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BRCA 1/2 Ashkenazi Founder Mutation Panel

Test Catalog Information

Test Catalog Synonyms

EPIC Synonyms
Cerner Primary MnemoniczzzBRCA 1/2 Ashkenazi Founder Mutation Panel
EPIC Display NameBRCA 1/2 Ashkenazi Founder Mutation Panel
Allscripts (AEHR) Order Name

BRCA 1/2 Ashkenazi Founder Mutation Pane

Sunrise Clinical Manager (SCM) Order Name

Not Orderable

EPIC Inpatient Orderable No
EPIC Outpatient Orderable No
Cerner Results
Clinical Info

   Discontinued 3/18/24Per NCCN guidelines, any woman of Ashkenazi Jewish ancestry who has been diagnosed with breast or ovarian cancer meets criteria for  BRCA founder variant testing. Verification of a genetic basis for cancer in families indicative or suggestive of hereditary breast and ovarian  cancer. Determination of appropriate screening and treatment. Identification of at-risk family members.

Specimen Type

Blood

Container

Lavender Top Tube

Collection Instructions

Container/Tube:  Lavender top tube(s) Specimen:  3 - 5 mL Whole Blood Transport Temperature: Room Temperature   Note: Requires Ethnicity (required for interpretation)  Choices are: Northern European (British, German) Southern European (Italian, Greek) French Canadian Ashkenazi Jewish Finnish Other/Mixed Caucasian East Asian (Chinese, Japanese) South Asian (Indian, Pakistani) Southeast  Asian (Filipino, Vietnamese) African or African American Hispanic Middle Eastern Native American Pacific Islander Unknown

Transport Instructions

Room Temperature

Specimen Stability

7 Days RefrigeratedBlood samples older than 7 days can still be shipped, they will be tested if the yield and quality of DNA permit.

Methodology

Capillary Sequencing

Days Performed

Performing Laboratory

BioReference Laboratories

CPT

81212     Turnaround Time:   8-10 days

PDM

1659840

Desired Epic Build BRCA 1/2 Ashkenazi Founder Mutation Panel

Cerner Primary Mnemonic: zzzBRCA 1/2 Ashkenazi Founder Mutation Panel
PDM 1659840
Informatics - WorkgroupMolecular-send outs
Synonyms *
Display Name *BRCA 1/2 Ashkenazi Founder Mutation Panel
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)    Discontinued 3/18/24Per NCCN guidelines, any woman of Ashkenazi Jewish ancestry who has been diagnosed with breast or ovarian cancer meets criteria for  BRCA founder variant testing. Verification of a genetic basis for cancer in families indicative or suggestive of hereditary breast and ovarian  cancer. Determination of appropriate screening and treatment. Identification of at-risk family members.
IP Orderable No
OP Orderable No
AOEs *

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

Current Actual EPIC Build as of 10/28/2024

Procedure Id 115519
Pdm 1659840
Order Display Name BRCA 1/2 Ashkenazi Founder Mutation Panel
Procedure Name BRCA 1/2 ASHKENAZI FOUNDER MUTATION PANEL
Procedure Master Number LAB11602
Short Procedure Name BRCA 1/2 ASHKENAZI FOUNDER MUTATION PANEL
Category Code 15.0
Category Code Record Name LAB CYTOGENETICS ORDERABLES
Synonyms
Clinically Active No
Orderable
Performable
Filter Genomics Generic Genomics Procedure
Reference Link Url https://labs.northwell.edu/epic/test/115519
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 0
Op Orderable 0
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)