| Cerner Primary Mnemonic: | MaterniT21 PLUS Core + ESS | 
        | PDM | 255526 | 
   
    | Informatics - Workgroup | Flow/Mol/Cytog - No Subgroup | 
    | Synonyms * |  | 
    | Display Name * | MaterniT21 PLUS Core+ESS | 
    | Specimen Sources (combined Order Entry and Specimen Navigator) * | Blood, Arterial Blood, Capillary Blood, Central Line Blood, Venous | 
    
        | 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 |  | 
    | Ordering info (EPIC SmartText) | For singleton and TWIN pregnancies at increased risk of fetal abnormalities, the MaterniT21 PLUS test delivers a comprehensive NIPT for the analysis of chromosomal regions including trisomies 21, 18, and 13, fetal sex, and an enhanced sequencing series that examines seven clinically relevant microdeletions and two additional chromosomal regions, trisomies 22 and 16. | 
    | IP Orderable (inpatient) | Yes | 
    | OP Orderable (outpatient) | Yes | 
    
        | AOEs * 
 
 | 
    | AP AOEs |  | 
    | Special History | No | 
 
    | Build Comments |  | 
    | Filter * |  | 
    
    | Cerner Site Restrict | AML/Quest Labs Bio Reference Laboratory
 BioReference Health LLC
 Counsyl Laboratory
 Illumina Laboratories
 LabCorp
 Mayo Medical Labs
 Medtox Laboratories
 Northwell Health Laboratories
 | 
    | Cerner Results 
 
 
            
                | Result Desc | Result display | Result PDM |  
                | PDF | PDF | 221533AF |  
                | Insulin Dep Diabetes | Insulin Dep AFP | 225274F |  
                | Gestation | Gestation | 225135A |  
                | 5p15 deletion (Cri-du-chat) | 5p15 deletion (Cri-du-chat) | 225135T |  
                | Trisomy 16 | Trisomy 16 | 221533AG |  
                | Limitations of the Test | Limitations of the Test | 225135AD |  
                | Trisomy 18 (Edwards Synd) | Trisomy 18 (Edwards Synd) | 225135G |  
                | Note | Note | 225135AE |  
                | 22q11 deletion (DiGeorge) | 22q11 deletion (DiGeorge) | 225135P |  
                | Performance | Performance | 225135AB |  
                | Fetal Fraction | Fetal Fraction | 1659834P |  
                | Gestational Age > or = 9w: | Gestational Age > or = 9w: | 225135B |  
                | 8q24 deletion (Langer-Giedion) | 8q24 deletion (Langer-Giedion) | 225135S |  
                | About the Test | About the Test | 225135Y |  
                | Negative Predictive Value | Negative Predictive Value | 221533AI |  
                | References | REF | 5910709 |  
                | Lab Director Comments | Lab Director Comments | 225135D |  
                | 4p16 deletion(Wolf-Hirschhorn) | 4p16 deletion(Wolf-Hirschhorn) | 225135U |  
                | Fetal Sex | Fetal Sex | 225135J |  
                | Trisomy 13 (Patau Synd) | Trisomy 13 (Patau Synd) | 225135H |  
                | Positive Predictive Value | Positive Predictive Value | 225135X |  
                | Trisomy 22 | Trisomy 22 | 221533AH |  
                | LMP Date | LMP Date | 1759834G |  
                | Approved By | Approved By | 225135E |  
                | 15q11 deletion (PW Angelman) | 15q11 deletion (PW Angelman) | 225135Q |  
                | Trisomy 21 (Down Synd) | Trisomy 21 (Down Synd) | 225135F |  
                | Test Result | Test Result | 225135C |  
                | Test Method | Test Method | 225135Z |  
                | 11q23 deletion (Jacobsen) | 11q23 deletion (Jacobsen) | 225135R |  
                | 1p36 deletion syndrome | 1p36 deletion syndrome | 225135W |  
                | Performance Characteristics | Performance Characteristics | 225135AC |  | 
     
                
        | PROCEDURE ID | 194416 | 
        
        | PDM | 255526 | 
        
        | ORDER DISPLAY NAME | MaterniT21 PLUS Core+ESS | 
        
        | PROCEDURE NAME | MATERNIT21 PLUS CORE+ESS | 
        
        | PROCEDURE MASTER NUMBER | LAB4238 | 
        
        | SHORT PROCEDURE NAME | MATERNIT21 PLUS CORE+ESS | 
        
        | CATEGORY CODE | 21.0 | 
        
        | CATEGORY CODE RECORD NAME | LAB MOLECULAR DIAGNOSTICS ORDERABLES | 
        
        | SYNONYMS | NIPS NON INVASIVE PRENATAL SCREENING CELLFREE DNA | 
        
        | CLINICALLY ACTIVE | Yes | 
        
        | ORDERABLE | Yes | 
        
        | PERFORMABLE | Yes | 
        
        | FILTER GENOMICS |  | 
        
        | REFERENCE LINK URL | https://labs.northwell.edu/epic/test/194416 | 
        
        | 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 | ["3048500030", "3048500031", "3048500028", "3048500001", "3046000007", "3048500060", "3048500026", "3045300082", "3045300170", "3045300171", "3045300173"] | 
        
        | ORDER QUESTIONS RECORD NAME | NH IP GESTATIONAL AGE WEEKS NH IP GESTATIONAL AGE DAYS
 NH IP GESTATIONAL AGE DATE OF CALC
 NH IP ESTIMATED DUE DATE
 NH IP # FETUSES
 NH IP OTHER INDICATIONS AFP
 NH IP ADDITIONAL INFORMATION AFP
 NH IP DONOR EGG (FREE TEXT)
 NH IP HOME COLLECT DATE
 NH IP HOME COLLECT DAYS
 NH IP HOME COLLECT MEDICALLY NECESSARY
 | 
        
        | INPATIENT ORDER QUESTIONS | ["3048500030", "3048500031", "3048500028", "3048500001", "3046000007", "3048500060", "3048500026", "3045300082", "3048500000"] | 
        
        | INPATIENT ORDER QUESTIONS RECORD NAME | NH IP GESTATIONAL AGE WEEKS NH IP GESTATIONAL AGE DAYS
 NH IP GESTATIONAL AGE DATE OF CALC
 NH IP ESTIMATED DUE DATE
 NH IP # FETUSES
 NH IP OTHER INDICATIONS AFP
 NH IP ADDITIONAL INFORMATION AFP
 NH IP DONOR EGG (FREE TEXT)
 | 
        
        | 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 | 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 ID | Question Name | Question | Response Type | Response List | Require Response | 
|---|
 
                | 3045300082 | NH IP DONOR EGG (FREE TEXT) | Donor Egg | Free Text |  | No |  
                | 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 |  
                | 3046000007 | NH IP # FETUSES | Number of Fetuses | Numeric |  | Yes |  
                | 3048500001 | NH IP ESTIMATED DUE DATE | Estimated Due Date (EDC): | Date |  | Yes |  
                | 3048500026 | NH IP ADDITIONAL INFORMATION AFP | Additional Information AFP | Free Text |  | Yes |  
                | 3048500028 | NH IP GESTATIONAL AGE DATE OF CALC | Gestational Age Date of Calculation | Free Text |  | No |  
                | 3048500030 | NH IP GESTATIONAL AGE WEEKS | Gestational Age Weeks | Numeric |  | No |  
                | 3048500031 | NH IP GESTATIONAL AGE DAYS | Gestational Age Days | Numeric |  | No |  
                | 3048500060 | NH IP OTHER INDICATIONS AFP | Other Indications AFP | Yes/No |  | Yes |  | 
    | EPIC IP AOEs 
 
 
            | Question ID | Question Name | Question | Response Type | Response List | Require Response | 
|---|
 
                | 3045300082 | NH IP DONOR EGG (FREE TEXT) | Donor Egg | Free Text |  | No |  
                | 3046000007 | NH IP # FETUSES | Number of Fetuses | Numeric |  | Yes |  
                | 3048500000 | NH IP PATIENT COMPLETED CONSENT | Patient completed consent? | Yes/No |  | Yes |  
                | 3048500001 | NH IP ESTIMATED DUE DATE | Estimated Due Date (EDC): | Date |  | Yes |  
                | 3048500026 | NH IP ADDITIONAL INFORMATION AFP | Additional Information AFP | Free Text |  | Yes |  
                | 3048500028 | NH IP GESTATIONAL AGE DATE OF CALC | Gestational Age Date of Calculation | Free Text |  | No |  
                | 3048500030 | NH IP GESTATIONAL AGE WEEKS | Gestational Age Weeks | Numeric |  | No |  
                | 3048500031 | NH IP GESTATIONAL AGE DAYS | Gestational Age Days | Numeric |  | No |  
                | 3048500060 | NH IP OTHER INDICATIONS AFP | Other Indications AFP | Yes/No |  | Yes |  | 
    | EPIC Components (results - crosswalked through Cerner) 
 
 
            | Component ID | Component Name | Base Name | Common Name | External Name | Cerner Result PDM | 
|---|
 
                | 3047805610.0 | PDF AFP RESULT | PDF | PDF, RESULT | PDF | 221533AF |  
                | 3047803071.0 | INSULIN DEP DIABETES | IDDM | INSULIN DEP DIABETES | Insulin Dep Diabetes | 225274F |  
                | 3047806196.0 | GESTATION | GESTATION | GESTATION | Gestation | 225135A |  
                | 3047806294.0 | 5P15 DELETION (CRI-DU-CHAT) | 5P15DELET | 5P15 DELETION CRI DU CHAT | 5p15 deletion (Cri-du-chat) | 225135T |  
                | 3048801205.0 | TRISOMY 16 | TRIS16 | TRISOMY 16 | Trisomy 16 | 221533AG |  
                | 3046400004.0 | LIMITATIONS OF THE TEST | LIMITOFTEST | LIMITATIONS OF THE TEST | Limitations of the Test | 225135AD |  
                | 3046400007.0 | TRISOMY 18 (EDWARDS SYND) | TRISOMY18 | TRISOMY 18 (EDWARDS SYND) | Trisomy 18 (Edwards Syndrome) | 225135G |  
                | 3046400005.0 | NOTE | NOTE | NOTE | Note | 225135AE |  
                | 3047806832.0 | 22Q11 DELETION (DIGEORGE) | 22Q11DELET | 22Q11 DELETION DIGEORGE | 22q11 deletion (DiGeorge) | 225135P |  
                | 3047806804.0 | PERFORMANCE | PERFORMANCE | PERFORMANCE | Performance | 225135AB |  
                | 3047802440.0 | FETAL FRACTION | FETALFRACT | FETAL FRACTION | Fetal Fraction | 1659834P |  
                | 3047806197.0 | GESTATIONAL AGE > OR = 9W: | GESTAGE | GESTATIONAL AGE GREATER THAN OR EQUAL TO 9W | Gestational Age > or = 9w: | 225135B |  
                | 3047806830.0 | 8Q24 DELETION (LANGER-GIEDION) | 8Q24DELET | 8Q24 DELETION LANGER GIEDION | 8q24 deletion (Langer-Giedion) | 225135S |  
                | 3047806440.0 | ABOUT THE TEST | ABOUTTEST | ABOUT THE TEST | About the Test | 225135Y |  
                | 3048801196.0 | NEGATIVE PREDICTIVE VALUE | NEGPREDVAL | NEGATIVE PREDICTIVE VALUE | Negative Predictive Value | 221533AI |  
                | 3047804491.0 | REFERENCES | REFERENCES | REFERENCES | References | 5910709 |  
                | 3047806408.0 | LAB DIRECTOR COMMENTS | LABDIRCOM | LAB DIRECTOR COMMENTS | Lab Director Comments | 225135D |  
                | 3047806831.0 | 4P16 DELETION(WOLF-HIRSCHHORN) | 4P16DELET | 4P16 DELETION WOLF HIRSCHHORN | 4p16 deletion (Wolf-Hirschhorn) | 225135U |  
                | 3047805983.0 | FETAL SEX | FETALSEX | FETAL SEX | Fetal Sex | 225135J |  
                | 3046400008.0 | TRISOMY 13 (PATAU SYND) | TRISOMY13 | TRISOMY 13 (PATAU SYND) | Trisomy 13 (Patau Syndrome) | 225135H |  
                | 3047806425.0 | POSITIVE PREDICTIVE VALUE | POSPREDVAL | POSITIVE PREDICTIVE VALUE | Positive Predictive Value | 225135X |  
                | 3048801197.0 | TRISOMY 22 | TRIS22 | TRISOMY 22 | Trisomy 22 | 221533AH |  
                | 3047803310.0 | LMP DATE | LMP | LMP DATE | Lmp Date | 1759834G |  
                | 3047806828.0 | APPROVED BY | APPORVEDBY | APPROVED BY | Approved By | 225135E |  
                | 3047806293.0 | 15Q11 DELETION (PW ANGELMAN) | 15Q11DELET | 15Q11 DELETION PW ANGELMAN | 15q11 deletion (PW Angelman) | 225135Q |  
                | 3046400006.0 | TRISOMY 21 (DOWN SYND) | TRISOMY21 | TRISOMY 21 (DOWN SYND) | Trisomy 21 (Down Syndrome) | 225135F |  
                | 3047806701.0 | TEST RESULT | TESTRESULT | TEST RESULT | Test Result | 225135C |  
                | 3047804929.0 | TEST METHOD | TESTMETH | TEST METHOD | Test Method | 225135Z |  
                | 3047806834.0 | 11Q23 DELETION (JACOBSEN) | 11Q23DELET | 11Q23 DELETION JACOBSEN | 11q23 deletion (Jacobsen) | 225135R |  
                | 3047800768.0 | 1P36 DELETION SYNDROME RESULT | 1P36DELSYN | 1P36DELSYN | 1p36 deletion syndrome | 225135W |  
                | 3047806803.0 | PERFORMANCE CHARACTERISTICS | PERFOMCHAR | PERFORMANCE CHARACTERISTICS | Performance Characteristics | 225135AC |  |