Unique Plan Description: ColoRec Abdominal Plan Clinic (JE)
Plan Selection Display: ColoRec Abdominal Plan Clinic (JE)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-03-07 16:58:51
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-07-08 15:04:58
Available at all facilities: Yes

ColoRec Abdominal Plan Clinic (JE)
Laboratory
	CBC with Diff
		T;N, Routine, spec type = Blood
	Basic Metabolic Panel
		T;N, Routine, spec type = Blood
	Stool Pathogen Panel (PCR)
		T;N, Routine, spec type = Stool
		Includes targets for: Campylobacter, Salmonella, Shigella, Vibrio, Yersinia enterocolitica, Shiga Toxins 1 and 2, Norovirus and Rotavirus.(NOTE)*
Diagnostic Tests
	CT Abd Pelvis w Contrast
		T;N, Routine
	MRI Pelvis w&w/o Contrast
		T;N, Routine
	MRI Pelvis w Contrast
		T;N, Routine
	MRI Pelvis w/o Contrast
		T;N, Routine
Medications
	amoxicillin-clavulanate  875 mg-125 mg oral tablet
		1 TAB BY MOUTH BID, X 10 Day(s), # 20 TAB, 0 Refill(s), Hard Stop
		1 TAB, BY MOUTH, BID, X 14 Day(s), # 28 TAB, 0 Refill(s), Hard Stop
	levoFLOXacin 500 mg oral tablet
		1 TAB, BY MOUTH, DAILY, X 10 Day(s), # 10 TAB, 0 Refill(s), Hard Stop
		1 TAB, BY MOUTH, DAILY, X 14 Day(s), # 14 TAB, 0 Refill(s), Hard Stop
	metroNIDAZOLE 500 mg oral tablet
		1 TAB, BY MOUTH, TID, X 10 Day(s), # 30 TAB, 0 Refill(s), Hard Stop
		1 TAB, BY MOUTH, TID, X 14 Day(s), # 42 TAB, 0 Refill(s), Hard Stop
	acetaminophen-hydrocodone 300 mg-5 mg oral tablet
		1 or 2 TAB, By Mouth, Q6H, PRN pain, # 30 TAB, 0 Refill(s)
	Percocet 5 mg-325 mg oral tablet
		1 or 2 TAB, BY MOUTH, Q4H, PRN pain, # 30 TAB, 0 Refill(s), Hard Stop
Consults/Follow-up
	Follow-up Appointment
		Follow Up Visit, 1 week
		Follow Up Visit, 1 year
		Follow Up Visit, 2 weeks
		Follow Up Visit, 3 months
		Follow Up Visit, 3 weeks
		Follow Up Visit, 6 months
		Follow Up Visit, See Special Instructions
	Surgery to Schedule
		
	Colonoscopy to Schedule
		
	Follow-up Appointment
		Follow Up Visit, 1 week
		Follow Up Visit, 2 weeks
		Follow Up Visit, 3 weeks
		Follow Up Visit, 1 month
		Follow Up Visit, 3 months
		Follow Up Visit, 6 months
		Follow Up Visit, 1 year
		Follow Up Visit, See Special Instructions
		Follow Up Visit, PRN
	Consult Radiation Oncologist
		
	Consult Hematologist/Oncologist
		
	Consult Physical Therapy
		
Charges/Supplies
New Pt Visit
	zz99201 EVM-New Pt Visit Problem focused 10m
		
	99202 EVM - OP VISIT NEW PATIENT, STRAIGHTFORWARD 15 MIN
		
	99203 EVM - OP VISIT NEW PATIENT, LOW LEVEL 30 MIN
		
	99204 EVM - OP VISIT NEW PATIENT, MODERATE LEVEL 45 MIN
		
	99205 EVM - OP VISIT NEW PATIENT, HIGH LEVEL 60 MIN
		
Est. Pt Visit
	99211 EVM - OP visit estab patient, minimal care < 10 min
		
	99212 EVM - OP VISIT ESTAB PATIENT, STRAIGHTFORWARD 10 MIN
		
	99213 EVM - OP VISIT ESTAB PATIENT, LOW LEVEL 20 MIN
		
	99214 EVM - OP VISIT ESTAB PATIENT, MODERATE 30 MIN
		
	99215 EVM - OP VISIT ESTAB PATIENT, HIGH LEVEL 40 MIN
		
No Charge / Follow Up
	99024 EVM - Post Op Visit

*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