Unique Plan Description: Plastics Skin Pathology Specimen
Plan Selection Display: Plastics Skin Pathology Specimen
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2021-03-18 10:12:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-10-31 14:30:35
Available at all facilities: Yes

Plastics Skin Pathology Specimen
Laboratory
Tissue
	Tissue Request
		Tissue, Left Knee Skin Debridement, None, Gross & Micro (Histology)
		Tissue, Right Knee Skin Debridement, None, Gross & Micro (Histology)
		Tissue-Additional, None, Gross & Micro (Histology)
		Tissue-Additional, None, Gross & Micro (Histology)
Biopsies
	Tissue Request
		Biopsy, Back Lesion, None, Gross & Micro (Histology)
		Biopsy, Back Mass, None, Gross & Micro (Histology)
		Biopsy, Buttock Lesion, None, Gross & Micro (Histology)
		Biopsy, Chest Wall Scar, None, Gross & Micro (Histology)
		Biopsy, Facial Lesion, None, Gross & Micro (Histology)
		Biopsy, Forehead Lesion, None, Gross & Micro (Histology)
		Biopsy, Nasal Lesion, None, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
		                                       Left(NOTE)*
		Biopsy, Left Arm Hidradenitis, None, Gross & Micro (Histology)
		Biopsy, Left Arm Tissue, None, Gross & Micro (Histology)
		Biopsy, Left Cheek, None, Gross & Micro (Histology)
		Biopsy, Left Eye Intraocular Contents, None, Gross & Micro (Histology)
		Biopsy, Left Eyelid-Lower Skin, None, Gross & Micro (Histology)
		Biopsy, Left Forehead Lesion, None, Gross & Micro (Histology)
		Biopsy, Left Knee Wound, None, Gross & Micro (Histology)
		Biopsy, Left Lacrimal Duct, None, Gross & Micro (Histology)
		Biopsy, Left Lacrimal Sac, None, Gross & Micro (Histology)
		Biopsy, Left Leg Tissue, None, Gross & Micro (Histology)
		Biopsy, Left Neck Incision, None, Gross & Micro (Histology)
		Biopsy, Left Shoulder, None, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
		                                       Right(NOTE)*
		Biopsy, Right Arm Hidradenitis, None, Gross & Micro (Histology)
		Biopsy, Right Arm Tissue, None, Gross & Micro (Histology)
		Biopsy, Right Cheek, None, Gross & Micro (Histology)
		Biopsy, Right Eye Intraocular Contents, None, Gross & Micro (Histology)
		Biopsy, Right Eyelid-Lower Skin, None, Gross & Micro (Histology)
		Biopsy, Right Forehead Lesion, None, Gross & Micro (Histology)
		Biopsy, Right Knee Wound, None, Gross & Micro (Histology)
		Biopsy, Right Lacrimal Duct, None, Gross & Micro (Histology)
		Biopsy, Right Lacrimal Sac, None, Gross & Micro (Histology)
		Biopsy, Right Leg Tissue, None, Gross & Micro (Histology)
		Biopsy, Right Neck Incision, None, Gross & Micro (Histology)
		Biopsy, Right Shoulder, None, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
		Biopsy-Additional, Gross & Micro (Histology)
Lymph Node
	Tissue Request
		Lymph Nodes-Additional, None, Frozen Section, Send Directly to Lab
		Lymph Nodes-Additional, None, Frozen Section, Send Directly to Lab
Margins
	Tissue Request
		Margins-Additional, None, Frozen Section, Send Directly to Lab
		Margins-Additional, None, Frozen Section, Send Directly to Lab
Cytology
	Non Gyn Cytology Request
		Cytology-Additional, None
		Cytology-Additional, None
Device
		                                       Left(NOTE)*
	Tissue Request
		Device, Left Arm Infusion Port, None, Gross Only
		Device, Left Venous Access Port, None, Gross Only
		Tissue, Left Arm Fat, None, Disposal Only
		Tissue, Left Eye Contents, None, Disposal Only
		Tissue, Left Knee Skin Debridement, None, Disposal Only
		Tissue, Left Leg Fat, None, Disposal Only
		Tissue, Left Leg Tissue, None, Disposal Only
		Device-Additional
		Tissue-Additional
		                                       Right(NOTE)*
		Device, Right Arm Infusion Port, None, Gross Only
		Device, Right Venous Access Port, None, Gross Only
		Tissue, Right Arm Fat, None, Disposal Only
		Tissue, Right Eye Contents, None, Disposal Only
		Tissue, Right Knee Skin Debridement, None, Disposal Only
		Tissue, Right Leg Fat, None, Disposal Only
		Tissue, Right Leg Tissue, None, Disposal Only
		Device-Additional
		Tissue-Additional
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