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Fatty Acid Profile, Peroxisomal (C22-C26)

Desired Epic Build * = editable field  

Cerner Primary Mnemonic: Peroxisomal Fatty Acids (C22-C26)
PDM 5902780
Informatics - WorkgroupChemistry
Synonyms *PEROXISOMAL FATTY ACIDS (C22-C26)
CEREBROHEPATORENAL SYNDROME
LONG-CHAIN FATTY ACIDS (LCFA)
VERY LONG CHAIN FATTY ACIDS (VLCFA
Display Name *Fatty Acid Profile, Peroxisomal (C22-C26)
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)Evaluating patients with possible peroxisomal disorders, single-enzyme defects of peroxisomal metabolism such as X-linked adrenoleukodystrophy  or peroxisomal biogenesis disorders (Zellweger syndrome spectrum) using serum specimens Aiding in the assessment of peroxisomal function This test analyzes very long-chain fatty acids (VLCFA) as well as pristanic and phytanic acid to aid in diagnosis of peroxisomal biogenesis disorders (PBD),  X-linked adrenoleukodystrophy (X-ALD), and Refsum disease. Reports include concentrations of C22:0, C24:0, C26:0 species, phytanic acid and pristanic acid, and calculated C24:0/C22:0, C26:0/C22:0, and  phytanic acid/pristanic acid ratios. This test is also appropriate for follow-up of an abnormal newborn screen for X-ALD.
IP Orderable (inpatient) Yes
OP Orderable (outpatient) Yes
AOEs *

AP AOEs
Special History No
Build Comments
Filter *
Cerner Site RestrictMayo Medical Labs
Cerner Results

Result Desc Result display Result PDM
C22:0 C22:0 5902780A
Pristanic Acid Pristanic Acid 5902780F
C24:0/C22:0 C24:0/C22:0 5902780D
C26:0/C22:0 C26:0/C22:0 5902780E
Phytanic Acid Phytanic Acid 5902780G
C24:0 C24:0 5902780B
Pristanic/Phytanic Pristanic/Phytanic 5902780H
C26:0 C26:0 5902780C
Comment COMMNT-C22 5902780I

Actual Epic Build 3/11/2025

PROCEDURE ID 56086
PDM 5902780
ORDER DISPLAY NAME Fatty Acid Profile, Peroxisomal (C22-C26)
PROCEDURE NAME FATTY ACIDS PROFILE, PEROXISOMAL
PROCEDURE MASTER NUMBER LAB988
SHORT PROCEDURE NAME FATTY ACIDS
CATEGORY CODE 1.0
CATEGORY CODE RECORD NAME LAB BLOOD ORDERABLES
SYNONYMS PEROXISOMAL FATTY ACIDS (C22-C26)
CEREBROHEPATORENAL SYNDROME
LONG-CHAIN FATTY ACIDS (LCFA)\
VERY LONG CHAIN FATTY ACIDS (VLCFA)
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://labs.northwell.edu/epic/test/56086
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 C220
C240
C260
C24C22
C26C22
PRIST
PHYT
PRISPHY
COMMENT
OP LAB TEST COMPONENTS FOR REPORT C220
C240
C260
C24C22
C26C22
PRIST
PHYT
PRISPHY
COMMENT
ORDER QUESTIONS []
ORDER QUESTIONS RECORD NAME
INPATIENT ORDER QUESTIONS []
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
EDP IP ORDER SPECIFIC QUESTIONS RECORD NAME
EDP IP SPECIMEN SOURCE Blood, Venous
Blood, Central Line
Blood, Arterial
Blood, Capillary
EDP OP SPECIMEN SOURCE
EDP IP SPECIMEN TYPE Blood
EDP OP SPECIMEN TYPE
DERIVED EDP IP BUTTONS S Blood, Central Line
Blood, Arterial
Blood, Capillary
Blood, Venous
DERIVED EDP IP BUTTONS T Blood
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

EPIC IP AOEs

EPIC Components (results - crosswalked through Cerner)

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3047801545.0 C22:0 C220 C220 C22:0 5902780A
3047804260.0 PRISTANIC ACID PRIST PRISTANIC ACID 5902780F
3047801547.0 C24:0/C22:0 C24C22 C240 C220 5902780D
3047801549.0 C26:0/C22:0 C26C22 C260 C220 5902780E
3047804092.0 PHYTANIC ACID PHYT PHYTANIC ACID 5902780G
3047801546.0 C24:0 C240 C240 C24:0 5902780B
3047804261.0 PRISTANIC/PHYTANIC PRISPHY PRISTANIC PHYTANIC 5902780H
3047801548.0 C26:0 C260 C260 5902780C
3047805437.0 COMMENT - C22 COMMENT COMMENT C22 5902780I