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26386 Panorama Extended Panel

Panorama Extended Panel
Test Code: PANEXSO
Synonyms/Keywords

​​​Trisomy 21, Trisomy 18Trisomy 13Monosomy XTriploidy, 22q11.2 Deletion, 1p36 DeletionCri-du-chat SyndromePrader-Willi Syndrome Angelman syndromeChromosome abnormalities, Down Syndrome, Edwards Syndrome, Patau Syndrome, Turner Syndrome, Klinefelter Syndrome, Triple X Syndrome, Jacob's Syndrome

Test Components

​The Panorama Extended Panel includes the screening that is offered by the Panorama Prenatal Panel (Trisomy 21, Trisomy 18, Trisomy 13, Monosomy X and Triploidy), as well as additional screening for microdeletion conditions including 22q11.2 deletion syndrome, 1p36 deletion, Cri-du-chat syndrome, Prader-Willi syndrome and Angelman syndrome.

Useful For

​The Panorama Extended Panel screens for microdeletion conditions including 22q11.2 deletion syndrome, 1p36 deletion, Cri-du-chat syndrome, Prader-Willi syndrome and Angelman syndrome.

Specimen Requirements
Fasting RequiredSpecimen TypePreferred Container/TubeSpecimen Volume

​Specimen Minimum Volume

​No​Whole Blood

Panorama Collection Kit

Refer to the collection Kit and follow the collection and mailing instructions provided in the kit, as well as the Collection Processing Instructions (below).

​10 ml in each of two DNA Streck tubes​8 mL in each of two DNA Streck tubes 
Collection Processing Instructions

​Collect the whole blood specimen using a 21 gauge straight needle, NOT a butterfly, as the use of butterfly needles can result in a need to redraw the specimen.  Completely fill TWO 10 mL cell free DNA Streck tubes supplied in the collection kit.  Allow 60-90 seconds for each tube to fill.  Vein collapse may require second venipuncture with a fresh tube. 

Gently invert each tube at least 10 times immediately after it is filled. Do not shake the tube(s) vigorously.  Do not seal tubes with paraffin film.  DO NOT REFRIGERATE OR FREEZE sample at any time.  Store and transport specimen tubes at ambient temperature (43-98 ºF or 6-37 ºC). 

Specimen Stability Information

Store and transport specimen tubes at ambient temperature (43-98 ºF or 6-37 ºC).

​Specimen Type
​Temperature
​Time
​Whole Blood
​Ambient
​7 days

 

Rejection Criteria

Refrigerated specimen

Frozen specimen

Performing Laboratory Information
Performing LocationDay(s) Test PerformedAnalytical TimeMethodology/Instrumentation
Natera, Inc.​​​Monday through Sunday​5-7 days​SNP (single nucleotide polymorphism) based NIPT (Non-invasive prenatal testing).
Reference Lab
Test Information

The Panorama Exteded Panel offers the additional screening for microdeletion conditions including 22q11.2 deletion syndrome, 1p36 deletion, Cri-du-chat syndrome, Prader-Willi syndrome and Angelman syndrome; in addition to the screening for chromosome abnormalities including Down syndrome (trisomy 21), trisomy 18, trisomy 13, monosomy X and triploidy.

Reference Range Information

An interpretive report will be provided

Interpretation

An interpretive report will be provided.

The Panorama Exteded Panel is a screening test, which means that Panorama does not make a final diagnosis. A high-risk Panorama result means that a pregnancy could be affected by the condition that has screened positive. However, it cannot be known for sure if a baby has that condition based upon screening results alone. All medical decisions should be made after discussion with a heathcare provider regarding diagnostic testing during the pregnancy, like amniocentesis or chorionic villus sampling (CVS), or testing the baby after delivery.

Outreach CPTs
CPTModifier
(if needed)
QuantityDescriptionComments
81420​​1​Fetal chromosomal aneuploidy genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18 and 21.
​81422​1Fetal chromosomal microdeletion(s) genomic sequence analysis, circulating cell-free fetal DNA in maternal blood.
Synonyms/Keywords

​​​Trisomy 21, Trisomy 18Trisomy 13Monosomy XTriploidy, 22q11.2 Deletion, 1p36 DeletionCri-du-chat SyndromePrader-Willi Syndrome Angelman syndromeChromosome abnormalities, Down Syndrome, Edwards Syndrome, Patau Syndrome, Turner Syndrome, Klinefelter Syndrome, Triple X Syndrome, Jacob's Syndrome

Test Components

​The Panorama Extended Panel includes the screening that is offered by the Panorama Prenatal Panel (Trisomy 21, Trisomy 18, Trisomy 13, Monosomy X and Triploidy), as well as additional screening for microdeletion conditions including 22q11.2 deletion syndrome, 1p36 deletion, Cri-du-chat syndrome, Prader-Willi syndrome and Angelman syndrome.

Ordering Applications
Ordering ApplicationDescription
​Cerner​Panorama Extended Panel
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Fasting RequiredSpecimen TypePreferred Container/TubeSpecimen Volume

​Specimen Minimum Volume

​No​Whole Blood

Panorama Collection Kit

Refer to the collection Kit and follow the collection and mailing instructions provided in the kit, as well as the Collection Processing Instructions (below).

​10 ml in each of two DNA Streck tubes​8 mL in each of two DNA Streck tubes 
Collection Processing

​Collect the whole blood specimen using a 21 gauge straight needle, NOT a butterfly, as the use of butterfly needles can result in a need to redraw the specimen.  Completely fill TWO 10 mL cell free DNA Streck tubes supplied in the collection kit.  Allow 60-90 seconds for each tube to fill.  Vein collapse may require second venipuncture with a fresh tube. 

Gently invert each tube at least 10 times immediately after it is filled. Do not shake the tube(s) vigorously.  Do not seal tubes with paraffin film.  DO NOT REFRIGERATE OR FREEZE sample at any time.  Store and transport specimen tubes at ambient temperature (43-98 ºF or 6-37 ºC). 

Specimen Stability Information

Store and transport specimen tubes at ambient temperature (43-98 ºF or 6-37 ºC).

​Specimen Type
​Temperature
​Time
​Whole Blood
​Ambient
​7 days

 

Rejection Criteria

Refrigerated specimen

Frozen specimen

Useful For

​The Panorama Extended Panel screens for microdeletion conditions including 22q11.2 deletion syndrome, 1p36 deletion, Cri-du-chat syndrome, Prader-Willi syndrome and Angelman syndrome.

Test Components

​The Panorama Extended Panel includes the screening that is offered by the Panorama Prenatal Panel (Trisomy 21, Trisomy 18, Trisomy 13, Monosomy X and Triploidy), as well as additional screening for microdeletion conditions including 22q11.2 deletion syndrome, 1p36 deletion, Cri-du-chat syndrome, Prader-Willi syndrome and Angelman syndrome.

Reference Range Information

An interpretive report will be provided

Interpretation

An interpretive report will be provided.

The Panorama Exteded Panel is a screening test, which means that Panorama does not make a final diagnosis. A high-risk Panorama result means that a pregnancy could be affected by the condition that has screened positive. However, it cannot be known for sure if a baby has that condition based upon screening results alone. All medical decisions should be made after discussion with a heathcare provider regarding diagnostic testing during the pregnancy, like amniocentesis or chorionic villus sampling (CVS), or testing the baby after delivery.

For more information visit:
Performing Laboratory Information
Performing LocationDay(s) Test PerformedAnalytical TimeMethodology/Instrumentation
Natera, Inc.​​​Monday through Sunday​5-7 days​SNP (single nucleotide polymorphism) based NIPT (Non-invasive prenatal testing).
Reference Lab
For billing questions, see Contacts
Outreach CPTs
CPTModifier
(if needed)
QuantityDescriptionComments
81420​​1​Fetal chromosomal aneuploidy genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18 and 21.
​81422​1Fetal chromosomal microdeletion(s) genomic sequence analysis, circulating cell-free fetal DNA in maternal blood.
For most current information refer to the Marshfield Laboratory online reference manual.