EPIC Test Compendium Alpha
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Mitochondrial DNA (mtDNA) Point Mutations and Deletions

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms MITOMUT
Cerner Primary MnemoniczzmtDNA Point Mutations and Del
EPIC Display NameMitochondrial DNA (mtDNA) Point Mutations and Deletions
Allscripts (AEHR) Order Name

Not Orderable

Sunrise Clinical Manager (SCM) Order Name

mtDNA Point Mutations and Deletions

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

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

Specimen Type

Blood

Container

Lavender Top Tube

Collection Instructions

Container/Tube: Lavender EDTA top or Tissue Biopsy (muscle or liver) Specimen: Whole Blood: Adults: 2-5 ml; Children: 1-2 ml; Tissue - Submit >50 mg, frozen within minutes after collection Transport Temperature: Room Temperature Whole Blood, Tissue Frozen Ship blood separately, overnight at ambient temperature, using a cool pack in hot weather. DO NOT FREEZE BLOOD. Blood specimens may be refrigerated for up to 7 days prior to shipping

Transport Instructions

Room Temperature Whole Blood, Tissue Frozen

Specimen Stability

Methodology

Next-Gen Sequencing

Days Performed

TAT: 3-4 Weeks

Performing Laboratory

GeneDx Test Code 704

CPT

81465 81460

PDM

5902712

Desired Epic Build Mitochondrial DNA (mtDNA) Point Mutations and Deletions

Cerner Primary Mnemonic: zzmtDNA Point Mutations and Del
PDM 5902712
Informatics - WorkgroupMolecular-send outs
Synonyms *MITOMUT
Display Name *Mitochondrial DNA (mtDNA) Point Mutations and Deletions
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)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

Actual Epic build

Procedure Id 115573
Pdm 5902712
Order Display Name Mitochondrial DNA (mtDNA) Point Mutations and Deletions
Procedure Name MTDNA POINT MUTATIONS AND DELETIONS
Procedure Master Number LAB11629
Short Procedure Name MTDNA POINT MUTATIONS AND DELETIONS
Category Code 15.0
Category Code Record Name LAB CYTOGENETICS ORDERABLES
Synonyms MITOMUT
Clinically Active No
Orderable No
Performable Yes
Filter Genomics Generic Genomics Procedure
Reference Link Url https://labs.northwell.edu/epic/test/115573
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)