EPIC Test Compendium Alpha
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Glucuronosyltransferase 1A1 (UGT1A1), Full Gene Sequencing, Varies

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	UGT1A1, Full Gene Sequencing
Cerner Primary Mnemonic	UGT1A1, Full Gene Sequencing
EPIC Display Name	Glucuronosyltransferase 1A1 (UGT1A1), Full Gene Sequencing, Varies
Allscripts (AEHR) Order Name	UGT1A1, Full Gene Sequencing
Sunrise Clinical Manager (SCM) Order Name	Uridine Diphosphate Glucuronosyltransferase (UG
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	Disclaimer Result Summary Interpretation FULL Gene Sequence Result Additional Information REVIEWEDBY TA Repeat Result Method
Clinical Info	Identifying individuals who are at increased risk of adverse drug reactions with drugs that are metabolized by UGT1A1; especially irinotecan but also atazanavir, nilotinib, pazopanib, and belinostat Identifying individuals with Gilbert syndrome due to the presence of homozygous UGT1A16 (c.211G>A, based on NM_000463.2) allele, TA7, homozygous TA8, or compound heterozygous 6, TA7 or TA8 Identifying individuals who are carriers of Gilbert syndrome due to the presence of heterozygous TA7 or TA8 This test is not useful for assessment of Crigler-Najjar syndrome.
Specimen Type	Blood
Container	Lavender Top Tube
Collection Instructions	Submit only 1 of the following specimens: Specimen Type: Whole blood Container/Tube: Adults: Lavender top (EDTA) Pediatrics: Purple microtube Specimen Adults: 3 mL( 0.45 mL min) Pediatrics: 1 mL Collection Instructions: 1. Invert several times to mix blood. 2. Send specimen in original tube. Do not aliquot. Specimen Stability Information: Ambient (preferred) 9 days/Refrigerated 30 days Specimen Type: Saliva Patient Preparation: Patient should not eat, drink, smoke, or chew gum 30 minutes prior to collection. Container/Tube: Saliva Swab Collection Kit Volume: One swab Collection Instructions: Collect and send specimen per kit instructions. Specimen Stability Information: Ambient 30 days
Transport Instructions	Room Temperature
Specimen Stability	Whole Blood 9 Days Room Temperature 30 Days Refrigerated Saliva 30 Days Room Temperature Extracted DNA Frozen/Room Temperature/Refrigerated
Methodology	Polymerase Chain Reaction (PCR) followed by DNA Sequence Analysis
Days Performed	TAT 8-15 Days.
Performing Laboratory	Mayo Medical Laboratories
CPT	81404 LOINC Code 93844-9
PDM	1759385

Desired Epic Build Glucuronosyltransferase 1A1 (UGT1A1), Full Gene Sequencing, Varies

Cerner Primary Mnemonic:

UGT1A1, Full Gene Sequencing

PDM

1759385

Informatics - Workgroup

Molecular-send outs

Synonyms *

UGT1A1, Full Gene Sequencing

Display Name *

Glucuronosyltransferase 1A1 (UGT1A1), Full Gene Sequencing, Varies

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)

Identifying individuals who are at increased risk of adverse drug reactions with drugs that are metabolized by UGT1A1; especially irinotecan but also atazanavir, nilotinib, pazopanib, and belinostat Identifying individuals with Gilbert syndrome due to the presence of homozygous UGT1A1*6 (c.211G>A, based on NM_000463.2) allele, TA7, homozygous TA8, or compound heterozygous *6, TA7 or TA8 Identifying individuals who are carriers of Gilbert syndrome due to the presence of heterozygous TA7 or TA8 This test is not useful for assessment of Crigler-Najjar syndrome.

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
PDGFRBD	Disclaimer	1759247J
PDGFRBRS	Result Summary	1759247A
PDGFRBINT	Interpretation	1759247B
FULLGSQR	FULL Gene Sequence Result	1759385F
PDGFRBAI	Additional Information	1759247I
REVIEWEDBY	REVIEWEDBY	1759385G
TAREPEATR	TA Repeat Result	1759385E
PDGFRBMTH	Method	1759247H

Actual Epic build

Procedure Id

115413

Pdm

1759385

Order Display Name

Glucuronosyltransferase 1A1 (UGT1A1), Full Gene Sequencing, Varies

Procedure Name

UGT1A1, FULL GENE SEQUENCING

Procedure Master Number

LAB11549

Short Procedure Name

UGT1A1, FULL GENE SEQUENCING

Category Code

15.0

Category Code Record Name

LAB CYTOGENETICS ORDERABLES

Synonyms

UGT1A1, FULL GENE SEQUENCING

Clinically Active

Yes

Orderable

Yes

Performable

Yes

Filter Genomics

Generic Genomics Procedure

Reference Link Url

https://labs.northwell.edu/epic/test/115413

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

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

["3045300170", "3045300171", "3045300173"]

Order Questions Record Name

NH IP HOME COLLECT DATE NH IP HOME COLLECT DAYS NH IP HOME COLLECT MEDICALLY NECESSARY

Inpatient Order Questions

["3048500000"]

Inpatient Order Questions Record Name

Order Specific Question Override

Yes

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
3045300170	NH IP HOME COLLECT DATE	Start Date	Date		Yes
3045300171	NH IP HOME COLLECT DAYS	Days	Custom List	Monday Tuesday Wednesday Thursday Friday Saturday Sunday	Yes
3045300173	NH IP HOME COLLECT MEDICALLY NECESSARY	Medically Necessary?	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
3047805469.0	PDGFRB DISCLAIMER	DISCLAIM	PDGFRB DISCLAIMER	1759247J
3047805635.0	RESULT SUMMARY	RESULTSUMM	RESULTSUMM, SUMMARY	1759247A
3047805536.0	PDGFRB INTERPRETATION	INTERP	PDGFRB INTERPRETATION	1759247B
3047802526.0	FULL GENE SEQUENCE RESULT	FULLGENSEQ	FULL GENE SEQUENCE RESULT	1759385F
3047800866.0	ADDITIONAL INFORMATION	ADDINFO	ADDITIONAL INFORMATION	1759247I
3047804560.0	REVIEWEDBY	REVIEWEDBY	REVIEWEDBY	1759385G
3047804908.0	TA REPEAT RESULT	TAREPT	TA REPEAT RESULT	1759385E
3047803486.0	METHOD	METHOD	METHOD	1759247H

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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Glucuronosyltransferase 1A1 (UGT1A1), Full Gene Sequencing, Varies

Test Catalog Information

Desired Epic Build Glucuronosyltransferase 1A1 (UGT1A1), Full Gene Sequencing, Varies

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.