Unique Plan Description: GYNONC Pathology Specimen
Plan Selection Display: GYNONC Pathology Specimen
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2021-03-18 10:07:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-11-15 15:35:43
Available at all facilities: Yes

GYNONC Pathology Specimen
Laboratory
Tissue
	Tissue Request
		Tissue, Uterus, None, Gross & Micro (Histology)
		Tissue, Uterus and Cervix, None, Gross & Micro (Histology)
		Tissue, Uterus, Cervix Bilateral Fallopian Tubes, None, Gross & Micro (Histology), Formalin Added
		Tissue, Uterus, Bilateral Fallopian Tubes, None, Gross & Micro (Histology)
		Tissue, Uterus, Cervix, Bilateral Ovaries/Fallopian Tubes, None, Gross & Micro (Histology)
		Tissue, Uterus, Bilateral Ovaries/Fallopian Tubes, None, Gross & Micro (Histology)
		Tissue, Bilateral Fallopian Tubes, None, Gross & Micro (Histology)
		Tissue, Bilateral Ovaries, None, Gross & Micro (Histology)
		Tissue, Bilateral Ovaries and Fallopian Tubes, None, Gross & Micro (Histology)
		Tissue, Vaginal Lesion/Condyloma, None, Gross & Micro (Histology)
		Tissue, Bartholin's Cyst, None, Gross & Micro (Histology)
		Tissue, Hernia Sac, None, Gross & Micro (Histology)
		Tissue, Sigmoid Colon, None, Gross & Micro (Histology)
		Tissue, Diaphram, None, Gross & Micro (Histology)
		Tissue, Gallbladder, None, Gross & Micro (Histology)
		Tissue, Spleen, None, Gross & Micro (Histology)
		Tissue, Appendix, None, Gross & Micro (Histology)
		Tissue, Omentum, None, Gross & Micro (Histology)
		Tissue, Umbilical Hernia Sac, None, Gross & Micro (Histology)
		Tissue, Fibroids, None, Gross & Micro (Histology)
		Tissue-Additional, None, Gross & Micro (Histology)
		Tissue-Additional, None, Gross & Micro (Histology)
		Tissue-Additional, None, Gross & Micro (Histology)
		Tissue-Additional, None, Gross & Micro (Histology)
		                                       Left(NOTE)*
		Tissue, Left Ovary, None, Gross & Micro (Histology)
		Tissue, Left Fallopian Tube, None, Gross & Micro (Histology)
		Tissue, Left Ovary and Fallopian Tube, None, Gross & Micro (Histology)
		Tissue, Left Diaphragm, None, Gross & Micro (Histology)
		Tissue, Left Abdominal Mass, None, Gross & Micro (Histology)
		                                       Right(NOTE)*
		Tissue, Right Ovary, None, Gross & Micro (Histology)
		Tissue, Right Fallopian Tube, None, Gross & Micro (Histology)
		Tissue, Right Ovary and Fallopian Tube, None, Gross & Micro (Histology)
		Tissue, Right Diaphragm, None, Gross & Micro (Histology)
		Tissue, Right Abdominal Mass, None, Gross & Micro (Histology)
Lymph Node
	Tissue Request
		Lymph Nodes, Aortic, None, Gross & Micro (Histology)
		Lymph Nodes, Peritoneum, None, Gross & Micro (Histology)
		Lymph Nodes, Aortic Bifurcation, None, Gross & Micro (Histology)
		Lymph Nodes, Pre-Sacral, 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)
		                                       Left(NOTE)*
		Lymph Nodes, Left Common Iliac, None, Gross & Micro (Histology)
		Lymph Nodes, Left Inguinal, None, Gross & Micro (Histology)
		Lymph Nodes, Left Inguinal Sentinel, None, Gross & Micro (Histology)
		Lymph Nodes, Left Periaortic, None, Gross & Micro (Histology)
		Lymph Nodes, Left Periaortic Sentinel, None, Gross & Micro (Histology)
		Lymph Nodes, Left Pelvic, None, Gross & Micro (Histology)
		Lymph Nodes, Left Pelvic Sentinel, None, Gross & Micro (Histology)
		                                       Right(NOTE)*
		Lymph Nodes, Right Common Iliac, None, Gross & Micro (Histology)
		Lymph Nodes, Right Inguinal, None, Gross & Micro (Histology)
		Lymph Nodes, Right Inguinal Sentinel, None, Gross & Micro (Histology)
		Lymph Nodes, Right Periaortic, None, Gross & Micro (Histology)
		Lymph Nodes, Right Periaortic Sentinel, None, Gross & Micro (Histology)
		Lymph Nodes, Right Pelvic, None, Gross & Micro (Histology)
		Lymph Nodes, Right Pelvic Sentinel, None, Gross & Micro (Histology)
Biopsies
	Tissue Request
		Biopsy, Anterior Abdominal Wall, None, Gross & Micro (Histology)
		Biopsy, Bladder, None, Gross & Micro (Histology)
		Biopsy, Anterior Cul De Sac, None, Gross & Micro (Histology)
		Biopsy, Posterior Cul De Sac, None, Gross & Micro (Histology)
		Biopsy, Cervix, None, Gross & Micro (Histology)
		Biopsy, Diaphragm Scraping, None, Gross & Micro (Histology)
		Biopsy, Diaphragm Biopsy, None, Gross & Micro (Histology)
		Biopsy, Endocervix Curettings, None, Gross & Micro (Histology)
		Biopsy, Endometrial, None, Gross & Micro (Histology)
		Biopsy, Endometrial Curettings, None, Gross & Micro (Histology)
		Biopsy, Mons Pubis Lesion, None, Gross & Micro (Histology)
		Biopsy, Omentum, None, Gross & Micro (Histology)
		Biopsy, Peritoneum/Perineal, None, Gross & Micro (Histology)
		Biopsy, Rectosigmoid Colon, None, Gross & Micro (Histology)
		Biopsy, Rectum, None, Gross & Micro (Histology)
		Biopsy, Sigmoid Colon, None, Gross & Micro (Histology)
		Biopsy, Small Bowel Mesentery, None, Gross & Micro (Histology)
		Biopsy, Vaginal Mass, None, Gross & Micro (Histology)
		Biopsy, Vaginal Polyp, None, Gross & Micro (Histology)
		Biopsy, Vulva, None, Gross & Micro (Histology)
		Biopsy-Additional, None, Gross & Micro (Histology)
		Biopsy-Additional, None, Gross & Micro (Histology)
		Biopsy-Additional, None, Gross & Micro (Histology)
		Biopsy-Additional, None, Gross & Micro (Histology)
		Biopsy-Additional, None, Gross & Micro (Histology)
		                                        Left(NOTE)*
		Biopsy, Left Breast, None, Gross & Micro (Histology)
		Biopsy, Left Diaphragm Scraping, None, Gross & Micro (Histology)
		Biopsy, Left Diaphragm, None, Gross & Micro (Histology)
		Biopsy, Left Labia Minora Vulva, None, Gross & Micro (Histology)
		Biopsy, Left Ovarian Cyst, None, Gross & Micro (Histology)
		Biopsy, Left Pelvic Side Wall, None, Gross & Micro (Histology)
		Biopsy, Left Perineal Body, None, Gross & Micro (Histology)
		Biopsy, Left Peritoneum/Perineal, None, Gross & Micro (Histology)
		Biopsy, Left Gutter, None, Gross & Micro (Histology)
		Biopsy, Left Vulva Biopsy, None, Gross & Micro (Histology)
		Biopsy, Left Vulvar Excision, None, Gross & Micro (Histology)
		                                        Right(NOTE)*
		Biopsy, Right Breast, None, Gross & Micro (Histology)
		Biopsy, Right Diaphragm Scraping, None, Gross & Micro (Histology)
		Biopsy, Right Diaphragm, None, Gross & Micro (Histology)
		Biopsy, Right Labia Minora Vulva, None, Gross & Micro (Histology)
		Biopsy, Right Ovarian Cyst, None, Gross & Micro (Histology)
		Biopsy, Right Pelvic Side Wall, None, Gross & Micro (Histology)
		Biopsy, Right Perineal Body, None, Gross & Micro (Histology)
		Biopsy, Right Peritoneum/Perineal, None, Gross & Micro (Histology)
		Biopsy, Right Gutter, None, Gross & Micro (Histology)
		Biopsy, Right Vulva, None, Gross & Micro (Histology)
		Biopsy, Right Vulvar Excision, None, Gross & Micro (Histology)
Cytology
	Non Gyn Cytology Request
		Cytology, Ascites Fluid, None
		Cytology, Diaphragm Washings, None
		Cytology, Fluid Vaginal Cyst, None
		Cytology, Fluid Vulvar Aspirate, None
		Cytology, Left Ovarian Fluid, None
		Cytology, Right Ovarian Fluid, None
		Cytology, Pelvic Fluid, None
		Cytology, Pelvic Washings, None
		Cytology, Peritoneal Fluid, None
		Cytology, Peritoneal Washing, None
		Cytology, Urine From Indwelling Catheter for Pathology, None
	Fluid Specimen Collection
		T;N, Routine, spec type = Body Fluid, Urine From Indwelling Catheter for Culture Only
	Culture Urine
		T;N, Routine, spec type = Urine, Urine Foley Cath
	Non Gyn Cytology Request
		Cytology-Additional, None
		Cytology-Additional, None
		Cytology-Additional, None
		Cytology-Additional, None
Margins
	Tissue Request
		Margins, Cervical, None, Gross & Micro (Histology)
		Margins, Uterine, None, Gross & Micro (Histology)
		Margins, Vaginal, None, Gross & Micro (Histology)
		Margins, Vaginal Cuff, None, Gross & Micro (Histology)
		Margins, Anterior Vaginal, None, Gross & Micro (Histology)
		Margins, Posterior Vaginal, None, Gross & Micro (Histology)
		Margins-Additional, None, Gross & Micro (Histology)
		Margins-Additional, None, Gross & Micro (Histology)
		Margins-Additional, None, Gross & Micro (Histology)
		Margins-Additional, None, Gross & Micro (Histology)
Device
	Tissue Request
		Device, Intrauterine Device (IUD), None, Disposal Only
		Device, Nexplanon Implant, None, Disposal Only
		Device, Bladder Stimulator, None, Gross Only
		Device, Bladder Stimulator Leads, None, Disposal Only
		Device, Vaginal Mesh/Sling, None, Gross Only
		Device-Additional, None, Gross Only
		Device-Additional, None, Gross Only
		Device-Additional, None, Gross Only
		Device-Additional, None, Gross Only
		                                       Left(NOTE)*
		Device, Left Breast Implant, None, Gross Only
		Device, Left Stent, None, Disposal Only
		                                       Right(NOTE)*
		Device, Right Breast Implant, None, Gross Only
		Device, Right Stent, None, Disposal Only
		                                       Disposal(NOTE)*
		None, Disposal Only
		None, Disposal Only
		None, Disposal Only
		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