4K PSA Total with Reflex 4K Score
Test Catalog Information
Test Catalog Synonyms | |
EPIC Synonyms | |
Cerner Primary Mnemonic | 4K PSA Total with Reflex 4K Score |
EPIC Display Name | 4K PSA Total with Reflex 4K Score |
Allscripts (AEHR) Order Name | 4K PSA Total with Reflex 4K Score |
Sunrise Clinical Manager (SCM) Order Name | Not Orderable |
EPIC Inpatient Orderable | Yes |
EPIC Outpatient Orderable | Yes |
Cerner Results |
4K % Free PSA 4K PSA rflx >3.0 4K Score 4K Free PSA |
Clinical Info |
High Grade (Gleason 7+) Prostate Cancer Risk Evaluation The 4K score should only be ordered when medically reasonable for consideration of biopsy after excluding benign cause of PSA elevation. Limitation an Exclusions for the 4Kscore Do not use this test for a patient: 1) With a previous diagnosis of prostate cancer 2) That has received a DRE in a previous 96 hours (4Days) before phlebotomy. A DRE performed after phlebotomy is acceptable. 3) That has received within the previous six (6) months 5-alpha reductase inhibitor such as (5-ARI) therapy such an Avedaart(R) (dutasteride) or Proscar (R) (finasteride). 4) That has undergone within the previous six (6) months any procedure or therapy to treat symptomatic BPH or any invasive, urologic procedure that many be associated with a secondary PSA elevation prior to phlebotomy. 5) Test is limited to patients age 45 and over. The 4Kscore Test will not be performed with a positive biopsy result |
Specimen Type |
Blood |
Container |
Serum Seperator Tube |
Collection Instructions |
Container/Tube: Gold top tube Specimen: 3 mL serum Transport Temperature: Refrigerated- If longer then 24 hours please freeze sample. Specimen is also acceptable if aliquoted & frozen Note: 1. Please indicate if the patient has a previous biopsy [] No prior biopsy [] Negative biopsy [] Positive biopsy 2. DRE Results [ ] Nodule [ ] Normal [ ] Not Performed 3. Clinical Indication for ordering 4KScore Test: Selecting a value below confirms that the patient has two or more elevated PSA results within the past two years. [ ] 45- 54 years old and total PSA >=2 ng/mL [ ] 55 -75 years old and total PSA >=3 ng/mL [ ] >= 76 years old and total PSA >=4 ng/mL |
Transport Instructions |
Refrigerated- If longer then 24 hours please freeze sample. |
Specimen Stability |
24 hours Refrigerated 7 days Frozen |
Methodology |
Electrochemiluminescene Immunoassay |
Days Performed |
TAT: 4-5 Days |
Performing Laboratory |
BioReference Laboratories-GenPath |
CPT |
84153 84154 |
PDM |
1859233 |
Desired Epic Build 4K PSA Total with Reflex 4K Score
Cerner Primary Mnemonic: | 4K PSA Total with Reflex 4K Score | ||||||||||||||||||||||||
PDM | 1859233 | ||||||||||||||||||||||||
Informatics - Workgroup | Molecular-send outs | ||||||||||||||||||||||||
Synonyms * | |||||||||||||||||||||||||
Display Name * | 4K PSA Total with Reflex 4K Score | ||||||||||||||||||||||||
Order Entry Specimen Sources * | |||||||||||||||||||||||||
Order Entry Specimen Types |
Blood
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Specimen Navigator Specimen Types | |||||||||||||||||||||||||
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Specimen Navigator Short Name | |||||||||||||||||||||||||
Ordering info (EPIC SmartText) | High Grade (Gleason 7+) Prostate Cancer Risk Evaluation The 4K score should only be ordered when medically reasonable for consideration of biopsy after excluding benign cause of PSA elevation. Limitation an Exclusions for the 4Kscore Do not use this test for a patient: 1) With a previous diagnosis of prostate cancer 2) That has received a DRE in a previous 96 hours (4Days) before phlebotomy. A DRE performed after phlebotomy is acceptable. 3) That has received within the previous six (6) months 5-alpha reductase inhibitor such as (5-ARI) therapy such an Avedaart(R) (dutasteride) or Proscar (R) (finasteride). 4) That has undergone within the previous six (6) months any procedure or therapy to treat symptomatic BPH or any invasive, urologic procedure that many be associated with a secondary PSA elevation prior to phlebotomy. 5) Test is limited to patients age 45 and over. The 4Kscore Test will not be performed with a positive biopsy result | ||||||||||||||||||||||||
IP Orderable | Yes | ||||||||||||||||||||||||
OP Orderable | Yes | ||||||||||||||||||||||||
AOEs *
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AP AOEs | |||||||||||||||||||||||||
Special History | No | ||||||||||||||||||||||||
Build Comments | |||||||||||||||||||||||||
Filter * | genetics | ||||||||||||||||||||||||
Procedure Category Change | |||||||||||||||||||||||||
Cerner Results
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Current Actual EPIC Build as of 10/28/2024
Procedure Id | 114900 | ||||||||||||||||||||||||||||||||||||
Pdm | 1859233 | ||||||||||||||||||||||||||||||||||||
Order Display Name | 4K PSA Total with Reflex 4K Score | ||||||||||||||||||||||||||||||||||||
Procedure Name | 4K PSA TOTAL WITH REFLEX 4K SCORE | ||||||||||||||||||||||||||||||||||||
Procedure Master Number | LAB11268 | ||||||||||||||||||||||||||||||||||||
Short Procedure Name | 4K PSA TOTAL WITH REFLEX 4K SCORE | ||||||||||||||||||||||||||||||||||||
Category Code | 1.0 | ||||||||||||||||||||||||||||||||||||
Category Code Record Name | LAB BLOOD ORDERABLES | ||||||||||||||||||||||||||||||||||||
Synonyms | |||||||||||||||||||||||||||||||||||||
Clinically Active | Yes | ||||||||||||||||||||||||||||||||||||
Orderable | Yes | ||||||||||||||||||||||||||||||||||||
Performable | Yes | ||||||||||||||||||||||||||||||||||||
Filter Genomics | Generic Genomics Procedure | ||||||||||||||||||||||||||||||||||||
Reference Link Url | https://labs.northwell.edu/epic/test/114900 | ||||||||||||||||||||||||||||||||||||
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 | ["3046000032", "3046000031", "3046000030", "3046000029", "3046000028"] | ||||||||||||||||||||||||||||||||||||
Order Questions Record Name | NH IP PRIOR BX HX NH IP DRE RESULTS NH IP PATIENT HX NH IP PATIENT HX OTHER NH IP 4K TEST DISCUSSED | ||||||||||||||||||||||||||||||||||||
Inpatient Order Questions | ["3046000032", "3046000031", "3046000030", "3046000029", "3046000028"] | ||||||||||||||||||||||||||||||||||||
Inpatient Order Questions Record Name | NH IP PRIOR BX HX NH IP DRE RESULTS NH IP PATIENT HX NH IP PATIENT HX OTHER NH IP 4K TEST DISCUSSED | ||||||||||||||||||||||||||||||||||||
Order Specific Question Override | |||||||||||||||||||||||||||||||||||||
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 | 1 | ||||||||||||||||||||||||||||||||||||
Op Orderable | 1 | ||||||||||||||||||||||||||||||||||||
EPIC OP AOEs
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EPIC IP AOEs
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EPIC Components (results)
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