EPIC Test Compendium Alpha
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NASH FibroSure Plus

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	Nonalcoholic Fatty Liver Disease NASHFIBRO
Cerner Primary Mnemonic	NASH FibroSure Plus
EPIC Display Name	NASH FibroSure Plus
Allscripts (AEHR) Order Name	NASH FibroSure Plus
Sunrise Clinical Manager (SCM) Order Name	NASH FibroSure Plus
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	FIB A2MACRO FIB APOA1 FIB GGT NASHFIBROLT NASHFIBROSTS NASHFIBROT NASHFIBRONS NASHFIBRONSC NASHFIBROSC FIB ALT FIB HAPTO FIB SCORING NASHFIBROSS NASHFIBROGS NASHFIBROSG NASHFIBROCT NASHFIBROAST NASHFIBRONG FIB TBIL Methodology (LabCorp) NASHFIBROST NASHFIBROINT NASHFIBROCM NASHFIBROCOM
Clinical Info	This test is a noninvasive assessment of liver status in patients with nonalcoholic fatty liver disease (NAFLD). Limitations NASH FibroSure® is recommended for patients with suspected nonalcoholic fatty liver disease. It is not recommended for patient with other liver diseases. It is also not recommended in patients with Gilbert disease, acute hemolysis, acute hepatitis, acute inflammation of the liver, autoimmune hepatitis, extrahepatic cholestasis, transplant patients, and/or renal insufficiency patients. Any of these clinical situations may lead to inaccurate quantitative predictions of fibrosis.
Specimen Type	Blood
Container	Gold Top Tube
Collection Instructions	Container/Tube: Red or Gold top tube Specimen: 3.5 mL serum ( 2 mL min) Transport Temperature: Refrigerated Note: Patient should be fasting for at least eight hours Causes for Rejection Gross hemolysis; gross lipemia; improper labeling; nonfasting specimen; patient younger than 14 years of age
Transport Instructions	Refrigerated
Specimen Stability	3 Days Room Temperature or Refrigerated 7 Days Frozen .
Methodology	The analytes tested are performed by FibroSure-Specific methods.
Days Performed
Performing Laboratory	LabCorp
CPT	82172; 82247; 82465; 82947; 82977; 83010; 83883; 84450; 84460; 84478
PDM	1559233

Desired Epic Build NASH FibroSure Plus

Cerner Primary Mnemonic:

NASH FibroSure Plus

PDM

1559233

Informatics - Workgroup

Chemistry

Synonyms *

Nonalcoholic Fatty Liver Disease
NASHFIBRO

Display Name *

NASH FibroSure Plus

Order Entry Specimen Sources *

Order Entry Specimen Types

Blood

Specimen Navigator Specimen Types

Specimen Navigator Specimen Sources

Specimen Navigator Short Name

Ordering info (EPIC SmartText)

This test is a noninvasive assessment of liver status in patients with nonalcoholic fatty liver disease (NAFLD). Limitations NASH FibroSure® is recommended for patients with suspected nonalcoholic fatty liver disease. It is not recommended for patient with other liver diseases. It is also not recommended in patients with Gilbert disease, acute hemolysis, acute hepatitis, acute inflammation of the liver, autoimmune hepatitis, extrahepatic cholestasis, transplant patients, and/or renal insufficiency patients. Any of these clinical situations may lead to inaccurate quantitative predictions of fibrosis.

IP Orderable

Yes

OP Orderable

Yes

AOEs *

AP AOEs

Special History

Build Comments

Filter *

Procedure Category Change

Cerner Results

Result Desc	Result display	Result PDM
FIB A2MACRO	FIB A2MACRO	5907810G
FIB APOA1	FIB APOA1	5907810I
FIB GGT	FIB GGT	5907810K
NASHFIBROLT	NASHFIBROLT	1559233Q
NASHFIBROSTS	NASHFIBROSTS	1559233U
NASHFIBROT	NASHFIBROT	1559233L
NASHFIBRONS	NASHFIBRONS	1559233E
NASHFIBRONSC	NASHFIBRONSC	1559233P
NASHFIBROSC	NASHFIBROSC	1559233A
FIB ALT	FIB ALT	5907810L
FIB HAPTO	FIB HAPTO	5907810H
FIB SCORING	FIB SCORING	5907810N
NASHFIBROSS	NASHFIBROSS	1559233C
NASHFIBROGS	NASHFIBROGS	1559233K
NASHFIBROSG	NASHFIBROSG	1559233D
NASHFIBROCT	NASHFIBROCT	1559233J
NASHFIBROAST	NASHFIBROAST	1559233I
NASHFIBRONG	NASHFIBRONG	1559233F
FIB TBIL	FIB TBIL	5907810J
Methodology	Methodology (LabCorp)	1559233T
NASHFIBROST	NASHFIBROST	1559233B
NASHFIBROINT	NASHFIBROINT	1559233M
NASHFIBROCM	NASHFIBROCM	1559233S
NASHFIBROCOM	NASHFIBROCOM	1559233R

Current Actual EPIC Build as of 10/28/2024

Procedure Id

114160

Pdm

1559233

Order Display Name

NASH FibroSure Plus

Procedure Name

NASH FIBROSURE

Procedure Master Number

LAB10822

Short Procedure Name

NASH FIBROSURE

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

NONALCOHOLIC FATTY LIVER DISEASE NASHFIBRO

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/114160

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

Op Lab Test Components For Report

Order Questions

["3045300170", "3045300171", "3045300173"]

Order Questions Record Name

NH IP HOME COLLECT DATE NH IP HOME COLLECT DAYS NH IP HOME COLLECT MEDICALLY NECESSARY

Inpatient Order Questions

[]

Inpatient Order Questions Record Name

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

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, Venous Blood, Capillary Blood, Arterial

Derived Edp Ip Buttons T

Blood

Derived Edp Op Buttons S

Derived Edp Op Buttons T

Ip Orderable

Op Orderable

EPIC OP AOEs

Question ID	Question Name	Question	Response Type	Response List	Require 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

EPIC IP AOEs

EPIC Components (results)

Component ID	Component Name	Base Name	Common Name	External Name	Cerner Result PDM
3047800927	ALPHA 2-MACROGLOBULINS, QN	A2MACROGLQN	ALPHA 2 MACROGLOBULINS QN		5907810G
3047801148	APOLIPOPROTEIN A-1	APOA1	APOLIPOPROTEIN A 1		5907810I
3047802584	GGT	GGT	GGT	GGT	5907810K
3047803294	LIMITATIONS	LIMITA	LIMITATIONS		1559233Q
3047806582	STEATOSIS SCORING	STEATOSISSC	STEATOSIS SCORING		1559233U
3047805676	TRIGLYCERIDES.	TRIG	TRIGLYCERIDES	Triglycerides	1559233L
3047803700	NASH SCORE	NASH	NASH SCORE		1559233E
3047803701	NASH SCORING	NASH	NASH SCORING		1559233P
3047805487	FIBROSIS SCORE.	FIBROSIS	FIBROSIS SCORE		1559233A
3047800973	ALT (SGPT) P5P	ALT	ALT SGPT P5P		5907810L
					5907810H
3047802452	FIBROSIS SCORING:	FIBROSISSCR	FIBROSIS SCORING		5907810N
3047804816	STEATOSIS SCORE	STEATSC	STEATOSIS SCORE		1559233C
3047800187	GLUCOSE, SERUM	GLU	GLUCOSE	Glucose	1559233K
3047804814	STEATOSIS GRADE	STEATGR	STEATOSIS GRADE		1559233D
3047805421	CHOLESTEROL, TOTAL.	CHOL	CHOLESTEROL, TOTAL		1559233J
3047801207	AST (SGOT) P5P	AST	AST SGOT P5P	AST (SGOT) P5P	1559233I
3047803699	NASH GRADE	NASH	NASH GRADE		1559233F
3047801389	BILIRUBIN, TOTAL	BILITOT	BILIRUBIN TOTAL	Total Bilirubin	5907810J
3047803488	METHODOLOGY (LABCORP)	METHOD	METHODOLOGY LABCORP		1559233T
3047805489	FIBROSIS STAGE.	FIBROSIS	FIBROSIS STAGE		1559233B
3047803093	INTERPRETATIONS	INTERP	INTERPRETATIONS		1559233M
3047805435	ADDITIONAL COMMENT:.	COMMENT	ADDITIONAL COMMENT		1559233S
3047805436	COMMENT:.	COMMENT	COMMENT		1559233R

EPIC Test Compendium Alpha Welcome to the new Northwell Health Labs Test Directory, please call our Client Services Department at 1-800-472-5757 with any typos, corrections or issues.

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NASH FibroSure Plus

Test Catalog Information

Desired Epic Build NASH FibroSure Plus

Current Actual EPIC Build as of 10/28/2024

EPIC Test Compendium Alpha
Welcome to the new Northwell Health Labs Test Directory, please call our Client Services Department at 1-800-472-5757 with any typos, corrections or issues.