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OP - Lung Transplant Evaluation - Labs [3656]

OP - Lung Transplant Evaluation - Labs [3656] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Ambulatory, Transplant


LUNG TRANSPLANT EVAL - LABS - OP [3656]
Lab Orders
Labs - General [106478]
ABO and RH Typing [ABO] Status: Future, Expected:6/10/16, Expires: 10/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
ABO and RH Typing - 2nd ABO [ABO] Status: Standing, Expires:10/10/16 MANUAL,Count:1,
Normal, Routine, Pre-transplant recipient. ABN not required.
Draw 2nd ABO same day at different times.
CBC with Differential [CBC] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Prothrombin Time/INR [PT] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
PTT [PTT] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Urinalysis with Microscopy [UA] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Creatinine, Urine [UCRR] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Lipid Panel [LIPID] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Glucose [GLU] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Calcium [CA] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Albumin [ALB] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Protein, Total [TP] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Electrolytes [LYTE] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
BUN [BUN] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Creatinine [CRET] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Alkaline Phosphatase [ALKP] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
ALT/SGPT [ALT] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
AST/SGOT [AST] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Bilirubin, Total [TBIL] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
EBV AB TO VIRAL CAPSID AG, IGG [HCEBVIGG] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Hepatitis C AB [HCV] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Magnesium [MAG] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Hemoglobin A1C [HA1C] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
CMV IGG AB [XCMVG] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Ferritin [FER] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Prealbumin [XPRALB] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
TSH [TSH] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Page 1 of 3
Printed by LIND, JANNA S [JSL237] at 6/10/2016 11:37:02 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2016CCKM@uwhealth.org

Routine, Pre-transplant recipient. ABN not required.
HIV Ab/Ag Combo [HIVABAG] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Toxoplasma AB, IGG/IGM [HCTOXO] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Uric Acid [URIC] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
PTH [HCPTHIN] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Varicella Zoster AB, IGG [VZIGG] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Hepatitis B Surface AB (immune status) [HBSABI] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Hepatitis B Surface AG [HBSAG] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
LD, Total [LDH] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Vitamin D, 25-Hydroxy by HPLC [HCLCD25] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Microalbumin, Urine [UMA] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Nicotine (includes Cotinine), Urine [HCUNCPNL] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Cold Agglutinins [HCCAGG] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Quantiferon-TB Gold [GM8455] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Antibody Screen (indirect antiglobulin test) [ABSCR] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Labs - HLA Testing Luminex [106479]
HLA Class I AB by Luminex, Pre Tx [HCLUC1S] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
HLA Class II AB by Luminex, Pre Tx [HCLUC2S] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant recipient. ABN not required.
Labs - HLA Testing DR/DQ/DP [129935]
DRB1 Locus, Pre-Tx [HCDRB1S] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant. No ABN required.
DRB345 Locus, Pre-Tx [HCDRB345S] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant. No ABN required.
DQ Locus, Pre-Tx [HCDQB1S] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant. No ABN required.
DP Locus, Pre-Tx [HCDPB1S] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant. No ABN required.
Labs - HLA Class I Typing [129936]
HLA A LOCUS, PRE-TX [HCALOCS] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant. No ABN required.
HLA B LOCUS, PRE-TX [HCBLOCS] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant. No ABN required.
HLA C LOCUS, PRE-TX [HCCLOCS] Status: Future, Expected:6/17/16, Expires: 7/10/16, Normal,
Routine, Pre-transplant. No ABN required.
Diagnosis
Diagnosis [106485]
Alpha-1-antitrypsin deficiency [273.4.ICD-9-CM] Alpha-1-antitrypsin deficiency
Bronchiectasis without acute exacerbation [494.0.ICD-
9-CM]
Bronchiectasis without acute exacerbation
Bronchiolitis obliterans [145682] Other chronic bronchitis
Chronic airway obstruction [179806] Chronic airway obstruction, not elsewhere classified
Page 2 of 3
Printed by LIND, JANNA S [JSL237] at 6/10/2016 11:37:02 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2016CCKM@uwhealth.org

Cystic fibrosis with pulmonary manifestations
[277.02.ICD-9-CM]
Cystic fibrosis with pulmonary manifestations
Emphysema, other [492.8.ICD-9-CM] Other emphysema
Encounter for long-term (current) use of medications
[195074]
Encounter for long-term (current) use of other medications
Hermansky-Pudlak syndrome [127273] Other disturbances of aromatic amino-acid metabolism
Hypersensitivity pneumonitis [143988] Unspecified allergic alveolitis and pneumonitis
Idiopathic pulmonary fibrosis, unspecified [515.ICD-9-
CM]
Postinflammatory pulmonary fibrosis
Idiopathic fibrosing alveolitis [446917] Idiopathic interstitial pneumonia, not otherwise specified
Interstitial Lung Disease, unspecified [515.ICD-9-CM] Postinflammatory pulmonary fibrosis
Lung involvement associated with another disorder
[311661]
Lung involvement in other diseases classified elsewhere
Lung involvement in systemic sclerosis [991596] Diagnosis
Lymphangioleiomyomatosis [992073] Diagnosis
Organ transplant candidate [310964] Awaiting organ transplant status
Primary Ciliary Dyskinesia-Kartagener's Disease (Situs
inversus) [759.3.ICD-9-CM]
Situs inversus
Chronic pulmonary heart disease [911906] Diagnosis
Pulmonary hypertension, primary [330213] Primary pulmonary hypertension
Sarcoidosis [135.ICD-9-CM] Sarcoidosis
Systemic sclerosis [710.1.ICD-9-CM] Systemic sclerosis
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END OF SMARTSET [4852]
Other Chief Complaint
Page 3 of 3
Printed by LIND, JANNA S [JSL237] at 6/10/2016 11:37:02 AM
Copyright © 201� University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 06/2016CCKM@uwhealth.org