Unique Plan Description: Newborn Trisomy 21 (JE WH)
Plan Selection Display: Newborn Trisomy 21 (JE WH)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2019-03-15 11:06:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-14 09:05:18
Available at all facilities: Yes

Diagnosed Prenatally
Laboratory
		Select the order below if baby diagnosed prenatally(NOTE)*
	UNMC Chromosome Reflx FISH PREAUTH - WH NICU
		spec type = Blood
	SNP Array with Reflex PREAUTH
		spec type = Blood, SNP Array
			Comment: SNP Array for GENETIC PREAUTH PROTOCOL
	Complete Blood Count and Diff
		T;N, Stat, spec type = Blood
	TSH
		T;N+1500, Routine, spec type = Blood
			Comment: to be done with Newborn Screen
Diagnostic Tests
Cardiology
	Echocardiogram to be done by CH
		T;N, Stat, Indication: Congenital anomalies
Patient Care

	Car Seat Study
		T;N
Consults/Follow-up
	Consult Genetics
		Reason for Referral: Genetic testing, Refer to/Consult with: UNMC, after discharge

Diagnosed After Delivery
Laboratory
		Select the order below if baby diagnosed after delivery(NOTE)*
	Rapid Aneuploidy FISH w/Reflex PREAUTH-WH
		spec type = Blood
	SNP Array with Reflex PREAUTH
		spec type = Blood, SNP Array
			Comment: SNP Array for GENETIC PREAUTH PROTOCOL
	TSH
		T;N+1500, Routine, spec type = Blood
			Comment: to be done with Newborn Screen
	Complete Blood Count and Diff
		T;N, Stat, spec type = Blood
Diagnostic Tests
Cardiology
	Echocardiogram to be done by CH
		T;N, Stat, Indication: Congenital anomalies
Patient Care

	Car Seat Study
		T;N
Consults/Follow-up
	Consult Genetics
		Reason for Referral: Genetic testing, Refer to/Consult with: UNMC

*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