Epic Build / Desired Build Test Compendium
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MTHFR Mutation Molecular Detection Epic Compendium  

Desired Epic Build * = editable field  

Actual Epic Build 12/05/2025

PROCEDURE ID 115247
PDM 5160200
ORDER DISPLAY NAME MTHFR Mutation Molecular Detection
PROCEDURE NAME MOLECULAR GENETICS - MTHFR GENE
PROCEDURE MASTER NUMBER LAB11455
SHORT PROCEDURE NAME MOLECULAR GENETICS - MTHFR GENE
CATEGORY CODE 21.0
CATEGORY CODE RECORD NAME LAB MOLECULAR DIAGNOSTICS ORDERABLES
SYNONYMS HYPERHOMOCYSTEINEMIA, MTHFR DNA ASSAY
METHYLENETETRAHYDROFOLATE REDUCTASE (MTHFR)
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS Generic Genomics Procedure
REFERENCE LINK URL https://labs.northwell.edu/epic/test/115247
ORDERING INSTRUCTIONS
Reduced levels of MTHFR activity led to elevated plasma concentrations of homocysteine, a condition referred to as hyperhomocysteinemia, a recognized risk factor for thrombophilia. Elevated plasma homocysteine has also been a
ssociated with an increased risk of cardiovascular disease and neural tube defects in fetuses of pregnant women.






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 HLXMTHFR
OP LAB TEST COMPONENTS FOR REPORT HLXMTHFR
ORDER QUESTIONS ["3045300170", "3045300171", "3045300173", "3046700000"]
ORDER QUESTIONS RECORD NAME NH IP HOME COLLECT DATE
NH IP HOME COLLECT DAYS
NH IP HOME COLLECT MEDICALLY NECESSARY
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
3045300170 NH IP HOME COLLECT DATE Start Date Date Yes
3045300171 NH IP HOME COLLECT DAYS Days Custom List Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Yes
3045300173 NH IP HOME COLLECT MEDICALLY NECESSARY Medically Necessary? Yes/No Yes
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)