Epic Build / Desired Build Test Compendium
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Prospera Transplant Assessment Epic Compendium  

▶ Desired Epic Build * = editable field  

Actual Epic Build 12/05/2025

PROCEDURE ID 192059
PDM 245310
ORDER DISPLAY NAME Prospera Transplant Assessment
PROCEDURE NAME PROSPERA TRANSPLANT ASSESSMENT
PROCEDURE MASTER NUMBER LAB4193
SHORT PROCEDURE NAME PROSPERA TRANSPLANT ASSESSMENT
CATEGORY CODE 21.0
CATEGORY CODE RECORD NAME LAB MOLECULAR DIAGNOSTICS ORDERABLES
SYNONYMS
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/192059
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 FOOTNOTES
HISTORY
PDF
RESULT
SPECAPPEAR
OP LAB TEST COMPONENTS FOR REPORT FOOTNOTES
HISTORY
PDF
RESULT
SPECAPPEAR
ORDER QUESTIONS ["3045300170", "3045300171", "3045300173", "3046700039", "3046700040", "3046700041", "3046700042", "3046700043"]
ORDER QUESTIONS RECORD NAME NH IP HOME COLLECT DATE
NH IP HOME COLLECT DAYS
NH IP HOME COLLECT MEDICALLY NECESSARY
NH IP DONOR REL
NH IP FREQ
NH IP ORGTYPE
NH IP TRANSDATE
NH IP TESTREASON
INPATIENT ORDER QUESTIONS ["3046700039", "3046700040", "3046700041", "3046700042", "3046700043"]
INPATIENT ORDER QUESTIONS RECORD NAME NH IP DONOR REL
NH IP FREQ
NH IP ORGTYPE
NH IP TRANSDATE
NH IP TESTREASON
ORDER SPECIFIC QUESTION OVERRIDE Yes
INPATIENT QUESTION OVERRIDE Yes
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 NH IP PATIENT COMPLETED CONSENT
EDP IP ORDER SPECIFIC QUESTIONS RECORD NAME NH IP PATIENT COMPLETED CONSENT
EDP IP SPECIMEN SOURCE
EDP OP SPECIMEN SOURCE
EDP IP SPECIMEN TYPE
EDP OP SPECIMEN TYPE
DERIVED EDP IP BUTTONS S
DERIVED EDP IP BUTTONS T
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
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
3046700039 NH IP DONOR REL Donor Relation Custom List Biological_Parent
Full_Sibling
Biological_Child
Other
Unrelated		 No
3046700040 NH IP FREQ Frequency Custom List Single
Monthly
Bi_Monthly
Quarterly
Bi_Annually
ProActive		 No
3046700041 NH IP ORGTYPE Organ Type Custom List Kidney
Lung_Single
Lung_Double
Heart
SPK
Other		 No
3046700042 NH IP TRANSDATE Date of Transplant Date No
3046700043 NH IP TESTREASON Reason for Testing Custom List Protocol_Biopsy
Pre_Test_Assessment
Inconclusive_Biopsy
Simultaneously_Biopsy		 No
EPIC IP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
3046700039 NH IP DONOR REL Donor Relation Custom List Biological_Parent
Full_Sibling
Biological_Child
Other
Unrelated		 No
3046700040 NH IP FREQ Frequency Custom List Single
Monthly
Bi_Monthly
Quarterly
Bi_Annually
ProActive		 No
3046700041 NH IP ORGTYPE Organ Type Custom List Kidney
Lung_Single
Lung_Double
Heart
SPK
Other		 No
3046700042 NH IP TRANSDATE Date of Transplant Date No
3046700043 NH IP TESTREASON Reason for Testing Custom List Protocol_Biopsy
Pre_Test_Assessment
Inconclusive_Biopsy
Simultaneously_Biopsy		 No
EPIC Components (results - crosswalked through Cerner)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3046200070.0 TEST HISTORY (NATERA) HISTORY TEST HISTORY (NATERA) Test History (NATERA) 245310B
3046200069.0 TEST RESULT (NATERA) RESULT TEST RESULT (NATERA) Test Result (NATERA) 245310A
3047805609.0 PDF REPORT PDF PDF, REPORT PDF 225043E
3047805495.0 NATERA FOOTNOTES FOOTNOTES NATERA FOOTNOTES Natera Footnotes 225043D