Unique Plan Description: GI Pathology Specimen
Plan Selection Display: GI Pathology Specimen
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2021-03-18 10:06:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-10-31 14:15:06
Available at all facilities: Yes

GI Pathology Specimen
Laboratory
Biopsies
		                                       Esophageal(NOTE)*
	Tissue Request
		Biopsy, Esophageal, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Mid-Esophageal, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Distal Esophageal, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Proximal Esophageal, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Barrett's Esophagus, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Esophageal Nodule, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Esophageal Stricture, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Esophageal Ulcer, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Esophageal Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Irregular Z-Line, None, Gross & Micro (Histology), Formalin Added
		
		Biopsy-Additional, None, Gross & Micro (Histology), Formalin Added
		                                       Gastric(NOTE)*
		Biopsy, GE Junction, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Gastric, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Gastric Body, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Gastric Cardia, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Gastric Distal, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Gastric Antrum, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Gastric Fundus, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Gastric Polyp, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Gastric Ulcer, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Gastric Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Pyloric Channel, None, Gross & Micro (Histology), Formalin Added
		Biopsy-Additional, None, Gross & Micro (Histology), Formalin Added
		Biopsy-Additional, None, Gross & Micro (Histology), Formalin Added
		                                       Duodenal(NOTE)*
		Biopsy, Duodenal, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Duodenal Bulb, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Duodenal Polyp, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Duodenum-2nd Portion, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Duodenum-3rd Portion, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Duodenal Ulcer, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Duodenal Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Jejunal, None, Gross & Micro (Histology), Formalin Added
		Biopsy-Additional, None, Gross & Micro (Histology), Formalin Added
		Biopsy-Additional, None, Gross & Micro (Histology), Formalin Added
		                                       Gallbladder/Liver/Pancreas(NOTE)*
		Biopsy, Gallbladder, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Common Bile Duct, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Left Hepatic Duct, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Right Hepatic Duct, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Common Hepatic Duct, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Cystic Duct, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Ampulla, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Ampullary Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Pancreas, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Pancreatic Head, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Liver, None, Gross & Micro (Histology), Formalin Added
		Biopsy-Additional, None, Gross & Micro (Histology), Formalin Added
		Biopsy-Additional, None, Gross & Micro (Histology), Formalin Added
		                                       Ileum(NOTE)*
		Biopsy, Small Bowel, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Ileal Pouch, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Ileum, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Terminal Ileum, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Ileal Cecal Valve, None, Gross & Micro (Histology), Formalin Added
		Biopsy-Additional, None, Gross & Micro (Histology), Formalin Added
		Biopsy-Additional, None, Gross & Micro (Histology), Formalin Added
		                                       Colon(NOTE)*
		Biopsy, Appendiceal Orifice, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Cecal, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Cecal Polyp, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Cecal Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Ascending Colon, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Ascending Colon Polyp, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Ascending Colon Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Right-Sided Colon, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Hepatic Flexure, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Hepatic Flexure Polyp, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Hepatic Flexure Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Transverse Colon, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Transverse Colon Polyp, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Transverse Colon Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Mid-Transverse Colon, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Mid-Transverse Colon Polyp, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Mid-Transverse Colon Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Distal-Transverse Colon, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Distal-Transverse Colon Polyp, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Distal-Transverse Colon Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Proximal-Transverse Colon, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Proximal-Transverse Colon Polyp, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Proximal-Transverse Colon Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Splenic Flexure, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Splenic Flexure Polyp, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Splenic Flexure Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Descending Colon, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Descending Colon Polyp, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Descending Colon Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Left-Sided Colon, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Random Colon, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Sigmoid Colon, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Sigmoid Colon Polyp, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Sigmoid Colon Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Rectosigmoid, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Rectosigmoid Colon Polyp, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Rectosigmoid Colon Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Rectal Colon, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Rectal Colon Polyp, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Rectal Mass, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Polyp @, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Polyp @, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Polyp @, None, Gross & Micro (Histology), Formalin Added
		Biopsy, Polyp @, None, Gross & Micro (Histology), Formalin Added
		Biopsy-Additional, None, Gross & Micro (Histology), Formalin Added
		Biopsy-Additional, None, Gross & Micro (Histology), Formalin Added
		Biopsy-Additional, None, Gross & Micro (Histology), Formalin Added
		Biopsy-Additional, None, Gross & Micro (Histology), Formalin Added
Cytology
	Non Gyn Cytology Request
		Cytology, Brushing Esophagus, None
		Cytology, Brushing Esophagus Brush Head, None
		Cytology, Brushing Common Bile Duct, None
		Cytology, Brushing Common Bile Duct Brush Head, None
		Cytology, Brushing Common Hepatic Duct, None
		Cytology, Brushing Common Hepatic Duct Head, None
		Cytology, Fluid Mediastinal Lymph Node, None
		Cytology, Fluid Pancreatic Head, None
		Cytology, Fluid Pancreatic Head Mass, None
		Cytology, Fluid Pancreatic Uncinate, None
		Cytology, Fluid Pancreatic Body, None
		Cytology, Fluid Pancreatic Neck, None
		Cytology, Fluid Pancreatic Tail, None
		Cytology, Fluid Pancreatic Cyst, None
		Cytology, Fluid Celiac Lymph Node, None
		Cytology, Fluid Liver, None
		Cytology, Fluid Ascites, None
		Cytology, None
		Cytology, None
General Labs
		                                       Ascites(NOTE)*
	Amylase Body Fluid
		T;N, Routine, spec type = Ascites Fluid
	Total Protein Body Fluid
		T;N, Routine, spec type = Ascites Fluid
	Albumin Body Fluid
		T;N, Routine, spec type = Ascites Fluid
	Unlisted Laboratory Body Fluid Procedure
		T;N, Routine, spec type = Ascites Fluid
			Comment: Unlisted BF Test Name= Lipase
		T;N, Routine, spec type = Ascites Fluid
			Comment: Unlisted BF Test Name= CEA
		                                       Pancreatic Fluid(NOTE)*
		T;N, Routine, spec type = Other Fluid
			Comment: Unlisted BF Test Name= Amylase
		T;N, Routine, spec type = Other Fluid
			Comment: Unlisted BF Test Name= CEA
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