SmartSet: IP - BMT - NON-MYELOABLATIVE UMBILICAL CORD BLOOD

POST TRANSPLANT LABS - ADULT - SUPPLEMENTAL (ID:2351)

General Information

Display name: IP - BMT - Non-Myeloablative Umbilical Cord Blood Post Transplant Labs - Adult

- Supplemental

Type: General

Merge priority: 0

Version comment:

Content source:

Synonyms: 1. NON MYELOABLATIVE

2. NONMYELOABLATIVE

3. UBC

4. UBCT

5. .BMT

SmartSet notes:

Description: Intended for Adult Patients Only

Web information: Title URL

1.

Questionnaire:

Configuration

Laboratory

Draw Once on Day 0

CYCLOSPORINE LEVEL NEXT DRAW, Starting S+1 For 1 Occurrences,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

TACROLIMUS LEVEL NEXT DRAW, Starting S+1 For 1 Occurrences,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Daily, Starting on Day 0

Page 1 of 14

Printed by STRAKA, KEVIN F [KFS1] at 1/6/2017 2:22:25 PM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 01/2017CCKM@uwhealth.org

ELECTROLYTES NEXT AM, Starting S+1 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

BUN NEXT AM, Starting S+1 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CREATININE NEXT AM, Starting S+1 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

GLUCOSE NEXT AM, Starting S+1 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

MAGNESIUM NEXT AM, Starting S+1 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Daily, Starting on Day +7

ELECTROLYTES NEXT AM, Starting S+8 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

BUN NEXT AM, Starting S+8 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CREATININE NEXT AM, Starting S+8 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

GLUCOSE NEXT AM, Starting S+8 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

MAGNESIUM NEXT AM, Starting S+8 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Daily, Starting on Day +14

ELECTROLYTES NEXT AM, Starting S+15 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

BUN NEXT AM, Starting S+15 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CREATININE NEXT AM, Starting S+15 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Page 2 of 14

Printed by STRAKA, KEVIN F [KFS1] at 1/6/2017 2:22:25 PM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

GLUCOSE NEXT AM, Starting S+15 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

MAGNESIUM NEXT AM, Starting S+15 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Daily, Starting on Day +21

ELECTROLYTES NEXT AM, Starting S+22 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

BUN NEXT AM, Starting S+22 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CREATININE NEXT AM, Starting S+22 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

GLUCOSE NEXT AM, Starting S+22 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

MAGNESIUM NEXT AM, Starting S+22 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Daily, Starting on Day +28

ELECTROLYTES NEXT AM, Starting S+29 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

BUN NEXT AM, Starting S+29 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CREATININE NEXT AM, Starting S+29 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

GLUCOSE NEXT AM, Starting S+29 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

MAGNESIUM NEXT AM, Starting S+29 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Daily, Starting on Day +35

ELECTROLYTES NEXT AM, Starting S+35 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Page 3 of 14

Printed by STRAKA, KEVIN F [KFS1] at 1/6/2017 2:22:25 PM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

BUN NEXT AM, Starting S+35 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CREATININE NEXT AM, Starting S+35 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

GLUCOSE NEXT AM, Starting S+35 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

MAGNESIUM NEXT AM, Starting S+35 For 7 Occurrences, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday, Wednesday, and Friday Starting Day 0

CBC WITH DIFFERENTIAL EVERY MONDAY, WEDNESDAY, AND FRIDAY,

Starting S+1 with First Occurrence As Scheduled For

7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday, Wednesday, and Friday Starting Day 7

CBC WITH DIFFERENTIAL EVERY MONDAY, WEDNESDAY, AND FRIDAY,

Starting S+8 with First Occurrence As Scheduled For

7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday, Wednesday, and Friday Starting Day 14

CBC WITH DIFFERENTIAL EVERY MONDAY, WEDNESDAY, AND FRIDAY,

Starting S+15 with First Occurrence As Scheduled

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday, Wednesday, and Friday Starting Day 21

CBC WITH DIFFERENTIAL EVERY MONDAY, WEDNESDAY, AND FRIDAY,

Starting S+22 with First Occurrence As Scheduled

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday, Wednesday, and Friday Starting Day 28

CBC WITH DIFFERENTIAL EVERY MONDAY, WEDNESDAY, AND FRIDAY,

Starting S+29 with First Occurrence As Scheduled

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday, Wednesday, and Friday Starting Day 35

Page 4 of 14

Printed by STRAKA, KEVIN F [KFS1] at 1/6/2017 2:22:25 PM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

CBC WITH DIFFERENTIAL EVERY MONDAY, WEDNESDAY, AND FRIDAY,

Starting S+36 with First Occurrence As Scheduled

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Tuesday, Thursday, Saturday, and Sunday Starting Day 0

CBC WITHOUT DIFFERENTIAL EVERY TUESDAY, THURSDAY, SAT AND SUN,

Starting S+1 with First Occurrence As Scheduled For

7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ABSOLUTE NEUTROPHIL COUNT EVERY TUESDAY, THURSDAY, SAT AND SUN,

Starting S+1 with First Occurrence As Scheduled For

7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Tuesday, Thursday, Saturday, and Sunday Starting Day 7

CBC WITHOUT DIFFERENTIAL EVERY TUESDAY, THURSDAY, SAT AND SUN,

Starting S+8 with First Occurrence As Scheduled For

7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ABSOLUTE NEUTROPHIL COUNT EVERY TUESDAY, THURSDAY, SAT AND SUN,

Starting S+8 with First Occurrence As Scheduled For

7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Tuesday, Thursday, Saturday, and Sunday Starting Day 14

CBC WITHOUT DIFFERENTIAL EVERY TUESDAY, THURSDAY, SAT AND SUN,

Starting S+15 with First Occurrence As Scheduled

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ABSOLUTE NEUTROPHIL COUNT EVERY TUESDAY, THURSDAY, SAT AND SUN,

Starting S+15 with First Occurrence As Scheduled

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Tuesday, Thursday, Saturday, and Sunday Starting Day 21

CBC WITHOUT DIFFERENTIAL EVERY TUESDAY, THURSDAY, SAT AND SUN,

Starting S+22 with First Occurrence As Scheduled

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Page 5 of 14

Printed by STRAKA, KEVIN F [KFS1] at 1/6/2017 2:22:25 PM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

ABSOLUTE NEUTROPHIL COUNT EVERY TUESDAY, THURSDAY, SAT AND SUN,

Starting S+22 with First Occurrence As Scheduled

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Tuesday, Thursday, Saturday, and Sunday Starting Day 28

CBC WITHOUT DIFFERENTIAL EVERY TUESDAY, THURSDAY, SAT AND SUN,

Starting S+29 with First Occurrence As Scheduled

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ABSOLUTE NEUTROPHIL COUNT EVERY TUESDAY, THURSDAY, SAT AND SUN,

Starting S+29 with First Occurrence As Scheduled

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Tuesday, Thursday, Saturday, and Sunday Starting Day 35

CBC WITHOUT DIFFERENTIAL EVERY TUESDAY, THURSDAY, SAT AND SUN,

Starting S+36 with First Occurrence As Scheduled

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ABSOLUTE NEUTROPHIL COUNT EVERY TUESDAY, THURSDAY, SAT AND SUN,

Starting S+36 with First Occurrence As Scheduled

For 7 Days, Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday and Thursday, Starting Day 0

LD, TOTAL EVERY MONDAY AND THURSDAY, Starting S+1

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

BILIRUBIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+1

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALKALINE PHOSPHATASE EVERY MONDAY AND THURSDAY, Starting S+1

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Page 6 of 14

Printed by STRAKA, KEVIN F [KFS1] at 1/6/2017 2:22:25 PM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

ALT/SGPT EVERY MONDAY AND THURSDAY, Starting S+1

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

AST/SGOT EVERY MONDAY AND THURSDAY, Starting S+1

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CALCIUM EVERY MONDAY AND THURSDAY, Starting S+1

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PHOSPHATE EVERY MONDAY AND THURSDAY, Starting S+1

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALBUMIN EVERY MONDAY AND THURSDAY, Starting S+1

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PROTEIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+1

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CYCLOSPORINE LEVEL EVERY MONDAY AND THURSDAY, Starting S+1

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

TACROLIMUS LEVEL EVERY MONDAY AND THURSDAY, Starting S+1

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday and Thursday, Starting Day 7

LD, TOTAL EVERY MONDAY AND THURSDAY, Starting S+8

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Page 7 of 14

Printed by STRAKA, KEVIN F [KFS1] at 1/6/2017 2:22:25 PM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

BILIRUBIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+8

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALKALINE PHOSPHATASE EVERY MONDAY AND THURSDAY, Starting S+8

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALT/SGPT EVERY MONDAY AND THURSDAY, Starting S+8

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

AST/SGOT EVERY MONDAY AND THURSDAY, Starting S+8

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CALCIUM EVERY MONDAY AND THURSDAY, Starting S+8

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PHOSPHATE EVERY MONDAY AND THURSDAY, Starting S+8

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALBUMIN EVERY MONDAY AND THURSDAY, Starting S+8

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PROTEIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+8

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CYCLOSPORINE LEVEL EVERY MONDAY AND THURSDAY, Starting S+8

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Page 8 of 14

Printed by STRAKA, KEVIN F [KFS1] at 1/6/2017 2:22:25 PM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

TACROLIMUS LEVEL EVERY MONDAY AND THURSDAY, Starting S+8

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every MonDraw Every Monday and Thursday, Starting Day 14

LD, TOTAL EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

GGT EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

BILIRUBIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALKALINE PHOSPHATASE EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALT/SGPT EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

AST/SGOT EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CALCIUM EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PHOSPHATE EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Page 9 of 14

Printed by STRAKA, KEVIN F [KFS1] at 1/6/2017 2:22:25 PM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

ALBUMIN EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PROTEIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CYCLOSPORINE LEVEL EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

TACROLIMUS LEVEL EVERY MONDAY AND THURSDAY, Starting S+15

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday and Thursday, Starting Day 21

LD, TOTAL EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

BILIRUBIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALKALINE PHOSPHATASE EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALT/SGPT EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

AST/SGOT EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Page 10 of 14

Printed by STRAKA, KEVIN F [KFS1] at 1/6/2017 2:22:25 PM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

CALCIUM EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PHOSPHATE EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALBUMIN EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PROTEIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CYCLOSPORINE LEVEL EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

TACROLIMUS LEVEL EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday and Thursday, Starting Day 28

LD, TOTAL EVERY MONDAY AND THURSDAY, Starting S+29

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

BILIRUBIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+29

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALKALINE PHOSPHATASE EVERY MONDAY AND THURSDAY, Starting S+29

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Page 11 of 14

Printed by STRAKA, KEVIN F [KFS1] at 1/6/2017 2:22:25 PM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

ALT/SGPT EVERY MONDAY AND THURSDAY, Starting S+29

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

AST/SGOT EVERY MONDAY AND THURSDAY, Starting S+29

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CALCIUM EVERY MONDAY AND THURSDAY, Starting S+29

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PHOSPHATE EVERY MONDAY AND THURSDAY, Starting S+29

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALBUMIN EVERY MONDAY AND THURSDAY, Starting S+29

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PROTEIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+29

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CYCLOSPORINE LEVEL EVERY MONDAY AND THURSDAY, Starting S+29

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

TACROLIMUS LEVEL EVERY MONDAY AND THURSDAY, Starting S+29

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday and Thursday, Starting Day 35

LD, TOTAL EVERY MONDAY AND THURSDAY, Starting S+36

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Page 12 of 14

Printed by STRAKA, KEVIN F [KFS1] at 1/6/2017 2:22:25 PM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

BILIRUBIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+36

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALKALINE PHOSPHATASE EVERY MONDAY AND THURSDAY, Starting S+36

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALT/SGPT EVERY MONDAY AND THURSDAY, Starting S+36

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

AST/SGOT EVERY MONDAY AND THURSDAY, Starting S+36

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CALCIUM EVERY MONDAY AND THURSDAY, Starting S+36

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PHOSPHATE EVERY MONDAY AND THURSDAY, Starting S+36

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

ALBUMIN EVERY MONDAY AND THURSDAY, Starting S+36

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

PROTEIN, TOTAL EVERY MONDAY AND THURSDAY, Starting S+36

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

CYCLOSPORINE LEVEL EVERY MONDAY AND THURSDAY, Starting S+36

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Page 13 of 14

Printed by STRAKA, KEVIN F [KFS1] at 1/6/2017 2:22:25 PM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org

TACROLIMUS LEVEL EVERY MONDAY AND THURSDAY, Starting S+36

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Every Monday and Thursday for Patients who are CMV Positive, Starting the First

Monday after Day +21

CMV QUANTITATIVE BY PCR EVERY MONDAY AND THURSDAY, Starting S+22

with First Occurrence As Scheduled For 7 Days,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Draw Once on Day +28

STR ENGRAFTMENT POPULATION 1 - MUST

BE ORDERED WITH STR ENGRAFTMENT

POPULATION 2

NEXT DRAW, Starting S+29 For 1 Occurrences,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

STR ENGRAFTMENT POPULATION 2 - MUST

BE ORDERED WITH STR ENGRAFTMENT

POPULATION 1

NEXT DRAW, Starting S+29 For 1 Occurrences,

Routine

If add on test, what should lab do if unable to add test

to previous specimen?

If Conditional, What Condition?

Criteria

Suggestions: UWIP C LOGIN DEPT IP ONCOLOGY/HEMATOLOGY/BMT[3001756]

Filter: UWIP ORDER SET RESTRICTION - HOSPITAL ENCOUNTERS EXCEPT ED -

NOT IP DC[3000400]

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 14 of 14

Printed by STRAKA, KEVIN F [KFS1] at 1/6/2017 2:22:25 PM

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority

Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:

01/2017CCKM@uwhealth.org