Unique Plan Description: Bronch Complex Pathology Specimen
Plan Selection Display: Bronch Complex Pathology Specimen
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2024-05-01 08:48:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-09-04 09:18:05
Available at all facilities: Yes

Pathology
Laboratory
		                                       Lobe-Upper Left(NOTE)*
	Non Gyn Cytology Request
		Biopsy, LUL Transbronchial Upper Lobe
		Biopsy, LUL Endobronchial
		Cytology, LUL Bronchial Alveolar Lavage (BAL)
		Cytology, LUL Bronchial Washing
		Cytology, LUL Bronchial Brushing
		Cytology, LUL Brush Tip
		Cytology Slides, LUL FNA Slides
		Cytology, LUL FNA Needle Rinse
		Biopsy-Additional
		Cytology-Additional
		                                       Lobe-Upper Right(NOTE)*
		Biopsy, RUL Transbronchial Upper Lobe
		Biopsy, RUL Endobronchial
		Cytology, RUL Bronchial Alveolar Lavage (BAL)
		Cytology, RUL Bronchial Washing
		Cytology, RUL Bronchial Brushing
		Cytology, RUL Brush Tip
		Cytology Slides, RUL FNA Slides
		Cytology, RUL FNA Needle Rinse
		Biopsy-Additional
		Cytology-Additional
		                                       Lobe-Middle Lobe Right(NOTE)*
		Cytology, RML Bronchial Alveolar Lavage (BAL)
		Cytology, RML Bronchial Washing
		Cytology, RML Bronchial Brushing
		Cytology, RML Brush Tip
		Cytology Slides, RML FNA Slides
		Cytology, RML FNA Needle Rinse
		Biopsy-Additional
		Cytology-Additional
		                                       Lobe-Lower Left(NOTE)*
		Biopsy, LLL Transbronchial Lower Lobe
		Biopsy, LLL Endobronchial
		Cytology, LLL Bronchial Alveolar Lavage (BAL)
		Cytology, LLL Bronchial Washing
		Cytology, LLL Bronchial Brushing
		Cytology, LLL Brush Tip
		Cytology Slides, LLL FNA Slides
		Cytology, LLL FNA Needle Rinse
		Biopsy-Additional
		Cytology-Additional
		                                       Lobe-Lower Right(NOTE)*
		Biopsy, RLL Transbronchial Lower Lobe
		Biopsy, RLL Endobronchial
		Cytology, RLL Bronchial Alveolar Lavage (BAL)
		Cytology, RLL Bronchial Washing
		Cytology, RLL Bronchial Brushing
		Cytology, RLL Brush Tip
		Cytology Slides, RLL FNA Slides
		Cytology, RLL FNA Needle Rinse
		Biopsy-Additional
		Cytology-Additional
		                                       Lungs-Bilateral(NOTE)*
		Biopsy-Additional
		Cytology, Bilateral Bronchial Brushing
		Cytology, Bilateral Bronchial Washing
		Cytology-Additional
		                                       Mediastinal-Superior/Aortic/Inferior(NOTE)*
		                                       Station 2R Upper Paratracheal Right(NOTE)*
		Biopsy-Additional
		Cytology Slides, Right Station 2R Paratracheal FNA Slides
		Cytology, Right Station 2R Paratracheal FNA Needle Rinse
		Cytology-Additional
		                                       Station 2L Upper Paratracheal Left(NOTE)*
		Biopsy-Additional
		Cytology Slides, Left Station 2L Paratracheal FNA Slides
		Cytology, Left Station 2L Paratracheal FNA Needle Rinse
		Cytology-Additional
		                                       Station 4R Lower Paratraceal Right(NOTE)*
		Lymph Nodes, Right Station 4R Lower Paratraceal Lymph Node
		Cytology, Right Station 4R Lower Paratraceal
		Cytology Slides, Right Station 4R Lower Paratracheal FNA Slides
		Cytology, Right Station 4R Lower Paratracheal FNA Needle Rinse
		Biopsy-Additional
		Cytology-Additional
		                                       Station 4L Lower Paratracheal Left(NOTE)*
		Lymph Nodes, Left Station 4L Lower Paratracheal Lymph Node
		Cytology, Left Station 4L Lower Paratracheal
		Cytology Slides, Left Station 4L Lower Paratracheal FNA Slides
		Cytology, Left Station 4L Lower Paratracheal FNA Needle Rinse
		Biopsy-Additional
		Cytology-Additional
		                                       Station 7 Subcarinal(NOTE)*
		Lymph Nodes, Left Station 7 Subcarinal
		Lymph Nodes, Right Station 7 Subcarinal
		Cytology Slides, Station 7 Subcarinal FNA Slides
		Cytology, Station 7 Subcarinal FNA Needle Rinse
		Biopsy-Additional
		Cytology-Additional, None
		                                       Bronchopulmonary (Hilar)(NOTE)*
		                                       Station 10 R Hilar(NOTE)*
		Biopsy, Right Station 10R Hilar Mass
		Cytology Slides, Right Station 10R Hilar FNA Slides
		Cytology, Right Station 10R FNA Needle Rinse
		Biopsy-Additional
		
		Cytology-Additional
		                                       Station 10 L Hilar(NOTE)*
		Biopsy, Left Station 10L Hilar Mass
		Cytology Slides, Left Station 10L Hilar FNA Slides
		Cytology, Left Station 10L FNA Needle Rinse
		Biopsy-Additional
		Cytology-Additional
		                                       Station 11R(NOTE)*
		Lymph Nodes, Right Station 11
		Lymph Nodes, Right Station 11R
		Lymph Nodes-Additional
		Cytology Slides, Right Station 11R FNA Slides
		Cytology, Right Station 11R FNA Needle Rinse
		Biopsy-Additional
		Cytology-Additional
		                                       Station 11L(NOTE)*
		Lymph Nodes, Left Station 11
		Lymph Nodes, Left Station 11L
		Lymph Nodes-Additional
		Cytology Slides, Left Station 11L FNA Slides
		Cytology, Left Station 11L FNA Needle Rinse
		Biopsy-Additional
		Cytology-Additional
		                                       Station 12R(NOTE)*
		Biopsy, Right Station 12R Mass
		Cytology Slides, Right Station 12R FNA Slides
		Cytology, Right Station 12R FNA Needle Rinse
		Biopsy-Additional
		
		Cytology-Additional
		                                       Station 12L(NOTE)*
		Biopsy, Left Station 12L Mass
		Cytology Slides, Left Station 12L FNA Slides
		Cytology, Left Station 12L FNA Needle Rinse
		Biopsy-Additional
		
		Cytology-Additional
		                                       Biopsy(NOTE)*
		                                       Left(NOTE)*
		Biopsy, Left Bronchus Mainstem Brushing
		Biopsy, Left Endobronchial -Bronchus Mainstem
		Biopsy, Left Endobronchial Mass
		Biopsy-Additional
		Biopsy-Additional
		                                       Right(NOTE)*
		Biopsy, Right Bronchus Mainstem Brushing
		Biopsy, Right Endobronchial -Bronchus Mainstem
		Biopsy, Right Endobronchial Mass
		Biopsy-Additional
		Biopsy-Additional
		                                       Cytology(NOTE)*
		                                       Left(NOTE)*
		Cytology, Left Bronchial Alveolar Lavage
	Pneumocystis jirovecii by PCR
		T;N, Routine, spec type = Bronchial Alveolar Lavage
	Unlisted Laboratory Procedure
		T;N, Routine, spec type = Body Fluid
			Comment: Adenovirus by Qualitative PCR ARUP2007473, Bronchial Alveolar Lavage-Left
		T;N, Routine, spec type = Body Fluid
			Comment: UNMC, RESPP, Respiratory Pathogen Panel by PCR. Bronchial Alveolar Lavage-Left
	Non Gyn Cytology Request
		Cytology, Left Bronchial Brushings
		Cytology, Left Bronchial Washing
		Cytology, Left Bronchial Washing Mainstem Bronchus
		Cytology-Additional
		Cytology-Additional
		                                       Right(NOTE)*
		Cytology, Right Bronchial Alveolar Lavage
	Pneumocystis jirovecii by PCR
		T;N, Routine, spec type = Bronchial Alveolar Lavage
	Unlisted Laboratory Procedure
		T;N, Routine, spec type = Body Fluid
			Comment: Adenovirus by Qualitative PCR ARUP2007473, Bronchial Alveolar Lavage-Right
		T;N, Routine, spec type = Body Fluid
			Comment: UNMC, RESPP, Respiratory Pathogen Panel by PCR. Bronchial Alveolar Lavage-Right
	Non Gyn Cytology Request
		Cytology, Right Bronchial Brushing
		Cytology, Right Bronchial Washing
		Cytology, Right Bronchial Brushing Mainstem Bronchus
		Cytology-Additional
		Cytology-Additional
		                                       Disposal(NOTE)*
	Tissue Request
		None, Disposal Only

Bronchial Washings Micro
	Fluid Specimen Collection
		T;N, Routine, spec type = Body Fluid, Bronchial Wash/Secretion
	Culture Routine
		T;N, Routine, Washing, spec type = Bronchial Wash/Secretion
	Culture AFB
		T;N, Routine, Washing, spec type = Bronchial Wash/Secretion
	Culture Fungus
		T;N, Routine, Washing, spec type = Bronchial Wash/Secretion
	Fungal Smear
		T;N, Routine, Washing, spec type = Bronchial Wash/Secretion
	Legionella pneumophila DFA
		T;N, Routine, spec type = Bronchial Wash/Secretion
	Pneumocystis jirovecii by PCR
		T;N, Routine, spec type = Bronchial Wash/Secretion
	Unlisted Laboratory Procedure
		T;N, Routine, spec type = Body Fluid
			Comment: UNMC, RESPP, Respiratory Pathogen Panel by PCR Bronchial Wash
		T;N, Routine, spec type = Body Fluid
			Comment: ARUP #2010775. Mycobacterium tuberculosis Complex Detection and Rifampin Resistance by PCR Bronchial Wash
	Cell Count/Diff Body Fluid
		T;N, Routine, spec type = Bronchial Wash/Secretion

Bronchial Alveolar Lavage Micro Only
	Fluid Specimen Collection
		T;N, Routine, spec type = Body Fluid, Bronchial Alveolar Lavage
	Cell Count/Diff Body Fluid
		T;N, Routine, spec type = Bronchial Alveolar Lavage
	Culture Routine
		T;N, Routine, Aspirate, spec type = Bronchial Alveolar Lavage
	Culture AFB
		T;N, Routine, Aspirate, spec type = Bronchial Alveolar Lavage
	Culture Fungus
		T;N, Routine, Aspirate, spec type = Bronchial Alveolar Lavage
	Fungal Smear
		T;N, Routine, Aspirate, spec type = Bronchial Alveolar Lavage
	Histoplasma Antigen Quantitative
		T;N, Routine, spec type = Bronchial Alveolar Lavage
	Legionella pneumophila DFA
		T;N, Routine, spec type = Bronchial Alveolar Lavage
	Pneumocystis jirovecii by PCR
		T;N, Routine, spec type = Bronchial Alveolar Lavage
	Unlisted Laboratory Procedure
		T;N, Routine, spec type = Body Fluid
		T;N, Routine, spec type = Body Fluid

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase