EPIC Test Compendium Alpha
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Chromosomal Microarray (MicroarrayDx)

Test Catalog Information

Test Catalog Synonyms

MicroarrayDx
GeneDx Code= 910

EPIC Synonyms GenomeDx
GeneDx Code= 910
Cerner Primary MnemonicHigh Resolution Chromosomal Microarray (MicroarrayDx)
EPIC Display NameChromosomal Microarray (MicroarrayDx)
Allscripts (AEHR) Order Name

High Resolution Chromosomal Microarray (MicroarrayDx)

Sunrise Clinical Manager (SCM) Order Name

High Resolution Chromosomal Microarray (Microar

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results Genome Dx SNP CGH Array
Clinical Info

Confirmation of a clinical diagnosis Differentiation between de novo and familial cases Improved recurrence risk and prognosis

Specimen Type

Blood, Other

Container

Lavender Top Tube

Collection Instructions

Container/Tube: Lavender EDTA top tube, POC* or OralRinse Buccal Swabs Specimen: 2 -5 mL whole blood or 30-40 mL oral rinse *Please note that Maternal Cell Contamination (MCC) studies are not included with this test. For high resolution chromosomal microarray studies with MCC, please order “Prenatal High Resolution Array” (PRENATSNP)

Transport Instructions

Room Temperature

Specimen Stability

Methodology

Whole-genome Array CGH

Days Performed

TAT: 3 Weeks

Performing Laboratory

GeneDx

CPT

81229 ;

PDM

1659902

Desired Epic Build Chromosomal Microarray (MicroarrayDx)

Cerner Primary Mnemonic: High Resolution Chromosomal Microarray (MicroarrayDx)
PDM 1659902
Informatics - WorkgroupMolecular-send outs
Synonyms *GenomeDx
GeneDx Code= 910
Display Name *Chromosomal Microarray (MicroarrayDx)
Order Entry Specimen Sources *
Order Entry Specimen Types
Blood
Buccal Swab
Products of Conception
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)Confirmation of a clinical diagnosis Differentiation between de novo and familial cases Improved recurrence risk and prognosis
IP Orderable Yes
OP Orderable Yes
AOEs *

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

Result DescResult displayResult PDM
GenomeSNPCGH Genome Dx SNP CGH Array 1659902A

Current Actual EPIC Build as of 10/28/2024

Procedure Id 115411
Pdm 1659902
Order Display Name Chromosomal Microarray (MicroarrayDx)
Procedure Name HIGH RESOLUTION CHROMOSOMAL MICROARRAY (MICROARRAYDX)
Procedure Master Number LAB11548
Short Procedure Name HIGH RESOLUTION CHROMOSOMAL MICROARRAY (MICROARRAYDX)
Category Code 15.0
Category Code Record Name LAB CYTOGENETICS ORDERABLES
Synonyms GENOMEDX GENEDX CODE= 910
Clinically Active
Orderable
Performable
Filter Genomics Generic Genomics Procedure
Reference Link Url https://labs.northwell.edu/epic/test/115411
Ordering Instructions
Default Specimen Type Blood
Specimen Type Pick List Products of Conception Swab Blood
Specimen Type List
Op Specimen Type List
Specimen Source Pick List Blood, Arterial Blood, Capillary Blood, Central Line Blood, Venous Buccal Smear Product of Conception
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 ["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 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
EPIC IP AOEs

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

Component IDComponent NameBase NameCommon NameExternal NameCerner Result PDM
3047802566 GENOME DX SNP CGH ARRAY GENOARR GENOME DX SNP CGH ARRAY 1659902A