EPIC Test Compendium Alpha
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Common Cancer Management Panel

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	CC MGMT Panel
Cerner Primary Mnemonic	Common Cancer Management Panel
EPIC Display Name	Common Cancer Management Panel
Allscripts (AEHR) Order Name	Common Cancer Management Panel
Sunrise Clinical Manager (SCM) Order Name	Not Orderable
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	Methodology (BioRef) Footnotes Disclaimer (BioRef) Results (BioRef) Key Results Comment Comments on Results Interpretation (BioRef) Assoc Tests Clinical Info Interpretive Info High/Moderate Risk Panel Additional Report Reviews Report Note References (BioRef) Electronic Sig Test Information
Clinical Info	Cancer at a young age, such as breast or colon cancer Multiple cancers in one person, either of the same origin (such as two separate colon cancers) or of different origins (such as breast cancer and ovarian cancer) Diagnosis of certain rare cancers, such as ovarian or male breast cancer Multiple relatives diagnosed with the same or related cancers on the same side of the family and spanning multiple generations
Specimen Type	Blood
Container	Lavender Top Tube
Collection Instructions	Container/Tube: Lavender top tube Specimen: 2 - 5 mL whole blood Transport Temperature: Room Temperature
Transport Instructions	Room Temperature
Specimen Stability
Methodology	Deletion/Duplication Analysis Next-Gen Sequencing
Days Performed	TAT 2 Weeks
Performing Laboratory	GeneDx
CPT	81432 81433
PDM	1659844

Desired Epic Build Common Cancer Management Panel

Cerner Primary Mnemonic:

Common Cancer Management Panel

PDM

1659844

Informatics - Workgroup

Molecular-send outs

Synonyms *

CC MGMT Panel

Display Name *

Common Cancer Management Panel

Order Entry Specimen Sources *

Order Entry Specimen Types

Blood

Specimen Navigator Specimen Types

Specimen Navigator Specimen Sources

Specimen Navigator Short Name

Ordering info (EPIC SmartText)

Cancer at a young age, such as breast or colon cancer Multiple cancers in one person, either of the same origin (such as two separate colon cancers) or of different origins (such as breast cancer and ovarian cancer) Diagnosis of certain rare cancers, such as ovarian or male breast cancer Multiple relatives diagnosed with the same or related cancers on the same side of the family and spanning multiple generations

IP Orderable

Yes

OP Orderable

Yes

AOEs *

AOE PDM	AOE Display	AOE Description	Prompt
AOE000022	Ethnicity:	Ethnicity:	X
1659837Q4	Personal Hx of Cancer, Age of Dx and Typ	Personal Hx of Cancer, Age of Dx and Type	X
1659837Q2	Family Hx of Cancer, Relation, Age of Dx	Family Hx of Cancer, Relation, Age of Dx and Type	X
1659837Q3	Other indication for genetic testing	Other indication for genetic testing	X

AP AOEs

Special History

Build Comments

Filter *

genetics

Procedure Category Change

Cerner Results

Result Desc	Result display	Result PDM
Method(BioRef)	Methodology (BioRef)	1659834F
Footnotes	Footnotes	1659834J
Disclaimer	Disclaimer (BioRef)	1659834H
Result(BioRef)	Results (BioRef)	1659843C
Key Results	Key Results Comment	1659834K
Comm Results	Comments on Results	1659834D
Interp(BioRef)	Interpretation (BioRef)	1659834A
Assoc Tests	Assoc Tests	1659834L
Clinical Info	Clinical Info	1659834C
Interp Info	Interpretive Info	1659843B
Hi/Mod Rsk Pnl	High/Moderate Risk Panel	1659844A
Add Rpt Review	Additional Report Reviews	1659843D
Report Note	Report Note	1659834M
Ref(BioRef)	References (BioRef)	1659834G
Electronic Sig	Electronic Sig	1659834I
Test Info	Test Information	1659834E

Current Actual EPIC Build as of 10/28/2024

Procedure Id

114816

Pdm

1659844

Order Display Name

Common Cancer Management Panel

Procedure Name

COMMON CANCER MANAGEMENT PANEL

Procedure Master Number

LAB11220

Short Procedure Name

COMMON CANCER MANAGEMENT PANEL

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

CC MGMT PANEL

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Generic Genomics Procedure

Reference Link Url

https://labs.northwell.edu/epic/test/114816

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

Op Lab Test Components For Report

Order Questions

["3048500036", "3046000074", "3046000076", "3046000020"]

Order Questions Record Name

NH IP ETHNICITY CUSTOM LIST NH IP PERSONAL HX OF CANCER AGE DX TYPE NH IP FAMILY HX OF CANCER RELATION AGE OF DX NH IP OTHER INIDCATION FOR GENETIC TESTING

Inpatient Order Questions

["3048500036", "3046000074", "3046000076", "3046000020"]

Inpatient Order Questions Record Name

NH IP ETHNICITY CUSTOM LIST NH IP PERSONAL HX OF CANCER AGE DX TYPE NH IP FAMILY HX OF CANCER RELATION AGE OF DX NH IP OTHER INIDCATION FOR GENETIC TESTING

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, Venous Blood, Capillary Blood, Arterial

Derived Edp Ip Buttons T

Blood

Derived Edp Op Buttons S

Derived Edp Op Buttons T

Ip Orderable

Op Orderable

EPIC OP AOEs

Question ID	Question Name	Question	Response Type	Response List	Require Response
3046000020	NH IP OTHER INIDCATION FOR GENETIC TESTING	Other indication for genetic testing	Custom List	Ashkenazi Jewish Ancestry Center Analysis (No Family History) Clinical Findings Clincial Suspicion of Disease Family History	Yes
3046000074	NH IP PERSONAL HX OF CANCER AGE DX TYPE	Personal Hx of Cancer, Age of Dx and Type	Free Text		No
3046000076	NH IP FAMILY HX OF CANCER RELATION AGE OF DX	Family Hx of Cancer, Relation, Age of Dx	Free Text		No
3048500036	NH IP ETHNICITY CUSTOM LIST

EPIC IP AOEs

Question ID	Question Name	Question	Response Type	Response List	Require Response
3046000020	NH IP OTHER INIDCATION FOR GENETIC TESTING	Other indication for genetic testing	Custom List	Ashkenazi Jewish Ancestry Center Analysis (No Family History) Clinical Findings Clincial Suspicion of Disease Family History	Yes
3046000074	NH IP PERSONAL HX OF CANCER AGE DX TYPE	Personal Hx of Cancer, Age of Dx and Type	Free Text		No
3046000076	NH IP FAMILY HX OF CANCER RELATION AGE OF DX	Family Hx of Cancer, Relation, Age of Dx	Free Text		No
3048500036	NH IP ETHNICITY CUSTOM LIST

EPIC Components (results)

Component ID	Component Name	Base Name	Common Name	Cerner Result PDM
3047803487	METHODOLOGY (BIOREF)	METHOD	METHODOLOGY BIOREF	1659834F
3047805494	FOOTNOTES	FOOTNOTES	FOOTNOTES	1659834J
3047802165	DISCLAIMER (BIOREF)	DISCLAIMERBR	DISCLAIMER BIOREF	1659834H
3047804550	RESULTS (BIOREF)	RESULTSBIO	RESULTS BIOREF	1659843C
3047803186	KEY RESULTS COMMENT	COMMENT	KEY RESULTS COMMENT	1659834K
3047801938	COMMENTS ON RESULTS	COMMENRES	COMMENTS ON RESULTS	1659834D
3047803088	INTERPRETATION (BIOREF)	INTERP	INTERPRETATION BIOREF	1659834A
3047801206	ASSOC TESTS	ASSOCTEST	ASSOC TESTS	1659834L
3047801843	CLINICAL INFO	CLININFO	CLINICAL INFO	1659834C
3047803097	INTERPRETIVE INFO	INTERP	INTERPRETIVE INFO	1659843B
3047802813	HIGH/MODERATE RISK PANEL	HMRISKPL	HIGH MODERATE RISK PANEL	1659844A
3047800867	ADDITIONAL REPORT REVIEWS	ADDREPREV	ADDITIONAL REPORT REVIEWS	1659843D
3047805628	REPORT NOTE	REPORTNOTE	REPORTNOTE, NOTE	1659834M
3047804492	REFERENCES (BIOREF)	REFBIO	REFERENCES BIOREF	1659834G
3047802291	ELECTRONIC SIG	ELECTSIG	ELECTRONIC SIG	1659834I
3047804928	TEST INFORMATION	TESTINFO	TEST INFORMATION	1659834E

EPIC Test Compendium Alpha Welcome to the new Northwell Health Labs Test Directory, please call our Client Services Department at 1-800-472-5757 with any typos, corrections or issues.

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Common Cancer Management Panel

Test Catalog Information

Desired Epic Build Common Cancer Management Panel

Current Actual EPIC Build as of 10/28/2024

EPIC Test Compendium Alpha
Welcome to the new Northwell Health Labs Test Directory, please call our Client Services Department at 1-800-472-5757 with any typos, corrections or issues.