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Glucuronosyltransferase 1A1 (UGT1A1), Full Gene Sequencing, Varies

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: UGT1A1, Full Gene Sequencing
PDM 1759385
Informatics - WorkgroupMolecular-send outs
Synonyms *UGT1A1, Full Gene Sequencing
Display Name *Glucuronosyltransferase 1A1 (UGT1A1), Full Gene Sequencing, Varies
Specimen Sources (combined Order Entry and Specimen Navigator) *
Specimen Types (combined Order Entry and Specimen Navigator) *
Blood
Body Fluids (types sent through AOEs)
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)Identifying individuals who are at increased risk of adverse drug reactions with drugs that are metabolized by UGT1A1; especially irinotecan but also atazanavir, nilotinib, pazopanib, and belinostat Identifying individuals with Gilbert syndrome due to the presence of homozygous UGT1A1*6 (c.211G>A, based on NM_000463.2) allele, TA7, homozygous TA8, or compound heterozygous *6, TA7 or TA8 Identifying individuals who are carriers of Gilbert syndrome due to the presence of heterozygous TA7 or TA8 This test is not useful for assessment of Crigler-Najjar syndrome.
IP Orderable (inpatient) Yes
OP Orderable (outpatient) Yes
AOEs *

AP AOEs

    
Special History No 
 
    
Build Comments

    
Filter *genetics

    
    
Cerner Site RestrictLabCorp
Mayo Medical Labs

    
Cerner Results


                

            

                Result Desc
                Result display
                Result PDM
            

                        

                Result Summary
                PDGFRBRS
                1759247A
            

                        

                TA Repeat Result
                TAREPEATR
                1759385E
            

                        

                Full Gene Sequence Result
                FULLGSQR
                1759385F
            

                        

                Disclaimer
                PDGFRBD
                1759247J
            

                        

                Reviewed By
                REVIEWEDBY
                1759385G
            

                        

                Additional Information
                PDGFRBAI
                1759247I
            

                        

                Interpretation
                PDGFRBINT
                1759247B
            

                        

                Method
                PDGFRBMTH
                1759247H
            

                    

            


     





    Actual Epic Build 3/11/2025
    






                

        PROCEDURE ID
        115413
    

        

        PDM
        1759385
    

        

        ORDER DISPLAY NAME
        Glucuronosyltransferase 1A1 (UGT1A1), Full Gene Sequencing, Varies
    

        

        PROCEDURE NAME
        UGT1A1, FULL GENE SEQUENCING
    

        

        PROCEDURE MASTER NUMBER
        LAB11549
    

        

        SHORT PROCEDURE NAME
        UGT1A1, FULL GENE SEQUENCING
    

        

        CATEGORY CODE
        15.0
    

        

        CATEGORY CODE RECORD NAME
        LAB CYTOGENETICS ORDERABLES
    

        

        SYNONYMS
        UGT1A1, FULL GENE SEQUENCING
    

        

        CLINICALLY ACTIVE
        Yes
    

        

        ORDERABLE
        Yes
    

        

        PERFORMABLE
        Yes
    

        

        FILTER GENOMICS
        Generic Genomics Procedure
    

        

        REFERENCE LINK URL
        https://labs.northwell.edu/epic/test/115413
    

        

        ORDERING INSTRUCTIONS
        
    

        

        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
        RESULTSUMM
TAREPT
FULLGENSEQ
INTERP
ADDINFO
METHOD
DISCLAIM
REVIEWEDBY		
    

        

        OP LAB TEST COMPONENTS FOR REPORT
        RESULTSUMM
TAREPT
FULLGENSEQ
INTERP
ADDINFO
METHOD
DISCLAIM
REVIEWEDBY		
    

        

        ORDER QUESTIONS
        ["3045300170", "3045300171", "3045300173"]
    

        

        ORDER QUESTIONS RECORD NAME
        NH IP HOME COLLECT DATE
NH IP HOME COLLECT DAYS
NH IP HOME COLLECT MEDICALLY NECESSARY		
    

        

        INPATIENT ORDER QUESTIONS
        ["3048500000"]
    

        

        INPATIENT ORDER QUESTIONS RECORD NAME
        
    

        

        ORDER SPECIFIC QUESTION OVERRIDE
        Yes
    

        

        INPATIENT QUESTION OVERRIDE
        
    

        

        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
            

                    

            


    
EPIC IP AOEs


                

            
Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response

                        

                3048500000
                NH IP PATIENT COMPLETED CONSENT
                Patient completed consent?
                Yes/No
                
                Yes
            

                    

            


    
EPIC Components (results - crosswalked through Cerner)


                

            
Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM

                        

                3047805635.0
                RESULT SUMMARY
                RESULTSUMM
                RESULTSUMM, SUMMARY
                
                1759247A
            

                        

                3047804908.0
                TA REPEAT RESULT
                TAREPT
                TA REPEAT RESULT
                
                1759385E
            

                        

                3047802526.0
                FULL GENE SEQUENCE RESULT
                FULLGENSEQ
                FULL GENE SEQUENCE RESULT
                
                1759385F
            

                        

                3047805469.0
                PDGFRB DISCLAIMER
                DISCLAIM
                PDGFRB DISCLAIMER
                
                1759247J
            

                        

                3047804560.0
                REVIEWEDBY
                REVIEWEDBY
                REVIEWEDBY
                
                1759385G
            

                        

                3047800866.0
                ADDITIONAL INFORMATION
                ADDINFO
                ADDITIONAL INFORMATION
                
                1759247I
            

                        

                3047805536.0
                PDGFRB INTERPRETATION
                INTERP
                PDGFRB INTERPRETATION
                
                1759247B
            

                        

                3047803486.0
                METHOD
                METHOD
                METHOD
                
                1759247H