH IP TRANSPLANT
NH IP PREGANT 3 MONTHS
NH IP HX RH IMM GLOB
NH IP ADDITIONAL INFORMATION
NH IP BLOOD BANK PROVIDER CONTACT
EDP IP SPECIMEN SOURCE
EDP OP SPECIMEN SOURCE
EDP IP SPECIMEN TYPE
EDP OP SPECIMEN TYPE Blood
DERIVED EDP IP BUTTONS S
DERIVED EDP IP BUTTONS T
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
3045300060 NH IP BLOOD BANK PROVIDER CONTACT Ordering Provider's Pager/Contact # Free Text No
3046700020 NH IP DATE OF SURGERY/TRANSFUSION Scheduled Date of Surg/Transfusion: Date No
3046700021 NH IP HISTORY OF TRANSFUSION History of Transfusion in last 3 Months? Custom List Yes
No
Unknown		 Yes
3046700022 NH IP HX PRIOR TRANSFUSION RXN History of Prior Transfusion Reaction? Custom List Yes
No
Unknown		 Yes
3046700023 NH IP HX RH IMM GLOB History of Rh Immune Glob in Last 3 Mos? Custom List Yes
No
Unknown		 Yes
3046700024 NH IP PREGANT 3 MONTHS History of Pregnancy in Last 3 Months? Custom List Yes
No
Unknown		 Yes
3046700025 NH IP TRANSPLANT Has Patient Received a Transplant? Custom List Yes
No
Unknown		 Yes
30468000021 NH IP ADDITIONAL INFORMATION Additional Information Free Text No
EPIC IP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
3045300060 NH IP BLOOD BANK PROVIDER CONTACT Ordering Provider's Pager/Contact # Free Text No
3046700020 NH IP DATE OF SURGERY/TRANSFUSION Scheduled Date of Surg/Transfusion: Date No
3046700021 NH IP HISTORY OF TRANSFUSION History of Transfusion in last 3 Months? Custom List Yes
No
Unknown		 Yes
3046700022 NH IP HX PRIOR TRANSFUSION RXN History of Prior Transfusion Reaction? Custom List Yes
No
Unknown		 Yes
3046700023 NH IP HX RH IMM GLOB History of Rh Immune Glob in Last 3 Mos? Custom List Yes
No
Unknown		 Yes
3046700024 NH IP PREGANT 3 MONTHS History of Pregnancy in Last 3 Months? Custom List Yes
No
Unknown		 Yes
3046700025 NH IP TRANSPLANT Has Patient Received a Transplant? Custom List Yes
No
Unknown		 Yes
30468000021 NH IP ADDITIONAL INFORMATION Additional Information Free Text No
EPIC Components (results - crosswalked through Cerner)