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Total # of Questions: 49
Second trimester penta maternal screen panel - Serum or Plasma
[48799-1]
Date Done
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Time Done
Where Done
Comment
Name
Value
Units
Mat scn clin predictors Pnl Patient
[49087-0]
Age
[30525-0]
Age at delivery
[43993-5]
Deliv date Clin est
[11778-8]
Parity
[11977-6]
Pregnancies
[11996-6]
Mother's race
[21484-1]
Birth date
[21112-8]
Weight
[29463-7]
Race
[32624-9]
GA
[18185-9]
GA method
[21299-3]
# Fetuses US
[11878-6]
LMP Start date
[8665-2]
US Date
[34970-4]
Diabetes status Patient
[33248-6]
IDDM Patient Ql
[44877-9]
Hx of NTD Narr
[49053-2]
Egg donor age
[68327-6]
Prev fetus defect
[68328-4]
AFP SerPl-mCnc
[1834-1]
AFP MoM SerPl
[20450-3]
AFP MoM c/o MoM SerPl
[49585-3]
AFP adj MoM SerPl
[23811-3]
AFP Diabetes adj MoM SerPl
[43998-4]
AFP Diabetes+wt adj MoM SerPl
[43996-8]
AFP mult gest adj MoM SerPl
[50610-5]
AFP Wt adj MoM SerPl
[43997-6]
AFP unadj MoM SerPl
[23812-1]
HCG SerPl-aCnc
[19080-1]
HCG MoM SerPl
[20465-1]
HCG adj MoM SerPl
[32166-1]
u Estriol SerPl-mCnc
[2250-9]
u Estriol MoM SerPl
[20466-9]
u Estriol adj MoM SerPl
[21264-7]
u Estriol unadj MoM SerPl
[21265-4]
Inhibin A SerPl-mCnc
[23883-2]
Inhibin A MoM SerPl
[35738-4]
Inhibin A adj MoM SerPl
[36904-1]
Inhibin A unadj MoM SerPl
[36905-8]
Neural tube defect risk Fetus
[48803-1]
ITA SerPl-mCnc
[40583-7]
ITA MoM SerPl
[43208-8]
Ts 21 risk Fetus
[43995-0]
Ts 21 risk CtO Fetus
[49583-8]
Fet Ts 21 risk from Mat age
[49090-4]
Ts 18 risk Fetus
[43994-3]
Fet Ts 18 risk from Mat age
[47223-3]
Ts 18 risk CtO Fetus
[49582-0]
2nd trimester 5 screen SerPl-Imp
[49032-6]
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