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Malignant Melanoma Panel

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	MaligMelan
Cerner Primary Mnemonic	Melanoma panel
EPIC Display Name	Malignant Melanoma Panel
Allscripts (AEHR) Order Name	Melanoma Panel
Sunrise Clinical Manager (SCM) Order Name	Not Orderable
EPIC Inpatient Orderable	No
EPIC Outpatient Orderable	No
Cerner Results	Malignant Melanoma
Clinical Info	Test is inactive at GeneDx Identification of a hereditary susceptibility to malignant melanoma Development of a clinical surveillance plan for early detection Identification of at-risk family members GeneDx Code B399
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- 3 Weeks
Performing Laboratory	GeneDx
CPT	81404 81479 81216 81321 81323 81351
PDM	1659883

Desired Epic Build Malignant Melanoma Panel

Cerner Primary Mnemonic:

Melanoma panel

PDM

1659883

Informatics - Workgroup

Molecular-send outs

Synonyms *

MaligMelan

Display Name *

Malignant Melanoma 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)

** Test is inactive at GeneDx ** Identification of a hereditary susceptibility to malignant melanoma Development of a clinical surveillance plan for early detection Identification of at-risk family members GeneDx Code B399

IP Orderable

OP Orderable

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
Malig Melanoma	Malignant Melanoma	1659883A

Actual Epic build

Procedure Id

115077

Pdm

1659883

Order Display Name

Malignant Melanoma Panel

Procedure Name

MALIGNANT MELANOMA

Procedure Master Number

LAB11365

Short Procedure Name

MALIGNANT MELANOMA

Category Code

1.0

Category Code Record Name

LAB BLOOD ORDERABLES

Synonyms

MALIGMELAN

Clinically Active

Orderable

Yes

Performable

Yes

Filter Genomics

Generic Genomics Procedure

Reference Link Url

https://labs.northwell.edu/epic/test/115077

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, Capillary Blood, Venous Blood, Central Line 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	External Name	Cerner Result PDM
3047803383.0	MALIGNANT MELANOMA	MELANOMA	MALIGNANT MELANOMA		1659883A

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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Malignant Melanoma Panel

Test Catalog Information

Desired Epic Build Malignant Melanoma 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.