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Familial Mediterranean Fever Mutation Analysis

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms FMV
Cerner Primary MnemonicFamilial Med Fever Mutation
EPIC Display NameFamilial Mediterranean Fever Mutation Analysis
Allscripts (AEHR) Order Name

Familial Med Fever Mutation

Sunrise Clinical Manager (SCM) Order Name

Familial Mediterranean Fever Mutation

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results Familial Med Fever Mutation Analysis (NY
Clinical Info

The test identifies disease-causing mutations in individuals affected with Familial Mediterranean Fever (FMF). It can also be used in identifying carriers in high-risk ethnic groups and in prenatal diagnosis.

Specimen Type

Blood

Container

Lavender Top Tube

Collection Instructions

Container/Tube: Lavender EDTA tube Specimen: 5 mL whole blood EDTA ( 3 mL min) Transport Temperature: Room Temperature Note: Normal phlebotomy procedure. Specimen stability is crucial. Store and ship room temperature immediately. Do not freeze. For prenatal diagnosis parental results must be available. Contact the laboratory genetic counselor before submission. Alternative Specimen(s) Cultured cells collected from amniotic fluid or CVS in two T-25 Flasks • 20 mL (10 mL minimum) amniotic fluid in leak-proof 15 mL conical tubes • 10-20 mg dissected CVS Collection Instructions Whole blood: Normal phlebotomy procedure. Specimen stability is crucial. Store and ship room temperature immediately. Do not freeze. For prenatal diagnosis parental results must be available. Contact the laboratory genetic counselor before submission. Amniotic fluid: Normal collection procedure. Specimen stability is crucial. Store and ship room temperature immediately. Do not refrigerate or freeze. Amniocyte or CVS culture: Two-Sterile T25 flasks, filled with culture medium.  Specimen stability is crucial. Store and ship room temperature. Do not refrigerate or freeze. Dissected chorionic villi (CVS) biopsy: 10-20 mg dissected CVS collected in a  sterile tube filled with sterile culture medium. Specimen stability is crucial. Store and ship room temperature immediately. Do not refrigerate or freeze

Transport Instructions

Room Temperature

Specimen Stability

Methodology

Polymerase Chain Reaction (PCR) • Single Nucleotide Primer Extension   Set up: Tuesday a.m. Report available: 9 -16 days  

Days Performed

Performing Laboratory

Quest Diagnostics' Nichols Institute, Inc. - Chantilly

CPT

81402

PDM

5900768

Desired Epic Build Familial Mediterranean Fever Mutation Analysis

Cerner Primary Mnemonic: Familial Med Fever Mutation
PDM 5900768
Informatics - WorkgroupMolecular-send outs
Synonyms *FMV
Display Name *Familial Mediterranean Fever Mutation Analysis
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)The test identifies disease-causing mutations in individuals affected with Familial Mediterranean Fever (FMF). It can also be used in identifying carriers in high-risk ethnic groups and in prenatal diagnosis.
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
FMVX Familial Med Fever Mutation Analysis (NY 5900768

Actual Epic build

Procedure Id 115453
Pdm 5900768
Order Display Name Familial Mediterranean Fever Mutation Analysis
Procedure Name FAMILIAL MEDITERRANEAN FEVER MUTATION
Procedure Master Number LAB11569
Short Procedure Name FAMILIAL MEDITERRANEAN FEVER MUTATION
Category Code 15.0
Category Code Record Name LAB CYTOGENETICS ORDERABLES
Synonyms FMV
Clinically Active
Orderable
Performable
Filter Genomics Generic Genomics Procedure
Reference Link Url https://labs.northwell.edu/epic/test/115453
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 ["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
3047802413.0 FAMILIAL MED FEVER MUTATION ANALYSIS (NY MEDFEVMUFAM FAMILIAL MED FEVER MUTATION ANALYSIS (NY 5900768