Epic Build / Desired Build Test Compendium
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Prepare RBC Leukoreduced Epic Compendium  

▶ Desired Epic Build * = editable field  

Actual Epic Build 12/05/2025

PROCEDURE ID 1376
PDM 236201
ORDER DISPLAY NAME Prepare RBC Leukoreduced
PROCEDURE NAME PREPARE RBC LEUKOREDUCED
PROCEDURE MASTER NUMBER LAB282
SHORT PROCEDURE NAME PREP RBC
CATEGORY CODE 3.0
CATEGORY CODE RECORD NAME BLOOD BANK PRODUCT ORDERABLES
SYNONYMS RBC
BLOOD
PRBC
PRODUCT
PACKED
TRANSFUSE
RED
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://northwell.sharepoint.com/sites/NWHPolicies/Sys-Lab/(12)%20SLS.705%20-%20Northwell%20Health%20System%20Transfusion%20Guidelines%20Policy%20-%207.23%20Prov%20Final.pdf?OR=Teams-HL&CT=1704998429160&clickparams=eyJBcHBOYW1lIjoiVGVhbXMtRGVza3RvcCIsIkFwcFZlcnNpb24iOiI0OS8yMzExMzAyODcyMCIsIkhhc0ZlZGVyYXRlZFVzZXIiOmZhbHNlfQ%3D%3D
ORDERING INSTRUCTIONS
Emergency release (uncrossmatched) red blood cells require an additional call to the Blood Bank!
DEFAULT SPECIMEN TYPE Product Order
SPECIMEN TYPE PICK LIST Product Order
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 HGB:4:7
HCT:4:7
OP LAB TEST COMPONENTS FOR REPORT HGB:4:7
HCT:4:7
ORDER QUESTIONS ["3045300160", "3040000015", "3040000030", "3045300104", "3045300060"]
ORDER QUESTIONS RECORD NAME NH IP BLOOD BANK SPECIAL REQ RBC
NH IP BLOOD BANK RBC TRANSFUSION INDICATIONS
INPATIENT ORDER QUESTIONS ["3045300160", "3040000015", "3040000030", "3045300104", "3045300060"]
INPATIENT ORDER QUESTIONS RECORD NAME NH IP BLOOD BANK SPECIAL REQ RBC
NH IP BLOOD BANK RBC TRANSFUSION INDICATIONS
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 BLOOD BANK TRANSFUSION DURATION PER UNIT
NH IP BLOOD BANK UNIT SPECIAL INSTRUCTIONS
NH IP BLOOD BANK PROVIDER CONTACT
EDP IP ORDER SPECIFIC QUESTIONS RECORD NAME NH IP BLOOD BANK TRANSFUSION DURATION PER UNIT
NH IP BLOOD BANK UNIT SPECIAL INSTRUCTIONS
NH IP BLOOD BANK PROVIDER CONTACT
EDP IP SPECIMEN SOURCE
EDP OP SPECIMEN SOURCE
EDP IP SPECIMEN TYPE
EDP OP SPECIMEN TYPE Blood
Blood, Arterial
DERIVED EDP IP BUTTONS S
DERIVED EDP IP BUTTONS T
DERIVED EDP OP BUTTONS S
DERIVED EDP OP BUTTONS T
IP ORDERABLE
OP ORDERABLE
STANDARD LAB COMPONENTS
STANDARD LAB COMPONENTS RECORD NAME
COMPONENT DATA REQUIREMENT
EPIC OP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
3040000015 NH IP BLOOD BANK RBC TRANSFUSION INDICATIONS Transfusion indications Custom List Hgb < 7 gm/dL
Hgb < 8 gm/dL - Postoperative Orthopedic or Cardiac Surgery
Hgb < 8 gm/dL - Stable Cardiovascular Disease or Acute Coronary Syndrome
Symptomatic Anemia - e.g. Chest Pain, Orthostasis, Tachychardia, Congestive Heart Failure
Anemia due to Active Hemorrhage - Trauma
Anemia due to Active Hemorrhage - Operative, Obstetric, Invasive Procedures
Anemia due to Active Hemorrhage - Medical Conditions e.g. GI bleed
RBC Exchange
Other		 Yes
3040000030 NH IP BLOOD BANK TRANSFUSION DURATION PER UNIT Transfusion Duration per Unit Custom List As Fast As Possible
30 Minutes
1 Hour
1.5 Hours
2 Hours
2.5 Hours
3 Hours
3.5 Hours
4 Hours		 Yes
3045300060 NH IP BLOOD BANK PROVIDER CONTACT Ordering Provider's Pager/Contact # Free Text No
3045300104 NH IP BLOOD BANK UNIT SPECIAL INSTRUCTIONS Unit Special Instructions Free Text No
3045300160 NH IP BLOOD BANK SPECIAL REQ RBC Special Requirements Custom List Irradiated
CMV Negative
Sickle Cell
Washed
Autologous
Designated		 No
EPIC IP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
3040000015 NH IP BLOOD BANK RBC TRANSFUSION INDICATIONS Transfusion indications Custom List Hgb < 7 gm/dL
Hgb < 8 gm/dL - Postoperative Orthopedic or Cardiac Surgery
Hgb < 8 gm/dL - Stable Cardiovascular Disease or Acute Coronary Syndrome
Symptomatic Anemia - e.g. Chest Pain, Orthostasis, Tachychardia, Congestive Heart Failure
Anemia due to Active Hemorrhage - Trauma
Anemia due to Active Hemorrhage - Operative, Obstetric, Invasive Procedures
Anemia due to Active Hemorrhage - Medical Conditions e.g. GI bleed
RBC Exchange
Other		 Yes
3040000030 NH IP BLOOD BANK TRANSFUSION DURATION PER UNIT Transfusion Duration per Unit Custom List As Fast As Possible
30 Minutes
1 Hour
1.5 Hours
2 Hours
2.5 Hours
3 Hours
3.5 Hours
4 Hours		 Yes
3045300060 NH IP BLOOD BANK PROVIDER CONTACT Ordering Provider's Pager/Contact # Free Text No
3045300104 NH IP BLOOD BANK UNIT SPECIAL INSTRUCTIONS Unit Special Instructions Free Text No
3045300160 NH IP BLOOD BANK SPECIAL REQ RBC Special Requirements Custom List Irradiated
CMV Negative
Sickle Cell
Washed
Autologous
Designated		 No
EPIC Components (results - crosswalked through Cerner)