EPIC Test Compendium Alpha
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Thyroid Cancer Mutation Panel

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	THYCANPL
Cerner Primary Mnemonic	Thyroid Cancer Mutation Panel
EPIC Display Name	Thyroid Cancer Mutation Panel
Allscripts (AEHR) Order Name	Thyroid Cancer Mutation Panel
Sunrise Clinical Manager (SCM) Order Name	Thyroid Cancer Mutation Panel
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	BLK/SpecID KRAS Mutation Spec Source: RET/PTC1 RET/PTC3 HRAS Mutation NRAS Mutation PAX8/PPARG BRAF Mutat.
Clinical Info	Thyroid Cancer Mutation Panel - The thyroid mutation panel assesses for all 8 of the most common mutations or rearrangements associated with thyroid neoplasia.
Specimen Type
Container	Fluid
Collection Instructions	Container/Tube: Formalin-fixed, paraffin-embedded tissue block Specimen: 4 tissue slides- 6 FNA slides (2 tissue slides • 4 FNA slides min) Alternative Specimen(s) Needle washing (see instructions) • Minimum: 4 unstained, positively charged slides, submitted in a slide folder Collection Instructions Needle washings in alcohol based fixative (e.g. cytolyt), 4 slides, or formalin-fixed, paraffin embedded tissue block, FNA or FFPE specimens are acceptable for the assay. All specimens must be accompanied with a Pathology report. Specimens will be examined by a pathologist for confirmation and microdissection if warranted.
Transport Instructions
Specimen Stability
Methodology	Includes BRAF Mutation Analysis, Papillary Thyroid Cancer; RAS Mutation Analysis, Thyroid Cancer; RET/PTC Rearrangement, Thyroid Cancer; PAX8/PPAR[gamma] Translocation, Thyroid Cancer
Days Performed	Sunday - Saturday Report available: 6 days
Performing Laboratory	Quest Diagnostics' Nichols Institute, Inc. - Chantilly
CPT	81445
PDM	1759542

Desired Epic Build Thyroid Cancer Mutation Panel

Cerner Primary Mnemonic:

Thyroid Cancer Mutation Panel

PDM

1759542

Informatics - Workgroup

Molecular-send outs

Synonyms *

THYCANPL

Display Name *

Thyroid Cancer Mutation Panel

Order Entry Specimen Sources *

Order Entry Specimen Types

AP Specimen

Specimen Navigator Specimen Types

Specimen Navigator Specimen Sources

Specimen Navigator Short Name

Ordering info (EPIC SmartText)

Thyroid Cancer Mutation Panel - The thyroid mutation panel assesses for all 8 of the most common mutations or rearrangements associated with thyroid neoplasia.

IP Orderable

Yes

OP Orderable

Yes

AOEs *

AP AOEs

Special History

Build Comments

Filter *

genetics

Procedure Category Change

Cerner Results

Result Desc	Result display	Result PDM
BLK/SpecID	BLK/SpecID	1759542I
KRAS Mutation	KRAS Mutation	1759542F
Spec Source:	Spec Source:	1759542H
RET/PTC1	RET/PTC1	1759542A
RET/PTC3	RET/PTC3	1759542B
HRAS Mutation	HRAS Mutation	1759542E
NRAS Mutation	NRAS Mutation	1759542G
PAX8/PPARG	PAX8/PPARG	1759542C
BRAF Mutat.	BRAF Mutat.	1759542D

Actual Epic build

Procedure Id

114962

Pdm

1759542

Order Display Name

Thyroid Cancer Mutation Panel

Procedure Name

THYROID CANCER MUTATION PANEL

Procedure Master Number

LAB11303

Short Procedure Name

THYROID CANCER MUTATION PANEL

Category Code

15.0

Category Code Record Name

LAB CYTOGENETICS ORDERABLES

Synonyms

THYCANPL

Clinically Active

Orderable

Performable

Filter Genomics

Generic Genomics Procedure

Reference Link Url

https://labs.northwell.edu/epic/test/114962

Ordering Instructions

Default Specimen Type

Tissue

Specimen Type Pick List

Tissue

Specimen Type List

Op Specimen Type List

Specimen Source Pick List

Abdominal Wall Alveoli Amniotic Sac Ankle, Left Ankle, 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 Cheek, Left Cheek, Right Chin Diaphragm Ear, Left Ear, 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 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 Other 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

Specimen Source Default - Male

Specimen Source Default - Female

Specimen Source List

Op Specimen Source List

Ip Lab Test Components For Report

Op Lab Test Components For Report

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

Op Orderable

EPIC OP AOEs

Question ID	Question Name	Question	Response Type	Response List	Require Response
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
3048500000	NH IP PATIENT COMPLETED CONSENT	Patient completed consent?	Yes/No		Yes

EPIC Components (results)

Component ID	Component Name	Base Name	Common Name	Cerner Result PDM
3047801406.0	BLOCK/SPECIMEN ID	BLOCKSPECID	BLOCK/SPECIMEN ID	1759542I
3047803197.0	KRAS MUTATION	KRASMUT	KRAS MUTATION	1759542F
3047804791.0	THYROID CANCER MUTATATION PANEL SPECIMEN SOURCE	THYCANCERSRC	THYROID CANCER MUTATATION PANEL SPECIMEN SOURCE	1759542H
3047804553.0	RET/PTC1	RETPTC1	RET/PTC1	1759542A
3047804554.0	RET/PTC3	RETPTC3	RET/PTC3	1759542B
3047802927.0	HRAS MUTATION	HRASMUT	HRAS MUTATION	1759542E
3047803809.0	NRAS MUTATION	NRASMUT	NRAS MUTATION	1759542G
3047803977.0	PAX8/PPARG	PAX8PPARG	PAX8/PPARG	1759542C
3047801425.0	BRAF GENE TARGETED MUTATION ANALYSIS	BRAF	BRAF GENE TARGETED MUTATION ANALYSIS	1759542D

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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Thyroid Cancer Mutation Panel

Test Catalog Information

Desired Epic Build Thyroid Cancer Mutation Panel

Actual Epic build

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.