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

/clinical/cckm-tools/content/order-sets/inpatient/bmtoncologyhematology/name-97823-en.cckm

20170109

page

100

UWHC,UWMF,

Tools,

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

IP - BMT - Non-Myeloablative Umbilical Cord Blood Post Transplant Labs - Adult - Supplemental [2351]

IP - BMT - Non-Myeloablative Umbilical Cord Blood Post Transplant Labs - Adult - Supplemental [2351] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, BMT/Oncology/Hematology


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