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Fragile X Mutation (FMR1) Molecular Detection

Test Catalog Information

Test Catalog Synonyms

EPIC Synonyms FRX DNA
Cerner Primary MnemonicHLX Fragile X CASE
EPIC Display NameFragile X Mutation (FMR1) Molecular Detection
Allscripts (AEHR) Order Name

Fragile X DNA Probe

Sunrise Clinical Manager (SCM) Order Name

Not Orderable

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

Fragile X syndrome is the most common inherited cause of mental retardation. The syndrome occurs in approximately 1 in 3600 males and 1 in 4000 to 6000 females. People with Fragile X can present macroorchidism and distinct facial features, including long face, large ears, and prominent jaw.

Specimen Type

Blood

Container

Lavender Top Tube

Collection Instructions

Container/Tube: Lavender-top (EDTA) tube Specimen: 1-3 mL of peripheral Blood Transport Temperature: Room Temperature Additional Information: A signed Patient Consent Form is required.

Transport Instructions

Room Temperature

Specimen Stability

Specimens are stable for a week refrigerated.

Methodology

Polymerase Chain Reaction (PCR) followed by Capillary Electrophoresis

Days Performed

Monday through Friday TAT: 8 Calendar days 

Performing Laboratory

Northwell Health Laboratories

CPT

81243

PDM

5160403

Desired Epic Build Fragile X Mutation (FMR1) Molecular Detection

Cerner Primary Mnemonic: HLX Fragile X CASE
PDM 5160403
Informatics - WorkgroupMolpath inhouse
Synonyms *FRX DNA
Display Name *Fragile X Mutation (FMR1) Molecular Detection
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)Fragile X syndrome is the most common inherited cause of mental retardation. The syndrome occurs in approximately 1 in 3600 males and 1 in 4000 to 6000 females. People with Fragile X can present macroorchidism and distinct facial features, including long face, large ears, and prominent jaw.
IP Orderable Yes
OP Orderable Yes
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 115609
Pdm 5160403
Order Display Name Fragile X Mutation (FMR1) Molecular Detection
Procedure Name FRAGILE X CASE
Procedure Master Number LAB11647
Short Procedure Name FRAGILE X CASE
Category Code 21.0
Category Code Record Name LAB MOLECULAR DIAGNOSTICS ORDERABLES
Synonyms FRX DNA
Clinically Active Yes
Orderable Yes
Performable Yes
Filter Genomics Generic Genomics Procedure
Reference Link Url https://labs.northwell.edu/epic/test/115609
Ordering Instructions Fragile X syndrome is the most common inherited cause of mental retardation. The syndrome occurs in approximately 1 in 3600 males and 1 in 4000 to 6000 females. People with Fragile X can present macroorchidism and distinct fa cial features, including long face, large ears, and prominent jaw.
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 Blood, Venous
Specimen Source Default - Female Blood, Venous
Specimen Source List
Op Specimen Source List
Ip Lab Test Components For Report HLXFRAGFL
Op Lab Test Components For Report HLXFRAGFL
Order Questions ["3045300170", "3045300171", "3045300173"]
Order Questions Record Name NH IP HOME COLLECT DATE NH IP HOME COLLECT DAYS NH IP HOME COLLECT MEDICALLY NECESSARY
Inpatient Order Questions ["3048500000"]
Inpatient Order Questions Record Name
Order Specific Question Override Yes
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
3045300170 NH IP HOME COLLECT DATE Start Date Date Yes
3045300171 NH IP HOME COLLECT DAYS Days Custom List Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Yes
3045300173 NH IP HOME COLLECT MEDICALLY NECESSARY Medically Necessary? 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)