Epic Build / Desired Build Test Compendium
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2T Quad Screen

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: 2T Quad Screen
PDM 241466
Informatics - WorkgroupPrenatal
Synonyms *QUAD
Display Name *2T Quad Screen
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 NameQUAD
Ordering info (EPIC SmartText)2T Quad Screen is a second trimester screening test for the two most common fetal aneuploidies,trisomy 21 and trisomy 18.  The test also detects Open Neural Tube Defects (ONTD’S) such as Open Spina BifidaOSB) and Anencephaly (see 2T AFP). 2T Quad Screen incorporates the maternal serum markers AFP, free ßhCG, Inhibin A and uE3.
IP Orderable (inpatient) Yes
OP Orderable (outpatient) Yes
AOEs *

AP AOEs
Special History No
Build Comments
Filter *
Cerner Site RestrictBio Reference Laboratory
Northwell Health Laboratories
Cerner Results

Result Desc Result display Result PDM
Family History Open Spina Bifida Family History Open Spina Bifida AOE00812
Down Syndrome Risk Cutoff Down Syndrome Risk Cutoff 241466D
General Test Information Gen Test Info 235466G
Current Smoker Current Smoker AOE00811
AFP Screening Result AFP Screening Result 235467A
Unconj Estriol Concentration Unconj Estriol Conc 241466Q
Egg Donor Age at Retrieval Egg Donor Age at Retrieval 235466AOE
After Screening Risk Down Syndrome After Screening Risk Down Syndrome 241466B
Inhibin Percentile Inhibin Percentile 241466V
AFP MoM AFP MoM 235466C
MSAFP Valproic Acid MSAFP Valproic Acid 235466AOE
Down Syndrome Interpretation Down Syndrome Interpretation 241466F
MS Maternal Weight MS Maternal Weight AOE00805
MSAFP Carbamazepine MSAFP Carbamazepine 235466AOE
MS Insulin Dep Diabetes MS Insulin Dep Diabetes AOE00806
AFP Interpretation AFP Interpretation 235466E
AFP Percentile AFP Percentile 235467B
Gestational Age Gestational Age 235466D
Free Beta hCG Percentile Free Beta hCG Percentile 241466P
Before Screening Risk Trisomy 18 Before Screening Risk Trisomy 18 241466H
Inhibin Concentration Inhibin Conc 241466T
Free Beta hCG Concentration Free Beta hCG Conc 241466N
AFP MoM Cut-Off AFP MoM Cut-Off 235466F
MS Estimated Due Date MS Estimated Due Date AOE00803
Extreme Analyte Alert Extreme Analyte Alert 235467L
Inhibin MoM Inhibin MoM 241466U
AFP Concentration AFP Concentration 235466B
Gestational Age Method Gestational Age Method AOE00809
Before Screening Risk Down Syndrome Before Screening Risk Down Syndrome 241466C
MS Maternal Weight MS Maternal Weight 235466AOE
MS Estimated Due Date MS Estimated Due Date 235466AOE
Previous Preg with Down Syndrome Prev Preg with Down Syndrome 235466AOE
MS Race/Ethnicity MS Race/Ethnicity AOE00804
MSAFP Valproic Acid MSAFP Valproic Acid AOE00807
Free Beta hCG MoM Free Beta hCG MoM 241466O
Unconj Estriol Percentile Unconj Estriol Percentile 241466S
Unconj Estriol MoM Unconj Estriol MoM 241466R
Family History Open Spina Bifida Family History Open Spina Bifida 235466AOE
Egg Donor Age at Retrieval Egg Donor Age at Retrieval AOE00815
Multiple Pregnancy Status Multiple Pregnancy Status 235466AOE
MSAFP Carbamazepine MSAFP Carbamazepine AOE00808
Previous Preg with Down Syndrome Prev Preg with Down Syndrome AOE00816
Overall Screening Result Overall Screening Result 241466A
Down Syndrome Result Down Syndrome Result 241466E
MS Race/Ethnicity MS Race/Ethnicity 235466AOE
After Screening Risk Trisomy 18 After Screening Risk Trisomy 18 241466I
Trisomy 18 Result Trisomy 18 Result 241466J
Maternal Age at EDD Mat Age at EDD 1659834w
Gestational Age Method Gestational Age Method 235466AOE
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
Trisomy 18 Interpretation Trisomy 18 Interpretation 241466K
Current Smoker Current Smoker 235466AOE
After Screening OSB Risk After Screening OSB Risk 235467D
Trisomy 18 Risk Cutoff Trisomy 18 Risk Cutoff 241466G

Actual Epic Build 3/11/2025

PROCEDURE ID 184730
PDM 241466
ORDER DISPLAY NAME 2T Quad Screen
PROCEDURE NAME 2T QUAD SCREEN
PROCEDURE MASTER NUMBER LAB14274
SHORT PROCEDURE NAME 2T QUAD SCREEN
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS QUAD
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/184730
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 SCREENRSLT
DOWNRISKCUT
DOWNRESULT
DOWNBSR
DOWNASR
INTERPDOW
T18RISKCUT
TRIS18
T18BSR
T18ASR
TRIS18INT
AFPVALUE
RISKOSB
AFPINTERP
EXTANAALRT
AFPCONC
AFPMOM
AFPMOMCUT
AFPPCT
FREEHCG
FREEBETA
UNCONJ
INHIBIN
GESTAGE
MATERNALAGE
GENTEST
OP LAB TEST COMPONENTS FOR REPORT SCREENRSLT
DOWNRISKCUT
DOWNRESULT
DOWNBSR
DOWNASR
INTERPDOW
T18RISKCUT
TRIS18
T18BSR
T18ASR
TRIS18INT
AFPVALUE
RISKOSB
AFPINTERP
EXTANAALRT
AFPCONC
AFPMOM
AFPMOMCUT
AFPPCT
FREEHCG
FREEBETA
UNCONJ
INHIBIN
GESTAGE
MATERNALAGE
GENTEST
ORDER QUESTIONS ["3046700012", "3046700011", "3046700017", "3046700018", "3046700001", "3046700002", "3046700009", "3046700010", "3046700013", "3046700014", "3046700015", "3046700016", "3046700019"]
ORDER QUESTIONS RECORD NAME NH IP GESTATIONAL AGE METHOD
NH IP ESTIMATED DUE DATE
NH IP EGG DONOR AGE AT RETRIEVAL
NH IP MATERNAL AGE AT EDD
NH IP MATERNAL WEIGHT (IN LBS)
NH IP RACE/ETHNICITY
NH IP VALPROIC ACID
NH IP CARBAMAZEPINE
NH IP MULTIPLE PREGNANCY STATUS
NH IP INSULIN DEPEND DIABETES
NH IP CURRENT SMOKER
NH IP FAMILY HX OPEN SPINA BIFIDA
NH IP PREV PREG WITH DOWN SYNDROME
INPATIENT ORDER QUESTIONS ["3046700012", "3046700011", "3046700017", "3046700018", "3046700001", "3046700002", "3046700009", "3046700010", "3046700013", "3046700014", "3046700015", "3046700016", "3046700019"]
INPATIENT ORDER QUESTIONS RECORD NAME NH IP GESTATIONAL AGE METHOD
NH IP ESTIMATED DUE DATE
NH IP EGG DONOR AGE AT RETRIEVAL
NH IP MATERNAL AGE AT EDD
NH IP MATERNAL WEIGHT (IN LBS)
NH IP RACE/ETHNICITY
NH IP VALPROIC ACID
NH IP CARBAMAZEPINE
NH IP MULTIPLE PREGNANCY STATUS
NH IP INSULIN DEPEND DIABETES
NH IP CURRENT SMOKER
NH IP FAMILY HX OPEN SPINA BIFIDA
NH IP PREV PREG WITH DOWN SYNDROME
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
3046700017 NH IP EGG DONOR AGE AT RETRIEVAL Egg Donor Age at Retrieval Numeric No
3046700018 NH IP MATERNAL AGE AT EDD Maternal Age at EDD Numeric No
3046700019 NH IP PREV PREG WITH DOWN SYNDROME Prev Preg with Down Syndrome Yes/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
3046700017 NH IP EGG DONOR AGE AT RETRIEVAL Egg Donor Age at Retrieval Numeric No
3046700018 NH IP MATERNAL AGE AT EDD Maternal Age at EDD Numeric No
3046700019 NH IP PREV PREG WITH DOWN SYNDROME Prev Preg with Down Syndrome Yes/No No
EPIC Components (results - crosswalked through Cerner)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3046700916.0 DOWN SYNDROME RISK CUTOFF DOWNRISKCUT DOWN SYNDROME RISK CUTOFF 241466D
3046700994.0 GEN TEST INFORMATION GENTEST GEN TEST INFORMATION 235466G
3047800893.0 AFP VALUE AFPVALUE AFPVALUE 235467A
3046700926.0 UNCONJ ESTRIOL CONCENTRATION UNCONJ UNCONJ ESTRIOL CONCENTRATION 241466Q
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3046700919.0 AFTER SCREENING RISK DOWN SYNDROME DOWNASR AFTER SCREENING RISK DOWN SYNDROME 241466B
3046700931.0 INHIBIN PERCENTILE INHIBIN INHIBIN PERCENTILE 241466V
3047800892.0 AFP MOM AFPMOM AFP MOM 235466C
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3047802198.0 DOWN SYNDROME INTERPRETATION INTERPDOW DOWN SYNDROME INTERPRETATION 241466F
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3048800001.0 AFP INTERPRETATION AFPINTERP AFP INTERPRETATION 235466E
3048800003.0 AFP PERCENTILE AFPPCT AFP PERCENTILE 235467B
3047802576.0 GESTATIONAL AGE GESTAGE GESTATIONAL AGE Gestational Age 235466D
3046700925.0 FREE BETA HCG PERCENTILE FREEBETA FREE BETA HCG PERCENTILE 241466P
3046700921.0 BEFORE SCREENING RISK TRISOMY 18 T18BSR BEFORE SCREENING RISK TRISOMY 18 241466H
3046700929.0 INHIBIN CONCENTRATION INHIBIN INHIBIN CONCENTRATION 241466T
3046700923.0 FREE BETA HCG CONCENTRATION FREEHCG FREE BETA HCG CONCENTRATION 241466N
3048800002.0 AFP MOM CUT-OFF AFPMOMCUT AFP MOM CUT OFF 235466F
3048800006.0 EXTREME ANALYTE ALERT EXTANAALRT EXTREME ANALYTE ALERT 235467L
3046700930.0 INHIBIN MOM INHIBIN INHIBIN MOM 241466U
3048800000.0 AFP CONCENTRATION AFPCONC AFP CONCENTRATION 235466B
3047802577.0 GESTATIONAL AGE BASED ON GESTAGE GESTATIONAL AGE BASED ON AOE00809
3046700918.0 BEFORE SCREENING RISK DOWN SYNDROME DOWNBSR BEFORE SCREENING RISK DOWN SYNDROME 241466C
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
3046700924.0 FREE BETA HCG MOM FREEBETA FREE BETA HCG MOM 241466O
3046700928.0 UNCONJ ESTRIOL PERCENTILE UNCONJ UNCONJ ESTRIOL PERCENTILE 241466S
3046700927.0 UNCONJ ESTRIOL MOM UNCONJ UNCONJ ESTRIOL MOM 241466R
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3048800594.0 EGG DONOR AGE AT RETRIEVAL EGGDONORAGE EGG DONOR AGE AT RETRIEVAL AOE00815
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 AOE00816
3046700915.0 OVERALL SCREENING RESULT SCREENRSLT OVERALL SCREENING RESULT 241466A
3046700917.0 DOWN SYNDROME RESULT DOWNRESULT DOWN SYNDROME RESULT 241466E
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3046700922.0 AFTER SCREENING RISK TRISOMY 18 T18ASR AFTER SCREENING RISK TRISOMY 18 241466I
3047805101.0 TRISOMY 18 RESULT TRIS18 TRISOMY 18 RESULT 241466J
3047805557.0 MATERNAL AGE AT EDD MATERNALAGE MATERNALAGE, EDD 1659834w
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
3048800005.0 BEFORE SCREENING RISK OPEN SPINA BIFIDA RISKOSB BEFORE SCREENING RISK OPEN SPINA BIFIDA 235467C
3047805100.0 TRISOMY 18 INTERPRETATION TRIS18INT TRISOMY 18 INTERPRETATION 241466K
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
3046700920.0 TRISOMY 18 RISK CUTOFF T18RISKCUT TRISOMY 18 RISK CUTOFF 241466G