Unique Plan Description: Radiation Oncology
Plan Selection Display: Radiation Oncology
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2016-10-11 12:24:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-04-16 06:28:42
Available at all facilities: Yes

Radiation Oncology
Laboratory
	TSH
		T;N, Routine, spec type = Blood
	Free T4
		T;N, Routine, spec type = Blood
	T3 Free
		T;N, Routine, spec type = Blood
	Thyroglobulin Rflx to LC-MS/MS or CIA
		T;N, Routine, spec type = Blood
	Thyroid Antibodies
		T;N, Routine, spec type = Blood
	Thyroid Stimulating Immunoglobulin (TSI)
		T;N, Routine, spec type = Blood
	TSH Receptor Antibody
		T;N, Routine, spec type = Blood
	Vitamin D 25-Hydroxy Level (preferred for deficiency)
		T;N, Routine, spec type = Blood
	INR - MH/WH/JE
		T;N, Routine, spec type = Blood
	PTT - MH/WH/JE
		T;N, Routine, spec type = Blood
	PSA
		T;N, Routine, spec type = Blood
	PSA Total and Free
		T;N, Routine, spec type = Blood
	CBC with Diff
		T;N, Routine, spec type = Blood
	Comprehensive Metabolic Panel
		T;N, Routine, spec type = Blood
	Basic Metabolic Panel
		T;N, Routine, spec type = Blood
	UA (Culture if Positive)
		T;N, Routine, Routine, spec type = Urine
	Pregnancy Test Urine
		Nurse Collect, T;N, Stat, Stat, spec type = Urine
	Beta-HCG Quantitative - Pregnancy
		T;N, Routine, spec type = Blood
	Testosterone Total and Free (Adult Male)
		T;N, Routine, spec type = Blood
	Testosterone Total (Adult Males)
		T;N, Routine, spec type = Blood
Diagnostic Tests
Diagnostics
	Chest PA & Lat
		T;N, Routine
	NCS Bone Scan
		T;N, Routine
	Three Phase Bone Scan
		T;N, Routine
Mammo
	Mammo Bil Diag
		T;N, Routine
	Mammo Implant Diag Lt
		T;N, Routine
	Mammo Implant Diag Rt
		T;N, Routine
	Mammo Implants Diag
		T;N, Routine
	Mammo Implants Screen
		T;N, Routine, Encounter for screening mammogram for malignant neoplasm of breast
		T;N, Routine, Personal history of malignant neoplasm of breast | Encounter for screening mammogram for malignant neoplasm of breast
	Mammo Bil Screen
		T;N, Routine, Encounter for screening mammogram for malignant neoplasm of breast
		T;N, Routine, Personal history of malignant neoplasm of breast | Encounter for screening mammogram for malignant neoplasm of breast
	Mammo Unilat Diag Lt
		T;N, Routine
	Mammo Unilat Diag Rt
		T;N, Routine
CT
	CT Abd Pelvis w Contrast
		T;N, Routine
	CT Abd w & w/o Contrast
		T;N, Routine
	CT Neck w & w/o Contrast
		T;N, Routine
	CT Neck w Contrast
		T;N, Routine
	CT Neck w/o Contrast
		T;N, Routine
	CT Chest w & w/o Contrast
		T;N, Routine
	CT Chest w Contrast
		T;N, Routine
	CT Chest w/o Contrast
		T;N, Routine
	CT Head w & w/o Contrast
		T;N, Routine
	CT Head w Contrast
		T;N, Routine
	CT Head w/o Contrast
		T;N, Routine
	CT Pelvis w & w/o Contrast
		T;N, Routine
	CT Pelvis w Contrast
		T;N, Routine
	CT Pelvis w/o Contrast
		T;N, Routine
MRI
	MRI Neck Soft Tissue w/o Contrast
		T;N, Routine
	MRI Neck Soft Tissue w & w/o Contrast
		T;N, Routine
	MRI Pelvis w Contrast
		T;N, Routine
	MRI Abd w Contrast
		T;N, Routine
	MRI Brain w & w/o Contrast
		T;N, Routine
	MRI Brain w Contrast
		T;N, Routine
	MRI Orbits w & w/o Contrast
		T;N, Routine
	MRI Orbits w Contrast
		T;N, Routine
	MRI Orbits w/o Contrast
		T;N, Routine
	MRI Cervical w & w/o Contrast
		T;N, Routine
	MRI Cervical w Contrast
		T;N, Routine
	MRI Cervical w/o Contrast
		T;N, Routine
	MRI Thoracic w & w/o Contrast
		T;N, Routine
	MRI Thoracic w Contrast
		T;N, Routine
	MRI Thoracic w/o Contrast
		T;N, Routine
	MRI Lumbar w & w/o Contrast
		T;N, Routine
	MRI Lumbar w Contrast
		T;N, Routine
	MRI Lumbar w/o Contrast
		T;N, Routine
	MRI Sacrum w/o Contrast
		T;N, Routine
PET/CT
	PET CT Skull Base Thigh Study
		T;N, Routine, Head/Neck Cancer
Medications

	sodium chloride 0.9% Flush (In Office)
		10 mL, IV Push, Once
	Barium sulfate (Readi Cat 2) (In office)
		900 mL, Suspension, By Mouth, Once
	Barium sulfate (Volumen) (In office)
		450 mL, Suspension, By Mouth, Q20MIN, 3 Dose(s)/Time(s)
	Omnipaque 350mg/mL 100mL vial (In Office)
		100 mL, IV Push, Once
	Omnipaque 350mg/mL 150mL vial (In Office)
		150 mL, Injection, IV Push, Once
	Visipaque 320 mg/mL 100mL vial  (In Office)
		100 mL, Injection, IV Push, Once
Patient Care
	Rad Onc SIM Procedure
		Orders for Future Visit
Consults/Follow-up
	Follow-up Appointment
		Follow Up Visit, 4 weeks
		Follow Up Visit, 3 months
		Follow Up Visit, 1 week
		Follow Up Visit, 2 weeks
		Follow Up Visit, 3 weeks
		Follow Up Visit, 1 month
		Follow Up Visit, 4 months
		Follow Up Visit, 6 months
		Follow Up Visit, 1 year
		Follow Up Visit, See Special Instructions
		Follow Up Visit, Simulation
		Follow Up Visit, PRN

Peripheral Lock - Access
Medications
	sodium chloride 0.9% flush injectable soln
		10 mL Syringe IV PUSH BID
		10 mL, Syringe, IV PUSH, Q5MIN, PRN, IV line flush
	lidocaine 1% injectable solution (MH/WH/FH)
		0.1 mL, IntraDermal, Q1H, PRN, see comment
			Comment: For IV start
	sodium chloride bacteriostatic 0.9% injectable soln
		0.1 mL, Injection, IntraDermal, Q1H, PRN, see comment
			Comment: For IV start, use if patient has lidocaine allergy.
	Sodium Chloride 0.9% IVPB Flush
		25 mL, IVPB, Q1H, PRN, IV line flush, 5 min(s)
			Comment: Use if medication not compatible with primary line or there is no primary line;  infuse 25mL.
Patient Care
	Peripheral Lock-Insert
		T;N

*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