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DEB Fanconi Anemia Chromosome Breakage Analysis

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	DEBFAN DEB Fancon Anemia Chromosomes
Cerner Primary Mnemonic	DEB Fancon Anemia Chromosomes
EPIC Display Name	DEB Fanconi Anemia Chromosome Breakage Analysis
Allscripts (AEHR) Order Name	DEB Fancon Anemia, Chromosomes
Sunrise Clinical Manager (SCM) Order Name	DEB Fancon Anemia Chromosomes
EPIC Inpatient Orderable	Yes
EPIC Outpatient Orderable	Yes
Cerner Results	DEB Fancon Anemia, Chromosomes
Clinical Info	This test is performed to detect induced chromosome breakage in cells from persons with suspected Fanconi anemia. Diepoxybutane (DEB)-induced chromosome breakage is significantly elevated in Fanconi anemia cells, compared to cells from unaffected individuals.
Specimen Type	Blood
Container	Dark Green
Collection Instructions	Container/Tube: Sodium Heparin (Green top) Tube Alternate Specimens: Whole blood collected in: sodium heparin (royal blue-top or tan-top, lead free) tube Specimen: 10 mL whole blood ( 2 mL min) Infants: 3 mL whole blood (2 mL min) Transport Temperature: Room Temperature Collection Instructions Diagnostic test only. This test will not detect carriers of a Fanconi anemia gene mutation. Clinical history and reason for referral are required with test order. Specimen viability decreases during transit. Send specimen to testing lab for viability determination. Do not freeze. Do not reject. This test may be canceled and replaced by: Chromosome Analysis, Blood, No Growth, if the specimen does not yield mitotically active cells for analysis; or with a Cytogenetics Communication, if a communication is required. Collection: Clinical history and reason for referral are required with this test. Diagnostic test only. This test will not detect carriers of a Fanconi anemia gene mutation.
Transport Instructions	Room Temperature
Specimen Stability
Methodology	Chromosome Breakage (DEB) • Tissue Culture
Days Performed	Sunday - Saturday am Report available: 15 days
Performing Laboratory	Quest Diagnostics' Nichols Institute, Inc. - Chantilly
CPT	88230 88249
PDM	1759178

Desired Epic Build DEB Fanconi Anemia Chromosome Breakage Analysis

Cerner Primary Mnemonic:

DEB Fancon Anemia Chromosomes

PDM

1759178

Informatics - Workgroup

Molecular-send outs

Synonyms *

DEBFAN
DEB Fancon Anemia Chromosomes

Display Name *

DEB Fanconi Anemia Chromosome Breakage 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)

This test is performed to detect induced chromosome breakage in cells from persons with suspected Fanconi anemia. Diepoxybutane (DEB)-induced chromosome breakage is significantly elevated in Fanconi anemia cells, compared to cells from unaffected individuals.

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
DEBFANX	DEB Fancon Anemia, Chromosomes	1759178A

Actual Epic build

Procedure Id

115477

Pdm

1759178

Order Display Name

DEB Fanconi Anemia Chromosome Breakage Analysis

Procedure Name

DEB FANCON ANEMIA CHROMOSOMES

Procedure Master Number

LAB11581

Short Procedure Name

DEB FANCON ANEMIA CHROMOSOMES

Category Code

15.0

Category Code Record Name

LAB CYTOGENETICS ORDERABLES

Synonyms

DEBFAN DEB FANCON ANEMIA CHROMOSOMES

Clinically Active

Orderable

Performable

Filter Genomics

Generic Genomics Procedure

Reference Link Url

https://labs.northwell.edu/epic/test/115477

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

Op Orderable

EPIC OP 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 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	External Name	Cerner Result PDM
3047802113.0	DEB FANCON ANEMIA, CHROMOSOMES	DEBFANANEMCH	DEB FANCON ANEMIA, CHROMOSOMES		1759178A

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DEB Fanconi Anemia Chromosome Breakage Analysis

Test Catalog Information

Desired Epic Build DEB Fanconi Anemia Chromosome Breakage Analysis

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.