Unique Plan Description: Urology Pathology Specimen
Plan Selection Display: Urology Pathology Specimen
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2021-03-18 10:13:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-01-10 09:46:45
Available at all facilities: Yes

Urology Pathology Specimen
Laboratory
Tissue
	Tissue Request
		Tissue, Bladder, None, Gross & Micro (Histology)
		Tissue, Bladder and Prostate, None, Gross & Micro (Histology)
		Tissue, Left Kidney, None, Gross & Micro (Histology)
		Tissue, Right Kidney, None, Gross & Micro (Histology)
		Tissue, Left Vas Deferens, None, Gross & Micro (Histology)
		Tissue, Right Vas Deferens, None, Gross & Micro (Histology)
		Tissue-Additional, None, Gross & Micro (Histology)
		Tissue-Additional, None, Gross & Micro (Histology)
Biopsies
	Tissue Request
		Biopsy, Bladder, None, Gross & Micro (Histology)
	Stone Analysis
		T;N, Routine, spec type = Calculi, Bladder Calcification
			Comment: Bladder Calcification
	Tissue Request
		Biopsy, Bladder Dome, None, Gross & Micro (Histology)
		Biopsy, Bladder Lesion, None, Gross & Micro (Histology)
		Biopsy, Bladder Neck, None, Gross & Micro (Histology)
		Biopsy, Bladder Neck Tumor, None, Gross & Micro (Histology)
		Biopsy, Bladder-Posterior, None, Gross & Micro (Histology)
	Stone Analysis
		T;N, Routine, spec type = Calculi, Bladder Stone
			Comment: Bladder Stone
	Tissue Request
		Biopsy, Bladder Trigone, None, Gross & Micro (Histology)
		Biopsy, Bladder Tumor, None, Gross & Micro (Histology)
		Biopsy, Bladder Tumor-Base, None, Gross & Micro (Histology)
		Biopsy, Cul De Sac Anterior, None, Gross & Micro (Histology)
		Biopsy, Omentum, None, Gross & Micro (Histology)
		Biopsy, Prostate, None, Gross & Micro (Histology)
		Biopsy, Prostate Chips, None, Gross & Micro (Histology)
		Biopsy, Prostatic Fat-Anterior, None, Gross & Micro (Histology)
		Biopsy, Foreskin, None, Gross & Micro (Histology)
	Stone Analysis
		T;N, Routine, spec type = Calculi, Bilateral Renal Stones
			Comment: Bilateral Renal Stones
	Tissue Request
		Biopsy, Urethral Tissue-Anterior, None, Gross & Micro (Histology)
		Biopsy-Additional, None, Gross & Micro (Histology)
		Biopsy-Additional, None, Gross & Micro (Histology)
		Biopsy-Additional, None, Gross & Micro (Histology)
		                                       Left(NOTE)*
		Biopsy, Left Adrenal Gland, None, Gross & Micro (Histology)
		Biopsy, Left Lateral Bladder, None, Gross & Micro (Histology)
		Biopsy, Left Hydrocele, None, Gross & Micro (Histology)
		Biopsy, Left Kidney, None, Gross & Micro (Histology)
		Biopsy, Left Renal Mass, None, Gross & Micro (Histology)
		Biopsy, Left Renal Mass-Base of Tumor, None, Gross & Micro (Histology)
		Biopsy, Left Renal Pelvis, None, Gross & Micro (Histology)
	Stone Analysis
		T;N, Routine, spec type = Calculi, Left Renal Stone
			Comment: Left Renal Stone
	Tissue Request
		Biopsy, Left Testicle, None, Gross & Micro (Histology)
		Biopsy, Left Testicle Tumor, None, Gross & Micro (Histology)
		Biopsy, Left Urethral Tissue, None, Gross & Micro (Histology)
		Biopsy, Left Ureter, None, Gross & Micro (Histology)
		Biopsy, Left Distal Ureter, None, Gross & Micro (Histology)
	Stone Analysis
		T;N, Routine, spec type = Calculi, Left Ureteral Calculus
			Comment: Left Ureteral Calculus
		T;N, Routine, spec type = Calculi, Left Ureteral Stone
			Comment: Left Ureteral Stone
	Tissue Request
		Biopsy, Left Urovascular Bundle, None, Gross & Micro (Histology)
		Biopsy-Additional, None, Gross & Micro (Histology)
		Biopsy-Additional, None, Gross & Micro (Histology)
		                                       Right(NOTE)*
		Biopsy, Right Adrenal Gland, None, Gross & Micro (Histology)
		Biopsy, Right Lateral Bladder, None, Gross & Micro (Histology)
		Biopsy, Right Hydrocele, None, Gross & Micro (Histology)
		Biopsy, Right Kidney, None, Gross & Micro (Histology)
		Biopsy, Right Renal Mass, None, Gross & Micro (Histology)
		Biopsy, Right Renal Mass-Base of Tumor, None, Gross & Micro (Histology)
		Biopsy, Right Renal Pelvis, None, Gross & Micro (Histology)
	Stone Analysis
		T;N, Routine, spec type = Calculi, Right Renal Stone
			Comment: Right Renal Stone
	Tissue Request
		Biopsy, Right Testicle, None, Gross & Micro (Histology)
		Biopsy, Right Testicle Tumor, None, Gross & Micro (Histology)
		Biopsy, Right Urethral Tissue, None, Gross & Micro (Histology)
		Biopsy, Right Ureter, None, Gross & Micro (Histology)
		Biopsy, Right Distal Ureter, None, Gross & Micro (Histology)
	Stone Analysis
		T;N, Routine, spec type = Calculi, Right Ureteral Calculus
			Comment: Right Ureteral Calculus
		T;N, Routine, spec type = Calculi, Right Ureteral Stone
			Comment: Right Ureteral Stone
	Tissue Request
		Biopsy, Right Urovascular Bundle, None, Gross & Micro (Histology)
		Biopsy-Additional, None, Gross & Micro (Histology)
		Biopsy-Additional, None, Gross & Micro (Histology)
Lymph Node
	Tissue Request
		Lymph Nodes, Bilateral Pelvic, None, Gross & Micro (Histology)
		                                        Left(NOTE)*
		Lymph Nodes, Left Gonadal, None, Gross & Micro (Histology)
		Lymph Nodes, Left External Iliac, None, Gross & Micro (Histology)
		Lymph Nodes, Left Pelvic, None, Gross & Micro (Histology)
		Lymph Nodes, Left Sentinel, None, Gross & Micro (Histology)
		Lymph Nodes-Additional, None, Gross & Micro (Histology)
		Lymph Nodes-Additional, None, Gross & Micro (Histology)
		                                       Right(NOTE)*
		Lymph Nodes, Right Gonadal, None, Gross & Micro (Histology)
		Lymph Nodes, Right External Iliac, None, Gross & Micro (Histology)
		Lymph Nodes, Right Pelvic, None, Gross & Micro (Histology)
		Lymph Nodes, Right Sentinel, None, Gross & Micro (Histology)
		Lymph Nodes-Additional, None, Gross & Micro (Histology)
		Lymph Nodes-Additional, None, Gross & Micro (Histology)
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, Bladder Washing, None
		Cytology, Pelvic Washing, None
		Cytology, Peritoneal Fluid, None
		Cytology, Peritoneal Washing, None
		Cytology, Urethral Washing, None
		Cytology-Additional, None
		Cytology-Additional, None
		Cytology-Additional, None
Device
	Tissue Request
		Device, Artificial Sphincter, None, Gross Only
		Device, Bladder Stimulator, None, Gross Only
		Device, Penile Implant, None, Gross Only
		                                       Disposal(NOTE)*
		Device, Bilateral Ureteral Stents, None, Disposal Only
		Device, Left Ureteral Stent, None, Disposal Only
		Device, Right Ureteral Stent, None, Disposal Only
		Device-Additional
		Device-Additional
General Labs
		                                       Urine Kidney Left(NOTE)*
	Culture Urine
		T;N, Routine, UA Cult Kidney L, spec type = Urine, Urine Kidney Left
	Culture Acid Fast Bacillus (AFB) Urine
		T;N, Routine, spec type = Urine
	Culture Fungus
		T;N, Routine, UA Cult Kidney L, spec type = Urine, Urine Kidney Left
		                                       Urine Kidney Right(NOTE)*
	Culture Urine
		T;N, Routine, UA Cult Kidney R, spec type = Urine, Urine Kidney Right
	Culture Acid Fast Bacillus (AFB) Urine
		T;N, Routine, spec type = Urine
	Culture Fungus
		T;N, Routine, UA Cult Kidney R, spec type = Urine, Urine Kidney Right
		                                       Other(NOTE)*
	Stone Analysis
		T;N, Routine, spec type = Calculi
	UA (Culture if Positive)
		T;N, Routine, Routine, spec type = Urine, Print Label
	Urine Culture
		T;N, Routine, spec type = Urine, Print Label?
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