EPIC Test Compendium Alpha
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MitoGenome Sequencing and Deletion Testing

Test Catalog Information

Test Catalog Synonyms

EPIC Synonyms MitoGenome Seq/Del Testing
Cerner Primary MnemonicMitochondrial Genome Seq/Del Testing
EPIC Display NameMitoGenome Sequencing and Deletion Testing
Allscripts (AEHR) Order Name

Mitochondrial Genome Sequencing & Deletion Testing

Sunrise Clinical Manager (SCM) Order Name

Mitochondrial Genome Sequencing & Deletion Test

EPIC Inpatient Orderable Yes
EPIC Outpatient Orderable Yes
Cerner Results MitoGenome Seq/Del Testing
Clinical Info

Molecular confirmation of a clinical diagnosis  Testing of patients suspected of having a mitochondrial disorder. 

Specimen Type

Blood, Tissue

Container

Swab

Collection Instructions

Container/Tube:  Biopsy(Solid Tumor) or Lavender top tube Specimen: Tissue Biopsy (>50 mg Muscle, Liver, Heart, or Brain-Flash Frozen)  or   2-5 mL Blood - Lavender Top Tube Transport Temperature: Room Temperature  

Transport Instructions

Room Temperature

Specimen Stability

Methodology

Next-gen Sequencing GeneDx Test code 554  

Days Performed

TAT: 4 Weeks

Performing Laboratory

GeneDx

CPT

81460 81465

PDM

1659867

Desired Epic Build MitoGenome Sequencing and Deletion Testing

Cerner Primary Mnemonic: Mitochondrial Genome Seq/Del Testing
PDM 1659867
Informatics - WorkgroupMolecular-send outs
Synonyms *MitoGenome Seq/Del Testing
Display Name *MitoGenome Sequencing and Deletion Testing
Order Entry Specimen Sources *
Order Entry Specimen Types
Tissue
Specimen Navigator Specimen Types
Specimen Navigator Specimen Sources
Specimen Navigator Short Name
Ordering info (EPIC SmartText)Molecular confirmation of a clinical diagnosis  Testing of patients suspected of having a mitochondrial disorder. 
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
MitoGenome Seq/Del Testing MitoGenome Seq/Del Testing 1659867A

Current Actual EPIC Build as of 10/28/2024

Procedure Id 115535
Pdm 1659867
Order Display Name MitoGenome Sequencing and Deletion Testing
Procedure Name MITOGENOME SEQ/DEL TESTING
Procedure Master Number LAB11610
Short Procedure Name MITOGENOME SEQ/DEL TESTING
Category Code 21.0
Category Code Record Name LAB MOLECULAR DIAGNOSTICS ORDERABLES
Synonyms MITOGENOME SEQ/DEL TESTING Mitochondrial
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics Generic Genomics Procedure
Reference Link Url https://labs.northwell.edu/epic/test/115535
Ordering Instructions
Default Specimen Type Blood
Specimen Type Pick List Tissue Blood
Specimen Type List
Op Specimen Type List
Specimen Source Pick List Abdominal Wall Alveoli Amniotic Sac Ankle, Left Ankle, Right Anus Arm, Left Arm, Right Autopsy Axilla, Left Axilla, Right Back, Lower Back, Upper Brain, Amygdala Brain, Basal Ganglia Brain, Cerebellum Brain, Cerebral Cortex Brain, Hypothalamus Brain, Medulla Brain, Pons Breast, Left Breast, Left Central Breast, Right Breast, Right Central Buttock, Left Buttock, Right Cervix Cheek Chest, Left Chest, Right Chin Diaphragm Ear, Left Ear, Right Elbow, Left Elbow, Right Esophagus Eye, Left Eye, Right Fallopian Tube, Left Fallopian Tube, Right Fetus Foot, Left Foot, Right Forearm, Left Forearm, Right Forehead Foreskin Gallbladder Hand, Digit Left Hand, Digit Right Hand, Left Hand, Right Hip, Right Kidney, Left Kidney, Right Knee, Left Knee, Right Appendix Colon, Cecum Large Intestine, Left/Descending Colon Large Intestine, Rectum Heart Ascend Colon Sigmoid Colon Transverse Colon Larynx Leg, Left Leg, Right Lip, Lower Lip, Upper Liver Lung, Left Lower Lobe Lung, Left Upper Lobe Lung, Right Lower Lobe Lung, Right Middle Lobe Lung, Right Upper Lobe Mediastinum Meninges/Dura Naris, Left Naris, Right Nasal/Nasopharynx Neck Nose Oral Cavity Oropharynx Ostomy Pouch Misc Ovary, Left Ovary, Right Pancreas Penis Pericardium Placenta Prostate Retroperitoneum Scalp Scrotum Shoulder, Left Shoulder, Right Small Intestine, Duodenum Small Intestine, Ileum Small Intestine, Jejunum Spinal Cord Spine, Cervical Spine, Lumbar Sacral Thoracic Spleen Stomach Sympathetic Ganglion Testicular Appendage Testis, Left Testis, Right Thigh, Left Thigh, Right Throat Thymus Thyroid Toe, Left Toe, Right Tongue Trachea Blood, Cord Ureter, Left Ureter, Right Urethra Bladder Vas Deferens, Left Vas Deferens, Right Vulva Wrist, Left Wrist, Right
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
3047803538 MITOGENOME SEQ/DEL TESTING MITOGENE MITOGENOME SEQ DEL TESTING 1659867A