EPIC Test Compendium Alpha
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Alpha-Globin Gene Sequencing

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms ALPHAGSEQ
Cerner Primary MnemonicAlpha-Globin Gene Sequencing
EPIC Display NameAlpha-Globin Gene Sequencing
Allscripts (AEHR) Order Name

Alpha-Globulin Gene Sequencing

Sunrise Clinical Manager (SCM) Order Name

Alpha-Globin Gene Sequencing

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

1. To identify disease-causing mutations in individuals affected with alpha-Thalassemia. 2. To identify carriers in high risk ethnic groups or people with a positive family history. 3. Prenatal diagnosis of alpha-Thalassemia.

Specimen Type

Container

Lavender Top Tube

Collection Instructions

Container/Tube: Lavender top tube Alternate Specimen(s): Whole blood collected in: Sodium heparin (green-top), lithium heparin (green-top) or ACD solution B (yellow-top) • Amniotic fluid • Cultured cells • Chorionic villus sampling Specimen: 5 mL whole blood (3 mL min) Transport Temperature: Room Temperature Collection Instructions Whole blood (preferred): Normal phlebotomy procedure. Specimen stability is crucial. Store and ship room temperature immediately. Do not freeze. Amniotic fluid (acceptable): 20 mL (min 5 mL) temperature only specimen stability is crucial. Store and ship room temperature immediately. Do not refrigerate or freeze. Amniotic culture (acceptable): Sterile T25 flask, filled with culture medium. Specimen stability is crucial. Store and ship room temperature immediately. Do not refrigerate or freeze. Dissected chorionic villi (CVS) biopsy (acceptable): 10-20 mg dissected CVS collected in sterile tube filled with sterile culture medium. Specimen stability is crucial. Store and ship room temperature immediately. Do not refrigerate or freeze. Provide family history; For prenatal diagnosis with a fetal specimen: 1) Parents must be documented carriers of one of the mutations tested 2) Maternal blood or DNA must be available 3) Contact the laboratory genetic counselor before submission Provide clinical information (MCV, blood work, age, alpha globin mutations detected, ethnicity).

Transport Instructions

Room Temperature

Specimen Stability

Whole Blood (preferred) 30 Days Room Temperature or Refrigerated All other samples 2 Days -Room Temperature only Unacceptable Refrigerated or Frozen

Methodology

DNA Sequencing • Polymerase Chain Reaction (PCR)

Days Performed

TAT: 3-4 Weeks

Performing Laboratory

Quest Diagnostics' Nichols Institute, Inc. - Chantilly

CPT

81259
 
LOINC Code:  21687-9

PDM

1959552

Desired Epic Build Alpha-Globin Gene Sequencing

Cerner Primary Mnemonic: Alpha-Globin Gene Sequencing
PDM 1959552
Informatics - WorkgroupHematology
Synonyms *ALPHAGSEQ
Display Name *Alpha-Globin Gene Sequencing
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)1. To identify disease-causing mutations in individuals affected with alpha-Thalassemia. 2. To identify carriers in high risk ethnic groups or people with a positive family history. 3. Prenatal diagnosis of alpha-Thalassemia.
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
ALPHAGSEQ ALPHAGSEQ 1959552A

Current Actual EPIC Build as of 10/28/2024

Procedure Id 115443
Pdm 1959552
Order Display Name Alpha-Globin Gene Sequencing
Procedure Name ALPHA-GLOBIN GENE SEQUENCING
Procedure Master Number LAB11564
Short Procedure Name ALPHA-GLOBIN GENE SEQUENCING
Category Code 15.0
Category Code Record Name LAB CYTOGENETICS ORDERABLES
Synonyms ALPHAGSEQ
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics Generic Genomics Procedure
Reference Link Url https://labs.northwell.edu/epic/test/115443
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 ["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 1
Op Orderable 1
EPIC OP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire 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 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
3047800955 ALPHA-GLOBIN GENE SEQUENCING AGLOBGENESQ ALPHA GLOBIN GENE SEQUENCING 1959552A