Epic Build / Desired Build Test Compendium
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Chromosome Analysis Constitutional Peripheral Blood Epic Compendium  

▶ Desired Epic Build * = editable field  

Actual Epic Build 12/05/2025

PROCEDURE ID 194060
PDM 248489
ORDER DISPLAY NAME Chromosome Analysis Constitutional Peripheral Blood
PROCEDURE NAME CHROMOSOME ANALYSIS CONSTITUTIONAL PERIPHERAL BLOOD
PROCEDURE MASTER NUMBER LAB4205
SHORT PROCEDURE NAME CHROMOSOME ANALYSIS CONSTITUTIONAL PERIPHERAL BLOOD
CATEGORY CODE 15.0
CATEGORY CODE RECORD NAME LAB CYTOGENETICS ORDERABLES
SYNONYMS PB CORD BLOOD
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/194060
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 Blood, Venous
OP SPECIMEN SOURCE LIST
IP LAB TEST COMPONENTS FOR REPORT
OP LAB TEST COMPONENTS FOR REPORT
ORDER QUESTIONS ["3045300170", "3045300171", "3045300173", "3046700000", "3046700924", "3046700920", "3046700921"]
ORDER QUESTIONS RECORD NAME NH IP HOME COLLECT DATE
NH IP HOME COLLECT DAYS
NH IP HOME COLLECT MEDICALLY NECESSARY
NH IP LAB PATIENT CONSENT?
NH IP LAB NEWBORN PATIENT
NH IP LAB ICD10
NH IP LAB RESIDUAL SPECIMEN
INPATIENT ORDER QUESTIONS ["3046700000", "3046700924", "3046700920", "3046700921"]
INPATIENT ORDER QUESTIONS RECORD NAME NH IP LAB PATIENT CONSENT?
NH IP LAB NEWBORN PATIENT
NH IP LAB ICD10
NH IP LAB RESIDUAL SPECIMEN
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 1
OP ORDERABLE 1
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
3046700000 NH IP LAB PATIENT CONSENT? Patient consent? Yes/No Yes
3046700920 NH IP LAB ICD10 Indication (ICD10) Free Text Yes
3046700921 NH IP LAB RESIDUAL SPECIMEN Residual specimen not used for diagnosis can be used for Quality Control, Training, and/or Research Purposes? Yes/No No
3046700924 NH IP LAB NEWBORN PATIENT Is This Patient A Newborn (< 1 Month)? Yes/No Yes
EPIC IP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
3046700000 NH IP LAB PATIENT CONSENT? Patient consent? Yes/No Yes
3046700920 NH IP LAB ICD10 Indication (ICD10) Free Text Yes
3046700921 NH IP LAB RESIDUAL SPECIMEN Residual specimen not used for diagnosis can be used for Quality Control, Training, and/or Research Purposes? Yes/No No
3046700924 NH IP LAB NEWBORN PATIENT Is This Patient A Newborn (< 1 Month)? Yes/No Yes
EPIC Components (results - crosswalked through Cerner)