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Hereditary Inclusion Body Myopathy (HIBM) Mutation Molecular Detection Epic Compendium  

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Actual Epic Build 12/08/2025

PROCEDURE ID 115245
PDM 5157200
ORDER DISPLAY NAME Hereditary Inclusion Body Myopathy (HIBM) Mutation Molecular Detection
PROCEDURE NAME HEREDITARY INCLUSION BODY MYOPATHY
PROCEDURE MASTER NUMBER LAB11454
SHORT PROCEDURE NAME HEREDITARY INCLUSION BODY MYOPATHY
CATEGORY CODE 21.0
CATEGORY CODE RECORD NAME LAB MOLECULAR DIAGNOSTICS ORDERABLES
SYNONYMS GNE, GNE M712T TESTING, HEREDITARY INCLUSION BODY MYOPATHY
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS Generic Genomics Procedure
REFERENCE LINK URL https://labs.northwell.edu/epic/test/115245
ORDERING INSTRUCTIONS
Hereditary inclusion body myopathy (HIBM) is a neuromuscular disorder characterized by slow progression of distal and proximal muscle weakness. The onset age of this condition is late teens to young adults leading to severe
incapacitation within 10 to 20 years of the onset. The disease primarily causes progressive wasting of the arm and leg muscles sparing quadriceps until later in the disease course. Muscle biopsy shows rimmed vacuoles and fila
mentous inclusions composed of tubular filaments. This disease affects the Jewish Persian community and various Middle Eastern population clusters where it has a prevalence of 1:1500. In the Persian population the disease pre
sents an unusual feature, sparing of the quadriceps.
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 Blood, Venous
Blood, Central Line
Blood, Arterial
Blood, Capillary
OP SPECIMEN SOURCE LIST
IP LAB TEST COMPONENTS FOR REPORT HLXHIBMFR
OP LAB TEST COMPONENTS FOR REPORT HLXHIBMFR
ORDER QUESTIONS ["3046700000"]
ORDER QUESTIONS RECORD NAME NH IP LAB PATIENT CONSENT?
INPATIENT ORDER QUESTIONS ["3046700000"]
INPATIENT ORDER QUESTIONS RECORD NAME NH IP LAB PATIENT CONSENT?
ORDER SPECIFIC QUESTION OVERRIDE Yes
INPATIENT QUESTION OVERRIDE Yes
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 NH IP PATIENT COMPLETED CONSENT
EDP IP ORDER SPECIFIC QUESTIONS RECORD NAME NH IP PATIENT COMPLETED CONSENT
EDP IP SPECIMEN SOURCE
EDP OP SPECIMEN SOURCE
EDP IP SPECIMEN TYPE
EDP OP SPECIMEN TYPE
DERIVED EDP IP BUTTONS S
DERIVED EDP IP BUTTONS T
DERIVED EDP OP BUTTONS S
DERIVED EDP OP BUTTONS T
IP ORDERABLE 1
OP ORDERABLE 1
STANDARD LAB COMPONENTS
STANDARD LAB COMPONENTS RECORD NAME
COMPONENT DATA REQUIREMENT
EPIC OP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
3046700000 NH IP LAB PATIENT CONSENT? Patient consent? Yes/No Yes
EPIC IP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
3046700000 NH IP LAB PATIENT CONSENT? Patient consent? Yes/No Yes
EPIC Components (results - crosswalked through Cerner)