Epic Build / Desired Build Test Compendium
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Thyroid Stimulating Hormone (TSH) with Thyroid Peroxidase (TPO) Antibody Reflex

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: Thyroid Stim Horm w/ TPO reflex
PDM 231287
Informatics - WorkgroupEndocrine
Synonyms *TSHTPO
Thyroid Stim Horm w/ TPO reflex
Display Name *Thyroid Stimulating Hormone (TSH) with Thyroid Peroxidase (TPO) Antibody Reflex
Specimen Sources (combined Order Entry and Specimen Navigator) *
Specimen Types (combined Order Entry and Specimen Navigator) *
Body Fluids (types sent through AOEs)
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)If the TSH is >2.50 the Thyroid Peroxidase (TPO) will be added on at an additional charge.
IP Orderable (inpatient) Yes
OP Orderable (outpatient) Yes
AOEs *

AP AOEs
Special History No
Build Comments
Filter *
Cerner Site RestrictForest Hills Hospital Laboratory
Glen Cove Hospital Laboratory
Huntington Hospital Laboratory
LIJ Valley Stream Hospital Laboratory
Lenox Health Greenwich Village
Lenox Hill Laboratory
Long Island Jewish Med Ctr

North Shore University Laboratory
Northern Westchester Hospital Labs
Northwell Health Fertility NYC
Northwell Health Laboratories
Peconic Bay Medical Center Laboratory
Phelps Memorial Hospital Labs
Plainview Hospital Laboratory
SIUH Pouch Terminal Laboratory
SSUH Laboratory
Cerner Results

Result Desc Result display Result PDM
Thryoid Stimulating Hormone TSH 5300435

Actual Epic Build 3/11/2025

PROCEDURE ID 182891
PDM 231287
ORDER DISPLAY NAME Thyroid Stimulating Hormone (TSH) with Thyroid Peroxidase (TPO) Antibody Reflex
PROCEDURE NAME THYROID STIMULATING HORMONE (TSH) WITH THYROID PEROXIDASE (TPO) ANTIBODY REFLEX
PROCEDURE MASTER NUMBER LAB14013
SHORT PROCEDURE NAME THYROID STIM HORM W/ TPO REFLEX
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS TSHTPO
Thyroid Stim Horm w/ TPO reflex
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/182891
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 TSH
OP LAB TEST COMPONENTS FOR REPORT TSH
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
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

EPIC IP AOEs

EPIC Components (results - crosswalked through Cerner)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3048800695.0 THYROID STIMULATING HORMONE, SERUM TSH TSH Thyroid Stimulating Hormone 5300435