Unique Plan Description: Plastics Breast Pathology Specimen
Plan Selection Display: Plastics Breast Pathology Specimen
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2021-03-18 10:11:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-10-31 14:30:19
Available at all facilities: Yes

Plastics Breast Pathology Specimen
Laboratory
Tissue
		                                       Left(NOTE)*
	Tissue Request
		Tissue, Left Breast, None, Gross & Micro (Histology), Send Directly to Lab
		Tissue, Left Skin Sparing Mastectomy, None, Gross & Micro (Histology), Send Directly to Lab
		Tissue-Additional, Gross & Micro (Histology)
		                                       Right(NOTE)*
		Tissue, Right Breast, None, Gross & Micro (Histology), Send Directly to Lab
		Tissue, Right Skin Sparing Mastectomy, None, Gross & Micro (Histology), Send Directly to Lab
		Tissue-Additional, Gross & Micro (Histology)
Biopsies
		                                       Left(NOTE)*
	Tissue Request
		Biopsy, Left Axillary, None, Gross & Micro (Histology)
		Biopsy, Left Axillary Hydranenitis, None, Gross & Micro (Histology)
		Biopsy, Left Breast Tissue, None, Gross & Micro (Histology), Send Directly to Lab
		Biopsy, Left Breast Skin, None, Gross & Micro (Histology)
		Biopsy, Left Breast Mass, None, Gross & Micro (Histology), Send Directly to Lab
		Biopsy, Left Breast Scar, None, Gross & Micro (Histology)
		Biopsy, Left Breast Capsule, None, Gross & Micro (Histology)
		Biopsy, Left Breast Scar and Capsule, None, Gross & Micro (Histology)
		Biopsy, Left Nipple, None, Gross & Micro (Histology)
		Biopsy, Left Subareola, None, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
		                                       Right(NOTE)*
		Biopsy, Right Axillary, None, Gross & Micro (Histology)
		Biopsy, Right Axillary Hydranenitis, None, Gross & Micro (Histology)
		Biopsy, Right Breast Tissue, None, Gross & Micro (Histology), Send Directly to Lab
		Biopsy, Right Breast Skin, None, Gross & Micro (Histology)
		Biopsy, Right Breast Mass, None, Gross & Micro (Histology), Send Directly to Lab
		Biopsy, Right Breast Scar, None, Gross & Micro (Histology)
		Biopsy, Right Breast Capsule, None, Gross & Micro (Histology)
		Biopsy, Right Breast Scar and Capsule, None, Gross & Micro (Histology)
		Biopsy, Right Nipple, None, Gross & Micro (Histology)
		Biopsy, Right Subareola, None, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
Lymph Node
		                                       Left(NOTE)*
	Tissue Request
		Lymph Nodes, Left Axillary Sentinel, None, Frozen Section, Send Directly to Lab
		Lymph Nodes, Left Axillary Other Tissue, None, Gross & Micro (Histology)
		Lymph Nodes-Additional, Frozen Section, Send Directly to Lab
		Lymph Nodes-Additional, Frozen Section, Send Directly to Lab
		                                       Right(NOTE)*
		Lymph Nodes, Right Axillary Sentinel, None, Frozen Section, Send Directly to Lab
		Lymph Nodes, Right Axillary Other Tissue, None, Gross & Micro (Histology)
		Lymph Nodes-Additional, Frozen Section, Send Directly to Lab
		Lymph Nodes-Additional, Frozen Section, Send Directly to Lab
Margins
	Tissue Request
		Margins-Additional, Frozen Section, Send Directly to Lab
		Margins-Additional, Frozen Section, Send Directly to Lab
Cytology
	Non Gyn Cytology Request
		Cytology-Additional
		Cytology-Additional
Device
	Tissue Request
		Device, Breast Expanders-Bilateral, None, Gross Only
		Tissue, Liposuction Fat, None, Disposal Only
		Device-Additional
		Tissue-Additional
		                                       Left(NOTE)*
		Device, Left Breast Implant, None, Gross Only
		Device, Left Breast Ruptured Implant, None, Gross Only
		Device, Left Breast Tissue Expander, None, Gross Only
		                                       Right(NOTE)*
		Device, Right Breast Implant, None, Gross Only
		Device, Right Breast Ruptured Implant, None, Gross Only
		Device, Right Breast Tissue Expander, None, Gross 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