Unique Plan Description: General Breast Pathology Specimen
Plan Selection Display: General Breast Pathology Specimen
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2021-03-18 10:02:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-10-31 14:16:21
Available at all facilities: Yes

General Breast Pathology Specimen
Laboratory
Tissue
		                                       Left(NOTE)*
	Tissue Request
		Tissue, Left Breast Lumpectomy, None, Gross & Micro (Histology)
		Tissue, Left Medial 2nd Breast Lumpectomy, None, Gross & Micro (Histology)
		Tissue, Left Mastectomy Breast Tissue, None, Gross & Micro (Histology)
		Tissue, Left Additional Breast Tissue, None, Gross & Micro (Histology)
		Tissue, Left Additional Breast Skin, None, Gross & Micro (Histology)
		Tissue, Left Breast Mastectomy Nipple Sparing, None, Gross & Micro (Histology)
		Tissue, Left Hematoma, None, Gross & Micro (Histology)
		                                       Right(NOTE)*
		Tissue, Right Breast Lumpectomy, None, Gross & Micro (Histology)
		Tissue, Right Medial 2nd Breast Lumpectomy, None, Gross & Micro (Histology)
		Tissue, Right Mastectomy Breast Tissue, None, Gross & Micro (Histology)
		Tissue, Right Additional Breast Tissue, None, Gross & Micro (Histology)
		Tissue, Right Additional Breast Skin, None, Gross & Micro (Histology)
		Tissue, Right Breast Mastectomy Nipple Sparing, None, Gross & Micro (Histology)
		Tissue, Right Hematoma, None, Gross & Micro (Histology)
		Tissue-Additional, None, Gross & Micro (Histology)
		Tissue-Additional, None, Gross & Micro (Histology)
		Tissue-Additional, None, Gross & Micro (Histology)
Biopsies
	Tissue Request
		Biopsy, Left Breast Biopsy, None, Gross & Micro (Histology)
		Biopsy, Right Breast Biopsy, None, Gross & Micro (Histology)
		Biopsy-Additional, None, Gross & Micro (Histology)
		Biopsy-Additional, None, Gross & Micro (Histology)
Lymph Node
		                                       Left(NOTE)*
	Tissue Request
		Lymph Nodes, Left Axillary Lymph Node, None, Gross & Micro (Histology)
		Lymph Nodes, Left Sentinel Lymph Node, None, Gross & Micro (Histology)
		                                       Right(NOTE)*
		Lymph Nodes, Right Axillary Lymph Node, None, Gross & Micro (Histology)
		Lymph Nodes, Right Sentinel Lymph Node, None, Gross & Micro (Histology)
		Lymph Nodes-Additional, None, Gross & Micro (Histology)
		Lymph Nodes-Additional, None, Gross & Micro (Histology)
		Lymph Nodes-Additional, None, Gross & Micro (Histology)
		Lymph Nodes-Additional, None, Gross & Micro (Histology)
		Lymph Nodes-Additional, None, Gross & Micro (Histology)
Margins
		                                       Left(NOTE)*
	Tissue Request
		Margins, Left Margin, None, Gross & Micro (Histology)
		Margins, Left Inferior Margin, None, Gross & Micro (Histology)
		Margins, Left Superior Margin, None, Gross & Micro (Histology)
		Margins-Additional, None, Gross & Micro (Histology)
		Margins-Additional, None, Gross & Micro (Histology)
		                                       Right(NOTE)*
		Margins, Right Margin, None, Gross & Micro (Histology)
		Margins, Right Inferior Margin, None, Gross & Micro (Histology)
		Margins, Right Superior Margin, None, Gross & Micro (Histology)
		Margins-Additional, None, Gross & Micro (Histology)
		Margins-Additional, None, Gross & Micro (Histology)
Device
	Tissue Request
		Device, Device Removal, None, Disposal Only
Specimen for Culture Only
		                                       Tissue #1(NOTE)*
	Bacterial Culture-Surgery
		T;N, Routine, spec type = Tissue
	Fungus Culture-Surgery
		T;N, Routine, spec type = Tissue
	AFB Culture-Surgery
		T;N, Routine, spec type = Tissue
		                                       Tissue #2(NOTE)*
	Bacterial Culture-Surgery
		T;N, Routine, spec type = Tissue
	Fungus Culture-Surgery
		T;N, Routine, spec type = Tissue
	AFB Culture-Surgery
		T;N, Routine, spec type = Tissue
		                                       Tissue #3(NOTE)*
	Bacterial Culture-Surgery
		T;N, Routine, spec type = Tissue
	Fungus Culture-Surgery
		T;N, Routine, spec type = Tissue
	AFB Culture-Surgery
		T;N, Routine, spec type = Tissue
		                                       Fluid #1(NOTE)*
	Bacterial Culture-Surgery
		T;N, Routine, spec type = Body Fluid
	Fungus Culture-Surgery
		T;N, Routine, spec type = Body Fluid
	AFB Culture-Surgery
		T;N, Routine, spec type = Body Fluid
		                                       Fluid #2(NOTE)*
	Bacterial Culture-Surgery
		T;N, Routine, spec type = Body Fluid
	Fungus Culture-Surgery
		T;N, Routine, spec type = Body Fluid
	AFB Culture-Surgery
		T;N, Routine, spec type = Body Fluid
		                                       Fluid #3(NOTE)*
	Bacterial Culture-Surgery
		T;N, Routine, spec type = Body Fluid
	Fungus Culture-Surgery
		T;N, Routine, spec type = Body Fluid
	AFB Culture-Surgery
		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