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MitoGenome Sequencing and Deletion Testing

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: Mitochondrial Genome Seq/Del Testing
PDM 1659867
Informatics - WorkgroupMolecular-send outs
Synonyms *MITOGENOME SEQ/DEL TESTING
Mitochondrial
Display Name *MitoGenome Sequencing and Deletion Testing
Specimen Sources (combined Order Entry and Specimen Navigator) *
Specimen Types (combined Order Entry and Specimen Navigator) *
Tissue
Body Fluids (types sent through AOEs)
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)Molecular confirmation of a clinical diagnosis  Testing of patients suspected of having a mitochondrial disorder. 
IP Orderable (inpatient) Yes
OP Orderable (outpatient) Yes
AOEs *

AP AOEs
Special History No
Build Comments
Filter *genetics
Cerner Site RestrictGene DX Laboratory
GeneDx Laboratory
Northwell Health Laboratories
Cerner Results

Result Desc Result display Result PDM
MitoGenome Seq/Del Testing MitoGenome Seq/Del Testing 1659867A

Actual Epic Build 3/11/2025

PROCEDURE ID 115535
PDM 1659867
ORDER DISPLAY NAME MitoGenome Sequencing and Deletion Testing
PROCEDURE NAME MITOGENOME SEQ/DEL TESTING
PROCEDURE MASTER NUMBER LAB11610
SHORT PROCEDURE NAME MITOGENOME SEQ/DEL TESTING
CATEGORY CODE 15.0
CATEGORY CODE RECORD NAME LAB CYTOGENETICS ORDERABLES
SYNONYMS MITOGENOME SEQ/DEL TESTING
Mitochondrial
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS Generic Genomics Procedure
REFERENCE LINK URL https://labs.northwell.edu/epic/test/115535
ORDERING INSTRUCTIONS
DEFAULT SPECIMEN TYPE Blood
SPECIMEN TYPE PICK LIST Tissue
Blood
SPECIMEN TYPE LIST
OP SPECIMEN TYPE LIST
SPECIMEN SOURCE PICK LIST Abdominal Wall
Alveoli
Amniotic Sac
Ankle, Left
Ankle, Right
Anus
Arm, Left
Arm, Right
Autopsy
Axilla, Left
Axilla, Right
Back, Lower
Back, Upper
Brain, Amygdala
Brain, Basal Ganglia
Brain, Cerebellum
Brain, Cerebral Cortex
Brain, Hypothalamus
Brain, Medulla
Brain, Pons
Breast, Left
Breast, Left Central
Breast, Right
Breast, Right Central
Buttock, Left
Buttock, Right
Cervix
Cheek
Chest, Left
Chest, Right
Chin
Diaphragm
Ear, Left
Ear, Right
Elbow, Left
Elbow, Right
Esophagus
Eye, Left
Eye, Right
Fallopian Tube, Left
Fallopian Tube, Right
Fetus
Foot, Left
Foot, Right
Forearm, Left
Forearm, Right
Forehead
Foreskin
Gallbladder
Hand, Digit Left
Hand, Digit Right
Hand, Left
Hand, Right
Hip, Right
Kidney, Left
Kidney, Right
Knee, Left
Knee, Right
Appendix
Colon, Cecum
Large Intestine, Left/Descending Colon
Large Intestine, Rectum
Heart
Ascend Colon
Sigmoid Colon
Transverse Colon
Larynx
Leg, Left
Leg, Right
Lip, Lower
Lip, Upper
Liver
Lung, Left Lower Lobe
Lung, Left Upper Lobe
Lung, Right Lower Lobe
Lung, Right Middle Lobe
Lung, Right Upper Lobe
Mediastinum
Meninges/Dura
Naris, Left
Naris, Right
Nasal/Nasopharynx
Neck
Nose
Oral Cavity
Oropharynx
Ostomy Pouch
Misc
Ovary, Left
Ovary, Right
Pancreas
Penis
Pericardium
Placenta
Prostate
Retroperitoneum
Scalp
Scrotum
Shoulder, Left
Shoulder, Right
Small Intestine, Duodenum
Small Intestine, Ileum
Small Intestine, Jejunum
Spinal Cord
Spine, Cervical
Spine, Lumbar
Sacral
Thoracic
Spleen
Stomach
Sympathetic Ganglion
Testicular Appendage
Testis, Left
Testis, Right
Thigh, Left
Thigh, Right
Throat
Thymus
Thyroid
Toe, Left
Toe, Right
Tongue
Trachea
Blood, Cord
Ureter, Left
Ureter, Right
Urethra
Bladder
Vas Deferens, Left
Vas Deferens, Right
Vulva
Wrist, Left
Wrist, Right
Blood, Venous
Blood, Arterial
Blood, Capillary
Blood, Central Line
SPECIMEN SOURCE DEFAULT - MALE
SPECIMEN SOURCE DEFAULT - FEMALE
SPECIMEN SOURCE LIST
OP SPECIMEN SOURCE LIST
IP LAB TEST COMPONENTS FOR REPORT MITOGENE
OP LAB TEST COMPONENTS FOR REPORT MITOGENE
ORDER QUESTIONS ["3048500000"]
ORDER QUESTIONS RECORD NAME
INPATIENT ORDER QUESTIONS ["3048500000"]
INPATIENT ORDER QUESTIONS RECORD NAME
ORDER SPECIFIC QUESTION OVERRIDE
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
3048500000 NH IP PATIENT COMPLETED CONSENT Patient completed consent? 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
3047803538.0 MITOGENOME SEQ/DEL TESTING MITOGENE MITOGENOME SEQ DEL TESTING 1659867A