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

Vasc Amputation Pathology Specimen
Laboratory
Tissue
	Tissue Request
		Tissue, Left, Above Knee, None, Gross & Micro (Histology), Send Directly to Lab
		Tissue, Left, Below Knee, None, Gross & Micro (Histology), Send Directly to Lab
		Tissue, Left, Great Toe, None, Gross & Micro (Histology)
		Tissue, Left, Second Toe, None, Gross & Micro (Histology)
		Tissue, Left, Third Toe, None, Gross & Micro (Histology)
		Tissue, Left, Fourth Toe, None, Gross & Micro (Histology)
		Tissue, Left, Fifth Toe, None, Gross & Micro (Histology)
		Tissue, Right, Below Knee, None, Gross & Micro (Histology), Send Directly to Lab
		Tissue, Right, Above Knee, None, Gross & Micro (Histology), Send Directly to Lab
		Tissue, Right, Great Toe, None, Gross & Micro (Histology)
		Tissue, Right, Second Toe, None, Gross & Micro (Histology)
		Tissue, Right, Third Toe, None, Gross & Micro (Histology)
		Tissue, Right, Fourth Toe, None, Gross & Micro (Histology)
		Tissue, Right, Fifth Toe, None, Gross & Micro (Histology)
		Tissue-Additional
		Tissue-Additional
		Tissue-Additional
Biopsies
	Tissue Request
		Biopsy
Cytology
	Non Gyn Cytology Request
		Cytology
Device
	Tissue Request
		Device
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