EPIC Test Compendium Alpha
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Infantile Epilepsy Panel

Test Catalog Information

Test Catalog Synonyms
EPIC Synonyms	InfantEpi
Cerner Primary Mnemonic	Infantile Epilepsy Panel
EPIC Display Name	Infantile Epilepsy Panel
Allscripts (AEHR) Order Name	Not Orderable
Sunrise Clinical Manager (SCM) Order Name	Not Orderable
EPIC Inpatient Orderable	No
EPIC Outpatient Orderable	No
Cerner Results	Infantile Epilepsy Panel
Clinical Info	Molecular confirmation of a clinical diagnosis To assist with decisions about treatment and management of individuals with epilepsy Testing of at-risk relatives for specific known mutation(s) previously identified in an affected family member Prenatal diagnosis for known familial mutation(s) in at-risk pregnancies
Specimen Type
Container	Lavender Top Tube
Collection Instructions	Container/Tube: Lavender Top Tube Specimen: 2-5 mL Blood Transport Temperature: Room Temperature
Transport Instructions	Room Temperature
Specimen Stability
Methodology	Exon Array CGH\|Next-gen Sequencing Genes:ADSL, ALDH7A1, ALG13, ARHGEF9, ARX, ATP6AP2, CACNA1A, CDKL5, CHD2, CHRNA7, CLN3, CLN5, CLN6, CLN8, CNTNAP2, CTSD, DNM1, DYRK1A, EEF1A2, FOLR1, FOXG1, GABRA1, GABRB2, GABRB3, GABRG2, GAMT, GATM, GRIN1, GRIN2A, GRIN2B, IQSEC2, KANSL1, KCNB1, KCNJ10, KCNQ2, KCNQ3, KCNT1, KCTD7, MAGI2, MBD5, MECP2, MEF2C, MFSD8, NR2F1, NRXN1, PCDH19, PIGA, PIGO, PIGV, PNKP, PNPO, POLG, PPT1, PRRT2, QARS, SCN1A, SCN1B, SCN2A, SCN8A, SLC13A5, SLC25A22, SLC2A1, SLC6A8, SLC9A6, SPTAN1, STXBP1, TBC1D24, TCF4, TPP1 (CLN2), TSC1, TSC2, UBE3A, WDR45, WWOX, ZEB2
Days Performed
Performing Laboratory	GeneDx
CPT	81404x 81405 81406x3 81407
PDM	1659919

Desired Epic Build Infantile Epilepsy Panel

Cerner Primary Mnemonic:

Infantile Epilepsy Panel

PDM

1659919

Informatics - Workgroup

Molecular-send outs

Synonyms *

InfantEpi

Display Name *

Infantile Epilepsy 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)

Molecular confirmation of a clinical diagnosis To assist with decisions about treatment and management of individuals with epilepsy Testing of at-risk relatives for specific known mutation(s) previously identified in an affected family member Prenatal diagnosis for known familial mutation(s) in at-risk pregnancies

IP Orderable

OP Orderable

AOEs *

AP AOEs

Special History

Build Comments

Filter *

genetics

Procedure Category Change

Cerner Results

Result Desc	Result display	Result PDM
InfantiEpilepsy	Infantile Epilepsy Panel	1659919A

Actual Epic build

Procedure Id

115583

Pdm

1659919

Order Display Name

Infantile Epilepsy Panel

Procedure Name

INFANTILE EPILEPSY PANEL

Procedure Master Number

LAB11634

Short Procedure Name

INFANTILE EPILEPSY PANEL

Category Code

15.0

Category Code Record Name

LAB CYTOGENETICS ORDERABLES

Synonyms

INFANTEPI

Clinically Active

Orderable

Performable

Filter Genomics

Generic Genomics Procedure

Reference Link Url

https://labs.northwell.edu/epic/test/115583

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
3047803052.0	INFANTILE EPILEPSY PANEL	EPILEPSY	INFANTILE EPILEPSY PANEL		1659919A

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.

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Infantile Epilepsy Panel

Test Catalog Information

Desired Epic Build Infantile Epilepsy Panel

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.