Epic Build / Desired Build Test Compendium
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MaterniT Genome Epic Compendium  

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Actual Epic Build 11/20/2025

PROCEDURE ID 137013
PDM 225135
ORDER DISPLAY NAME MaterniT Genome
PROCEDURE NAME MATERNIT GENOME
PROCEDURE MASTER NUMBER LAB12254
SHORT PROCEDURE NAME MATERNIT GENOME
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS MarterniT 21
MATTG
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS Generic Genomics Procedure
REFERENCE LINK URL https://labs.northwell.edu/epic/test/137013
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 11Q23DELET
15Q11DELET
1P36DELSYN
22Q11DELET
4P16DELET
5P15DELET
8Q24DELET
ABOUTTEST
APPORVEDBY
FETALFRACT
FETALSEX
GAINLOSS
GESTAGE
GESTATION
LABDIRCOM
LIMITOFTEST
MONOSOMYX
NOTE
OTHERAUTOANE
PDF
PERFOMCHAR
PERFORMANCE
POSPREDVAL
REFERENCES
SPECAPPEAR
TESTMETH
TESTRESULT
TRISOMY13
TRISOMY18
TRISOMY21
XXX
XXY
XYY
OP LAB TEST COMPONENTS FOR REPORT 11Q23DELET
15Q11DELET
1P36DELSYN
22Q11DELET
4P16DELET
5P15DELET
8Q24DELET
ABOUTTEST
APPORVEDBY
FETALFRACT
FETALSEX
GAINLOSS
GESTAGE
GESTATION
LABDIRCOM
LIMITOFTEST
MONOSOMYX
NOTE
OTHERAUTOANE
PDF
PERFOMCHAR
PERFORMANCE
POSPREDVAL
REFERENCES
SPECAPPEAR
TESTMETH
TESTRESULT
TRISOMY13
TRISOMY18
TRISOMY21
XXX
XXY
XYY
ORDER QUESTIONS []
ORDER QUESTIONS RECORD NAME
INPATIENT ORDER QUESTIONS []
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
EDP IP ORDER SPECIFIC QUESTIONS RECORD NAME
EDP IP SPECIMEN SOURCE Blood, Venous
Blood, Central Line
Blood, Arterial
Blood, Capillary
Blood, Peripheral
EDP OP SPECIMEN SOURCE
EDP IP SPECIMEN TYPE Blood
EDP OP SPECIMEN TYPE
DERIVED EDP IP BUTTONS S Blood, Venous
Blood, Arterial
Blood, Central Line
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

EPIC IP AOEs

EPIC Components (results - crosswalked through Cerner)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3047806828.0 APPROVED BY APPORVEDBY APPROVED BY Approved By 225135E
3047806774.0 XXX (TRIPLE X SYNDROME) XXX XXX TRIPLE X SYNDROME XXX (Triple X Syndrome) 225135N
3047806408.0 LAB DIRECTOR COMMENTS LABDIRCOM LAB DIRECTOR COMMENTS Lab Director Comments 225135D
3047806804.0 PERFORMANCE PERFORMANCE PERFORMANCE Performance 225135AB
3047806795.0 XXY (KLINEFELTER SYNDROME) XXY XXY KLINEFELTER SYNDROME XXY (Klinefelter Syndrome) 225135M
3047806425.0 POSITIVE PREDICTIVE VALUE POSPREDVAL POSITIVE PREDICTIVE VALUE Positive Predictive Value 225135X
3047806294.0 5P15 DELETION (CRI-DU-CHAT) 5P15DELET 5P15 DELETION CRI DU CHAT 5p15 deletion (Cri-du-chat) 225135T
3047804929.0 TEST METHOD TESTMETH TEST METHOD Test Method 225135Z
3047805897.0 MONOSOMY X (TURNER SYNDROME) MONOSOMYX MONOSOMY X TURNER SYNDROME Monosomy X (Turner Syndrome) 225135K
3047806830.0 8Q24 DELETION (LANGER-GIEDION) 8Q24DELET 8Q24 DELETION LANGER GIEDION 8q24 deletion (Langer-Giedion) 225135S
3046400008.0 TRISOMY 13 (PATAU SYND) TRISOMY13 TRISOMY 13 (PATAU SYND) Trisomy 13 (Patau Syndrome) 225135H
3047806794.0 XYY (JACOBS SYNDROME) XYY XYY JACOBS SYNDROME XYY (Jacobs Syndrome) 225135L
3047805610.0 PDF AFP RESULT PDF PDF, RESULT PDF 221533AF
3046400005.0 NOTE NOTE NOTE Note 225135AE
3047806824.0 GAINS/LOSSES >=7 MB GAINLOSS GAINS LOSSES GREATER THAN OR EQUAL TO 7 MB Gains/Losses >=7 Mb 225135O
3047800768.0 1P36 DELETION SYNDROME RESULT 1P36DELSYN 1P36DELSYN 1p36 deletion syndrome 225135W
3047806831.0 4P16 DELETION(WOLF-HIRSCHHORN) 4P16DELET 4P16 DELETION WOLF HIRSCHHORN 4p16 deletion (Wolf-Hirschhorn) 225135U
3046400004.0 LIMITATIONS OF THE TEST LIMITOFTEST LIMITATIONS OF THE TEST Limitations of the Test 225135AD
3046400007.0 TRISOMY 18 (EDWARDS SYND) TRISOMY18 TRISOMY 18 (EDWARDS SYND) Trisomy 18 (Edwards Syndrome) 225135G
3047804491.0 REFERENCES REFERENCES REFERENCES References 5910709
3047806701.0 TEST RESULT TESTRESULT TEST RESULT Test Result 225135C
3047806803.0 PERFORMANCE CHARACTERISTICS PERFOMCHAR PERFORMANCE CHARACTERISTICS Performance Characteristics 225135AC
3047806440.0 ABOUT THE TEST ABOUTTEST ABOUT THE TEST About the Test 225135Y
3047802440.0 FETAL FRACTION FETALFRACT FETAL FRACTION Fetal Fraction 1659834P
3047803310.0 LMP DATE LMP LMP DATE Lmp Date 1759834G
3047806834.0 11Q23 DELETION (JACOBSEN) 11Q23DELET 11Q23 DELETION JACOBSEN 11q23 deletion (Jacobsen) 225135R
3047806293.0 15Q11 DELETION (PW ANGELMAN) 15Q11DELET 15Q11 DELETION PW ANGELMAN 15q11 deletion (PW Angelman) 225135Q
3046400006.0 TRISOMY 21 (DOWN SYND) TRISOMY21 TRISOMY 21 (DOWN SYND) Trisomy 21 (Down Syndrome) 225135F
3047806360.0 OTHER AUTOSOMAL ANEUPLOIDIES OTHERAUTOANE OTHER AUTOSOMAL ANEUPLOIDIES Other Autosomal Aneuploidies 225135I
3047805983.0 FETAL SEX FETALSEX FETAL SEX Fetal Sex 225135J
3047806196.0 GESTATION GESTATION GESTATION Gestation 225135A
3047806197.0 GESTATIONAL AGE > OR = 9W: GESTAGE GESTATIONAL AGE GREATER THAN OR EQUAL TO 9W Gestational Age > or = 9w: 225135B
3047802251.0 E DUE DATE EDUEDT E DUE DATE Estimated Due Date 1759834B
3047806832.0 22Q11 DELETION (DIGEORGE) 22Q11DELET 22Q11 DELETION DIGEORGE 22q11 deletion (DiGeorge) 225135P