| Cerner Primary Mnemonic: | 2nd 3rd Trimester Preeclampsia |
| PDM | 245507 |
| Informatics - Workgroup | Prenatal |
| Synonyms * | PRECLAMPSIA 2nd 3rd TRI |
| Display Name * | Preeclampsia Risk Evaluation for 2nd and 3rd Trimester |
| 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 Name | PREECLAMPSIA 2ND 3RD TRI |
| Ordering info (EPIC SmartText) | The 2nd 3rd Trimester Preeclampsia test is a mid to late trimester prognostic test used to aid in the risk assessment of pregnant women (singleton pregnancies between gestational age 23+0 to 34+6/7 weeks) hospitalized for hypertensive disorders of pregnancy (preeclampsia, chronic hypertension with or without superimposed preeclampsia, or gestational hypertension) for progression to preeclampsia with severe features (as defined by the American College of Obstetricians and Gynecologists (ACOG) guidelines1) within 2 weeks of presentation.
The test incorporates the maternal serum markers soluble fms-like tyrosine kinase-1 (sFlt-1) and Placental Growth Factor (PlGF). The ratio of the anti-angiogenic sFlt-1 to the angiogenic PlGF help to inform clinicians which patient would be at higher risk for developing the ACOG classification of PE with severe features. Thereafter, women whose test was positive (i.e. high risk) would receive stepped-up care. The elevation in the sFlt-1/PlGF ratio occurs prior to ACOG defined thresholds for delivery (e.g., LFT elevations, thrombocytopenia abnormal umbilical Doppler), and therefore is useful to step-up appropriate care and intensify surveillance before severe features develop. |
| IP Orderable (inpatient) | Yes |
| OP Orderable (outpatient) | Yes |
AOEs *
|
| AP AOEs | |
| Special History | No |
| Build Comments | |
| Filter * | |
| Cerner Site Restrict | LabCorp
Northwell Health Laboratories |
Cerner Results
| Result Desc |
Result display |
Result PDM |
| PREEC sFlt-1/PlGF Ratio |
PREEC sFlt-1/PlGF Ratio |
245507C |
| Reflex2 Preclampsia Interp |
Reflex2 Preclampsia Interp |
245509 |
| PREEC METHODOLOGY |
PREEC METHODOLOGY |
245507E |
| PREECL DISCLAIMER |
PREECL DISCLAIMER |
245507D |
| PREECLAMP PlGF |
PREECLAMP PlGF |
245507B |
| PREECLAMP Interp |
PREECLAMP Interp |
245507F |
| PREECLAMP sFlt-1 |
PREECLAMP sFlt-1 |
245507A |
| Reflex Preclampsia Interp |
Reflex Preclampsia Interp |
245508 |
|
| PROCEDURE ID |
182897 |
| PDM |
245507 |
| ORDER DISPLAY NAME |
Preeclampsia Risk Evaluation for 2nd and 3rd Trimester |
| PROCEDURE NAME |
PREECLAMPSIA 2ND 3RD TRIMESTER |
| PROCEDURE MASTER NUMBER |
LAB14016 |
| SHORT PROCEDURE NAME |
2T3TPE |
| CATEGORY CODE |
1.0 |
| CATEGORY CODE RECORD NAME |
LAB BLOOD ORDERABLES |
| SYNONYMS |
PRECLAMPSIA 2ND 3RD TRI |
| CLINICALLY ACTIVE |
Yes |
| ORDERABLE |
Yes |
| PERFORMABLE |
Yes |
| FILTER GENOMICS |
|
| REFERENCE LINK URL |
https://labs.northwell.edu/epic/test/182897 |
| 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 |
METHODOLOGY
PLGF
PREECDISCL
REFLEX2PREIN
REFLEXINT1
REFLEXPREINT
SFLT1
SFLT1PLGF
SPECAPPEAR |
| OP LAB TEST COMPONENTS FOR REPORT |
METHODOLOGY
PLGF
PREECDISCL
REFLEX2PREIN
REFLEXINT1
REFLEXPREINT
SFLT1
SFLT1PLGF
SPECAPPEAR |
| ORDER QUESTIONS |
["3045300170", "3045300171", "3045300173"] |
| ORDER QUESTIONS RECORD NAME |
NH IP HOME COLLECT DATE
NH IP HOME COLLECT DAYS
NH IP HOME COLLECT MEDICALLY NECESSARY |
| INPATIENT ORDER QUESTIONS |
[] |
| INPATIENT ORDER QUESTIONS RECORD NAME |
|
| ORDER SPECIFIC QUESTION OVERRIDE |
Yes |
| 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, Capillary
Blood, Arterial
Blood, Central Line
Blood, Venous |
| 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
| Question ID | Question Name | Question | Response Type | Response List | Require Response |
|---|
| 3045300170 |
NH IP HOME COLLECT DATE |
Start Date |
Date |
|
Yes |
| 3045300171 |
NH IP HOME COLLECT DAYS |
Days |
Custom List |
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday |
Yes |
| 3045300173 |
NH IP HOME COLLECT MEDICALLY NECESSARY |
Medically Necessary? |
Yes/No |
|
Yes |
|
EPIC IP AOEs
|
EPIC Components (results - crosswalked through Cerner)
| Component ID | Component Name | Base Name | Common Name | External Name | Cerner Result PDM |
|---|
| 3048800254.0 |
PREEC SFLT-1/PLGF RATIO |
SFLT1PLGF |
PREEC SFLT 1 PLGF RATIO |
PREEC sFlt-1/PlGF Ratio |
245507C |
| 3046700992.0 |
REFLEX2 PRECLAMPSIA INTERP |
REFLEX2PREIN |
REFLEX2 PRECLAMPSIA INTERP |
Reflex 2 Preeclampsia Interpretation |
245509 |
| 3047805569.0 |
METHODOLOGY |
METHODOLOGY |
METHODOLOGY, METHODOLOGY |
Methodology |
245507E |
| 3046700988.0 |
PREEC DISCLAIMER |
PREECDISCL |
PREEC DISCLAIMER |
Disclaimer |
245507D |
| 3048800255.0 |
PREECLAMP PLGF |
PLGF |
PREECLAMP PLGF |
PREECLAMP PlGF |
245507B |
| 3046700989.0 |
REFLEX INTERP1 |
REFLEXINT1 |
REFLEX INTERP1 |
PREECLAMP Interpretation |
245507F |
| 3048800256.0 |
PREECLAMP SFLT-1 |
SFLT1 |
PREECLAMP SFLT 1 |
PREECLAMP sFlt-1 |
245507A |
| 3046700991.0 |
REFLEX PRECLAMPSIA INTERP |
REFLEXPREINT |
REFLEX PRECLAMPSIA INTERP |
Reflex Preeclampsia Interp |
245508 |
|
