EPIC Test Compendium Alpha
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First Trimester Maternal Fetal Screen

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	OB FIRST TRIMESTER SCREENING Maternal Fetal First Trimester Screen
Cerner Primary Mnemonic	First Trimester Maternal Fetal Screen
EPIC Display Name	First Trimester Maternal Fetal Screen
Allscripts (AEHR) Order Name	Maternal Fetal First Trimester Screen
Sunrise Clinical Manager (SCM) Order Name	First Trimester Maternal Fetal Screen
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	CRL Scan Number of Fetuses LC Race AFP Gest. Age on Collection Date First Tri Scr Comments DIA MoM Trisomy 18 Interp Trisomy 18 Scr Risk CRL Scan Twin B NT Twin B First Tri Scr Test Results First Tri Scr Results First Tri Scr Note Nuchal Translucency MoM Weight AFP Maternal Age at EDD LC PAPP-A MoM NT MoM Twin B PDF AFP Sonographer ID# Nuchal Translucency (NT) Additional US Crown Rump Length Twin B Trisomy 18 Age Risk Crown Rump Length hCG MoM hCG Value PAPP-A Value Down Syndrome Interp Down Syndrome Scr Risk DIA Value Down Syndrome Age Risk
Clinical Info	Screening test in the first trimester of pregnancy for fetal Down syndrome and trisomy 18 Limitations Screening test for Down syndrome and trisomy 18. A positive result means that diagnostic testing may be offered to the pregnant woman to determine if a chromosome abnormality is present. This test does not screen for open neural tube defects.
Specimen Type	Blood
Container	Gold Top Tube
Collection Instructions	Container/Tube: Gold top tube Specimen: 2 mL serum (0.75 mL min) Transport Temperature: Room Temperature The following MUST be submitted with the sample in order for the interpretation to be performed: CRL and NT measurement: Date measurements preformed: Sonographers Name: NTQR or FMF certification number: Patient weight: Special Instructions For test inquiries, call CMBP genetic services at 800-345-4363. Client must provide a fetal nuchal translucency (NT) measurement and crown rump length measurement. The NT measurement must be performed by a sonographer credentialed by the Fetal Medicine Foundation or other equivalent entity. The sonographer's credential/certification number must be provided. The following information must also be provided: patient's weight, patient's date of birth, and the number of fetuses. Also indicate relevant patient history (i.e. prior Down syndrome pregnancy, ultrasound anomalies). Complete information is necessary to interpret the test. Patient information may be provided to the laboratory using the Maternal Prenatal Screening request form (0900). Serum testing is provided from 10.0 to 14.0 weeks' gestation. NT can be assessed when the CRL is 45 to 84 mm.
Transport Instructions	Room Temperature
Specimen Stability	7 Days Room Temperature 14 Days Refrigerated or Frozen
Methodology	Chemiluminescent immunoassay Test Includes Dimeric inhibin A (DIA); hCG; pregnancy-associated plasma protein A (PAPP-A)
Days Performed	TAT: 3 - 6 Days
Performing Laboratory	LabCorp RTP The following are required for testing to be submitted with sample CRL and NT measurement: Date measurements preformed: Sonographers Name: NTQ
CPT	84163 84702 86336
PDM	211346

Desired Epic Build First Trimester Maternal Fetal Screen

Cerner Primary Mnemonic:

First Trimester Maternal Fetal Screen

PDM

211346

Informatics - Workgroup

Prenatal

Synonyms *

OB
FIRST TRIMESTER SCREENING
Maternal Fetal First Trimester Screen

Display Name *

First Trimester Maternal Fetal Screen

Order Entry Specimen Sources *

Order Entry Specimen Types

Specimen Navigator Specimen Types

Specimen Navigator Specimen Sources

Specimen Navigator Short Name

Ordering info (EPIC SmartText)

Screening test in the first trimester of pregnancy for fetal Down syndrome and trisomy 18 Limitations Screening test for Down syndrome and trisomy 18. A positive result means that diagnostic testing may be offered to the pregnant woman to determine if a chromosome abnormality is present. This test does not screen for open neural tube defects.

IP Orderable

Yes

OP Orderable

Yes

AOEs *

AOE PDM	AOE Display	AOE Description	Prompt
AOE00540	Weight (lbs)	Weight (lbs)	X
AOE00541	Weight (oz)	Weight (oz)	X
AOE00542	Insulin Dep Diabetes	Insulin Dep Diabetes	X
AOE00565	# Fetuses	Number of Fetuses	X
AOE00543	Other Indic AFP	Other Indications AFP	X
AOE00544	Addit Info AFP	Additional Information AFP	X
AOE00545	Prev Elevated AFP	Previously Elevated AFP	X
AOE00566	Crown Rump LGHT	Crown Rump LGHT	X
AOE00546	Crown Rump Length Date	Crown Rump Length Date	X
AOE00567	Crown Rump LGHT Twin	Crown Rump LGHT Twin	X
AOE00568	Nuchal Translucency (millimeters)	Nuchal Translucency (millimeters)	X
AOE00569	Nuchal Translucency Twin B (millimeters)	Nuchal Translucency Twin B (millimeters)	X
AOE00547	Donor Egg	Donor Egg	X
AOE00548	Age of Egg Donor	Age of Egg Donor	X
AOE00549	Type of Egg Donor	Type of Egg Donor	X
AOE00550	Prior Down Synd/ONTD Scr	Prior Down Synd/ONTD Screen	X
AOE00551	Prior 1st Tri Test	Prior 1st Trimester Test	X
AOE00552	Prior 2nd Tri Test	Prior 2nd Trimester Test	X
AOE00553	FAM HX NTD	Family History Neural Tube Defect	X
AOE00554	Prior Preg w Downs	Prior Pregnancy with Down Syndrome	X
AOE00555	CHORIONS	Number of Chorions	X
AOE00556	Sonographer Last Name	Sonographer Last Name	X
AOE00557	Sonographer First Name	Sonographer First Name	X
AOE00558	Sonographer ID Number	Sonographer ID Number	X
AOE00559	Credentialed By	Credentialed By	X
AOE00560	Site Number	Site Number	X
AOE00561	Reading Physician ID	Reading Physician ID	X

AP AOEs

Special History

Build Comments

Do Not build

Filter *

Procedure Category Change

Cerner Results

Result Desc	Result display	Result PDM
CRL Scan	CRL Scan	221533G
Number of Fetuses	Number of Fetuses LC	221533N
Race AFP	Race AFP	221533L
Gest. Age on Collection Date	Gest. Age on Collection Date	221533J
First Tri Scr Comments	First Tri Scr Comments	211346C
DIA MoM	DIA MoM	225275L
Trisomy 18 Interp	Trisomy 18 Interp	221533AC
Trisomy 18 Scr Risk	Trisomy 18 Scr Risk	221533Z
CRL Scan Twin B	CRL Scan Twin B	221533H
NT Twin B	NT Twin B	221533Q
First Tri Scr Test Results	First Tri Scr Test Results	211346A
First Tri Scr Results	First Tri Scr Results	211346B
First Tri Scr Note	First Tri Scr Note	211346D
Nuchal Translucency MoM	Nuchal Translucency MoM	221533P
Weight AFP	Weight AFP	221533M
Maternal Age at EDD	Maternal Age at EDD LC	221533K
PAPP-A MoM	PAPP-A MoM	221533W
NT MoM Twin B	NT MoM Twin B	221533R
PDF	PDF AFP	221533AF
Sonographer ID#	Sonographer ID#	221533I
Nuchal Translucency (NT)	Nuchal Translucency (NT)	221533O
Additional US	Additional US	221533S
Crown Rump Length Twin B	Crown Rump Length Twin B	221533F
Trisomy 18 Age Risk	Trisomy 18 Age Risk	221533AA
Crown Rump Length	Crown Rump Length	221533E
hCG MoM	hCG MoM	221533U
hCG Value	hCG Value	221533T
PAPP-A Value	PAPP-A Value	221533V
Down Syndrome Interp	Down Syndrome Interp	221533AB
Down Syndrome Scr Risk	Down Syndrome Scr Risk	221533X
DIA Value	DIA Value	225275K
Down Syndrome Age Risk	Down Syndrome Age Risk	221533Y

Current Actual EPIC Build as of 10/28/2024

Procedure Id

126678

Pdm

211346

Order Display Name

First Trimester Maternal Fetal Screen

Procedure Name

FIRST TRIMESTER SCREEN SERUM

Procedure Master Number

LAB701

Short Procedure Name

FIRST TRIMESTER SCREEN SERUM

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

OB FIRST TRIMESTER SCREENING

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/126678

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

["3048500023", "3048500024", "3046000006", "3046000007", "3048500060", "3048500026", "3046000010", "3046000033", "3046000034", "3046000015", "3046000035", "3046000017", "3048512587", "3048512584", "3046000003", "3046000013", "3046000011", "3046000012", "3046000036", "3046000037", "3046000016", "3046000004", "3046000002", "3046000009", "3046000038", "3046000039", "3046000040"]

Order Questions Record Name

NH IP WEIGHT LBS NH IP WEIGHT OZ NH IP INSULIN DEP DIABETES NH IP # FETUSES NH IP OTHER INDICATIONS AFP NH IP ADDITIONAL INFORMATION AFP NH IP PREV ELAVATED AFP NH IP CROWN RUMP LGHT NH IP CROWN RUMP LENGTH DATE NH IP CROWN RUMP LGHT TWIN NH IP NUCHAL TRANSLUCENCY (MILLIMETERS) NH IP NUCHAL TRANSLUCENCY TWIN B (MILLIMETERS) NH IP DONOR EGG NH IP AGE OF EGG DONOR NH IP TYPE OF EGG DONOR NH IP PRIOR DOWN SYND/ONTD SCR NH IP PRIOR 1ST TRI TEST NH IP PRIOR 2ND TRI TEST NH IP FAM HX NTD NH IP PRIOR PREG W DOWNS NH IP CHORIONS NH IP SONOGRAPHER LAST NAME NH IP SONOGRAPHER FIRST NAME NH IP SONOGRAPHER ID NUMBER NH IP CREDENTIALED BY NH IP SITE NUMBER NH IP READING PHYSICIAN ID

Inpatient Order Questions

Inpatient Order Questions Record Name

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

Op Orderable

EPIC OP AOEs

Question ID	Question Name	Question	Response Type	Response List	Require Response
3046000002	NH IP SONOGRAPHER FIRST NAME	Sonographer First Name	Free Text		Yes
3046000003	NH IP TYPE OF EGG DONOR	Type of Egg Donor	Custom List	Self Non-Self	Yes
3046000004	NH IP SONOGRAPHER LAST NAME	Sonographer Last Name	Free Text		Yes
3046000006	NH IP INSULIN DEP DIABETES	Insulin Dep Diabetes	Yes/No		Yes
3046000007	NH IP # FETUSES	Number of Fetuses	Numeric		Yes
3046000009	NH IP SONOGRAPHER ID NUMBER	Sonographer ID Number	Free Text		Yes
3046000010	NH IP PREV ELAVATED AFP	Previously Elevated AFP	Yes/No		Yes
3046000011	NH IP PRIOR 1ST TRI TEST	Prior 1st Trimester Test	Yes/No		Yes
3046000012	NH IP PRIOR 2ND TRI TEST	Prior 2nd Trimester Test	Yes/No		Yes
3046000013	NH IP PRIOR DOWN SYND/ONTD SCR	Prior Down Syn/ONTD Screen	Yes/No		Yes
3046000015	NH IP CROWN RUMP LGHT TWIN	Crwon Rump LGHT Twin	Numeric		Yes
3046000016	NH IP CHORIONS	Number of Chorions	Custom List	Monochrionic Dichorionic Unknown	Yes
3046000017	NH IP NUCHAL TRANSLUCENCY TWIN B (MILLIMETERS)	Nuchal Translucency Twin B (millimeters)	Numeric		Yes
3046000033	NH IP CROWN RUMP LGHT	Crown Rump LGHT	Numeric		Yes
3046000034	NH IP CROWN RUMP LENGTH DATE	Crown Rump Length Date	Date		Yes
3046000035	NH IP NUCHAL TRANSLUCENCY (MILLIMETERS)	Nuchal Translucency (millimeters)	Numeric		Yes
3046000036	NH IP FAM HX NTD	Family History Neural Tube Defect	Yes/No		Yes
3046000037	NH IP PRIOR PREG W DOWNS	Prior Pregnancy with Down Syndrome	Yes/No		Yes
3046000038	NH IP CREDENTIALED BY	Credentialed By	Custom List	NTQR FMF Other Organization	Yes
3046000039	NH IP SITE NUMBER	Site Number	Free Text		Yes
3046000040	NH IP READING PHYSICIAN ID	Reading Physician ID	Free Text		Yes
3048500023	NH IP WEIGHT LBS	Weight (lbs)	Numeric		Yes
3048500024	NH IP WEIGHT OZ	Weight (oz)	Numeric		No
3048500026	NH IP ADDITIONAL INFORMATION AFP	Additional Information AFP	Free Text		Yes
3048500060	NH IP OTHER INDICATIONS AFP	Other Indications AFP	Yes/No		Yes
3048512584	NH IP AGE OF EGG DONOR	Age of Egg Donor?	Numeric		Yes
3048512587	NH IP DONOR EGG	Donor Egg?	Yes/No		Yes

EPIC IP AOEs

Question ID	Question Name	Question	Response Type	Response List	Require Response
3046000002	NH IP SONOGRAPHER FIRST NAME	Sonographer First Name	Free Text		Yes
3046000003	NH IP TYPE OF EGG DONOR	Type of Egg Donor	Custom List	Self Non-Self	Yes
3046000004	NH IP SONOGRAPHER LAST NAME	Sonographer Last Name	Free Text		Yes
3046000006	NH IP INSULIN DEP DIABETES	Insulin Dep Diabetes	Yes/No		Yes
3046000007	NH IP # FETUSES	Number of Fetuses	Numeric		Yes
3046000009	NH IP SONOGRAPHER ID NUMBER	Sonographer ID Number	Free Text		Yes
3046000010	NH IP PREV ELAVATED AFP	Previously Elevated AFP	Yes/No		Yes
3046000011	NH IP PRIOR 1ST TRI TEST	Prior 1st Trimester Test	Yes/No		Yes
3046000012	NH IP PRIOR 2ND TRI TEST	Prior 2nd Trimester Test	Yes/No		Yes
3046000013	NH IP PRIOR DOWN SYND/ONTD SCR	Prior Down Syn/ONTD Screen	Yes/No		Yes
3046000015	NH IP CROWN RUMP LGHT TWIN	Crwon Rump LGHT Twin	Numeric		Yes
3046000016	NH IP CHORIONS	Number of Chorions	Custom List	Monochrionic Dichorionic Unknown	Yes
3046000017	NH IP NUCHAL TRANSLUCENCY TWIN B (MILLIMETERS)	Nuchal Translucency Twin B (millimeters)	Numeric		Yes
3046000033	NH IP CROWN RUMP LGHT	Crown Rump LGHT	Numeric		Yes
3046000034	NH IP CROWN RUMP LENGTH DATE	Crown Rump Length Date	Date		Yes
3046000035	NH IP NUCHAL TRANSLUCENCY (MILLIMETERS)	Nuchal Translucency (millimeters)	Numeric		Yes
3046000036	NH IP FAM HX NTD	Family History Neural Tube Defect	Yes/No		Yes
3046000037	NH IP PRIOR PREG W DOWNS	Prior Pregnancy with Down Syndrome	Yes/No		Yes
3046000038	NH IP CREDENTIALED BY	Credentialed By	Custom List	NTQR FMF Other Organization	Yes
3046000039	NH IP SITE NUMBER	Site Number	Free Text		Yes
3046000040	NH IP READING PHYSICIAN ID	Reading Physician ID	Free Text		Yes
3048500023	NH IP WEIGHT LBS	Weight (lbs)	Numeric		Yes
3048500024	NH IP WEIGHT OZ	Weight (oz)	Numeric		No
3048500026	NH IP ADDITIONAL INFORMATION AFP	Additional Information AFP	Free Text		Yes
3048500060	NH IP OTHER INDICATIONS AFP	Other Indications AFP	Yes/No		Yes
3048512584	NH IP AGE OF EGG DONOR	Age of Egg Donor?	Numeric		Yes
3048512587	NH IP DONOR EGG	Donor Egg?	Yes/No		Yes

EPIC Components (results)

Component ID	Component Name	Base Name	Common Name	Cerner Result PDM
3047802044	CRL SCAN	CRLSCAN	CRL SCAN	221533G
3047803817	NUMBER OF FETUSES	FETUSNUM	NUMBER OF FETUSES	221533N
3047805626	RACE AFP	RACE	RACE, AFP	221533L
3047805507	GESTATIONAL AGE ON COLLECTION DATE	GESTAGE	GESTATIONAL AGE ON COLLECTION DATE	221533J
3047802469	FIRST TRIMESTER SCREEN COMMENTS	FIRSTTRISCRE	FIRST TRIMESTER SCREEN COMMENTS	211346C
3047802144	DIA MOM	DIAMON	DIA MOM	225275L
3047805100	TRISOMY 18 INTERPRETATION	TRIS18INT	TRISOMY 18 INTERPRETATION	221533AC
3047805103	TRISOMY 18 SCREENING RISK	TRIS18	TRISOMY 18 SCREENING RISK	221533Z
3047802045	CRL SCAN TWIN B	CRLSCANTWINB	CRL SCAN TWIN B	221533H
3047803811	NT TWIN B	TWINB	NT TWIN B	221533Q
3047802472	FIRST TRIMESTER SCREEN TEST RESULTS	FIRSTTRISCRT	FIRST TRIMESTER SCREEN TEST RESULTS	211346A
3047802471	FIRST TRIMESTER SCREEN RESULTS	FIRSTTRISCRR	FIRST TRIMESTER SCREEN RESULTS	211346B
3047802470	FIRST TRIMESTER SCREEN NOTE	FIRSTTRISCRN	FIRST TRIMESTER SCREEN NOTE	211346D
3047803816	NUCHAL TRANSLUCENCY MOM	NUCHTRANS	NUCHAL TRANSLUCENCY MOM	221533P
3047805690	WEIGHT AFP	WEIGHT	WEIGHT, AFP	221533M
3047805557	MATERNAL AGE AT EDD	MATERNALAGE	MATERNALAGE, EDD	221533K
3047803960	PAPP-A MOM	PAPPAMOM	PAPP A MOM	221533W
3047803810	NT MOM TWIN B	TWINB	NT MOM TWIN B	221533R
3047805610	PDF AFP RESULT	PDF	PDF, RESULT	221533AF
3047804763	SONOGRAPHER ID#	SONID	SONOGRAPHER ID NUMBER	221533I
3047803815	NUCHAL TRANSLUCENCY (NT)	NUCHTRANS	NUCHAL TRANSLUCENCY NT	221533O
3047800869	ADDITIONAL US	ADDUS	ADDITIONAL US	221533S
3047802050	CROWN RUMP LENGTH TWIN B	CROWNRULGTB	CROWN RUMP LENGTH TWIN B	221533F
3047805098	TRISOMY 18 AGE RISK	TRIS18	TRISOMY 18 AGE RISK	221533AA
3047802049	CROWN RUMP LENGTH	CROWNRULG	CROWN RUMP LENGTH	221533E
3047802708	HCG MOM	HCGMOM	HCG MOM	221533U
3047802709	HCG VALUE	HCGVAL	HCG VALUE	221533T
3047803961	PAPP-A VALUE	PAPPAVAL	PAPP A VALUE	221533V
3047802198	DOWN SYNDROME INTERPRETATION	INTERPDOW	DOWN SYNDROME INTERPRETATION	221533AB
3047802199	DOWN SYNDROME SCREENING RISK	SCREENRSKDOW	DOWN SYNDROME SCREENING RISK	221533X
3047802145	DIA VALUE	DIAVAL	DIA VALUE	225275K
3047802197	DOWN SYNDROME AGE RISK	AGERISKDOW	DOWN SYNDROME AGE RISK	221533Y

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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First Trimester Maternal Fetal Screen

Test Catalog Information

Desired Epic Build First Trimester Maternal Fetal Screen

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.