EPIC Test Compendium Alpha
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HLX CG Chromosome Analysis, Constitution

Test Catalog Information

Test Catalog Synonyms

Chromosome Analysis, Chorionic Villi (CVS)
Chromosome Analysis, Amniotic Fluid (AM)
Chromosome Analysis, Peripheral/Cord Blood (PB)
Chromosome Analysis, Skin Biopsy
Chromosome Analysis, Products of Conception (POC)
Karyotype

EPIC Synonyms HLX CG Chromosome Analysis; Constitutional CASE
HLX CA
CA AMNIO
CA CVS
CA TISSUE
CA BLOOD
CA BL HR
Karyotype
Karyotype
Chromosome Analysis, Products of Conception (POC)
Cerner Primary MnemonicHLX CG Chromosome Analysis; Constitutional CASE
EPIC Display NameHLX CG Chromosome Analysis, Constitution
Allscripts (AEHR) Order Name

Chromosome Analysis Constitutional

Sunrise Clinical Manager (SCM) Order Name

Not Orderable

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results
Clinical Info

Diagnosis of chromosome abnormalities, including aneuploidy, structural abnormalities, and balanced rearrangements

Specimen Type

Blood, Tissue, CVS/Amnio

Container

Sterile container (prenatal, POC, and tissue specimens); Green-top (sodium heparin) tube(s) (peripheral/cord blood)

Collection Instructions

Send to the laboratory ASAP at room temperature 20-25˚C.  If there is a delay in transportation, store the sample in a refrigerator at 4˚C-.  DO NOT FREEZE NOTE: Pertinent medical information including suspected diagnosis are required                            MINIMUM VOLUME:                                                                                                                                                         Amniotic Fluid: 20 mL in two sterile conical tubes                                                                          Chorionic Villi: 5 - 10 mg in sterile saline or transport media                                                          Peripheral Blood: Adult 5-10 mL, Newborn 2-5mL in sodium heparin dark green tube. Invert the tube several times to prevent coagulation.                 Products of Conception (POC): Products of Conception (POC)-- 5-10 mg placental villi or 1 cm umbilical cord in sterile tube with sterile saline or transport media (RPMI). *Please contact the cytogenetics lab to order RPMI: NSUHCulturedCellRequest@northwell.edu

Transport Instructions

Room Temperature

Specimen Stability

48 hours room temperature If specimen cannot be sent promptly, refrigerate and send ASAP DO NOT FREEZE

Methodology

Days Performed

Monday through Saturday Turnaround Times: Chorionic Villi and Amniotic Fluid: 7 - 14 Days POC and Tissue: 14 - 28 Days Peripheral Blood: 10 - 14 Days

Performing Laboratory

Northwell Health Laboratories

CPT

CPT code varies by specimen type. Please see CPT code form attached below

PDM

5160060, 5160080, 5160090, 5160130, 5160865

Desired Epic Build HLX CG Chromosome Analysis, Constitution

Cerner Primary Mnemonic: HLX CG Chromosome Analysis; Constitutional CASE
PDM 5160865
Informatics - WorkgroupMolecular-send outs
Synonyms *HLX CG Chromosome Analysis; Constitutional CASE
HLX CA
CA AMNIO
CA CVS
CA TISSUE
CA BLOOD
CA BL HR
Karyotype
Karyotype
Chromosome Analysis, Products of Conception (POC)
Display Name *HLX CG Chromosome Analysis, Constitution
Order Entry Specimen Sources *
Order Entry Specimen Types
Aspirate
Swab
Tissue
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)Diagnosis of chromosome abnormalities, including aneuploidy, structural abnormalities, and balanced rearrangements
IP Orderable Yes
OP Orderable Yes
AOEs *

AP AOEs
Special History No
Build Comments
Filter *
Procedure Category Change
Cerner Results

Actual Epic build

Procedure Id 115249
Pdm 5160090
Order Display Name HLX CG Chromosome Analysis, Constitution
Procedure Name CYTOGENETICS
Procedure Master Number LAB11456
Short Procedure Name HLX CG CHROMOSOME ANALYSIS; CONSTITUTION
Category Code 15.0
Category Code Record Name LAB CYTOGENETICS ORDERABLES
Synonyms
Clinically Active Yes
Orderable Yes
Performable
Filter Genomics Generic Genomics Procedure
Reference Link Url https://labs.northwell.edu/epic/test/115249
Ordering Instructions
Default Specimen Type
Specimen Type Pick List
Specimen Type List
Op Specimen Type List
Specimen Source Pick List
Specimen Source Default - Male
Specimen Source Default - Female
Specimen Source List
Op Specimen Source List
Ip Lab Test Components For Report HLXCROMFR
Op Lab Test Components For Report HLXCROMFR
Order Questions ["3048500059", "3048500000"]
Order Questions Record Name NH IP MOSAICISM STUDY
Inpatient Order Questions ["3048500059", "3048500000"]
Inpatient Order Questions Record Name NH IP MOSAICISM STUDY
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 1
Op Orderable 1
EPIC OP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
3048500000 NH IP PATIENT COMPLETED CONSENT Patient completed consent? Yes/No Yes
3048500059 NH IP MOSAICISM STUDY Mosaicism study? Yes/No Yes
EPIC IP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
3048500000 NH IP PATIENT COMPLETED CONSENT Patient completed consent? Yes/No Yes
3048500059 NH IP MOSAICISM STUDY Mosaicism study? Yes/No Yes
EPIC Components (results)