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	Bilirubin, Total Steatosis Score Interpretations Comment Apolipoprotein A-1 Steatosis Scoring ALT (SGPT) P5P Triglycerides Steatosis Grade NASH Grade Haptoglobin Limitations Fibrosis Stage NASH Score Alpha 2-Macroglobulins, Qn GGT Fibrosis Scoring: Cholesterol, Total Comment Fibrosis Score Methodology (LabCorp) NASH Scoring AST (SGOT) P5P Glucose, Serum
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 TBIL	Bilirubin, Total	5907810J
NASHFIBROSS	Steatosis Score	1559233C
NASHFIBROINT	Interpretations	1559233M
NASHFIBROCM	Comment	1559233S
FIB APOA1	Apolipoprotein A-1	5907810I
NASHFIBROSTS	Steatosis Scoring	1559233U
FIB ALT	ALT (SGPT) P5P	5907810L
NASHFIBROT	Triglycerides	1559233L
NASHFIBROSG	Steatosis Grade	1559233D
NASHFIBRONG	NASH Grade	1559233F
FIB HAPTO	Haptoglobin	5907810H
NASHFIBROLT	Limitations	1559233Q
NASHFIBROST	Fibrosis Stage	1559233B
NASHFIBRONS	NASH Score	1559233E
FIB A2MACRO	Alpha 2-Macroglobulins, Qn	5907810G
FIB GGT	GGT	5907810K
FIB SCORING	Fibrosis Scoring:	5907810N
NASHFIBROCT	Cholesterol, Total	1559233J
NASHFIBROCOM	Comment	1559233R
NASHFIBROSC	Fibrosis Score	1559233A
Methodology	Methodology (LabCorp)	1559233T
NASHFIBRONSC	NASH Scoring	1559233P
NASHFIBROAST	AST (SGOT) P5P	1559233I
NASHFIBROGS	Glucose, Serum	1559233K

Actual Epic build

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, Capillary Blood, Venous Blood, Central Line 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
3047801389.0	BILIRUBIN, TOTAL	BILITOT	BILIRUBIN TOTAL	Total Bilirubin	5907810J
3047804816.0	STEATOSIS SCORE	STEATSC	STEATOSIS SCORE		1559233C
3047803093.0	INTERPRETATIONS	INTERP	INTERPRETATIONS		1559233M
3047805435.0	ADDITIONAL COMMENT:.	COMMENT	ADDITIONAL COMMENT.		1559233S
3047801148.0	APOLIPOPROTEIN A-1	APOA1	APOLIPOPROTEIN A-1		5907810I
3047806582.0	STEATOSIS SCORING	STEATOSISSC	STEATOSIS SCORING		1559233U
3047800973.0	ALT (SGPT) P5P	LABALT	ALT (SGPT) P5P		5907810L
3047805676.0	TRIGLYCERIDES.	TRIG	TRIG, TRIGLYCERIDES.		1559233L
3047804814.0	STEATOSIS GRADE	STEATGR	STEATOSIS GRADE		1559233D
3047803699.0	NASH GRADE	NASH	NASH GRADE		1559233F
3047800514.0	HAPTOGLOBIN, SERUM	HAPTOGLOBIN	HAPTOGLOBIN		5907810H
3047803294.0	LIMITATIONS	LIMITA	LIMITATIONS		1559233Q
3047805489.0	FIBROSIS STAGE.	FIBROSIS	FIBROSIS STAGE.		1559233B
3047803700.0	NASH SCORE	NASH	NASH SCORE		1559233E
3047800927.0	ALPHA 2-MACROGLOBULINS, QN	A2MACROGLQN	ALPHA 2 MACROGLOBULINS QN		5907810G
3047802584.0	GGT	GGT	GGT		5907810K
3047802452.0	FIBROSIS SCORING:	FIBROSISSCR	FIBROSIS SCORING		5907810N
3047805421.0	CHOLESTEROL, TOTAL.	CHOLTOTAL	CHOLESTEROL, TOTAL.		1559233J
3047805436.0	COMMENT:.	COMMENT	COMMENT.		1559233R
3047805487.0	FIBROSIS SCORE.	FIBROSIS	FIBROSIS SCORE.		1559233A
3047803488.0	METHODOLOGY (LABCORP)	METHOD	METHODOLOGY (LABCORP)		1559233T
3047803701.0	NASH SCORING	NASH	NASH SCORING		1559233P
3047801207.0	AST (SGOT) P5P	AST	AST		1559233I
3047800187.0	GLUCOSE, SERUM	GLU	GLUCOSE		1559233K

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

Actual Epic build

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.