Term Description

Use this term to record various infant factors (also known as events), including treatments or conditions, that occur prior to collection of the newborn screening (NBS) specimen, and can affect the interpretation of NBS results. Select any answers that apply; you can select more than one answer. If you select "other," use the additional narrative LOINC code for "Other infant factors that affect newborn screening interpretation" to give additional details. Select the answer "Infant in ICU at time of specimen collection" if the infant was in an intensive care unit, neonatal intensive care unit (NICU) or special care baby unit (SCBU). ECMO (extra corporeal membrane oxygenation, aka heart-lung bypass) can affect NBS results for hemoglobinopathies and GALT. Dopamine can affect NBS results for TSH. Steroid treatment can affect NBS results for TSH and 17-OHP. Iodine can affect NBS results for TSH and T4. Antibiotics can affect NBS results for C5. Some anti-seizure medications can affect NBS results for fatty acids. In screening for cystic fibrosis (CF), those babies presenting with meconium ileus or other bowel obstruction often have falsely low IRT's, so some states when they have that information, skip the IRT and go directly to DNA for their screen. SOURCES: Newborn Screening Guidelines for Preterm, Low Birth Weight, and Sick Newborns; Approved Guideline. CLSI document I/LA31-A. Wayne, PA: Clinical and Laboratory Standards Institute; (2009). LABORATORY MEDICINE PRACTICE GUIDELINES: FOLLOW-UP TESTING FOR METABOLIC DISEASES IDENTIFIED BY EXPANDED NEWBORN SCREENING USING TANDEM MASS SPECTROMETRY, The National Academy of Clinical Biochemistry, 2009 http://www.aacc.org/members/nacb/lmpg/onlineguide/publishedguidelines/newborn/pages/default.aspx. Utah Department of Health's "Newborn Screening For Sick or Preterm Newborns" Available at: http://health.utah.gov/newbornscreening/PDF/SupportProcScreeningSickPreterm.pdf.

LOINC Names Get Info

Fully-Specified Name
Infant factors that affect newborn screening interpretation:Find:Pt:^Patient:Nom:
Long Common Name
Infant factors that affect newborn screening interpretation
Short Name
Inf factors affecting NBS imp

Part Model Get Info

  • Component
    Infant factors that affect newborn screening interpretation
    LP133643-9
    • Analyte
      Infant factors that affect newborn screening interpretation
      LP133643-9
      • Component Numerator
        Infant factors that affect newborn screening interpretation
        LP133643-9
        • Component Numerator Core
          Infant factors that affect newborn screening interpretation
          LP133643-9
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    Find
    LP6813-2
  • Time
    Pt
    LP6960-1
  • System
    ^Patient
    LP310005-6
    • System Core
      NULL
       
    • Super System
      Patient
      LP6985-8
  • Scale
    Nom
    LP7750-5
  • Method
    NULL
     

Preferred Answer List: LL830-1

Source: Regenstrief Institute
AnswerCodeScoreAnswer ID
NoneCopyright http://snomed.info/sct ID:260413007 None (qualifier value)LA137-2
Infant in NICU at time of specimen collectionLA12419-0
Infant in special care setting (other than ICU) at time of specimen collectionLA25801-4
Preterm/Low birth weight (LBW)LA25802-2
Any blood product transfusion (including ECLS/ECMO)LA12417-4
DopamineCopyright http://snomed.info/sct ID:412383006 Dopamine (substance)LA16923-7
Topical iodineLA16924-5
Acute illnessLA25803-0
Hypothyroxinemia of preterm birthLA25804-8
Significant hypoxiaLA25812-1
Immature hypothalamic/pituitary axisLA25805-5
Immature liver enzymesLA25806-3
Immature renal systemLA25807-1
Iodine deficiencyLA25809-7
Liver diseaseLA25810-5
Other conditions, such as biliary atresia, intestinal perforation, abdominal wall defects, septicemia, CMV, renal failure, T21, T18, T13LA25811-3
Parenteral steroid treatmentLA16925-2
Systemic antibiotics before newborn screeningLA12420-8
Meconium ileus or other bowel obstructionLA16927-8
Thoracic surgery involving thymectomyLA25815-4
Immunosuppressive therapy of baby or motherLA25808-9
Total parenteral nutrition (TPN) or similar feedingLA25816-2
Special lactose-free dietLA25813-9
Special low protein dietLA25814-7
OtherLA46-8

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.73 (MIN)
Change Reason
Changed answer list from "Normative" to "Preferred" to fit the current LOINC model.; Removed "NICU" from Component based on recommendation from APHL NBS workgroup because this term could also be used for infants that are not in the NICU
Order vs. Observation
Observation
Common Test Rank Get Info
18287

Member of these Panels

LOINCLong Common Name
54089-8Newborn screening panel American Health Information Community (AHIC)
57794-0Newborn screening test results panel - DBS

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Βρεφικοί παράγοντες που επηρεάζουν την ερμηνεία των εξετάσεων διαλογής νεογνών:Εύρεση:Pt:^Ασθενής:Nom:
Synonyms: - H&P.HX Nom Pt Ασθενής Βρεφικοί παράγοντες που επηρεάζουν την ερμηνεία των εξετάσεων διαλογής νεογνών Ερμηνεία Εύρεση
es-MXSpanish (Mexico)Factores infantiles que afectan la interpretación del cribado neonatal:Tipo:Punto temporal:^ Paciente:Nominal:
it-ITItalian (Italy)Fattori di unità di cura infantile neonatale che influenzano interpretazione di screening neonatale:Osservazione:Pt:^Paziente:Nom:
Synonyms: Anamnesi Osservazione paziente Punto nel tempo (episodio)
pt-BRPortuguese (Brazil)Os eventos clínicos que afetam a interpretação de triagem neonatal:Achado:Pt:^Paciente:Nom:
Synonyms: Interp; Intrp; Interpret; Interpt; Clinical events that affect NBS interp; Finding; Findings; Point in time; Random; Nominal; SCN; Asymptomatic; Asympt; New born
ru-RURussian (Russian Federation)Младенец NICU факторы, которые влияют на новорождённого скрининга интерпретацию:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CNChinese (China)影响新生儿筛查解释的婴儿因素:发现:时间点:^患者:名义型:
Synonyms: Asympt SCN 分类型应答;分类型结果;名义性;名称型;名词型;名词性;标称性;没有自然次序的名义型或分类型应答 判读;解释说明;说明;释义;阐明 医疗服务对象;客户;病人;病患;病号;超系统 - 病人 历史纪录与体格检查 历史纪录与体格检查.历史记录;历史纪录与体格检查.历史记录类;历史纪录与体格检查.历史记录类别;历史纪录与体格检查.病史;历史纪录与体格检查.病史类;历史纪录与体格检查.病史类别;历史纪录与体格检查.病史记录;历史纪录与体格检查.病史记录类;历史纪录与体格检查.病史记录类别;历史纪录与体格检查小节.历史记录;历史纪录与体格检查小节.历史记录类;历史纪录与体格检查小节.历史记录类别;历史纪录与体格检查小节.病史;历史纪录与体格检查小节.病史类;历史纪录与体格检查小节.病史类别 历史纪录与体格检查小节 发现是一个原子型临床观察指标,并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型,而对于叙述型文本之中所报告的发现,则可能是叙述型。;发现物;所见;结果;结论 影响新生儿(NB)筛查(筛选、过筛、筛检)解释的婴儿NICU因素;影响新生儿筛查解释的婴幼儿NICU因素;neonatal intensive care unit;NICU;新生儿重症监护病房;新生儿重症监护单元 无症状 无症状(Asymptomatic,Asympt) 无症状的 无症状筛查 时刻;随机;随意;瞬间 普查 普查试验 病史与体格检查 筛分 筛分试验 筛查(Screening,SCN) 筛查试验 筛选 筛选试验

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https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=57713-0