/clinical/,/clinical/cckm-tools/,/clinical/cckm-tools/content/,/clinical/cckm-tools/content/order-sets/,/clinical/cckm-tools/content/order-sets/ambulatory/,/clinical/cckm-tools/content/order-sets/ambulatory/bmtoncologyhematology/,

/clinical/cckm-tools/content/order-sets/ambulatory/bmtoncologyhematology/name-98502-en.cckm

201612351

page

100

UWHC,UWMF,

Tools,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Ambulatory,BMT/Oncology/Hematology

OP - Day 270 Allogeneic Transplant Follow Up - Adult - Clinic Visit [5222]

OP - Day 270 Allogeneic Transplant Follow Up - Adult - Clinic Visit [5222] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Ambulatory, BMT/Oncology/Hematology


SmartSet: OP - DAY 270 ALLOGENEIC TRANSPLANT FOLLOW UP - ADULT -
CLINIC VISIT (ID:5222)
General Information
Display name: OP - Day 270 Allogeneic Transplant Follow Up - Adult - Clinic Visit
Type: General
Merge priority:
Version comment:
Content source:
Synonyms:
SmartSet notes:
Description: Important Milestones needing to be documented on:
Karnofsky Performance Status
Clinical Assessments:
Pulmonary, smoking avoidance
GVHD
Web information: Title URL
1. Important Milestones needing
to be documented:
https://uconnect.wisc.edu/clinical/cckm-
tools/content/order-
sets/ambulatory/bmtoncologyhematology/related/name-
99691-en.cckm
Questionnaire:
Configuration
Laboratory
Laboratory - General
CBC WITH DIFFERENTIAL Status: Standing, Expires:T+122 MANUAL,Count:1,
Normal, Routine
COMPREHENSIVE METABOLIC PANEL Status: Standing, Expires:T+122 MANUAL,Count:1,
Normal, Routine
MAGNESIUM Status: Standing, Expires:T+122 MANUAL,Count:1,
Normal, Routine
URINALYSIS WITH MICROSCOPY Status: Standing, Expires:T+122 MANUAL,Count:1,
Normal, Routine
Page 1 of 2
Printed by STRAKA, KEVIN F [KFS1] at 12/12/2016 1:13:45 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 12/2016CCKM@uwhealth.org

CYCLOSPORINE Status: Standing, Expires:T+122 MANUAL,Count:1,
Normal, Routine
TACROLIMUS LEVEL Status: Standing, Expires:T+122 MANUAL,Count:1,
Normal, Routine
SIROLIMUS Status: Standing, Expires:T+122 MANUAL,Count:1,
Normal, Routine
For Patients CMV +
CMV QUANTITATIVE BY PCR Status: Standing, Expires:T+122 MANUAL,Count:1,
Normal, Routine
For patients who have mismatched transplants or have received Anti-thymocyte Globulin
EBV QUANTITATIVE BY PCR Status: Standing, Expires:T+122 MANUAL,Count:1,
Normal, Routine
For patients on Sirolimus
LIPID PANEL Status: Standing, Expires:T+397 MANUAL,Count:1,
Normal, Routine
Diagnostic Tests and Imaging
Diagnostic Tests and Imaging
X-RAY CHEST PA & LAT VIEWS Status: Future, Expires: M+14, Normal, Routine
Criteria
Suggestions:
Filter: RESTRICTION LOCATOR - ONCOLOGY CSC IP AND OP - NOT IP DC[1017]
Restrict SmartSet:
Settings
Discontinue action:
Deselect sections for
Pended/Held orders:
Pended/Held orders
display:
Release date: Use System Definitions Setting
Disallow user override:
Page 2 of 2
Printed by STRAKA, KEVIN F [KFS1] at 12/12/2016 1:13:45 PM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
12/2016CCKM@uwhealth.org