Unique Plan Description: OB Thrombophilia Work Up
Plan Selection Display: OB Thrombophilia Work Up
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-03-05 20:46:20
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2013-05-22 13:04:18
Available at all facilities: Yes

OB Thrombophilia Work Up
Laboratory
	Cardiolipin Antibodies IgG and IgM
		T;N, Routine, spec type = Blood
	Homocysteine Total
		T;N, Routine, spec type = Blood
	Immunoglobulin G
		T;N, Routine, spec type = Blood
	Immunoglobulin M
		T;N, Routine, spec type = Blood
	Factor V Leiden Mutation  (PreAuth Req)
		T;N, Routine, spec type = Blood
	Lupus Anticoagulant Panel
		T;N, Routine, spec type = Blood
	MTHFR PCR  (PreAuth Req)
		T;N, Routine, spec type = Blood
	Prothrombin (F2) G20210A Pathogenic Variant (PreAuth Req)
		T;N, Routine, spec type = Blood
	Anti-Thrombin III Enzymatic (Activity)
		T;N, Routine, spec type = Blood
	Protein C Functional
		T;N, Routine, spec type = Blood
	Protein S Free Antigen
		T;N, Routine, spec type = Blood
	Protein S Functional
		T;N, Routine, spec type = Blood

*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