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2T Sequential Screen

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: 2T Sequential Screen
PDM 241468
Informatics - WorkgroupPrenatal
Synonyms *
Display Name *2T Sequential 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 Name2TSEQ
Ordering info (EPIC SmartText)2T Sequential Screen combines a patient’s previous 1T Aneuploidy screen with a second trimester QUAD Screen to test for the two most common fetal aneuploidies, trisomies 21 and 18.  2T Sequential screen measures maternal serum AFP, Free beta hCG, Inhibin A and uE3 then combines the results with the patients first trimester PAPP-A, nuchal translucency (NT) and nasal bone (NB - optional).  An increased risk result means that further screening (ultrasound, NIPT) and/or diagnostic testing (amniocentesis) may be offered
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
MS Maternal Weight MS Maternal Weight AOE00805
Multiple Pregnancy Status Multiple Pregnancy Status 235466AOE
Previous Preg with Down Syndrome Prev Preg with Down Syndrome 235466AOE
Overall Screening Result Overall Screening Result 241466A
Free Beta hCG Concentration Free Beta hCG Conc 241466N
Current Smoker Current Smoker 235466AOE
Maternal Weight at Second Trimester Mat Weight at Sec Tri 241468G
Family History Open Spina Bifida Family History Open Spina Bifida AOE00812
MS Insulin Dep Diabetes MS Insulin Dep Diabetes 235466AOE
After Screening Risk Down Syndrome After Screening Risk Down Syndrome 241466B
AFP Percentile AFP Percentile 235467B
MSAFP Valproic Acid MSAFP Valproic Acid AOE00807
MS Nasal Bone Twin B MS Nasal Bone Twin B 235466AOE
MS CRL MS CRL 235466AOE
MS PAPP-A MoM MS PAPP-A MoM 241467M
NT MoM Twin B NT MoM Twin B 241467J
Before Screening OSB Risk Before Screening OSB Risk 235467C
MSAFP Carbamazepine MSAFP Carbamazepine 235466AOE
Current Smoker Current Smoker AOE00811
NT NT AOE00831
MS CRL Twin B MS CRL Twin B 235466AOE
AFP MoM Cut-Off AFP MoM Cut-Off 235466F
Inhibin Percentile Inhibin Percentile 241466V
Before Screening Risk Trisomy 18 Before Screening Risk Trisomy 18 241466H
Inhibin Concentration Inhibin Conc 241466T
Trisomy 18 Interpretation Trisomy 18 Interpretation 241466K
After Screening Risk Trisomy 18 Twin A After Scrn Risk Trisomy 18 Twin A 241468A
Maternal Age at EDD MS Mat Age at EDD 241466W
Date Collected First Trimester Date Collected First Trimester 241468C
Trisomy 18 Result Trisomy 18 Result 241466J
MS Nasal Bone MS Nasal Bone 235466AOE
MS PAPP-A Percentile MS PAPP-A Percentile 241467N
Unconj Estriol Concentration Unconj Estriol Conc 241466Q
Family History Open Spina Bifida Family History Open Spina Bifida 235466AOE
Egg Donor Age at Retrieval Egg Donor Age at Retrieval AOE00815
AFP Interpretation AFP Interpretation 235466E
Down Syndrome Result Down Syndrome Result 241466E
Inhibin MoM Inhibin MoM 241466U
Down Syndrome Risk Cutoff Down Syndrome Risk Cutoff 241466D
AFP Concentration AFP Concentration 235466B
After Screening OSB Risk After Screening OSB Risk 235467D
After Scrn Risk Down Syndrome Twin A After Scrn Risk Down Syndrome Twin A 241467V
NT Twin B NT Twin B AOE00832
MS PAPP-A Conc MS PAPP-A Conc 241467L
AFP Screening Result AFP Screening Result 235467A
Before Screening Risk Down Syndrome Before Screening Risk Down Syndrome 241466C
Extreme Analyte Alert Extreme Analyte Alert 235467L
Free Beta hCG Percentile Free Beta hCG Percentile 241466P
Unconj Estriol Percentile Unconj Estriol Percentile 241466S
After Screening Risk Trisomy 18 After Screening Risk Trisomy 18 241466I
Down Syndrome Interpretation Down Syndrome Interpretation 241466F
Date of U/S Date of U/S 241468F
GA at U/A GA at U/A 241467R
GA at Collection-Second Trimester GA at Coll - 2nd Tri 241468D
After Screening Risk Trisomy 18 Twin B After Scrn Risk Trisomy 18 Twin B 241468B
MS Chorionicity MS Chorionicity 235466AOE
Egg Donor Age at Retrieval Egg Donor Age at Retrieval 235466AOE
MS Maternal Weight MS Maternal Weight 235466AOE
MSAFP Carbamazepine MSAFP Carbamazepine AOE00808
MS Race/Ethnicity MS Race/Ethnicity AOE00804
AFP MoM AFP MoM 235466C
General Test Information Gen Test Info 235466G
NT NT 235466AOE
NT MoM NT MoM 241467G
MS Nasal Bone MS Nasal Bone AOE00817
After Scrn Risk Down Syndrome Twin B After Scrn Risk Down Syndrome Twin B 241467W
NT Twin B NT Twin B 235466AOE
MS Insulin Dep Diabetes MS Insulin Dep Diabetes AOE00806
Multiple Pregnancy Status Multiple Pregnancy Status AOE00810
Previous Preg with Down Syndrome Prev Preg with Down Syndrome AOE00816
MSAFP Valproic Acid MSAFP Valproic Acid 235466AOE
Free Beta hCG MoM Free Beta hCG MoM 241466O
MS Race/Ethnicity MS Race/Ethnicity 235466AOE
Unconj Estriol MoM Unconj Estriol MoM 241466R
MS CRL MS CRL AOE00820
MS CRL Twin B MS CRL Twin B AOE00821
MS Nasal Bone Twin B MS Nasal Bone Twin B AOE00818
MS Chorionicity MS Chorionicity AOE00822

Actual Epic Build 3/11/2025

PROCEDURE ID 186085
PDM 241468
ORDER DISPLAY NAME 2T Sequential Screen
PROCEDURE NAME 2T SEQUENTIAL SCREEN
PROCEDURE MASTER NUMBER LAB14342
SHORT PROCEDURE NAME 2TSEQ
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS 2TSEQ
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/186085
ORDERING INSTRUCTIONS
DEFAULT SPECIMEN TYPE Blood
SPECIMEN TYPE PICK LIST Blood
SPECIMEN TYPE LIST Blood
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 []
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
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
3046700915.0 OVERALL SCREENING RESULT SCREENRSLT OVERALL SCREENING RESULT 241466A
3046700923.0 FREE BETA HCG CONCENTRATION FREEHCG FREE BETA HCG CONCENTRATION 241466N
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3048800639.0 MATERNAL WEIGHT, 2ND TRIMESTER MTWT MATERNAL WEIGHT, 2ND TRIMESTER 241468G
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
3048800003.0 AFP PERCENTILE AFPPCT AFP PERCENTILE 235467B
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
3047803960.0 PAPP-A MOM PAPPAMOM PAPP A MOM 241467M
3048800640.0 NUCHAL TRANSLUCENCY MOM TWIN B NUCHTRANMOMB NUCHAL TRANSLUCENCY MOM TWIN B 241467J
3048800005.0 BEFORE SCREENING RISK OPEN SPINA BIFIDA RISKOSB BEFORE SCREENING RISK OPEN SPINA BIFIDA 235467C
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
3046700931.0 INHIBIN PERCENTILE INHIBIN INHIBIN PERCENTILE 241466V
3046700921.0 BEFORE SCREENING RISK TRISOMY 18 T18BSR BEFORE SCREENING RISK TRISOMY 18 241466H
3046700929.0 INHIBIN CONCENTRATION INHIBIN INHIBIN CONCENTRATION 241466T
3047805100.0 TRISOMY 18 INTERPRETATION TRIS18INT TRISOMY 18 INTERPRETATION 241466K
3046400012.0 AFTER SCREENING RISK TRISOMY 18 TWIN A TRI18TWINA AFTER SCREENING RISK TRISOMY 18 TWIN A AFTER SCREENING RISK TRISOMY 18 TWIN A 241468A
3047805557.0 MATERNAL AGE AT EDD MATERNALAGE MATERNALAGE, EDD 241466W
3048800632.0 DATE COLLECTED, FIRST TRIMESTER DATECOLL DATE COLLECTED, FIRST TRIMESTER 241468C
3047805101.0 TRISOMY 18 RESULT TRIS18 TRISOMY 18 RESULT 241466J
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3048800642.0 PAPP A PERCENTILE PAPPAPCT PAPP A PERCENTILE 241467N
3046700926.0 UNCONJ ESTRIOL CONCENTRATION UNCONJ UNCONJ ESTRIOL CONCENTRATION 241466Q
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
3048800001.0 AFP INTERPRETATION AFPINTERP AFP INTERPRETATION 235466E
3046700917.0 DOWN SYNDROME RESULT DOWNRESULT DOWN SYNDROME RESULT 241466E
3046700930.0 INHIBIN MOM INHIBIN INHIBIN MOM 241466U
3046700916.0 DOWN SYNDROME RISK CUTOFF DOWNRISKCUT DOWN SYNDROME RISK CUTOFF 241466D
3048800000.0 AFP CONCENTRATION AFPCONC AFP CONCENTRATION 235466B
3048800004.0 AFTER SCREENING RISK OPEN SPINA BIFIDA RISKOSB AFTER SCREENING RISK OPEN SPINA BIFIDA 235467D
3048800623.0 AFTER SCREENING RISK DOWN SYNDROME TWIN A DOWNASR AFTER SCREENING RISK DOWN SYNDROME A 241467V
3047803961.0 PAPP-A VALUE PAPPAVAL PAPP A VALUE 241467L
3047800893.0 AFP VALUE AFPVALUE AFPVALUE 235467A
3046700918.0 BEFORE SCREENING RISK DOWN SYNDROME DOWNBSR BEFORE SCREENING RISK DOWN SYNDROME 241466C
3048800006.0 EXTREME ANALYTE ALERT EXTANAALRT EXTREME ANALYTE ALERT 235467L
3046700925.0 FREE BETA HCG PERCENTILE FREEBETA FREE BETA HCG PERCENTILE 241466P
3046700928.0 UNCONJ ESTRIOL PERCENTILE UNCONJ UNCONJ ESTRIOL PERCENTILE 241466S
3046700922.0 AFTER SCREENING RISK TRISOMY 18 T18ASR AFTER SCREENING RISK TRISOMY 18 241466I
3047802198.0 DOWN SYNDROME INTERPRETATION INTERPDOW DOWN SYNDROME INTERPRETATION 241466F
3047802109.0 DATE COMPLETED DATECOMP DATE COMPLETED 241468F
3048800638.0 GA AT U/A GESTAGE GA AT UA 241467R
3048800637.0 GESTATIONAL AGE BY COLLECTION DATE, 2ND TRIMESTER GESTAGE GESTATIONAL AGE BY COLLECTION DATE, 2ND TRIMESTER 241468D
3048800628.0 AFTER SCREENING RISK TRISOMY 18 TWIN B ASRTRI18 AFTER SCREENING RISK TRISOMY 18 TWIN B 241468B
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
3047800892.0 AFP MOM AFPMOM AFP MOM 235466C
3046700994.0 GEN TEST INFORMATION GENTEST GEN TEST INFORMATION 235466G
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3047803816.0 NUCHAL TRANSLUCENCY MOM NUCHTRANS NUCHAL TRANSLUCENCY MOM 241467G
3048800624.0 AFTER SCREENING RISK DOWN SYNDROME TWIN B DOWNASR AFTER SCREENING RISK DOWN SYNDROME B 241467W
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
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
3048800588.0 PREV PREG WITH DOWN SYNDROME PREVPREGDOWN PREV PREG WITH DOWN SYNDROME 235466AOE
3046700927.0 UNCONJ ESTRIOL MOM UNCONJ UNCONJ ESTRIOL MOM 241466R