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.

Quad screen

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	OB QUAD SCREEN QUADRUPLE SCREEN Second Trimester Screen, QUAD
Cerner Primary Mnemonic	Second Trimester Screen, QUAD
EPIC Display Name	Quad screen
Allscripts (AEHR) Order Name	Second Trimester Screen, QUAD
Sunrise Clinical Manager (SCM) Order Name	Second Trimester Screen, QUAD
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	Multiple Gest AFP uE3 Value AFP Tetra Interp DSR By Age 1 IN T18 Risk AFP Value hCG Value Mat Age at EDD AFP LMP Date DSR 2nd Tri 1 IN T18 By Age uE3 MoM PDF AFP DIA Value Insulin Dep AFP E Due Date AFP MoM AFP Tetra Results AFP Tetra Test Results Race AFP DIA MoM GA Based On AFP Tetra Comments Weight AFP GA on Coll Date hCG MoM OSBR Risk 1 IN AFP
Clinical Info	Screening test for open neural tube defects (detects 80% open spina bifida, 90% anencephaly), Down syndrome (detects 75% to 80%), and trisomy 18 (detects 73%) Limitations AFP tetra is a screening test. A positive AFP tetra result means that more diagnostic testing may be offered to the pregnant woman to determine if a neural tube defect or chromosome abnormality is present. This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.
Specimen Type	Blood
Container	Gold Top Tube
Collection Instructions	Container/Tube: Gold-top tube(s) Specimen: 5 mL of serum ( 3 mL min) Transport Temperature: Room Temperature Special Instructions The following information must be provided: gestational age, date on which the patient was the stated gestational age, how gestational age was determined (LMP, EDD, US), patient's weight, patient's date of birth, patient's race (white, black, other), and insulin-dependent diabetic status. Also indicate relevant patient history (eg, prior neural tube defects, Down syndrome, ultrasound anomalies, or previous maternal serum screening specimen during this pregnancy). Complete information is necessary to interpret the test. Patient information may be provided to the laboratory using The Maternal Prenatal Screening requisition form 0900. Specimens must be collected before amniocentesis. Down syndrome screening is offered for gestational ages 15.0 to 21.9 weeks. Open spina bifida screening is offered for gestational ages 15.0 to 23.9 weeks. The optimal gestational age for open spina bifida screening is 16.0 to 18.9 weeks.
Transport Instructions
Specimen Stability	7 Days Room Temperature 14 Days Refrigerated or Frozen
Methodology	Chemiluminescent immunoassay Test Includes Alpha-Fetoprotein, serum; dimeric inhibin A (DIA); human chorionic gonadotropin (hCG); unconjugated estriol (uE3)
Days Performed	TAT; 2-6 Days
Performing Laboratory	LabCorp
CPT	82105 82677 84702 86336 LOINC Code: 96451-0
PDM	225707

Desired Epic Build Quad screen

Cerner Primary Mnemonic:

Second Trimester Screen, QUAD

PDM

225707

Informatics - Workgroup

Prenatal

Synonyms *

OB
QUAD SCREEN
QUADRUPLE SCREEN
Second Trimester Screen, QUAD

Display Name *

Quad 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 for open neural tube defects (detects 80% open spina bifida, 90% anencephaly), Down syndrome (detects 75% to 80%), and trisomy 18 (detects 73%) Limitations AFP tetra is a screening test. A positive AFP tetra result means that more diagnostic testing may be offered to the pregnant woman to determine if a neural tube defect or chromosome abnormality is present. This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.

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
AOE00570	Gest Age Weeks	Gestational Age Weeks	X
AOE00571	Gest Age Days	Gestational Age Days	X
AOE00562	Gest Age in Decimal	Gestational Age in Decimal	X
AOE00563	Gest Age Date of Calc	Gestational Age Date of Calc	X
AOE00564	Gest Age Calc Method	Gestational Age Calc Method	X
1759834G	LMP Date	LMP Date	X
1759834B	E Due Date	Estimated Due Date (EDC):	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
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

AP AOEs

Special History

Build Comments

Do Not build - JBK 3/12/24 asked to build

Filter *

Procedure Category Change

Cerner Results

Result Desc	Result display	Result PDM
Multiple Gest AFP	Multiple Gest AFP	225274G
uE3 Value	uE3 Value	225275I
AFP Tetra Interp	AFP Tetra Interp	225707G
DSR By Age 1 IN	DSR By Age 1 IN	225707D
T18 Risk	T18 Risk	225707E
AFP Value	AFP Value	225274H
hCG Value	hCG Value	221533T
Mat Age at EDD AFP	Mat Age at EDD AFP	225274E
LMP Date	LMP Date	1759834G
DSR 2nd Tri 1 IN	DSR 2nd Tri 1 IN	225707C
T18 By Age	T18 By Age	225707F
uE3 MoM	uE3 MoM	225275J
PDF	PDF AFP	221533AF
DIA Value	DIA Value	225275K
Insulin Dep AFP	Insulin Dep AFP	225274F
E Due Date	E Due Date	1759834B
AFP MoM	AFP MoM	225274I
AFP Tetra Results	AFP Tetra Results	225707A
AFP Tetra Test Results	AFP Tetra Test Results	225707B
Race AFP	Race AFP	221533L
DIA MoM	DIA MoM	225275L
GA Based On	GA Based On	225274D
AFP Tetra Comments	AFP Tetra Comments	225707H
Weight AFP	Weight AFP	221533M
GA on Coll Date	GA on Coll Date	225274C
hCG MoM	hCG MoM	221533U
OSBR Risk 1 IN AFP	OSBR Risk 1 IN AFP	225274J

Current Actual EPIC Build as of 10/28/2024

Procedure Id

64458

Pdm

225707

Order Display Name

Quad Screen

Procedure Name

QUAD SCREEN

Procedure Master Number

LAB560

Short Procedure Name

QUAD SCREEN

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

OB QUAD SCREEN QUADRUPLE SCREEN

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Reference Link Url

https://labs.northwell.edu/epic/test/64458

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", "3048500030", "3048500031", "3048500027", "3048500028", "3048500061", "3048500002", "3048500001", "3046000007", "3048500060", "3046000010", "3048512587", "3048512584", "3046000003", "3046000013", "3046000011", "3046000012", "3046000036"]

Order Questions Record Name

NH IP WEIGHT LBS NH IP WEIGHT OZ NH IP INSULIN DEP DIABETES NH IP GESTATIONAL AGE WEEKS NH IP GESTATIONAL AGE DAYS NH IP GESTATIONAL AGE IN DECIMAL NH IP GESTATIONAL AGE DATE OF CALC NH IP GESTATIONAL AGE CALC METHOD NH IP LMP DATE NH IP ESTIMATED DUE DATE NH IP # FETUSES NH IP OTHER INDICATIONS AFP NH IP PREV ELAVATED AFP 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

Inpatient Order Questions

["3048500023", "3048500024", "3046000006", "3048500030", "3048500031", "3048500027", "3048500028", "3048500061", "3048500002", "3048500001", "3046000007", "3048500060", "3048500026", "3046000010", "3048512587", "3048512584", "3046000003", "3046000013", "3046000011", "3046000012", "3046000036"]

Inpatient Order Questions Record Name

NH IP WEIGHT LBS NH IP WEIGHT OZ NH IP INSULIN DEP DIABETES NH IP GESTATIONAL AGE WEEKS NH IP GESTATIONAL AGE DAYS NH IP GESTATIONAL AGE IN DECIMAL NH IP GESTATIONAL AGE DATE OF CALC NH IP GESTATIONAL AGE CALC METHOD NH IP LMP DATE NH IP ESTIMATED DUE DATE NH IP # FETUSES NH IP OTHER INDICATIONS AFP NH IP ADDITIONAL INFORMATION AFP NH IP PREV ELAVATED AFP 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

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
3046000003	NH IP TYPE OF EGG DONOR	Type of Egg Donor	Custom List	Self Non-Self	Yes
3046000006	NH IP INSULIN DEP DIABETES	Insulin Dep Diabetes	Yes/No		Yes
3046000007	NH IP # FETUSES	Number of Fetuses	Numeric		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
3046000036	NH IP FAM HX NTD	Family History Neural Tube Defect	Yes/No		Yes
3048500001	NH IP ESTIMATED DUE DATE	Estimated Due Date (EDC):	Date		Yes
3048500002	NH IP LMP DATE	LMP Date	Date		No
3048500023	NH IP WEIGHT LBS	Weight (lbs)	Numeric		Yes
3048500024	NH IP WEIGHT OZ	Weight (oz)	Numeric		No
3048500027	NH IP GESTATIONAL AGE IN DECIMAL	Gestational Age in Decimal	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
3048500061	NH IP GESTATIONAL AGE CALC METHOD
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
3046000003	NH IP TYPE OF EGG DONOR	Type of Egg Donor	Custom List	Self Non-Self	Yes
3046000006	NH IP INSULIN DEP DIABETES	Insulin Dep Diabetes	Yes/No		Yes
3046000007	NH IP # FETUSES	Number of Fetuses	Numeric		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
3046000036	NH IP FAM HX NTD	Family History Neural Tube Defect	Yes/No		Yes
3048500001	NH IP ESTIMATED DUE DATE	Estimated Due Date (EDC):	Date		Yes
3048500002	NH IP LMP DATE	LMP Date	Date		No
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
3048500027	NH IP GESTATIONAL AGE IN DECIMAL	Gestational Age in Decimal	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
3048500061	NH IP GESTATIONAL AGE CALC METHOD
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
3047803649	MULTIPLE GESTATION	MULTGEST	MULTIPLE GESTATION	225274G
3047805156	UE3 VALUE	UE3VAL	UE3 VALUE	225275I
3047800935	ALPHA FETOPROTEIN INTERPRETATION	AFPINT	MSAFP INTERP	225707G
3047802240	DSR (BY AGE) 1 IN	DSR1INAGE	DSR BY AGE 1 IN	225707D
3047804899	T18 RISK	T18RSK	T18 RISK	225707E
3047800893	AFP VALUE	AFPVALUE	AFPVALUE	225274H
3047802709	HCG VALUE	HCGVAL	HCG VALUE	221533T
3047805556	MATERNAL AGE AT EDD ALPHA FETOPROTEIN	MATERNALAGE	MATERNALAGE, FETOPROTEIN	225274E
3047803310	LMP DATE	LMP	LMP DATE	1759834G
3047802241	DSR (SECOND TRIMESTER) 1 IN	DSR1IN2TRI	DSR SECOND TRIMESTER 1 IN	225707C
3047804898	T18 (BY AGE)	T18	T18 BY AGE	225707F
3047805155	UE3 MOM	UE3MOM	UE3 MOM	225275J
3047805610	PDF AFP RESULT	PDF	PDF, RESULT	221533AF
3047802145	DIA VALUE	DIAVAL	DIA VALUE	225275K
3047803071	INSULIN DEP DIABETES	IDDM	INSULIN DEP DIABETES	225274F
3047802251	E DUE DATE	EDUEDT	E DUE DATE	1759834B
3047800892	AFP MOM	AFPMOM	AFP MOM	225274I
3047800940	ALPHA FETOPROTEIN TETRA RESULTS	AFPTETRA	ALPHA FETOPROTEIN TETRA	225707A
3047800941	ALPHA FETOPROTEIN TETRA TEST RESULTS	AFPTETRA	ALPHA FETOPROTEIN TETRA	225707B
3047805626	RACE AFP	RACE	RACE, AFP	221533L
3047802144	DIA MOM	DIAMON	DIA MOM	225275L
3047802577	GESTATIONAL AGE BASED ON	GESTAGE	GESTATIONAL AGE BASED ON	225274D
3047800934	ALPHA FETOPROTEIN COMMENTS	AFPCOMM	ALPHA FETOPROTEIN COMMENTS	225707H
3047805690	WEIGHT AFP	WEIGHT	WEIGHT, AFP	221533M
3047805506	GESTATIONAL AGE ON COLLECTION DATE.	GESTAGE	GESTATIONAL AGE ON COLLECTION DATE	225274C
3047802708	HCG MOM	HCGMOM	HCG MOM	221533U
3047803889	OSBR RISK 1 IN AFP	OSBRRSK	OSBR RISK 1 IN AFP	225274J

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.

Search

Quad screen

Test Catalog Information

Desired Epic Build Quad 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.