| Cerner Primary Mnemonic: | Ambry BRCANext (Breast/Gyn Panel) |
| PDM | 255311 |
| Informatics - Workgroup | Flow/Mol/Cytog - No Subgroup |
| Synonyms * | |
| Display Name * | Ambry BRCANext (Breast/Gyn Panel) |
| Specimen Sources (combined Order Entry and Specimen Navigator) * |
Blood, Arterial
Blood, Capillary
Blood, Central Line
Blood, Venous
Buccal
|
| Specimen Types (combined Order Entry and Specimen Navigator) * |
Blood
Swab
|
| Body Fluids (types sent through AOEs) |
|
| Specimen Navigator Specimen Types |
|
| Specimen Navigator Specimen Sources |
|
| Specimen Navigator Short Name | AMBRY BRCANEXT (BREAST/GYN PANEL) |
| Ordering info (EPIC SmartText) | Guideline-based panel offering more information to identify and manage hereditary breast and/or gynecologic cancers. 19 genes are included in the analysis: ATM, BARD1, BRCA1, BRCA2, BRIP1, CDH1, CHEK2, EPCAM, MLH1, MSH2, MSH6, NF1, PALB2, PMS2, PTEN, RAD51C, RAD51D, STK11, TP53 |
| IP Orderable (inpatient) | Yes |
| OP Orderable (outpatient) | Yes |
AOEs *
|
| AP AOEs | |
| Special History | No |
| Build Comments | |
| Filter * | |
| Cerner Site Restrict | Ambry Genetics Laboratory
Gene DX Laboratory
Mayo Medical Labs
Medtox Laboratories |
Cerner Results
| Result Desc |
Result display |
Result PDM |
| Genetic analysis overall Interp |
Genes Interp |
255306C |
| Genes Analyzed |
GenesAnalyzed |
255306B |
| BRCANext Disclaimer |
BRCANext Disclaimer |
255311A |
| Interpretation report |
Interp Report |
255306D |
|
| PROCEDURE ID |
273836 |
| PDM |
255311 |
| ORDER DISPLAY NAME |
Ambry BRCANext (Breast/Gyn Panel) |
| PROCEDURE NAME |
AMBRY BRCANEXT (BREAST/GYN PANEL) |
| PROCEDURE MASTER NUMBER |
LAB14844 |
| SHORT PROCEDURE NAME |
BRCANEXT |
| CATEGORY CODE |
21.0 |
| CATEGORY CODE RECORD NAME |
LAB MOLECULAR DIAGNOSTICS ORDERABLES |
| SYNONYMS |
|
| CLINICALLY ACTIVE |
Yes |
| ORDERABLE |
Yes |
| PERFORMABLE |
Yes |
| FILTER GENOMICS |
Generic Genomics Procedure |
| REFERENCE LINK URL |
https://labs.northwell.edu/epic/test/273836 |
| ORDERING INSTRUCTIONS |
|
| DEFAULT SPECIMEN TYPE |
Blood |
| SPECIMEN TYPE PICK LIST |
Blood
Swab |
| SPECIMEN TYPE LIST |
|
| OP SPECIMEN TYPE LIST |
|
| SPECIMEN SOURCE PICK LIST |
Blood, Arterial
Blood, Capillary
Blood, Central Line
Blood, Venous
Buccal |
| 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 |
|
| OP LAB TEST COMPONENTS FOR REPORT |
|
| ORDER QUESTIONS |
["3046200019", "3046200017", "3048500000"] |
| ORDER QUESTIONS RECORD NAME |
NH IP REASON FOR TESTING
NH IP CLINICAL HISTORY NOTE |
| INPATIENT ORDER QUESTIONS |
["3046200019", "3046200017", "3048500000"] |
| INPATIENT ORDER QUESTIONS RECORD NAME |
NH IP REASON FOR TESTING
NH IP CLINICAL HISTORY NOTE |
| 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 |
0 |
| 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 |
|---|
| 3046200017 |
NH IP CLINICAL HISTORY NOTE |
"Personal and/or Family Hx of Cancer (Relation/Type/Age of Dx) |
Free Text |
|
No |
| 3046200019 |
NH IP REASON FOR TESTING |
Reason for Testing: |
Custom List |
Diagnostic
Diagnostic/Family History
Family history |
No |
| 3048500000 |
NH IP PATIENT COMPLETED CONSENT |
Patient completed consent? |
Yes/No |
|
Yes |
|
EPIC IP AOEs
| Question ID | Question Name | Question | Response Type | Response List | Require Response |
|---|
| 3046200017 |
NH IP CLINICAL HISTORY NOTE |
"Personal and/or Family Hx of Cancer (Relation/Type/Age of Dx) |
Free Text |
|
No |
| 3046200019 |
NH IP REASON FOR TESTING |
Reason for Testing: |
Custom List |
Diagnostic
Diagnostic/Family History
Family history |
No |
| 3048500000 |
NH IP PATIENT COMPLETED CONSENT |
Patient completed consent? |
Yes/No |
|
Yes |
|
EPIC Components (results - crosswalked through Cerner)
| Component ID | Component Name | Base Name | Common Name | External Name | Cerner Result PDM |
|---|
| 3047807182.0 |
INTERPRETATION |
INTERP |
INTERPRETATION |
|
255306C |
| 3046200180.0 |
GENES ANALYZED |
GENEANALYZED |
GENES ANALYZED |
Genes Analyzed |
255306B |
| 3047802166.0 |
DISCLAIMER: |
DISCLAIM |
DISCLAIMER |
Disclaimer: |
255311A |
| 3046200189.0 |
INTERPRETATION REPORT |
INTERREPORT |
INTERPRETATION REPORT |
Interpretation report |
255306D |
|
