| Cerner Primary Mnemonic: | UGT1A1, Full Gene Sequencing |
| PDM | 1759385 |
| Informatics - Workgroup | Molecular-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 |
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| 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 *
| AOE PDM |
AOE Display |
AOE Description |
Prompt |
| 1659837D |
Pt completed Consent? |
Pt completed Consent? |
X |
|
| AP AOEs | |
| Special History | No |
| Build Comments | |
| Filter * | genetics |
| Cerner Site Restrict | AML/Quest Labs
LabCorp
Mayo Medical Labs
Next Molecular Analytics |
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 |
|
| 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 |
ADDINFO
DISCLAIM
FULLGENSEQ
METHOD
PDGFRBINT
RESULTSUMM
TAREPT
UGT1A1REVBY |
| OP LAB TEST COMPONENTS FOR REPORT |
ADDINFO
DISCLAIM
FULLGENSEQ
METHOD
PDGFRBINT
RESULTSUMM
TAREPT
UGT1A1REVBY |
| 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 |
[] |
| INPATIENT ORDER QUESTIONS RECORD NAME |
|
| 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 |
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| EDP OP SPECIMEN SOURCE |
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| EDP IP SPECIMEN TYPE |
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| 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 ID | Question Name | Question | Response Type | Response List | Require 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
|
EPIC Components (results - crosswalked through Cerner)
| Component ID | Component Name | Base Name | Common Name | External Name | Cerner Result PDM |
|---|
| 3047805635.0 |
RESULT SUMMARY |
RESULTSUMM |
RESULTSUMM, SUMMARY |
Result Summary |
1759247A |
| 3047804908.0 |
TA REPEAT RESULT |
TAREPT |
TA REPEAT RESULT |
TA Repeat Result |
1759385E |
| 3047802526.0 |
FULL GENE SEQUENCE RESULT |
FULLGENSEQ |
FULL GENE SEQUENCE RESULT |
Full Gene Sequence Result |
1759385F |
| 3047805469.0 |
PDGFRB DISCLAIMER |
DISCLAIM |
PDGFRB DISCLAIMER |
Disclaimer |
1759247J |
| 3047804560.0 |
REVIEWEDBY |
UGT1A1REVBY |
REVIEWEDBY |
Reviewed By |
1759385G |
| 3047800866.0 |
ADDITIONAL INFORMATION |
ADDINFO |
ADDITIONAL INFORMATION |
Additional Information |
1759247I |
| 3047805536.0 |
PDGFRB INTERPRETATION |
PDGFRBINT |
PDGFRB INTERPRETATION |
Interpretation |
1759247B |
| 3047803486.0 |
METHOD |
METHOD |
METHOD |
Method |
1759247H |
|
