Version 2.78

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.
Source: Regenstrief LOINC

Fully-Specified Name

Component
Infant factors that affect newborn screening interpretation
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method

Additional Names

Short Name
Inf factors affecting NBS imp

Preferred Answer List: LL830-1

Source: Regenstrief Institute
Answer Code Score Answer ID
NoneCopyright http://snomed.info/sct ID:260413007 None (qualifier value)

Screen time

 LA137-2
Infant in NICU at time of specimen collection LA12419-0
Infant in special care setting (other than ICU) at time of specimen collection LA25801-4
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 iodine LA16924-5
Acute illness LA25803-0
Hypothyroxinemia of preterm birth LA25804-8
Significant hypoxia LA25812-1
Immature hypothalamic/pituitary axis LA25805-5
Immature liver enzymes LA25806-3
Immature renal system LA25807-1
Iodine deficiency LA25809-7
Liver disease LA25810-5
Other conditions, such as biliary atresia, intestinal perforation, abdominal wall defects, septicemia, CMV, renal failure, T21, T18, T13 LA25811-3
Parenteral steroid treatment LA16925-2
Systemic antibiotics before newborn screening LA12420-8
Meconium ileus or other bowel obstruction LA16927-8
Thoracic surgery involving thymectomy LA25815-4
Immunosuppressive therapy of baby or mother LA25808-9
Total parenteral nutrition (TPN) or similar feeding LA25816-2
Special lactose-free diet LA25813-9
Special low protein diet LA25814-7
Other LA46-8

Basic Attributes

Class
H&P.HX
Type
Clinical
First Released
Version 2.29
Last Updated
Version 2.73
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

LOINC Long Common Name
104191-2 Guanidinoacetate methyltransferase (GAMT) deficiency newborn screening panel
54089-8 Newborn screening panel American Health Information Community (AHIC)
57794-0 Newborn screening test results panel - DBS

Language Variants Get Info

Tag Language Translation
es-MX Spanish (Mexico) Factores infantiles que afectan la interpretación del cribado neonatal:Tipo:Punto temporal:^ Paciente:Nominal:
it-IT Italian (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-BR Portuguese (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-RU Russian (Russian Federation) Младенец NICU факторы, которые влияют на новорождённого скрининга интерпретацию:Находка:ТчкВрм:^Пациент:Ном:
Synonyms: Номинальный;Именной Точка во времени;Момент
zh-CN Chinese (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

LOINC Terminology Service (API) using HL7® FHIR® Get Info

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