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2T Maternal Serum Alpha Fetoprotein (AFP)

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: 2T Maternal Serum AFP
PDM 235467
Informatics - WorkgroupPrenatal
Synonyms *MSAFP
Display Name *2T Maternal Serum Alpha Fetoprotein (AFP)
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 NameMSAFP
Ordering info (EPIC SmartText)Maternal serum AFP is a screening test for Open Neural Tube Defects (ONTD’S) such as Open Spina Bifida (OSB) and Anencephaly.  The test may also detect approximately 60% of Ventral Wall Defects (VWD). A positive result means that further diagnostic testing may be offered to the pregnant woman to determine if a structural defect is present. MS-AFP is a screening test. 
IP Orderable (inpatient) Yes
OP Orderable (outpatient) Yes
AOEs *

AP AOEs
Special History No
Build Comments
Filter *
Cerner Site RestrictNorthwell Health Laboratories
Cerner Results

Result Desc Result display Result PDM
Multiple Pregnancy Status Multiple Pregnancy Status 235466AOE
AFP Percentile AFP Percentile 235467B
MS Insulin Dep Diabetes MS Insulin Dep Diabetes AOE00806
AFP Concentration AFP Concentration 235466B
General Test Information Gen Test Info 235466G
Family History Open Spina Bifida Family History Open Spina Bifida 235466AOE
Gestational Age Method Gestational Age Method 235466AOE
MS Estimated Due Date MS Estimated Due Date 235466AOE
After Screening OSB Risk After Screening OSB Risk 235467D
Extreme Analyte Alert Extreme Analyte Alert 235467L
MSAFP Valproic Acid MSAFP Valproic Acid AOE00807
AFP Screening Result AFP Screening Result 235467A
MS Insulin Dep Diabetes MS Insulin Dep Diabetes 235466AOE
Multiple Pregnancy Status Multiple Pregnancy Status AOE00810
Before Screening OSB Risk Before Screening OSB Risk 235467C
Initial or Repeat Testing Initial or Repeat Testing 235467E
Gestational Age Gestational Age 235466D
Gestational Age Method Gestational Age Method AOE00809
MS Maternal Weight MS Maternal Weight AOE00805
MS Estimated Due Date MS Estimated Due Date AOE00803
Family History Open Spina Bifida Family History Open Spina Bifida AOE00812
MSAFP Carbamazepine MSAFP Carbamazepine AOE00808
MSAFP Carbamazepine MSAFP Carbamazepine 235466AOE
MS Race/Ethnicity MS Race/Ethnicity AOE00804
MSAFP Valproic Acid MSAFP Valproic Acid 235466AOE
Current Smoker Current Smoker 235466AOE
AFP MoM Cut-Off AFP MoM Cut-Off 235466F
MS Maternal Weight MS Maternal Weight 235466AOE
AFP Interpretation AFP Interpretation 235466E
AFP MoM AFP MoM 235466C
MS Race/Ethnicity MS Race/Ethnicity 235466AOE
Current Smoker Current Smoker AOE00811

Actual Epic Build 3/11/2025

PROCEDURE ID 182869
PDM 235467
ORDER DISPLAY NAME 2T Maternal Serum Alpha Fetoprotein (AFP)
PROCEDURE NAME 2T MATERNAL SERUM AFP
PROCEDURE MASTER NUMBER LAB14033
SHORT PROCEDURE NAME 2T MATERNAL SERUM AFP
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS MSAFP
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/182869
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
OP LAB TEST COMPONENTS FOR REPORT
ORDER QUESTIONS ["3046700001", "3046700002", "3046700009", "3046700010", "3046700011", "3046700012", "3046700013", "3046700014", "3046700015", "3046700016"]
ORDER QUESTIONS RECORD NAME NH IP MATERNAL WEIGHT (IN LBS)
NH IP RACE/ETHNICITY
NH IP VALPROIC ACID
NH IP CARBAMAZEPINE
NH IP ESTIMATED DUE DATE
NH IP GESTATIONAL AGE METHOD
NH IP MULTIPLE PREGNANCY STATUS
NH IP INSULIN DEPEND DIABETES
NH IP CURRENT SMOKER
NH IP FAMILY HX OPEN SPINA BIFIDA
INPATIENT ORDER QUESTIONS ["3046700001", "3046700002", "3046700009", "3046700010", "3046700011", "3046700012", "3046700013", "3046700014", "3046700015", "3046700016"]
INPATIENT ORDER QUESTIONS RECORD NAME NH IP MATERNAL WEIGHT (IN LBS)
NH IP RACE/ETHNICITY
NH IP VALPROIC ACID
NH IP CARBAMAZEPINE
NH IP ESTIMATED DUE DATE
NH IP GESTATIONAL AGE METHOD
NH IP MULTIPLE PREGNANCY STATUS
NH IP INSULIN DEPEND DIABETES
NH IP CURRENT SMOKER
NH IP FAMILY HX OPEN SPINA BIFIDA
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, 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
OP ORDERABLE
STANDARD LAB COMPONENTS
STANDARD LAB COMPONENTS RECORD NAME
COMPONENT DATA REQUIREMENT
EPIC OP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
3046700001 NH IP MATERNAL WEIGHT (IN LBS) Maternal Wgt (lbs) Numeric Yes
3046700002 NH IP RACE/ETHNICITY Race/Ethnicity Custom List Black
Caucasian
Hispanic
Mixed
Native American
Other
East Asian
South Asian
Declined
Yes
3046700009 NH IP VALPROIC ACID Valproic Acid? Yes/No No
3046700010 NH IP CARBAMAZEPINE Carbamazepine? Yes/No No
3046700011 NH IP ESTIMATED DUE DATE Estimated Due Date Date Yes
3046700012 NH IP GESTATIONAL AGE METHOD Gestational Age Method Custom List EDD by LMP
EDD by U/S
Not Provided
No
3046700013 NH IP MULTIPLE PREGNANCY STATUS Multiple Pregnancy Status Custom List Singleton
Twins
None Provided
Yes
3046700014 NH IP INSULIN DEPEND DIABETES Insulin Depend Diabetes Yes/No No
3046700015 NH IP CURRENT SMOKER Current Smoker Yes/No No
3046700016 NH IP FAMILY HX OPEN SPINA BIFIDA Family History Open Spina Bifida Custom List First Degree
Second Degree
Third Degree
No
No
EPIC IP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
3046700001 NH IP MATERNAL WEIGHT (IN LBS) Maternal Wgt (lbs) Numeric Yes
3046700002 NH IP RACE/ETHNICITY Race/Ethnicity Custom List Black
Caucasian
Hispanic
Mixed
Native American
Other
East Asian
South Asian
Declined
Yes
3046700009 NH IP VALPROIC ACID Valproic Acid? Yes/No No
3046700010 NH IP CARBAMAZEPINE Carbamazepine? Yes/No No
3046700011 NH IP ESTIMATED DUE DATE Estimated Due Date Date Yes
3046700012 NH IP GESTATIONAL AGE METHOD Gestational Age Method Custom List EDD by LMP
EDD by U/S
Not Provided
No
3046700013 NH IP MULTIPLE PREGNANCY STATUS Multiple Pregnancy Status Custom List Singleton
Twins
None Provided
Yes
3046700014 NH IP INSULIN DEPEND DIABETES Insulin Depend Diabetes Yes/No No
3046700015 NH IP CURRENT SMOKER Current Smoker Yes/No No
3046700016 NH IP FAMILY HX OPEN SPINA BIFIDA Family History Open Spina Bifida Custom List First Degree
Second Degree
Third Degree
No
No
EPIC Components (results - crosswalked through Cerner)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3048800003.0 AFP PERCENTILE AFPPCT AFP PERCENTILE 235467B
3048800000.0 AFP CONCENTRATION AFPCONC AFP CONCENTRATION 235466B
3046700994.0 GEN TEST INFORMATION GENTEST GEN TEST INFORMATION 235466G
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3048800004.0 AFTER SCREENING RISK OPEN SPINA BIFIDA RISKOSB AFTER SCREENING RISK OPEN SPINA BIFIDA 235467D
3048800006.0 EXTREME ANALYTE ALERT EXTANAALRT EXTREME ANALYTE ALERT 235467L
3047800893.0 AFP VALUE AFPVALUE AFPVALUE 235467A
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3048800005.0 BEFORE SCREENING RISK OPEN SPINA BIFIDA RISKOSB BEFORE SCREENING RISK OPEN SPINA BIFIDA 235467C
3046200034.0 INITIAL OR REPEAT TESTING INITIAL OR REPEAT TESTING Initial or Repeat Testing? 235467E
3047802576.0 GESTATIONAL AGE GESTAGE GESTATIONAL AGE Gestational Age 235466D
3047802577.0 GESTATIONAL AGE BASED ON GESTAGE GESTATIONAL AGE BASED ON AOE00809
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3048800002.0 AFP MOM CUT-OFF AFPMOMCUT AFP MOM CUT OFF 235466F
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3048800001.0 AFP INTERPRETATION AFPINTERP AFP INTERPRETATION 235466E
3047800892.0 AFP MOM AFPMOM AFP MOM 235466C
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE